Rheumatology International

, Volume 32, Issue 10, pp 3163–3169 | Cite as

The effect of spa therapy in chronic low back pain: a randomized controlled, single-blind, follow-up study

  • Ildikó Katalin Tefner
  • András Németh
  • Andrea Lászlófi
  • Tímea Kis
  • Gyula Gyetvai
  • Tamás Bender
Original Article

Abstract

Effect of thermal water with high mineral content on clinical parameters and quality of life of patients with chronic low back pain was studied. In this randomized controlled, single-blind, follow-up study, 60 patients with chronic low back pain were randomized into two groups. The treatment group received balneotherapy with thermal-mineral water, and the control group bathed in tap water. Changes of the followings were evaluated: visual analogue scale (VAS) for pain, range of motion for the lumbar spine, Oswestry index, EuroQol-5D and Short Form-36 questionnaires. In the treatment group, the mobility of the lumbar spine, the Oswestry index, the VAS scores and the EuroQoL-5D index improved significantly. SF-36 items improved significantly in the treated group compared with baseline except for two parameters. Our study demonstrated the beneficial effect of balneotherapy with thermal mineral versus tap water on clinical parameters, along with improvements in quality of life.

Keywords

Balneotherapy Low back pain Spa therapy Thermal water High-mineral-content water Mátraderecske 

Notes

Conflict of interest

The authors declare no conflicts of interest.

