Medical Hydrology and Balneology: Environmental Aspects

More documents

Recommendations

Info

Assessment of Spa therapy in chronic low back pain. Systematic review of randomized clinical trials Françon A (1) , Forestier R (1) , Berkoz F (1) (1) Centre for Rheumatology and Balneotherapy Research, Aix Les Bains, France alain-francon@wanadoo.fr Background Chronic low back pain (CLBP) is the main disability seen in spa centers in France,. Six randomized clinical trials (RCT) in the ninety’s and a meta-analysis in 2006 were in favor of an efficacy of spa therapy in CLBP. Since this publication, five new RCT have been published. Aim: update of systematic review on efficacy of spa therapy or mineral water in CLBP. Method Bibliographic research of randomized clinical trial (RCT) was realized with the following keywords “low back pain”, “balneotherapy”, “balneology”, ”crenobalneotherapy”, “spa therapy”, “mud therapy”, ”mineral water”, ”clinical trial” . Then we studied the internal and the external validity of the RCT. Results We identified 11 RCT’s. None of them carried out a sample size calculation but statistical power of trials seems to be large enough (number of included patients between 50 and 224). Two RCT’s didn’t perform a between group difference calculation and didn’t allow a conclusion about the potential superiority of the treatment group versus the control group. In four of the RCT’s in which investigator and patients were not blinded and ITT analysis were not performed, spa therapy was better than a waiting list for improving pain, function, drug consumption and quality of life. In one RCT without blinding of the patient and without ITT analysis, exercises + education + balneotherapy in a spa center improved function and paracetamol consumption more than exercises + education + physical treatment (TENS, US, IR) in a rehabilitation center. In one RCT without blinding of patients, and investigation and with lack of assessment at middle and long-term, physiotherapy (TENS,US,hotpack) + balneotherapy was better than physiotherapy alone in pain, stiffness and function. In three of the RCT’s a better improvement was observed in mineral water bathing than in tap water bathing; but in the 1st of these 3 RCT’s there was no clear assessment of between-group difference and no ITT Balnea 2012, núm. 6, 66-67 66 ISBN: 978-84-669-1887-0 978-84-669-3482-4
Balnea 2012, núm. 6, 66-67 Medical Hydrology and Balneology: Environmental Aspects analysis. In the second RCT, 28% of patients didn’t complete the study and in the third RCT there is no blinding of patients and 33% didn’t complete the study. Conclusions There is a low to middle evidence that spa therapy and/or mineral water improve patients with CLBP at middle or long-term. New RCT’s are needed, which should be built according to the current methodological requirements. Keywords: Chronic Low Back Pain, Spa Therapy, Systematic Review, Randomized Clinical Trial 67
Page 1 and 2:
Balnea ISSN: 978-84-669-3482-4 Núm
Page 3 and 4:
Balnea 2012, Núm. 6, 9-24 Contents
Page 5 and 6:
Balnea 2012, Núm. 6, 9-24 Contents
Page 7 and 8: Balnea 2012, Núm. 6, 9-24 Contents
Page 11 and 12: Posters Papers Balnea 2012, Núm. 6
Page 17 and 18: 38 th World Congress of the Interna
Page 19 and 20: 38 th World Congress of the Interna
Page 21 and 22: Honorary Committee Honorary Preside
Page 23: PROGRAMME
Page 26 and 27: 34 Medical Hydrology and Balneology
Page 29: SCIENTIFIC SESSIONS
Page 33 and 34: What’s new in Balneology? Karagü
Page 35 and 36: Balneology in Europe: results of a
Page 37 and 38: Balneology Research in Germany Gute
Page 39 and 40: Balneology Research in France Roque
Page 41: The State of art - Session 01 Lectu
