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Efficacy of Spa Therapy in Treatment of Lower Back Impairment

Efficacy of Spa Therapy in Treatment of Lower Back Impairment. A presentation of the Association of Pool and Spa Professionals Consolidated Research, Inc. August 10, 2005. Costs of Back Care in US. Over $100 B per year in US 2 nd most common reason for physician visit

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Efficacy of Spa Therapy in Treatment of Lower Back Impairment

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  1. Efficacy of Spa Therapy in Treatment of Lower Back Impairment A presentation of the Association of Pool and Spa Professionals Consolidated Research, Inc. August 10, 2005

  2. Costs of Back Care in US Over $100 B per year in US 2nd most common reason for physician visit (1st is colds and flu) 5th most common reason for hospital admission

  3. Goal • APSP seeks to document the effectiveness of spa treatment in lower back care • If successful, spa therapy would become eligible for a CPT code and reimbursement • Private • Public

  4. Requirement for Reimbursement • Well-designed clinical study showing the effectiveness of therapy published in a peer-reviewed journal, such as Spine

  5. CRI Investigators • Steven Wolf, Ph.D. • Professor and Chair Rehabilitation Medicine, Emory University • Over 150 publications • Editorial Boards of Leading Journals • Sander Greenland, Dr. P.H. • Professor of Epidemiology and Biostatistics, UCLA • Over 300 publications • Editorial Boards of Leading Journals • Alan Goldman, M.D. • Neurologist • Specialist in Back Therapy in Occupational Medicine • Expert in Workers Compensation

  6. Study Design • Application of a new technology to measure impairment of individual muscles of the back based upon electrical energy emitted by the muscles of the back during very light exercise. • Similar to an EKG for muscles of the back.

  7. METHODS • Before Spa Therapy • Self reported lower back pain or impairment • Measure degree of impairment using • Self report • IMS technology • After Spa Therapy • Immediate • Self Report • IMS Technology • 20 Minutes • Self Report • IMS Technology • 1 hour • Self Report • IMS Technology • 24 Hours • Self Report • IMS Technology

  8. METHODS • Repeat Spa Therapy after 48 hours • Repeat Measurements • Continue 3x per week for 6 weeks

  9. RESULTS Expected • Measured improvement in back pain based on IMS measured back pain and self report relative to before spa therapy. • Results adjusted for • Concomitant therapy such as medications • Initial severity of back injury • Location of injury

  10. RESULTS Expected • Effectiveness of therapy at intervals relative to before spa therapy • 1 day • 1 week • 2 weeks • 3 weeks • 6 weeks • Effectiveness of spay therapy by frequency • 1 per week, 2 per day • 2 per week, 2 per day • 3 per week, 2 per day

  11. PROPOSAL • Detailed proposal submitted upon request • Resumes submitted with the proposal

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