Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders

Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Maccarone, Maria Chiara [verfasserIn] Magro, Giacomo Albertin, Claudio Barbetta, Giovanni Barone, Salvatore Castaldelli, Camilla Manica, Patrizia Marcoli, Silvia Mediati, Magda Minuto, Domenico Poli, Patrizia Sigurtà, Christian Raffaetà, Gloria Masiero, Stefano

Format:	Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise

Anmerkung:	© The Author(s) 2022

Übergeordnetes Werk:	Enthalten in: International journal of biometeorology - Springer Berlin Heidelberg, 1961, 67(2022), 1 vom: 08. Okt., Seite 29-36
Übergeordnetes Werk:	volume:67 ; year:2022 ; number:1 ; day:08 ; month:10 ; pages:29-36

Links:	Volltext

DOI / URN:	10.1007/s00484-022-02381-4

Katalog-ID:	OLC2080166778

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520			\|a Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated.
650		4	\|a Rehabilitation
650		4	\|a Mud therapy
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650		4	\|a Aquatic therapy
650		4	\|a Water-based exercise
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700	1		\|a Albertin, Claudio \|4 aut
700	1		\|a Barbetta, Giovanni \|4 aut
700	1		\|a Barone, Salvatore \|4 aut
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700	1		\|a Marcoli, Silvia \|4 aut
700	1		\|a Mediati, Magda \|4 aut
700	1		\|a Minuto, Domenico \|4 aut
700	1		\|a Poli, Patrizia \|4 aut
700	1		\|a Sigurtà, Christian \|4 aut
700	1		\|a Raffaetà, Gloria \|4 aut
700	1		\|a Masiero, Stefano \|4 aut
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allfields	10.1007/s00484-022-02381-4 doi (DE-627)OLC2080166778 (DE-He213)s00484-022-02381-4-p DE-627 ger DE-627 rakwb eng 570 550 VZ 570 VZ 12 ssgn BIODIV DE-30 fid Maccarone, Maria Chiara verfasserin (orcid)0000-0003-2793-1334 aut Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders 2022 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier © The Author(s) 2022 Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise Magro, Giacomo aut Albertin, Claudio aut Barbetta, Giovanni aut Barone, Salvatore aut Castaldelli, Camilla aut Manica, Patrizia aut Marcoli, Silvia aut Mediati, Magda aut Minuto, Domenico aut Poli, Patrizia aut Sigurtà, Christian aut Raffaetà, Gloria aut Masiero, Stefano aut Enthalten in International journal of biometeorology Springer Berlin Heidelberg, 1961 67(2022), 1 vom: 08. Okt., Seite 29-36 (DE-627)12985106X (DE-600)280324-0 (DE-576)015150259 0020-7128 nnns volume:67 year:2022 number:1 day:08 month:10 pages:29-36 https://doi.org/10.1007/s00484-022-02381-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_OLC FID-BIODIV SSG-OLC-GEO SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-GGO GBV_ILN_2018 GBV_ILN_4277 AR 67 2022 1 08 10 29-36
spelling	10.1007/s00484-022-02381-4 doi (DE-627)OLC2080166778 (DE-He213)s00484-022-02381-4-p DE-627 ger DE-627 rakwb eng 570 550 VZ 570 VZ 12 ssgn BIODIV DE-30 fid Maccarone, Maria Chiara verfasserin (orcid)0000-0003-2793-1334 aut Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders 2022 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier © The Author(s) 2022 Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise Magro, Giacomo aut Albertin, Claudio aut Barbetta, Giovanni aut Barone, Salvatore aut Castaldelli, Camilla aut Manica, Patrizia aut Marcoli, Silvia aut Mediati, Magda aut Minuto, Domenico aut Poli, Patrizia aut Sigurtà, Christian aut Raffaetà, Gloria aut Masiero, Stefano aut Enthalten in International journal of biometeorology Springer Berlin Heidelberg, 1961 67(2022), 1 vom: 08. Okt., Seite 29-36 (DE-627)12985106X (DE-600)280324-0 (DE-576)015150259 0020-7128 nnns volume:67 year:2022 number:1 day:08 month:10 pages:29-36 https://doi.org/10.1007/s00484-022-02381-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_OLC FID-BIODIV SSG-OLC-GEO SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-GGO GBV_ILN_2018 GBV_ILN_4277 AR 67 2022 1 08 10 29-36
