Effectiveness of Watsu therapy in patients with juvenile idiopathic arthritis. A parallel, randomized, controlled and single-blind clinical trial

Natalia Pérez Ramírez; Paula Nahuelhual Cares; Pamela San Martín Peñailillo

Keywords: rehabilitation, autoimmune diseases, juvenile idiopathic arthritis, hydrotherapy, artritis idiopática juvenil, rehabilitación, enfermedades autoinmunes, Hidroterapia, Watsu

Abstract

Introduction: Juvenile idiopathic arthritis (JIA) is a rheumatologic disease in children under 16 years old, which causes early physical disability. The use of hydrotherapy Watsu in these patients is proposed. Objective: To evaluate the effectiveness of Watsu compared to conventional hydrotherapy on health-related quality of life (HRQoL), functional health status, pain, and ranges of joint motion in patients with acute or subacute JIA. Patients and Method: Randomized (1: 1) single-blind parallel controlled clinical trial in 46 patients with acute and subacute JIA between 8-18 years old. Pediatric Quality of Life Inventory 4.0 (PedsQL4.0), Childhood Health Assessment Questionnaire (CHAQ), and 10-joints Global range of motion score (GROMS) assessments were used at the beginning, posttreatment, and after three months of follow-up. Patients were randomly assigned to the Watsu group (n = 24) and to the conventional hydrotherapy group (n = 22), participating in 10 sessions of 45 minutes once a week. Results: Watsu therapy showed statistically significant improvements in physical functioning-HRQoL (p = 0.041), disability index (p = 0.015), distress index (p = 0.015), and functional health status-CHAQ (p = 0.013) after treatment compared to conventional hydrotherapy. Conclusions: Watsu therapy improved HRQoL, pain sensation, and functional health status compared to conventional hydrotherapy. Methodological adaptations are required in future studies to improve the external validity of these results.

Más información

Título según SCOPUS: Effectiveness of Watsu therapy in patients with juvenile idiopathic arthritis. A parallel, randomized, controlled and single-blind clinical trial [Efectividad de la terapia Watsu en pacientes con artritis idiopática juvenil. Un ensayo clínico controlado paralelo, aleatorio y simple ciego]
Título según SCIELO: Efectividad de la terapia Watsu en pacientes con artritis idiopática juvenil. Un ensayo clínico controlado paralelo, aleatorio y simple ciego
Título de la Revista: Andes Pediátrica. Revista Chilena de Pediatría
Volumen: 90
Número: 3
Editorial: Si
Fecha de publicación: 2019
Página de inicio: 282
Página final: 292
Idioma: Spanish
DOI:

10.32641/rchped.v90i3.886

Notas: WOS-ESCI, SCIELO, SCOPUS