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| REVIEW ARTICLE |
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| Year : 2014 | Volume
: 6
| Issue : 5 | Page : 199-209 |
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Scientific evidence-based effects of hydrotherapy on various systems of the body
A Mooventhan1, L Nivethitha2
1 Naturopathy Clinical, SDM College of Naturopathy and Yogic Sciences, Ujire, India
2 Department of Research and Development, S-VYASA University, Bangalore, Karnataka, India
| Date of Web Publication | 21-May-2014 |
Correspondence Address:
A Mooventhan
Department of Naturopathy clinical, SDM College of Naturopathy and Yogic Sciences, Ujire, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1947-2714.132935
The use of water for various treatments (hydrotherapy) is probably as old as mankind. Hydrotherapy is one of the basic methods of treatment widely used in the system of natural medicine, which is also called as water therapy, aquatic therapy, pool therapy, and balneotherapy. Use of water in various forms and in various temperatures can produce different effects on different system of the body. Many studies/reviews reported the effects of hydrotherapy only on very few systems and there is lack of studies/reviews in reporting the evidence-based effects of hydrotherapy on various systems. We performed PubMed and PubMed central search to review relevant articles in English literature based on "effects of hydrotherapy/balneotherapy" on various systems of the body. Based on the available literature this review suggests that the hydrotherapy has a scientific evidence-based effect on various systems of the body. Keywords: Evidence-based effects, Hydrotherapy, Various systems
How to cite this article:
Mooventhan A, Nivethitha L. Scientific evidence-based effects of hydrotherapy on various systems of the body. North Am J Med Sci 2014;6:199-209 |
How to cite this URL:
Mooventhan A, Nivethitha L. Scientific evidence-based effects of hydrotherapy on various systems of the body. North Am J Med Sci [serial online] 2014 [cited 2023 Mar 26];6:199-209. Available from: https://www.najms.org/text.asp?2014/6/5/199/132935 |
| Introduction | |  |
Hydrotherapy is the external or internal use of water in any of its forms (water, ice, steam) for health promotion or treatment of various diseases with various temperatures, pressure, duration, and site. It is one of the naturopathic treatment modality used widely in ancient cultures including India, Egypt, China, etc. [1] Though many countries used water to produce different physiological/therapeutic effects on different part of the system for maintaining health, preventing, and treating the diseases, the scientific evidence-based effects are not well documented. There are many studies/reviews that reported either physiological or therapeutic or combination of both the effects of hydrotherapy on particular system but did not report in all the major systems of the body, which made us to do this review with the aim and objective to report scientific evidenced-based effects of hydrotherapy on various systems of the body. In order to provide a general overview, we performed PubMed and PubMed central search to review relevant articles in English literature based on "effects of hydrotherapy/balneotherapy" on various systems of the body. Articles published from 1986 to 2012 were included in this review.
Hydrotheraphy in general
Superficial cold application may cause physiologic reactions such as decrease in local metabolic function, local edema, nerve conduction velocity (NCV), muscle spasm, and increase in local anesthetic effects. [2]
One hour head-out water immersions (WI) in various temperatures (32°C, 20°C, and 14°C) produced various effects. Immersion at 32°C did not change metabolic rate (MR) and rectal temperature (Tre), but it lowered the heart rate (HR) by 15%, systolic blood pressure (SBP) and diastolic blood pressure (DBP) by 11% and 12%, respectively, compared, with controls at ambient air temperature. Along with HR and blood pressure (BP), the plasma renin activity, plasma cortisol, and aldosterone concentrations were also lowered by 46%, 34%, and 17%, respectively, while diuresis was increased by 107%. [3]
Immersion at 20°C produced similar decrease in plasma renin activity, HR, SBP, and DBP, in spite of lowered Tre and increased MR by 93%. Plasma cortisol concentrations tended to decrease, while plasma aldosterone concentration was unchanged. Diuresis was increased by 89%. No significant differences in changes in plasma renin activity, aldosterone concentration, and diuresis compared with subjects immersed in 32°C. [3]
Immersion at 14°C lowered Tre and increased MR by 350%, HR, SBP, and DBP by 5%, 7%, and 8%, respectively. Plasma noradrenaline and dopamine concentrations were increased by 530% and by 250%, respectively, while diuresis increased by 163%, which was more than at 32°C. Plasma aldosterone concentrations increased by 23%. Plasma renin activity was reduced. Cortisol concentrations tended to decrease. Plasma adrenaline concentrations remained unchanged. Changes in plasma renin activity were not related to changes in aldosterone concentrations. [3]
WI in different temperatures did not increase blood concentrations of cortisol. There was no correlation between changes in Tre and changes in hormone production. The physiological changes induced by WI are mediated by humoral control mechanisms, while responses induced by cold are mainly due to increased activity of the sympathetic nervous system (SNS). [3]
Regular winter swimming significantly decreased tension, fatigue, memory, and mood negative state points with the duration of swimming period; significantly increased vigor-activity scores; relieved pain who suffered from rheumatism, fibromyalgia, or asthma; and improved general well-being in swimmers. [4]
Cardiovascular system
Cold exposure (CE) to small surface area produced compensatory vasodilatation in deeper vascular system resulting increased blood flow to the tissues underlying the site of exposure. This vascular reaction occurs mainly to maintain constant deep tissue temperature. [2]
In patient with chronic heart failure (CHF), thermal vasodilatation following warm-water bathing and low-temperature sauna bathing (LTSB) at 60°C for 15 min improves cardiac function; [5] repeated sauna-therapy (ST) increased left ventricular ejection fraction; increased 6-min walk distance in association with improvement in flow-mediated dilation and increase in number of circulating CD34 (+) cells; reduced plasma levels of norepinephrine and brain natriuretic peptide. These indicates that ST improves exercise tolerance in association with improvement in endothelial function. [6] LTSB improves peripheral circulation in cerebral palsy (CP). [5]
After ST reduced level of total and low density lipoprotein (LDL)-cholesterol concentration, while increased level of high density lipoprotein (HDL)-cholesterol was observed. These changes are good prognoses for the prevention of ischemic heart disease. [7] ST increases endothelial nitric oxide synthase (eNOS) activity and improves cardiac function in heart failure and improve peripheral blood flow in ischemic limbs. In myocardial infarction (MI)-induced Wistar rats ST increases myocardial eNOS, vascular endothelial growth factor mRNA levels. It attenuates cardiac remodeling after MI through improving coronary vascularity in the noninfarcted myocardium and thus ST might serve as a novel noninvasive therapy for patients with MI. [8] Acute MI was thought to result from thrombosis or plaque rupture because of coronary artery spasm. The vasospasm might be induced by stimulation of the alpha-adrenergic receptors during alternating heat exposure during sauna bath followed by rapid cooling during cold water bath. This effect showed the dangers of rapid cooling after sauna bathing in patients with coronary risk factors. [9] Regular ST (either radiant heat or far-infrared units) appears to be safe and produce multiple health benefits but use of ST in early pregnancy is a potential concern because evidence suggesting that hyperthermia might be teratogenic. [10]
Cold water immersion (CWI) induces significant physiological and biochemical changes in the body such as increase in HR, BP, metabolism, and peripheral catecholamine concentration; and decrease in cerebral blood flow. [11]
Reduction in HR, and increases in systolic and diastolic biventricular functions, were observed during acute warm-WI. [12] In contrast, increase in HR and a decrease in SBP and DBP were observed in 30 min of head-out WI (38.41 ± 0.04°C). [13]
Hyperthermic immersion (HI) produced shortening of activated partial thromboplastin time. During HI plasminogen activator inhibitor (PAI) activity was decreased; thrombocyte count was increased; increases in tissue-type plasminogen activator concentration and leukocytes count were attributed to hemoconcentration. Immediately after HI, fibrinogen concentration decreased but increased during recovery. During thermo-neutral immersion prothrombin time, PAI activity and granulocyte count ecreased. Warm water bathing leads to hemoconcentration and minimal activation of coagulation; decrease in PAI-1 activity. During warm water bathing, marked risk for thrombotic or bleeding complications in healthy males could not be ascertained. [14] During contrast baths, longer duration in the second heating phase was required to produce sufficient fluctuation in blood flow. [15]
WI up-to shoulder levels at different temperatures (25°C, 34°C, and 40°C) showed no significant effect on cardiac output in 25°C compared with 34°C, but in 40°C a considerable increase in cardiac output was observed. [16]
