关键词: hydrotherapy impaired physical function quality of life visual analog scale

来  源:   DOI:10.2147/JPR.S438744   PDF(Pubmed)

Abstract:
UNASSIGNED: Chronic Low Back Pain (CLBP) is a prevalent global health issue, leading to prolonged discomfort and functional limitations. Hot spring hydrotherapy, which utilizes mineral-rich, warm spring water, offers a unique physical therapy that holds promise in alleviating CLBP symptoms.
UNASSIGNED: This meta-analysis aims to assess the effectiveness of hot spring hydrotherapy in improving CLBP symptoms, encompassing pain intensity, functional disability, quality of life, and medication usage.
UNASSIGNED: A systematic review and meta-analysis were conducted by searching relevant literature in multiple databases. Included studies compared hot spring hydrotherapy with control interventions or other treatments. Standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated for pain intensity, functional disability, medication usage, and quality of life.
UNASSIGNED: A total of 16 studies met the inclusion criteria, involving 1656 participants with chronic low back pain across various countries. The meta-analysis demonstrated that hot spring hydrotherapy was effective in reducing pain intensity (SMD = -0.901, 95% CI [-1.777, -0.025], P < 0.05) and improving functional disability (SMD = -3.236, 95% CI [-4.898, -1.575], P < 0.0001) in CLBP patients. Hot spring hydrotherapy also resulted in a significant reduction in medication usage (P < 0.05). Subgroup analysis showed that the effects of hot spring hydrotherapy were more pronounced in patients aged 60 and above, while no significant differences were observed in patients below 60 years of age, single hot Spring Hydrotherapy help improve patients\' quality of life.
UNASSIGNED: Hot spring hydrotherapy is an effective intervention for improving CLBP symptoms, including pain intensity, functional disability, and medication usage. It is particularly beneficial for CLBP patients aged 60 and above. These findings support the integration of hot spring hydrotherapy into the treatment approach for CLBP, although further research is needed to determine its efficacy in younger patients and to explore the underlying mechanisms of its therapeutic effects.
UNASSIGNED: CRD42023430860.
摘要:
慢性腰背痛(CLBP)是一个普遍的全球健康问题,导致长期不适和功能限制。温泉水疗,利用富含矿物质的,温暖的泉水,提供了一种独特的物理治疗,有望缓解CLBP症状。
这项荟萃分析旨在评估温泉水疗在改善CLBP症状方面的有效性,包括疼痛强度,功能性残疾,生活质量,和药物使用。
通过在多个数据库中检索相关文献进行系统评价和荟萃分析。纳入的研究比较了温泉水疗与对照干预或其他治疗方法。计算疼痛强度的标准化平均差(SMD)和95%置信区间(CI)。功能性残疾,药物使用,和生活质量。
共有16项研究符合纳入标准,涉及来自不同国家的1656名慢性腰背痛患者。荟萃分析表明,温泉水疗可有效降低疼痛强度(SMD=-0.901,95%CI[-1.777,-0.025],P<0.05)和改善功能障碍(SMD=-3.236,95%CI[-4.898,-1.575],CLBP患者P<0.0001)。温泉水疗也导致药物使用显着减少(P<0.05)。亚组分析显示,温泉水疗效果在60岁及以上患者中更为明显,虽然在60岁以下的患者中没有观察到显著差异,单一温泉水疗有助于提高患者的生活质量。
温泉水疗是改善CLBP症状的有效干预措施,包括疼痛强度,功能性残疾,和药物使用。它对60岁及以上的CLBP患者特别有益。这些发现支持将温泉水疗整合到CLBP的治疗方法中,尽管需要进一步的研究来确定其在年轻患者中的疗效,并探索其治疗效果的潜在机制。
CRD42023430860。
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