Hydrotherapy, balneotherapy, and spa treatment in pain management

Bender, Tamás; Karagülle, Zeki; Bálint, Géza; Gutenbrunner, C.; Bálint, Péter; Sukenik, S

doi:10.1007/s00296-004-0487-4

Cited by 245 publications

(152 citation statements)

References 39 publications

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“…8 During spa therapy, patients are treated with thermal mineral water and receive many other treatment modalities including massage, electrotherapy, and exercise. 9 There are several studies reporting positive effects of spa therapy in patients with osteoarthritis in the literature. These studies have targeted specific joints such as knee and vertebral osteoarthritis.…”

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confidence: 99%

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

et al. 2015

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Objectives: This study aims to evaluate the efficacy of spa therapy on pain and the quality of life in patients with chronic mechanical neck pain. Patients and methods:Seventy patients who applied to our outpatient clinic with chronic mechanical neck pain lasting for 12 weeks were included in the study. Patients were randomized either to spa therapy group (7 males, 28 females; mean age 43.08±9.76 years; range 26 to 66 years) or to exercise therapy group (5 males, 30 females; 46.45±9.65 years; range 27 to 65 years). Spa therapy group received a total of 15 sessions of thermal water, mud therapy, and classic massage to cervical region. Both exercise and spa therapy groups performed home exercise program once a day for 15 days. All the patients were evaluated before treatment, at the first week and at the third month after treatment, a total of three times. In each control; visual analog scale, global assessment of the patient (Patient's Global Assessment and Physician's Global Assessment), Neck Pain Disability Scale, and Nottingham Health Profile were assessed. Results: When the measurements at first week were compared to baseline, significant improvements were observed in all the parameters in both groups. However, the decreases in visual analog scale and Neck Pain Disability Scale at the first week after treatment were more significant in spa therapy group compared to exercise therapy group. We observed no statistically significant difference in all the parameters between two groups when the measurements at the third month were compared to baseline. Conclusion:The combination of spa therapy with exercise therapy is superior to exercise therapy alone in decreasing pain and improving functional capacity in the early period after treatment.

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confidence: 99%

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

et al. 2015

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“…Nevertheless, despite being transitory, it does not explain the fact for lack of analgesia observed in this study, since the animals were reevaluated concerning symptomatology immediately after the end of the training, and this time did not exceed 15 minutes. Moreover, the kind of exercise performed can also interfere in the painful perception, since some investigations show that resistance training reduces pain more efficiently when compared to resisted training; the former training enables the nervous regeneration to occur faster than the latter (26) . This effect was not observed in the group which performed resistance exercise (SG and SG10) in this study.…”

Section: Discussionmentioning

confidence: 99%

“…The water heat and floating can block nociception by the action of the thermal conditions and on the mecanoreceptors. In addition to that, the water heat increases the blood flow, and consequently helps in the dissipation of catabolites which induce pain (26,27) . Some research highlights the importance of the exercise adaptation to the physical and physiological conditions of the individuals respecting their specific needs in order to reach the analgesic effect (8) .…”

Section: Discussionmentioning

confidence: 99%

Avaliação do exercício físico como fator de analgesia em um modelo experimental de ciatalgia

Gaffuri

Meireles

Rocha

et al. 2011

Rev Bras Med Esporte

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Objective: To evaluate the efficacy of physical exercise (swimming and jumping), with and without overload, working in reducing the pain of rats undergone to an experimental model of sciatica. Methods: 24 rats were divided into four groups: Placebo (PG), Swimming Group (SG) Swimming 10% Group (SG10) and Jump Group (JG). All groups were submitted to the experimental sciatica model and assessed for pain post-exercise for the Functional Disability Test and the Von Frey filament. Results: In comparison within groups there were significant differences in the moments after injury with the pre-injury, for both assessment instruments. With Von Frey filament was observed a significant difference in group GN10 and GS in the final moments of evaluation. In comparisons between groups were not statistically significant differences obtained with any assessment instrument. Conclusion: Treatment with physical exercise was not effective in reducing pain in rats subjected to experimental sciatica model.

