THE EFFECTS OF BALNEOTHERAPY IN ELDERLY PATIENTS WITH CHRONIC LOW BACK PAIN TREATED WITH PHYSICAL THERAPY: A PILOT STUDY

Year 2019, Volume: 82 Issue: 4, 186 - 192, 21.10.2019

Kağan Özkuk , Erdal Dilekçi

Abstract

Objective: The aim of this study was to compare whether balneotherapy has a positive effect on the treatment of elderly individuals receiving physical therapy for chronic low back pain (CLBP). Methods: 244 participants were randomly placed into two groups. The first group was treated with physical therapy (PT), the second group was treated with PT and balneotherapy (BT). Assessments were made using the PainVAS, Quebec Back Pain Disability Scale (Quebec), Health Assessment Questionnaire (HAQ) before treatment (T0) and after treatment (T1). Results: In both groups, there was a statistically significantly decrease in terms of pain-VAS, Quebec and HAQ scores (p<0.001). When pain-VAS scores were compared between the two groups, pain-VAS T0 was significantly higher and pain-VAS T1 was significantly lower in the BT+PT group than the PT group (p=0.001). When the HAQ and Quebec values were compared between the groups, the T0 value was similar in the BT+PT and PT groups (HAQ p=0.068, Quebec p=0.495) while the BT+PT group HAQ and QuebecT1 scoreswere significantly lower than the PT group (p<0.001). The BT+PT group change values were significantly higher than the PT group (p<0.001). Conclusion: These results recommend that combining therapies may be more effective in treating CLBP and balneotherapy may increase the effectiveness of the treatment.

Keywords

Low back pain, balneotherapy, physical therapy, chronic pain, elderly

FİZİK TEDAVİ UYGULANAN KRONİK BEL AĞRILI YAŞLILARDA BALNEOTERAPİNİN TEDAVİYE ETKİSİ: PİLOT ÇALIŞMA

Abstract

Amaç: Bu çalışmanın amacı, balneoterapinin kronik bel ağrısı nedeniyle fizik tedavi alan yaşlı bireylerde tedavi etkinliğine katkısını araştırmaktır. Gereç ve Yöntem: Toplam 244 hasta iki gruba randomize edildi. Grup I’e fizik tedavi ve Grup II’ye fizik tedavi ve balneoterapi uygulandı. Tedavinin başlangıcında (T0) ve tedavinin sonunda (T1) Ağrı (VAS), Quebec Bel Ağrısı Engellilik Ölçeği (Quebec) ve Sağlık Değerlendirme Anketi (HAQ) kullanılarak değerlendirmeler yapıldı. Bulgular: Tüm gruplar VAS-ağrı, Quebec ve HAQ skorlarındaki düşüş istatistiksel olarak anlamlıydı (p<0,001). VAS-ağrı gruplar arası kıyaslandığında VAS-ağrı T0, BT + PT grubunda PT grubunda anlamlı düşüklük saptandı (p=0,001). HAQ ve Quebec değerleri gruplar arasında karşılaştırıldığında, T0 değeri BT + PT ve PT grubu arasında benzerken (HAQ p= 0,068, Quebec p=0,495), T1 değerleri BT + PT grubunda PT grubundan anlamlı şekilde düşüktü (p<0,001). Gruplar karşılaştırıldığında BT + PT grubunda tüm puanların ortalama değişiklikleri (T1-T0) istatistiksel olarak daha anlamlı değişiklik gösterdi (p<0,001). Sonuç: Çalışmanın sonuçları, kronik bel ağrısı olan yaşlı hastalarda kombine tedavi uygulamalarının daha etkili olabileceğini göstermektedir. Uygun koşullarda, tüm vücuda uygulanan balneoterapi tedavinin etkinliğini artırabilir.

Keywords

Bel ağrısı, balneoterapi, fizik tedavi, kronik ağrı, yaşlı

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