Spa Therapy and Balneotherapy for Fibromyalgia in Turkey

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Spa Therapy and Balneotherapy for Fibromyalgia in
Turkey

• A Dönmez

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Patients' issues 

• Intractable illness     
• If there is no known cause, I can't get
  better     
• No one believes me     
• I can't exercise or do my work

Goldenberg D L Office management of
fibromyalgia. Rheum Dis Clin North Am 2002228
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Rheumatologists' issues

• We are not pain doctors     
• Fibromyalgia is a psychiatric illness     
• Nothing works     
• Patients don't want to get better

Goldenberg D L Office management of
fibromyalgia. Rheum Dis Clin North Am 2002228
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Outcome measures for FM studies
Pain Tender points Physical function Global
well being or perceived improvement Self-efficacy
Fatigue and sleep Psychological function
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Yurtkuran M, Celiktas M A randomized,
controlled trial of balneotherapy in the
treatment of patients with primary fibromyalgia
syndrome. Phys Rehab Kur Med 1996109-112
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Kesiktas N, Karagülle,Erdogan N, Özer NThe short
and long time evaluations of some therapy
modalities the patients with fibromyalgia
syndrome. (Presented in 4. Turkish-German
Balneology and Climatology Congress, 2000)
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Evcik D, Kizilay B, Gökçen EThe effects of
balneotherapy on fibromyalgia patients. Rheumatol
Int. 2002 Jun22 (2)56-9
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Sen U, Karagülle MZ, Karagülle M, Dönmez A, Sen C
(2002) Comparison of the efficacy of two
different traditional spa regimens in patients
with fibromyalgia syndrome. PTT Hastanesi Tip
Dergisi 2478-81
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Altan L, Bingöl Ü, Aykaç M, Koç Z, Yurtkuran M
(2003) Investigation of the pool based exercises
on fibromyalgia syndrome. Rheumatol Int Published
online 24 September2003
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Dönmez A, Karagülle MZ, Tercan N, Dinler M,
Issever H, Karagülle M, Turan M Spa therapy in
fibromyalgia a randomized controlled clinic
study (In press)
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A. Dönmez, M. Zeki Karagülle, M.Turan, E. Odabasi
(Turkey) The effect of spa therapy on health
related quality of life in fibromyalgia
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A. Dönmez, M. Zeki Karagülle, S. Özkurt Spa
therapy for Fibromyalgia in Gönen an
observational study
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General Results

• Spa therapy or balneotherapy are effective on
• FIQ and nearly all of the parameters
• Pain
• Tender point count
• Physical function
• Global well being or perceived improvement
• Fatigue and sleep
• Psychological function
• the patients with FM

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Action mechanisms

• Heat
• Buoyancy
• Muscle tonus decrease
• Gate-control theory
• Peripheral vasodilatation
• ß-endorphin level
• Environment change
• Non-competitive atmosphere
• Absence of work duties

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THANK YOU FOR YOUR ATTENTION