Spa therapy for chronic low back pain and lumber osteoarthritis in turkey
This presentation is the property of its rightful owner.
Sponsored Links
1 / 56

Spa Therapy for Chronic Low Back Pain and Lumber Osteoarthritis in Turkey PowerPoint PPT Presentation


  • 68 Views
  • Uploaded on
  • Presentation posted in: General

Spa Therapy for Chronic Low Back Pain and Lumber Osteoarthritis in Turkey. Prof. Dr. M. Zeki Karagülle. Spa Therapy. Spa. “ S pagere” ; Latin word “to scatter, sprinkle, moisten ” “ E spa” ; Walloon word meaning fountain

Download Presentation

Spa Therapy for Chronic Low Back Pain and Lumber Osteoarthritis in Turkey

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

Spa Therapy for Chronic Low Back Pain and Lumber Osteoarthritis in Turkey

Prof. Dr. M. Zeki Karagülle


Spa therapy

Spa Therapy


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

Spa

  • “Spagere” ; Latin word “to scatter, sprinkle, moisten”

  • “Espa” ; Walloon wordmeaning fountain

  • “Spa”;Belgian town near Liege,where a curative, thermal spring was discovered in 14th century

  • Place with thermal baths; “Health resort”

  • “Salus PerAquam”;Health through water


Spa therapy1

Spa Therapy

  • “Bathing in thermal water for therapeuticpurposes has several descriptions (forexample, taking thewaters, balneotherapy, spa therapy, hydrotherapy), which willall be used throughout this paper, and are more or less interchangeable.”

A brief history of spa therapy: A van Tubergen, S van der Linden, Ann Rheum Dis 2002;61:273–275


Spa therapy2

Spa Therapy

  • Has frequently been used interchangeably with balneotherapy and hydrotherapy by patients and health care workers alike.


Spa therapy3

Spa Therapy

  • We profoundly disagree with the authors, that "taking the water, balneotherapy, spa therapy, hydrotherapy are more or less interchangeable". We are certain that they are not.

    MATTERS ARISING: A brief history of spa therapy

    T Bender, P V Balint and G P Balint

    Ann Rheum Dis 2002;61:949-950


Spa therapy4

Spa Therapy

  • “Bathing in thermal water for therapeutic purposes has several descriptions (e.g. taking the waters, balneotherapy, spa therapy), which are more or less interchangeable.

    Spa and exercise treatment in ankylosingspondylitis: fact or fancy? Best Practice & Research Clinical Rheumatology, 2002; 16: 653-666 A.van Tubergen and A. Hidding


Spa therapy5

Spa Therapy

  • “Nowadays, spa therapy comprises a wide range of strategies among which are balneotherapy (bathing in mineral water), hydrotherapy (immersion of the entire body or parts of the body in thermal water), massages, physical exercises, mud applications and relaxation”

    Spa and exercise treatment in ankylosingspondylitis: fact or fancy?  Best Practice & Research Clinical Rheumatology, 2002; 16: 653-666 A.van Tubergen and A. Hidding


Hydrotherapy balneotherapy and spa treatment in pain management

Hydrotherapy, balneotherapy, and spa treatment in pain management

Tamás Bender, Zeki Karagülle, Géza P. Bálint, Christoph Gutenbrunner, Péter V. Bálint and Shaul Sukenik

Original Article


Hydrotherapy balneotherapy and spa treatment in pain management1

Hydrotherapy, balneotherapy, and spa treatment in pain management

  • Confusion persists regarding hydrotherapy and balneotherapy. The former employs simply water, while the latter uses natural thermal mineral water. Spa therapy employs a number of different treatment modalities, including hydrotherapy and balneotherapy, and creates a special therapeutic atmosphere of its own through the change in environment and lifestyle.


Balneotherapy

Balneotherapy

  • “balneum”

    Latin word for bath

  • “terapium”

    Latin word for treatment


Spa therapy6

Spa Therapy

  • The terminology “spa therapy” should be reserved for balneotherapy that is mostly combined with massage, exercise, physical therapy or rehabilitation.


