Bon Signori

7/29/2019 Bon Signori

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LIFELONG LEARNING PROGRAMME

sub-programme Leonardo da VinciTHERMAL BATHS for ACTIVE AGEING



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

2 Fausto Bonsignori MD , Medical Director Petriolo Terme



AGEING and POPULATION

THE POPULATION OF EUROPEAN REGION IS AGEING RAPIDLY

• 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 betweencountries.




AGEING and POPULATION

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 years39.914 > 90 years

Università del Sacro Cuore, Roma 2013




THERMAL MEDICINE

CRENOTHERAPY ( from greek crenè = source ) is the branche of

medicine that studies the ACTION OF VARIUS THERAPEUTIC

MEANS OF THERMAL ENVIRONMENT.

CRENOTHERAPY stand for THERMAL MEDICINE

MEDICAL HYDROLOGY is the branch of medicine that studies the

TERAPEUTIC APPLICATION OF WATER WITH SPECIFIC

PHARMACOLOGICAL ACTIONS 5 Fausto Bonsignori MD , Medical Director Petriolo Terme



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Thermal medicineCrenotherapy

Thalasso

therapy

Microcl.

therapy

External

TM

Balneother .

showers

Mud th.

internal

TM

Drinking t.

Irrigation

inhalation

Fausto Bonsignori MD , Medical Director Petriolo Terme



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BALNEOTHERAPY DEFINITION

BATH WITH CURATIVE INTENT, IN

WARM OR WARMED MINERAL

WATER

PURE OR DILUTED WATER

WATER CONCENTRADED IN

BRINE AND THEN DILUTED




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TERMAS de CUNTIS




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SANATORIUL TECHIRGHIOL




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BALNEOTHERAPY METHODS

BALNEOTHERAPY IN SINGLE HYDROTHERAPIC BATH

BALNEOTHERAPY WITH ELEMENTS

BALNEOTHERAPY IN POOLS

LOCAL BALNOTHERAPY

WATER PASSAGE

JET SHOWER

RAIN SHOWER (VICHY SHOWER)

SCOTTISCH SHOWER




Cuntis : therapeutic poolTechirghiol : therapeutic

pool





Individual therapeutic bath

in CuntisLocal balneotherapy in

Techirghiol

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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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ELDERLY PATIENT : INDICATIONS




SYSTEMIC or LOCAL ACTIONS ASPECIFIC or ASPECIFIC ACTIONS

THERMAL ACTION

OSMOTIC ACTION

DIRECT or INDIRECT ENDOCRINE ACTION

ACTION of MINERALIZATION

ACTION on BASAL METABOLISM

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MECHANISM OF ACTION




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RHEUMATIC DISEASES

In Italy the rheumatic diseases effect abaut 6 millionpeople or abaut 10% of the population, the proportion ismuch after the age of 65

Pathology % on RD

Osteoarthritis 7 2,63

Extra-articular rheumatism 12,71

Ankylosing spondylitis 7,45

Gout 2,03

Other 2,44




COMBINED ACTION of MECHANICAL, CHEMICAL andPHYSICAL INCENTIVES

THERMAL ASSIMILATION and INVERSION

Uniform temperature in woole body . Strong thermal

increase in periarticular areas

a ) improvement of microcirculation and better tissue

oxygenation

b ) activation of lysososmial enzymes active on the

connettive matrix. Improving the microcirculation-tissue

exchange16

BALNEOTHERAPY ACTION IN RD




BALNEOTHERAPY ACTIONS IN RD

MECHANICAL ACTIVITIES

Muscle tone, articular mobility,

pain

PHYSICAL ACTIVITIES

Surface-periarticular hyperemia .

Increased oxygenation.

Removal of inflammationfactors

CHEMICAL ACTIVITIES

According to water characteristics17 Fausto Bonsignori MD , Medical Director Petriolo Terme



BALNEOTHERAPY ACTIONS IN RD

ANTI INFIAMMATORY

Inibition secrection of prostaglandin E (PGE2) and

leucotrien B4

ACTION ON CARTILAGE METABOLISM

Reduction of condrolesive cytokinins ( IL-1 e TNF alfa )

Increase of protective factors ( IGF-1)

HORMONAL STIMULATION

Beta Endorphin , enkephalins, serotonin - modulation




PHYSICAL ACTIVITY IN WATER

Therapeutic cycling in the

water

Therapeutic walking in the

water




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 andstable biochemical indices

Quantitative and qualitative reduction of recurrences

Lower drugs consumption and reduced tachyphylaxis

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GUIDELINES




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GUIDELINES

POOLSMax 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 33-35° C (VARIABLE)

TREATMENT TIME 20 MIN

BODY IMMERSION 3/4

AFTER TREATMENT REST PERIOD OF 20 MIN




GUIDELINES

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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 : 27-

30°c/24-26°c . Whirlpools,

cobblestone floor. Fausto Bonsignori MD , Medical Director Petriolo Terme



THERAPEUTIC SHOWERS

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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. Patientstanding at a distance of 2,5-3 m

treatment time : 10’




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THERAPEUTIC SHOWERS

RAIN SHOWER ( VICHYSHOWER ) 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 emitthermal water at different

temperature. Alternating or

simultaneously. Treatment

time 5’ Fausto Bonsignori MD , Medical Director Petriolo Terme



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THANKS TO OUR ROMANIAN AND SPANISH

FRIENDS FOR THEIR COLLABORATION



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HYDROBIKE

32 Fausto Bonsignori MD Medical Director

Bon Signori

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