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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Back Pain | Research article

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

Authors: Daniela Huber, Carina Grafetstätter, Johanna Proßegger, Christina Pichler, Ewald Wöll, Martin Fischer, Martin Dürl, Karin Geiersperger, Melanie Höcketstaller, Stefan Frischhut, Markus Ritter, Arnulf Hartl

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

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Abstract

Background

Non-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.

Methods

Eighty 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.

Results

Compared 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.

Conclusions

The 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 registration

ISRCTN, ISRCTN99926592. Registered 06. July 2018 - Retrospectively registered.
Appendix
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Metadata
Title
Green exercise and mg-ca-SO4 thermal balneotherapy for the treatment of non-specific chronic low back pain: a randomized controlled clinical trial
Authors
Daniela Huber
Carina Grafetstätter
Johanna Proßegger
Christina Pichler
Ewald Wöll
Martin Fischer
Martin Dürl
Karin Geiersperger
Melanie Höcketstaller
Stefan Frischhut
Markus Ritter
Arnulf Hartl
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-2582-4

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