Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial

Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy


Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy – Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial. Fizjoterapia Polska 2022; 22(2); 18-24

Abstract
Background. Sand baths and sulphurous water bath has been approved as alternative modalities for treating various musculoskeletal diseases. Although that, current evidence is not clear enough to support naturotherapy modalities as an effective method to treat Rheumatoid Arthritis (RA).
Objectives. This study aimed to compare the effect of Siwa sand baths and Sulphurous water bath on inflammatory biomarkers (ESR, CRP, RF), pain intensity, physical function, and wrist Range of Motion (ROM) in patients with RA.
Methods. A randomized single-blind controlled clinical trial was designed to treat 30 patients with chronic RA. These patients were randomly assigned into two groups of 15 patients each: Group A (n = 15) received Siwa sand baths, and group B (n = 15) received sulphurous water bath (each bath lasting 20 minutes, for 7 successive days). Inflammatory biomarkers, physical function, pain intensity, and wrist joint ROM were measured for all patients at three intervals (before treatment, after 7 days of treatment, and after 1-month follow-up).
Results. The results showed that after 7 days of treatment there were significant differences between both groups in all measured variables in favor of group B, ESR (p = 0.0001), CRP (p = 0.001), RF (p = 0.0001), HAQ (p = 0.0001), pain (p = 0.001), wrist extension (p = 0.001), wrist flexion (p = 0.0001). While at 1-month follow-up, the analysis showed significant differences between both groups in all measured variables in favor of group A (p < 0.05).
Conclusion. Both Siwa sand baths and sulphurous water bath have an improvement effect on inflammatory biomarkers, pain, daily activities, and wrist ROM but Siwa sand baths has more effect in the long term better than sulphurous water bath.
Key words:
Siwa sand baths, Sulphurous water bath, Rheumatoid arthritis, Inflammatory biomarkers
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