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Efficacy of Spa Therapy in Treatment of Lower Back Impairment. A presentation of the Association of Pool and Spa Professionals Consolidated Research, Inc. August 10, 2005. Costs of Back Care in US. Over $100 B per year in US 2 nd most common reason for physician visit

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efficacy of spa therapy in treatment of lower back impairment

Efficacy of Spa Therapy in Treatment of Lower Back Impairment

A presentation of the Association of Pool and Spa Professionals

Consolidated Research, Inc.

August 10, 2005

costs of back care in us
Costs of Back Care in US

Over $100 B per year in US

2nd most common reason for physician visit

(1st is colds and flu)

5th most common reason for hospital admission

slide3
Goal
  • APSP seeks to document the effectiveness of spa treatment in lower back care
  • If successful, spa therapy would become eligible for a CPT code and reimbursement
    • Private
    • Public
requirement for reimbursement
Requirement for Reimbursement
  • Well-designed clinical study showing the effectiveness of therapy published in a peer-reviewed journal, such as Spine
cri investigators
CRI Investigators
  • Steven Wolf, Ph.D.
    • Professor and Chair Rehabilitation Medicine, Emory University
    • Over 150 publications
    • Editorial Boards of Leading Journals
  • Sander Greenland, Dr. P.H.
    • Professor of Epidemiology and Biostatistics, UCLA
    • Over 300 publications
    • Editorial Boards of Leading Journals
  • Alan Goldman, M.D.
    • Neurologist
    • Specialist in Back Therapy in Occupational Medicine
    • Expert in Workers Compensation
study design
Study Design
  • Application of a new technology to measure impairment of individual muscles of the back based upon electrical energy emitted by the muscles of the back during very light exercise.
  • Similar to an EKG for muscles of the back.
methods
METHODS
  • Before Spa Therapy
    • Self reported lower back pain or impairment
    • Measure degree of impairment using
      • Self report
      • IMS technology
  • After Spa Therapy
    • Immediate
      • Self Report
      • IMS Technology
    • 20 Minutes
      • Self Report
      • IMS Technology
    • 1 hour
      • Self Report
      • IMS Technology
    • 24 Hours
      • Self Report
      • IMS Technology
methods8
METHODS
  • Repeat Spa Therapy after 48 hours
  • Repeat Measurements
  • Continue 3x per week for 6 weeks
results expected
RESULTS Expected
  • Measured improvement in back pain based on IMS measured back pain and self report relative to before spa therapy.
  • Results adjusted for
    • Concomitant therapy such as medications
    • Initial severity of back injury
    • Location of injury
results expected10
RESULTS Expected
  • Effectiveness of therapy at intervals relative to before spa therapy
    • 1 day
    • 1 week
    • 2 weeks
    • 3 weeks
    • 6 weeks
  • Effectiveness of spay therapy by frequency
    • 1 per week, 2 per day
    • 2 per week, 2 per day
    • 3 per week, 2 per day
proposal
PROPOSAL
  • Detailed proposal submitted upon request
  • Resumes submitted with the proposal