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Huber D, Grafetstätter C, Proßegger J, Pichler C, Wöll E, Fischer M, Dürl M, Geiersperger K, Höcketstaller M, Frischhut S, Ritter M, Hartl A. Green exercise and mg-ca-SO 4 thermal balneotherapy for the treatment of non-specific chronic low back pain: a randomized controlled clinical trial. BMC Musculoskelet Disord 2019; 20:221. [PMID: 31096958 PMCID: PMC6524239 DOI: 10.1186/s12891-019-2582-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Accepted: 04/22/2019] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Non-specific chronic low back pain (nscLBP) has a high socio-economic relevance due to its high incidence, prevalence and associated costs. Therefore, it is essential to evaluate effective therapeutic strategies. This study examines the effects of moderate mountain exercise and spa therapy on orthopedic and psychophysiological parameters. Based on a three-armed randomized controlled trial, guided mountain hiking tours and balneotherapy in thermal water were compared to a control group. METHODS Eighty patients with diagnosed nscLBP were separated into three groups: The two intervention groups GE (green exercise) and GEBT (green exercise and balneotherapy) undertook daily mountain hiking tours, whereas the GEBT group got an additional treatment with baths in Mg-Ca-SO4 thermal water. The third group (CO) received no intervention. GE and GEBT group were treated for 6 days; all groups were followed up for 120 days. RESULTS Compared to GE and CO group, the GEBT treatment showed significant improvements of pain, some orthopedic parameters, health-related quality of life and mental well-being in patients with nscLBP. CONCLUSIONS The results of this study confirmed a benefit of mountain hiking combined with Mg-Ca-SO4 spa therapy as a multimodal treatment of patients with nscLBP. Further studies should focus on long-term-effects of this therapeutic approach. TRIAL REGISTRATION ISRCTN, ISRCTN99926592 . Registered 06. July 2018 - Retrospectively registered.
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Affiliation(s)
- Daniela Huber
- Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.,Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria
| | - Carina Grafetstätter
- Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria
| | - Johanna Proßegger
- Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria
| | - Christina Pichler
- Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria
| | - Ewald Wöll
- Departments of Internal Medicine and Orthopedics, General Public Hospital St. Vinzenz, 6511, Zams, Austria
| | - Martin Fischer
- Departments of Internal Medicine and Orthopedics, General Public Hospital St. Vinzenz, 6511, Zams, Austria
| | - Martin Dürl
- Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria
| | - Karin Geiersperger
- Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria
| | - Melanie Höcketstaller
- Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria
| | - Stefan Frischhut
- Ordination Dr. Stefan Frischhut MSc., Maximilianstr. 2, 6020, Innsbruck, Austria
| | - Markus Ritter
- Institute of Physiology and Pathophysiology, Paracelsus Medical University, 5020, Salzburg, Austria.,Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Department for Radon Therapy Research, Paracelsus Medical University, 5020, Salzburg, Austria
| | - Arnulf Hartl
- Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria.
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