Clinical and economic analysis of spa therapy in Parkinson's disease

Brefel‐Courbon, Christine; Desboeuf, Karine; Thalamas, Claire; Galitzky, Monique; Senard, Jean‐Michel; Rascol, Olivier; Montastruc, Jean‐Louis

doi:10.1002/mds.10404

Cited by 37 publications

(30 citation statements)

References 18 publications

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“…In 32 studies (82%) the physicians and patients were not blinded to the treatment received and participation was not mandatory (a worksite intervention [57]), and therapies were compared to usual care in 34 (87%) of studies. Fourteen studies [25,27,32,34,35,50,51,53-55,68,74,76,82] met all study quality criteria, and a summary of their results is shown in Table 5.…”

Section: Resultsmentioning

confidence: 99%

Is complementary and alternative medicine (CAM) cost-effective? a systematic review

Herman

Craig

Caspi

2005

BMC Complement Altern Med

185

121

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BackgroundOut-of-pocket expenditures of over $34 billion per year in the US are an apparent testament to a widely held belief that complementary and alternative medicine (CAM) therapies have benefits that outweigh their costs. However, regardless of public opinion, there is often little more than anecdotal evidence on the health and economic implications of CAM therapies. The objectives of this study are to present an overview of economic evaluation and to expand upon a previous review to examine the current scope and quality of CAM economic evaluations.MethodsThe data sources used were Medline, AMED, Alt-HealthWatch, and the Complementary and Alternative Medicine Citation Index; January 1999 to October 2004. Papers that reported original data on specific CAM therapies from any form of standard economic analysis were included. Full economic evaluations were subjected to two types of quality review. The first was a 35-item checklist for reporting quality, and the second was a set of four criteria for study quality (randomization, prospective collection of economic data, comparison to usual care, and no blinding).ResultsA total of 56 economic evaluations (39 full evaluations) of CAM were found covering a range of therapies applied to a variety of conditions. The reporting quality of the full evaluations was poor for certain items, but was comparable to the quality found by systematic reviews of economic evaluations in conventional medicine. Regarding study quality, 14 (36%) studies were found to meet all four criteria. These exemplary studies indicate CAM therapies that may be considered cost-effective compared to usual care for various conditions: acupuncture for migraine, manual therapy for neck pain, spa therapy for Parkinson's, self-administered stress management for cancer patients undergoing chemotherapy, pre- and post-operative oral nutritional supplementation for lower gastrointestinal tract surgery, biofeedback for patients with "functional" disorders (eg, irritable bowel syndrome), and guided imagery, relaxation therapy, and potassium-rich diet for cardiac patients.ConclusionWhereas the number and quality of economic evaluations of CAM have increased in recent years and more CAM therapies have been shown to be of good value, the majority of CAM therapies still remain to be evaluated.

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Section: Resultsmentioning

confidence: 99%

Is complementary and alternative medicine (CAM) cost-effective? a systematic review

Herman

Craig

Caspi

2005

BMC Complement Altern Med

185

121

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“…Brefel-Courbon et al 26 aimed to assess the QOL of patients with PD using the PDQ-39 and the Short Form-36 (SF-36), however, they used thermal baths, massages and ludic activities at a spa, significantly improving the perception of QOL among the patients.…”

Section: Discussionmentioning

confidence: 99%

Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson

Silva¹,

Nunes²,

Oliveira³

et al. 2013

Fisioter. Pesqui.

