SPA therapy in fibromyalgia : a randomised controlled clinic study

The aim of the present study is to evaluate the effectiveness of spa therapy in the management of fibromyalgia. Thirty women with fibromyalgia were randomly assigned to either a spa therapy group or a control group. The spa therapy group (n = 16) had spa treatment for 2 weeks in addition to their me...

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Bibliographic Details
Published in:	Rheumatology international Vol. 26; no. 2; pp. 168 - 172
Main Authors:	DÖNMEZ, Arif, KARAGÜLLE, M. Zeki, TERCAN, Nuran, DINLER, Mustafa, ISSEVER, Halim, KARAGIILLE, Mine, TURAN, Mustafa
Format:	Journal Article
Language:	English
Published:	Berlin Springer 01-12-2005 Springer Nature B.V
Subjects:	Adult Balneology Biological and medical sciences Combined Modality Therapy Depression - etiology Depression - physiopathology Depression - therapy Diseases of the osteoarticular system Fatigue - etiology Fatigue - physiopathology Fatigue - therapy Female Fibromyalgia - complications Fibromyalgia - physiopathology Fibromyalgia - therapy Gastrointestinal Diseases - etiology Gastrointestinal Diseases - physiopathology Gastrointestinal Diseases - therapy Humans Medical sciences Medical treatment Miscellaneous. Osteoarticular involvement in other diseases Pain Pain - etiology Pain - physiopathology Pain Management Physical Therapy Modalities Severity of Illness Index Single-Blind Method Sleep Wake Disorders - etiology Sleep Wake Disorders - physiopathology Sleep Wake Disorders - therapy Surveys and Questionnaires Treatment Outcome Thermal cure Striated muscle disease Chronic Pain Treatment Diseases of the osteoarticular system Rheumatology Fibromyalgia Fatigue Balneotherapy Spa treatment
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Summary:	The aim of the present study is to evaluate the effectiveness of spa therapy in the management of fibromyalgia. Thirty women with fibromyalgia were randomly assigned to either a spa therapy group or a control group. The spa therapy group (n = 16) had spa treatment for 2 weeks in addition to their medical treatment. The control group (n = 14) continued to have their medical treatment and/or daily exercises. An investigator who was blinded for the intervention assessed all the patients for 9 months. Improvements in Fibromyalgia Impact Questionnaire (FIQ), pain and number of tender points were primary outcomes. Secondary outcome measures were improvement in sleep disturbance, fatigue, gastrointestinal symptoms, anxiety, Beck Depression Inventory and patient's global evaluation. the spa group was found to be superior to the control group at the end of intervention in terms of FIQ, pain, tender point count, fatigue and patients' global assessment. This superiority remained for 6 months in FIQ, 1 month in pain and tender point count. It was concluded that the addition of spa therapy to medical therapy has both short- and long-term beneficial effects in female patients with fibromyalgia.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0172-8172 1437-160X
DOI:	10.1007/s00296-005-0623-9