Trial reportScientific reports2017
Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial.
Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01648738 (Effectiveness of a Short, Intensive and Standardised Spa Therapy for Subacute and Chronic Low Back Pain on Return to Work for Patients in Sick Leave From 4 to 24 Weeks Duration), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness of a Short, Intensive and Standardised Spa Therapy for Subacute and Chronic Low Back Pain on Return to Work for Patients in Sick Leave From 4 to 24 Weeks Duration : a Randomized Controlled Trial Using a Modified Zelen Method
Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- Crenobalneotherapy for low back pain: systematic review of clinical trials.International journal of biometeorology · 2022Pooled it
- Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021Pooled it
- Effectiveness of spa therapy for patients with chronic low back pain: An updated systematic review and meta-analysis.Medicine · 2019Pooled it
- Effects of complex spa therapy in patients with osteoarthritis of the spine receiving treatments in health resorts in south-eastern Poland.Scientific reports · 2022Trial
- Article
- Mapping Vocational Rehabilitation Interventions for People with Chronic Low Back Pain: A Scoping Review.Journal of occupational rehabilitation · 2026Review
- Musculoskeletal Disorders, Healthy Buildings, and the Hotel Industry: A Narrative Review and Critical Reflection.Cureus · 2026Review
- Social Networks in French Balneotherapy: A Focus on Spa Doctors.Healthcare (Basel, Switzerland) · 2023Article
- Peloids as Thermotherapeutic Agents.International journal of environmental research and public health · 2021Article
- A scoping review to ascertain the parameters for an evidence synthesis of psychological interventions to improve work and wellbeing outcomes among employees with chronic pain.Health psychology and behavioral medicine · 2021Article
- Spa therapy and rehabilitation of musculoskeletal pathologies: a proposal for best practice in Italy.International journal of biometeorology · 2020Article
- The effect of exercise therapy, dry needling, and nonfunctional electrical stimulation on radicular pain: a case report.Journal of exercise rehabilitation · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educational program is more effective than usual care in improving the rate of returning to work at 1 year for patients with subacute and chronic low back pain (LBP) on sick leave for 4 to 24 weeks. We conducted a 12-month randomized controlled trial. LBP patients were assigned to 5-day spa (2 hr/day), exercise (30 min/day) and education (45 min/day) or to usual care. The primary outcome was the percentage of patients returning to work at 1 year after randomization. Secondary outcomes were pain, disability and health-related quality of life at 1 year and number of sick leave days from 6 to 12 months. The projected recruitment was not achieved. Only 88/700 (12.6%) patients planned were enrolled: 45 in the spa therapy group and 43 in the usual care group. At 1 year, returning to work was 56.3% versus 41.9% (OR 1.69 [95% CI 0.60-4.73], p = 0.32) respectively. There was no significant difference for any of the secondary outcomes. However, our study lacked power.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.