Carbon dioxide (CO 2 ) enriched WI reduced free radical plasma levels, raised antioxidants levels, and induce peripheral vasodilatation suggests improvement in microcirculation. [17],[18] Decrease in tympanic temperature; increase in cutaneous blood flow at immersed site was significantly greater in CO 2 -WI compared with fresh WI. [18] The three main effects of CO 2 enriched WI are decline in core temperature, increase in cutaneous blood flow, and elevation of score on thermal sensation, which were analyzed. [19]
Respiratory system
WI up-to shoulder levels at different temperatures (25°C, 34°C, and 40°C) showed increased MR, oxygen (O 2 ) consumption (VO 2 ) only at 25°C. Two main factors affecting O 2 transport during immersion are temperature and hydrostatic pressure. O 2 transport was improved above neutral temperature, because of increase in cardiac output resulting from the combined actions of hydrostatic counter pressure and body heating. Below neutral temperature, O 2 transport is altered. At any of the temperatures tested, the pulmonary tissue volume and arterial blood gases were not significantly affected. [16]
Significant decrease in vital capacity (VC) with bath temperature was observed (i.e., VC at 40°C >34°C >25°C). Significant increase in tidal volume (VT) in cold or hot water compared with thermo neutral water (i.e., VT 40°C >34°C< 25°C). Alterations in respiratory muscles functioning might produce variations of the pulmonary volumes as a function of water temperature. [20]
CWI was associated with increase in respiratory minute volume and decrease in end tidal CO 2 partial pressure. [11] Repeated cold water stimulations reduced frequency of infections; increased peak expiratory flow, lymphocyte counts, and expression of gamma-interferon; modulated interleukin expression; and improved quality of life (QOL) in patients with chronic obstructive pulmonary disease. [21]
In children suffering from recurrent and asthmatic bronchitis in remission, a single total air bath, or douche and local (cooling of the feet with water) exposure to mild cold did not raise noticeable disorders of the respiratory function. Local cold procedures improve bronchial patency but heat exposure resulted in its worsening. [22]
Inhaling hot air while in a sauna produced no significant impact on overall symptom severity of common cold. [23] A male track and field athlete, a case of breathing difficulties at rest and during exercise, was exacerbated in the supine position and during WI. [24]
Nervous system
Three cold modalities such as ice massage, ice pack, and CWI applied to right calf region for 15min reduced skin temperature (Tsk) (mean 18.2°C); reduced amplitude and increased latency and duration of compound action potential. It also reduced sensory NCV by 20.4, 16.7, and 22.6 m/s and motor NCV by 2.5, 2.1, and 8.3 m/s, respectively. Even though all three modalities effectively reduced Tsk and sensory conduction at a physiological level, CWI is the most indicated, effective modality for inducing therapeutic effects associated with the reduction of motor nerve conduction. [25]
Temperature and pressure of water in aquatic or hydrotherapy can block nociceptors by acting on thermal receptors and mechanoreceptors and exert positive effect on spinal segmental mechanisms, which is useful for painful condition. [26] Forty sessions of Ai Chi aquatic exercise (AE) program improves pain, spasms, disability, fatigue, depression, and autonomy in patient with multiple sclerosis. [27]
In a study on physiotherapy on land or water in patient with Parkinson's disease (PD), functional reach test was improved in both therapies, but Berg Balance Scale (BBS) and Unified Parkinson's Disease Rating Scale (UPDRS) were improved only in aquatic therapy group. It indicates improvement in postural stability in PD was significantly larger after aquatic therapy. [28]
Sauna bath on paraplegic (P) group and tetraplegic (T) group, HR increased significantly during sauna but decreased significantly during postsauna phase in P group. DBP significantly reduced in T group during postsauna phase but no significant changes in SBP in both the groups. [29]
In a study on CP, LTSB produced increase in HR and cardiac output; decrease in BP and total peripheral resistance; significant improvement in skin blood flow, blood flow velocity, pulsatile index, and resistive index; decrease in numbness and chronic myalgia of the extremities with no adverse effects. [5]
Ten minutes of immersions in whirlpools produced increases in pulse and finger temperature with increased feelings of well-being and decreased state anxiety. [30] CO 2 -WI activates parasympathetic nerve activity in humans. [18]
Adapted cold shower might have antipsychotic effect similar to that of electroconvulsive therapy because it could work as mild electroshock applied to sensory cortex. Additionally, cold shower is example of stress-induced analgesia and would also be expected to "crowd out" or suppress psychosis-related neurotransmission within mesolimbic system. [31]
CE can activate components of reticular activating system such as locus ceruleus and raphe nuclei, which can result in activation of behavior and increased capacity of central nervous system (CNS) to recruit motoneurons. [32] CE activates SNS; increase blood level of beta-endorphin and noradrenaline; and increase synaptic release of noradrenaline in brain. Antidepressive effect of cold shower attributed to presence of high density of cold receptors in skin expected to send an overwhelming amount of electrical impulses from peripheral nerve endings to the brain. It has significant analgesic effect and it does not cause dependence or noticeable side effects. [33] Most narcotics administered rectally can cause intoxication. There is a significant co-morbidity of schizophrenia with intestinal illnesses and thus colon cleansing can significantly improve mental state. [31]
Musculo skeletal system
Walking in water at umbilical level increases the activity of erector spinae and activates rectus femoris to levels near to or higher than walking on dry ground. [34] CWI <15°C is one of the most popular intervention used after exercise, [11],[35] which significantly lowered ratings of fatigue and potentially improved ratings of physical recovery immediately after immersion with reduction in delayed onset muscle soreness at 24, 48, 72, and 96 h follow-ups after exercise compared with passive interventions involving rest or no intervention. [35]
Rate of decrease in plasma lactate concentration over 30 min recovery period after intense anaerobic exercise was significantly higher in contrast-WI [hot (36°C) and cold (12°C)] compared with passive recovery on bed for both genders. [36]
Leg immersion in warm water (44 ± 1°C) for 45 min before stretch-shortening exercise reduced most of the indirect markers of exercise-induced muscle damage, including muscle soreness, creatine kinase activity in the blood, maximal voluntary contraction force, and jump height. Decreasing muscle damage did not improve voluntary performance, therefore clinical application of muscle prewarming may be limited. [37]
Contrast water therapy (CWT) [alternating 1-min hot (38°C) and 1-min cold (15°C)] for 6/12/18 min lowered subjective measures of thermal sensation and muscle soreness compared with control (seated rest) but no consistent differences were observed in whole body fatigue. It indicates CWT for 6 min assisted acute recovery from high-intensity running and CWT duration did not have dose-response effect on running performance recovery. [38] Contrast baths have been suggested for reducing pain; hand volume; and stiffness in affected extremities but it had no significant effect on pre- and/or postoperative hand volume in carpal tunnel syndrome. [39]
Cold water or cold/thermoneutral water did not induce modifications of inflammatory and hematological markers. The performances of athletes were not negatively influenced by CWI or CWT. Reduced perception of fatigue after training session was the principal effect of CWI [45] because CE increases opioid tone and high MR, which could diminish fatigue by reducing muscle pain and accelerating recovery of fatigued muscle, respectively, [32] which can improve training and competitions in young soccer players. [40]
A systematic review on management of fibromyalgia syndrome (FMS) through hydrotherapy described as "there is strong evidence for the use of hydrotherapy in the management of FMS" and it showed positive outcomes for pain; tender point count; and health-status. [41] Combination of ST (once daily for 3 days/week) and underwater exercise (once daily for 2 days/week) for 12 weeks significantly reduced pain and symptoms (both short- and long-term); and improved QOL in patients with FMS. [42] Pool-based exercise using deep water running three times/week for 8 weeks is safe and effective intervention for FMS because it showed significant improvement in general health and QOL compared with control; and significant improvement in fibromyalgia impact questionnaire score, incorporating pain; fatigue; physical function; stiffness; and psychological variables. [43]
Hydrotherapy may have some short-term benefit to passive range of movement in rehabilitation after rotator cuff repair. [44] Spa water (37°C) and tap water heated to 37°C for the duration of 20 min/day for 5 days/week for the period of 2 weeks with home-based exercise program improved the clinical symptoms and QOL in patient with osteoarthritis of knee (OAK). However, pain and tenderness statistically improved in spa water. [45] It may be due to that spa waters are not only naturally warm, but their mineral content is also significant. Spa water has mechanical, thermal, and chemical effects.
