Zur analgetischen Wirksamkeit eines thiosulfathaltigen Bades bei Tendomyopathien*

Pratzel, Helmut G.; Tent, G.; Weinert, Dayna M.

doi:10.1055/s-2008-1061943

Cited by 7 publications

(4 citation statements)

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“…Plain water baths modify the pain intensity, medicinal baths improve well-being and sleep. [10,11]. Eine kontrollierte Untersuchung u È ber den Effekt einer Thermalbadbehandlung [19] bei Fibromyalgiepatienten fand noch 6 Wochen nach Therapie signifikant geringere Schmerzen und eine erho È hte Druckschmerzschwelle als bei den unbehandelten Kontrollpatienten.…”

Section: Discussionunclassified

Medizinalbäder zur Therapie der generalisierten Fibromyalgie

Ammer¹,

Melnizky

1999

Complement Med Res

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Objective: We studied whether whirl baths with plain water or with water containing pine oil or valerian have a different influence on pain, disturbed sleep or tender point count. Methods: A randomized, comparative and investigator-blinded study was performed. Out-patients with generalized fibromyalgia were randomized into three treatment groups. Interventions: Therapy consisted of either whirl bath with plain water or with the addition of pine oil or valerian. The baths were carried out 10 times, three times a week. Main Outcome Measures: General pain, change of pain intensity during the day, general well-being and occurrence of disturbed sleep were recorded before and after the therapy. The number of tender points was assessed by digital palpation, the pain threshold on the shinbone and the middle part of the deltoid muscle was measured by the dolorimeter of A. Fischer. The same instrument was used for recording pain threshold and pain tolerance of both trapezius muscles. The tissue compliance of these muscles was measured as well. Results: 30 out of 39 patients included in the study were evaluated statistically. After treatment with valerian bath (n = 12) well-being and sleep were significantly improved and also the tender point count decreased significantly. Pine oil added to the bath water (n = 7) resulted in a significant improvement of well-being, but unfortunately also in a significant decrease of pain threshold of the shinbone and the right deltoid muscle. Whirl bath in plain water (n = 11) reduced general and maximum pain intensity significantly. Conclusions: Our cautious conclusion of this study is – with respect to the small number of treated patients – that different effects of whirl baths with or without medicinal bath oils can be detected in fibromyalgia patients. Plain water baths modify the pain intensity, medicinal baths improve well-being and sleep.

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Section: Discussionunclassified

Medizinalbäder zur Therapie der generalisierten Fibromyalgie

Ammer¹,

Melnizky

1999

Complement Med Res

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“…The superiority of sulfurated mud baths over tap water baths in respect to pain relief has also been demonstrated in osteoarthritis and spondylosis [13,14] as well as in muscle pain [12]. Pratzel et al [10] showed the superiority of sulfurated baths without mud over tap water baths for tendomyopathy. In contrast to Saller et al [14] and the present study where a VAS was used to assess pain intensity, Pratzel et al [12,13] and Lehmann and de Lateur [15] used the minimum pressure to induce pain sensation on trigger points for assessing alterations in the pain threshold and thereby indirectly the pain relief.…”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy of the Serial Application of a Sulfurated Mud Bath at Home

et al. 2000

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The purpose of this randomized controlled trial was to evaluate the analgesic efficacy of a series of applications of sulfurated mud baths in outpatients suffering from back pain. Within 2 weeks 13 patients took 6 sulfurated mud baths (group A) and 12 patients 6 tap water baths (group B) at home. Before the bath and over 48 h after starting the 1st and the 6th bath, pain intensity was evaluated by the patients according to a visual analogue scale (VAS). The main outcome parameter was the weighted (for time of observation) sum of pain intensity (SPI) after the 6th bath. The mean SPI in group A was 741 mm × h (95% CI 594–864 mm × h) and in group B 1,112 mm × h (95% CI 929–1,252 mm × h) (p = 0.009), suggesting a significantly stronger analgesic effect of a series of sulfurated mud baths than of a series of tap water baths.

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“…Zum Vergleich der in dieser Studie erzielten Effekte mit anderen Untersuchungen berechneten wir die SMV zwischen den Gruppen für zwei balneotherapeutische, plazebokontrollierte Addon-Studien [44,45] [46]. Ihre Funktion liegt in der Gewährleistung einer möglichst hohen Beobachtungs-, Behandlungsund Beurteilergleichheit [47].…”

Section: Deskriptive Analysen A) Effektstärkenunclassified