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Osteoarthrosis patients underwent balneotherapy or placebo treatment with psychotherapy or without it. The response of the patients favors the addition of psychotherapy to osteoarthrosis treatment (clinical differences made up 8-12%).
Balneotherapy with several mineral waters at health resorts proved effective in 228 patients with GI diseases. All of them were exposed to low-dose radiation as a result of the Chernobyl accident. Such treatment promoted a decrease in initially elevated basal level of insulin, improved production of gastrin and C-peptide.
Image identification techniques were employed to develop the model of expert team evaluation of physio- and balneotherapy efficacy on objective and formal basis. With coronary patients as the model group, is was demonstrated that the model operates with high performance. According to its assessment some physio- and balneotherapeutic complexes proved effective in 50-57.8% of cases.
The statistical correlations between body weight, glycemia, total lipids, cholesterol in 200 patients with essential hypertension, especially borderline essential hypertension, followed up for 6 years indicate that the complex environmental factors in Slănic-Moldova Health Resort associated with balneotherapy may induce a return to normal values of the above mentioned parameters. Good results were also obtained in the patients with essential hypertension and non-insulin dependent diabetes mellitus, their treatment including reduction diets (1200-1400 calories/day).
CO2 baths are considered an integral feature of balneotherapy. Natural springs containing a concentration of CO2 probably sufficient to be clinically effective (> 1 g/l) as well as artificially enriched baths are applied. Phenomena like a marked erythema (at concentrations above 0.5 g/l) imply clinical efficacy beyond unspecific effects of baths (water immersion, thermal effects). Prolonged effects are postulated to exceed "direct" effects, thus forming the rationale for serial applications of CO2-baths. CO2 is believed to cause an acute induction of local vasodilation and a shift of the O2 binding curve, resulting in a facilitation of the delivery of O2 to the tissue. A positive impact of CO2-baths on the flow properties of blood has been reported. A wide variety of indications is mentioned in the literature, while clear evidence from controlled trials exists only for a minority of them, mainly for chronic circulatory disturbances based on atherosclerotic diseases such as peripheral arterial occlusive disease, trophic ulceration, microangiopathies of various origins, and mild hypertension. Some evidence supports the idea that CO2 baths might represent an efficient therapeutic means in the rehabilitation of coronary heart disease, myocardial infarction and stroke, and in the treatment of chronic venous insufficiency, certain inflammatory diseases, and functional disturbances.
Intervalocardiography was used to study the effect of carbon dioxide narzan baths on autonomic parameters in 125 children aged 10-15 with vascular dystonia (VD). In sympathicotonic VD vegetative background and reactivity did not change much. In vagotonic VD balneotherapy was adequate.
Arsenic mineral water from the Sinegorsk springs was tried in the treatment of experimental alimentary obesity in rat Wistar males and patients with exogenous-constitutional obesity. Body mass, blood lipids, hepatic neutral lipids, glucose-6-phosphate-dehydrogenase were measured. Arsenic mineral water proved able to reduce excessive body mass, correct blood lipid spectrum, normalize metabolic processes in the liver. Thus, arsenic mineral water can be used in balneotherapy of obesity.
The state of the system lipid peroxidation-antioxidant defense (LPO-AOD) was studied in 187 patients with ischemic heart disease on combined balneorehabilitation. The balneotherapy comprised effervescent magnesium-calcium and effervescent arsenic mineral water, artificial baths. Balneorehabilitation produced optimal results in high functional capacity of LPO-AOD system. In low functional activity of the system LPO-AOD balneological procedures may impair adaptive mechanisms and provoke balneoreactions. Combination of balneofactors with diet including polyunsaturated fatty acids enhanced antioxidant blood activity and modified LPO.
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