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THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY

Year 2019, Volume: 82 Issue: 4, 186 - 192, 21.10.2019

Abstract

Objective: The aim of this study was to compare whether balneotherapy has a positive effect on the treatment of elderly individuals receiving physical therapy for chronic low back pain (CLBP). Methods: 244 participants were randomly placed into two groups. The first group was treated with physical therapy (PT), the second group was treated with PT and balneotherapy (BT). Assessments were made using the PainVAS, Quebec Back Pain Disability Scale (Quebec), Health Assessment Questionnaire (HAQ) before treatment (T0) and after treatment (T1). Results: In both groups, there was a statistically significantly decrease in terms of pain-VAS, Quebec and HAQ scores (p<0.001). When pain-VAS scores were compared between the two groups, pain-VAS T0 was significantly higher and pain-VAS T1 was significantly lower in the BT+PT group than the PT group (p=0.001). When the HAQ and Quebec values were compared between the groups, the T0 value was similar in the BT+PT and PT groups (HAQ p=0.068, Quebec p=0.495) while the BT+PT group HAQ and QuebecT1 scoreswere significantly lower than the PT group (p<0.001). The BT+PT group change values were significantly higher than the PT group (p<0.001). Conclusion: These results recommend that combining therapies may be more effective in treating CLBP and balneotherapy may increase the effectiveness of the treatment.

