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Clinical Rehabilitation
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Clinical and psychological effects of hydrotherapy in rheumatic diseases

Michael Ahern

Department of Rheumatology, Repatriation General Hospital, Adelaide

Elizabeth Nicholls

Department of Rheumatology, Repatriation General Hospital, Adelaide

Eddy Simionato

Department of Rheumatology, Repatriation General Hospital, Adelaide

Michael Clark

Department of Rheumatology, Repatriation General Hospital, Adelaide

Malcolm Bond

Department of Rheumatology, Repatriation General Hospital, Adelaide

Objectives: To assess the objective and subjective effects of a hydrotherapy programme for patients with rheumatoid arthritis (RA) or osteoarthritis (OA). Methods: Ninety patients entered a four-consecutive-day hydrotherapy programme. Seventy-two patients completed this programme. At the end of the four-day course, 22 patients were randomized to continue hydrotherapy for a further six weeks and eight patients were observed and acted as a control group. Results: Throughout the study there were no changes in functional assessment or range of movement of target joints. The most significant changes in the four-day course were improvements in self-efficacy for function and pain with resulting improvements in pain and stiffness scores. Those patients continuing hydrotherapy maintained the improvements achieved as a result of the four- day course, while in the control group most of the variables had returned to pretreatment values by four weeks.

Conclusion: These results suggest that hydrotherapy has beneficial effects in patients with RA and OA through improvements in self-efficacy.

Clinical Rehabilitation, Vol. 9, No. 3, 204-212 (1995)
DOI: 10.1177/026921559500900305
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