Evaluation of the Spa Therapy in Atatürk Balneotherapy and Rehabilitation Center

Zusammenfassung

Fragestellung: Dargestellt werden sollten die Ergebnisse von sieben randomisierten, kontrollierten Studien, welche im Atatürk Balneotherapy and Rehabilitation Center (ABRC) durchgeführt wurden. In einem zusammenfassenden Übersichtsartikel werden Studienergebnisse, die zwischen 1993 und 2003 in verschiedenen internationalen Zeitschriften publiziert wurden, vorgestellt und diskutiert. Methoden: Zur Anwendung kam eine Bädertherapie mit Thermalwasser bei Patienten mit Arthrose, Rheumatoidarthritis, Fibromyalgiesyndrom, tief sitzendem Rückenschmerz und Osteoporose, jeweils mit unterschiedlichen Anwendungsdauern und Badtemperaturen. Ergebnisse und Schlussfolgerungen: Im Vergleich zu alleiniger Übungstherapie zeigten Thermalbäder und Übungstherapien im Thermalbad bessere Ergebnisse bezüglich Schmerz und weiterer klinischer Parameter.

Abstract

Objective: There are seven randomized, controlled studies made in Atatürk Balneotherapy and Rehabilitation Center (ABRC). In the present writing, we have the objective of making a review of these seven studies reported in international journals. Methods: Spa therapy in thermal water has been applied to patients with osteoarthritis, rheumatoid arthritis, fibromyalgia syndrome, low back pain and osteoporosis with different times of durations and water temperature for each disease. Results and conclusion: These studies show the superiority of the water or water-exercise combination in the improvement of pain and other clinical parameters, to exercise alone.

