Özkuk Kağan, Ateş Zeynep
Altern Ther Health Med. 2020 Jan;26(1):18-24.
To date, the number of studies investigating the effects of balneotherapy (BT) on chronic shoulder pain is small.
This study intended to investigate the effects of BT on pain, disability, and quality of life for patients with chronic shoulder pain.
The research team designed a prospective, randomized, controlled, single-blinded study.
The study took place in the Department of Medical Ecology and Hydroclimatology at the Bolu İzzet Baysal Physical Medicine and Rehabilitation Training and Research Hospital (Bolu, Turkey).
Participants were 60 patients with shoulder pain who were admitted to the outpatient clinic at the hospital between April 2016 and September 2016.
Participants were divided randomly into 2 groups: a control group receiving physical therapy (PT) only, the PT group, and an intervention group receiving PT plus BT, the BT group. All participants received 3 wk of treatment.
The study measured pain, disability, and quality of life using a visual analogue scale (VAS), the Shoulder Pain and Disability Index (SPADI), and the Nottingham Health Profile (NHP) at baseline, immediately postintervention, and at 1 mo postintervention.
Statistically significant improvements were found on the VAS, SPADI, and NHP at both postintervention timepoints for both groups compared with baseline (P < .05). When the difference scores were compared between the groups, the BT group showed significantly greater improvements at both postintervention timepoints for the VAS and SPADI compared with the PT group (P < .05). For the NHP, the BT group showed significantly greater improvements compared with the PT group immediately postintervention for the pain and energy level subscales and for the total score (P < .05). At 1 mo postintervention, the BT group again showed significantly greater improvements on the NHP compared the PT group for the pain, physical activity, energy level, and sleep subscales and for the total score (P < .05).
The results of the study suggest that BT can have positive effects on pain and disability. BT may be an alternative for patients with chronic shoulder pain.
迄今为止，研究温泉疗法（BT）对慢性肩痛影响的研究数量较少。
本研究旨在探讨温泉疗法对慢性肩痛患者的疼痛、功能障碍及生活质量的影响。
研究团队设计了一项前瞻性、随机、对照、单盲研究。
研究在土耳其博卢伊泽特·贝萨尔物理医学与康复培训及研究医院的医学生态学与水文气候学系进行。
参与者为2016年4月至2016年9月期间在该医院门诊就诊的60例肩痛患者。
参与者被随机分为两组：仅接受物理治疗（PT）的对照组，即PT组；以及接受PT加BT的干预组，即BT组。所有参与者均接受3周的治疗。
研究在基线、干预后即刻及干预后1个月时，使用视觉模拟量表（VAS）、肩痛和功能障碍指数（SPADI）以及诺丁汉健康量表（NHP）来测量疼痛、功能障碍及生活质量。
与基线相比，两组在干预后两个时间点的VAS、SPADI和NHP均有统计学意义的改善（P <.05）。当比较两组的差异分数时，BT组在干预后两个时间点的VAS和SPADI方面均显示出比PT组有更显著的改善（P <.05）。对于NHP，BT组在干预后即刻的疼痛和能量水平子量表及总分方面显示出比PT组有更显著的改善（P <.05）。在干预后1个月时，BT组在NHP的疼痛、身体活动、能量水平和睡眠子量表及总分方面再次显示出比PT组有更显著的改善（P <.05）。
研究结果表明，温泉疗法对疼痛和功能障碍可能有积极影响。温泉疗法可能是慢性肩痛患者的一种替代治疗方法。
