Physiologische Grundlagen der Hydrotherapie und Bäderheilkunde

Schnizer, W.; Gehrke, A.; Drexel, H.; Pratzel, Helmut G.

doi:10.1007/978-3-642-70503-8_4

Cited by 6 publications

(5 citation statements)

References 56 publications

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“…Among other modes of action, cold-water hydrotherapy works by stimulating the sympathetic nervous system, whereby the sympathetic tone is lowered over time as part of an adaptation process. [45,59] In addition, the cold stimulus provokes local hyperemia, and thus muscular relaxation and stimulation of local metabolic processes. Since several publications on the etiology of RLS suggest the involvement of the autonomic nervous system and peripheral tissue hypoxia, [60][61][62] it is assumed that hydrotherapy according to Kneipp could be beneficial for patients with RLS owing to the effects mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Hydrotherapy and acupressure in restless legs syndrome: A randomized, controlled, 3-armed, explorative clinical trial

Kubasch,

Ortiz,

Binting

et al. 2023

Medicine

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Background: Restless legs syndrome (RLS) is a common neurological disease that has a significant impact on daily activities and quality of life, for which there is often no satisfactory therapy. Complementary medicine, such as acupressure and hydrotherapy, is used to treat patients with RLS; however, the clinical evidence is unclear. This study aims to investigate the effects and feasibility of self-administered hydrotherapy and acupressure in patients with RLS. Methods: This is a randomized, controlled, open-label, exploratory, clinical study with 3 parallel arms, comparing both self-applied hydrotherapy (according to the German non-medical naturopath Sebastian Kneipp) and acupressure in addition to routine care in comparison to routine care alone (waiting list control) in patients with RLS. Fifty-one patients with at least moderate restless-legs syndrome will be randomized. Patients in the hydrotherapy group will be trained in the self-application of cold knee/lower leg affusions twice daily for 6 weeks. The acupressure group will be trained in the self-application of 6-point-acupressure therapy once daily for 6 weeks. Both interventions take approximately 20 minutes daily. The 6-week mandatory study intervention phase, which is in addition to the patient preexisting routine care treatment, is followed by a 6-week follow-up phase with optional interventions. The waitlist group will not receive any study intervention in addition to their routine care before the end of week 12. Outcome parameters including RLS-severity, disease and health-related quality of life (RLS-QoL, SF-12), Hospital Anxiety and Depression Score in German version, general self-efficacy scale, and study intervention safety will be measured at baseline and after 6 and 12 weeks. The statistical analyses will be descriptive and exploratory. Conclusion: In the case of clinically relevant therapeutic effects, feasibility, and therapeutic safety, the results will be the basis for planning a future confirmatory randomized trial and for helping to develop further RLS self-treatment concepts.

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Section: Discussionmentioning

confidence: 99%

Hydrotherapy and acupressure in restless legs syndrome: A randomized, controlled, 3-armed, explorative clinical trial

Kubasch,

Ortiz,

Binting

et al. 2023

Medicine

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“…Although mud ingredients seem to have no effect better than placebo in rheumatic diseases, they may enhance the sulfur permeability of the skin [21]. The cutaneously available sulfur brings about an improvement in cutaneous/peripheral circulation [22,23] and in heat sensation as well as reduced pain sensation [20]. The influence on the relatively sulfur-depleted articular cartilage in the case of osteoarthritis and various immunological effects have been discussed elsewhere [19,20].…”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy of the Serial Application of a Sulfurated Mud Bath at Home

et al. 2000

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The purpose of this randomized controlled trial was to evaluate the analgesic efficacy of a series of applications of sulfurated mud baths in outpatients suffering from back pain. Within 2 weeks 13 patients took 6 sulfurated mud baths (group A) and 12 patients 6 tap water baths (group B) at home. Before the bath and over 48 h after starting the 1st and the 6th bath, pain intensity was evaluated by the patients according to a visual analogue scale (VAS). The main outcome parameter was the weighted (for time of observation) sum of pain intensity (SPI) after the 6th bath. The mean SPI in group A was 741 mm × h (95% CI 594–864 mm × h) and in group B 1,112 mm × h (95% CI 929–1,252 mm × h) (p = 0.009), suggesting a significantly stronger analgesic effect of a series of sulfurated mud baths than of a series of tap water baths.

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“…Typischerweise braucht es mehrere Wochen bis zur Entwicklung eines stabilen Adaptats [7]. Als Folge von seriellen Kaltwasseranwendungen wird die Regulationsfähigkeit des Organismus bei Kältereizen gefördert [15]. So kommt es z.…”

Section: Reaktive Hyperämieunclassified

Hydrotherapie bei Wechseljahresbeschwerden

Ortiz¹

2011

Zeitschrift für Komplementärmedizin

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Physiologische Grundlagen der Hydrotherapie und Bäderheilkunde

Cited by 6 publications

References 56 publications

Hydrotherapy and acupressure in restless legs syndrome: A randomized, controlled, 3-armed, explorative clinical trial

Hydrotherapy and acupressure in restless legs syndrome: A randomized, controlled, 3-armed, explorative clinical trial

Analgesic Efficacy of the Serial Application of a Sulfurated Mud Bath at Home

Hydrotherapie bei Wechseljahresbeschwerden

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