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[Clinical efficiency and tolerance of hydrogen sulfide balneotherapy in hypertensive patients living in arid zone].

AIM: To examine clinical efficiency and safety of moderate hydrogen sulfide (HS) baths in the treatment of hypertensive patients living in arid zones. MATERIAL AND METHODS: Sixty patients with stable essential hypertension (EH) of stage I-II according to WHO classification living in arid climate took sparing HS baths. Efficiency of the baths was assessed by changes in blood pressure (BP), 24-h monitoring of BP. RESULTS: It is shown that systolic and diastolic BP after HS balneotherapy fell significantly both in daytime and at night. The 24-h profile of BP improved, heart rate decreased by 4.3%, physiological fluctuations of BP and BP variability were not damaged. CONCLUSION: Moderate HS baths are recommended for wider use in a hot climate of the arid zone as an effective and safe method of balneotherapy which can be adjuvant to basic medication of EH.

Adult↗

[The effect of health resort therapy on cardio-regulation following heart transplantation with special reference to CO2 balneotherapy].

It is being reported about the influence of a CO2-bathing series with 12 patients after heart-transplantation in connection with a light-motion therapy on blood pressure and haemodynamics. The comparative group was a group of 12 heart-transplantation patients of the same age without cure during the comparative time. It was shown that the balneotherapy after HTPL has positive effect on the development of the systolic blood pressure under rest and exercise. The peripheric microcirculation (musculus tibialis anterior) improved significantly. The left ventricular ejections fraction (LVEF) kept without change. Generally, the balneotherapy is well tolerated by heart-transplantation patients. There is no danger of a cardiac overcharge of the left ventricle.

Adult↗

[Characteristics of microflora isolated in chronic adnexitides and effects of balneotherapy on biological properties of microorganisms in experimental and clinical conditions].

The study of species and biology of microflora isolated from 42 patients with chronic adnexitides has detected a wide spectrum of pathological agents among which both aerobic and anaerobic microorganisms were encountered. The isolated cultures were examined for ability to inactivate lysozyme, complement and lactoferrin. The experiments have established changes in biological properties of the microorganisms in response to use of mud and salty brine therapy. Clinical investigations demonstrate the ability of balneotherapy to restore normal flora, to reduce contamination with opportunistic microflora and suppress biological, including persistent, properties of microorganisms in females with chronic adnexitides. Positive effects of balneotherapy seem to base, primarily, on this ability.

Adult↗

[Urinary iodine excretion in Austria and the effect of iodine balneotherapy].

Urinary iodine excretion was examined in 645 patients at Bad Hall, both before and after undergoing iodine balneotherapy. The results indicate that in spite of iodized salt prophylaxis there is still an insufficiency of iodine supply in Austria. No essential differences were detected between individual regions of Austria. After completion of various types of iodine balneotherapy each lasting four weeks, the iodine excretion of all patients was higher than the minimum value proposed by WHO.

Austria↗

Balneotherapy in autoimmune disease.

The mechanisms of action of balneotherapy in the treatment of autoimmune disease are not sufficiently clear. Although this therapy does not replace but rather complements conventional drug therapy, it is certainly beneficial in suitable cases. Additional controlled studies are needed to delineate the mechanisms of actions and the effectiveness of balneotherapy in autoimmune disease.

Arthritis, Psoriatic↗

Hydrotherapy, balneotherapy, and spa treatment in pain management.

The use of water for medical treatment is probably as old as mankind. Until the middle of the last century, spa treatment, including hydrotherapy and balneotherapy, remained popular but went into decline especially in the Anglo-Saxon world with the development of effective analgesics. However, no analgesic, regardless of its potency, is capable of eliminating pain, and reports of life-threatening adverse reactions to the use of these drugs led to renewed interest in spa therapy. Because of methodologic difficulties and lack of research funding, the effects of 'water treatments' in the relief of pain have rarely been subjected to rigorous assessment by randomised, controlled trials. It is our opinion that the three therapeutic modalities must be considered separately, and this was done in the present paper. In addition, we review the research on the mechanism of action and cost effectiveness of such treatments and examine what research might be useful in the future.

Balneology↗

Balneotherapy and tap water therapy in the treatment of knee osteoarthritis.

To investigate if spa water is superior to tap water (TW) in relieving the symptoms of pain, joint motion, life quality in knee osteoarthritis (KOA) patients. In this randomized placebo-controlled trial, 52 patients with KOA were followed in two groups. In group I (n = 27), patients were treated in the pool full of spa water at 37 degrees C for 20 min a day, 5 days a week, for a period of 2 weeks. In group II (n = 25), the same protocol was used but spa water was replaced by TW heated to 37 degrees C. Patients in both groups were given a home-based standardized exercise program. Evaluation parameters were pain (pVAS), tenderness score (TS), 50-ft walking duration, quadriceps muscle strength (QMS), active flexion degree (AFD), WOMAC OA index, and Nottingham Health Profile (NHP). The first evaluation was done after the informed consent was obtained. Second and third evaluations were done at the 2nd and 12th week. PVAS, 50-ft walking duration, AFD, TS, WOMAC, and NHP variables improved in group I. Same variables except QMS improved also in group II. Comparison of the groups just after treatment showed that only pVAS (P = 0.015), NHP pain score (P = 0.020), and TS (P = 0.002) differed significantly in favor of group I at the 2nd or 12th week. Both of the thermal treatment modalities were found to be effective in the management of the clinical symptoms and quality of life in KOA patients. However, pain and tenderness improved statistically better with balneotherapy. There were no significant differences between the groups for the other variables.