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A doença de Parkinson (DP) é uma doença degenerativa e progressiva do sistema nervoso central, e seus sintomas podem proporcionar um declínio da qualidade de vida (QV) dos pacientes, que pode ser influenciada positivamente pela fisioterapia aquática (FA). A FA é um recurso fisioterapêutico que utiliza os efeitos físicos, fisiológicos e cinesiológicos advindos da imersão do corpo em piscina aquecida. O questionário da doença de Parkinson 39 (PDQ-39) é o instrumento mais apropriado para a avaliação da QV do paciente com DP. O objetivo deste estudo foi avaliar os efeitos da FA na QV de pacientes com DP nos estágios de leve a moderado, utilizando-se do PDQ-39. Foram incluídos 13 pacientes com DP, com idade entre 45 e 74 anos, entre os estágios 1 a 3 da doença (Hoehn-Yahr). Os pacientes foram submetidos a 16 sessões de FA, duas vezes por semana, com duração de uma hora, em piscina terapêutica aquecida. A percepção da QV foi mensurada por meio do PDQ-39, antes e depois da FA. Depois da FA, ocorreu uma redução estatisticamente significativa (p<0,0001) tanto no escore total do PDQ-39 quanto em todos os seus domínios (p=0,032). A QV foi mais afetada em maiores estágios da doença. Antes da FA, a QV era pior no estágio mais avançado da doença, e apesar da melhora dos escores de QV depois da FA, o estágio mais avançado continuou apresentando pior percepção da QV. A FA proporcionou uma melhora na qualidade de vida dos pacientes com doença de Parkinson neste estudo.

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“…The conclusions are mostly in favour of spa treatments; however, due to the large variety of interventions, the results are still mostly inconclusive. The same applies to studies on cost-effectiveness (Van Tubergen et al 2002;Brefel-Courbon et al 2003;Fioravanti et al 2003;Epps et al 2005;Zijlstra et al 2007;Klick and Stratmann 2008).…”

Section: Introductionmentioning

confidence: 77%

A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology

et al. 2010

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Health Resort Medicine, Balneology, Medical Hydrology and Climatology are not fully recognised as independent medical specialties at a global international level. Analysing the reasons, we can identify both external (from outside the field) and internal (from inside the field) factors. External arguments include, e.g. the lack of scientific evidence, the fact that Balneotherapy and Climatotherapy is not used in all countries, and the fact that Health Resort Medicine, Balneology, Medical Hydrology and Climatology focus only on single methods and do not have a comprehensive concept. Implicit barriers are the lack of international accepted terms in the field, the restriction of being allowed to practice the activities only in specific settings, and the trend to use Balneotherapy mainly for wellness concepts. Especially the implicit barriers should be subject to intense discussions among scientists and specialists. This paper suggests one option to tackle the problem of implicit barriers by making a proposal for a structure and description of the medical field, and to provide some commonly acceptable descriptions of content and terminology. The medical area can be defined as "medicine in health resorts" (or "health resort medicine"). Health resort medicine includes "all medical activities originated and derived in health resorts based on scientific evidence aiming at health promotion, prevention, therapy and rehabilitation". Core elements of health resort interventions in health resorts are balneotherapy, hydrotherapy, and climatotherapy. Health resort medicine can be used for health promotion, prevention, treatment, and rehabilitation. The use of natural mineral waters, gases and peloids in many countries is called balneotherapy, but other (equivalent) terms exist. Substances used for balneotherapy are medical mineral waters, medical peloids, and natural gases (bathing, drinking, inhalation, etc.). The use of plain water (tap water) for therapy is called hydrotherapy, and the use of climatic factors for therapy is called climatotherapy. Reflecting the effects of health resort medicine, it is important to take other environmental factors into account. These can be classified within the framework of the ICF (International Classification of Functioning, Disability and Health). Examples include receiving health care by specialised doctors, being well educated (ICF-domain: e355), having an environment supporting social contacts (family, peer groups) (cf. ICF-domains: d740, d760), facilities for recreation, cultural activities, leisure and sports (cf. ICF-domain: d920), access to a health-promoting atmosphere and an environment close to nature (cf. ICF-domain: e210). The scientific field dealing with health resort medicine is called health resort sciences. It includes the medical sciences, psychology, social sciences, technical sciences, chemistry, physics, geography, jurisprudence, etc. Finally, this paper proposes a systematic international discussion of descriptions in the field of Health Resort Medicine, Balneology, M...

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Clinical and economic analysis of spa therapy in Parkinson's disease

Cited by 37 publications

References 18 publications

Is complementary and alternative medicine (CAM) cost-effective? a systematic review

Is complementary and alternative medicine (CAM) cost-effective? a systematic review

Efeitos da fisioterapia aquática na qualidade de vida de sujeitos com doença de Parkinson

A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology

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