Einfluss von Hydrotherapie auf die Fatigue-Symptomatik – ein narratives Review

Zusammenfassung

Hintergrund Fatigue kann im Rahmen eines chronischen Müdigkeitssyndroms mit erheblichen Einschränkungen für Aktivität und Teilhabe einhergehen. Hydrotherapeutische Maßnahmen können einen positiven Effekt auf das vegetative Nervensystem haben. Das Ziel dieser Arbeit ist daher die Darstellung des Einflusses hydrotherapeutischer Maßnahmen auf die Fatigue-Symptomatik.

Materialien und Methode Es erfolgte eine Literaturrecherche in drei elektronischen Datenbanken nach randomisierten kontrollierten Studien, die Hydrotherapie an Patienten untersuchten. Die relevanten Daten wurden extrahiert und qualitativ ausgewertet.

Ergebnisse 137 Studien wurden gefunden, von denen acht in die Untersuchung eingeschlossen werden konnten. Alle Publikationen analysierten den Effekt von Vollbädern – zum Teil kombiniert mit weiteren Therapien – auf die Fatigue-Symptomatik und weitere Parameter wie z. B. Schmerz. Patienten mit Hydrotherapie zeigten in allen Untersuchungen im Vergleich zu Patienten ohne Behandlung signifikant verbesserte Ergebnisse in den untersuchten Parametern.

Schlussfolgerung Hydrotherapie ist ein sicheres und einfach anzuwendendes Verfahren und scheint einen positiven Effekt auf die Fatigue-Symptomatik zu haben. Weitere große Untersuchungen, mit objektiven Messparametern, sind notwendig, um eine reliable Beurteilung zur Wirksamkeit geben zu können.

Abstract

Background Fatigue in the context of a chronic fatigue syndrome can be accompanied by significant limitations for activity and participation. Hydrotherapeutic measures can have a positive effect on the autonomic nervous system. The aim of this paper is therefore to present the effect of such measures on fatigue symptomatology.

Materials and Methods A literature search was performed in three electronic databases for randomized controlled trials, which investigated hydrotherapy in patients. Relevant data were extracted and qualitatively analyzed.

Results 137 studies were found, of which eight were included in the review. All of them analyzed the effect of full baths partly combined with other therapies on fatigue and other parameters such as pain. Patients with hydrotherapy showed in all studies significantly more improvement in the measured parameters, than patients without.

Conclusion Hydrotherapy is a safe and easy to apply procedure and seems to have a positive effect on fatigue symptoms. Further large studies – also with objectifiable parameters – are necessary to give a final and reliable judgement on the effectiveness.