In ankylosing spondilitis (AS) patients, balneotherapy statistically improved pain; physical activity; tiredness and sleep score; Bath Ankylosing Spondilitis Disease Activity Index (BASDAI); Nottingham Health Profile (NHP); patient's global evaluation and physician's global evaluation at 3 weeks, but only on modified Shober test and patient's global evaluation parameters at 24 weeks. It indicates the effect of balneotherapy in improving disease activity and functional parameters in AS patients. [46] Infrared sauna, a form of total-body hyperthermia was well tolerated; no adverse effects; and no exacerbation of disease were reported in patients with rheumatoid arthritis (RA) and AS in whom pain, stiffness, and fatigue showed clinical improvements during the 4 weeks treatment period but these did not reach statistical significance. [47]
Aqua-jogging without caloric restrictions in obese persons for 6 weeks was associated with reductions in waist circumference and body fat; improvement of aerobic fitness and QOL. [48]
AE may be an excellent alternative to land exercise for individuals who lack confidence, have high risk of falling, or have joint pain. [49] Water buoyancy reduces the weight that joints, bones, and muscles have to bear. [50] Warmth and pressure of water also reduce swelling and reduces load on painful joints, remotes muscle relaxation. [51] AE has significant effects on pain relief and related outcome measurements for locomotor diseases. Patients may become more active and improve their QOL as a result of AE. [52] Water-based and land-based exercises reduced pain and improved function in patients with OAK and that water-based exercise was superior to land-based exercise for relieving pain before and after walking. [53] Hydrotherapy is highly valued by RA patients who were treated with hydrotherapy (30-min session/week) reported feeling much better/very much better than those treated with land exercises (similar exercises on land) immediately on completion of the treatment program (6 weeks). But this benefit was not reflected on 10 m walk times, functional scores, QOL measures, and pain scores by differences between groups. [51] Hot compress (HC) with surrounding electro-acupuncture needling was significantly effective on rear thigh muscles strain and it was superior to conventional needling method and cupping in improving symptoms and physical signs as well as recovery of walking function of athletes. [54]
Gastrointestinal system
Drinking water significantly elevates the resting energy expenditure (REE) in adults but in overweight children transient decrease in REE was observed immediately after drinking 10 ml/kg cold water (4°C). Then a subsequent rise in REE was observed, which was significant after 24 min and the maximal mean REE values were seen after 57 min, which was 25% higher than baseline. The recommended daily amount of water consumption in children could result in energy expenditure equivalent to additional weight loss of about 1.2 kg/year suggesting that water drinking could assist overweight children in weight loss or maintenance. [55] Exposure to cold increases MR, for example, head-out immersion in cold water of 20°C almost doubles MR, while at 14°C it is more than quadrupled. [3]
When very-HC applied to lumbar region of healthy female for 10-min blood flow to the back increased to 156% with increased blood flow to upper arm. Immediately after HC, bowel sounds increased 1.7 times compared with before application, which suggest that a very HC can be useful to promote flatus or defecation. [56] Low mineral water intake normalizes the intestinal permeability of patients with atopic dermatitis. [57]
Warm water is effective for colonic spasm in which significantly less discomfort was reported compared with control group and this may be useful as an alternative for glucagon (expensive) and hyoscyamine (has side effects) because it has no side effects and costs practically nothing. [58]
In patients with acute anal pain due to hemorrhoids or anal fissures, neither cold water (<15°C) nor hot water (>30°C) sitz bath (SB) did control pain statistically. [59] Similarly, after sphincterotomy for anal fissure, SB produced no significant difference in pain but significant relief in anal burning and better satisfaction score with no adverse effects were observed compared with control group. [60] Healing and pain relief was not significant in SB but it improved patient satisfaction in acute anal fissures. [61]
Though there was no strong evidence to support the use of SB for pain relief and to accelerate fissure or wound healing among adult patients with anorectal disorders (ARDs), patients were satisfied with using SB and no severe complications were reported. [62] In contrast, warm-water SB (40°C, 45°C, and 50°C for 10 min each time) in ARD, pain relief was more evident and lasted longer at higher bath temperatures. Pain relief after SB might attribute to internal anal-sphincter relaxation, which might be due to thermosphincteric reflex, resulting in diminution of the rectal neck pressure. The higher the bath temperature, the greater the drop in rectal neck pressure and internal sphincter electromyographic activity, and longer the time needed to return to pretest levels. [63]
In posthemorrhoidectomy care, water spray method could provide a safe and reliable alternative to SB as a more convenient and satisfactory form of treatment. [64]
Spa treatment with mineral water Nizhneivkinskaya (sulfate calcium) induced clinical remission of the disease, normalization of the echoscopic picture of stomach and gallbladder, their motor function, tesiocrystalloscopic characteristics of saliva suggest its effectiveness in rehabilitation of patients with gastric and gallbladder motor-evacuatory dysfunction. [65] Intake of sulfate-chloride-sodium mineral water activates regulation of carbohydrate metabolism by insulin and cortisol due to the formation of adaptive reactions. It promoted trophic effects of insulin and gastrin in animals with significant reduction in peptic ulcer size and enhanced resistance to stressful factors. [66]
Immersion in Dead Sea water produced significant reduction in blood glucose in type-2 diabetes mellitus (DM) and no significant differences in insulin, cortisol, and c-peptide levels were observed between DM patients and healthy volunteers following immersion. [67]
Genito urinary system
Mean labor pain scores were significantly higher in control group than immersion bath (IB) group suggest that use of IB as an alternative form of pain relief during labor. [68] WI in primipara at any stage of labor, from 2 cm external opening of the uterine cervix, significantly decreased parturition duration compared with traditional delivery. It raised both the amplitude and frequency of uterine contractions proportional to uterine cervix gaping with no disturbances in contraction activity of the uterus. A 3-cm gaping of uterine cervix is the optimal timing for WI in the primipara because earlier WI at 2-cm uterine cervix gaping also accelerated the labor but required repetitions of WI or use of oxytocin for correcting weakened uterine contraction. [69]
