Blutdrucksenkung durch Hydrotherapie: Eine randomisierte, kontrollierte Studie bei leichter bis mittelschwerer Hypertonie

Jacob, E.-M.; Volger, E

doi:10.1055/s-0029-1202769

Cited by 12 publications

(15 citation statements)

References 9 publications

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“…This may explain why in highly stressed individuals only a combination of walking combined with balneotherapy led to both reduced systolic blood pressure and increased alertness, whereas walking combined with resting made individuals feel more tired. Numerous studies have found a positive impact of balneotherapy on quality of life, mood, physical capacity, relaxation, heart rate, blood pressure, and burnout‐specific symptoms (Blasche et al, ; Fink, Kalpakcioglu, Bernateck, & Gutenbrunner, ; Jacob & Volger, ; Karagülle & Karagülle, ; Michalsen et al, ; Strauss‐Blasche, Gnad, Ekmekcioglu, Hladschik, & Marktl, ). It could be assumed that a warm environmental temperature as provided by the balneotherapy setting may facilitate regeneration for highly stressed individuals by reducing the effort of thermoregulation, thus lowering energy expenditure.…”

Section: Discussionmentioning

confidence: 99%

“…This may explain why in highly stressed individuals only a combination of walking combined with balneotherapy led to both reduced systolic blood pressure and increased alertness, whereas walking combined with resting made individuals feel more tired. Numerous studies have found a positive impact of balneotherapy on quality of life, mood, physical capacity, relaxation, heart rate, blood pressure, and burnout-specific symptoms (Blasche et al, 2010;Fink, Kalpakcioglu, Bernateck, & Gutenbrunner, 2011;Jacob & Volger, 2009 3.4 (3.4) F = 1.34; p = .269 F = 7.23; p = .013* F = 2.37; p = .077 the balneotherapy setting may facilitate regeneration for highly stressed individuals by reducing the effort of thermoregulation, thus lowering energy expenditure. Alternatively, such immersion bathing could foster regression as a temporary and reversible state of retreat that may be associated with feelings of safety and being cared for (Balint, 1959).…”

Section: The Advantages Of Interventions Including Physical Activity Asmentioning

confidence: 99%

“…Such effects have also been reported for spa settings (Falagas, Zarkadoulia, & Rafailidis, ; Mizuno et al, ; Toda, Morimoto, Nagasawa, & Kitamura, ). Concerning the effectiveness of balneotherapy in lowering blood pressure, studies among patients with cardiovascular diseases point at its potential to further enhance the positive effects of physical activity (Caminti et al, ; Jacob & Volger, ). In general, the effectiveness of relaxation strategies has been proven among a diversity of subjects including a broad range of age groups (Gruzelier, ).…”

Section: Introductionmentioning

confidence: 99%

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Combining walking and relaxation for stress reduction—A randomized cross‐over trial in healthy adults

et al. 2017

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Both physical activity and relaxation have stress-relieving potential. This study investigates their combined impact on the relaxation response while considering participants' initial stress level. In a randomized cross-over trial, 81 healthy adults completed 4 types of short-term interventions for stress reduction, each lasting for 1 hr: (1) physical activity (walking) combined with resting, (2) walking combined with balneotherapy, (3) combined resting and balneotherapy, and (4) resting only. Saliva cortisol, blood pressure, state of mood, and relaxation were measured preintervention and postintervention. Stress levels were determined by validated questionnaires. All interventions were associated with relaxation responses in the variables saliva cortisol, blood pressure, state of mood, and subjective relaxation. No significant differences were found regarding the reduction of salivary cortisol (F = 1.30; p = .281). The systolic blood pressure was reduced best when walking was combined with balneotherapy or resting (F = 7.34; p < .001). Participants with high stress levels (n = 25) felt more alert after interventions including balneotherapy, whereas they reported an increase of tiredness when walking was combined with resting (F = 3.20; p = .044). Results suggest that combining physical activity and relaxation (resting or balneotherapy) is an advantageous short-term strategy for stress reduction as systolic blood pressure is reduced best while similar levels of relaxation can be obtained.

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Section: Discussionmentioning

confidence: 99%

“…This may explain why in highly stressed individuals only a combination of walking combined with balneotherapy led to both reduced systolic blood pressure and increased alertness, whereas walking combined with resting made individuals feel more tired. Numerous studies have found a positive impact of balneotherapy on quality of life, mood, physical capacity, relaxation, heart rate, blood pressure, and burnout-specific symptoms (Blasche et al, 2010;Fink, Kalpakcioglu, Bernateck, & Gutenbrunner, 2011;Jacob & Volger, 2009 3.4 (3.4) F = 1.34; p = .269 F = 7.23; p = .013* F = 2.37; p = .077 the balneotherapy setting may facilitate regeneration for highly stressed individuals by reducing the effort of thermoregulation, thus lowering energy expenditure. Alternatively, such immersion bathing could foster regression as a temporary and reversible state of retreat that may be associated with feelings of safety and being cared for (Balint, 1959).…”