allfields_unstemmed	10.1007/s00484-022-02381-4 doi (DE-627)OLC2080166778 (DE-He213)s00484-022-02381-4-p DE-627 ger DE-627 rakwb eng 570 550 VZ 570 VZ 12 ssgn BIODIV DE-30 fid Maccarone, Maria Chiara verfasserin (orcid)0000-0003-2793-1334 aut Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders 2022 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier © The Author(s) 2022 Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise Magro, Giacomo aut Albertin, Claudio aut Barbetta, Giovanni aut Barone, Salvatore aut Castaldelli, Camilla aut Manica, Patrizia aut Marcoli, Silvia aut Mediati, Magda aut Minuto, Domenico aut Poli, Patrizia aut Sigurtà, Christian aut Raffaetà, Gloria aut Masiero, Stefano aut Enthalten in International journal of biometeorology Springer Berlin Heidelberg, 1961 67(2022), 1 vom: 08. Okt., Seite 29-36 (DE-627)12985106X (DE-600)280324-0 (DE-576)015150259 0020-7128 nnns volume:67 year:2022 number:1 day:08 month:10 pages:29-36 https://doi.org/10.1007/s00484-022-02381-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_OLC FID-BIODIV SSG-OLC-GEO SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-GGO GBV_ILN_2018 GBV_ILN_4277 AR 67 2022 1 08 10 29-36
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allfieldsSound	10.1007/s00484-022-02381-4 doi (DE-627)OLC2080166778 (DE-He213)s00484-022-02381-4-p DE-627 ger DE-627 rakwb eng 570 550 VZ 570 VZ 12 ssgn BIODIV DE-30 fid Maccarone, Maria Chiara verfasserin (orcid)0000-0003-2793-1334 aut Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders 2022 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier © The Author(s) 2022 Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise Magro, Giacomo aut Albertin, Claudio aut Barbetta, Giovanni aut Barone, Salvatore aut Castaldelli, Camilla aut Manica, Patrizia aut Marcoli, Silvia aut Mediati, Magda aut Minuto, Domenico aut Poli, Patrizia aut Sigurtà, Christian aut Raffaetà, Gloria aut Masiero, Stefano aut Enthalten in International journal of biometeorology Springer Berlin Heidelberg, 1961 67(2022), 1 vom: 08. Okt., Seite 29-36 (DE-627)12985106X (DE-600)280324-0 (DE-576)015150259 0020-7128 nnns volume:67 year:2022 number:1 day:08 month:10 pages:29-36 https://doi.org/10.1007/s00484-022-02381-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_OLC FID-BIODIV SSG-OLC-GEO SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-GGO GBV_ILN_2018 GBV_ILN_4277 AR 67 2022 1 08 10 29-36
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authorswithroles_txt_mv	Maccarone, Maria Chiara @@aut@@ Magro, Giacomo @@aut@@ Albertin, Claudio @@aut@@ Barbetta, Giovanni @@aut@@ Barone, Salvatore @@aut@@ Castaldelli, Camilla @@aut@@ Manica, Patrizia @@aut@@ Marcoli, Silvia @@aut@@ Mediati, Magda @@aut@@ Minuto, Domenico @@aut@@ Poli, Patrizia @@aut@@ Sigurtà, Christian @@aut@@ Raffaetà, Gloria @@aut@@ Masiero, Stefano @@aut@@
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author	Maccarone, Maria Chiara
spellingShingle	Maccarone, Maria Chiara ddc 570 ssgn 12 fid BIODIV misc Rehabilitation misc Mud therapy misc Balneotherapy misc Aquatic therapy misc Water-based exercise Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
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topic_title	570 550 VZ 570 VZ 12 ssgn BIODIV DE-30 fid Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders Rehabilitation Mud therapy Balneotherapy Aquatic therapy Water-based exercise
topic	ddc 570 ssgn 12 fid BIODIV misc Rehabilitation misc Mud therapy misc Balneotherapy misc Aquatic therapy misc Water-based exercise
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title	Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
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title_full	Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