In contrast, IB did not influence the length of labor and uterine contractions frequency. However, contractions length was statistically shorter in IB and it can be an alternative for woman's comfort during labor, since it provides relief to her without interfering on labor progression or jeopardizing the baby. [70]
WI during first stage of labor reduces the use of epidural/spinal/paracervical analgesia/anesthesia compared with controls and there is no evidence of increased adverse effects to fetus/neonate or woman from laboring in water or water birth. [71] Neonatal swimming can accelerate babies growth in early stage. [72] In a microbiological study, comparing neonatal bacterial colonization after water birth to conventional bed deliveries with or without relaxation bath showed no significant difference between three groups in neonatal outcome, infant's and maternal infection rate. [73]
Cold-SB but not warm-SB, significantly reduced edema during postepisiotomy period [74] and perineal pain, which was greatest immediately after the bath. [75] Bakera, a steam bath prepared with various plants (commonly the essential oil plants) is traditionally used in Minahasa (Indonesia) mainly for recuperation after childbirth. It is based onthermotherapy with aromatherapy which attribute for its therapeutic effects. Thermotherapy soothes symptoms such as heaviness in limbs, edema, muscular strain, loss of appetite, and constipation. Essential oils of the plants used have antiseptic, antiphlogistic, and immunostimulant effect. Hence it can be an effective and safe method for recuperation after child birth. [76] In postnatal mothers, alternate (hot and cold) compress and cold cabbage leaves were equally effective in reducing breast engorgement, but in relieving breast engorgement pain, alternate compresses were more effective than cold cabbage leaves. [77]
Warm-SB (40-45°C) for 10 min, for at least 5 days immediately after the removal of Foley urethral catheter in patient undergone transurethral resection of prostate, significantly reduced urethral stricture compared with no SB group who had 1.13-fold increased risk of re-hospitalization within 1 month after surgery due to postoperative complications compared with warm-SB group. [78] Thirty healthy volunteers and 21 patients with urinary retention after hemorrhoidectomy underwent SB at 40°C, 45°C, and 50°C where the number of spontaneous micturitions increased with higher-temperature baths and it seems to be initiated by reflex (thermo-sphincter reflex) internal urethral sphincter relaxation. The urethral pressure both in normal and retention subjects showed significant reduction, which increased with higher temperature; and vesical pressure or EMG activity of the external urethral sphincter did not show significant differences. [79]
Hematology/immunology
Subsequent CE induced increase of leukocytes, granulocytes, circulating levels of interleukin (IL)-6, and natural killer (NK) cells and its activity. Leukocytes, granulocyte, and monocyte responses were augmented by pretreatment with exercise in water (18°C) and thus acute-CE has immune-stimulating effects. [80]
Daily brief cold stress can increase both numbers and activity of peripheral cytotoxic T-lymphocytes and NK cells, the major effectors of adaptive and innate tumor immunity, respectively. It (for 8 days) improved survival of intracellular parasite Toxoplasma gondii infected mice, with consistent enhancement in cell-mediated immunity. The sustained/longer-term effects of cold stress repeated daily over the period of 5 days to 6 weeks increased plasma levels of tumor necrosis factor-α, IL-2, IL-6. A hypothesis describes, daily brief cold-water stress over many months could enhance antitumor immunity and improve nonlymphoid cancer survival rate. The possible mechanism of nonspecific stimulation of cellular immunity might attribute to transient activation of SNS, hypothalamic-pituitary-adrenal (HPA) and hypothalamic-pituitary-thyroid axes. Though daily moderate cold hydrotherapy does not appear to have noticeable adverse effects on normal subjects, some studies showed that it can cause transient arrhythmias in patients with heart problems and can also inhibit humoral immunity. Sudden ice-cold WI can produce transient pulmonary edema and increase blood-brain barrier permeability, thereby increasing mortality of neurovirulent infections. Studies are required to warrant this hypothesis for immunotherapy development for some (nonlymphoid) cancers, including those caused by viral infections. [81]
Warm water (28°C) treatment could not only cure bacterial cold-water disease but also immunize against causative agent Flavobacterium psychrophilum. [82]
Head-out WI (38.41 ± 0.04°C) for 30 min decreased blood viscosity; red blood cells count; and mean hematocrit without significant changes in leukocytes and platelets count; mean corpuscular volume; plasma viscosity; erythrocyte filtration time and red cell deformability index. [13] Application of hyper-thermic water bath produced significant reduction of relative B-lymphocyte. Whole-body hyperthermic water bath reduced relative total T-lymphocyte counts; increased relative CD8+ lymphocyte; NK cell counts and its activity, which were probably dependent on increased somatotropic hormone production. [83]
Endocraine/hormonal system
During CE increase levels of circulating norepinephrine was observed [80] and exercising HPA system by repeated CE could potentially restore its normal function in chronic fatigue syndrome, or at least increase net HPA activity (without changing baseline activity). [84] It produces temporary increase in plasma levels of adrenocorticotropic hormone (ACTH), beta-endorphin, and cortisol. [32] The sustained/longer-term effects of cold stress repeated daily produced increase in ACTH, corticosterone, and decrease in α-1-antitrypsin and testosterone. [81] Cold stress reduces level of serotonin in most regions of brain (except brainstem). [32] Cold stress-induced analgesia might be mediated by increased production of opioid peptide beta-endorphin (an endogenous pain-killer). [85],[86]
Exposure to sauna and ice-WI significantly elevated epinephrine levels in winter swimmer. [87] Steam bath produced increase in blood serum concentrations of gastric and aldosterone, with decrease in concentrations of cortisol in athlete-fighters. [88] Whole-body hyperthermic bath increased STH activity in 8 out of 10 volunteers. [83]
Eye, skin, and hair
Warm moist air device seems to be safe and produced improvement in tear stability and symptomatic relief in ocular fatigue in patients with Meibomian gland More Details dysfunction. [89] Sauna (80°C) produced stable epidermal barrier function; increase in stratum corneum hydration; faster recovery of both elevated water loss and skin pH; decrease in casual skin sebum content on skin surface of forehead; increase in ionic concentration in sweat and epidermal blood perfusion in volunteers. It suggests protective effect of ST on skin physiology. [90] Clinical remission of atopic dermatitis has been reported after intake of low-salt water. [57] Application of heated mustard compress produced second-degree, partial-thickness burn followed by hyperpigmentation and hypertrophic scarring. [91] Persistent use of cold pillow compress could reduce hair follicles inhibition or damage caused by chemotherapeutic agents. So alopecia can be decreased or prevented. [92]
