Evidence-based hydro- and balneotherapy in Hungary—a systematic review and meta-analysis

International Journal of Biometeorology - Tập 58 - Trang 311-323 - 2013
T. Bender1,2,3, G. Bálint4, Z. Prohászka5, P. Géher1,6, I. K. Tefner7
1Polyclinic of the Hospitaller Brothers of St. John of God, Budapest, Hungary
2Department of Physiotherapy, University of Szeged, Szeged, Hungary
3Budai Irgalmasrendi Korhaz, Hungarian Association of Balneology, Budapest, Hungary
4National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
53rd Department of Internal Medicine, Faculty of Medicine, Semmelweis University, Budapest, Hungary
6Medical School, Semmelweis University, Budapest, Hungary
7Jozsefvaros Health Care Services, Budapest, Hungary

Tóm tắt

Balneotherapy is appreciated as a traditional treatment modality in medicine. Hungary is rich in thermal mineral waters. Balneotherapy has been in extensive use for centuries and its effects have been studied in detail. Here, we present a systematic review and meta-analysis of clinical trials conducted with Hungarian thermal mineral waters, the findings of which have been published by Hungarian authors in English. The 122 studies identified in different databases include 18 clinical trials. Five of these evaluated the effect of hydro- and balneotherapy on chronic low back pain, four on osteoarthritis of the knee, and two on osteoarthritis of the hand. One of the remaining seven trials evaluated balneotherapy in chronic inflammatory pelvic diseases, while six studies explored its effect on various laboratory parameters. Out of the 18 studies, 9 met the predefined criteria for meta-analysis. The results confirmed the beneficial effect of balneotherapy on pain with weight bearing and at rest in patients with degenerative joint and spinal diseases. A similar effect has been found in chronic pelvic inflammatory disease. The review also revealed that balneotherapy has some beneficial effects on antioxidant status, and on metabolic and inflammatory parameters. Based on the results, we conclude that balneotherapy with Hungarian thermal-mineral waters is an effective remedy for lower back pain, as well as for knee and hand osteoarthritis.

Tài liệu tham khảo

Bathory G, Meretey K, Korda J, Gasztonyi G, Bohm U, Gorgényi F, Balint G (1981) Kettős vak kísérlet a kiskunhalasi termálvíz terápiás hatásának mérésére rheumatoid arthritises betegeken. Magyar Reumatológia 22:30–36

Bender T, Géher P, Balint G (2001) Nonpharmacologic treatment of musculoskeletal disease. Clin J Pain 17:278

Clarke M (2000) The QUORUM statement. Lancet 355:756–757

Karagülle MZ, Karagülle M (2004) Forsch Komplementarmed (in German). Klass Naturheilkd 11:33–41

Moll K (1953) Treatment of discus hernia with so-called “weightbath”therapy (in Hungarian). Orv Hetil 94:292–296

van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board of the Cochrane Collaboration Back Review (2003) Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine 28:1290–1299