Clinical efficacy of medical hydrology: an umbrella review

Antonelli, Michele; Donelli, Davide; Veronesi, Licia; Vitale, Marco; Pasquarella, Cesira

doi:10.1007/s00484-021-02133-w

Cited by 16 publications

(10 citation statements)

References 97 publications

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“…Balneotherapy is a well-known treatment modality for a wide spectrum of disorders thanks to well recognized properties: antalgic effect, myorelaxant action, activation of microcirculation, immunomodulation, neuro-hormonal, psychic stimulation and so on. 10 All these factors probably contribute to venous sign / symptoms improvement. In fact, the immersion of the body into a pool is anecdotally considered beneficial for blood return and oedema reduction.…”

Section: Discussionmentioning

confidence: 99%

“…Inclusion criteria were as following: papers published on peer-reviewed journals between 30 June 1980, and 30, 2021; papers on any type of hydrotherapy 10 used to treat VVs, CVI, deep venous thrombosis (DVT), superficial venous thrombosis (SVT), post thrombotic syndrome (PTS), leg oedema (LE); at least 3 patients enrolled; no restrictions regarding study type, except for abstract conference and in-vitro / ex-vivo studies; providing clinical and/or subjective (e.g. regarding QoL) outcomes.…”

Section: Methodsmentioning

confidence: 99%

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Rationale and current evidence of aquatic exercise therapy in venous disease: A narrative review

Bissacco

Mosti²,

D’Oria

et al. 2022

Vascular

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Chronic venous disorders (CVD) of the lower limbs can be treated with different strategies. Typically, conservative management is based on compression therapy, anticoagulants and venoactive drugs. Endovenous treatments remain the gold standard to treat saphenous insufficiency, with sclerotherapy and surgery maintaining a role in selected cases. In addition, several ‘unconventional’ approaches have been proposed to prevent CVD progression and complications, minimize symptoms and improve the quality of life and postoperative outcomes. Among these, balneotherapy and aquatic exercises are proving as valid and effective supporting treatments, as mentioned in a growing number of scientific publications. Moreover, aquatic protocols have been studied for both venous and lymphatic insufficiency. For these reasons, they were mentioned in the last CVD guidelines provided by the European Society for Vascular Surgery. The aim of this narrative review is to overview and summarize current literature evidences on the role and effectiveness of aquatic rehabilitative protocols in CVD, reviewing old and current literature. Furthermore, the physical basis of the effects of water immersion on lower limb venous and tissues modifications are also described.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Rationale and current evidence of aquatic exercise therapy in venous disease: A narrative review

Bissacco

Mosti²,

D’Oria

et al. 2022

Vascular

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“…This fact had indeed remained true for several years, but nowadays it can easily be refuted. If somebody searches in a medical database, such as PubMed, Scopus, or PEDro, he or she can find a growing number of pieces of evidence (including in reviews and meta-analyses) that verify the positive effects of balneotherapy in distinct locomotor problems (especially in OA) and other diseases, so this argument is not as strong as it once was and, in fact, is no weaker than with other well recognized medical interventions [ 6 ]. In addition to clinical studies, numerous publications deal with the immunological, antioxidant, and anti-inflammatory effects of medicinal water [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Lakitelek Thermal Water and Tap Water on Skin Microbiome, a Randomized Control Pilot Study

