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Medical Hydrology and Balneology: Environmental Aspects

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The effect of spa therapy in chronic low back<br />

pain: a r<strong>and</strong>omized- controlled, single blind,<br />

follow-up study<br />

Tefner IK (1) , Németh A (2) , Lászlófi A (2) , Kis T (2) , Gyetvai G (2) , Bender T (3)<br />

(1) Józsefváros Health Care Services, Budapest. Hungary<br />

(2) Mofetta & Thermal Spa, Mátraderecske, Hungary<br />

(3) Hospitaller Brother of Saint John of God. Budapest. Hungary<br />

tefner.ildiko@gmail.com<br />

Introduction <strong>and</strong> Objectives<br />

Effect of thermal water with high mineral content on clinical parameters <strong>and</strong><br />

quality of life of patients with chronic low back pain was studied.<br />

Materials <strong>and</strong> Methods<br />

In this r<strong>and</strong>omized-controlled, single blind, follow-up study, 60 patients with<br />

chronic low back pain were r<strong>and</strong>omized into two groups. The treatment group<br />

received balneotherapy with thermal mineral water, the control group bathed in tap<br />

water. Changes of the followings were evaluated: visual analogue scale (VAS) for<br />

pain, range of motion for the lumbar spine, Oswestry index, EuroQol-5D <strong>and</strong> Short<br />

Form-36 questionnaires.<br />

Results<br />

In the treatment group the mobility of the lumbar spine, the Oswestry index, the<br />

VAS scores <strong>and</strong> the EuroQoL-5D index improved significantly. SF-36 items improved<br />

significantly in the treated group compared with baseline except for two<br />

parameters.<br />

Conclusions<br />

Our study demonstrated the beneficial effect of balneotherapy with thermal mineral<br />

versus tap water on clinical parameters, along with improvements in quality of<br />

life.<br />

Keywords: Balneotherapy, Low Back Pain, Spa Therapy, High Mineral Content<br />

Water, Mátraderecske<br />

Balnea<br />

2012, núm. 6, 78<br />

78<br />

ISBN: 978-84-669-3482-4

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