Dept General Practice, Erasmus Medical Centre University, Rotterdam, CA Rotterdam, The Netherlands.
Best Pract Res Clin Rheumatol. 2012 Jun;26(3):335-43. doi: 10.1016/j.berh.2012.05.008.
This is a best-evidence synthesis providing an evidence-based summary on the effectiveness of aquatic exercises and balneotherapy in the treatment of musculoskeletal conditions. The most prevalent musculoskeletal conditions addressed in this review include: low back pain, osteoarthritis, fibromyalgia and rheumatoid arthritis. Over 30 years of research demonstrates that exercises in general, and specifically aquatic exercises, are beneficial for reducing pain and disability in many musculoskeletal conditions demonstrating small to moderate effect sizes ranging between 0.19 and 0.32. Balneotherapy might be beneficial, but the evidence is yet insufficient to make a definitive statement about its use. High-quality trials are needed on balneotherapy and aquatic exercises research especially in specific patient categories that might benefit most.
这是一个最佳证据综合,提供了关于水疗运动和浴疗法治疗肌肉骨骼疾病的有效性的循证总结。本综述中涉及的最常见的肌肉骨骼疾病包括:下腰痛、骨关节炎、纤维肌痛和类风湿关节炎。超过 30 年的研究表明,一般运动,特别是水疗运动,对减轻许多肌肉骨骼疾病的疼痛和残疾是有益的,其效果大小从 0.19 到 0.32 不等。浴疗法可能是有益的,但证据还不足以对其使用做出明确的结论。需要对浴疗法和水疗运动研究进行高质量的试验,特别是在最有可能受益的特定患者群体中。