Controlled trial of balneotherapy in treatment of low back pain.

Konrad, Karl Lorenz; Tatrai, T; Hunka, A; Vereckei, Edit; I, Korondi

doi:10.1136/ard.51.6.820

Cited by 104 publications

(45 citation statements)

References 10 publications

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“…41,42 Other studies suggest no additional reduction in pain with hydrotherapy than with immersion to the neck in heated water. 24,43 Nonetheless, these results have clinical relevance, and increased joint pain has been reported as the main reason for patients with rheumatoid arthritis stopping landbased exercises. 44 Hydrotherapy may be the only means of exercising without pain for some patients with arthritis, and can be of particular benefit to children with low thresholds to pain or during an acute exacerbation of symptoms.…”

Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 85%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

153

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including service users) whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to und...

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Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 85%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

153

View full text Add to dashboard Cite

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“…Those studies examine only differentials among competing treatments [Wigler et al 1995;Leibetseder et al 2004]. Another set of studies has documented spa-induced improvements in subjective well-being ], blood pressure , glucose levels [Ohtsuka et al 1996], and lower back pain [Konrad et al 1992], but these studies lack strong control groups. The few existing papers with strong control groups and methodological designs also suggest that the health benefits of spa therapy are significant.…”

Section: Existing Evidence Of the Efficacy Of Spa Treatmentsmentioning

confidence: 99%

Do Spa Visits Improve Health: Evidence From German Micro Data

Klick¹,

Stratmann

2008

Eastern Econ J

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The health benefits of spas have been hypothesized for centuries. If this hypothesis is correct, spa therapy offers a low cost alternative to more expensive and potentially more invasive medical treatments for ailments such as back pain and arthritis. We use individual-level panel data to isolate the effect of spa therapy on missed workdays and hospital visits in Germany. Simple correlations suggest a self-selection bias -spa visits are associated with increased absenteeism and hospitalization. However, when we exploit the longitudinal nature of the data, we find that spa therapy leads to a statistically significant reduction in both absenteeism and hospitalization, though it is not clear if these health benefits justify the cost of spa therapy.

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“…Scientific studies addressing the efficacy of such treatment methods have reported contradicting results. Some prospectively controlled studies have reported statistically significant positive effects on long-term pain from either massage or mental relaxation [5, 6, 7, 8, 9, 10, 11, 12, 13, 14]. However, others, using similar designs, have failed to find any beneficial results [15, 16].…”

Section: Introductionmentioning

confidence: 98%

A Randomized Clinical Trial of the Treatment Effects of Massage Compared to Relaxation Tape Recordings on Diffuse Long-Term Pain

Hasson

Arnetz

Jelveus

et al. 2003

Psychother Psychosom

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Background: Long-term musculoskeletal pain is a common problem in primary health care settings that is difficult to treat. Two common treatments are mental relaxation and massage. Scientific studies show contradictory results. Furthermore, many studies lack long-term follow-up even though it is a chronic disorder. The purpose of this randomized clinical trial was to assess possible effects of massage as compared to listening to relaxation tapes in conditions of ‘diffuse’ and long-term musculoskeletal pain. Methods: 129 patients from primary health care suffering from long-term musculoskeletal pain were randomized to either a massage or mental relaxation group, and assessed before, during and after treatment. Results: During treatment there was a significant improvement in the three main outcome measures: self-rated health, mental energy, and muscle pain only in the massage group as compared to the relaxation group. However, at the 3-month post-treatment follow-up, there was a significant worsening in the outcome measures (time × group effect p < 0.05) back to initial rating levels in the massage group as compared to no changes in the relaxation group. Conclusion: Massage, but not mental relaxation, is beneficial in attenuating diffuse musculoskeletal symptoms. Beneficial effects were registered only during treatment. This lack of long-term benefits could be due to the short treatment period or treatments such as these do not address the underlying causes of pain. Future studies of long-term pain should include longer treatment periods and post-treatment follow-up. It might also be worthwhile assessing the long-term benefits from booster treatment after the initial intense treatment period.

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Controlled trial of balneotherapy in treatment of low back pain.

Cited by 104 publications

References 10 publications

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Do Spa Visits Improve Health: Evidence From German Micro Data

A Randomized Clinical Trial of the Treatment Effects of Massage Compared to Relaxation Tape Recordings on Diffuse Long-Term Pain

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