References

  • 1. Health in older age, World Report on Ageing and Health, World Health Organization; 2015. ISBN 978924156504 2
  • 2. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R et al. A classification of chronic pain for ICD-11. Pain 2015;156(6):1003-7.
  • 3. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64(6):2028-37.
  • 4. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet Lond Engl 2012;379(9814):482-91.
  • 5. Bushnell MC, Čeko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat rev Neurosci 2013;14(7):502-11.
  • 6. Gutenbrunner C, Bender T, Cantista P, Karagülle Z. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology. Int J Biometeorol 2010;54(5):495-507.
  • 7. Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 2001;38(6):633-8.
  • 8. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine 1995;20(3):341-52.
  • 9. Melikoglu MA, Kocabas H, Sezer I, Bilgilisoy M, Tuncer T. Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. Spine 2009;34(6):219-24.
  • 10. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: example from the adaptation, reliability and validity testing of a Turkish version of the Standford Health Assessment Questionnaire. Arthritis Rheum 2004;51(1):14-9.
  • 11. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain 2002;95:75-82.
  • 12. Blain H, Bernard PL, Canovas G, Raffort N, Desfour H, Soriteau L, et al. Combining balneotherapy and health promotion to promote active and healthy ageing: the Balaruc-MACVIA-LR®approach. Aging Clin Exp Res 2016;28(6):1061-5.
  • 13. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003;4:109-21.
  • 14. Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain. Cochrane Database Syst Rev 2008;16(3):CD003222.
  • 15. Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van Tulder MW. Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev 2014;(3):CD009169.
  • 16. Durmus D, Akyol Y, Cengiz K, Terzi T, Cantürk F. Effects of Therapeutic Ultrasound on Pain, Disability, Walking Performance, Quality of Life, and Depression in Patients with Chronic Low Back Pain: A Randomized, Placebo Controlled Trial. Arch Rheumatol 2010;25(2):82-7.
  • 17. Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J 2011;20(1):19-39.
  • 18. Özkuk K, Gürdal H, Karagülle M, Barut Y, Eröksüz R, Karagülle MZ. Balneological outpatient treatment for patients with knee osteoarthritis; an effective non-drug therapy option in daily routine? Int J Biometeorol 2017;61(4):719-28.
  • 19. Karagülle M, Kardeş S, Karagülle MZ. Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients. Int J Biometeorol 2017;61(11):1945-56.
  • 20. Karagülle M, Karagülle MZ. Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review on latest evidence. Clin Rheumatol 2015;34(2):20714.
  • 21. Yücesoy H, Geçmen İ, Adıgüzel T, Karagülle M, Karagülle MZ. Efficacy of balneological outpatient treatment (hydrotherapy and peloidotherapy) for the management of chronic low back pain: a retrospective study. Int J Biometeorol 2019;63(3):351-7.
  • 22. Gáti T, Tefner IK, Kovács L, Hodosi K, Bender T. The effects of the calcium-magnesium-bicarbonate content in thermal mineral water on chronic low back pain: a randomized, controlled follow-up study. Int J Biometeorol 2018;62(5):897905.
  • 23. Onat ŞŞ, Taşoğlu Ö, Güneri FD, Özişler Z, Safer VB, Özgirgin N. The effectiveness of balneotherapy in chronic low back pain. Clin Rheumatol 2014;33:1509-13.
  • 24. Kesiktas N, Karakas S, Gun K, Gun N, Murat S, Uludag M. Balneotherapy for chronic low back pain: a randomized, controlled study. Rheumatol Int 2012;32(10):3193-9.
  • 25. Gaál J, Varga J, Szekanecz Z, Kurkó J, Ficzere A, Bodolay E, et al. Balneotherapy in elderly patients: effect on pain from degenerative knee and spine conditions and on quality of life. Isr Med Assoc J 2008;10(5):365-9.
  • 26. Dogan M, Sahin O, Elden H, Hayta E, Kaptanoglu E. Additional therapeutic effect of balneotherapy in low back pain South Med J. 2011;104(8):574-8.
  • 27. Karagülle M, Kardeş S, Dişçi R, Gürdal H, Karagülle MZ. Spa therapy for elderly: a retrospective study of 239 older patients with osteoarthritis. Int J Biometeorol 2016;60(10):1481-91.
  • 28. Latorre-Román PÁ, Rentero-Blanco M, Laredo-Aguilera JA, García-Pinillos F. Effect of a 12-day balneotherapy programme on pain, mood, sleep, and depression in healthy elderly people. Psychogeriatrics 2015;15(1):14-9.
  • 29. Özkuk K, Uysal B, Ateş Z, Ökmen BM, Sezer R, Dilek G. The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study. Int J Biometeorol 2018;62:1823-32.
  • 30. Karaarslan F, Ozkuk K, Seringec Karabulut S, Bekpinar S, Karagulle MZ, Erdogan N. How does spa treatment affect cardiovascular function and vascular endothelium in patients with generalized osteoarthritis? A pilot study through plasma asymmetric di-methyl arginine (ADMA) and L-arginine/ADMA ratio. Int J Biometeorol 2018;62(5):83342.
  • 31. Karagülle MZ, Karagülle M. Balneotherapy and spa therapy in elderly. Turk J Geriatr 2000;3:119-24. 32. Kardeş S, Karagülle M, Geçmen İ, Adıgüzel T, Yücesoy H, Karagülle MZ. Outpatient balneological treatment of osteoarthritis in older persons: A retrospective study. Z Gerontol Geriatr 2019;52(2):164-71.

FİZİK TEDAVİ UYGULANAN KRONİK BEL AĞRILI YAŞLILARDA BALNEOTERAPİNİN TEDAVİYE ETKİSİ: PİLOT ÇALIŞMA

Year 2019, Volume: 82 Issue: 4, 186 - 192, 21.10.2019

Abstract

Amaç: Bu çalışmanın amacı, balneoterapinin kronik bel ağrısı nedeniyle fizik tedavi alan yaşlı bireylerde tedavi etkinliğine katkısını araştırmaktır. Gereç ve Yöntem: Toplam 244 hasta iki gruba randomize edildi. Grup I’e fizik tedavi ve Grup II’ye fizik tedavi ve balneoterapi uygulandı. Tedavinin başlangıcında (T0) ve tedavinin sonunda (T1) Ağrı (VAS), Quebec Bel Ağrısı Engellilik Ölçeği (Quebec) ve Sağlık Değerlendirme Anketi (HAQ) kullanılarak değerlendirmeler yapıldı. Bulgular: Tüm gruplar VAS-ağrı, Quebec ve HAQ skorlarındaki düşüş istatistiksel olarak anlamlıydı (p<0,001). VAS-ağrı gruplar arası kıyaslandığında VAS-ağrı T0, BT + PT grubunda PT grubunda anlamlı düşüklük saptandı (p=0,001). HAQ ve Quebec değerleri gruplar arasında karşılaştırıldığında, T0 değeri BT + PT ve PT grubu arasında benzerken (HAQ p= 0,068, Quebec p=0,495), T1 değerleri BT + PT grubunda PT grubundan anlamlı şekilde düşüktü (p<0,001). Gruplar karşılaştırıldığında BT + PT grubunda tüm puanların ortalama değişiklikleri (T1-T0) istatistiksel olarak daha anlamlı değişiklik gösterdi (p<0,001). Sonuç: Çalışmanın sonuçları, kronik bel ağrısı olan yaşlı hastalarda kombine tedavi uygulamalarının daha etkili olabileceğini göstermektedir. Uygun koşullarda, tüm vücuda uygulanan balneoterapi tedavinin etkinliğini artırabilir.

