Comprehensive Therapy for Congestive Heart Failure: A Novel Approach Incorporating Thermal Vasodilation.

Tanaka, Nobuyuki

doi:10.2169/internalmedicine.35.67

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…During a series of studies, these researchers found that during a single 10‐min immersion in a hot water bath (41°C), both pulmonary wedge pressure and right atrial pressure dropped by 25%, whereas cardiac output and stroke volume both increased [23,24]. In a subsequent study of patients using warm water immersion or sauna bath one to 2 times per day, 5 days per week for 4 weeks, they found improvement in ejection fractions of nearly 30% accompanied by reduction in left ventricular end‐diastolic dimension, along with subjective improvement in quality of life, sleep quality, and general well‐being [25]. Studies of elderly individuals with systolic congestive heart failure during warm water immersion found that most such individuals demonstrated an increase in cardiac output and ejection fractions during immersion [26,27].…”

Section: Applications In Cardiovascular and Cardiopulmonary Rehabilitmentioning

confidence: 99%

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Becker

2009

PM&R

428

390

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The aquatic environment has broad rehabilitative potential, extending from the treatment of acute injuries through health maintenance in the face of chronic diseases, yet it remains an underused modality. There is an extensive research base supporting aquatic therapy, both within the basic science literature and clinical literature. This article describes the many physiologic changes that occur during immersion as applied to a range of common rehabilitative issues and problems. Because of its wide margin of therapeutic safety and clinical adaptability, aquatic therapy is a very useful tool in the rehabilitative toolbox. Through a better understanding of the applied physiology, the practitioner may structure appropriate therapeutic programs for a diverse patient population.

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Section: Applications In Cardiovascular and Cardiopulmonary Rehabilitmentioning

confidence: 99%

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Becker

2009

PM&R

428

390

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show abstract

“…Therefore, using aquatic exercise as a means of cardiac rehabilitation can be beneficial, especially after ischemic heart injury caused by a decreased blood flow (Cider, Schaufelberger, Sunnerhagen, & Andersson, 2003;Cider, Sunnerhagen, Schaufelberger, & Andersson, 2005;Cider et al, 2006;Gabrielsen et al, 2000;Gruner Svealv et al, 2009;Jiang et al, 1994;Meyer & Leblanc, 2008;Mussivand et al, 2008;Tei et al, 1995;Tei & Tanaka, 1996a, 1996b. Over time, the cardiac muscle, as with all aging muscles, takes longer to achieve peak force and has an extended refractory period.…”

Section: Introductionmentioning

confidence: 99%

Age-Dependent Autonomic Changes Following Immersion in Cool, Neutral, and Warm Water Temperatures

Hildenbrand¹,

Becker²,

Whitcomb³

et al. 2010

IJARE

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Aquatic immersion has been reported to produce a significant number of physiological changes in blood pressure, heart rate variability (HRV), autonomic nervous system (ANS), and core temperature in young healthy subjects. The purpose of this study was to examine the impact of water immersion in younger and older populations, determining whether there are age related differences for ANS regulation measures in cool, neutral, and warm water. Vitals and ANS measures were collected from two samples representing different age-groups in the general population. It was found that water immersion produced a significant number of important physiologic responses such as decreased blood pressure and increased SVB during the warm water cycle. These changes are important components of ANS bioregulation and clearly seem to be influenced by water temperature during immersion. There was a statistically significant relationship between ANS activity manifested by heart rate variability and water temperatures.

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“…Other thermal therapy methods studied were sauna bathing in a traditional Finnish sauna and the dry sauna approach, which utilizes infrared as the heat source. The absence of the hydrostatic component that occurs with water immersion makes the sauna methods of treatment preferable, particularly in patients with congestive heart failure 12 . The dry sauna method sauna has been studied extensively by several groups of Japanese researchers at the University of Kagoshima 2,11–17 .…”

mentioning

confidence: 99%

“…The absence of the hydrostatic component that occurs with water immersion makes the sauna methods of treatment preferable, particularly in patients with congestive heart failure 12 . The dry sauna method sauna has been studied extensively by several groups of Japanese researchers at the University of Kagoshima 2,11–17 . Those researchers have utilized this approach in subjecting patients with heart failure to dry sauna at a temperature of 60°C for a period of 15 minutes per session.…”

mentioning

confidence: 99%

Thermal Therapy: A Viable Adjunct in the Treatment of Heart Failure?

Mussivand

Alshaer

Haddad

et al. 2008

Congestive Heart Failure

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The aim of this work was to review and provide a summary of published literature on the clinical impact of thermal therapy (ie, warm water immersion, traditional sauna bathing, and dry infrared sauna) in patients with heart failure. Medline and Embase database literature searches were conducted, and studies that included measurement of heart failure‐related clinical parameters were reviewed. Thermal therapy was found to have a positive impact on key heart failure‐related parameters across multiple studies. Significant improvements were noted across a wide scope of heart failure‐related parameters in the areas of (1) endothelial function, (2) hemodynamics, (3) cardiac geometry, (4) neurohormonal markers, and (5) quality of life. Of special note, thermal therapy also conveyed a strong antiarrhythmic effect in heart failure patients. The clinical evidence highlights repeatable and compelling data showing that thermal therapy may provide an important and viable adjunct in the treatment of heart failure.

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Comprehensive Therapy for Congestive Heart Failure: A Novel Approach Incorporating Thermal Vasodilation.

Cited by 9 publications

References 8 publications

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications

Age-Dependent Autonomic Changes Following Immersion in Cool, Neutral, and Warm Water Temperatures

Thermal Therapy: A Viable Adjunct in the Treatment of Heart Failure?

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