Bender¹,

Gabriella²,

Kristóf³

et al. 2023

Life

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The beneficial effects of balneotherapy have been proven by numerous clinical studies on locomotor disorders. To date, there is only scant data on changes in the microbiome system of the skin during balneotherapy. The aim of this study was to compare the effects of thermal water and tap water on the skin’s microbiome in healthy volunteers. 30 healthy female volunteers participated in the study. The experimental group (of 15 women) spent 30-min 10 times, in Gabriella Spring’s thermal baths (i.e., mineral water containing sodium hydrogen carbonate).The controlled group (15 women) had the same, but in tap water. The results of this study have proven that there is a difference in the influencing effects of tap water and medicinal water on the microbiome of the skin. After bathing in the thermal water of Lakitelek, Deinococcus increased significantly at the genus level, and the tendency for Rothia mucilaginosa bacteria also increased. At the species level, Rothia mucilaginosa increased significantly, while Paracoccus aminovorans and the tendency for Paracoccus marcusii decreased. When the values of the two trial groups after bathing at the genus level were compared, Rothia bacteria increased significantly, while Haemophilus tended to increase, Pseudomonas tended to decrease, Neisseria tended to increase significantly, and Flavobacterium tended to decrease. At the species level, Geobacillus vulcani decreased significantly, and the tendency for Burkholderia gladioli decreased. The growth of Rothia mucilaginosa and the decrease in the tendency of Paracoccus, Pseudomonas, Flavobacteroium, and Burkholderia gladioli confirm the beneficial effect of balneotherapy. In this study, trends are represented by the uncorrected p value. The main result was that the thermal water changed certain bacteria of the skin, both on the genus and species levels, but there were no significant changes in the tap water used, either at the genus or species level. We first compared the worlds of thermal water and tap water’s microbiome systems. The thermal water decreased the number of certain inflammatory infectious agents and could enhance some of their positive effects, which have been proven at the molecular level. Our results can provide an important clue in the treatment of certain skin diseases. The research of the skin microbiome during balneotherapy can be one of the most intriguing and exciting topics of the future and can bring us closer to understanding the mechanism of action of balneotherapy.

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“…The balneotherapy treatment involves immersing a subject in waters or mud to produce an improving effect on health. Traditionally, balneotherapy is employed for several medical reasons: musculoskeletal pain, fibromyalgia, rheumatoid arthritis, and dermatological, pulmonary obstructive and peripherical vascular pathologies ( Antonelli et al, 2021 ; Gebretsadik et al, 2021 ). In recent years, hypertension, dyslipidaemia, diabetes, obesity, and pathologies characterized by impaired endothelial function also seem to benefit from balneotherapy ( Qiu et al, 2014 ; Fioravanti et al, 2015 ; De Moraes Silva et al, 2019 ; Yuan et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

et al. 2022

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Balneotherapy and exercise are potential factors influencing sleep through several physiological pathways and relaxing effects. This review aims to assess whether balneotherapy can improve sleep quality in concomitance or not with exercise. The research was conducted on Medline, Scopus, PubMed, Web of Science, and Cochrane Library databases. The current review followed PRISMA reporting guidelines and involves twenty-one articles grouped into four sections based on the characteristics of the balneotherapy protocol: 1.a Balneotherapy–thermal water immersion alone (five studies); 1.b Balneotherapy–thermal water immersion with other spa treatments (six studies); 2.a Balneotherapy and physical exercise–balneotherapy and out-of-the-pool physical exercise (eight studies); 2.b Balneotherapy and physical exercise–balneotherapy and in-pool physical exercise (three studies). Apart from healthy or sub-healthy subjects, patients recruited in the studies were affected by fibromyalgia, ankylosing spondylitis, osteoarthritis, musculoskeletal pain, subacute supraspinatus tendinopathy, and mental disorders. Duration, number of sessions, and study protocols are very different from each other. Only one study objectively evaluated sleep, whereas the others used subjective sleep assessment methods. Eight studies considered sleep as a primary outcome and ten as secondary. Sixteen out of twenty-one studies described improvements in self-perceived sleep quality. Thus, balneotherapy associated with other spa treatments and physical exercise seems to be effective in improving self-perceived sleep quality. However, the miscellany of treatments makes it difficult to discern the isolated effects of balneotherapy and physical exercise. Future studies should consider using an objective sleep assessment method and describing the pathways and physiological mechanisms that could provoke sleep changes during balneotherapy treatments.

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Clinical efficacy of medical hydrology: an umbrella review

Cited by 16 publications

References 97 publications

Rationale and current evidence of aquatic exercise therapy in venous disease: A narrative review

Rationale and current evidence of aquatic exercise therapy in venous disease: A narrative review

The Effects of Lakitelek Thermal Water and Tap Water on Skin Microbiome, a Randomized Control Pilot Study

Sleep and spa therapies: What is the role of balneotherapy associated with exercise? A systematic review

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