Page 44 and 45: Medical Hydrology and Balneology: E
Page 46 and 47: Health resort therapy (spa therapy)
Page 48 and 49: The State of art, Health Resort Med
Page 50 and 51: State of the art, Health Resort Med
Page 52 and 53: The State of the art, Health Resort
Page 55 and 56: Impact of sulphurous water endotymp
Page 57: Balnea 2012, núm. 6, 64-65 Medical
Page 61 and 62: Balnea 2012, núm. 6, 68-69 Medical
Page 71: Methodology of Scientific Investiga
Page 84 and 85: Effectiveness the treatments with n
Page 86 and 87: Building a preventive medicine mode
Page 89: Climatotherapy - Thalassotherapy -
Page 94 and 95: Is Thalassotherapy simply a type of
Page 96 and 97: Assessment of the impact of weather
Page 98 and 99: Marine zootherapy as part of thalas
Page 100 and 101: Thalassotherapy and otaridotheraphy
Page 102 and 103: Thalasso medical centre in the salt
Page 104 and 105: Acute atopic dermatitis and balneot
Page 106 and 107: Change of the psoriasis area and se
Page 109:
Climatotherapy - Dead Sea - Session
Page 112 and 113:
Ultra-violet (UV) radiation propert
Page 114 and 115:
Climatotherapy of skin diseases at
Page 116 and 117:
Medical Hydrology and Balneology: E
Page 118 and 119:
Page 120 and 121:
Influence of single immersion in De
Page 123:
New Trends 2 - Session 06 Lectures
Page 126 and 127:
Page 128 and 129:
Implementing comprehensive care cli
Page 130 and 131:
Results 138 Medical Hydrology and B
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
148 Medical Hydrology and Balneolog
Page 142 and 143:
Thermophysical study of peat from t
Page 145:
Société Française de Médecine T
Page 148 and 149:
Therapeutic education programs for
Page 150 and 151:
Metabolic Syndrome: education progr
Page 152 and 153:
Development of a therapeutic progra
Page 154 and 155:
Therapeutic education for patients
Page 156 and 157:
Withdrawal from benzodiapezines in
Page 159 and 160:
A proposal for a glossary of peloid
Page 161 and 162:
Biophysical skin effects of peloids
Page 163 and 164:
Mud cure in Russia: history, achiev
Page 165 and 166:
Clinical effects of mud-bath therap
Page 167 and 168:
Impact of peloidotherapy on hystolo
Page 169 and 170:
Impact of Mud Therapy in pathogenes
Page 171 and 172:
Effects of mud-bath applications on
Page 173 and 174:
Chondrogenic effect of the sulphuri
Page 175 and 176:
Balneotherapy and mud-therapy in kn
Page 177:
Biology - Session 09 Lectures Vetri
Page 180 and 181:
Page 182 and 183:
Which is better for health promotio
Page 184 and 185:
Heat-shock protein 70 is affected b
Page 186 and 187:
A possible physiological mechanism
Page 188 and 189:
Thermal changes of fingers after co
Page 190 and 191:
Case study: geochemical transformat
Page 192 and 193:
Hydrogen sulfide as an anti-inflama
Page 194 and 195:
Determination of selenium in minera
Page 196 and 197:
Page 199 and 200:
Scientific Basics of Water and Hydr
Page 201 and 202:
Balnea 2012, núm. 6, 208-209 Medic
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215:
Health tourism sustainable - Enviro
Page 218 and 219:
Recent contributions of the Geologi
Page 220 and 221:
Page 222 and 223:
Page 224 and 225:
Page 227 and 228:
Salt rooms and halotherapy in europ
Page 229 and 230:
Meteo-climatic factors influence an
Page 231 and 232:
Carbocrenotherapy and the scleroder
Page 233 and 234:
Legionella infection from spa water
Page 235 and 236:
Threats and opportunities facing Fr
Page 237:
Page 240 and 241:
Page 242 and 243:
Page 244 and 245:
Page 246 and 247:
Page 248 and 249:
Page 250 and 251:
Page 252 and 253:
Page 254 and 255:
Page 256 and 257:
Page 259:
Miscellaneous - 1 - Session 14 Lect
Page 262 and 263:
Page 264 and 265:
“Balneo-check”: software for ba
Page 266 and 267:
Page 268 and 269:
Page 270 and 271:
Clinical practice and scientific in
