Haloaerosoltherapy: Mechanisms of Curative Effect and Place in the Respiratory Rehabilitation

Rehabilitation programs for patients with COPD are based on physical exercises usage, but accounting low tolerance to physical activity, this is not always a real task. The aim is to study the effect of haloaerosoltherapy (HAT) and complex rehabilitation treatment based on it on functional recovery of COPD patients. Materials and methods: 133 patients with COPD (GOLD II-III) beyond acute period were examined. Bronchial obstruction, intensity of clinical manifestations, disturbances of cardiovascular system were investigated. The 6-minute walk test was conducted. Results: Before treatment, it has been shown that exercise tolerance significantly depended on severity of bronchial obstruction, intensity of clinical manifestations and degree of cardiovascular risk. Treatment was carried out according to three treatment complexes (TC). TC-1 was based on HAT usage with certain concentration and dispersion of aerosol, 18-20 seances per course. In TC-2, singlet oxygen therapy was included, in TC-3 mineral water was administered as drinking use and inhalation. After course of treatment, walking distance covered in 6 minutes has been increased in patients of all groups. When using complex treatment, these changes were more pronounced. Con-clusions: HAT with appropriate dispersion and concentration of haloaerosol promotes in-creasing tolerance to physical activity and may be used as a stage of physical rehabilitation with possible subsequent therapeutic physical exercises. Notably pronounced positive dy-namics of studied data was noted in COPD patients convalescents after COVID-19. Key words: COPD, physical rehabilitation, haloaerosoltherapy, COVID-19 convalescents.

Haloaerosoltherapy and complex recovery treatment based on it as methods of physical rehabilitation for patients with chronic obstructive pulmonary disease

Lemko¹,

Reshetar²,

Lukashchuk³

et al. 2023

Haloaerosoltherapy and complex recovery treatment based on it as methods of physical rehabilitation for patients with chronic obstructive pulmonary disease

Lemko¹,

Reshetar²,

Lukashchuk³

et al. 2023

Sustainability of balneal tourism in pre- and post-pandemic period

Oprea,

Ionescu,

Matei

et al. 2023

The scope of the present study was to evaluate the results obtained from implementing the integrated programme of sustainable entrepreneurship specific to balneal tourism in the preand post-pandemic period at the Balneal and Rehabilitation Sanatorium of Techirghiol (SBRT), with the identification of current trends and preferences of the population regarding healthcare services in the Techirghiol area. Methods: The retrospective longitudinal study, conducted from 2018 to 2022, used data gathered in SBRT services on a number of patients grouped by condition, the quality of therapeutic water accessed by patients and of waste water discharged into the lake, books and documents specific to the proposed topic. Results: Starting with the pandemic year 2020, patients are also referred to SBRT for treatment of post covid after-effects (restrictive/obstructive respiratory diseases). Water waste discharged into Lake Techirghiol in 2020 exceeds the legal limits for the arithmetic mean values of nitrogen ammonia, returning to normal in 2021 (2.88 mg/l), reaching 0.24mg/l in 2022. Considering the 2020 pandemic year as the reference year, the number of tourists in 2020 decreased by 58% compared to 2018 and by 37% compared to 2019, with an increase of 42% and 43% in 2021 and 2022 respectively. Conclusions: The number of patients accessing natural factor therapies in the time period analysed has seen a steady postpandemic increase. The sustainable development of spa tourism in the Techirghiol area requires an integrative approach that ensures environmental protection.