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: 1.52). 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.

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    • "Given the potential importance of HRM for health and health-related qol of the population and in view of limited financial resources of social security systems, targeting the effectiveness of interventions in this area is particularly important . In recent years, a number of systematic reviews have been published reviewing the effectiveness of HRM in musculoskeletal conditions (Falagas et al. 2009; Falkenbach et al. 2005; Fink et al. 2011; Forestier and Francon 2008; Geytenbeek 2002; Kamioka et al. 2010; Langhorst et al. 2009; McVeigh et al. 2008; Pittler et al. 2006; Verhagen et al. 2007, 2003). Even though methodological shortcomings and small sample sizes limit the power of some studies (Forestier and Francon 2008; Geytenbeek 2002; Langhorst et al. 2009; Verhagen et al. 2007), the data indicate that hydrotherapy and several types of balneotherapy, including sulphur or CO 2 baths, mud packs and radon therapy, among others, seem to be beneficial in treating musculoskeletal diseases , especially in pain reduction. "
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    ABSTRACT: Health resort medicine (HRM; in German: Kurortmedizin) is a field of medicine with long-lasting tradition in several European countries. A number of systematic reviews have shown the effectiveness of HRM in musculoskeletal conditions. Reviews focusing on the effectiveness of HRM in non-musculoskeletal disorders are rare. This systematic review aims to provide an overview about all types of health resort treatments applied in non-musculoskeletal conditions, to summarize evidence for its effectiveness and to assess the quality of published studies. MEDLINE, Web of Knowledge and Embase were searched for articles published between January 2002 and December 2013. We used a broad search strategy in order to find studies investigating the effects of HRM in non-musculoskeletal disorders. Two authors independently extracted data and assessed quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies (EPHPP-QAT). Forty-one studies (19 of them with control group) from eight countries examining the efficacy of various forms of spa treatment for 12 disease groups were included. The studies are markedly heterogeneous regarding study design, population and treatment. HRM treatment is associated with clinical improvement in diseases of the skin, respiratory, circulatory, digestive and nervous system among others. However, small samples, the lack of control groups and an insufficient follow-up often limit the generated evidence. The scientific literature of the last decade has shown that a number of non-musculoskeletal disorders are treated with different kinds of HRM. The challenge for the future will be to carry out thoroughly designed studies in larger patient populations to corroborate the impact of HRM treatment on non-musculoskeletal disorders.
    No preview · Article · Jan 2015 · International Journal of Biometeorology
    • "A systematic review on management of fibromyalgia syndrome (FMS) through hydrotherapy described as “there is strong evidence for the use of hydrotherapy in the management of FMS” and it showed positive outcomes for pain; tender point count; and health-status.[41] Combination of ST (once daily for 3 days/week) and underwater exercise (once daily for 2 days/week) for 12 weeks significantly reduced pain and symptoms (both short- and long-term); and improved QOL in patients with FMS.[42] Pool-based exercise using deep water running three times/week for 8 weeks is safe and effective intervention for FMS because it showed significant improvement in general health and QOL compared with control; and significant improvement in fibromyalgia impact questionnaire score, incorporating pain; fatigue; physical function; stiffness; and psychological variables.[43] "
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    ABSTRACT: The use of water for various treatments (hydrotherapy) is probably as old as mankind. Hydrotherapy is one of the basic methods of treatment widely used in the system of natural medicine, which is also called as water therapy, aquatic therapy, pool therapy, and balneotherapy. Use of water in various forms and in various temperatures can produce different effects on different system of the body. Many studies/reviews reported the effects of hydrotherapy only on very few systems and there is lack of studies/reviews in reporting the evidence-based effects of hydrotherapy on various systems. We performed PubMed and PubMed central search to review relevant articles in English literature based on "effects of hydrotherapy/balneotherapy" on various systems of the body. Based on the available literature this review suggests that the hydrotherapy has a scientific evidence-based effect on various systems of the body.
    No preview · Article · May 2014 · North American Journal of Medical Sciences
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    • "Not an RCT Altan et al (2004) Comparison group inappropriate Arnold et al (2010) Outcomes/outcome measures inappropriate Ashina et al (2010) Outcomes/outcome measures inappropriate Baena-Beato et al (2013) Not an RCT Batterham et al (2011) Not an RCT Bartels et al (2009) Not an RCT Brosseau et al (2002) Not an RCT Brosseau et al (2010) Not an RCT Cadmus et al (2010) Outcomes/outcome measures inappropriate Cuesta-Vargas et al (2011) Intervention was inappropriate Cuesta-Vargas et al (2011) Intervention was inappropriate Dagfinrud et al (2009) Not an RCT Escalante et al (2010) Not an RCT French et al (2013) Intervention was inappropriate Giaquinto et al (2010) Wrong population (recovering after TKA) Green et al (1993) Outcome measures inappropriate Guillemin et al (1994) Intervention was inappropriate Gusi et al (2006) Outcomes/outcome measures inappropriate Gusi et al (2008) Outcomes/outcome measures inappropriate Harmer et al (2009) Wrong population (recovering after total knee replacement) Kelley et al (2008) Not an RCT Langhorst et al (2009) Not an RCT Lin et al (2004) Not an RCT Mannerkorpi et al (2002) Not an RCT Matsumoto et al (2011) Intervention was inappropriate Mcllveen et al (1998) Outcomes/outcome measures inappropriate McVeigh et al (2008) Not an RCT Mobily et al (2001) Not an RCT Perraton et al (2009) Not an RCT Sjogren et al (1997) Not an RCT Tilden et al (2010) Not an RCT Van Tubergen et al (2001) Intervention was inappropriate Verhagen et al (2008) Not an RCT Waller et al (2009) Not an RCT Yurtkuran et al (2006) Intervention was inappropriate 10 A.L. Barker et al www.archives-pmr.org "
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    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.
    Full-text · Article · Apr 2014 · Archives of physical medicine and rehabilitation
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