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

Natalia E. Pérez Ramírez, Paula Nahuelhual Cares, Pamela San Martín Peñailillo

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

All rights reserved. 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, post-treatment, 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.
Original languageAmerican English
Pages (from-to)282-292
Number of pages11
JournalRevista Chilena de Pediatria
Volume90
Issue number3
DOIs
StatePublished - 1 May 2019
Externally publishedYes

Keywords

  • Autoimmune diseases
  • Hydrotherapy
  • Juvenile idiopathic arthritis
  • Rehabilitation
  • Watsu

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