Patients with chronic obstructive pulmonary
disease (COPD) often suffer from exacerbations caused by
infections of the bronchial tract. Objective: What effects do
hydrotherapeutic applications according to Kneipp have on
lung function, blood gases, immune system and quality of
life of patients with COPD? Patients and Methods: 20 patients
with COPD (17 males, 3 females); mean age: 64;
forced exspiratory volume (FEV1): 62 of 100% (on anverage);
no acute exacerbations, no oral corticosteroids. Measurements
were performed (I) at 10 weeks pre-treatment, (II)
immediately before therapy (I–II: baseline-period), (III) after
10 weeks treatment with 3 cold affusions and 2 cold washings
of the upper part of the body (self-treatment) per week
each, (IV) 3 months after completion of the treatment (follow-
up). The following parameters were measured: lung
function, blood gases, routine lab, experimental lab (interleukines,
lymphocytes), maximal exspiratory flow (PEF),
quality of life and respiratory infections. Results: The pH increased
over the course of the study. PEF and the number of
lymphocytes significantly increased over the treatment
(II–III). Intracellular expression of IL-4 by T lymphocytes decreased.
However, the expression of IFN-γ increased. Frequency
of infections was lower during follow-up (IV) than
before and during therapy. Quality of life after treatment
was estimated to be good in all patients. Conclusions: Repeated
cold stimulations (affusions) can influence the frequency
of respiratory infections and improve subjective
well-being. It may cause an immunological modulation in
terms of the Th1-type pattern.