Spa therapy for fibromyalgia in G

1
Spa therapy for fibromyalgia in Gönen an
observational study

• A Dönmez, MZ Karagülle,
• S Özkurt,

ISTANBUL MEDICAL FACULTY, MEDICAL ECOLOGY AND
HYDROCLIMATOLOGY DEPARTMENT
2

• OBJECTIVE
• To assess the effectiveness of balneotherapy at
  Gönen Spa Center in fibromyalgia .

3
MATERIAL METHOD

• Patients were diagnosed according to American
  Collage of Rheumatology fibromyalgia syndrome
  criteria (1990)
• The patients were taken balneotherapy (2 weeks)
• 1 thermomineral bath (37oC, 20 minutes/day)
• Underwater pressured massage

4
Demographic characteristics of the patients
5
Assessment Criteria

• Fibromyalgia Impact Questionnaire
• Sub groups of FIQ
• Beck Depression Inventory
• Patients global assessment

6
Fibromyalgia Impact Questionnaire
p0,0001
7
How did you do overall for the past week as a
physical function?
p0,02
BEFORE AFTER
8
How bad has your pain been?
p0,01
9
How have you felt when you get up in the
morning?
p0,04
10
How tired have you been?
p0,03
11
How bad has your stiffness been?
p0,02
12
Of the 7 days in the past week, how many days
did you feel good?
p0,002
13
How nervous or anxious have you felt?
p0,0002
BEFORE AFTER
14
How depressed or blue have you felt?
p0,001
15
Beck Depression Inventory
p0,005
BEFORE AFTER
16
Patients global assessment
P0,0003
17
ACTION MECHANISM

• Heat
• Buoyancy
• Decrease Muscle Tonus- Increase pain threshold
• Gate-Control Theory
• Peripheral Vasodilation
• Increases Connective Tissue streching
• Increase B endorphine levels
• Enviromental changes
• Non- competitive atmosphere
• Absence of work duties

18
CONCLUSION

• 2 weeks balneotherapy in Gönen Spa Center
  significantly reduces the symtomps of the
  patients with fibromyalgia.

19
THANK YOU FOR YOUR ATTENTION