Temperature regulation
Very-HC applied to lumbar region of healthy female for 10 min increased back Tsk to 41.1-43.1°C under HC, followed by decreased rapidly but no changes observed in BT. [56] A case of 20% of 2 nd degree burns and severe heat stroke followed by temperature rose up to 40.5°C and patient developed severe multiorgan failure and critical polyneuropathy was reported after exposure to extreme heat in sauna for unknown period of time. [93] The most effective method of reducing body core temperature appears to be immersion in iced water, main predictor of outcome in exertional heatstroke is the duration and degree of hyperthermia where possible patients should be cooled using iced-WI, but if it is not possible, combination of other techniques may be used to facilitate rapid cooling [94] such as fan-therapy, CWI, iced-baths, and evaporative cooling. [95]
Wet-ice, dry-ice, and cryogen packs applied to skin overlying right triceps surae muscle for 15 min on 10 females decreased mean Tsk 12°C, 9.9°C, and 7.3°C, respectively. None of the modalities produced Tsk cooling below 17°C and no cooling was demonstrated 1 cm proximal or distal to any modalities after 15 min of application. Significant mean Tsk reduction in between pretreatment rest interval (time 0) and 15 min after removal of modality (time 30) was observed only in wet-ice. It suggests wet-ice was significantly more efficient in reducing Tsk than dry-ice and cryogen packs. [96]
After exercise at 65% maximal oxygen consumption at ambient temperature of 39°C until Tre increased to 40°C produced no difference in cooling rate between WI at 8°C, 14°C, and 20°C but cooling rate was significantly greater during 2°C, which was almost twice as much as other conditions. It suggests that 2°C WI is the most effective treatment for exercise-induced hyperthermia. [97] When hyperthermic individuals are immersed in 2°C water for approximately 9 min to Tre cooling limit of 38.6°C negated any risk associated with overcooling. [98]
Whole body immersion in moderately cold water is effective cooling maneuver for lowering BT and body heat content of approximately 545 kJ at the end of immersion in absence of severe physiological responses generally associated with sudden cold stress. [99] Significant less BT variability and an overall higher BT were observed in late preterm infants following tub bathing procedure. [100]
| Conclusion | | |
Based on available literature, this review suggests that hydrotherapy was widely used to improve immunity and for the management of pain, CHF, MI, chronic obstructive pulmonary diseases, asthma, PD, AS, RA, OAK, FMS, anorectal disorders, fatigue, anxiety, obesity, hypercholesterolemia, hyperthermia, labor, etc. It produces different effects on various systems of the body depending on the temperature of water and though these effects are scientifically evidence based, there is lack of evidences for the mechanism on how hydrotherapy improves these diseases, which is one of the limitations of hydrotherapy, and further studies are required to find the mechanism of hydrotherapy on various diseases.
| References | | |
| 1. | Fleming SA, Gutknecht NC. Gutknecht. Naturopathy and the Primary Care Practice. Prim Care 2010;37:119-36. 
|
| 2. | Weston M, Taber C, Casagranda L, Cornwall M. Changes in local blood volume during cold gel pack application to traumatized ankles. J Orthop Sports Phys Ther 1994;19:197-9.
|
| 3. | Srámek P, Simecková M, Janský L, Savlíková J, Vybíral S. Human physiological responses to immersion into water of different temperatures. Eur J Appl Physiol 2000;81:436-42.
|
| 4. | Huttunen P, Kokko L, Ylijukuri V. Winter swimming improves general well-being. Int J Circumpolar Health 2004;63:140-4.
|
| 5. | Iiyama J, Matsushita K, Tanaka N, Kawahira K. Effects of single low-temperature sauna bathing in patients with severe motor and intellectual disabilities. Int J Biometeorol 2008;52:431-7.
|
| 6. | Ohori T, Nozawa T, Ihori H, Shida T, Sobajima M, Matsuki A, et al. Effect of repeated sauna treatment on exercise tolerance and endothelial function in patients with chronic heart failure.Am J Cardiol 2012;109:100-4.
|
| 7. | Pilch W, Szygu³a Z, Klimek AT, Pa³ka T, Cisoñ T, Pilch P, et al .Changes in the lipid profile of blood serum in women taking sauna baths of various duration. Int J Occup Med Environ Health 2010;23:167-74.
|
| 8. | Sobajima M, Nozawa T, Shida T, Ohori T, Suzuki T, Matsuki A, et al. Repeated sauna therapy attenuates ventricular remodeling after myocardial infarction in rats by increasing coronary vascularity of noninfarcted myocardium. Am J Physiol Heart Circ Physiol 2011;301:H548-54.
|
| 9. | Imai Y,Nobuoka S, Nagashima J, Awaya T, Aono J, Miyake F, et al. Acute myocardial infarction induced by alternating exposure to heat in a sauna and rapid cooling in cold water. Cardiology 1998;90:299-301.
|
| 10. | Crinnion WJ. Sauna as a valuable clinical tool for cardiovascular, autoimmune, toxicant- induced and other chronic health problems. Altern Med Rev 2011;16:215-25.
[PUBMED] |
| 11. | BleakleyCM, Davison GW. What is the biochemical and physiological rationale for using cold-water immersion in sports recovery? A systematic review. Br J Sports Med 2010;44:179-87.
|
| 12. | Grüner Sveälv B, Cider A, Täng MS, Angwald E, Kardassis D, Andersson B. Benefit of warm water immersion on biventricular function in patients with chronic heart failure. Cardiovasc Ultrasound 2009;7:33.
|
| 13. | Digiesi V, Cerchiai G, Mannini L, Masi F, Nassi F. Hemorheologic and blood cell changes in humans during partial immersion with a therapeutic method, in 38 o C water. Minerva Med 1986;77:1407-11.
[PUBMED] |
| 14. | Boldt LH, Fraszl W, Röcker L, Schefold JC, Steinach M, Noack T, et al. Changes in the haemostatic system after thermoneutral and hyperthermic water immersion. Eur J Appl Physiol 2008;102:547-54.
|
| 15. | Shih CY, Lee WL, Lee CW, Huang CH, Wu YZ. Effect of time ratio of heat to cold on brachial artery blood velocity during contrast baths. Phys Ther 2012;92:448-53.
|
| 16. | Choukroun ML, Varene P. Adjustments in oxygen transport during head-out immersion in water at different temperatures. J Appl Physiol 1990;68:1475-80.
|
| 17. | DogliottiG, Galliera E, Iorio E, De Bernardi Di Valserra M, Solimene U, Corsi MM. Effect of immersion in CO2-enriched water on free radical release and total antioxidant status in peripheral arterial occlusive disease. Int Angiol 2011;30:12-7.
|
| 18. | Sato M, Kanikowska D, Iwase S, Nishimura N, Shimizu Y, Belin de Chantemele E, et al. Effects of immersion in water containing high concentrations of CO2 (CO2-water) at thermoneutral on thermoregulation and heart rate variability in humans. Int J Biometeorol 2009;53:25-30.
|
| 19. | PagoureliasED, Zorou PG, Tsaligopoulos M, Athyros VG, Karagiannis A, Efthimiadis GK. Carbon dioxide balneotherapy and cardiovascular disease. Int J Biometeorol 2011;55:657-63.
|
| 20. | Choukroun ML, Kays C, Varène P. Effects of water temperature on pulmonary volumes in immersed human subjects. Respir Physiol 1989;75:255-65.
|
| 21. | Goedsche K, Förster M, Kroegel C, Uhlemann C. Repeated cold water stimulations (hydrotherapy according to Kneipp) in patients with COPD. Forsch Komplementmed 2007;14:158-66.
