title: Effect on osteoarthritis of spa therapy at Bourbonne-les-Bains.
abstract: OBJECTIVE
  Several studies suggest a beneficial overall effect of spa therapy in chronic musculoskeletal diseases. The present open controlled study investigated the effects of spa therapy at Bourbonne-Les-Bains, France, in patients with hip or knee osteoarthritis or low back pain.
  
  
  METHODS
  In 1998, 102 men and women older than 50 years were included in the study. All had low back pain or lower limb osteoarthritis, and none had contraindications to spa therapy. Quality of life was assessed three times at intervals of 4 weeks, twice before and once immediately after 3 weeks of spa therapy, using the Duke Health Profile (five dimensions and five dysfunctions).
  
  
  RESULTS
  Mean age was 66.4 years, and 67% of the patients were women. Quality of life was markedly decreased as compared to the population at large (1996, CFES). The two pretreatment evaluations produced similar quality-of-life scores. Spa therapy was associated with significant improvements in overall quality of life (P=0.004), self-esteem (P=0.009), and pain (P=0.01).
  
  
  CONCLUSIONS
  These findings support those of other studies conducted in France and in other European countries. They indicate that patients report meaningful improvements in their quality of life after spa therapy.
authors.affiliation: Epidemiology and Clinical Evaluation Department, UPRES EA 1124, CHU de Nancy, Hôpital Marin, Nancy, France. eval@chu-nancy.fr
authors.forename: F
authors.initials: F
authors.lastname: Guillemin
authors.forename: J M
authors.initials: JM
authors.lastname: Virion
authors.forename: P
authors.initials: P
authors.lastname: Escudier
authors.forename: N
authors.initials: N
authors.lastname: De Talancé
authors.forename: G
authors.initials: G
authors.lastname: Weryha
mesh_terms: D000368:Aged; D000553:Ambulatory Care; D001452:Balneology; D000529:Complementary Therapies; D005260:Female; D005602:France; D006294:Health Resorts; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000503:physiopathology / Q000534:rehabilitation*; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000534:rehabilitation*; D010146:Pain / Q000534:rehabilitation; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome