Green exercise and mg-ca-SO4 thermal balneotherapy for the treatment of non-specific chronic low back pain: a randomized controlled clinical trial

BMC Musculoskeletal Disorders

Karin Geiersperger¹  Martin Dürl¹  Melanie Höcketstaller¹  Johanna Proßegger²  Arnulf Hartl²  Carina Grafetstätter²  Christina Pichler²  Daniela Huber³  Markus Ritter⁴  Martin Fischer⁵  Ewald Wöll⁵  Stefan Frischhut⁶ 

[1]0000 0001 0738 6733, grid.452086.d, Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria

[2]0000 0004 0523 5263, grid.21604.31, Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria

[3]0000 0004 0523 5263, grid.21604.31, Institute of Ecomedicine, Paracelsus Medical University, 5020, Salzburg, Austria

[4]0000 0001 0738 6733, grid.452086.d, Department of Physiotherapy, Salzburg University of Applied Science, 5412, Puch/Urstein, Austria

[5]0000 0004 0523 5263, grid.21604.31, Institute of Physiology and Pathophysiology, Paracelsus Medical University, 5020, Salzburg, Austria

[6]0000 0004 0523 5263, grid.21604.31, Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Department for Radon Therapy Research, Paracelsus Medical University, 5020, Salzburg, Austria

[7]Departments of Internal Medicine and Orthopedics, General Public Hospital St. Vinzenz, 6511, Zams, Austria

[8]Ordination Dr. Stefan Frischhut MSc., Maximilianstr. 2, 6020, Innsbruck, Austria

关键词: Chronic non-specific low back pain;    Balneotherapy;    Spa therapy;    Magnesium-calcium-sulfate thermal water;    Mountain hiking;    Green exercise;    Moderate altitude;    Nature therapy;    Alpine environment;    Mountain exercise;   

DOI  :  10.1186/s12891-019-2582-4

来源: publisher

【 摘 要 】

BackgroundNon-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.MethodsEighty 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.ResultsCompared 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.ConclusionsThe 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 registrationISRCTN, ISRCTN99926592. Registered 06. July 2018 - Retrospectively registered.

【 授权许可】

CC BY