Advertisement

Clinical Rheumatology

, Volume 35, Issue 10, pp 2549–2555 | Cite as

The effectiveness of balneotherapy in chronic neck pain

  • Engin KoyuncuEmail author
  • Burcu Metin Ökmen
  • Kağan Özkuk
  • Özlem Taşoğlu
  • Neşe Özgirgin
Original Article

Abstract

The aim of this study was to investigate the effectiveness of balneotherapy (BT), which is applied in addition to physical therapy (PT), in the treatment of chronic neck pain. Sixty patients with chronic neck pain were divided into study (n = 30) and control (n = 30) groups. All of the patients in both groups were treated with a 15-session standard PT program consisting of hot pack, ultrasound, and transcutaneous electrical stimulation. Patients in the study group were also treated with a 15-session BT program lasting 20 min/day in addition to the standard PT program. Visual analogue scale (VAS), modified neck disability index (mNDI), and Nottingham Health Profile (NHP) scores of all patients were evaluated at three different times as pretreatment, posttreatment, and posttreatment third week. There was no statistically significant difference between the clinical and demographic characteristics of the patients in different groups before treatment. Intragroup analysis revealed significant improvement in all parameters for both of the groups at all time intervals. Intergroup analysis uncovered the superiority of the study group. According to the results of this study, BT in combination with PT is superior to PT alone in reducing pain and disability and improving quality of life in patients with chronic neck pain.

Keywords

Balneotherapy Chronic neck pain Disability Physical therapy Quality of life 

Notes

Compliance with ethical standards

Disclosures

None.

Ethics approval

The study protocol was approved by the hospital ethics committee and written informed consent forms were obtained from all participants.