|
| 22. | IaroshAM, Kurch TK.The effect of cold exposure on the respiratory function in children suffering from inflammatory lung diseases. Vopr Kurortol Fizioter Lech Fiz Kult 1995;1:9-11.
|
| 23. | Pach D, Knöchel B, Lüdtke R, Wruck K, Willich SN, Witt CM. Visiting a sauna: Does inhaling hot dry air reduce common cold symptoms? A randomised controlled trial. Med J Aust 2010;193:730-4.
|
| 24. | Whyte GP, Harries M, Dickinson J, Polkey MI. Breathless in the bath. Br J Sports Med 2006;40:554-5.
|
| 25. | Herrera E, Sandoval MC, Camargo DM, Salvini TF. Motor and sensory nerve conduction are affected differently by ice pack, ice massage, and cold water immersion. Phys Ther 2010;90:581-91.
|
| 26. | Bender T, Karag¨ulle Z, B´alint GP, Gutenbrunner C, B´alint PV, Sukenik S. Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatol Int 2005;25:220-4.
|
| 27. | Castro-Sánchez AM, Matarán-Peñarrocha GA, Lara-Palomo I, Saavedra-Hernández M, Arroyo-Morales M, Moreno-Lorenzo C. Hydrotherapy for the treatment of pain in people with multiple sclerosis: A randomized controlled trial. Evid Based Complement Alternat Med 2012;2012:473963.
|
| 28. | Vivas J, Arias P, Cudeiro J. Aquatic therapy versus conventional land-based therapy for Parkinson's disease: An open-label pilot study. Arch Phys Med Rehabil 2011;92:1202-10.
|
| 29. | Gerner HJ, Engel P, Gass GC, Gass EM, Hannich T, Feldmann G. The effects of sauna on tetraplegic and paraplegic subjects. Paraplegia 1992;30:410-9.
|
| 30. | Robiner WN. Psychological and physical reactions to whirlpool baths. J Behav Med 1990;13:157-73.
[PUBMED] |
| 31. | Shevchuk NA. Hydrotherapy as a possible neuroleptic and sedative treatment. Med Hypotheses 2008;70:230-8.
[PUBMED] |
| 32. | Shevchuk NA. Possible use of repeated cold stress for reducing fatigue in chronic fatigue syndrome: A hypothesis. Behav Brain Funct 2007;3:55.
[PUBMED] |
| 33. | Shevchuk NA. Adapted cold shower as a potential treatment for depression. Med Hypotheses 2008;70:995-1001.
[PUBMED] |
| 34. | Chevutschi A, Lensel G, Vaast D, Thevenon A. An Electromyographic Study of Human Gait both in Water and on Dry Ground. J Physiol Anthropol 2007;26:467-73.
|
| 35. | Bleakley C, McDonough S, Gardner E, Baxter GD, Hopkins JT, Davison GW. Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise. Cochrane Database Syst Rev 2012;2:CD008262.
|
| 36. | Morton RH. Contrast water immersion hastens plasma lactate decrease after intense anaerobic exercise. J Sci Med Sport 2007;10:467-70.
[PUBMED] |
| 37. | Skurvydas A, Kamandulis S, Stanislovaitis A, Streckis V, Mamkus G, Drazdauskas A. Leg immersion in warm water, stretch-shortening exercise, and exercise-induced muscle damage. J Athl Train 2008;43:592-9.
|
| 38. | Versey NG, Halson SL, Dawson BT. Effect of contrast water therapy duration on recovery of running performance. Int J Sports Physiol Perform 2012;7:130-40.
|
| 39. | Janssen RG, Schwartz DA, Velleman PF. A randomized controlled study of contrast baths on patients with carpal tunnel syndrome. J Hand Ther 2009;22:200-7.
|
| 40. | De Nardi M, La Torre A, Barassi A, Ricci C, Banfi G. Effects of cold-water immersion and contrast-water therapy after training in young soccer players. J Sports Med Phys Fitness 2011;51:609-15.
|
| 41. | McVeigh JG, McGaughey H, Hall M, Kane P. The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: A systematic review. Rheumatol Int 2008;29:119-30.
|
| 42. | Matsumoto S, Shimodozono M, Etoh S, Miyata R, Kawahira K. Effects of thermal therapy combining sauna therapy and underwater exercise in patients with fibromyalgia. Complement Ther Clin Pract 2011;17:162-6.
|
| 43. | Cuesta-Vargas AI, Adams N. A pragmatic community-based intervention of multimodal physiotherapy plus deep water running (DWR) for fibromyalgia syndrome: A pilot study. Clin Rheumatol 2011;30:1455-62.
|
| 44. | Hay L, Wylie K.Towards evidence-based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 4: Hydrotherapy following rotator cuff repair. Emerg Med J 2011;28:634-5.
|
| 45. | Yurtkuran M, Yurtkuran M, Alp A, Nasircilar A, Bingöl U, Altan L, et al. Balneotherapy and tap water therapy in the treatment of knee osteoarthritis. Rheumatol Int 2006;27:19-27.
|
| 46. | Altan L, Bingöl U, Aslan M, Yurtkuran M. The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol 2006;35:283-9.
|
| 47. | Oosterveld FG, Rasker JJ, Floors M, Landkroon R, van Rennes B, Zwijnenberg J, et al. Infrared sauna in patients with rheumatoid arthritis and ankylosing spondylitis. A pilot study showing good tolerance, short-term improvement of pain and stiffness, and a trend towards long-term beneficial effects. Clin Rheumatol 2009;28:29-34.
|
| 48. | Wouters EJ, Van Nunen AM, Geenen R, Kolotkin RL, Vingerhoets AJ. Effects of Aquajogging in Obese Adults: A Pilot Study. J Obes 2010;2010:231074.
|
| 49. | Arnold CM, Busch AJ, Schachter CL, Harrison EL, Olszynski WP. A Randomized clinical trial of aquatic versus land exercise to improve balance, function, and quality of life in older women with osteoporosis. Physiother Can 2008;60:296-306.
|
| 50. | Biscarini A, Cerulli G. Modeling of the knee joint load in rehabilitative knee extension exercises under water. J Biomech 2006;17:1-11.
|
| 51. | Eversden L, Maggs F, Nightingale P, Jobanputra P. A pragmatic randomised controlled trial of hydrotherapy and land exercises on overall well being and quality of life in rheumatoid arthritis. BMC Musculoskelet Disord 2007;8:23.
|
| 52. | Honda T, Kamioka H. Curative and health enhancement effects of aquatic exercise: Evidence based on interventional studies. Open Access J Sports Med 2012;3:27-34.
|
| 53. | Silva LE, Valim V, Pessanha AP, Oliveira LM, Myamoto S, Jones A, et al. Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: A randomized clinical trial. Phys Ther 2008;88:12-21.
|
| 54. | Xu XS, Lin WP, Chen JY, Yu LC, Huang ZH. Efficacy observation on rear thigh muscles strain of athletes treated with surrounding needling of electroacupuncture and hot compress of Chinese medicine. Zhongguo Zhen Jiu 2012;32:511-4.
|
| 55. | Dubnov-Raz G, Constantini NW, Yariv H, Nice S, Shapira N. Influence of water drinking on resting energy expenditure in overweight children. Int J Obes (Lond) 2011;35:1295-300.
|
| 56. | Hishinuma M, Hiramatsu N, Kasuga M, Ooyoshi M, Kaharu C, Misao H, et al.The effect on bowel sounds of very hot compresses applied to the lumbar region. Nihon Kango Kagakkaishi 1997;17:32-9.
|
| 57. | Dupuy P, Cassé M, André F, Dhivert-Donnadieu H, Pinton J, Hernandez-Pion C. Low-salt water reduces intestinal permeability in atopic patients. Dermatology 1999;198:153-5.
|
| 58. | Church JM. Warm water irrigation for dealing with spasm during colonoscopy: Simple, inexpensive, and effective. Gastrointest Endosc 2002;56:672-4.
