Onat Şule Şahin, Taşoğlu Özlem, Güneri Fulya Demircioğlu, Özişler Zuhal, Safer Vildan Binay, Özgirgin Neşe
Ankara Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Clin Rheumatol. 2014;33(10):1509-15. doi: 10.1007/s10067-014-2545-y. Epub 2014 Mar 6.
The aim of this study is to determine the effectiveness of balneotherapy plus physical therapy versus only physical therapy in patients with chronic low back pain. In this trial, 81 patients with low back pain were followed up in two groups. Patients in group I (n = 44) were treated with physical therapy alone. Patients in group II (n = 37) were treated with balneotherapy in addition to the same physical therapy protocol in group I. Patients in both groups were given a home-based standardized exercise program. The following parameters were measured: visual analog scale (0-10 cm), fingertip-to-floor distance (cm), Oswestry Disability Index, and Short Form 36 quality of life scale. First evaluations were done at the time of enrollment, and second evaluations were done after accomplishment of a 3-week treatment program. There were no significant differences between the two groups for the sociodemographic features. All of the measured parameters improved in both groups. However, improvements in pain, functionality, and quality of life scores were found to be superior in the balneotherapy plus physical therapy group. For the patients with chronic low back pain, balneotherapy plus physical therapy is more effective, compared to physical therapy alone.
本研究的目的是确定在慢性下腰痛患者中，温泉疗法加物理治疗与单纯物理治疗相比的有效性。在该试验中，81例腰痛患者被分为两组进行随访。第一组（n = 44）患者仅接受物理治疗。第二组（n = 37）患者除了接受与第一组相同的物理治疗方案外，还接受温泉疗法。两组患者均被给予家庭标准化锻炼计划。测量了以下参数：视觉模拟量表（0 - 10厘米）、指尖到地面距离（厘米）、Oswestry功能障碍指数和简短健康调查问卷36项生活质量量表。首次评估在入组时进行，第二次评估在完成3周治疗方案后进行。两组患者的社会人口学特征无显著差异。两组中所有测量参数均有改善。然而，发现温泉疗法加物理治疗组在疼痛、功能和生活质量评分方面的改善更为显著。对于慢性下腰痛患者，与单纯物理治疗相比，温泉疗法加物理治疗更有效。
