Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Health Technology Assessment

Volumn 9, Issue 39, 2005, Pages

  Epps, H ^a   Ginnelly, L ^b   Utley, M ^c   Southwood, T ^d   Gallivan, S ^c   Sculpher, M ^b   Woo, P ^e  

^a Tadworth Court   (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY OF BIRMINGHAM   (United Kingdom)

^e Windeyer Institute of Medical Sciences   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DISEASE MODIFYING ANTIRHEUMATIC DRUG; NONSTEROID ANTIINFLAMMATORY AGENT; STEROID; TUMOR NECROSIS FACTOR ANTIBODY;

ABSENTEEISM; ADOLESCENT; ADULT; ARTICLE; CARDIOVASCULAR FUNCTION; CAREGIVER; CHILD; CLINICAL PROTOCOL; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DISEASE ACTIVITY; DISEASE EXACERBATION; EXPERIMENTAL DESIGN; FEMALE; FITNESS; FOLLOW UP; GENERAL PRACTITIONER; HEALTH CARE FACILITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HUMAN; HYDROTHERAPY; IDIOPATHIC DISEASE; INTERMETHOD COMPARISON; JUVENILE RHEUMATOID ARTHRITIS; MAJOR CLINICAL STUDY; MALE; MEDICAL RESEARCH; METHODOLOGY; MULTICENTER STUDY; MUSCLE ISOMETRIC CONTRACTION; MUSCLE STRENGTH; ONSET AGE; OUTCOMES RESEARCH; OUTPATIENT CARE; PAIN ASSESSMENT; PATIENT COMPLIANCE; PATIENT SATISFACTION; PHYSIOTHERAPY; PRODUCTIVITY; QUALITY ADJUSTED LIFE YEAR; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SAMPLE SIZE; SCORING SYSTEM; SINGLE BLIND PROCEDURE; SWIMMING POOL; TREATMENT OUTCOME; UNITED KINGDOM; COMPARATIVE STUDY; COST BENEFIT ANALYSIS; ECONOMICS; MULTIMODALITY CANCER THERAPY; PRESCHOOL CHILD;

ADOLESCENT; ADULT; ARTHRITIS, JUVENILE; CHILD; CHILD, PRESCHOOL; COMBINED MODALITY THERAPY; COST-BENEFIT ANALYSIS; FEMALE; GREAT BRITAIN; HUMANS; HYDROTHERAPY; MALE; PHYSICAL THERAPY MODALITIES; QUALITY OF LIFE; TREATMENT OUTCOME;

EID: 28044472056     PISSN: 13665278     EISSN: None     Source Type: Journal    
DOI: 10.3310/hta9390     Document Type: Article

References (99)