[PUBMED] |
| 59. | Maestre Y, Parés D, Salvans S, Ibáñez-Zafón I, Nve E, Pons MJ, et al. Cold or hot sitz baths in the emergency treatment of acute anal pain due to anorectal disease? Results of a randomised clinical trial. Cir Esp 2010;88:97-102.
|
| 60. | Gupta PJ. Effects of warm water sitz bath on symptoms in post-anal sphincterotomy in chronic anal fissure - a randomized and controlled study. World J Surg 2007;31:1480-4.
[PUBMED] |
| 61. | Gupta P. Randomized, controlled study comparing sitz-bath and no-sitz-bath treatments in patients with acute anal fissures. ANZ J Surg 2006;76:718-21.
[PUBMED] |
| 62. | Lang DS, Tho PC, Ang EN. Effectiveness of the Sitz bath in managing adult patients with anorectal disorders. Jpn J Nurs Sci 2011;8:115-28.
|
| 63. | Shafik A. Role of warm-water bath in ano-rectal conditions. The thermo-sphincteric reflex. J Clin Gastroenterol 1993;16:304-8.
[PUBMED] |
| 64. | Hsu KF, Chia JS, Jao SW, Wu CC, Yang HY, Mai CM, et al. Comparison of clinical effects between warm water spray and sitz bath in post-hemorrhoidectomy period. J Gastrointest Surg 2009;13:1274-8.
|
| 65. | Guliaeva SF, Pomaskina TV, Guliaev PV, Martusevich AK, Aistov VI. Efficacy of sulfate calcium mineral water in disorders of motor evacuatory function of the stomach and gallbladder. Vopr Kurortol Fizioter Lech Fiz Kult 2004;6:20-2.
[PUBMED] |
| 66. | Razumov AN, Surkov NV, Frolkov VK, Ziniakov NT. Therapeutic and preventive effects of sulfate-chloride-sodium mineral water in experimental peptic ulcer. Vopr Kurortol Fizioter Lech Fiz Kult 2009;3:22-5.
[PUBMED] |
| 67. | Mizrahi E, Liberty I, Tsedek I, Harari M, Friger M, Sukenik S. The influence of single immersion in Dead Sea water on glucose, insulin, cortisol and C-peptide levels in type 2 diabetes mellitus patients. Harefuah 2011;150:646-9, 689, 688.
|
| 68. | Da Silva FM, de Oliveira SM, Nobre MR. A randomised controlled trial evaluating the effect of immersion bath on labour pain. Midwifery 2009;25:286-94.
|
| 69. | Malarewicz A, Wydrzynski G, Szymkiewicz J, Adamczyk-Gruszka O. The influence of water immersion on the course of first stage of parturition in primiparous women. Med Wieku Rozwoj 2005;9:773-80.
|
| 70. | Da Silva FM, de Oliveira SM. The effect of immersion baths on the length of childbirth labor. Rev Esc Enferm USP 2006;40:57-63.
|
| 71. | Cluett ER, Burns E. Immersion in water in labour and birth. Cochrane Database Syst Rev 2009;2:CD000111.
|
| 72. | Zhao S, Xie L, Hu H, Xia J, Zhang W, Ye N, et al. A study of neonatal swimming (water therapy) applied in clinical obstetrics. J Matern Fetal Neonatal Med 2005;17:59-62.
|
| 73. | Fehervary P, Lauinger-Lörsch E, Hof H, Melchert F, Bauer L, Zieger W. Water birth: Microbiological colonisation of the newborn, neonatal and maternal infection rate in comparison to conventional bed deliveries. Arch Gynecol Obstet 2004;270:6-9.
|
| 74. | LaFoy J, Geden EA. Post episiotomy pain: Warm versus cold sitz bath. J Obstet Gynecol Neonatal Nurs 1989;18:399-403.
|
| 75. | Ramler D, Roberts J. A comparison of cold and warm sitz baths for relief of postpartum perineal pain. J Obstet Gynecol Neonatal Nurs 1986;15:471-4.
[PUBMED] |
| 76. | Zumsteg IS, Weckerle CS. Bakera, a herbal steam bath for postnatal care in Minahasa (Indonesia): Documentation of the plants used and assessment of the method. J Ethnopharmacol 2007;111:641-50.
|
| 77. | Arora S, Vatsa M, Dadhwal V. A Comparison of cabbage leaves vs. hot and cold compresses in the treatment of breast engorgement. Indian J Community Med 2008;33:160-2.
[PUBMED]  |
| 78. | Park SU, Lee SH, Chung YG, Park KK, Mah SY, Hong SJ, et al. Warm sitz bath: Are there benefits after transurethral resection of the prostate? Korean J Urol 2010;51:763-6.
|
| 79. | Shafik A. Role of warm water bath in inducing micturition in postoperative urinary retention after anorectal operations.Urol Int 1993;50:213-7.
[PUBMED] |
| 80. | Brenner IK, Castellani JW, Gabaree C, Young AJ, Zamecnik J, Shephard RJ, et al.Immune changes in humans during cold exposure: Effects of prior heating and exercise. J Appl Physiol 1999;87:699-710.
|
| 81. | Shevchuk NA, Radoja S. Possible stimulation of anti-tumor immunity using repeated cold stress: A hypothesis. Infect Agent Cancer 2007;2:20.
|
| 82. | Sugahara K, Eguchi M.The use of warmed water treatment to induce protective immunity against the bacterial cold-water disease pathogen Flavobacterium psychrophilum in ayu (Plecoglossus altivelis). Fish Shellfish Immunol 2012;32:489-93.
|
| 83. | Blazícková S, Rovenský J, Koska J, Vigas M. Effect of hyper thermic water bath on parameters on cellular immunity. Int J Clin Pharmacol Res 2000;20:41-6.
|
| 84. | Dorfman M, Arancibia S, Fiedler JL, Lara HE. Chronic intermittent cold stress activates ovarian sympathetic nerves and modifies ovarian follicular development in the rat. Biol Reprod 2003;68:2038-43.
|
| 85. | Gerra G, Volpi R, Delsignore R, Maninetti L, Caccavari R, Vourna S, et al. Sex-related responses of beta-endorphin, ACTH, GH and PRL to cold exposure in humans. Acta Endocrinol (Copenh) 1992;126:24-8.
|
| 86. | Glickman-Weiss EL, Nelson AG, Hearon CM, Goss FL, Robertson RJ. Are beta-endorphins and thermoregulation during coldwater immersion related? Undersea Hyperb Med 1993;20:205-13.
|
| 87. | KauppinenK, Pajari-Backas M, Volin P, Vakkuri O.Some endocrine responses to sauna, shower and ice water immersion. Arctic Med Res 1989;48:131-9.
|
| 88. | Panov SF, Pleshakov AA. Effect of steam bath on gastric secretion and some endocrine changes of athlete-fighters. Fiziol Cheloveka 2011;37:92-9.
