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Does the predominance of central sensitization alter the effect of balneotherapy combined with conventional physical therapy in patients with chronic low back and knee pain? - PubMed

4 hours ago
  • #Physical Therapy
  • #Balneotherapy
  • #Chronic Pain
  • Study investigates the effect of central sensitization on balneotherapy combined with conventional physical therapy for chronic low back and knee pain.
  • 75 patients with chronic pain were divided into groups with and without predominant central sensitization.
  • All participants received a three-week treatment combining balneotherapy with physical therapy (TENS, hot pack, ultrasound).
  • Outcomes measured included pain intensity (VAS), quality of life (SF-12), emotional status (HADS), and disability scores (Roland Morris, KOOS).
  • Both groups showed significant improvements in pain, quality of life, and disability post-treatment.
  • Patients with predominant central sensitization showed more pronounced improvements in mental health-related quality of life.
  • No significant differences were found between groups for other outcomes.
  • Balneotherapy combined with physical therapy is effective for chronic pain, regardless of central sensitization status.