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title_sort	short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
title_auth	Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
abstract	Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. © The Author(s) 2022
abstractGer	Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. © The Author(s) 2022
abstract_unstemmed	Abstract Clinical trials have demonstrated traditional spa therapy effects in musculoskeletal disorders (MSDs). This is the first observational study in Italy aimed at evaluating in real-life the short-time effects of spa rehabilitation on pain, mood and quality of life (QoL) among degenerative or post-surgery MSDs patients. Through the involvement of six Italian spa facilities, 160 patients were enrolled; data from 123 patients were finally analysed. Seventy-nine patients (64.3%) accessed the spa for degenerative MSDs, while 44 (35.8%) had a post-surgical condition. All the patients included in the study underwent 12 sessions of water-based exercise (joint exercises, muscle strengthening, gait training, proprioceptive and balance techniques) conducted in thermal or in warm water pools, six sessions per week, for a period of 2 weeks from March 2019 up to October 2019. A group of 45 patients (36.6%) also received traditional thermal therapies, including 12 mud therapy sessions and 12 thermal baths, six times each week, for 2 weeks. Evaluation before and after the treatment included the Numerical Rating Scale (NRS), the Short Form Health Survey (SF-12) and the EuroQol-5D (EQ-5D). The analysis of the scores reported in the questionnaires after the treatment showed a significant improvement in all the scores evaluated. Comparison between patients that performed water-based exercise protocols alone (group A) and patients that in addition to water exercise performed traditional thermal interventions (group B) showed no statistically significant differences in NRSp, NRSa, NRSm, SF-12 PCS, SF-12 MCS and EQ-5D variations; only NRSa value reduction was lower in group B. Sulphate water was found to be associated with a lower reduction of all the scores considered, when compared to the other water types. Patients with degenerative or post-surgery MSDs showed favourable effects on pain, mood and QoL after water exercise training alone or in combination with traditional thermal therapy. Our research provides the first proof that spa rehabilitation can be in real-life conditions an appropriate alternative strategy for post-orthopaedic surgical outcomes recovery. In the future, these results will need to be further investigated. © The Author(s) 2022
collection_details	GBV_USEFLAG_A SYSFLAG_A GBV_OLC FID-BIODIV SSG-OLC-GEO SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-GGO GBV_ILN_2018 GBV_ILN_4277
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title_short	Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders
url	https://doi.org/10.1007/s00484-022-02381-4
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author2	Magro, Giacomo Albertin, Claudio Barbetta, Giovanni Barone, Salvatore Castaldelli, Camilla Manica, Patrizia Marcoli, Silvia Mediati, Magda Minuto, Domenico Poli, Patrizia Sigurtà, Christian Raffaetà, Gloria Masiero, Stefano
author2Str	Magro, Giacomo Albertin, Claudio Barbetta, Giovanni Barone, Salvatore Castaldelli, Camilla Manica, Patrizia Marcoli, Silvia Mediati, Magda Minuto, Domenico Poli, Patrizia Sigurtà, Christian Raffaetà, Gloria Masiero, Stefano
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up_date	2024-07-04T03:06:20.495Z
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Short-time effects of spa rehabilitation on pain, mood and quality of life among patients with degenerative or post-surgery musculoskeletal disorders

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