Article

The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review

School of Health Sciences, Health and Rehabilitation Sciences Research Institute, University of Ulster, Newtownabbey, BT37 0QB, Northern Ireland, UK.
Rheumatology International (Impact Factor: 1.63). 09/2008; 29(2):119-30. DOI: 10.1007/s00296-008-0674-9
Source: PubMed

ABSTRACT Hydrotherapy is often used in the treatment of fibromyalgia syndrome (FMS), however there has been limited evaluation of its effectiveness. The aim of this systematic review was therefore to examine the effectiveness of hydrotherapy in the management of FMS. AMED, BNI, CINAHL, The Cochrane Library, EMBASE, MEDLINE, ProQuest, PubMed, Science Direct and Web of Science were searched (1990-July 2006). Key words used 'fibromyalgia' and 'hydrotherapy', 'balneotherapy', 'aqua therapy', 'pool therapy', 'water therapy', 'swimming', 'hydrogalvanic', 'spa therapy', 'physiotherapy', 'physical therapy' and 'rehabilitation'. Searches were supplemented with hand searches of selected journals. Randomised controlled trials (RCTs) were assessed for methodological quality using the van Tulder scale. Ten RCTs met the inclusion criteria. Mean methodological quality was 4.5/9 on the van Tulder scale. Positive outcomes were reported for pain, health-status and tender point count. There is strong evidence for the use of hydrotherapy in the management of FMS.

Download full-text

Full-text

Available from: Joseph Mcveigh, Jul 02, 2015
2 Followers
 · 
202 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To investigate the effectiveness of aquatic exercise in the management of musculoskeletal conditions. A systematic review was conducted using Ovid MEDLINE, CINAHL, EMBASE, and The Cochrane Central Register of Controlled Trials from earliest record to May 2013. Randomized controlled trials (RCTs) and quasi-randomized controlled trials evaluating aquatic exercise for adults with musculoskeletal conditions compared to no exercise or land-based exercise. Outcomes of interest were pain, physical function and quality of life. The electronic search identified 1199 potential studies. Of these, 1136 studies were excluded based on title and abstract. A further 36 studies were excluded after full text review and the remaining 26 studies were included in this review. Two reviewers independently extracted demographic data and intervention characteristics from included trials. Outcome data including mean scores and SDs were also extracted. The Physiotherapy Evidence Database (PEDro) scale identified 20 studies with high methodological quality (PEDro score ≥6). Compared to no exercise, aquatic exercise achieved moderate improvements in pain (SMD -0.37, 95% CI -0.56 to -0.18), physical function (SMD 0.32, 95% CI 0.13 to 0.51) and quality of life (SMD 0.39, 95% CI 0.06 to 0.73). No significant differences were observed between the effects of aquatic and land-based exercise on pain (SMD -0.11, 95% CI -0.27 to 0.04), physical function (SMD -0.03, 95% CI -0.19 to 0.12) or quality of life (SMD -0.10, 95% CI -0.29 to 0.09). The evidence suggests that aquatic exercise has moderate beneficial effects on pain, physical function and quality of life in adults with musculoskeletal conditions. These benefits appear comparable across conditions and with those achieved with land-based exercise. Further research is needed to understand the characteristics of aquatic exercise programs that provide the most benefit.
    Archives of physical medicine and rehabilitation 04/2014; 101. DOI:10.1016/j.apmr.2014.04.005
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This is a best-evidence synthesis providing an evidence-based summary on the effectiveness of aquatic exercises and balneotherapy in the treatment of musculoskeletal conditions. The most prevalent musculoskeletal conditions addressed in this review include: low back pain, osteoarthritis, fibromyalgia and rheumatoid arthritis. Over 30 years of research demonstrates that exercises in general, and specifically aquatic exercises, are beneficial for reducing pain and disability in many musculoskeletal conditions demonstrating small to moderate effect sizes ranging between 0.19 and 0.32. Balneotherapy might be beneficial, but the evidence is yet insufficient to make a definitive statement about its use. High-quality trials are needed on balneotherapy and aquatic exercises research especially in specific patient categories that might benefit most.
    Best practice & research. Clinical rheumatology 06/2012; 26(3):335-43. DOI:10.1016/j.berh.2012.05.008
  • [Show abstract] [Hide abstract]
    ABSTRACT: A molecular approach to quantum computing is demonstrated. The vibrational normal modes of molecules in an ensemble are used to encode qubit systems. In each mode a certain degree of excitation is referred to as |0>, another degree of excitation in the same mode is referred to as |1→. For the realization of quantum gates within and between the qubits, single shaped femtosecond laser pulses in the IR-regime is applied.