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AGEING
AGEING IS THE BIOLOGICAL PROCESS CHARACTERIZED BY CHANGED TO DIFFERENT THAT OCCUR DURING THE LIFE
These changed lead an increasing difficulty of adaption to environment, in a broad sense, and as a result cause of greater fragility
VARIABILES IN THE PROCESS OF AGEING NATURAL VARIABLES LIFESTYLES SOCIAL AND ECONOMIC SITUATION ,CULTURAL LEVEL
Fausto Bonsignori MD , Medical Director Petriolo Terme
THE MEDIAN AGE IS ALREADY THE HIGSTET IN THE WORLD THE PROPORTION OF PEOPLE AGED 65 AND OLDER IS FORECAST TO INCREASE FROM 14% IN 2010 TO 25% IN 2050
People in every part of the Region are living longer, but their chances of spending these later years in good health and well-being vary within and between countries.
LIFE EXPECTANCY IN ITALY : 1939 : 54,9 years 1959 : 65,9 years 2011 : 79,9 MAN ( + 7 months in just 4 years ) 84,5 WOMAN ( + 5 months in just 4 years) TUSCANY : 1.267.623 > 60 years 39.914 > 90 years Universit del Sacro Cuore, Roma 2013
4 Fausto Bonsignori MD , Medical Director Petriolo Terme
THERMAL MEDICINE
CRENOTHERAPY ( from greek cren = source ) is the branche of medicine that studies the ACTION OF VARIUS THERAPEUTIC MEANS OF THERMAL ENVIRONMENT.
internal TM
Microcl. therapy
Thalasso therapy
BALNEOTHERAPY DEFINITION
TERMAS de CUNTIS
SANATORIUL TECHIRGHIOL
BALNEOTHERAPY METHODS
WATER PASSAGE
JET SHOWER
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RHEUMATOLOGY : articular and extra-articular chronic disease DERMATOLOGY : seborrheic D. , atopic D. , psoriasis ANGIOLOGY : chronic lynphatic-venous insufficiency of the legs PREVENTIVE MEDICINE : secondary and tertiary prevention REHABILITATION : traumatic and neurological injures, post thrombotic syndrome, heart disease
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THERMAL ACTION
OSMOTIC ACTION
DIRECT or INDIRECT ENDOCRINE ACTION ACTION of MINERALIZATION ACTION on BASAL METABOLISM
Fausto Bonsignori MD , Medical Director Petriolo Terme
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RHEUMATIC DISEASES
In Italy the rheumatic diseases effect abaut 6 million people or abaut 10% of the population, the proportion is much after the age of 65 Pathology Osteoarthritis Extra-articular rheumatism Ankylosing spondylitis Gout Other
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BALNEOTHERAPY ACTION IN RD
a ) improvement of microcirculation and better tissue oxygenation b ) activation of lysososmial enzymes active on the connettive matrix. Improving the microcirculation-tissue exchange
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BALNEOTHERAPY ACTIONS IN RD
MECHANICAL ACTIVITIES Muscle tone, articular mobility, pain PHYSICAL ACTIVITIES Surface-periarticular hyperemia . Increased oxygenation. Removal of inflammation factors CHEMICAL ACTIVITIES 17 Fausto Bonsignori MD , Medical Director Petriolo Terme According to water characteristics
BALNEOTHERAPY ACTIONS IN RD
ACTION ON CARTILAGE METABOLISM Reduction of condrolesive cytokinins ( IL-1 e TNF alfa ) Increase of protective factors ( IGF-1)
PHYSICAL ACTIVITY IN WATER Therapeutic cycling in the water Therapeutic walking in the water
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GUIDELINES WHEN TO BALNEOTHERAPY Balneotherapy is contraindicated in the acute phase. Complementary and sequential therapy compared to drug therapy or surgical in chronic degenarite disease, with no signs of acute and stable biochemical indices Quantitative and qualitative reduction of recurrences Lower drugs consumption and reduced tachyphylaxis
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GUIDELINES POOLS Max height 120-130 cm , diving handrail along perimeter 10 cm chairs and beds ( 40 and 20 cm ) , whirpools HYDROTERAPIC SINGLE BATH standard size length 210-220 cm , width 85-90 cm , capacity 200-220 lt , whirpools
TEMPERATURE TREATMENT TIME BODY IMMERSION 33-35 C (VARIABLE) 20 MIN 3/4
AFTER TREATMENT
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GUIDELINES
LOCAL BALNEOTHERAPHY baths for hands and feets temperature variable , time 20 Whirlpools WATER PASSAGE 2 long (8-10 mt) and narrow pools , near but no connected, 50-60 cm, deep, water with different temperature : 2730c/24-26c . Whirlpools, cobblestone floor. Fausto Bonsignori MD , Medical Director Petriolo Terme 22
THERAPEUTIC SHOWERS
UNDERWATER SHOWER Operator directs the underwater jet (1-3 atm ) toward the patient immersed
JET SHOWER Operator directs, with specific method, a powerful ject of thermal water. Patient standing at a distance of 2,5-3 m treatment time : 10
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THERAPEUTIC SHOWERS
RAIN SHOWER ( VICHY SHOWER ) patient lying on particolar bed. Multiple filiform jets of thermal water on the whole body. Treatment time : 15 SCOTTISH SHOWER patient standind surrounded by dispenser that emit thermal water at different temperature. Alternating or simultaneously. Treatment time 5
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HYDROBIKE
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