References

  1. 1.
    International Association for the Study of Pain (IASP) (2004) IASP task force for taxonomy. Pain terminology. IASP, SeattleGoogle Scholar
  2. 2.
    Hudson JS, Ryan CG (2010) Multimodal group rehabilitation compared to usual care for patients with chronic neck pain: a pilot study. Man Ther 15:552–556CrossRefPubMedGoogle Scholar
  3. 3.
    Hoy DG, Protani M, De R, Buchbinder R (2010) The epidemiology of neck pain. Best Pract Res Clin Rheumatol 24:783–792CrossRefPubMedGoogle Scholar
  4. 4.
    Nolet PS, Côté P, Kristman VL, Rezai M, Carroll LJ, Cassidy JD (2015) Is neck pain associated with worse health-related quality of life 6 months later? A population-based cohort study. Spine J 15:675–684CrossRefPubMedGoogle Scholar
  5. 5.
    Wong JJ, Côté P, Ameis A, Varatharajan S, Varatharajan T, Shearer HM et al (2016) Are non-steroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur Spine J 25:34–61Google Scholar
  6. 6.
    Chiu TT, Hui-Chan CW, Chein G (2005) A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil 19:850–860CrossRefPubMedGoogle Scholar
  7. 7.
    Chiu TT, Lam TH, Hedley AJ (2005) A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 30:E1–E7CrossRefPubMedGoogle Scholar
  8. 8.
    Swenson RS (2003) Therapeutic modalities in the management of nonspecific neck pain. Phys Med Rehabil Clin N Am 14:605–627CrossRefPubMedGoogle Scholar
  9. 9.
    Kroeling P, Gross A, Graham N, Burnie SJ, Szeto G, Goldsmith CH et al (2013) Electrotherapy for neck pain. Cochrane Database Syst Rev 8:CD004251PubMedGoogle Scholar
  10. 10.
    Trinh K, Graham N, Gross A, Goldsmith C, Wang E, Cameron I et al (2007) Acupuncture for neck disorders. Spine 32:236–243CrossRefPubMedGoogle Scholar
  11. 11.
    Gross A, Langevin P, Burnie SJ, Bédard-Brochu MS, Empey B, Dugas E et al (2015) Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Cochrane Database Syst Rev 9:CD004249PubMedGoogle Scholar
  12. 12.
    Gross A, Forget M, St George K, Fraser MM, Graham N, Perry L et al (2012) Patient education for neck pain. Cochrane Database Syst Rev 3:CD005106PubMedGoogle Scholar
  13. 13.
    Bender T, Bálint G, Prohászka Z, Géher P, Tefner IK (2014) Evidence-based hydro-and balneotherapy in Hungary—a systematic review and meta-analysis. Int J Biometeorol 58:311–323CrossRefPubMedGoogle Scholar
  14. 14.
    Nasermoaddeli A, Kagamimori S (2005) Balneotherapy in medicine: a review. Environ Health Prev Med 10:171–179CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Onat ŞŞ, Taşoğlu Ö, Güneri FD, Özişler Z, Safer VB, Özgirgin N (2014) The effectiveness of balneotherapy in chronic low back pain. Clin Rheumatol 33:1509–1515CrossRefPubMedGoogle Scholar
  16. 16.
    Ablin JN, Häuser W, Buskila D (2013) Spa treatment (balneotherapy) for fibromyalgia—a qualitative-narrative review and a historical perspective. Evid Based Complement Alternat Med 2013:638050PubMedPubMedCentralGoogle Scholar
  17. 17.
    Gaál J, Varga J, Szekanecz Z, Kurkó J, Ficzere A, Bodolay E et al (2008) Balneotherapy in elderly patients: effect on pain from degenerative knee and spine conditions and on quality of life. Isr Med Assoc J 10:365–369PubMedGoogle Scholar
  18. 18.
    Ciprian L, Lo Nigro A, Rizzo M, Gava A, Ramonda R, Punzi L et al (2013) The effects of combined spa therapy and rehabilitation on patients with ankylosing spondylitis being treated with TNF inhibitors. Rheumatol Int 33:241–245CrossRefPubMedGoogle Scholar
  19. 19.
    Altan L, Bingöl U, Aslan M, Yurtkuran M (2006) The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol 35:283–289CrossRefPubMedGoogle Scholar
  20. 20.
    Nechvatal P, Takac P, Stehlikova B (2014) Effect of spa therapy after intervertebral disc surgery in the cervical spine. Bratisl Lek Listy 115:238–242PubMedGoogle Scholar
  21. 21.
    Forestier R, Françon A, Saint-Arromand F, Bertolino C, Guillemot A, Graber-Duvernay B et al (2007) Are SPA therapy and pulsed electromagnetic field therapy effective for chronic neck pain? Randomised clinical trial First part: clinical evaluation. Ann Readapt Med Phys 50:140–147CrossRefPubMedGoogle Scholar
  22. 22.
    Price DD, McGrath PA, Rafii A, Buckingham B (1983) The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17:45–56CrossRefPubMedGoogle Scholar
  23. 23.
    Kesiktas N, Ozcan E, Vernon H (2012) Clinimetric properties of the Turkish translation of a modified neck disability index. BMC Musculoskelet Disord 13:25CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Hunt SM, McEwen J, McKenna SP (1985) Measuring health stats: a new tool for clinicians and epidemiologists. J R Coll Gen Pract 35:185–188PubMedPubMedCentralGoogle Scholar
  25. 25.
    Tefner IK, Kovács C, Gaál R, Koroknai A, Horváth R, Badruddin RM, Borbély I, Nagy K, Bender T (2015) The effect of balneotherapy on chronic shoulder pain. A randomized, controlled, single-blind follow-up trial. A pilot study. Clin Rheumatol 34:1097–1108CrossRefPubMedGoogle Scholar
  26. 26.
    Cimbiz A, Bayazit V, Hallaceli H, Cavlak U (2005) The effect of combined therapy (spa and physical therapy) on pain in various chronic diseases. Complement Ther Med 13:244–250CrossRefPubMedGoogle Scholar
  27. 27.
    Umay E, Rükşen S, Tezelli MK, Meşhur M, Dinç A (2013) Evaluation of patient satisfaction from the short term outcomes of balneotherapy and physical therapy in musculoskeletal disorders. Turk J Phys Med Rehab 59:222–228Google Scholar

Copyright information

© International League of Associations for Rheumatology (ILAR) 2016

Authors and Affiliations

  • Engin Koyuncu
    • 1
    • 2
    Email author
  • Burcu Metin Ökmen
    • 3
  • Kağan Özkuk
    • 4
  • Özlem Taşoğlu
    • 1
  • Neşe Özgirgin
    • 1
  1. 1.Department of Physical Medicine and RehabilitationAnkara Physical Medicine and Rehabilitation Training and Research HospitalAnkaraTurkey
  2. 2.Ankara Physical Medicine and Rehabilitation Training and Research HospitalAnkaraTurkey
  3. 3.Department of Physical Medicine and RehabilitationYüksek İhtisas Training and Research HospitalBursaTurkey
  4. 4.Department of Medical Ecology and Hydroclimatologyİzzet Baysal Physical Medicine and Rehabilitation Training and Research HospitalBoluTurkey

Personalised recommendations