Rheumatology International

, Volume 30, Issue 6, pp 739–747 | Cite as

Effect of balneotherapy on temporospatial gait characteristics of patients with osteoarthritis of the knee

  • Önder Kılıçoğlu
  • Arif Dönmez
  • Zeki Karagülle
  • Nergis Erdoğan
  • Ekin Akalan
  • Yener Temelli
Original Article


Effects of balneotherapy on gait properties of patients with osteoarthritis of the knee were investigated prospectively. A total of 30 patients with knee osteoarthritis received balneotherapy consisting of two daily thermomineral water baths for 2 weeks. Patients were evaluated using gait analysis and clinical scores, both within 2 weeks, before and after spa treatment. Patients were walking faster in their control analyses (0.81 ± 0.21 to 0.89 ± 0.19 m/s; P = 0.017), with a shorter mean stance time (63.0 ± 3.3 to 61.8 ± 2.5% stride; P = 0.007), an increased cadence (96 ± 13.1 to 100 ± 11.9 steps/min; P = 0.094) and stride length (996 ± 174 to 1,058 ± 142 mm; P = 0.017). Balneotherapy also resulted in a significant decrease in Lequesne knee osteoarthritis index (12.1 ± 3.7 to 10.0 ± 3.3 points; P = 0.003), VAS for pain (58 ± 25 to 33 ± 15; P = 0.0001), VAS for patients’ (56 ± 24 to 29 ± 19; P < 0.001) and investigator’s global assessment (55 ± 20 to 26 ± 15; P < 0.0001) and WOMAC score (2.1 ± 0.7 to 1.6 ± 0.8; P = 0.0004). Balneotherapy has positive effects on gait properties and clinical health quality parameters of patients with knee osteoarthritis in short-term evaluations.


Knee joint Osteoarthritis Balneology Hydrotherapy Spa therapy Gait 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Önder Kılıçoğlu
    • 1
  • Arif Dönmez
    • 2
  • Zeki Karagülle
    • 2
  • Nergis Erdoğan
    • 2
  • Ekin Akalan
    • 3
  • Yener Temelli
    • 1
  1. 1.Department of Orthopedics and TraumatologyIstanbul University, Istanbul Medical SchoolIstanbulTurkey
  2. 2.Department of Medical Ecology and HydroclimatologyIstanbul University, Istanbul Medical SchoolIstanbulTurkey
  3. 3.Gait Analysis LaboratoryIstanbul University, Istanbul Medical SchoolIstanbulTurkey

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