Adult↗

Balneotherapy for fibromyalgia at the Dead Sea.

The aim of this study was to evaluate the effectiveness of balneotherapy on patients with fibromyalgia (FM) at the Dead Sea. Forty-eight patients with FM were randomly assigned to a treatment group receiving sulfur baths and a control group. All participants stayed for 10 days at a Dead Sea spa. Physical functioning, FM-related symptoms, and tenderness measurements (point count and dolorimetry) were assessed at four time points: prior to arrival at the Dead Sea, after 10 days of treatment, and 1 and 3 months after leaving the spa. Physical functioning and tenderness moderately improved in both groups. With the exception of tenderness threshold, the improvement was especially notable in the treatment group and it persisted even after 3 months. Relief in the severity of FM-related symptoms (pain, fatigue, stiffness, and anxiety) and reduced frequency of symptoms (headache, sleep problems, and subjective joint swelling) were reported in both groups but lasted longer in the treatment group. In conclusion, treatment of FM at the Dead Sea is effective and safe and may become an additional therapeutic modality in FM. Future studies should address the outcome and possible mechanisms of this treatment in FM patients.

Activities of Daily Living↗

[Immediate effects of physiotherapy session of lower limb by balneotherapy on postural control].

OBJECTIVE: The aim of this study was to compare the immediate effects of standard physiotherapy (S) and balneotherapy (B) on the postural capacity of subjects with lower-limb injuries. METHODS: The postural sway of 12 voluntary subjects was evaluated before (REF1 and REF2) and after two different physiotherapy sessions performed in the swimming pool (B) or under (S). The centre of pressure (CP) trajectory was recorded by use of a force platform. CP displacements in the mediolateral and anteroposterior axes were then separated into two elementary superimposed components: the horizontal motion of the centre of gravity (CG) and the difference between the CP and the vertical projection of the CG (CP-CG). The amplitude of the latter component (CP-CG) is thought to express neuromuscular activity. All trajectories were then analysed in terms of classical and frequency parameters. RESULTS: Postural sway did not differ before and after the physiotherapy sessions. Following both sessions, the mean CG velocity decreased significantly (P<0.5). The area of CP-CG trajectory was diminished solely by the aquatic exercise (P<0.5) and was associated with decreased amplitude of motion along the anteroposterior axis (P<0.05), which suggests decreased neuromuscular activity to maintain posture. CONCLUSION: Interestingly, decreased motion was observed along the anteroposterior axis, which corresponds to ankle movements. Exercising lower-limb muscles under water could reinforce proprioceptive input, resulting in a better postural control.

Adolescent↗

Balneotherapy and quality assessment: interobserver reliability of the Maastricht criteria list and the need for blinded quality assessment.

This study investigates aspects of the reliability of the Maastricht criteria list for quality assessment in systematic reviews, and whether blinded reviewing is necessary to prevent review bias. We used the data set of 12 articles from a systematic review concerning the efficacy of balneotherapy in patients with arthritis. Twenty reviewers participated of which two reviewers, who have been involved in developing the Maastricht criteria list, acted as reference standard. Half of all assessments were performed blindly. A high level of agreement was found between the reviewers and a high level of correlation with the reference standard. The quality scores between the blinded and unblinded assessment did not differ much. Based on the results we conclude that the Maastricht criteria list is a reliable instrument in quality assessment of clinical trials. Within the limits of this study we found no evidence that blinding is necessary to prevent review bias.

Arthritis↗

The balneotherapy of rheumatoid arthritis.

Balneotherapy as a special form of physiotherapy has, with other measures, a definite place in the plan of treatment for rheumatoid arthritis. The range of indication for a specific application is extremely wide. It can be introduced with different therapeutic objectives and be adapted to the situation prevailing during the course of rheumatoid arthritis. Careful analysis of the individual case is necessary, in which duration, intensity of the disease, activity of the disease process, progression and stage are taken into account. An acute episode of rheumatoid arthritis with high activity of the disease process is an absolute contraindication for any stimulus therapy. It this phase of the disease the most important aim of treatment is to stop the inflammation and ankylosis. The intensely stimulating sulphur and mud baths are indicated mainly in non-progressive forms of rheumatoid arthritis and in post-arthritic arthroses without or with low activity.

Arthritis, Rheumatoid↗

Controlled trial of balneotherapy in treatment of low back pain.

Three treatments for non-specific lumbar pain--balneotherapy, underwater traction bath, and underwater massage--were assessed in a randomised prospective controlled trial in 158 outpatients. Each group was treated for four weeks and patients were reviewed at the end of this period and at 12 months after entry to the trial. The prescription of analgesics and the pain score were significantly reduced in all three treated groups, but there was no difference between the three groups. No significant change occurred in spinal motion and the straight leg raising test. After one year only the analgesic consumption was significantly lower than in the control group.