Balneotherapy1

Balneotherapy

  • “The therapeutic use of mineral and thermal waters, usually through water immersion of part or all of the body, but also through drinking certain amount of water and inhaling the vaporized or dispersed water’’


Hydrotherapy

Hydrotherapy?

  • Hydrotherapy at the spas is usually administered in the form of underwater massage, Scottish douche, showers and hydro-kinesitherapy (aquatic exercise in tap water) in the pool.


Alternative approaches to lbp erlich ge 2003

Alternative approaches to LBP [Erlich GE 2003]

  • Chiropractic “adjustment”

  • Osteopathic manipulation

  • Yoga

  • Acupuncture

  • Herbals

  • Spa therapy and other terms of moist heat and physical therapy


Spa therapy for lpb

Spa therapy for LPB

  • Spa therapeutic methods (baths, mud applications, exercises, massages and water therapies) are given according to established empiric practice and on the assumption that they benefit patients with LBP


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

  • Mud applications

  • Carbon dioxide baths

  • Classic massage

  • Exercise therapy

  • Spinal traction

The Clinical Journal of Pain, Vol. 18, No. 5, 2002


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

  • Hydrotherapy (used in combination withmassages, exercisetherapy, and spinaltraction)

  • Electrotherapy (short-wavediathermy, inferentialtherapy ultrasound)

The Clinical Journal of Pain, Vol. 18, No. 5, 2002


Spa therapy modalities in central europe

Spa Therapy modalities in Central Europe

  • Balneotherapy

  • Climatotherapy

  • Mud therapy

  • Exercise therapy

  • Hydrotherapy

  • Massage therapy

  • Electrotherapy


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

Use of Spa Therapy To Improve the Quality of Life of Chronic Low Back Pain PatientsConstant, F; Guillemin, F; Collin, JF; Boulangé, MMed Care. 1998 Sep;36(9):1309-14.

1. A 10-minute bath at 36°C with underwater flow;

2. A local application of mud at 45°C for 15 minutes;

3. A 20-minute massage under flowing water at 36°C.


Spa therapy modalities in southern europe

Spa Therapy modalities in Southern Europe

  • Balneotherapy

  • Mud therapy

  • Massage under flowing water (Vichy Shower)

  • Hydrotherapy

    • Showers

    • Underwater high pressure showers (massages)


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

Balneotherapie und Kurorttherapie rheumatischerErkrankungen in der Türkei: Ein systhematischer Review M.Z Karagülle. M.Karagülle Forsch Komplementärmed Klass Naturheilkd 2004;11:33-41

  • Balneotherapy

  • Exercise therapy

  • Patient education (Back school)


Spa therapy modalities in turkey

Spa Therapy modalities in Turkey

  • Balneotherapy

  • Mud therapy

  • Massage therapy

  • Exercise therapy


Complex ed spa therapy

Complex(ed) Spa therapy

Balneotherapy

Hydrotherapy

Electro-therapy

Massage therapy

Spinal Traction

Exercise Therapy

Mud therapy

Others ??


Spa therapy for lpb1

Spa therapy for LPB

  • In general, they consisted of a mixed bag of balneotherapeutic and/orpeloidotherapeutic, hydrotherapeutic and physiotherapeutic interventions


Studies spa therapy for lbp in turkey

Studies; Spa therapy for LBP in Turkey


Studies spa therapy for lbp in turkey1

Studies; Spa therapy for LBP in Turkey


Studies spa therapy for lumber oa in turkey

Studies; Spa therapy for Lumber OA in Turkey


Studies spa therapy for lumber oa in turkey1

Studies; Spa therapy for Lumber OA in Turkey


Studies spa therapy for lbp in turkey2

Studies; Spa therapy for LBP in Turkey


Studies spa therapy for lbp in turkey3

Studies; Spa therapy for LBP in Turkey


Spa therapy for low back pa i n f rench rct s

Spa therapy for low back pain-French RCT’s


Spa therapy for low back pa i n f rench rct s1

Spa therapy for low back pain-French RCT’s


Spa therapy for low back pa i n f rench rct s2

Spa therapy for low back pain-French RCT’s


Spa therapy for low back pa i n f rench rct s3

Spa therapy for low back pain-French RCT’s


Spa therapy for lbp observational studies

Spa therapy for LBP observational studies


Spa therapy for lpb2

Spa therapy for LPB

  • Review of clinical trials on spa therapy for LBP conducted in Turkey and elsewhere has yielded remarkable short and medium term improvements in pain, functional status, lumber mobility and psychological and general well-being


