Effectiveness of spa therapy for patients with chronic low back pain

Bai, Ruixue; Li, Chihua; Xiao, Yangxue; Sharma, Manoj; Zhang, Fan; Yong, Zhao

doi:10.1097/md.0000000000017092

Cited by 29 publications

(31 citation statements)

References 54 publications

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“…Saquetto et al 13 reported that water-based exercise improved muscle strength, balance, mobility, aerobic capacity, functional reach, joint position sense, and quality of life (QoL) in poststroke patients. Bai et al 14 reported that ST can benefit pain relief and improve lumbar spine function among patients with chronic low back pain (CLBP). de Moraes Silva et al 15 identified that BT may result in a moderate improvement in pain, QoL, and skin pigmentation changes for patients with chronic venous insufficiency, and it had no clear effect on disease severity, signs, and symptom scores, adverse effects, leg ulcers, and edema when compared with no treatment.…”

Section: Study Selection and Characteristics (Conclusion On Each Study)mentioning

confidence: 99%

<p>Overview of Systematic Reviews with Meta-Analysis Based on Randomized Controlled Trials of Balneotherapy and Spa Therapy from 2000 to 2019</p>

Kamioka

Nobuoka

Iiyama

2020

IJGM

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Background: The objectives of this review were to summarize systematic reviews with meta-analysis of balneotherapy (BT) and spa therapy (ST) based on randomized controlled trials, and to provide a perspective for future research. Methods: Eligible studies were systematic reviews based on randomized controlled trials with meta-analysis that included at least one group treated with BT or ST. We searched the following databases for articles published in English from the year 2000 to 20 November 2019: Cochrane Database Systematic Review, MEDLINE, CINAHL, Web of Science, and Ichushi-Web. Results: Eighteen studies met all inclusion criteria. Based on the International Classification of Diseases (ICD)-11, among these 18 studies, 8 (44%) were about "#15 Diseases of the musculoskeletal system or connective tissue", 5 (28%) were about "#21 Symptoms, signs or clinical findings, not elsewhere classified", 4 (22%) were about "#11 Diseases of the circulatory system", and 1 study (6%) was about "#8 Diseases of the nervous system". Both BT and ST provided significant pain relief and improved quality of life in chronic diseases of the musculoskeletal system and connective tissues. Additionally, BT and ST with exercise under water improved physical fitness and function in patients across diseases. Conclusion: Researchers need to conduct studies on the treatment of many kinds of potential diseases using the keywords of pain relief and QoL. In addition, depending on patients' symptoms, physical fitness, and disabilities, performing exercise under water may improve treatment effects on physical function and fitness.

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Section: Study Selection and Characteristics (Conclusion On Each Study)mentioning

confidence: 99%

<p>Overview of Systematic Reviews with Meta-Analysis Based on Randomized Controlled Trials of Balneotherapy and Spa Therapy from 2000 to 2019</p>

Kamioka

Nobuoka

Iiyama

2020

IJGM

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“…21 Moreover, a systematic review and meta-analysis on effectiveness of spa therapy for patients with LBP confirmed that spa therapy can benefit, relieving pain and improving lumbar spine function among these patients. 22 …”

Section: Introductionmentioning

confidence: 99%

Effect of Balneotherapy on Chronic Low Back Pain at Hot Springs in Southern Ethiopia: Perceived Improvements from Pain

