Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?

KOÇAK, FATMANUR AYBALA; KELEZ, Feyzanur; Erdem, Hatice Rana; TUNCAY, FİGEN; KURT, Emine Eda

Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?

Emine Eda KURT, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Fatmanur Aybala KOÇAK, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Hatice Rana ERDEM, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Figen TUNCAY, (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Feyzanur KELEZ (Ahi Evran Üniversitesi,Tıp Fakültesi, Fiziksel Tıp Ve Rehabilitasyon Anabilimdalı, Kırşehir, Türkiye)

Archives of Rheumatology

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Yıl: 2016 Cilt: 31 Sayı: 2 Sayfa Aralığı: 162 - 169 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?

Öz:

This study aims to determine the effects of non-pharmacological therapies, namely balneotherapy, exercise, and the combined use of balneotherapy and exercise, on total myalgic score (TMS), sleep quality, health status, and signs of depression in patients with fibromyalgia syndrome, and to compare the efficacies of these treatment programs with respect to the above parameters.Patients and methods: A total of 120 female subjects (mean age 37.21±12.45 years; range 18 to 63 years) diagnosed with fibromyalgia were enrolled. The patients were randomized into three groups with 40 patients in each (group 1: balneotherapy group, group 2: balneotherapy + exercise group, and group 3: exercise group). The patients underwent the treatment program for five days a week for a total of three weeks. Clinical parameters, Fibromyalgia Impact Questionnaire, Pittsburgh Sleep Quality Index, TMS, and Beck Depression Scale were evaluated at pre-treatment and posttreatment periods, and at the third-month control visit.Results: There were no differences between the groups with respect to Fibromyalgia Impact Questionnaire, Pittsburgh Sleep Quality Index, TMS and Beck Depression Scale scores on pre-treatment evaluation, while the combined use of balneotherapy + aerobic exercise was more effective on TMS (p<0.001), health status (p=0.009), and level of depression (p<0.001) in post-treatment evaluation. A better state of well-being with respect to sleep quality was achieved by balneotherapy and balneotherapy + exercise groups. The third-month comparisons, on the other hand, demonstrated that the balneotherapy + exercise group had a greater state of well-being with respect to TMS (p<0.001) and general health status (p<0.001). Balneotherapy + exercise and exercise therapy benefited signs of depression to a better degree (p<0.001). Balneotherapy and combined balneotherapy + exercise therapy produced more effective results in terms of sleep quality (p<0.001). TMS regressed to near baseline levels (p=0.397), while Fibromyalgia Impact Questionnaire levels rose to near baseline levels at the third-month control in the exercise therapy group (p=0.070).Conclusion: The combined application of balneotherapy + exercise therapy, which are two of the recommended non-pharmacological treatments, may have superior and more sustained effects than administering either therapy alone

Anahtar Kelime:

Konular: Romatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KURT E, KOÇAK F, Erdem H, TUNCAY F, KELEZ F (2016). Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. , 162 - 169.
Chicago	KURT Emine Eda,KOÇAK FATMANUR AYBALA,Erdem Hatice Rana,TUNCAY FİGEN,KELEZ Feyzanur Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. (2016): 162 - 169.
MLA	KURT Emine Eda,KOÇAK FATMANUR AYBALA,Erdem Hatice Rana,TUNCAY FİGEN,KELEZ Feyzanur Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. , 2016, ss.162 - 169.
AMA	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. . 2016; 162 - 169.
Vancouver	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. . 2016; 162 - 169.
IEEE	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F "Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?." , ss.162 - 169, 2016.
ISNAD	KURT, Emine Eda vd. "Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?". (2016), 162-169.

APA	KURT E, KOÇAK F, Erdem H, TUNCAY F, KELEZ F (2016). Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. Archives of Rheumatology, 31(2), 162 - 169.
Chicago	KURT Emine Eda,KOÇAK FATMANUR AYBALA,Erdem Hatice Rana,TUNCAY FİGEN,KELEZ Feyzanur Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. Archives of Rheumatology 31, no.2 (2016): 162 - 169.
MLA	KURT Emine Eda,KOÇAK FATMANUR AYBALA,Erdem Hatice Rana,TUNCAY FİGEN,KELEZ Feyzanur Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. Archives of Rheumatology, vol.31, no.2, 2016, ss.162 - 169.
AMA	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. Archives of Rheumatology. 2016; 31(2): 162 - 169.
Vancouver	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?. Archives of Rheumatology. 2016; 31(2): 162 - 169.
IEEE	KURT E,KOÇAK F,Erdem H,TUNCAY F,KELEZ F "Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?." Archives of Rheumatology, 31, ss.162 - 169, 2016.
ISNAD	KURT, Emine Eda vd. "Which Non-Pharmacological Treatment is More Effective on Clinical Parameters in Patients With Fibromyalgia: Balneotherapy or Aerobic Exercise?". Archives of Rheumatology 31/2 (2016), 162-169.