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Rheumatology International

, Volume 32, Issue 10, pp 3193–3199 | Cite as

Balneotherapy for chronic low back pain: a randomized, controlled study

  • Nur KesiktasEmail author
  • Sinem Karakas
  • Kerem Gun
  • Nuran Gun
  • Sadiye Murat
  • Murat Uludag
Original Article

Abstract

A large number of treatments were used for patients with chronic low back pain. Frequent episodes have been reported very high. Although balneotherapy was found effective in this disease, there are not well-designed studies. We aimed to determine the effectiveness of balneotherapy versus physical therapy in patients with chronic low back pain. Exercise was added to both treatment programs. Sixty patients with chronic low back pain were randomly divided into two groups. Physical modalities plus exercise were applied to group 1, and group 2 was received balneotherapy plus exercise for ten sessions. The following parameters were measured: visual analogue scale at rest and movement for pain, paracetamol dose, manual muscle test for lumber muscles, modified Schoeber’ test, Oswestry disability index, and Short-Form 36 at the beginning and end of the therapies and at the 3 months follow-up. The statistical analyses were performed using the SPSS 10.0 program. Both groups achieved significant improvements within themselves. But balneotherapy groups were improved at back extensor muscle test (P < 0.05), modified Schoeber’s test (P < 0.03), Oswestry disability index, and the some scores of SF 36 (energy vitality, social function, role limitations related to physical problems, and general health P < 0.05). Balneotherapy combined with exercise therapy had advantages than therapy with physical modalities plus exercise in improving quality of life and flexibility of patients with chronic low back pain.

Keywords

Balneotherapy Physical modalities Quality of life 

Notes

Conflict of interest

There is no conflict of interest in this study.

