Polyclinic of the Hospitaller Brothers of St. John of God, Budapest, Hungary.
Józsefváros Municipal Health Service, Budapest, Hungary.
Int J Biometeorol. 2018 May;62(5):897-905. doi: 10.1007/s00484-017-1491-1. Epub 2018 Jan 10.
The aim of this study was to investigate the effects of balneotherapy on chronic low back pain. This is a minimized, follow-up study evaluated according to the analysis of intention to treat. The subjects included in the study were 105 patients suffering from chronic low back pain. The control group (n = 53) received the traditional musculoskeletal pain killer treatment, while the target group (n = 52) attended thermal mineral water treatment for 3 weeks for 15 occasions on top of the usual musculoskeletal pain killer treatment. The following parameters were measured before, right after, and 9 weeks after the 3-week therapy: the level of low back pain in rest and the level during activity are tested using the Visual Analog Scale (VAS); specific questionnaire on the back pain (Oswestry); and a questionnaire on quality of life (EuroQual-5D). All of the investigated parameters improved significantly (p < 0.001) in the target group by the end of the treatment compared to the base period, and this improvement was persistent during the follow-up period. There were no significant changes in the measured parameters in the control group. Based on our results, balneotherapy might have favorable impact on the clinical parameters and quality of life of patients suffering from chronic low back pain.
本研究旨在探讨水疗对慢性下腰痛的影响。这是一项最小化、随访研究，根据意向治疗分析进行评估。研究对象包括 105 名患有慢性下腰痛的患者。对照组（n=53）接受传统的肌肉骨骼止痛药治疗，而目标组（n=52）在接受常规肌肉骨骼止痛药治疗的基础上，接受热矿泉治疗 3 周，共 15 次。在 3 周治疗前、治疗后和 9 周后测量了以下参数：使用视觉模拟量表（VAS）测试休息时和活动时的下腰痛程度；背部疼痛的特定问卷（Oswestry）；以及生活质量问卷（EuroQual-5D）。与治疗前相比，治疗结束时目标组的所有调查参数均显著改善（p<0.001），并且这种改善在随访期间持续存在。对照组的测量参数没有显著变化。基于我们的结果，水疗可能对患有慢性下腰痛的患者的临床参数和生活质量产生有利影响。
