OUR BALNEOTHERAPY TREATMENT RESULTS

Yıl 2020, , 338 - 344, 14.10.2020

Hasan Toktaş , Ümit Dündar , Hilal Yeşil , Kezban Yazar Selma Eroğlu , Murat Korkmaz

https://doi.org/10.18229/kocatepetip.785901

Cited By: 2

Öz

OBJECTIVE: Physical therapy agents and exercises have an important place in the physical medicine and rehabilitation clinics, especially in the treatment of chronic musculoskeletal pain. It is thought that the addition of balneotherapy to these methods in clinics where spa treatment is available may increase the effectiveness of some factors such as the efficacy of the treatment, compliance with treatment, and quality of life, especially in the elderly patient group. Our aim in this study is to discuss the characteristics of patients suffering from musculoskeletal pain and added to the spa therapy in our hospital for their physical therapy.
MATERIAL AND METHODS: Hospital system records were examined retrospectively. The data of patients who had received spa treatments were found and recorded according to their diagnoses and characteristics. The data of the patients are presented as number, percentage, mean, standard deviation and maximum-minimum values.
RESULTS: The number of patients who received physical therapy due to their musculoskeletal pain and who were added to spa treatment was found as 5814 for 4 years. The most common diagnosis with 56.35% among these patients was lumbar intervertebral disc disorders.
CONCLUSIONS: In addition to medication and physical therapies, spa treatment can be added to the treatment of patients with musculoskeletal pain. Our study has focused on characteristics of patients and diagnosis groups; however, for further studies, evaluating the efficacy of the treatment and patient compliance may be studied.

Anahtar Kelimeler

Musculoskeletal pain, Balneotherapy, Physical therapy

KAPLICA TEDAVİSİ SONUÇLARIMIZ

Öz

AMAÇ: Fiziksel tıp ve rehabilitasyon kliniklerinde özellikle kronik kas iskelet sistemi ağrılarının tedavisinde fizik tedavi ajanları ve egzersiz önemli bir yer tutar. Kaplıca tedavisi uygulama imkanı bulunan kliniklerde bu yöntemlere balneoterapi eklenmesinin yaşlı hasta grubu başta olmak üzere etkinlik, tedaviye uyum, yaşam kalitesi gibi faktörleri olumlu etkileyebileceği düşünülmektedir. Bu çalışmadaki amacımız hastanemizde kas iskelet sistemi ağrısı nedeniyle fizik tedavilerine kaplıca tedavisi uygulaması eklenmiş olan hastaların özelliklerinin tartışılmasıdır.
GEREÇ VE YÖNTEM: Retrospektif olarak hastane sistemi üzerinden kaplıca tedavisi alan hastalar bulunarak hastalar tanılarına ve özelliklerine göre kaydedildi, veriler; sayı, yüzde, ortalama, standart sapma ve maksimum-minimum değerler olarak verildi.
BULGULAR: Kas iskelet sistemi ağrıları nedeniyle fizik tedavi gören ve fizik tedavilerine kaplıca uygulaması eklenen hasta sayımız 4 yıl için 5814 olarak bulunmuştur. Bu hastalar içinde en fazla tanı %56,35 ile lomberintervertebral disk bozuklukları olmuştur.
SONUÇ: Kas iskelet sistemi ağrısı olan hastalara ilaç tedavileri ve fizik tedavi yanında kaplıca tedavisi de eklenebilir. Bizim çalışmamız hasta özellikleri ve tanı gruplarına yöneliktir, etkinlik ve hasta uyumunu değerlendiren çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Kaplıca, Kas iskelet sistemi ağrısı, Fizik tedavi

