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 ) .
[Inpatient aftercare in rheumatic diseases--concept, trial, and acceptance].
BACKGROUND A one-week booster group treatment in rheumatic diseases ( rheumatoid arthritis , spondylarthropathies , fibromyalgia ) was developed in order to stabilize rehabilitation effects after medical rehabilitation . The program took place in an inpatient setting 3 - 5 months after rehabilitation , aim ed at refreshing and deepening already learnt contents as well as teaching new subjects ( e. g. about dietetics ) . Training and educational elements are given priority in this concept . METHOD A total of 140 patients participated in 19 booster weeks  . At the end of each booster week the acceptance was assessed by question naire and in a round-table discussion . RESULTS Comprehensibility and group atmosphere were judged very positively . The course was also considered very helpful , helpfulness being rated with marks about 2 ( 1 = very helpful , 6 = not at all helpful ) . Participants especially appreciated the course 's framework as a group setting emphasising the exchange of experience with co- patients . At the same time , however , participants wished more individualized treatment such as physiotherapy or massage . With regard to the quantity of the various therapy elements , participants would have preferred more traditional spa therapy , more medical treatment by a physician , more group physiotherapy and sports . They would also have liked more breaks . In general fewer psychological elements , less discussion and reflection but more physical activity was wished for . Little difference was found between the various diagnoses , but the program was rated slightly more positively by the patients with spondylarthropathies . CONCLUSION Overall , the great number of people participating in the program and their acceptance of the booster week are positive . Patients appreciated the group setting and the possibilities of exchanging experience on a high level . But it was difficult to change patients ' traditional expectations concerning medical rehabilitation to a behaviour-orientated course like ours . It is worth thinking about whether this concept should play a greater role in traditional medical inpatient rehabilitation programming
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 ) .