Adult↗

[The use of microsurgery and balneotherapy in the treatment of hyperplastic laryngitis].

The study aimed at the assessment of the clinical value of using the combined method of laryngeal microsurgery and balneotherapy in the operative treatment and prevention of recurrences of limited hyperplastic changes of the laryngeal mucosa. The study material comprised two groups of patients diagnosed and treated in the years 1991-1997 in the Lublin E.N.T. Department and Laryngological Research-Consulting Center in Iwonicz Zdrój. The I clinical group consisted of 194 patients in whom, on definite indications, micro-surgeries with Kleinsasser's method were performed and the II control group consisting of 165 subjects suffering from chronic simple inflammation of pharyngo-laryngeal mucosa without morphologic hypertrophy. Inhalant treatment was performed by means of an individual method--using inhalant devices by Thomex L-2 producing high density mist of 1-4 mu degree comminution. Isotonic Iwonicz saline-Elin 7 was used. Uniform criteria of assessment were assumed and used of direct and distant therapeutic effect (in control studies) for the whole group of patients in the study period. Obtained results were analysed statistically.

Adult↗

[The rehabilitation of patients with acute pneumonia in the convalescence phase by using balneotherapy procedures].

Effects of balneotherapy (underwater douche-massage, Gauffe baths, contrast douche) on clinical course of acute pneumonia (AP), external respiration function, cardiohemodynamics, surface activity of pulmonary surfactant, lipid peroxidation were studied in 88 AP convalescents. It was found that underwater douche-massage is indicated in prevailing hemodynamic disorders and moderate obstruction of the large bronchi. The efficacy of the douche was 93.8%. Gauffe baths were preferable (clinical response 88.9%) in marked bronchial obstruction with affection of all the bronchi but in satisfactory cardiovascular function. Contrast douche was not effective in AP convalescents (response--56.9%).

Acute Disease↗

[The role of uric acid in effects of balneotherapy on the phagocytic link of immunity and unspecific defense at the Truskavets health resort].

Revealed in the wake of balneotherapy at the Truskavets health-resort were two opposite types of changes--those in the level of uriacidemia and in the content of theophylline-sensitive lymphocytes that are probably caused by central and peripheral effects of uric acid. In this setting, parameters characterizing the phagocytic link of immunity and unspecific defense are noted to change unidirectionally, in other words, they remain unaffected by changes in uriacidemia.

Balneology↗

[The use of lithium electrophoresis combined with balneotherapy in hypertension depending on the type of central hemodynamics].

Central chest rheography was used to study the central hemodynamics in 62 patients with hypertensive disease (grades I-II) before and after treatment. 23 patients (hyperkinetic hemodynamics) were treated with oxygen baths and endonasal lithium chloride electrophoresis; 20 with en--and hypokinetic types of hemodynamics received CO2 baths and endonasal lithium chloride electrophoresis. It is concluded that lithium chloride electrophoresis in association with balneotherapy increases the therapeutic effect in hypertensive disease, especially in patients with the hyperkinetic type of blood circulation.

Administration, Intranasal↗

[Immunological response of patient with chronic salphingo-oophoritis to interference currents used in electrical sleep and balneotherapy].

The study included 105 women of a reproductive age with chronic nonspecific salpingooophoritis. The women were transcerebrally exposed to interference currents (IC). The immunological examination revealed that IC have an immunocorrecting effect on both cellular and humoral links of the immune system, correct imbalance of the immunoregulatory subpopulations confirmed by increased immunoregulatory index. Inclusion of balneotherapy potentiates analgetic, anti-inflammatory effects of transcerebral IC therapy, regulates balance of immunoregulatory T-cell subpopulations due to better differentiation of T-lymphocytes in the thymus.

Balneology↗

[Effectiveness of balneotherapy in patients with neurasthenia using baths of mineral water under conditions of low-mountain health-resort Nunisi].

Total of 118 patients with neurasthenia were investigated. Among them in 62 persons a hypersthenic form and in 56 -- a hyposthenic form of the pathology were noted. It has been established that balneotherapy using baths of mineral water, which is low-mineralised weakly sulfide, chloride-hydrocarbonate mineral sodic water under conditions of low-mountain health-resort Nunisi induces a decrease right up to disappearance of complaints and pathological changes in neurological status in patients with mentioned pathology. At the same time it improves indices of perception, attention and memory, state of vegetative nervous system and functional state of the brain, has a normalising action on the indices of cardiohemodynamics and lipid metabolism as well as on the excretion with urine of adrenaline and noradrenaline, neutral 17-ketosteroids, free and total 17-oxicorticosteroids. Mentioned positive shifts were more pronounced at hypersthenic form of neurasthenia. The treatment carried on had a positive influence in 62 (100%) patients with hypersthenic form of neurasthenia and in 51 (91,07%) -- with hyposthenic form.

Balneology↗