Effects of balneotherapy on functional capability and life quality of patients with non-specific cronical lumbar syndrom

[Dragana M. Terzić Marković]

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Uvod: Nespecifični hronični lumbalni sindrom predstavlja složen, heterogen, biopsihosocijalni poremećaj sa različitim manifestacijama i uticajima na pacijente. Cilj: Ispitati uticaj balneofizikalne terapije u banjskim uslovima na funkcionalnu sposobnost i kvalitet života pacijenata sa nespecifičnim hroničnim lumbalnim sindromom. Materijal i metod: Istraživanje je realizovano kao opservaciona analitička studija po tipu studije preseka, koja je obuhvatila 220 pacijenata obolelih od nespecifičnog hroničnog lumbalnog sindroma podeljenih u dve grupe. Potrebni podaci o ispitanicima su prikupljeni pomoću posebno strukturiranog upitnika dizajniranog za potrebe ove studije. Uz ovaj upitnik korišćeni su i standardizovani instrumenti za merenje kvaliteta života, funkcionalne sposobnosti, procene jačine bola, indeksa radne sposobnosti i prisustva simptoma depresije. Rezultati: Balneoterapija (BT) ima značajno bolji uticaj na sveobuhvatni kvalitet života pacijenata u poređenju sa konzervativnom terapijom (KT) koja se primenjuje kod izabranog lekara u Domu zdravlja. Faktori rizika koji su povezani sa lošijim zdravstvenim ishodima, nezavisno od tipa terapije su godine života, pol i dužina trajanja lumbalnog sindroma tj. njegov hronični karakter. Zaključak: Balneoterapija ublažava fizičke simptome poput bola i ograničenja u kretanju, ali ima i značajan pozitivan uticaj na mentalno zdravlje, depresivnost i na radnu sposobnost. S obzirom na to da su starost, pol i trajanje oboljenja identifikovani kao značajni faktori rizika za lošije ishode, preporučuje se personalizovani pristup lečenju, sa posebnom pažnjom na ove grupe pacijenata, uz preporuku za uključivanje balneoterapije u terapijske protokole.

Introduction: Non-specific chronical lumbar (low back) syndrome is a complex, heterogenous, bio-psycho-sociological disorder with various manifestations and impacts on patients. Aim: To test effects of balneotherapy in a spa environment on functional capabilities and life quality of patients with non-specific chronical low back syndrome. Material and method: The research was done as an observational analytical study, a crosssectional type study, involving 220 patients suffering from non-specific chronical low back syndrome who were separated in two groups. The required data about research participant/respondents were collected using a structured questionnaire designed specifically for the purpose of this study. The used questionnaire also included standardised instruments to measure life quality, functional capability, assessed pain level, functional capacity index and presence of depression symptoms. Results: Balneotherapy (hereinafter: БT) has a significantly better effect on the overall life quality of a patient in comparison to conservative therapy (hereinafter: KT) which is provided by the personal general practitioner in the local health institutions. Risk factors associated with less effective treatment, independent of the type of the treatment, are age, sex and duration of low back syndrome, i.e. its chronical features. Conclusion: Balneotherapy mitigates physical symptoms like pain and limited movements, but also has significant effect on the mental health, depression and functional capacity. Since the age, sex and duration of the disorder have been identified as significant risk factors for less effective treatments, it is recommended to have a personalised approach in the treatment with special focus on these groups of patients and with the recommendation to include balneotherapy in the therapy protocols.

non-specific low back syndrome, pain, functional capacity, life quality, balneotherapy

nespecifični hronični lumbalni sindrom, bol, funkcionalna sposobnost, kvalitet života, balneoterapija

Reumatologija, balneoterapija

616-002.77

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