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“…Baths have been used as a form of balneotherapy and for individual sanitary. Balneology, vocabulary mean is science of bath, can be defined as the science of natural therapeutic factors, which sourced from underground, soil, water and climate (8). In some studies, acute effects of hydrotherapy and balneotherapy on cardiovascular functions were evaluated.…”

Section: Discussionmentioning

confidence: 99%

The effect of Turkish bath on QT dispersion

Ünübol¹,

Sönmez²,

Güneş³

et al. 2010

Anadolu Kardiyol Derg

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Objective: It is known that QT intervals might differ from each other on electrocardiogram (ECG). It is also known that diversity of QT interval between derivations is an indicator of heterogeneity of repolarization and it is a leading electrophysiological cause of ventricular arrhythmias and sudden heart death. In this study, we evaluated the effects of the Turkish bath on QT dispersion. Methods: A total of 47 healthy volunteers were enrolled in the prospective study. The 12-lead ECG recordings were taken in all subjects before and after bath and QT dispersions were calculated. Blood pressure and the heart rate of each patient were recorded. QT dispersion was defined as the difference between the maximum and minimum QT intervals occurring in any of the 12 leads. Statistical analysis were performed using Wilcoxon rank test and paired t test. Results: The mean age was 49.47±11.64 years; range was between 23-70 years. The mean temperature of the bath was 39.72±1.75 °C, mean humidity percent was 84.42±4.74%. QTc dispersion were respectively determined as 0.047±0.025 sec and 0.047±0.019 sec (p=0.981) before and after bath. We determined no correlation between duration time at bath and QTc dispersion (r=-0.069 p=0.646). Conclusion: In our study we found no meaningful difference in QTc dispersion in individuals who take bath. Our study is the first study in which we evaluated QTc dispersion in high temperature and humidity environment of the bath and we did not determine any effect on QTc dispersion. (Anadolu Kardiyol Derg 2010; 10: 216-9) Key words: Electrocardiogram, QT dispersion, bath, temperature, humidity ÖZET Amaç: Yüzey elektrokardiyogramın (EKG) derivasyonlar arasında, QT aralıklarının birbirinden farklı olabildiği bilinmektedir. Derivasyonlar arası QT aralığı farklılığının; repolarizasyon heterojenitesinin bir göstergesi olduğu, bunun da ventriküler aritmiler ve ani kalp ölümü için zemin hazırlayıcı elektrofizyolojik bir etken olduğu bilinmektedir. Türk hamamlarına giren kişilerde, Türk hamamının QT dispersiyonu üzerine etkisi araştırıldı. Yöntemler: Bu prospektif çalışmaya, hamama giren 47 sağlıklı, gönüllü birey alındı. Bireylerin hamama girmeden önceki ve girdikten sonraki 12 derivasyonlu EKG'leri çekildi. QT dispersiyonları hesaplandı. Kan basınçları ve kardiyak atım sayıları kaydedildi. Düzeltilmiş QT dispersiyonu (dQT), herhangi bir derivasyondaki en uzun QT aralığından, en kısa QT aralığı çıkarılarak hesaplandı. İstatistiksel analizlerde Wilcoxon rank test, Mann-Whitney U ve eşleştirilmiş t testleri kullanıldı. Bulgular: Çalışmaya alınan bireyler 23-70 yaşları arasındaydı. Ortalama yaş 49.47±11.64 yıl idi. Hamamın ortalama sıcaklığı 39.72±1.75 °C, ortalama nem oranı %84.42±4.74 idi. Hamama girmeden önceki dQT dispersiyonu ortalaması 0.047±0.025 sn, hamama girdikten sonra 0.047±0.019 sn olarak öçüldü (p=0.981). Hamamda kalış süresi ile dQT dispersiyonu arasında anlamlı bir bağıntının olmadığı saptandı (r=-0.069 p=0.646). Sonuç: Çalışmamızda hamama giren kişilerde dQT dispersiyonunda anlamlı bir...

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Hydrotherapy, balneotherapy, and spa treatment in pain management

Cited by 245 publications

References 39 publications

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

Avaliação do exercício físico como fator de analgesia em um modelo experimental de ciatalgia

The effect of Turkish bath on QT dispersion

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