References

  • 1. Health in older age, World Report on Ageing and Health, World Health Organization; 2015. ISBN 978924156504 2
  • 2. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R et al. A classification of chronic pain for ICD-11. Pain 2015;156(6):1003-7.
  • 3. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64(6):2028-37.
  • 4. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet Lond Engl 2012;379(9814):482-91.
  • 5. Bushnell MC, Čeko M, Low LA. Cognitive and emotional control of pain and its disruption in chronic pain. Nat rev Neurosci 2013;14(7):502-11.
  • 6. Gutenbrunner C, Bender T, Cantista P, Karagülle Z. A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology. Int J Biometeorol 2010;54(5):495-507.
  • 7. Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 2001;38(6):633-8.
  • 8. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine 1995;20(3):341-52.
  • 9. Melikoglu MA, Kocabas H, Sezer I, Bilgilisoy M, Tuncer T. Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. Spine 2009;34(6):219-24.
  • 10. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: example from the adaptation, reliability and validity testing of a Turkish version of the Standford Health Assessment Questionnaire. Arthritis Rheum 2004;51(1):14-9.
  • 11. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain 2002;95:75-82.
  • 12. Blain H, Bernard PL, Canovas G, Raffort N, Desfour H, Soriteau L, et al. Combining balneotherapy and health promotion to promote active and healthy ageing: the Balaruc-MACVIA-LR®approach. Aging Clin Exp Res 2016;28(6):1061-5.
  • 13. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003;4:109-21.
  • 14. Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain. Cochrane Database Syst Rev 2008;16(3):CD003222.
  • 15. Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van Tulder MW. Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev 2014;(3):CD009169.
  • 16. Durmus D, Akyol Y, Cengiz K, Terzi T, Cantürk F. Effects of Therapeutic Ultrasound on Pain, Disability, Walking Performance, Quality of Life, and Depression in Patients with Chronic Low Back Pain: A Randomized, Placebo Controlled Trial. Arch Rheumatol 2010;25(2):82-7.
  • 17. Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J 2011;20(1):19-39.
  • 18. Özkuk K, Gürdal H, Karagülle M, Barut Y, Eröksüz R, Karagülle MZ. Balneological outpatient treatment for patients with knee osteoarthritis; an effective non-drug therapy option in daily routine? Int J Biometeorol 2017;61(4):719-28.
  • 19. Karagülle M, Kardeş S, Karagülle MZ. Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients. Int J Biometeorol 2017;61(11):1945-56.
  • 20. Karagülle M, Karagülle MZ. Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review on latest evidence. Clin Rheumatol 2015;34(2):20714.
  • 21. Yücesoy H, Geçmen İ, Adıgüzel T, Karagülle M, Karagülle MZ. Efficacy of balneological outpatient treatment (hydrotherapy and peloidotherapy) for the management of chronic low back pain: a retrospective study. Int J Biometeorol 2019;63(3):351-7.
  • 22. Gáti T, Tefner IK, Kovács L, Hodosi K, Bender T. The effects of the calcium-magnesium-bicarbonate content in thermal mineral water on chronic low back pain: a randomized, controlled follow-up study. Int J Biometeorol 2018;62(5):897905.
  • 23. Onat ŞŞ, Taşoğlu Ö, Güneri FD, Özişler Z, Safer VB, Özgirgin N. The effectiveness of balneotherapy in chronic low back pain. Clin Rheumatol 2014;33:1509-13.
  • 24. Kesiktas N, Karakas S, Gun K, Gun N, Murat S, Uludag M. Balneotherapy for chronic low back pain: a randomized, controlled study. Rheumatol Int 2012;32(10):3193-9.
  • 25. Gaál J, Varga J, Szekanecz Z, Kurkó J, Ficzere A, Bodolay E, et al. Balneotherapy in elderly patients: effect on pain from degenerative knee and spine conditions and on quality of life. Isr Med Assoc J 2008;10(5):365-9.
  • 26. Dogan M, Sahin O, Elden H, Hayta E, Kaptanoglu E. Additional therapeutic effect of balneotherapy in low back pain South Med J. 2011;104(8):574-8.
  • 27. Karagülle M, Kardeş S, Dişçi R, Gürdal H, Karagülle MZ. Spa therapy for elderly: a retrospective study of 239 older patients with osteoarthritis. Int J Biometeorol 2016;60(10):1481-91.
  • 28. Latorre-Román PÁ, Rentero-Blanco M, Laredo-Aguilera JA, García-Pinillos F. Effect of a 12-day balneotherapy programme on pain, mood, sleep, and depression in healthy elderly people. Psychogeriatrics 2015;15(1):14-9.
  • 29. Özkuk K, Uysal B, Ateş Z, Ökmen BM, Sezer R, Dilek G. The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study. Int J Biometeorol 2018;62:1823-32.
  • 30. Karaarslan F, Ozkuk K, Seringec Karabulut S, Bekpinar S, Karagulle MZ, Erdogan N. How does spa treatment affect cardiovascular function and vascular endothelium in patients with generalized osteoarthritis? A pilot study through plasma asymmetric di-methyl arginine (ADMA) and L-arginine/ADMA ratio. Int J Biometeorol 2018;62(5):83342.
  • 31. Karagülle MZ, Karagülle M. Balneotherapy and spa therapy in elderly. Turk J Geriatr 2000;3:119-24. 32. Kardeş S, Karagülle M, Geçmen İ, Adıgüzel T, Yücesoy H, Karagülle MZ. Outpatient balneological treatment of osteoarthritis in older persons: A retrospective study. Z Gerontol Geriatr 2019;52(2):164-71.
There are 31 citations in total.

