A significant effect on depressive symptoms was not found .
The improvements for pain could be maintained at follow-up with smaller effects .
Introduction In the present systematic review and meta- analysis , we assessed the effectiveness of different forms of balneotherapy ( BT ) and hydrotherapy ( HT ) in the management of fibromyalgia syndrome ( FMS ) .
[Intraindividual comparison of whole body cold therapy and warm treatment with hot packs in generalized tendomyopathy].
In a cross-over study , the short-term efficacy of whole-body cold therapy and hot mud packs in patients with generalized tendomyopathy ( fibromyalgia ) was compared . As a pain assessment , visual analog scale and so-called pain score were measured ; dolorimetry of the 24 tender points and eight control points was performed as well . Using these methods , we found that there is a significant improvement of all parameters examined during a 2-h period of measurements after cold application , and a marked improvement was also detectable 24 h after this therapy . In contrast , only pain score values showed a slight decrease immediately after hot mud-pack therapy , and no significant differences were found in visual analog scale and pressure tenderness as measured dolorimetrically . Central inhibition of nociceptors as a result of an activation of A-delta system as well as a blockade of gamma-motoneurons are discussed to be a mechanism of action of whole-body cold therapy , result ing in a decrease in muscle tonus . Long-term studies are needed to determine , if there is any enduring effect of whole-body cold therapy on pain  in the patients with generalized tendomyopathy
A significant effect on depressive symptoms was not found .
The improvements for pain could be maintained at follow-up with smaller effects .
Introduction In the present systematic review and meta- analysis , we assessed the effectiveness of different forms of balneotherapy ( BT ) and hydrotherapy ( HT ) in the management of fibromyalgia syndrome ( FMS ) .