Page 273:
Sociedad Española de Hidrología M
Page 276 and 277:
The story of Spanish Society Medica
Page 278 and 279:
Page 280 and 281:
Page 282 and 283:
Page 284 and 285:
Page 287 and 288:
Medical Hydrology and Climatology T
Page 289 and 290:
Hippolytus´ house: a roman medical
Page 291 and 292:
Spatio-cultural sustainability of t
Page 293 and 294:
An introduction to clinical ethics
Page 295 and 296:
Influence of sodium alginate on the
Page 297 and 298:
Bathing in hot water, utilizing ons
Page 299:
POSTERS PAPERS
Page 303 and 304:
Omega-6-eicosanoid may be involved
Page 305 and 306:
Health effects attributed to endocr
Page 307 and 308:
Underground microclimate influence
Page 309 and 310:
Carbogaseous mineral water for pati
Page 311 and 312:
A developing complex research on na
Page 313 and 314:
An analysis of the behaviour of a m
Page 315 and 316:
Technical audit of the thermal wate
Page 317 and 318:
New trends P9 Does balneology still
Page 319:
Page 322 and 323:
Effectiveness of exercise program f
Page 324 and 325:
Sulphurous mineral water for lower
Page 326 and 327:
Salt mines therapy for pulmonary re
Page 328 and 329:
High concentration artificial CO2-w
Page 330 and 331:
Hypoxic adaptation in patients with
Page 332 and 333:
Control of legionella Benhammou S (
Page 334 and 335:
Puente Viesgo’s spa therapy for p
Page 336 and 337:
Association of behaviral and psycho
Page 338 and 339:
Effects of a rehabilitation treatme
Page 340 and 341:
Water physical therapy is effective
Page 342 and 343:
Effects on body composition in brea
Page 344 and 345:
Depression and thermal treatments:
Page 346 and 347:
Analysis of the effects of a hydrot
Page 348 and 349:
A comparison land-water environment
Page 350 and 351:
Page 352 and 353:
Page 354 and 355:
Page 356 and 357:
Page 358 and 359:
Aquatic physiotherapy program in pr
Page 360 and 361:
Physiotherapy and low back pain: ef
Page 362 and 363:
Musculoskeletal disorders and aquat
Page 364 and 365:
Nutrition as a potential determinan
Page 366 and 367:
Page 369 and 370:
Magnesium waters from Serbia Jovano
Page 371 and 372:
Neurological activity of mineral wa
Page 373:
Diuresis-crenotherapy in reno-urina
Page 376 and 377:
Page 378 and 379:
386 Medical Hydrology and Balneolog
Page 380 and 381:
Page 382 and 383:
Page 384 and 385:
Page 386 and 387:
Page 388 and 389:
Page 390 and 391:
Page 392 and 393:
Mud therapy resources in Bulgaria I
Page 394 and 395:
Mud maturation in Copahue, Argentin
Page 396 and 397:
Efficacy and tolerability of mud pa
Page 399:
Climatotherapy - Thalassotherapy De
Page 402 and 403:
Page 404 and 405:
Page 406 and 407:
Page 408 and 409:
Page 410 and 411:
Temperature and relative air humidi
Page 412 and 413:
Page 414 and 415:
Page 416 and 417:
Page 418 and 419:
Page 420 and 421:
The medical spa preferences of the
Page 422 and 423:
Therapeutic indications of the mine
Page 424 and 425:
Study of density, thermal conductiv
Page 426 and 427:
Efficency of underwater ultrasound
Page 428 and 429:
Health workers knowledge about medi
Page 430 and 431:
Page 432 and 433:
Historiography of acidulous waters
Page 434 and 435:
Perception and Knowledge about Baln
Page 436 and 437:
Splendour and decadence of spa tour
Page 438 and 439:
Page 440 and 441:
Aqui o Thermes, cluster thermal aqu
Page 442 and 443:
Page 444 and 445:
Page 446 and 447:
Traffic evolution of the website of
Page 448 and 449:
Page 451 and 452:
Abramovic D: 181 Adeagbo JT: 272 Ad
Page 453 and 454:
Fernández-González MV: 387, 389,
Page 455 and 456:
Metlak A: 227 Michán A: 102 Mígue
Page 457:
Vita P: 74 Vitale M: 46, 63 Vitoria
show all

Medical Hydrology and Balneology: Environmental Aspects

Create successful ePaper yourself

Delete template?

Save as template?