Details

Primary Language English
Journal Section RESEARCH
Authors

Kağan Özkuk 0000-0001-6448-8146

Erdal Dilekçi This is me 0000-0001-7507-2808

Publication Date October 21, 2019
Submission Date March 11, 2019
Published in Issue Year 2019 Volume: 82 Issue: 4

Cite

APA Özkuk, K., & Dilekçi, E. (2019). THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY. Journal of Istanbul Faculty of Medicine, 82(4), 186-192.
AMA Özkuk K, Dilekçi E. THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY. İst Tıp Fak Derg. October 2019;82(4):186-192.
Chicago Özkuk, Kağan, and Erdal Dilekçi. “THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY”. Journal of Istanbul Faculty of Medicine 82, no. 4 (October 2019): 186-92.
EndNote Özkuk K, Dilekçi E (October 1, 2019) THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY. Journal of Istanbul Faculty of Medicine 82 4 186–192.
IEEE K. Özkuk and E. Dilekçi, “THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY”, İst Tıp Fak Derg, vol. 82, no. 4, pp. 186–192, 2019.
ISNAD Özkuk, Kağan - Dilekçi, Erdal. “THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY”. Journal of Istanbul Faculty of Medicine 82/4 (October 2019), 186-192.
JAMA Özkuk K, Dilekçi E. THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY. İst Tıp Fak Derg. 2019;82:186–192.
MLA Özkuk, Kağan and Erdal Dilekçi. “THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY”. Journal of Istanbul Faculty of Medicine, vol. 82, no. 4, 2019, pp. 186-92.
Vancouver Özkuk K, Dilekçi E. THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY. İst Tıp Fak Derg. 2019;82(4):186-92.

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