Dramsdahl Elisabeth, Gundersen Storla Dag, Harari Marco
Norwegian Dead Sea Clinic, Dødehavstiftelsen, Stavanger, Norway.
Bærum CFS/ME og borrelioseklinikk, Oslo, Norway.
Isr Med Assoc J. 2019 Apr;21(4):255-259.
Multidisciplinary biopsychosocial rehabilitation for patients presenting with rheumatic diseases has been shown to produce better results in a warm climate. Dead Sea Climatotherapy (DSC) has been successfully used for decades to treat many patients with rheumatic diseases.
To evaluate the short-term improvement of Norwegian patients who presented with chronic pain following a multidisciplinary biopsychosocial approach to treatment combined with DSC. Both objective and subjective clinical parameters were evaluated.
This retrospective study included a statistical analysis of 938 patients presenting with rheumatoid arthritis and ankylosing spondylitis (n=105), osteoarthritis (n=342), fibromyalgia (n=374), and other orthopedic conditions (n=117). Clinical assessments were conducted before and after a 3 week treatment program at the Dead Sea.
Six parameters improved significantly in the rheumatoid arthritis and ankylosing spondylitis group as well as in the osteoarthritis group. Five parameters in the fibromyalgia group improved, while two improved in the orthopedic conditions group. Overall, major significant changes occurred in the pain self-assessment, joint motility, and daily activities scores.
A 3-week multidisciplinary biopsychosocial program combined with DSC induced positive changes in the clinical parameters of Norwegian patients presenting with chronic musculoskeletal pain.
对于患有风湿性疾病的患者，多学科生物心理社会康复疗法已被证明在温暖的气候条件下能产生更好的效果。死海气候疗法（DSC）已成功应用数十年，用于治疗许多风湿性疾病患者。
评估采用多学科生物心理社会治疗方法并结合死海气候疗法后，挪威慢性疼痛患者的短期改善情况。对客观和主观临床参数均进行了评估。
这项回顾性研究对938例患有类风湿性关节炎和强直性脊柱炎（n = 105）、骨关节炎（n = 342）、纤维肌痛（n = 374）以及其他骨科疾病（n = 117）的患者进行了统计分析。在死海进行为期3周的治疗计划前后进行了临床评估。
类风湿性关节炎和强直性脊柱炎组以及骨关节炎组有6项参数显著改善。纤维肌痛组有5项参数改善，而骨科疾病组有2项改善。总体而言，疼痛自我评估、关节活动度和日常活动评分发生了重大显著变化。
为期3周的多学科生物心理社会计划结合死海气候疗法，使患有慢性肌肉骨骼疼痛的挪威患者的临床参数产生了积极变化。
