Lyme borreliosis presenting as severe back pain after Shinrin-Yoku (forest bathing) in southern Germany

Weitzel, Thomas; Pérez, Inia; Porte, Lorena

doi:10.1093/jtm/taab030

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Furthermore, it is essential to consider the safety aspects in the forest itself respecting the hazards inherent in the forest. Protection against ticks is necessary to avoid transmitting tick-borne encephalitis or Lyme disease [28]. Berries should not be eaten because of the danger of fox tapeworm.…”

Section: Discussionmentioning

confidence: 99%

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Heckmann,

Kiem,

Immich

2023

Complement Med Res

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Background: Forest therapy demonstrates positive effects on mood, immune system, stress levels and general well-being. Studies on depression, stress-related illnesses, sleep disorders and arterial hypertension have provided evidence-based proof of this. Summary: The aim of this review was to examine the possible effects of forest therapy with regard to its evidence in the treatment of chronic neurological diseases such as stroke in the rehabilitation phase, Parkinson's disease, dementia and multiple sclerosis. Therefore, the electronic databases Medline, Scopus and Cochrane were searched for such clinical trials for the years 1970 to mid-2023 without language restriction. The literature search revealed only few studies with positive indications but too few cases to be able to make generalizable evidence-based statements. In terms of improvement in the Hamilton Depression Scale analysis of two studies in stroke patients showed slight benefits in the forest therapy group (Standard Mean Difference -0.43; 95%-CI -0.76- -0,10; p<0.01). One observational study revealed a higher rate of stroke survival in patients living in marked greenness. Few nature-based interventions in dementia patients showed certain benefits in particular details. Key messages: There are no evidence-based results on the benefit of forest therapy for chronic neurological diseases. However, there are hints that forest therapy could have a positive benefit. Therefore, a proposal for forest therapy as a component of multimodal neurological rehabilitation is presented.

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Section: Discussionmentioning

confidence: 99%

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Heckmann,

Kiem,

Immich

2023

Complement Med Res

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“…It is based on forest resources and the theoretical basis of Western medicine. It combines medical and recreational service facilities to carry out modern tourism activities such as forest recuperation, health care, old-age support, health maintenance, and vacation [22,23]. It was the first forest bath base in the world founded in Germany in the 1940s.…”

Section: Related Workmentioning

confidence: 99%

A Comprehensive Evaluation of Environmental Quality for Health Ecotourism in Huangshan National Forest Park

Zhu

Jiang

2022

Mobile Information Systems

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In recent years, people’s life rhythm is fast due to which life pressure is increasing, and the ecological environment is seriously polluted. All these factors contribute to serious physical and mental health issues, posing a direct threat to people’s health. Due to these factors, health tourism and recreational tourism of traditional Chinese medicine pay more attention. In this paper, Huangshan National Forest Park is selected as the actual research object, and the environmental quality of healthy ecotourism is analyzed according to the current situation of the forest park. It employs the analytic hierarchy process (AHP) to identify 12 different indicators of ecotourism’s environmental quality. It establishes a comprehensive evaluation index system for the ecotourism environmental quality, as well as an evaluation model based on this system. Furthermore, a comprehensive evaluation model is established using the fuzzy math analysis method, and five levels of standards are established to judge the level of ecodevelopment of the Huangshan National Forest Health and Maintenance. By calculating the weight of each index in the evaluation system, the result of a comprehensive evaluation is 75.92 points, which is in the good grade. The experimental results show that the eco-environmental resources in Huangshan National Forest Park are of higher quality. The planned landscape is more attractive, the eco-environmental area is larger, the cleanliness of the air in the forest park is higher, and the service personnel have higher cultural literacy.

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Deep roots: Realising the public health benefits of exposure to forest environments

Le Gear,

Carlin,

Flaherty

2023

Advances in Integrative Medicine

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Lyme borreliosis presenting as severe back pain after Shinrin-Yoku (forest bathing) in southern Germany

Abstract: Since Lyme borreliosis is endemic in the Northern Hemisphere, it is usually not in the spotlight of travel medicine. However, borreliosis is a relevant problem and diagnostic challenge in travelers from the Southern Hemisphere returning from trips to Europe and North America.

Cited by 3 publications

References 6 publications

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

Forest Therapy as a Nature-Based Intervention: An Option for Neurological Rehabilitation?

A Comprehensive Evaluation of Environmental Quality for Health Ecotourism in Huangshan National Forest Park

Deep roots: Realising the public health benefits of exposure to forest environments

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