Haji¹,

Taddesse²,

Serka³

et al. 2021

JPR

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Background Low back pain (LBP) is an important musculoskeletal condition results in clinical, social and public health problems globally. Hydrotherapy, using water and heat together can be utilized to treat conditions, relieve pain and increase muscular power and a range of joint movement in patients with chronic lower back pain. Most patients with acute LBP improve spontaneously within four weeks; however, chronic LBP is extremely common and usually mechanical in nature. Objective The objective of the current study was to assess effect of balneotherapy in decreasing the lower back pain and its improvements among adults using a spa in southern Ethiopia. Methods We employed a single arm cohort study and convenient sampling method to select 442 study participants from four hot springs located in Sidama Region and Gedeo Zone, Southern Ethiopia. Structured and pretested questionnaire was used and administered face-to-face by trained data collectors. Data were entered using EpiData and transferred to SPSS for cleaning and analysis. Descriptive and bivariate analyses were made. Results A total of 427 participants were included in the study giving response rate of 96.6%. The mean (standard deviation) age of respondents was 42.55 (±14.92) years. Perceived improvement from back pain was 332 (77.8%) with 95% confidence interval (CI) of 74–82%. Factors showing association with perceived improvement from back pain after spa therapy were, study site being near Hawassa (Burkitu) with crude odds ratio (COR) of 3.3 and 95%CI: 1.83–5.98 and p -value <0.001; and sex of respondents that the odds of perceived improvements among males were about twofold compared with females, (COR: 1.7, 95%CI: 1.07–2.74, p -value 0.025. Conclusion Our study shows significant perceived improvement from back pain after utilization of spa water. This is associated with type of hot spring used, male sex, and having neurological symptoms. Therefore, hot spring spa water had better therapeutic effect for back pain and emphasis should be given to integrate it with modern medicine and further experimental study to be conducted to recommend it for medical purposes.

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“…18 Several SRs with metaanalysis reported that these interventions may have a painrelief effect and improve the quality of life in patients. [18][19][20][21][22] Passive heating such as hot water bathing may benefit people with DM and those with poor glycemic control. This well-known viewpoint was reported by Hooper two decades ago.…”

Section: Introductionmentioning

confidence: 99%

“…45 Moreover, the combination of exercise and HWB had a significant effect on pain relief and quality of life for patients with bone and joint diseases, especially those who were middle-aged and elderly. [18][19][20][21][22] We expect that a combination of home-based exercise and HWB in T2DM patients is required to meet the crucial demand for a new lifestyle during and after COVID-19 self-isolation or quarantine.…”

mentioning

confidence: 99%

Association of Daily Home-Based Hot Water Bathing and Glycemic Control in Ambulatory Japanese Patients with Type 2 Diabetes Mellitus During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

Kamioka¹,

Mori²,

Horiuchi³

et al. 2020

DMSO

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Purpose To clarify the relationship between daily hot water bathing (HWB) at home and glycemic control in middle-aged and elderly ambulatory patients with type 2 diabetes mellitus (T2DM). Methods We defined hemoglobin A1c (HbA1c) as the main outcome. We set 7.0% based on the mean value of the dependent variable as the cut-off point for analysis. Frequency of HWB was an explanatory variable. A two-sample t -test was used to compare between groups with continuous variables. Multiple logistic regression analysis was performed for frequency, adjusted age, sex, BMI, T2DM duration (Model 1), and other confounding factors (Model 2). Odds ratio (OR) and 95% confidence interval (95% CI) were calculated. Results Among 838 patients, there was a significant difference (p<0.001) in age between males (n=528, 62.8±8.7 years) and females (n=310, 65.0±8.1 years). In Model 1, compared with participants who used HWB more than seven times a week, those with poorly controlled HbA1c were significantly associated with low frequency of HWB: four to six times a week (OR 1.32, 95% CI 0.87–1.99) and less than three times a week (OR 1.43, 95% CI 0.98–2.10); p-value for overall trend was 0.041. In Model 2, p-value for overall trend was 0.138. Conclusion A higher frequency of HWB was moderately associated with a decreased risk of poor glycemic control in middle-aged and elderly ambulatory patients with T2DM.

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Effectiveness of spa therapy for patients with chronic low back pain

Abstract: Supplemental Digital Content is available in the text

Cited by 29 publications

References 54 publications

<p>Overview of Systematic Reviews with Meta-Analysis Based on Randomized Controlled Trials of Balneotherapy and Spa Therapy from 2000 to 2019</p>

<p>Overview of Systematic Reviews with Meta-Analysis Based on Randomized Controlled Trials of Balneotherapy and Spa Therapy from 2000 to 2019</p>

Effect of Balneotherapy on Chronic Low Back Pain at Hot Springs in Southern Ethiopia: Perceived Improvements from Pain

Association of Daily Home-Based Hot Water Bathing and Glycemic Control in Ambulatory Japanese Patients with Type 2 Diabetes Mellitus During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

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