1. Symmons D, Jones M, Osbourne J, Sills J, Southwood T, Woo P. Epidemiology of paediatric rheumatic diseases in the UK. J Rheumatol 1996;23:1975-80.
2. David J, Cooper C, Hickey L, Lloyd J, Dore C, McCullough C, et al. The functional and psychological outcomes of juvenile chronic arthritis in young adulthood. Br J Rheumatol 1994; 33:876-81.
3. Gare BA, Fasth A. The natural history of juvenile chronic arthritis: a population based cohort study. II. Outcome. J Rheumatol 1995;22:308-19.
4. Miller M, Kress AM, Berry CA. Decreased physical function in juvenile rheumatoid arthritis. Arthritis Care Res 1999;12:309-13.
5. Ruperto N, Levinson JE, Ravelli A, Shear ES, Tague BL, Murray K, et al. Longterm health outcomes and quality of life in American and Italian inception cohorts of patients with juvenile rheumatoid arthritis I. Outcome status. J Rheumatol 1997;24:945-51.
6. Zak M, Pedersen FK. Juvenile chronic arthritis into adulthood: a long-term follow-up study. Rheumatology (Oxford) 2000;39:198-204.
7. VanDerNet J, Prakken ABJ, Helders PM, Berge MT, Herwaarden MV, Sinnema G, et al. Correlates of disablement in polyarticular juvenile chronic arthritis - a cross sectional study. Br J Rheumatol 1996;35:91-100.
8. Reid-Campion M. Techniques of exercise in water and therapeutic swimming. Hydrotherapy principles in practice, Chapter 8. Oxford: Butterworth Heinemann. 1998; pp. 177-86.
9. Eyring EJ, Murray WR. The effect of joint position on the pressure of an intra articular effusion. J Bone Joint Surg 1964;46A:134-41.
10. Lindehammar H, Backman E. Muscle function in juvenile chronic arthritis. J Rheumatol 1995; 22:1159-65.
11. Lindehammar H, Sandstedt P. Measurement of quadriceps muscle strength and bulk in juvenile chronic arthritis. A prospective, longitudinal study. J Rheumatol 1998;25:2240-8.
12. Bekkering WP, TenCate R, VanSuijlekom-Smit LWA, Mul D, VanderVelde EA, VandenEnde CHM. The relationship between impairments in joint function and disabilities in independent function in children with systemic juvenile idiopathic arthritis. J Rheumatol 2001;28:1099-105.
13. Bradley E, Wagstaff S, Wood P. Measures of functional ability (disability) in arthritis in relation to impairment of range of joint movement. Ann Rheum Dis 1984;43:563-9.
14. Epps H, Hurley M, Utley M. Development and evaluation of a single value score to assess global range of motion in juvenile idiopathic arthritis. Arthritis Care Res 2002;47:398-402.
15. Giannini M, Protas EJ. Exercise response in children with and without juvenile rheumatoid arthritis: a case comparison study. Phys Ther 1992; 72:365-72.
16. Giannini M, Protas E. Aerobic capacity in juvenile rheumatoid arthritis patients and healthy children. Arthritis Care Res 1991;4:131-5.
17. Klepper SE, Darbee J, Effgen SK, Singsen BH. Physical fitness levels in children with polyarticular juvenile rheumatoid arthritis. Arthritis Care Res 1992;5:93-100.
18. Longmuir PE, Bar-Or O. Factors influencing the physical activity levels of youths with physical and sensory disabilities. Adapted Phys Activity Q 2000; 17:40-53.
19. Huygen ACJ, Kuis W, Sinnema G. Psychological, behavioral, and social adjustment in children and adolescents with juvenile chronic arthritis. Ann Rheum Dis 2000;59:276-82.
20. Meijer SA, Sinnema G, Bijstra JO, Mellenbergh GJ, Wolters WHG. Social functioning in children with a chronic illness. J Child Psychol Psychiatry 2000; 41:309-17.
21. Emery H, Bowyer S. Physical modalities of therapy in paediatric rheumatic diseases. Rheum Dis Clin North Am 1991;17:1001-14.
22. Emery H, Bowyer S, Sisung C. Rehabilitation of the child with a rheumatic disease. Paediatr Clin North Am 1995;42:1263-83.
23. Franchimont P, Juchmest J, Lecomte J. Hydrotherapy - mechanisms and indications. Pharmacol Ther 1983;20:79-93.
24. Hall J, Skevington SM, Madison PJ, Chapman K. A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Care Res 1996; 9:206-15.
