The Change with Thermal Water Therapy in Pain, Depression, and Self-Esteem in Patients with Lumbar Disc Herniation: Study from a Single Center Database


Iosub M. E., İanc D., Tirla S., Yaran M., Lazăr L.

Chronic Pain & Management, cilt.8, ss.156, 2024 (Hakemli Dergi)

Özet

Low back pain, is an important symptom that reduces the individual’s quality of life. Lumbar disc hernias are first in the identifiable etiology of low back pain. Physiotherapy and rehabilitation modalities are important in treating lumbar disc hernias, so they can often be treated without surgery.

Background

This study aimed to evaluate the contribution of hydrokine to therapy performed in oligo-mineral thermal water in the modification of pain, depression and self-esteem in patients with lumbar disc herniation.

Methods

80 patients with lumbar disc herniation were included in the study. 40 patients took thermal therapy, hydro-kinetotherapy and physical therapy named study group, and 40 patients did only physical therapy named control group. Pre and post-evaluations were conducted. Pain was assessed with visual analog scale, depression levels were assessed with the Hamilton Scale, and self-esteem was evaluated with the Morris-Rosenberg scale. Also, differences between groups are evaluated. Effect size is calculated.

Results

The pain score, the depression score and the score for selfesteem evaluation improve significantly in both groups. Self-esteem increases significantly more in the study group, after the 10 days of treatment.

Conclusions

Hydrokinetotherapy is a useful physiotherapy modality to reduce pain and in-crease psychological status in patients with lumbar disc hernias. The combination of hydrokinetotherapy is beneficial for increasing the self-esteem of patients with lumbar disc herniation.