摘要:Objective. The aim of the study was to identify the main aspects concerning appropriatenessand efficacy of Spa therapy for musculoskeletal pathologies.Methods. A committee of 8 experts from Italian universities, public hospitals, territorialservices, research institutes and patient associations was set up. Clinicians from Italianmedical centers specialized in rheumatology, rehabilitation and thermal medicine tookpart in a Delphi process aimed at obtaining consensus statements among the participants.Results. Large consensus was obtained for statements grouped under the following mainthemes: treatment indications; choice of treatment modality and treatment efficacy.Conclusions. The experts developed a number of consensus statements which may beused as a practical reference to guide the choice of physicians to treat musculoskeletaldiseases with Spa therapy.