title: Effectiveness of spa therapy in chronic low back pain: a randomized clinical trial.
abstract: OBJECTIVE
  To assess the overall effectiveness of spa therapy compared with usual routine drug therapy in chronic low back pain (LBP).
  
  
  METHODS
  One hundred and twenty-one patients were randomly allocated to treatment (n = 59) and control (n = 62) groups. In the treatment group, patients underwent routine drug therapy and spa therapy 6 days/week for 3 consecutive weeks in Saint-Nectaire, France. In the control group, patients received routine drug therapy. Effectiveness was assessed based on clinical measures, duration and intensity of pain, Roland and Morris' disability questionnaire, the patient's overall evaluation of back health, and drug consumption (analgesic and antiinflammatory). Groups were compared using analysis of covariance with repeated measures.
  
  
  RESULTS
  At 3 weeks, patients in the treatment group had significant improvement in all outcome variables (p < 0.0001) except for the Schober index and analgesic and antiinflammatory drug consumption. At 6 months, improvement was still significant for the same outcome variables (p < 0.0001), plus a significant reduction in analgesic consumption.
  
  
  CONCLUSIONS
  This study suggests both immediate and 6 month effectiveness of spa therapy in chronic LBP. Spa therapy may be beneficial in the management of chronic LBP.
authors.affiliation: Institute of Hydrology, University of Nancy I, Faculty of Medicine, France.
authors.forename: F
authors.initials: F
authors.lastname: Constant
authors.forename: J F
authors.initials: JF
authors.lastname: Collin
authors.forename: F
authors.initials: F
authors.lastname: Guillemin
authors.forename: M
authors.initials: M
authors.lastname: Boulangé
mesh_terms: D000704:Analysis of Variance; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001494:Baths; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal