Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial.
Identifieur interne : 000290 ( Main/Exploration ); précédent : 000289; suivant : 000291Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial.
Auteurs : Laetitia Peultier-Celli [France] ; Alexis Lion [France, Luxembourg (pays)] ; Isabelle Chary-Valckenaere [France] ; Damien Loeuille [France] ; Zheng Zhang [France, République populaire de Chine] ; Anne-Christine Rat [France] ; René Gueguen [France] ; Jean Paysant [France] ; Philippe P. Perrin [France]Source :
- International journal of biometeorology [ 1432-1254 ] ; 2019.
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Abstract
Knee osteoarthritis (KOA) can generate postural control impairments which can increase fall risk. Land-based exercise (LBE) and balneotherapy are two modalities currently prescribed, but the impact of the latter on balance control has not been studied. This study aimed to compare two programs of balneotherapy with or without LBE to improve postural control, looking at frequency and duration of treatment. A total of 236 KOA patients (mean age = 64 years) were included in this prospective and randomized study: 122 patients went through 3 weeks of standardized continuous balneotherapy (high frequency/short duration) program (Gr1) and 114 went through 3 weeks of discontinuous (low frequency) balneotherapy program followed by 3 weeks of LBE (Gr2). The total number of treatment sessions was the same for both groups. Posturography was carried out before balneotherapy (W0) and at 3 (W3), 6 (W6), and 12 (W12) weeks after the beginning of treatment. Postural control increased in Gr1 from W0 to W3 and from W0 to W12 and in Gr2 from W0 to W6 and from W3 to W6. The improvement was greater in Gr1 from W0 to W3 and from W6 to W12 and in Gr2 from W3 to W6. High-frequency intensive balneotherapy improved posture control at 3 weeks, while low-frequency balneotherapy did not. This improvement persisted over a 12-week assessment period at the same level. LBE generated an improvement that did not persist over time. Sustained improvement of postural control requires high-frequency repetition of consecutive balneotherapy sessions.
DOI: 10.1007/s00484-019-01727-9
PubMed: 31065841
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France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Zhang, Zheng" sort="Zhang, Zheng" uniqKey="Zhang Z" 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430060</wicri:regionArea><wicri:noRegion>430060</wicri:noRegion></affiliation></author><author><name sortKey="Rat, Anne Christine" sort="Rat, Anne Christine" uniqKey="Rat A" first="Anne-Christine" last="Rat">Anne-Christine Rat</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>INSERM, CIC-EC, CIE6, F-54000, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, CIC-EC, CIE6, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Gueguen, Rene" sort="Gueguen, Rene" uniqKey="Gueguen R" first="René" last="Gueguen">René Gueguen</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Paysant, Jean" sort="Paysant, Jean" uniqKey="Paysant J" first="Jean" last="Paysant">Jean Paysant</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Regional Institute of Physical Medicine and Rehabilitation, F-54042, Nancy Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Regional Institute of Physical Medicine and Rehabilitation, F-54042, Nancy Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. 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low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial.</title><author><name sortKey="Peultier Celli, Laetitia" sort="Peultier Celli, Laetitia" uniqKey="Peultier Celli L" first="Laetitia" last="Peultier-Celli">Laetitia Peultier-Celli</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Lion, Alexis" sort="Lion, Alexis" uniqKey="Lion A" first="Alexis" last="Lion">Alexis Lion</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Fédération Luxembourgeoise des Associations de Sport de Santé, L-1445, Strassen, Luxembourg.</nlm:affiliation><country xml:lang="fr">Luxembourg (pays)</country><wicri:regionArea>Fédération Luxembourgeoise des Associations de Sport de Santé, L-1445, Strassen</wicri:regionArea><wicri:noRegion>Strassen</wicri:noRegion></affiliation></author><author><name sortKey="Chary Valckenaere, Isabelle" sort="Chary Valckenaere, Isabelle" uniqKey="Chary Valckenaere I" first="Isabelle" last="Chary-Valckenaere">Isabelle Chary-Valckenaere</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Loeuille, Damien" sort="Loeuille, Damien" uniqKey="Loeuille D" first="Damien" last="Loeuille">Damien Loeuille</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Zhang, Zheng" sort="Zhang, Zheng" uniqKey="Zhang Z" first="Zheng" last="Zhang">Zheng Zhang</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan, 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan, 430060</wicri:regionArea><wicri:noRegion>430060</wicri:noRegion></affiliation></author><author><name sortKey="Rat, Anne Christine" sort="Rat, Anne Christine" uniqKey="Rat A" first="Anne-Christine" last="Rat">Anne-Christine Rat</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>INSERM, CIC-EC, CIE6, F-54000, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, CIC-EC, CIE6, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Gueguen, Rene" sort="Gueguen, Rene" uniqKey="Gueguen R" first="René" last="Gueguen">René Gueguen</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Paysant, Jean" sort="Paysant, Jean" uniqKey="Paysant J" first="Jean" last="Paysant">Jean Paysant</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Regional Institute of Physical Medicine and Rehabilitation, F-54042, Nancy Cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Regional Institute of Physical Medicine and Rehabilitation, F-54042, Nancy Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. Perrin</name><affiliation wicri:level="3"><nlm:affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France. philippe.perrin@univ-lorraine.