Section: The Advantages Of Interventions Including Physical Activity Asmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Combining walking and relaxation for stress reduction—A randomized cross‐over trial in healthy adults

et al. 2017

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“…Blood pressure decreased in both groups with significantly better values in the intervention group, in which also a higher level of overall performance and dosage reduction of antihypertensive drugs could be achieved (Jacob and Volger 2009). A drinking cure with natural mineral water containing high amounts of magnesium and other minerals significantly decreased blood pressure in subjects with borderline hypertension in a three-arm RCT (Rylander and Arnaud 2004).…”

Section: Diseases Of the Circulatory Systemmentioning

confidence: 91%

“…In Germany, it would be therefore termed "balneotherapy" (Gutenbrunner et al 2010) the treatment of mild CHF (Michalsen et al 2003) and hypertension (Jacob and Volger 2009); (4) balneotherapy in the treatment of atopic dermatitis (Farina et al 2011), psoriasis (mud therapy) (Costantino 2008a;Costantino and Lampa 2005;Delfino et al 2003), chronic venous insufficiency (Carpentier and Satger 2009), symptomatic varicosis (Mancini et al 2003), overweight/obesity (Hanh et al 2012), chronic inflammatory gynaecological disorders (Zambo et al 2008) and generalized anxiety disorder ( Dubois et al 2010); (5) aquatic exercise in the treatment of CHF (Cider et al 2003); and (6) spa therapy in the treatment of Parkinson's disease (Brefel-Courbon et al 2003). Most of the 22 uncontrolled studies report significant within-group improvements over time.…”

Section: Respiratory Diseasesmentioning

confidence: 99%

Health resort medicine in non-musculoskeletal disorders: is there evidence of its effectiveness?

et al. 2015

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Health resort medicine (HRM; in German: Kurortmedizin) is a field of medicine with long-lasting tradition in several European countries. A number of systematic reviews have shown the effectiveness of HRM in musculoskeletal conditions. Reviews focusing on the effectiveness of HRM in non-musculoskeletal disorders are rare. This systematic review aims to provide an overview about all types of health resort treatments applied in non-musculoskeletal conditions, to summarize evidence for its effectiveness and to assess the quality of published studies. MEDLINE, Web of Knowledge and Embase were searched for articles published between January 2002 and December 2013. We used a broad search strategy in order to find studies investigating the effects of HRM in non-musculoskeletal disorders. Two authors independently extracted data and assessed quality using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies (EPHPP-QAT). Forty-one studies (19 of them with control group) from eight countries examining the efficacy of various forms of spa treatment for 12 disease groups were included. The studies are markedly heterogeneous regarding study design, population and treatment. HRM treatment is associated with clinical improvement in diseases of the skin, respiratory, circulatory, digestive and nervous system among others. However, small samples, the lack of control groups and an insufficient follow-up often limit the generated evidence. The scientific literature of the last decade has shown that a number of non-musculoskeletal disorders are treated with different kinds of HRM. The challenge for the future will be to carry out thoroughly designed studies in larger patient populations to corroborate the impact of HRM treatment on non-musculoskeletal disorders.

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Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

Reger

Kutschan

Freuding

et al. 2022

J Cancer Res Clin Oncol

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Background Water therapies as hydrotherapy, balneotherapy or aqua therapy are often used in the relief of disease- and treatment-associated symptoms of cancer patients. Yet, a systematic review for the evidence of water therapy including all cancer entities has not been conducted to date. Purpose Oncological patients often suffer from symptoms which in patients with other diseases are successfully treated with water therapy. We want to gather more information about the benefits and risks of water therapy for cancer patients. Method In May 2020, a systematic search was conducted searching five electronic databases (Embase, Cochrane, PsychInfo, CINAHL and PubMed) to find studies concerning the use, effectiveness and potential harm of water therapy on cancer patients. Results Of 3165 search results, 10 publications concerning 12 studies with 430 patients were included in this systematic review. The patients treated with water therapy were mainly diagnosed with breast cancer. The therapy concepts included aqua lymphatic therapy, aquatic exercises, foot bathes and whole-body bathes. Outcomes were state of lymphedema, quality of life, fatigue, BMI, vital parameters, anxiety and pain. The quality of the studies was assessed with the AMSTAR2-instrument, the SIGN-checklist and the IHE-Instruments. The studies had moderate quality and reported heterogeneous results. Some studies reported significantly improved quality of life, extent of lymphedema, neck and shoulder pain, fatigue and BMI while other studies did not find any changes concerning these endpoints. Conclusion Due to the very heterogeneous results and methodical limitations of the included studies, a clear statement regarding the effectiveness of water therapy on cancer patients is not possible.

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Blutdrucksenkung durch Hydrotherapie: Eine randomisierte, kontrollierte Studie bei leichter bis mittelschwerer Hypertonie

Cited by 12 publications

References 9 publications

Combining walking and relaxation for stress reduction—A randomized cross‐over trial in healthy adults

Combining walking and relaxation for stress reduction—A randomized cross‐over trial in healthy adults

Health resort medicine in non-musculoskeletal disorders: is there evidence of its effectiveness?

Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review

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