Medical Hydrology and Balneology: Environmental Aspects

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Sulphurous mineral water for lower limb ostheoarthrities therapy in elderly? Short and long term outcome Cinteza D (1) , Poenaru D (1) , Dima A (1) , Cristea A (1) , Petrusca I (1) (1) National Institute of Rehabilitation, Physical Medicine and Balneology, Bucharest, Romania delcint@yahoo.com Introduction and Objectives The objective of this work was to follow some clinical and functional parameters of knee and/or hip ostheoarthritis, in order to evaluate the therapeutic effects of sulphurous mineral water from Pucioasa balnear resort. Materials and Methods We studied 570 pacients with knee and/or hip ostheoarthrities, treated in Pucioasa balnear resort during 2010; they accepted to enter this study and they came after one year for another balnear cure for the same pathology. The group consisted of 325 women and 245 men, 65 to 87 years of age, acceped for tratment according with well-establish criteria. 36% of them needed surgical treatement, but they refused that for different reasons. 10% from the group with knee localization had inflamatory exacerbation at the baseline. More than three quarters refused to walk with a cane, despite the pain and the poor gait pattern. We used QOL questionnaires and a clinical evaluation report (WOMAC scale, VAS, clinical items of gait analysis etc) to be completed at baseline, after 18 days of treatement and after 1 year. Adverse effects were also noted. For the third evaluation, the number of exarcerbation and/or hospitalizations for lower limb ostheoarthritis were recorded. Results All the patients received sulphurous mineral applications as general bath during 18 treatment days, using a standardized methodology; cardiac function was daily evaluated.The treatment also included education and adapted physical exercises. Clinical complaints were significantly reduced comparing with the baseline level, even for those with inflamatory exacerbation. Qol and patient satisfaction also had a significant improvment. After one year, 102 patients had more than one clinical exacerbation of the pain; 35 patients suffered a surgical procedure (26 hip replacement and 9 knee replacement); radiologic evaluation for the others showed no further joint deterioration. Balnea 2012, núm. 6, 332-333 332 ISBN: 978-84-669-1887-0 978-84-669-3482-4
Balnea 2012, núm. 6, 332-333 Medical Hydrology and Balneology: Environmental Aspects More than half of the patients were using a cane and followed the medical advices concerning physical exercises and joint protection. Conclusions Balnear therapy with sulphurous mineral water determined a significant and consistent improvement of clinical aspects and quality of life for knee and/or hip ostheoarthritis patients in our study. The health education under continous medical supervision during the 18 days cure helped the patients compliance for medical advices and joint protection. Keywords: Sulphurous Mineral Water, Knee Ostheoarthritis, Hip Ostheoarthritis 333
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Balnea ISSN: 978-84-669-3482-4 Núm
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Balnea 2012, Núm. 6, 9-24 Contents
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Posters Papers Balnea 2012, Núm. 6
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38 th World Congress of the Interna
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38 th World Congress of the Interna
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Honorary Committee Honorary Preside
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PROGRAMME
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34 Medical Hydrology and Balneology
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SCIENTIFIC SESSIONS
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What’s new in Balneology? Karagü
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Balneology in Europe: results of a
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Balneology Research in Germany Gute
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Balneology Research in France Roque
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The State of art - Session 01 Lectu
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Medical Hydrology and Balneology: E
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Health resort therapy (spa therapy)
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The State of art, Health Resort Med
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State of the art, Health Resort Med
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The State of the art, Health Resort
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Impact of sulphurous water endotymp
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Balnea 2012, núm. 6, 64-65 Medical
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Methodology of Scientific Investiga
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Effectiveness the treatments with n
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Building a preventive medicine mode
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Climatotherapy - Thalassotherapy -
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Is Thalassotherapy simply a type of
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Assessment of the impact of weather
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Marine zootherapy as part of thalas
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Thalassotherapy and otaridotheraphy
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Thalasso medical centre in the salt
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Acute atopic dermatitis and balneot
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Change of the psoriasis area and se
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Climatotherapy - Dead Sea - Session
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Ultra-violet (UV) radiation propert
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Climatotherapy of skin diseases at
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Influence of single immersion in De
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New Trends 2 - Session 06 Lectures
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Implementing comprehensive care cli
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Results 138 Medical Hydrology and B
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Thermophysical study of peat from t
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Société Française de Médecine T
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Therapeutic education programs for
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Metabolic Syndrome: education progr
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Development of a therapeutic progra
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Therapeutic education for patients
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Withdrawal from benzodiapezines in
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A proposal for a glossary of peloid
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Biophysical skin effects of peloids
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Mud cure in Russia: history, achiev
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Clinical effects of mud-bath therap
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Impact of peloidotherapy on hystolo
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Impact of Mud Therapy in pathogenes
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Effects of mud-bath applications on
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Chondrogenic effect of the sulphuri
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Balneotherapy and mud-therapy in kn
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Biology - Session 09 Lectures Vetri
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Which is better for health promotio
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Heat-shock protein 70 is affected b
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A possible physiological mechanism
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Thermal changes of fingers after co
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Case study: geochemical transformat
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Hydrogen sulfide as an anti-inflama
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Determination of selenium in minera
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Scientific Basics of Water and Hydr
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Balnea 2012, núm. 6, 208-209 Medic
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Health tourism sustainable - Enviro
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Recent contributions of the Geologi
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Salt rooms and halotherapy in europ
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Meteo-climatic factors influence an
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Carbocrenotherapy and the scleroder
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Legionella infection from spa water
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Threats and opportunities facing Fr
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Miscellaneous - 1 - Session 14 Lect
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“Balneo-check”: software for ba
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Clinical practice and scientific in
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Mud maturation in Copahue, Argentin
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Efficacy and tolerability of mud pa
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Climatotherapy - Thalassotherapy De
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Temperature and relative air humidi
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The medical spa preferences of the
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Therapeutic indications of the mine
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Study of density, thermal conductiv
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Efficency of underwater ultrasound
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Health workers knowledge about medi
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Historiography of acidulous waters
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Perception and Knowledge about Baln
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Splendour and decadence of spa tour
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Metlak A: 227 Michán A: 102 Mígue
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Vita P: 74 Vitale M: 46, 63 Vitoria
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