References

  1. 1.
    Barr KR, Harrast MA (2007) Low back pain. In: Braddom RL (ed) Physical medicine and rehabilitation, 4th edn. Saunders, Philadelphia, pp 883–927Google Scholar
  2. 2.
    Kalb E, Canjuga M, Bauer GF, Laubli T (2011) Course of back pain across 5 years a retrospective cohort study in the general population of Switzerland. Spine 36(4):E268–E273Google Scholar
  3. 3.
    Koes BW, Van Tulder MW (2006) Thomas diagnosis and treatment of low back pain. BMJ 332:1430–1434PubMedCrossRefGoogle Scholar
  4. 4.
    Dagenais S, Caro J, Haldeman S (2008) A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J 8(1):8–20PubMedCrossRefGoogle Scholar
  5. 5.
    Coxhead CE, Inskip H, Meade TW, North WR, Troup JD (1981) Multicenter trial of physiotherapy in the management of sciatic symptoms. Lancet 1(8229):1065–1068PubMedCrossRefGoogle Scholar
  6. 6.
    Van Tulder MW, Koes BW, Boster LM (1997) Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common intervention. Spine 22(18):2128–2156PubMedCrossRefGoogle Scholar
  7. 7.
    Chou R, Huffman LH (2007) Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. In: Chou R, Huffman LH (eds) American Pain Society, American College of Physicians. Ann Intern Med vol 147, pp 492–504Google Scholar
  8. 8.
    Weigl M, Ewert T, Kleinschmidt J, Stucki G (2006) Measuring the outcome of health resort programs. J Rheumatol 33:764–770PubMedGoogle Scholar
  9. 9.
    Bender T, Karagulle Z, Bálint GP, Gutenbrunner C, Bálint PV, Sukenik S (2005) Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int 25:220–224PubMedCrossRefGoogle Scholar
  10. 10.
    Guillemin F, Constant F, Collin JF, Boulange M (1994) Short and longterm effect of spa therapy in chronic low back pain. Br J Rheumatol 33:148–151PubMedCrossRefGoogle Scholar
  11. 11.
    Constant F, Collin JF, Guillemin F, Boulange M (1995) Effectiveness of spa therapy in chronic low back pain: a randomized clinical trial. J Rheumatol 22:1315–1320PubMedGoogle Scholar
  12. 12.
    Constant F, Guillemin F, Collin JF, Boulange M (1998) Use of spa therapy to improve the quality of life of chronic low back pain patients. Med Care 36:1309–1314PubMedCrossRefGoogle Scholar
  13. 13.
    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
  14. 14.
    Yurtkuran M, Kahmraman Z, Sivrioglu K, Afsin Y, Dogan M (1997) Balneotherapy in low back pain. Eur J Phys Med Rehabil 7:120–123Google Scholar
  15. 15.
    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 und Klass Naturheilkd 12:196–201CrossRefGoogle Scholar
  16. 16.
    Kulisch A, Bender T, Nemeth A, Szekeres L (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
  17. 17.
    Pittler MH, Karagulle MZ, Karagulle M, Ernst E (2006) Spa therapy and balneotherapy for treating low pain: meta-analysis of randomized trials. Rheumatology 45:880–884PubMedCrossRefGoogle Scholar
  18. 18.
  19. 19.
    Uzel N (2010) Diyarbakir (Cermik) ve Sanliurfa (Karaali) illerinde yer alan kaplıca kaynaklarının kokensel incelenmesi. Cukurova Universitesi Jeoloji Muhendisligi Anabilim Dalı Yüksek lisans tezi, AdanaGoogle Scholar
  20. 20.
    Lee J, Hobden E, Stiell I, Wells G (2003) Clinically important change in the visual scale after adequate pain control. Acad Emerg Med 10:1128–1130PubMedCrossRefGoogle Scholar
  21. 21.
    Daniels L, Worthingham K (2002) Muscle testing—techniques of manual examination, 7th edn. W.B. Saunders, PhiladelphiaGoogle Scholar
  22. 22.
    Moll JM, Wright V (1971) Normal range of spinal mobility. An objective clinical study. Ann Rheum Dis 30:381–386PubMedCrossRefGoogle Scholar
  23. 23.
    Yakut E, Düger T, Öksüz C, Yörükan S, Ureten K, Turan D et al (2004) Validation of the Turkish version of the Oswestry disability index for patients with low back. Spine 29(5):581–585PubMedCrossRefGoogle Scholar
  24. 24.
    Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A (1999) Kısa form-36’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi 12(2):102–106Google Scholar
  25. 25.
    Zentner J, Schneider B, Schramm J (1997) Efficacy of conservative treatment of lumbar disc herniation. J Neurosurg Sci 41(3):263–268PubMedGoogle Scholar
  26. 26.
    Françon A, Forestier R (2009) Spa therapy in rheumatology. Indications based on the clinical guidelines of the French National Authority for health and the European league against rheumatism, and the results of 19 randomized clinical trials. Bull Acad Natl Med 193(6):1345–1356PubMedGoogle Scholar
  27. 27.
    Gaal J, Varga J, Szekanecz Z, Kurko J, Ficzere A, Bodolay E, Bender T (2008) Balneotherapy in elderly patients effect on pain from degenerative knee and spine conditions and on quality of life. IMAJ 10:365–369PubMedGoogle Scholar
  28. 28.
    Nguyen M, Revel M, Dougados M (1997) Prolonged effects of 2 week therapy in a spa resort on lumbar spine, knee and hip osteoarthritis: follow-up after 5 months. A randomized controlled trial. Br J Rheumatol 36:77–81PubMedCrossRefGoogle Scholar
  29. 29.
    Guillemin F, Virion JM, Escuider P, de Talance N, Weryha G (2001) Effect of osteoarthritis of spa therapy at Bourbonne-les Bains. Joint Bone Spine 68(6):499–503PubMedCrossRefGoogle Scholar
  30. 30.
    Melzack R, Vetere P, Finch L (1983) Transcutaneous electrical nerve stimulation for low back pain. A comparison of TENS and massage for pain and range of motion. Phys Ther 63(4):489–493PubMedGoogle Scholar
  31. 31.
    Khadilkar A, Odebiyi DO, Brosseau L, Wells GA (2008) Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low-back pain. Cochrane Database Syst Rev (4):CD003008. doi: 10.1002/14651858.CD003008.pub3
  32. 32.
    Deyo RA, Walsh NE, Martin DC, Schoenfeld LS, Ramamurthy S (1990) A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. N Engl J Med 322(23):1627–1634PubMedCrossRefGoogle Scholar
  33. 33.
    Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Fino M (2004) Exercise as a treatment for chronic low back pain. Spine J 4:106–115PubMedCrossRefGoogle Scholar
  34. 34.
    van Tulder M, Malmivaara M, Esmail R, Koes B (2000) A systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 25:2784–2796PubMedCrossRefGoogle Scholar
  35. 35.
    Buchbinder R, Jolley D, Wyatt M (2001) Population based intervention to change back pain beliefs and disability: three part evaluation. BMJ 322:1516–1520PubMedCrossRefGoogle Scholar
  36. 36.
    Hayden J, van Tulder MW, Malmivaara A, Koes BW (2005) Exercise therapy for treatment of non-specific low back pain. Cochrane Database Systems Rev (3):CD000335. doi: 10.1002/14651858.CD000335.pub2
  37. 37.
    Crebbin Bailey J, Harcup J, Harrington J (2005) The uses of water in spa, Chap 3. The spa book, the official guide to spa therapy. Thompson Learning, London, pp 51–56Google Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Nur Kesiktas
    • 1
    Email author
  • Sinem Karakas
    • 2
  • Kerem Gun
    • 2
  • Nuran Gun
    • 3
  • Sadiye Murat
    • 3
  • Murat Uludag
    • 4
  1. 1.PMR DepartmentSanliurfa Balikligol Goverment HospitalIstanbulTurkey
  2. 2.PMR DepartmentSanliurfa Balikligol Goverment HospitalSanliurfaTurkey
  3. 3.PMR DepartmentSanliurfa Education and Research HospitalSanliurfaTurkey
  4. 4.PMR DepartmentSanlıurfa Harran UniversitySanliurfaTurkey

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