Kaynakça

• 1-Matsumoto S. Evaluation of the Role of Balneotherapy in Rehabilitation Medicine. J Nippon Med Sch. 2018;85(4):196-203
• 2- Özer (Usman) N. Kaplıca Tedavisi. İn: Romatizmal Hastalıklar. Ed:Tuna N. 3.baskı, Hacettepe Taş Kitapçılık. Ankara, 1994: 229-42
• 3- Karagülle Z, Karagülle M. Yaşlılıkta balneoterapi ve kaplıca tedavisi. Geriatri 2000;3(3):119-24
• 4-Fioravanti A, Cantarini L, Guidelli GM, Galeazzi M. Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there? Rheumatol Int. 2011 Jan;31(1):1-8
• 5- Toktas H. Termal Suların Tedavi Edici Gücü.In:Termal Turizm. ed:Altındiş M. Nobel Tıp Kitebevi. İstanbul, 2015:125-38
• 6-Ülker İ. Türkiye’de Sağlık Turizmi ve Kaplıca Planlaması. Kültür ve Turizm Bakanlığı Çağdaş Kültür Eserleri Dizisi No:1006/129, Ankara, Eylül 1988
• 7-Weber DC, Brown AW (Çeviri: Yurtkuran M, Ay A). Fizik Tedavi Yöntemleri (Çeviri): In:"Fiziksel Tıp ve Rehabilitasyon El Kitabı (Ed. Randall L Braddom: Çeviri Ed.Tansu Arasıl) Güneş Kitabevi Ltd Şti, Ankara, 2005:291-301
• 8- Şahin N, Albayrak İ, Karahan AY, Uğurlu H. Kronik bel ağrılı hastalarda fizik tedavinin etkinliği. Genel Tıp Derg 2011;21(1):17-20
• 9- Karagülle M, Karagülle MZ. Effectiveness of balneotherapy and spa therapy for the treatment of chronic low back pain: a review on latest evidence. Clin Rheumatol. 2015 Feb;34(2):207-14.
• 10-Bai R, Li C, Xiao Y, Sharma M, Zhang F, Zhao Y. Effectiveness of spa therapy for patients with chronic low back pain: An updated systematic review and meta-analysis. Medicine (Baltimore). 2019;98(37):e17092.
• 11-Kulisch A, Bender T, Németh A, Szekeres L. Effect of thermal water and adjunctive electrotherapy on chronic low back pain: a double-blind, randomized, follow-up study. J Rehabil Med. 2009;41(1):73‐9.
• 12- Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Rheumatol. 2020;72(2):220‐33.
• 13-Tuncer T, Cay FH, Altan L, et al. 2017 update of the Turkish League Against Rheumatism (TLAR) evidence-based recommendations for the management of knee osteoarthritis. Rheumatol Int. 2018;38(8):1315‐31.
• 14-Forestier R, Erol Forestier FB, Francon A. Spa therapy and knee osteoarthritis: A systematic review. Ann Phys Rehabil Med. 2016;59(3):216‐26.
• 15- Fraioli A, Mennuni G, Fontana M, et al. Efficacy of Spa Therapy, Mud-Pack Therapy, Balneotherapy, and Mud-Bath Therapy in the Management of Knee Osteoarthritis. A Systematic Review. Biomed Res Int. 2018;2018:1042576.
• 16- Peultier-Celli L, Lion A, Chary-Valckenaere I, et al. Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial. Int J Biometeorol. 2019;63(9):1151‐9.
• 17- Onat, Ş.Ş., Taşoğlu, Ö., Özişler Z,Güneri, F.D. et al. Balneotherapy in the Treatment of Knee Osteoarthritis: A Controlled Study. Arch Rheumatol 2015;30(4):292-7
• 18-Peng B, DePalma MJ. Cervical disc degeneration and neck pain. J Pain Res. 2018;11:2853‐2857. Published 2018 Nov 14.
• 19- Karagülle M, Kardeş S, Karagülle MZ. Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients. Int J Biometeorol. 2017;61(11):1945‐56.
• 20- Corvillo I, Armijo F, Álvarez-Badillo A, Armijo O, Varela E, Maraver F. Efficacy of aquatic therapy for neck pain: a systematic review. Int J Biometeorol. 2020;64(6):915‐25
• 21- Türel A, Solak Ö, Dündar Ü, Toktaş H, Demirdal ÜS, Subaşı V ,Kavuncu V. Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain. Arch Rheumatol 2015;30(4):298-306
• 22- Koyuncu E, Ökmen BM, Özkuk K, Taşoğlu Ö, Özgirgin N. The effectiveness of balneotherapy in chronic neck pain. Clin Rheumatol. 2016;35(10):2549‐55.
• 23- Abate M, Silbernagel KG, Siljeholm C, et al. Pathogenesis of tendinopathies: inflammation or degeneration?. Arthritis Res Ther. 2009;11(3):235.
• 24- Almekinders LC, Temple JD. Etiology, diagnosis, and treatment of tendonitis: an analysis of the literature. Med Sci Sports Exerc. 1998;30(8):1183‐90.
• 25- Larmer PJ, Reay ND, Aubert ER, Kersten P. Systematic review of guidelines for the physical management of osteoarthritis. Arch Phys Med Rehabil. 2014;95(2):375-89.
• 26-. Zwolińska J, Weres A, Wyszyńska J. One-Year Follow-Up of Spa Treatment in Older Patients with Osteoarthritis: A Prospective, Single Group Study. Biomed Res Int. 2018;2018:7492106.
• 27- Erol FB, Forestier RJ, Güneri FD, Karagülle MZ, Erdoğan N. Spa therapy for generalized osteoarthritis: an open, observational, preliminary study. Therapie. 2015;70(3):273-81.
• 28- Forestier R, Genty C, Waller B, et al. Crenobalneotherapy (spa therapy) in patients with knee and generalized osteoarthritis: a post-hoc subgroup analysis of a large multicentre randomized trial. Ann Phys Rehabil Med. 2014;57(4):213-27.
• 29-Fraioli A, Grassi M, Mennuni G, et al. Clinical researches on the efficacy of spa therapy in fibromyalgia. A systematic review. Ann Ist Super Sanita. 2013;49(2):219-29.
• 30- Naumann J, Sadaghiani C. Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials. Arthritis Res Ther. 2014;16(4):R141.
• 31- Verhagen AP, Bierma-Zeinstra SMA, Cardoso JR, de Bie RA, Boers M, de Vet HCW. Balneotherapy for rheumatoid arthritis Cochrane Database of Systematic Reviews 2004 Issue 1
• 32- Santos I, Cantista P, Vasconcelos C. Balneotherapy in rheumatoid arthritis-a systematic review. Int J Biometeorol. 2016;60(8):1287-301.
• 33- van der Heijde D, Ramiro S, Landewé R, et al. 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann Rheum Dis. 2017;76(6):978-91
• 34- Dagfinrud H, Kvien TK, Hagen KB. Physiotherapy interventions for ankylosing spondylitis. Cochrane Database Syst Rev. 2008 Jan 23;(1)