Abstract

Aim: The aim of this study was to investigate effect of balneotherapy (BT) on pain and quality of life in patients with fibromyalgia (FMS). 

Material and Methods: The study included 98 women without known metabolic or psychiatric disorder and history of new medication within prior month who were diagnosed as primary fibromyalgia according to 2010 American College of Rheumatology (ACR) criteria and accepted to participate to the study. The sociodemographic characteristics were recorded for all patients. All patients received 21 consecutive sessions of balneotherapy (20 minutes per day). The patients were assessed by Fibromyalgia Impact Questionnaire (FIQ) and Visual Analog Scale (VAS) before and after therapy. 

Results: The mean age of the all patients was 53.04 ± 10.3 years, the mean body mass index was 29.06 ± 5.9 kg/m2, and the mean disease duration was 54.91 ± 59.5 months. In patients with FMS, there were significant differences between VAS and FIQ scores assessed before and after BT (p=0.01). Also, the extent of decrease in FIQ score was greater in non-smokers than smoker FM patients (p<0.05). 

Conclusion: In patients with FM, there was a significant difference in VAS scores following BT. Moreover, there was also a significant difference in FIQ scores. However, the improvement in quality of life after BT was greater in non-smoker FM patients when compared to smoker FM patient.

Balneoterapinin fibromiyalji hastalarında ağrı ve yaşam kalitesine etkisi

Abstract

Amaç: Bu çalışmanın amacı Balneoterapinin (BT) fibromiyalji sendromu (FMS) olan hastalarda ağrı ve yaşam kalitesi üzerine etkisini araştırmaktır.

Gereç ve Yöntem: Çalışmaya; 18-65 yaş arasında, 2010 American College of Rheumatology kriterlerine göre FMS tanısı alan ve çalışmayı kabul eden, bilinen metabolik ve psikiyatrik hastalığı olmayan ve son 1 ay içinde yeni bir ilaç kullanmamış 98 kadın hasta dahil edildi. Hastaların sosyodemografik özellikleri kaydedildi. Hastalar günde 1 defa olmak üzere her gün 20 dakika olacak şekilde toplam 21 seans BT aldı. Tüm hastalar tedavi öncesi ve sonrasında Fibromiyalji Etki Anketi (FEA) ve Görsel Analog Skala (GAS) ile değerlendirildi.

Bulgular: Çalışmaya alınan 98 FMS hastasının ortalama yaşı 53.04 ± 10.3 yıl, ortalama vücut kitle indeksi 29.06 ± 5.9 kg/m2 ve hastalık süresi ortalama 54.91 ± 59.5 ay olarak belirlendi. FMS’li hastaların tedavi öncesi ve tedavi sonrası değerlendirilen GAS ve FEA skorları arasındaki istatistiksel olarak anlamlı farklılık vardı (p=0.01). FEA skorlarındaki azalma sigara içmeyen hastalarda daha fazlaydı (p<0.05).

Sonuç: FMS’li hastalarda BT sonrasında GAS değerlerinde ve FEA skorlarında anlamlı derecede azalma vardı. Bununla birlikte yaşam kalitesindeki artış sigara içmeyen FM’li hastalarda sigara içen FM’li hastalara oranla daha fazladır.

Keywords

• Balneoterapi,fibromiyalji,tedavi

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