References

  1. 1.
    Balogh Z, Ördögh J, Gász A, Német L, Bender T (2005) Effectiveness of balneotherapy in chronic low back pain—a randomized single-blind controlled follow-up study. Forsch Komplementarmed Klass Naturheilkd 12:196–201PubMedCrossRefGoogle Scholar
  2. 2.
    Bender T, Karagülle Z, Bálint G, Gutenbrunner C, Bálint P, Sukenik S (2005) Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int 25:220–224PubMedCrossRefGoogle Scholar
  3. 3.
    Brockow T, Schiener R, Franke A, Resch KL, Peter RU (2007) A pragmatic randomized controlled trial on the effectiveness of low concentrated saline spa water baths followed by ultraviolet B (UVB) compared to UVB only in moderate to severe psoriasis. J Eur Acad Dermatol Venereol 21:1027–1037PubMedCrossRefGoogle Scholar
  4. 4.
    Codish S, Dobrovinsky S, Abu Shakra M, Flusser D, Sukenik S (2005) Spa therapy for ankylosing spondylitis at the Dead Sea. Isr Med Assoc J 7:443–446PubMedGoogle Scholar
  5. 5.
    Constant F, Collin JF, Guillemin F, Boulangé M (1995) Effectiveness of spa therapy in chronic low back pain: a randomised cinical trial. J Rheumatol 22:1315–1320PubMedGoogle Scholar
  6. 6.
    Constant F, Guillemin F, Clooin JF, Boulange M (1998) Spa therapy appears to improve the quality of life of sufferers from chronic low back pain. Med Care 36:1309–1314PubMedCrossRefGoogle Scholar
  7. 7.
    Domján L, Nemes T, Bálint GP, Tóth Z, Gömör B (1990) A simple method for measuring lateral flexion of the dorsolumbar spine. J Rheumatol 17:663–665PubMedGoogle Scholar
  8. 8.
    Fioravanti A, Cantarini L, Guidelli GM, Galeazzi M (2010) Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there? Rheumatol Int. [Epub ahead of print]Google Scholar
  9. 9.
    Forestier R, Desfour H, Tessier JM, Françon A, Foote AM, Genty C et al (2010) Spa therapy in the treatment of knee osteoarthritis: a large randomised multicentre trial. Ann Rheum Dis 69:660–665PubMedCrossRefGoogle Scholar
  10. 10.
    Guillemin F, Constant F, Collin JF, Boulange M (1994) Short and long-term effect of spa therapy in chronic low back pain. Br J Rheumatol 33:148–151PubMedCrossRefGoogle Scholar
  11. 11.
    Gutenbrunner C, Bender T, Cantista P, Karagülle Z (2010) A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology. Int J Biometeorol 54:495–507PubMedCrossRefGoogle Scholar
  12. 12.
    Harzy T, Ghani N, Akasbi N, Bono W, Nejjari C (2009) Short- and long-term therapeutic effects of thermal mineral waters in knee osteoarthritis: a systematic review of randomized controlled trials. Clin Rheumatol 28:501–507PubMedCrossRefGoogle Scholar
  13. 13.
    Koes BW, Van Tulder MW, Thomas S (2006) Diagnosis and treatment of low back pain. BMJ 332:1430–1434PubMedCrossRefGoogle Scholar
  14. 14.
    Konrad K, Tatrai T, Hunka A, Vereckei E, Korondi I (1992) Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis 51:820–822PubMedCrossRefGoogle Scholar
  15. 15.
    Kulisch A, Bender T, Németh A, Szekeres I (2009) Effect of thermal water and adjunctive electrotherapy on chronic low back pain: a double-blind, randomized, follow-up study. J Rehabil Med 41:73–79PubMedCrossRefGoogle Scholar
  16. 16.
    Langhorst J, Musical F, Klose P, Häuser W (2009) Efficacy of hydrotherapy in fibromyalgia syndrome—a meta-analysis of randomized controlled clinical trials. Rheumatology (Oxford) 48:1155–1159CrossRefGoogle Scholar
  17. 17.
    Pittler MH, Karagulle MZ, Karagulle M, Ernst E (2006) Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials. Rheumatology 45:880–884PubMedCrossRefGoogle Scholar
  18. 18.
    Rubinstein SM, van Middelkoop M, Kuijpers T, Ostelo R, Verhagen AP, de Boer MR et al (2010) A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. Eur Spine J 19:1213–1228PubMedCrossRefGoogle Scholar
  19. 19.
    Sherman G, Zeller L, Avriel A, Friger M, Harari M, Sukenik S (2009) Intermittent balneotherapy at the Dead Sea area for patients with knee osteoarthritis. Isr Med Assoc J 11:88–93PubMedGoogle Scholar
  20. 20.
    Sukenik S, Flusser D, Abu-Shakra M (1999) The role of spa therapy in various rheumatic diseases. Rheum Dis Clin North Am 25:883–897PubMedCrossRefGoogle Scholar
  21. 21.
    van Middelkoop M, Rubinstein SM, Verhagen AP, Ostelo RW, Koes BW, van Tulder MW (2010) Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol 24:193–204PubMedCrossRefGoogle Scholar
  22. 22.
    Van Tulder M (2002) Low back pain. Best Pract Res Clin Rheumatol 16:761PubMedCrossRefGoogle Scholar
  23. 23.
    Verhagen A, Bierma-Zeinstra S, Lambeck J, Cardoso JR, de Bie R, Boers M et al (2008) Balneotherapy for osteoarthritis. A cochrane review. J Rheumatol 35:1118–1123PubMedGoogle Scholar
  24. 24.
    Zijlstra TR, van de Laar MA, Bernelot Moens HJ, Taal E, Zakraoui L, Rasker JJ (2005) Spa treatment for primary fibromyalgia syndrome: a combination of thalassotherapy, exercise and patient education improves symptoms and quality of life. Rheumatology (Oxford) 44:539–546CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Ildikó Katalin Tefner
    • 1
  • András Németh
    • 2
  • Andrea Lászlófi
    • 3
  • Tímea Kis
    • 3
  • Gyula Gyetvai
    • 3
  • Tamás Bender
    • 4
    • 5
  1. 1.Józsefváros Health Care ServicesBudapestHungary
  2. 2.NK Medicor KftKeszthelyHungary
  3. 3.Mofetta & Thermal SpaMátraderecskeHungary
  4. 4.Polyclinic of the Hospitaller Brothers of St. John of GodBudapestHungary
  5. 5.Budai Irgalmasrendi KórházBudapestHungary

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