25. Klepper SE, Giannini M. Physical conditioning in children with arthritis: assessment and guidelines for exercise prescription. Arthritis Care Res 1994; 7:226-36.
26. Rhodes V. Physical therapy management of patients with juvenile rheumatoid arthritis. Phys Ther 1991; 71:910-19.
27. Scott J. To investigate the effectiveness of hydrotherapy on patients with juvenile chronic arthritis. London: Association of Paediatric Chartered Physiotherapists (APCP) 1997;March:28-34.
28. Hackett J, Johnson B, Parkin A, Southwood T. Physiotherapy and occupational therapy for juvenile chronic arthritis: custom and practice in five centres in the UK, USA and Canada. Br J Rheumatol 1996;35:695-9.
29. Verhagen AP, De Vet HCW, De Brie RA, Kessels AGH, Boers M, Knipschild PG. Balneotherapy for rheumatoid arthritis and osteoarthritis (Cochrane Review). The Cochrane Library 1. Oxford: Update Software; 2000.
30. Baldwin J. Pool therapy compared with individual home exercise therapy for juvenile rheumatoid arthritis patients. Physiotherapy 1972;58:230-1.
31. Bacon M, Nicholson C, Binder H, White P. Juvenile rheumatoid arthritis - aquatic exercise and lower extremity function. Arthritis Care Res 1991;4:102-5.
32. Takken T, VanDerNet J, Helders PM. Do juvenile idiopathic arthritis patients benefit from an exercise program? A pilot study. Arthritis Care Res 2001; 45:81-5.
33. O'Hare J, Heywood A, Summerhayes C, Lunn G, Evans JM, Walters G, et al. Observations on the effects of immersion in Bath spa water. BMJ 1985; 291:1747-51.
34. Weston CFM, Hare JPO, Evans JM, Corrall RJM. Haemodynamic changes in man during immersion in water at different temperatures. Clin Sci 1987; 73:613-16.
35. Euler C, Soderberg U, Franchimont P. The relationship between gamma motor activity and the electroencephalogram. Experientia 1956;12:278-9.
36. Mano T. Sympathetic nerve mechanisms of human adaptation to environment findings obtained by microneurographic studies. Environ Evid 1990; 34:1-35.
37. Lineker SC, Bradley EM, Hawker G, Wilkins A. Determining sensitivity to change in outcome measures used to evaluate hydrotherapy exercise programmes for people with rheumatic diseases. Arthritis Care Res 2000;13:62-5.
38. Templeton M, Booth D, Kelly WO. Effects of aquatic therapy on joint flexibility and functional ability in subjects with rheumatic diseases. J Orthop Sports Phys Ther 1996;23:376-81.
39. Langridge JC, Phillips D. Group hydrotherapy exercises for chronic back pain sufferers - introduction and monitoring. Physiotherapy 1988; 74:268-73.
40. Roberts J, Freeman J. Hydrotherapy management of low back pain: a quality improvement project. Aust J Physiother 1995;41:205-8.
41. Green J, McKenna F, Redfern EJ, Chamberlain MA. Home exercises are as effective as outpatient hydrotherapy for osteoarthritis of the hip. Br J Rheumatol 1993;32:812-15.
42. Strenstrom CH, Lindell B, Swansberg E, Swansberg P, Harms-Ringdahl K, Nordemar R. Intensive training in water for rheumatoid arthritis functional class II - a long term study of effects. Scand J Rheumatol 1991;20:358-65.
43. Konrad K, Tatrai T, Hunka A, Korondi I. Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis 1992;51:820-2.
44. Strenstrom CH, Lindell B, Swanberg E, Harms-Ringdahl K, Nordemar R. Functional and psychological consequences of disease and experience of pain and exertion in a group of rheumatic patients considered for active training. Result of a survey in Bollnas Medical District. Scand J Rheumatol 1990;19:374-82.
45. Harrison R, Bulstrode S. Percentage weight-bearing during partial immersion in the hydrotherapy pool. Physiother Pract 1986;1-4.
46. Harrison RA, Hillman M, Bulstrode S. Loading of the lower limb when walking partially immersed: implications for clinical practice. Physiotherapy 1992; 78:164-6.
47. Kirsch KA, Castrucci F, Gunga H-C, Reinach Y. Vertebral column length changes during simulated microgravity. 1990 Proceedings of the 4th European Symposium on Life Sciences Research in Space.
