Efficacy of baths with mineral-medicinal water in patients with fibromyalgia: a randomized clinical trial

Abstract

The layout of this study, designed as a randomized crossover clinical trial, is to evaluate the efficacy of an intervention with mineral-medicinal water from As Burgas (Ourense) in patients suffering from fibromyalgia. Pre-intervention: randomization of group A and group B. Intervention: Phase 1: Group A: 14 baths in thermal water for a month and standard pharmacological treatment; group B, standard pharmacological treatment. Rest period, 3 months. Phase 2: Gruop A, standard treatment and Grou B, 14 baths in thermal water for a month plus standard treatment. The Fibromyalgia Impact Questionnaire (FIQ) was used; this grades from 1 (minimum) to 10 (maximum) the impact of the illness, which was measured in both phases. 25 patients were included in each group and the study was concluded with 20 patients in group A and 20 in group B. The intervention group obtained, once the baths finished, a mean score of 60,3 (±11,8) and the control group of 70,8 (±13,0) (p <0,001). Three months later, the intervention group presented a mean score of 64,4 (±10,6) and the control group of 5,0 (±11,3) (p <0,001). We can therefore conclude that the simple baths with mineral-medicinal water from As Burgas can make an improvement on the impact caused by fibromyalgia.

Public interest in spa therapy during the COVID-19 pandemic: analysis of Google Trends data among Turkey

“…These spas have experienced multidisciplinary rehabilitation teams (e.g., spa physicians, physical therapists, physiotherapists, and rehabilitation nurses) to provide and adjust the rehabilitation program to the individual patient's needs. Although spa therapy has yet no evidence specific to COVID-19, it and its interventions (e.g., balneotherapy, peloid therapy, aquatic exercises, and exercise) have been demonstrated beneficial in improving fatigue, dyspnea, pain, and depression/ anxiety, and in increasing quality of life of patients who have these symptoms, in many reviews and numerous clinical studies (Kamioka et al 2020;Khaltaev et al 2020;Munteanu et al 2019;Baldi et al 2015;Fioravanti et al 2010Fioravanti et al , 2018Rapolienė et al 2020;Király et al 2020;Gay et al 2020;Bernetti et al 2020;Varzaityte et al 2020;Dilekçi et al 2019Dilekçi et al , 2020Eröksüz et al 2020;Yuan et al 2019;Cozzi et al 2020;Gálvez et al 2020;Corvillo et al 2020;Pérez-Fernández et al 2019;Peultier-Celli et al 2019;Hanzel et al 2019;Yücesoy et al 2019;Özkuk and Di lekçi 2019;Masiero et al 2020c;Tenti et al 2020;Koçak et al 2020;Özkuk and Uysal 2019;Cantista and Maraver 2020;Cheleschi et al 2020;Özkuk and Ateş 2020;Min et al 2020;Prossegger et al 2019;Persiyanova-Dubrova et al 2019). Interestingly, hypothetical and theoretical backgrounds of using spas as rehabilitation facilities for post-COVID-19 patients have been discussed in several articles (Macca...…”

The Italian Society for Rheumatology clinical practice guidelines for the diagnosis and management of fibromyalgia. Best practices based on current scientific evidence

“…Opinions about thermal therapy are discordant. As thermal therapy is acknowledged as part of the Italian Health System, and taking into account the ease of access to the thermal structures, this intervention can be considered as a therapeutic option (40,41). Furthermore, the great variety of exercises and strength training effective in FMS plays a fundamental role in the treatment strategy (42).…”

Thermal Medicine: Therapeutic and Preventive Evidence on Fibromyalgia

“…Prior systematic reviews and meta-analyses concerning BT in FMS have covered the literature up to April 2013 [6] and found moderate evidence of a medium-to-large effect on pain and trigger-points-count (TBC) for BT, a medium effect on HRQoL, and no significant effect on depressive symptoms. Since 2015, Fioravanti A, Koçyiğit BF, Pérez-Fernández MR [7,17,18] published results about BT and its efficacy on FMS and [19][20][21] published results about BT and MT and their efficacy of FMS.…”