Spa Therapy for the Treatment of Fibromyalgia: An Open, Randomized Multicenter Trial

Maindet, Caroline; Maire, Aurore; Vermorel, Céline; Cracowski, Claire; Rolland, Carole; Forestier, Romain; Comte, Alexa; Roques, Christine; Serra, É.; Bosson, Jean‐Luc

doi:10.1016/j.jpain.2021.02.010

Cited by 23 publications

(44 citation statements)

References 32 publications

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“…Figure 1 with the PRISMA flow-chart illustrates the studies’ research and selection. The present review involves twenty-one articles that, following the characteristics of the balneotherapy protocol, were grouped into four sections: five studies were included in the Balneotherapy–thermal water immersion alone section ( Buskila et al, 2001 ; Neumann et al, 2001 ; Yang et al, 2018 ; Koçak et al, 2020 ; Rapolienė et al, 2020 ); six studies in Balneotherapy–thermal water immersion with other spa treatments section ( Dönmez et al, 2005 ; Sekine et al, 2006 ; Evcik et al, 2007 ; Blasche et al, 2010 ; Koike et al, 2013 ; Latorre-Román et al, 2015 ); eight articles in Balneotherapy and physical exercise–balneotherapy and out-of-the-pool physical exercise section ( Altan et al, 2006 ; Yurtkuran et al, 2006 ; Kamioka et al, 2009 ; Naumann et al, 2020 ; Stier-Jarmer et al, 2020 ; Özkuk and Ateş, 2020 ; Koç et al, 2021 ; Bestaş et al, 2022 ), and three studies in the Balneotherapy and physical exercise–balneotherapy and in-pool physical exercise section ( Altan et al, 2004 ; Maindet et al, 2021 ; Bestaş et al, 2022 ). The study by Bestaş and colleagues (2022) has been included in two different sections since its randomization was based on three arms: 1) Balneotherapy; 2) water-based physical exercise; 3) land-based physical exercise.…”

Section: Resultsmentioning

confidence: 99%

“…The study samples were relatively small and between 13 and 90 participants. Only five studies showed a sample with more than one hundred participants ( Sekine et al, 2006 ; Yang et al, 2018 ; Rapolienė et al, 2020 ; Stier-Jarmer et al, 2020 ; Maindet et al, 2021 ). The studies included in the review were on healthy or sub-healthy subjects ( Sekine et al, 2006 ; Kamioka et al, 2009 ; Blasche et al, 2010 ; Latorre-Román et al, 2015 ; Stier-Jarmer et al, 2020 ) and patients affected by different pathologies (mainly chronic pathologies or syndromes, i.e., fibromyalgia ( Buskila et al, 2001 ; Neumann et al, 2001 ; Altan et al, 2004 ; Dönmez et al, 2005 ; Maindet et al, 2021 ), ankylosing spondylitis ( Altan et al, 2006 ; Bestaş et al, 2022 ), osteoarthritis ( Yurtkuran et al, 2006 ; Evcik et al, 2007 ), musculoskeletal pain ( Rapolienė et al, 2020 ; Özkuk and Ateş, 2020 ), morbid obesity ( Koçak et al, 2020 ), mental disorders ( Koike et al, 2013 ; Naumann et al, 2020 ) and subacute supraspinatus tendinopathy ( Koç et al, 2021 )).…”

Section: Resultsmentioning

confidence: 99%

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Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

et al. 2022

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Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web of Science, and Cochrane Library databases. The current review followed PRISMA reporting guidelines and involves twenty-one articles grouped into four sections based on the characteristics of the balneotherapy protocol: 1.a Balneotherapy–thermal water immersion alone (five studies); 1.b Balneotherapy–thermal water immersion with other spa treatments (six studies); 2.a Balneotherapy and physical exercise–balneotherapy and out-of-the-pool physical exercise (eight studies); 2.b Balneotherapy and physical exercise–balneotherapy and in-pool physical exercise (three studies). Apart from healthy or sub-healthy subjects, patients recruited in the studies were affected by fibromyalgia, ankylosing spondylitis, osteoarthritis, musculoskeletal pain, subacute supraspinatus tendinopathy, and mental disorders. Duration, number of sessions, and study protocols are very different from each other. Only one study objectively evaluated sleep, whereas the others used subjective sleep assessment methods. Eight studies considered sleep as a primary outcome and ten as secondary. Sixteen out of twenty-one studies described improvements in self-perceived sleep quality. Thus, balneotherapy associated with other spa treatments and physical exercise seems to be effective in improving self-perceived sleep quality. However, the miscellany of treatments makes it difficult to discern the isolated effects of balneotherapy and physical exercise. Future studies should consider using an objective sleep assessment method and describing the pathways and physiological mechanisms that could provoke sleep changes during balneotherapy treatments.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