48. Danneskiold-Samsoe B, Lyngberg K, Risum T, Telling M. The effect of water exercise therapy given to patients with rheumatoid arthritis. Scand J Rehabil Med 1987;19:31-5.
49. Minor M, Hewett S, Webel R, Anderson S, Kay D. Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arthritis Rheum 1989;32:1396-405.
50. Sanford Smith S, MacKay Lyons M, Nunes Clement S. Therapeutic benefit of aquaerobics for individuals with rheumatoid arthritis. Physiother Canada 1998;40-6.
51. Costill D, Cahill P, Duane E. Metabolic responses to submaximal exercises in three water temperatures. J Appl Physiol 1967;22:628-32.
52. Eckerson J, Anderson T. Physiological response to water aerobics. J Sports Med Phys Fitness 1992; 32:255-61.
53. Oberg T, Kasznia A, Gare BA, Lagerstrand A. Physical training of children with juvenile chronic arthritis. Scand J Rheumatol 1994;23:92-5.
54. Nguyen M, Revel M, Dougados M. Prolonged effects of three weeks therapy in a spa resort on lumbar spine, knee and hip osteoarthritis: follow up after six months. A randomized controlled trial. Br J Rheumatol 1997;36:77-91.
55. Patrick DL, Ramsey SD, Spencer AC, Kinne S, Belza B, Topoloski TD. Economic evaluation of aquatic exercises for persons with osteoathritis. Med Care 2001;39:413-24.
56. Felson DT. American College of Rheumatology preliminary definition of improvement in rheumatoid arthritis. Arthritis Rheum 1995;38:727-35.
57. Giannini EH, Ruperto N, Ravelli A, Lovell DJ, Felson DT, Martini A. Preliminary definition of improvement in juvenile arthritis. Arthritis Rheum 1997;40:1202-9.
58. Ruperto N, Ravelli A, Falcini F, Lepore L, Buouncompagni A, Gerloni C, et al. Responsiveness of outcome measures in juvenile chronic arthritis. Rheumatology (Oxford) 1999;38:176-80.
59. Hydrotherapy Association of Chartered Physiotherapists. Hydrotherapy Standards for Good Practice. Standards of Professional Practice 1991;39:5-6.
60. Young A, Cox N, Davies P. Predicting poor functional outcome at three years in rheumatoid arthritis: a prospective cohort study. Br J Rheumatol 1997;36:3.
61. Altman DG. Relation between two continuous variables. In Practical statistics for medical research. New York: Chapman and Hall, 1991. pp. 277-321.
62. Lovell DJ, Giannini EH, Rieff A, Cawkwell GD, Silverman ED, Nocton JJ, et al. Etanercept in children with polyarticular juvenile rheumatoid arthritis. N Engl J Med 2000;342:763-9.
63. Moroldo MB, Giannini EH. Estimates of the discriminant ability of definitions of improvement for juvenile rheumatoid arthritis. J Rheumatol 1998; 25:986-9.
64. Ravelli A, Viol S, Ruperto N, Corsi B, Ballardini G, Martini A. Correlation between conventional disease activity measures in juvenile chronic arthritis. Arthritis Rheum 1997;56:197-200.
65. Ruperto N, Giannini EH. Redundancy of conventional response variables used in juvenile chronic arthritis clinical trials. Ann Rheum Dis 1996; 55:73-5.
66. Ruperto N, Ravelli A, Falcini F, Lepore L, Sanctis RD, Zulian F, et al. Performance of the preliminary definition of improvement in juvenile chronic arthritis patients treated with methotrexate. Ann Rheum Dis 1998;57:38-41.
67. Ruperto N, Ravelli A, Migliavacca D, Viola S, Pistori A, Duarte C, et al. Responsiveness of clinical measures in children with oligoarticular juvenile chronic arthritis. J Rheumatol 1999;26:1827-30.
68. Singh G, Athreya BH, Fries JF, Goldsmith DP. Measurement of health status in children with juvenile rheumatoid arthritis. Arthritis Rheum 1994; 37:1761-9.
69. Nugent J, Ruperto N, Grainger J, Machado C, Sawhney S, Baildam EM, et al. The British version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clinical Exp Rheumatol 2001;19(Suppl 23): S-163-S-167.
70. Landgraf J, Abetz L, DeNardo B, Tucker L. Clinical validity of the Child Health Questionnaire-Parent Form (CHQ-PF) in children with juvenile rheumatoid arthritis. Arthritis Rheum 1995;38:S795.
71. Langraf J, Abetz L, Ware J. A users manual. The Child Health Questionnaire. The Health Institute, New England Medical Center: Boston, MA; 1996.
