Efficacy of balneological outpatient treatment (hydrotherapy and peloidotherapy) for the management of chronic low back pain: a retrospective study
- 277 Downloads
The aim of this study was to evaluate the efficacy of balneological outpatient treatment including hydrotherapy and peloidotherapy on patients with chronic low back pain. In this retrospective observational study, the records (between 2008 and 2016) of patients who have undergone balneological outpatient treatment at the Department of Medical Ecology and Hydroclimatology were analyzed. The patients were examined and assessed by an experienced physician before and after the treatment. Outcome measures were the Pain Visual Analog Scale (VAS), patient’s and physician’s global assessment (VAS), Health Assessment Questionnaire (HAQ), and the Waddell Disability Index. A total of 139 patients were included in the study. After the treatment, statistically significant improvement in all evaluated outcome measures was found. The detailed analysis showed age, the duration of treatment, and sex did not affect the effectiveness of the treatment. Balneological outpatient treatment may be an effective option for treatment of chronic low back pain patients with the advantages of being integrated into daily routine and not causing any days off by improving pain and increasing the quality of life. Randomized controlled trials are needed to confirm these preliminary results.
KeywordsBalneotherapy Peloidotherapy Hydrotherapy Low back pain
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.
Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
- Abu-Shakra M, Mayer A, Friger M, Harari M (2014) Dead Sea mud packs for chronic low back pain. Isr Med Assoc J 16:574–577Google Scholar
- Bruce B, Fries JF (2005) The Health Assessment Questionnaire (HAQ). Clin Exp Rheumatol 23:14–18Google Scholar
- Constant F, Collin JF, Guillemin F, Boulangé M (1995) Effectiveness of spa therapy in chronic low back pain: a randomized clinical trial. J Rheumatol 22:1315–1320Google Scholar
- Huskisson EC (1982) Measurement of pain. J Rheumatol 9(5):768–769Google Scholar
- Karagulle MZ (2002) Kaplıca Tıbbı ve Kaplıca Tedavisi. In: Karagulle MZ (ed) Balneoloji ve Kaplıca Tıbbı. Nobel Kitapevi, Istanbul, pp 15–36Google Scholar
- Kardeş S, Karagülle M, Geçmen İ, Adıgüzel T, Yücesoy H, Karagülle MZ (2018) Outpatient balneological treatment of osteoarthritis in older persons: a retrospective study. Z Gerontol Geriatr. https://doi.org/10.1007/s00391-018-1370-3
- Şen U, Karagülle MZ, Karagülle M, Erkorkmaz Ü (2008) The efficacy of peloidotherapy on the patients with chronic low back pain. Turkiye Klinikleri J Med Sci 28:5–11Google Scholar