Schlüsselwörter

Fatigue - Hydrotherapie - Physikalische Medizin - Balneotherapie

Key words

Fatigue - hydrotherapy - physical medicine - balneotherapy

Publication History

Received: 24 May 2023

Accepted: 24 August 2023

Article published online:
22 September 2023

• Literatur

• 1 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF)-Ständige Kommission Leitlinien. S3-Leitlinie Müdigkeit. Im Internet: https://register.awmf.org/assets/guidelines/053-002l_S3_Muedigkeit_2018-06_01.pdf; Stand: 01.05.2023
• 2 Stadje R. Müdigkeit als Symptom in der Primärversorgung: eine systematische Übersichtsarbeit. Philipps-Universität Marburg 2015;
• 3 Skapinakis P, Lewis G, Mavreas V. Cross-cultural differences in the epidemiology of unexplained fatigue syndromes in primary care. Br J Psychiatry 2003; 182: 205-209
• 4 Hilfiker R, Meichtry A, Eicher M. et al. Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis. Br J Sports Med 2018; 52: 651-658
• 5 Veauthier C, Paul F. Therapie der Fatigue bei Multipler Sklerose: Ein Behandlungsalgorithmus. Nervenarzt 2016; 87: 1310-1321
• 6 Silva KMOM, Tucano SJP, Kümpel C. et al. Effect of hydrotherapy on quality of life, functional capacity and sleep quality in patients with fibromyalgia. Rev Bras Reumatol 2012; 52: 851-857
• 7 Mizuno K, Tanaka M, Tajima K. et al. Effects of mild-stream bathing on recovery from mental fatigue. Med Sci Monit 2010; 16: CR8-CR14
• 8 Kamioka H, Nakamura Y, Yazaki T. et al. Comprehensive health education combining hot spa bathing and lifestyle education in middle-aged and elderly women: one-year follow-up on randomized controlled trial of three- and six-month interventions. Journal of Epidemiology 2006; 16: 35-44
• 9 Fialka-Moser V. Hydrotherapie und Balneotherapie. [in Theorie und Praxis]. Pflaum Physiotherapie. München, Bad Kissingen, Berlin, Düsseldorf, Heidelberg: Pflaum; 2009
• 10 Mooventhan A, Nivethitha L. Scientific evidence-based effects of hydrotherapy on various systems of the body. N Am J Med Sci 2014; 6: 199-209
• 11 Zamunér AR, Andrade CP, Forti M. et al. Effects of a hydrotherapy programme on symbolic and complexity dynamics of heart rate variability and aerobic capacity in fibromyalgia patients. Clin Exp Rheumatol 2015; 33: S73-S81
• 12 Bailly M, Evrard B, Coudeyre E. et al. Health management of patients with COVID-19: is there a room for hydrotherapeutic approaches. Int J Biometeorol 2022; 66: 1031-1038
• 13 Dalenc F, Guerrero D, Ribet V. et al. Interest of dermatologic supportive care with specific hydrotherapy after breast cancer treatment: a randomized multicenter controlled clinical study. Journal of the American Academy of Dermatology 2016; 74: AB200
• 14 Wang X, Duan P, Mei S. et al. (Study on influence of Chinese medicine foot bath combined aerobic exercise on cancer related fatigue of gastrointestinal cancer patients undergoing chemotherapy) [Chinese – simplified characters]. Huli Yanjiu [Chinese Nursing Research] 2015; 29: 3084-3087
• 15 Dilekci E, Ozkuk K, Kaki B. Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial. International Journal of Biometeorology 2019; 63: 1555-1568
• 16 Bagdatli AO, Donmez A, Eroksuz R. et al. Does addition of 'mud-pack and hot pool treatment' to patient education make a difference in fibromyalgia patients? A randomized controlled single blind study. International Journal of Biometeorology 2015; 59: 1905-1911
• 17 Buskila D, Abu-Shakra M, Neumann L. et al. Balneotherapy for fibromyalgia at the Dead Sea. Rheumatology International 2001; 20: 105-108
• 18 Kocyigit BF, Gur A, Altindag O. et al. Comparison of education and balneotherapy efficacy in patients with fibromyalgia syndrome: a randomized, controlled clinical study. Agri (Algoloji) Dernegi'nin Yayin Organidir [The Journal of the Turkish Society of Algology] 2016; 28: 72-78
• 19 Donmez A, Zeki Karagulle M, Tercan N. et al. Spa therapy in fibromyalgia: a randomised controlled clinic study. Rheumatology International 2005; 26: 168-172
• 20 Maindet C, Maire A, Vermorel C. et al. Spa Therapy for the Treatment of Fibromyalgia: an Open, Randomized Multicenter Trial. The journal of pain 2021; 22: 940-951
• 21 Dilekci E, Ozkuk K, Kaki B. The short-term effects of balneotherapy on pain, disability and fatigue in patients with chronic low back pain treated with physical therapy: a randomized controlled trial [with consumer summary]. Complementary Therapies in Medicine 2020; 54: 102550
• 22 Rapolienė L, Razbadauskas A, Mockevičienė D. et al. Balneotherapy for musculoskeletal pain: does the mineral content matter?. Int J Biometeorol 2020; 64: 965-979
• 23 Kramer L, Füri J, Stute P. Die gesundheitsbezogene Lebensqualität. Gynäkologische Endokrinologie 2014; 12: 119-123
• 24 Kenntner-Mabiala R, Pauli P. Affective modulation of brain potentials to painful and nonpainful stimuli. Psychophysiology 2005; 42: 559-567
• 25 Richter M, Weiß T. Der Einfluss von Schmerzwörtern auf die Schmerzverarbeitung. Der Schmerzpatient 2018; 1: 168-175
• 26 Ali A, Morfin J, Mills J. et al. Fatigue After Traumatic Brain Injury: A Systematic Review. J Head Trauma Rehabil 2022; 37: E249-E257
• 27 Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of Supervised Multimodal Exercise Interventions on Cancer-Related Fatigue: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biomed Res Int 2015; 2015: 328636
• 28 Sarzi-Puttini P, Giorgi V, Marotto D. et al. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol 2020; 16: 645-660
• 29 Casson S, Jones MD, Cassar J. et al. The effectiveness of activity pacing interventions for people with chronic fatigue syndrome: a systematic review and meta-analysis. Disabil Rehabil 2022; 1-15
• 30 Larun L, Brurberg KG, Odgaard-Jensen J. et al. Exercise therapy for chronic fatigue syndrome. Cochrane Database Syst Rev 2017; 4: CD003200
• 31 Nalbandian A, Sehgal K, Gupta A. et al. Post-acute COVID-19 syndrome. Nat Med 2021; 27: 601-615
• 32 Lemhöfer C, Sturm C, Loudovici-Krug D. et al. The impact of Post-COVID-Syndrome on functioning – results from a community survey in patients after mild and moderate SARS-CoV-2-infections in Germany. J Occup Med Toxicol 2021; 16: 45
• 33 Tabacof L, Tosto-Mancuso J, Wood J. et al. Post-acute COVID-19 Syndrome Negatively Impacts Physical Function, Cognitive Function, Health-Related Quality of Life, and Participation. Am J Phys Med Rehabil 2022; 101: 48-52
• 34 Lemhöfer C, Best N, Gutenbruner C. et al. Gefühlte und reale Arbeitsfähigkeit von Patient*innen mit Post-COVID Symptomatik nach mildem Akutverlauf: eine Analyse des Rehabilitation Needs Questionnaire (RehabNeQ). Phys Rehab Kur Med 2021; 1-8