Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/4754
Title: The effect of combined therapy (spa and physical therapy) on pain in various chronic diseases
Authors: Cımbız, Ali
Bayazıt, Vahdettin
Hallaceli, Hasan
Çavlak, Uğur
Keywords: Chronic diseases
Pain
Physical therapy
Spa therapy
analgesic agent
nonsteroid antiinflammatory agent
adjuvant therapy
adult
aged
article
blood pressure
breathing rate
chronic pain
controlled study
female
fibromyalgia
heart rate
hemodynamics
hip osteoarthritis
hospital discharge
human
intervertebral disk hernia
major clinical study
male
nonarticular rheumatism
physiotherapy
retrospective study
sex difference
spa treatment
statistical significance
visual analog scale
Arthritis
Balneology
Blood Pressure
Chronic Disease
Female
Heart Rate
Humans
Intervertebral Disk Displacement
Male
Middle Aged
Nervous System Diseases
Pain Measurement
Physical Therapy Modalities
Retrospective Studies
Rheumatic Diseases
Abstract: Objective: Spa therapy is commonly used in the treatment of daily chronic diseases practice, but its benefits are still the subjects of discussion. This study investigates possible effects of a combined spa and physical therapy program on pain and hemodynamic responses in various chronic diseases. Methods: The pain intensity and hemodynamic responses of 472 patients involved in a spa and physical therapy program were studied retrospectively. Assessment criteria were pain [Visual Analog Scale (VAS)] and hemodynamic responses (heart rate, blood pressure, respiratory rate). Assessments took place before, immediately after treatment, and after completion of the spa program (before discharge). Results: The patients with ankle arthrosis, fibromyalgia and cervical disc herniation reported the highest VAS score before treatment program (P < 0.05). After the therapy program, VAS scores were seen to decrease compared to before treatment (P < 0.05). The patients with osteoarthritis of the hip (1.3 ± 1.2) and soft tissue rheumatism (1.3 ± 1.2) had the lowest VAS score before discharge compared to patients with other pathologies (P < 0.05). No statistically significant differences were detected between both sexes in terms of pain improvement (P > 0.05). On discharge, all hemodynamic responses decreased significantly compared to before and immediately after initiation of the therapy program (P < 0.01). Conclusion: To decrease pain and high blood pressure without hemodynamic risk, a combined of spa and physical therapy program may help to decrease pain and improve hemodynamic response in patients with irreversible pathologies. © 2005 Elsevier Ltd. All rights reserved.
URI: https://hdl.handle.net/11499/4754
https://doi.org/10.1016/j.ctim.2005.08.004
ISSN: 0965-2299
Appears in Collections:Fizik Tedavi ve Rehabilitasyon Yüksekokulu Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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