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France. philippe.perrin@univ-lorraine.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author></analytic><series><title level="j">International journal of biometeorology</title><idno type="eISSN">1432-1254</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Balneology (MeSH)</term><term>Exercise (MeSH)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Osteoarthritis, Knee (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Balnéologie (MeSH)</term><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Exercice physique (MeSH)</term><term>Gonarthrose (MeSH)</term><term>Humains (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Balneology</term><term>Exercise</term><term>Humans</term><term>Middle Aged</term><term>Osteoarthritis, Knee</term><term>Prospective Studies</term><term>Randomized Controlled Trials as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Balnéologie</term><term>Essais contrôlés randomisés comme sujet</term><term>Exercice physique</term><term>Gonarthrose</term><term>Humains</term><term>Sujet âgé</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Knee osteoarthritis (KOA) can generate postural control impairments which can increase fall risk. Land-based exercise (LBE) and balneotherapy are two modalities currently prescribed, but the impact of the latter on balance control has not been studied. This study aimed to compare two programs of balneotherapy with or without LBE to improve postural control, looking at frequency and duration of treatment. A total of 236 KOA patients (mean age = 64 years) were included in this prospective and randomized study: 122 patients went through 3 weeks of standardized continuous balneotherapy (high frequency/short duration) program (Gr1) and 114 went through 3 weeks of discontinuous (low frequency) balneotherapy program followed by 3 weeks of LBE (Gr2). The total number of treatment sessions was the same for both groups. Posturography was carried out before balneotherapy (W0) and at 3 (W3), 6 (W6), and 12 (W12) weeks after the beginning of treatment. Postural control increased in Gr1 from W0 to W3 and from W0 to W12 and in Gr2 from W0 to W6 and from W3 to W6. The improvement was greater in Gr1 from W0 to W3 and from W6 to W12 and in Gr2 from W3 to W6. High-frequency intensive balneotherapy improved posture control at 3 weeks, while low-frequency balneotherapy did not. This improvement persisted over a 12-week assessment period at the same level. LBE generated an improvement that did not persist over time. Sustained improvement of postural control requires high-frequency repetition of consecutive balneotherapy sessions.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Automated" Owner="NLM"><PMID Version="1">31065841</PMID><DateCompleted><Year>2019</Year><Month>10</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1254</ISSN><JournalIssue CitedMedium="Internet"><Volume>63</Volume><Issue>9</Issue><PubDate><Year>2019</Year><Month>Sep</Month></PubDate></JournalIssue><Title>International journal of biometeorology</Title><ISOAbbreviation>Int J Biometeorol</ISOAbbreviation></Journal><ArticleTitle>Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial.</ArticleTitle><Pagination><MedlinePgn>1151-1159</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00484-019-01727-9</ELocationID><Abstract><AbstractText>Knee osteoarthritis (KOA) can generate postural control impairments which can increase fall risk. Land-based exercise (LBE) and balneotherapy are two modalities currently prescribed, but the impact of the latter on balance control has not been studied. This study aimed to compare two programs of balneotherapy with or without LBE to improve postural control, looking at frequency and duration of treatment. A total of 236 KOA patients (mean age = 64 years) were included in this prospective and randomized study: 122 patients went through 3 weeks of standardized continuous balneotherapy (high frequency/short duration) program (Gr1) and 114 went through 3 weeks of discontinuous (low frequency) balneotherapy program followed by 3 weeks of LBE (Gr2). The total number of treatment sessions was the same for both groups. Posturography was carried out before balneotherapy (W0) and at 3 (W3), 6 (W6), and 12 (W12) weeks after the beginning of treatment. Postural control increased in Gr1 from W0 to W3 and from W0 to W12 and in Gr2 from W0 to W6 and from W3 to W6. The improvement was greater in Gr1 from W0 to W3 and from W6 to W12 and in Gr2 from W3 to W6. High-frequency intensive balneotherapy improved posture control at 3 weeks, while low-frequency balneotherapy did not. This improvement persisted over a 12-week assessment period at the same level. LBE generated an improvement that did not persist over time. Sustained improvement of postural control requires high-frequency repetition of consecutive balneotherapy