Schlüsselwörter

Balneotherapie - Kurorttherapie - Thermalwässer

Key words

Balneotherapy - spa therapy - thermal water

Literatur

• 1 Yurtkuran M, Ulus İ H, İrdesel F J. The effect of balneotherapy on plasma Beta-endorphine level in patients with osteoarthritis.  Physikalische Medizin. 1993;  3 130-132
• 2 Yurtkuran M, Çeliktaş M. A randomized controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome.  Physikalische Medizin. 1996;  6 109-112
• 3 Yurtkuran M, Kahraman Z, Sivrioğlu K, Afşin Y, Doğan M. Balneotherapy in low back pain.  Eur j phys med rehabil. 1997;  7 (4) 120-123
• 4 Yurtkuran M, Yurtkuran M A, Dilek K, Güllülü M, Karakoç Y, Özbek L, Bingöl Ü. A randomized controlled study of balneotherapy in patients with rheumatoid arthritis.  Physikalische Medizin. 1999;  9 92-96
• 5 Ay A, Yurtkuran M. The effects of aquatic exercise on pain and the functional parameters of the postmenopausal osteoporotic subjects.  Balneologia Polska. 2001;  XLIII (1 - 2) 58-62
• 6 Altan L, Bingöl Ü, Aykaç M, Koç Z, Yurtkuran M. Investigation of the effects of pool-based exercise on fibromyalgia syndrome.  Rheum Int. 2004;  24 (5) 272-277
• 7 Ay A, Yurtkuran M. Evaluation of hormonal response and ultrasonic changes in the heel bone by aquatic exercise in sedentary postmenopausal women.  Am J Phys Med Rehabil. 2003;  82 (12) 942-949
• 8 Goldby L J, Scott D L. The way forward for hydrotherapy.  Br J Rheumatol. 1994;  32 771-773
• 9 Konrad K, Tatrai T, Hunka A. et al . Controlled trial of balneotherapy in treatment of low back pain.  Ann Rheum Dis. 1992;  51 820-822
• 10 Guillemin F, Constant F, Collin J F. Short and long-term effect of spa therapy in chronic low back pain.  Br J Rheumatol. 1994;  33 148-151
• 11 Lehmann J F, Lateur B J. Ultrasound, shortwave, microwave, laser, superficial heat and cold in the treatment of pain. In: Wall PD, Melzack R (eds) Textbook of pain. London; Churchill, Livingstone 1994: 1237-1246
• 12 Merskey H, Gillis F, Marszaleck K S. A Clinical Investigation of reactions to pain.  J Ment Sci. 1962;  108 347-355
• 13 Merskey H, Spear F G. The reliability of the pressure algometer.  Br J Soc Clin Psychol. 1964;  3 130-136
• 14 Smit T E, Harrison R. Hydrotherapy and chronic low back pain: A pilot study.  Australian physiotherapy. 1991;  37 229-234
• 15 Davis B C, Harrison R A. Treatment of specific conditions. In: Davis BC, Harrison RA (eds) Hydrotherapy in practice. Singapore; Churchill Livingstone 1988: 137-170
• 16 Tsukahara N, Toda A, Goto J. Cross sectional and longitudinal studies on the effect of water exercise in controlling bone loss in Japanese postmenopausal women.  J Nutr Sci Vitaminol. 1994;  40 (1) 37-47
• 17 Stewans J B, Basmajian J V. Exercise in water. In: Basmajian JV (ed) Therapeutic exercise. Baltimore; Williams and Wilkins 1978: 278-281
• 18 Board G. Perceivet exertion as an indicator of somatic stress.  Scandinavian J Rehab Net. 1970;  2 92-98
• 19 Nguyen M, Revel M, Daugados M. Prolonged effects of 3 week therapy in spa resort on lumbar spine, knee and hip osteoarthritis: Follow up after 6 months: A randomised controlled trial.  Br J Rheum. 1997;  36 77-81
• 20 Bashaum A, Fields H L. Endogenous pain control systems: brainstem spinal pathways and endorphine circuitry.  Ann Res Neurosci. 1984;  7 309
• 21 Becker B E. Aquatic physics. In: Ruati RG, Morris DM, Cole AJ (eds) Aquatic Rehabilitation. New York; JB Lippincott 1998: 15-24
• 22 Willis W D, Westlund K N. Neuroanatomy of the pain system and of the pathways that modulate pain.  Clin Neurophysiol. 1997;  14 2-31
• 23 Basmajian J V. Exercises in water. In: Basmajian JV (ed) Therapeutic exercise, 4^th ed. Baltimore; Williams and Wilkins 1984: 303-308
• 24 Forsmo S, Schei B, Langhammer A. et al . How do reproductive and lifestyle factors influence bone density in distal and ultradistal radius of early postmenopausal women?.  Osteoporosis Int. 2001;  12 222-229
• 25 Malliopoulos X, Kozlowski O, Herbeau C. et al . Aquatic exercises and osteoporosis. In: 12^th European Congress of Physical Medicine and Rehabilitation Abstract book. June 2000: 271
• 26 Neumann L, Sukenik S, Bolotin M. et al . The effect of balneotherapy at the Dead Sea on the quality of life of patients with fibromyalgia syndrome.  Clin Rheumatol. 2001;  20 105-108
• 27 Buskila D, Abu-Sharka M, Neumann L. et al . Balneotherapy for fibromyalgia at the Dead Sea.  Rheumatol Int. 2001;  20 105-108
• 28 Lehman J E. Diathermy and superficial heat, laser and cold therapy. In: Kottke FJ, Lehman JE, Krusen's Handbook of Physical Medicine and Rehabilitation. 4^th ed. Philadelphia; WB Saunders Company 1990: 430-437
• 29 Fricton J R. Management of myofascial pain syndrome. In: Fricton A (ed) Advances in pain research and therapy. New York; Raven press Ltd 1990: 671-679
• 30 Jezova D, Vigas M, Tator P. et al . Rise in plasma endorphine and ACTH in response to hyperthermia in sauna.  Horm Metabol Res. 1985;  17 693-694
• 31 Lehmann J, Lateur B J. Therapeutic Heat. Baltimore; Williams and Wilkins 1982: 413-414
• 32 Meiworm L, Jakop E, Walker V A. et al . Patients with fibromyalgia benefit from aerobic endurance exercise.  Clin Rheumatol. 2000;  19 253-257
• 33 Martin L, Nutting A, Macintosh B R. et al . An exercise program in the treatment of fibromyalgia.  J Rheumatol. 1996;  23 1050-1053
• 34 Clark S R, Jones K D, Burckhardt C S. et al . Exercise for patient with fibromyalgia: risks versus benefits.  Curr Rheumatol Rep. 2001;  3 135-146
• 35 Gowans S E, Hueck A, Voss S. et al . Effect of a randomized controlled trial of exercise on mood and physical function in individuals with fibromyalgia.  Arthritis Rheum. 2001;  45 519-529
• 36 Sukenik S, Buskila D, Neumann L. et al . Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area.  Ann Rheum Dis. 1990;  49 99-102
• 37 Dial C, Windsor R A. A formative evaluation of a health education-water exercise program for class II and class III adult rheumatoid arthritis patients.  Patient Educ Counsell. 1985;  7 33-42