EFFECTS AND VALUE OF SOME GENERALY AND LOCALY THERMOTHERAPY METHODS IN REHABILITATION OF LOCOMOTOR SYSTEM AFFECTION
Nicolae G.Teleki (Institute of Physical Medicine, Balneoclimatology and Medical Rehabilitation Bucharest, Romania)
Purpose: The comparative study of thermic effects of some methods of general and local thermotherapy in patients with affections of locomotor system under rehabilitation treatment.
Method: Hyperthermiam, antialgic, miorelaxant and decontracturant effects as well as articular mobility in different groups of patients with postraumatic, rheumatic, infiamatory and degenerative affections have been studied under the action of some thermotherapy methods: thermal bath, mineral water in balneary resorts: Felix and Tekirghiol, ascendant general hyperthermiant tub bath, general mud paking up in Tekirghiol balnear resort, local procedures of thermotherapy: paraffin applications, light bath, Hauffe ascendat bath for extremities, thermic bags.
Results: Net hyperthermiant effects (rising of central temperature above 37.5°-38℃) have been obtained in all applications of general theromterapy (mineral water bath in swimming pool at 37°-37.5℃, general ascendant hypertermiant tub bath with increasing the central temperature to 38°-38.5℃, generaly paking up with mud in certain technical conditions. The slight hyperthermiant effects(increasing in central temperature above 37.5℃) have been observed only in the case of some procedures and only in a proportion of patients in descendant order after paking up with paraffin, Hauffe ascendant and light bath. In parallel, antialgic, miorelaxant and decontracturant effects as well as amelioration of articular mobility have been obtained in different percentage in groups of patients studied which are presented in tables and graphs.
Conclusion: General and local thermotherapy methods represents an essential therapeutic corrolary of the active kinetotherapy of rehabilitation in patients with disorders of locomotor system. The comparative study of quantitavive and qualitative effects of different methods of general and local thermotherapy permits their sellective indications in rehabilitation activity.
Symposium [Physical Therapy] : Thermal Therapy in Cardiac Rehabilitation
Chuwa Tei, Yutaka Horikiri, Nobuyuki Tanaka (Kagoshima University, Japan)
Single thermal therapy (10 minutes warm water bathing at 41℃ or 15 minutes dry sauna bathing at 60℃) improved acute hemodynamics (increase of cardiac output and ejection fraction, decrease of peripheral vascular resistance) in patients with congestive heart failure due to ischemic heart disease or dilated cardiomyopathy. Repeated thermal therapy (once or twice/day, 3-5 days/week) improved clinical symptoms and quality of life in patients with congestive heart failure. Compared to other forms of treatment, there are several advantages of thermal vasodilation therapy for congestive heart failure. It is non- pharmacological, devoid of adverse effects, and readily available as well as easily repeatable. This form of therapy promotes mental and physical relaxation and improves fundamental daily activities such as appetite and sleep quality. Patients who are aged or have severe congestive heart failure (NYHA class IV), peripheral edema and orthopedic limitations are not exempt from undergoing thermal vasodilation therapy. This intervention promises to be a very economical means of therapy even for severe congestive heart failure. Thus, thermal vasodilation represents a new non-pharmacological therapy for congestive heart failure and potentially important adjunctive treatment for patients with this disorder. A comprehensive treatment incorporating the two modalities of pharmacological manipulation and thermal vasodilation may be the most effective approach to the treatment of moderate to severe congestive heart failure.