sessions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Peultier-Celli</LastName><ForeName>Laetitia</ForeName><Initials>L</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-5491-8779</Identifier><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lion</LastName><ForeName>Alexis</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Fédération Luxembourgeoise des Associations de Sport de Santé, L-1445, Strassen, Luxembourg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chary-Valckenaere</LastName><ForeName>Isabelle</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Loeuille</LastName><ForeName>Damien</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UMR-CNRS 7365, Ingénierie Moléculaire et Physiopathologie Articulaire-IMoPA, F-54500 Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zheng</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan, 430060, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rat</LastName><ForeName>Anne-Christine</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Department of Rheumatology, University Hospital of Nancy, F-54511, Vandoeuvre-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INSERM, CIC-EC, CIE6, F-54000, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gueguen</LastName><ForeName>René</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paysant</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Regional Institute of Physical Medicine and Rehabilitation, F-54042, Nancy Cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perrin</LastName><ForeName>Philippe P</ForeName><Initials>PP</Initials><AffiliationInfo><Affiliation>EA 3450, Development, Adaptation and Handicap, Faculty of Medicine and UFR STAPS, University of Lorraine, F-54600 Villers-lès-Nancy, Nancy, France. philippe.perrin@univ-lorraine.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, F-54500 Vandoeuvre-lès-Nancy, Nancy, France. philippe.perrin@univ-lorraine.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Biometeorol</MedlineTA><NlmUniqueID>0374716</NlmUniqueID><ISSNLinking>0020-7128</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001452" MajorTopicYN="Y">Balneology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020370" MajorTopicYN="Y">Osteoarthritis, Knee</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="Y">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Balneotherapy</Keyword><Keyword MajorTopicYN="N">Exercise</Keyword><Keyword MajorTopicYN="N">Knee osteoarthritis</Keyword><Keyword MajorTopicYN="N">Older adult</Keyword><Keyword MajorTopicYN="N">Physical rehabilitation</Keyword><Keyword MajorTopicYN="N">Postural balance</Keyword><Keyword MajorTopicYN="N">Posturography</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>12</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>04</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate 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Chine</li></country><region><li>Grand Est</li><li>Lorraine (région)</li></region><settlement><li>Nancy</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Peultier Celli, Laetitia" sort="Peultier Celli, Laetitia" uniqKey="Peultier Celli L" first="Laetitia" last="Peultier-Celli">Laetitia Peultier-Celli</name></region><name sortKey="Chary Valckenaere, Isabelle" sort="Chary Valckenaere, Isabelle" uniqKey="Chary Valckenaere I" first="Isabelle" last="Chary-Valckenaere">Isabelle Chary-Valckenaere</name><name sortKey="Chary Valckenaere, Isabelle" sort="Chary Valckenaere, Isabelle" uniqKey="Chary Valckenaere I" first="Isabelle" last="Chary-Valckenaere">Isabelle Chary-Valckenaere</name><name sortKey="Gueguen, Rene" sort="Gueguen, Rene" uniqKey="Gueguen R" first="René" last="Gueguen">René Gueguen</name><name sortKey="Lion, Alexis" sort="Lion, Alexis" uniqKey="Lion A" first="Alexis" last="Lion">Alexis Lion</name><name sortKey="Lion, Alexis" sort="Lion, Alexis" uniqKey="Lion A" first="Alexis" last="Lion">Alexis Lion</name><name sortKey="Loeuille, Damien" sort="Loeuille, Damien" uniqKey="Loeuille D" first="Damien" last="Loeuille">Damien Loeuille</name><name sortKey="Loeuille, Damien" sort="Loeuille, Damien" uniqKey="Loeuille D" first="Damien" last="Loeuille">Damien Loeuille</name><name sortKey="Paysant, Jean" sort="Paysant, Jean" uniqKey="Paysant J" first="Jean" last="Paysant">Jean Paysant</name><name sortKey="Paysant, Jean" sort="Paysant, Jean" uniqKey="Paysant J" first="Jean" last="Paysant">Jean Paysant</name><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. Perrin</name><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. Perrin</name><name sortKey="Peultier Celli, Laetitia" sort="Peultier Celli, Laetitia" uniqKey="Peultier Celli L" first="Laetitia" last="Peultier-Celli">Laetitia Peultier-Celli</name><name sortKey="Rat, Anne Christine" sort="Rat, Anne Christine" uniqKey="Rat A" first="Anne-Christine" last="Rat">Anne-Christine Rat</name><name sortKey="Rat, Anne Christine" sort="Rat, Anne Christine" uniqKey="Rat A" first="Anne-Christine" last="Rat">Anne-Christine Rat</name><name sortKey="Zhang, Zheng" sort="Zhang, Zheng" uniqKey="Zhang Z" first="Zheng" last="Zhang">Zheng Zhang</name></country><country name="Luxembourg (pays)"><noRegion><name sortKey="Lion, Alexis" sort="Lion, Alexis" uniqKey="Lion A" first="Alexis" last="Lion">Alexis Lion</name></noRegion></country><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Zheng" sort="Zhang, Zheng" uniqKey="Zhang Z" first="Zheng" last="Zhang">Zheng Zhang</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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