et al. 2022

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“…The effectiveness of a course of spa therapy on fibromyalgia symptoms at month 6, already reported by several authors, was confirmed for the patients in both strategies. It appears that the addition of TPE may not have been enough to significantly improve on the spa therapy alone, which provided a significant and lasting result and, therefore, was already too effective [75]. In contrast, the addition of spa therapy to a TPE program increases the efficiency of TPE [55,56,76,77].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Patient Education for Fibromyalgia during Spa Therapy: The FiETT Randomized Controlled Trial

Ducamp¹,

Sichère

Gayum

et al. 2022

IJERPH

Self Cite

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Spa therapy is known to improve quality of life and diminish pain. We assessed the efficacy (Fibromyalgia Impact Questionnaire-FIQ) and safety at 6 months of a fibromyalgia-specific therapeutic patient education (TPE) program added to fibromyalgia-specific standardized spa therapy (SST), compared to SST alone, in a controlled randomized trial. We enrolled 157 patients, mostly women, attending spa centers in Southwest France in 2015–2016, and randomized them to SST + TPE (79) or SST (78). The intention-to-treat with “missing as failure” analysis showed a tendency toward a higher, though non-significant, benefit with TPE than without for FIQ (−9 vs. −3; p = 0.053) or pain intensity (−0.9 vs. −1.1; p = 0.58). In addition, pain relief (+3.2 vs. +4.3; p = 0.03) and fatigue (−1.6 vs. −3.7; p = 0.02) were significantly improved, and 87% patients in the SST + TPE arm still regularly practiced the physical exercises taught to them at 6 months. We suspect significant and lasting improvement from spa therapy, as well as our already well-informed and well-managed participants, to have prevented the demonstration of a significant benefit of TPE on FIQ.

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“…Work readiness is one of the important aspects that every therapist must have to do his job (Forestier et al, 2016;Maindet et al, 2021). Work readiness is a psychological condition that indicates the level of maturity to accept and practice an activity or job (Margarucci et al, 2019;Prikshat et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Role of LSP P3 Junior Spa Therapist Competency Certification on Work Readiness and Absorption of the Tourism Industry

Nawanksari

Sudira

Mutohhari

2021

j.of education technology

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The fundamental problem in business is the low readiness of occupational therapists as experts. In addition, the low job readiness of therapists is exacerbated by the low absorption of prospective therapists. LSP P3 competency certification is an essential program for improving spa therapists' work readiness and labour absorption in the tourism industry. This study aims to analyze how much influence the competence of the LSP P3 Junior Spa certification on Asesi's work readiness and Asesi's absorption in the spa tourism industry. Ex-post facto research with a quantitative approach. A total of 66 respondents of spa therapist assessment were included in this study as a sample. Data were collected through a questionnaire with a 4 Likert scale questionnaire instrument. Data analysis was performed using regression analysis and SEM analysis. The results showed that the LSP P3 Junior Spa Therapist competency certification had a significant effect on Asesi's work readiness and Asesi's absorption in the tourism industry in the spa sector. The certification program must improve the quality of its implementation. Educational and training institutions must organize various competency certification programs that are even more optimal, especially when competency testing must be carried out in-depth material by the perceptions of the spa therapist workforce.

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Spa Therapy for the Treatment of Fibromyalgia: An Open, Randomized Multicenter Trial

Cited by 23 publications

References 32 publications

Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

Therapeutic Patient Education for Fibromyalgia during Spa Therapy: The FiETT Randomized Controlled Trial

The Role of LSP P3 Junior Spa Therapist Competency Certification on Work Readiness and Absorption of the Tourism Industry

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