Spa therapy for lpb3

Spa therapy for LPB

  • Regardless of the underlying mechanisms, the breadth of the benefits attributable to spa therapy in the management of LBP are remarkable


Why is spa therapy effective

Why is spa therapy effective?

A combination of various factors inherited in the spa therapy concept;

  • may contribute to the beneficial effects of spa therapy

  • may be independent and important contributors to the overall effect of spa treatment


Why is spa therapy effective1

Why is spa therapy effective?

  • Balneotherapy,spa water (thermal-mineral water),peloidotherapy, mud and other specific spa techniques

  • Other treatment modalities (massage, exercise, traction etc.)


Why is spa therapy effective2

Why is spa therapy effective?

  • The temporary change of climatic exposure and social and physical environment

  • A change in the lifestyle during the stay at the spa resort


Why is spa therapy effective3

Why is spa therapy effective?

  • the natural history of chronic LBP

  • regression to the mean

  • the nonspecific effects of spa therapy (placebo effect)


Effective components of spa therapy for lpb

Effective components of Spa therapy for LPB

  • Balneotherapy

    • Passive immersion in thermal water

    • Immersion in thermal water with

      • under water high-pressure shower or

      • underwater flow or

      • a stream of hot water on effected part or

      • underwater traction


Effective components of spa therapy for lpb1

Effective components of Spa therapy for LPB

  • Mud application; peloidotherapy

    • Local application on low back

  • Exercise therapy

    • Dry

    • Aquatic


Effective components of spa therapy for lpb2

Effective components of Spa therapy for LPB

  • Massage

    • Classical

    • under or with water

  • Hydrotherapy

    • Pressure shower

  • Spinal Traction (under water)


Complex ed spa therapy1

Complex(ed) Spa therapy

Balneotherapy

Hydrotherapy

Electro-therapy

Massage therapy

Spinal Traction

Exercise Therapy

Mud therapy

Others ??


Spa therapy for lpb4

Spa therapy for LPB

It remains impossible to identify

  • the most effective component of a spa therapy package

  • and the most effective combination of spa treatments for LPB


Spa for lpb

Spa for LPB

  • Let us look at the results of the efforts to examine the contribution of specific spa therapy interventions to the overall effectiveness of spa therapyfor chronic (low-back) pain


Contribution of individual spa therapies in the treatment of chronic pain

Contribution of Individual Spa Therapies in the Treatment ofChronic Pain

  • On a short-term basis, mud packs and exercise were found to be associated with agreater improvement in mood

  • On a long-term basis, exercise therapy and spinal traction were associated with agreater reduction in back pain

    Strauss-Blasche et al 2002,


The best combination of individual spa therapies in the treatment of chronic low back pain

The best combination of Individual Spa Therapies in the Treatment ofChronic Low Back Pain ?

  • Yet, there is no data on the most effective combination of specific spa therapy interventions for chronic (low-back) pain


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

Let us attempt to prescribe a spa therapy regimen for chronic low-back pain with a evidence based approach rather than empiricism and tradition


A 3 week spa therapy regimen for lbp austrian style

A 3-week Spa therapy regimen for LBPAustrian-style


Prescription a 3 week spa therapy for lbp french style

Prescription a 3-week Spa therapy for LBPFrench-style


A 3 week spa therapy regimen for lbp turkish style

A 3-week Spa therapy regimen for LBPTurkish-style


Spa therapy for chronic low back pain and lumber osteoarthritis in turkey

A balneotherapy session for LBPHungarian-Turkish-style


  • Login