Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis

Balneotherapy, using heated natural mineral waters at 36-38 °C, presents a comprehensive treatment approach for Fibromyalgia Syndrome (FMS). This study aims to assess the effect of balneotherapy in reducing pain intensity, disability, and depression in patients with FMS. We want to assess this effec...

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Autores: García-López, Héctor, García-Giménez, María Teresa, Obrero-Gaitán, Esteban, Lara-Palomo, Innmaculada Carmen, Castro-Sánchez, Adelaida María, Cortés-Pérez, Irene
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:ruja.ujaen.es:10953/7014
Acceso en línea:https://doi.org/10.1007/s00484-024-02732-3
https://link.springer.com/article/10.1007/s00484-024-02732-3#citeas
https://hdl.handle.net/10953/7014
Access Level:acceso abierto
Palabra clave:Balneotherapy
Depression
Disability
Fibromyalgia syndrome
Pain
Spa therapy
Physiotherapy
Meta-analysis
Health
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spelling Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysisGarcía-López, HéctorGarcía-Giménez, María TeresaObrero-Gaitán, EstebanLara-Palomo, Innmaculada CarmenCastro-Sánchez, Adelaida MaríaCortés-Pérez, IreneBalneotherapyDepressionDisabilityFibromyalgia syndromePainSpa therapyPhysiotherapyMeta-analysisHealthBalneotherapy, using heated natural mineral waters at 36-38 °C, presents a comprehensive treatment approach for Fibromyalgia Syndrome (FMS). This study aims to assess the effect of balneotherapy in reducing pain intensity, disability, and depression in patients with FMS. We want to assess this effect at just four time-points: immediately at the end of the therapy, and at 1, 3, and 6 months of follow-up. Following PRISMA guidelines, we conducted an aggregate data meta-analysis, registered in PROSPERO CRD42023478206, searching PubMed Medline, Science Direct, CINAHL Complete, Scopus, and Web of Science until August 2023 for relevant randomized controlled trials (RCTs) that assess the effect of balneotherapy on pain intensity, disability, and depression in FMS patients. Methodological quality was assessed using the Cochrane methodology, and the pooled effect was calculated using Cohen's standardized mean difference (SMD) and its 95% confidence interval (95% CI) in a random-effects model. Sixteen RCTs were included in the meta-analysis. Balneotherapy is effective in reducing pain intensity (SMD - 1.67; 95% CI -2.18 to -1.16), disability (SMD - 1.1; 95% CI -1.46 to -0.7), and depression (SMD - 0.51; 95% CI -0.93 to -0.9) at the end of the intervention. This effect was maintained at 1, 3, and 6 months for pain intensity and disability. Balneotherapy improves both pain intensity and disability in patients with FMS, providing evidence that its positive effects are sustained for up to 6 months of follow-up. Nevertheless, it is important to note that the improvement in depression varies across different temporal phases.Funding for open access publishing: Universidad de Almería/CBUA.Springer Publishing202620262024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.1007/s00484-024-02732-3https://link.springer.com/article/10.1007/s00484-024-02732-3#citeashttps://hdl.handle.net/10953/7014reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésInternational Society of BiometeorologyAttribution 3.0 Spainhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/70142026-06-24T12:41:07Z
dc.title.none.fl_str_mv Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
title Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
spellingShingle Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
García-López, Héctor
Balneotherapy
Depression
Disability
Fibromyalgia syndrome
Pain
Spa therapy
Physiotherapy
Meta-analysis
Health
title_short Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
title_full Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
title_fullStr Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
title_full_unstemmed Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
title_sort Effectiveness of balneotherapy in reducing pain, disability, and depression in patients with Fibromyalgia syndrome: a systematic review with meta-analysis
dc.creator.none.fl_str_mv García-López, Héctor
García-Giménez, María Teresa
Obrero-Gaitán, Esteban
Lara-Palomo, Innmaculada Carmen
Castro-Sánchez, Adelaida María
Cortés-Pérez, Irene
author García-López, Héctor
author_facet García-López, Héctor
García-Giménez, María Teresa
Obrero-Gaitán, Esteban
Lara-Palomo, Innmaculada Carmen
Castro-Sánchez, Adelaida María
Cortés-Pérez, Irene
author_role author
author2 García-Giménez, María Teresa
Obrero-Gaitán, Esteban
Lara-Palomo, Innmaculada Carmen
Castro-Sánchez, Adelaida María
Cortés-Pérez, Irene
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Balneotherapy
Depression
Disability
Fibromyalgia syndrome
Pain
Spa therapy
Physiotherapy
Meta-analysis
Health
topic Balneotherapy
Depression
Disability
Fibromyalgia syndrome
Pain
Spa therapy
Physiotherapy
Meta-analysis
Health
description Balneotherapy, using heated natural mineral waters at 36-38 °C, presents a comprehensive treatment approach for Fibromyalgia Syndrome (FMS). This study aims to assess the effect of balneotherapy in reducing pain intensity, disability, and depression in patients with FMS. We want to assess this effect at just four time-points: immediately at the end of the therapy, and at 1, 3, and 6 months of follow-up. Following PRISMA guidelines, we conducted an aggregate data meta-analysis, registered in PROSPERO CRD42023478206, searching PubMed Medline, Science Direct, CINAHL Complete, Scopus, and Web of Science until August 2023 for relevant randomized controlled trials (RCTs) that assess the effect of balneotherapy on pain intensity, disability, and depression in FMS patients. Methodological quality was assessed using the Cochrane methodology, and the pooled effect was calculated using Cohen's standardized mean difference (SMD) and its 95% confidence interval (95% CI) in a random-effects model. Sixteen RCTs were included in the meta-analysis. Balneotherapy is effective in reducing pain intensity (SMD - 1.67; 95% CI -2.18 to -1.16), disability (SMD - 1.1; 95% CI -1.46 to -0.7), and depression (SMD - 0.51; 95% CI -0.93 to -0.9) at the end of the intervention. This effect was maintained at 1, 3, and 6 months for pain intensity and disability. Balneotherapy improves both pain intensity and disability in patients with FMS, providing evidence that its positive effects are sustained for up to 6 months of follow-up. Nevertheless, it is important to note that the improvement in depression varies across different temporal phases.
publishDate 2024
dc.date.none.fl_str_mv 2024
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1007/s00484-024-02732-3
https://link.springer.com/article/10.1007/s00484-024-02732-3#citeas
https://hdl.handle.net/10953/7014
url https://doi.org/10.1007/s00484-024-02732-3
https://link.springer.com/article/10.1007/s00484-024-02732-3#citeas
https://hdl.handle.net/10953/7014
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Society of Biometeorology
dc.rights.none.fl_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 3.0 Spain
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Publishing
publisher.none.fl_str_mv Springer Publishing
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
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