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Paraffin-wax baths in the treatment of rheumatoid arthritis
Harris R, Millard JB
Annals of the Rheumatic Diseases 1955 Sep;14(3):278-283
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

(1) A comparative study of the progress of the hands in rheumatoid arthritis has been made in three groups of subjects: (a) no local treatment of the hands (23 subjects), (b) paraffin-wax baths and packs, five times a week for 3 weeks (25 subjects), (c) paraffin-wax baths and packs, five times a week for 6 weeks (23 subjects). (2) A comprehensive assessment was carried out initially and weekly in each group for 6 weeks. (3) No difference was found between the three groups at 3 weeks, but at 6 weeks the group treated continuously with wax was slightly better. (4) A study of patients who did improve did not indicate any method of selecting patients most likely to benefit from wax-bath treatment. (5) Paraffin-wax hand baths are of little value in the treatment of rheumatoid arthritis.
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