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Spa Therapy and Balneotherapy for Fibromyalgia in Turkey

Spa Therapy and Balneotherapy for Fibromyalgia in Turkey. A Dönmez. Patients' issues. Intractable illness      If there is no known cause, I can't g et better      No one believes me      I can't exercise or do my work.

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Spa Therapy and Balneotherapy for Fibromyalgia in Turkey

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  1. Spa Therapy and Balneotherapy for Fibromyalgia in Turkey A Dönmez

  2. Patients' issues • Intractable illness      • If there is no known cause, I can't get better      • No one believes me      • I can't exercise or do my work Goldenberg D L : Office management of fibromyalgia. Rheum Dis Clin North Am 2002;2:28

  3. Rheumatologists' issues • We are not pain doctors      • Fibromyalgia is a psychiatric illness      • Nothing works      • Patients don't want to get better Goldenberg D L : Office management of fibromyalgia. Rheum Dis Clin North Am 2002;2:28

  4. Outcome measures for FM studies Pain Tender points Physical function Global well being or perceived improvement Self-efficacy Fatigue and sleep Psychological function

  5. Yurtkuran M, Celiktas M: A randomized, controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome. Phys Rehab Kur Med 1996:109-112

  6. Kesiktaş N, Karagülle,ErdoganN, Özer N:The short and long time evaluations of some therapy modalities the patients with fibromyalgiasyndrome. (Presented in 4. Turkish-German Balneology and Climatology Congress, 2000)

  7. Evcik D, Kızılay B, Gökçen E:The effects of balneotherapy on fibromyalgia patients. Rheumatol Int. 2002 Jun;22(2):56-9

  8. Şen U, Karagülle MZ, Karagülle M, Dönmez A, Şen C(2002) Comparison of the efficacy of two different traditional spa regimens in patients with fibromyalgia syndrome. PTT Hastanesi Tıp Dergisi 24:78-81

  9. Altan L, Bingöl Ü, Aykaç M, Koç Z, Yurtkuran M (2003) Investigation of the pool based exercises onfibromyalgia syndrome. Rheumatol Int Published online: 24 September2003

  10. Dönmez A, Karagülle MZ, TercanN, Dinler M, İşsever H, Karagülle M, Turan M: Spa therapy in fibromyalgia: a randomized controlled clinic study (In press)

  11. A. Dönmez, M. Zeki Karagülle, M.Turan, E. Odabaşı(Turkey): The effect of spa therapy on health related quality of life in fibromyalgia

  12. A. Dönmez, M. Zeki Karagülle, S. Özkurt: Spa therapy for Fibromyalgia in Gönen; an observational study

  13. General Results Spa therapy or balneotherapy are effective on • FIQ and nearly all of the parameters • Pain • Tender point count • Physical function • Global well being or perceived improvement • Fatigue and sleep • Psychological function the patients with FM

  14. Action mechanisms • Heat • Buoyancy • Muscle tonus decrease • Gate-control theory • Peripheral vasodilatation • ß-endorphin level • Environment change • Non-competitiveatmosphere • Absence of work duties

  15. THANK YOU FOR YOUR ATTENTION

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