72. Landgraf JM, Abetz L. Experiences with the Child Health Questionnaire. In Drotar D, editor. Measuring health related quality of life in children and adolescents: implications for research and practise. Mahwah, NJ: Lawrence Erlbaum Associates, 1998. pp. 105-26.
73. Hyde S, Scott O, Goddard C. The myometer: the development of a clinical tool. Physiotherapy 1983; 69:424-7.
74. Lennon S, Ashburn A. Use of myometry in the assessment of neuropathic weakness; testing for reliability in clinical practice. Clin Rehabil 1993; 7:125-33.
75. Parker D, Round J, Sacco P, Jones D. A cross sectional survey of upper and lower limb strength in females and males during childhood and adolescence. Ann Hum Biol 1990;17:199-211.
76. Drummond M, O'Brien B, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes. 2nd ed. New York: Oxford University Press, 1997.
77. EuroQol Group. Euroqol: a new facility for the measurement of health related quality of life. Health Policy 1990;16:199-208.
78. Review Body for Nursing Staff Midwives Health Visitors and Professions Allied to Medicine. Nineteenth report on midwives, health visitors and professions allied to medicine. London: Department of Health; 2002.
79. British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary. 43rd ed. London: British Medical Association and Royal Pharmaceutical Society of Great Britain; 2002.
80. Chartered Institute for Public Finance and Accountancy. The Health Services Database 2000. London: Chartered Institute for Public Finance and Accounting; 2001.
81. Netten A, Rees T, Harrison G. Unit costs of health and social care 2001. London: Personal Social Services Research Unit; 2001.
82. National Statistics. Average weekly earnings: by industry and gender, April 2000: Regional Trends 2000; No. 36.
83. Dolan P, Gudex C, Kind P, Williams A. The time trade off method: results from a general population study. Health Econ 1996;5:141-54.
84. Matthews JNS, Altman DG, Campbell MJ, Royston P. Analysis of serial measurements in medical research. BMJ 1990;300:230-5.
85. Armitage P, Berry G. Statistical methods in medical research. 2nd ed. Oxford: Blackwell; 1987.
86. Lin D, Feuer E, Etzioni R. Estimating medical costs from incomplete follow-up data. Biometrics 1997; 53:419-34.
87. Stata Corporation. STATA for Windows. College Station, TX: Stata; 2002.
88. Efron B, Tibshirani R. An introduction to the bootstrap. New York: Chapman and Hall, 1993.
89. Fenwick E, Claxton K, Sculpher M. Representing uncertainty: the role of cost-effectiveness acceptability curves. Health Econ 2001;10:779-87.
90. Van Hout BA, Al MJ, Gordon GS, Rutten FF. Costs, effects and cost effectiveness ratios alongside a clinical trial. Health Econ 1994;3:309-19.
91. Briggs A. A Bayesian approach to stochastic cost-effectiveness analysis. Health Econ 1999;8: 257-62.
92. Jarvis R. Physiotherapy for juvenile arthritis. In Woo P, White P, Ansell B, editors. Update in Paediatric Rheumatology. Oxford: Oxford University Press; 1990. pp. 90-8.
93. Takken T, VanDerNet J, Kuis W, Helders PM. Aquatic fitness training for children with juvenile idiopathic arthritis. Rheumatology (Oxford) 2003; 42:1408-14.
94. Hall J, Blake D, Garbutt G. Acute physiological effects of exercise in water. Phys Ther Rev 2001; 6:215-29.
95. Hall J, Bisson D, Hare PO. The physiology of immersion. Physiotherapy 1990;76:517-21.
96. Fisher NM, Venkatraman JT, O'Neil KM. The effects of resistance exercises on muscle and immune function in juvenile arthritis. Arthritis Rheum 2001;44:S276.
97. Fisher NM, Venkatraman JT, O'Neil KM. Effects of resistance exercise on children with juvenile arthritis. Arthritis Rheum 1999; 42:S396.
98. Moncur C, Marcus R, Johnson S. Pilot project of aerobic conditioning of subjects with juvenile arthritis. Arthritis Care Res 1990;3:S16.
99. Town G, Bradley S. Maximal metabolic responses of deep and shallow water running in trained runners. Medicine Sci Sports Exerc 1991;23:238-41.