|
| 89. | Matsumoto Y, Dogru M, Goto E, Ishida R, Kojima T, Onguchi T, et al. Efficacy of a new warm moist air device on tear functions of patients with simple meibomian gland dysfunction. Cornea 2006;25:644-50.
|
| 90. | Kowatzki D, Macholdt C, Krull K, Schmidt D, Deufel T, Elsner P, et al. Effect of regular sauna on epidermal barrier function and stratum corneum water-holding capacity in vivo in humans: A controlled study. Dermatology 2008;217:173-80.
|
| 91. | Linder SA, Mele JA 3 rd , Harries T. Chronic hyperpigmentation from a heated mustard compress burn: A case report. J Burn Care Rehabil 1996;17:351-2.
|
| 92. | Li LC, Wang M, Ning XC. Study on preventing alopecia caused by chemotherapy with cold pillow compresses. Chin J Nurs 1995;30:643-5.
|
| 93. | Rünitz K, Jensen TH. Heat stroke and burns resulting from use of sauna. Ugeskr Laeger 2009;171:305-6.
|
| 94. | Smith JE. Cooling methods used in the treatment of exertional heat illness. Br J Sports Med 2005;39:503-7.
[PUBMED] |
| 95. | HarkerJ, Gibson P. Heat-stroke: A review of rapid cooling techniques. Intensive Crit Care Nurs 1995;11:198-202.
|
| 96. | Belitsky RB, Odam SJ, Hubley-Kozey C. Evaluation of the effectiveness of wet ice, dry ice, and cryogen packs in reducing skin temperature. Phys Ther 1987;67:1080-4.
[PUBMED] |
| 97. | Proulx CI, Ducharme MB, Kenny GP. Effect of water temperature on cooling efficiency during hyperthermia in humans. J Appl Physiol 2003;94:1317-23.
|
| 98. | Gagnon D, Lemire BB, Casa DJ, Kenny GP. Cold-water immersion and the treatment of hyperthermia: Using 38.6°C as a safe rectal temperature cooling limit. J Athl Train 2010;45:439-44.
|
| 99. | Marino F, Booth J. Whole body cooling by immersion in water at moderate temperatures. J Sci Med Sport 1998;1:73-82.
|
| 100. | Loring C, Gregory K, Gargan B, LeBlanc V, Lundgren D, Reilly J, et al. Tub bathing improves thermoregulation of the late preterm infant. J Obstet Gynecol Neonatal Nurs 2012;41:171-9.
|
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Water usage pattern in the aftermath of COVID-19 |
|
| Venu Prasad H D, Naveena K | | Environment Conservation Journal. 2022; 23(1&2): 258 | | [Pubmed] | [DOI] | | | 24 |
Foot Hydrotherapy: Non-pharmacology Treatment for Reducing Anxiety in Third Trimester Pregnancy |
|
| Jumrah Sudirman, Nurjannah Bachri, Muhammad Syafar, Elizabet Catherine Jusuf, Saidah Syamsuddin, Nasrudin Andi Mappaware, Hasriani Saleng | | Open Access Macedonian Journal of Medical Sciences. 2022; 10(B): 320 | | [Pubmed] | [DOI] | | | 25 |
Diabetic microvascular complications and proposed interventions and approaches of management for patient care |
|
| Anmar Al-Taie, AssemSabbah Elseidy, ArueyinghoOritsetimeyin Victoria, Abdul Hafeez, Shmmon Ahmad | | Biomedical and Biotechnology Research Journal (BBRJ). 2021; 5(4): 380 | | [Pubmed] | [DOI] | | | 26 |
NaHCO3- and NaCl-Type Hot Springs Enhance the Secretion of Inflammatory Cytokine Induced by Polyinosinic-Polycytidylic Acid in HaCaT Cells |
|
| Sang Ho Park,Bom Yee Jung,Soo Young Lee,Dong Soo Yu,So-Youn Woo,Seong-Taek Yun,Jong Tae Lee,Jin-Wou Kim,Young Bok Lee | | Annals of Dermatology. 2021; 33(5): 440 | | [Pubmed] | [DOI] | | | 27 |
The effects of different recovery methods on anaerobic performance in combat sports athletes |
|
| Hakan Yarar, Ümit Gök, Ahmet Dagtekin, Yunus Saçan, Hüseyin Eroglu | | Acta Gymnica. 2021; 51 | | [Pubmed] | [DOI] | | | 28 |
Balneotherapy for Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis |
|
| Chun-Feng Cao,Kun-Long Ma,Qian-Lu Li,Fu-Jun Luan,Qun-Bo Wang,Ming-Hua Zhang,Omar Viswanath,Dariusz Myrcik,Giustino Varrassi,Hai-Qiang Wang | | Journal of Clinical Medicine. 2021; 10(7): 1493 | | [Pubmed] | [DOI] | | | 29 |
Bucket hydrokinesiotherapy in hospitalized preterm newborns: a randomized controlled trial |
|
| Natália Matos Tedesco,Andressa Lagoa França Nascimento,Geruza de Souza Mallmann,Leila Simone Foerster Merey,Elaine Pereira Raniero,Walusa Assad Gonçalves-Ferri,Daniele Soares-Marangoni | | Physiotherapy Theory and Practice. 2021; : 1 | | [Pubmed] | [DOI] | | | 30 |
Randomized controlled trial on Dryland And Thermal Aquatic STANDARDIZED EXERCISE PROTOCOL FOR CHRONIC VENOUS DISEASE (DATA study) |
|
| E. Menegatti,S. Masiero,P. Zamboni,G.P. Avruscio,M. Tessari,A. Pagani,S. Gianesini | | Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2021; | | [Pubmed] | [DOI] | | | 31 |
The therapeutic effect of Värska mud and Värska mineral water baths on the overuse pain and muscle tension syndromes in the working age population |
|
| Varje-Riin Tuulik,Monika Kumm,Viiu Tuulik,Alar Veraksitš,Taavi Päll | | Environmental Geochemistry and Health. 2021; | | [Pubmed] | [DOI] | | | 32 |
Balneotherapy year in review 2021: focus on the mechanisms of action of balneotherapy in rheumatic diseases |
|
| Sara Cheleschi, Sara Tenti, Iole Seccafico, Isabel Gálvez, Antonella Fioravanti, Eduardo Ortega | | Environmental Science and Pollution Research. 2021; | | [Pubmed] | [DOI] | | | 33 |
Patterns of Usage of Complementary and Alternative Medicine Among Adults Visiting Health Care Centers in Mysuru, India |
|
| N. C. Krupa,H. M. Thippeswamy,B. R. Chandrashekar | | Holistic Nursing Practice. 2021; 35(4): 199 | | [Pubmed] | [DOI] | | | 34 |
Rehabilitation effects of land and water-based aerobic exercise on lung function, dyspnea, and exercise capacity in patients with chronic obstructive pulmonary disease |
|
| Haixia Chen,Peijun Li,Ning Li,Zhengrong Wang,Weibing Wu,Jihong Wang | | Medicine. 2021; 100(33): e26976 | | [Pubmed] | [DOI] | | | 35 |
Land and Underwater Gait Analysis Using Wearable IMU |
|
| Cecilia Monoli, Juan Francisco Fuentez-Perez, Nicola Cau, Paolo Capodaglio, Manuela Galli, Jeffrey A. Tuhtan | | IEEE Sensors Journal. 2021; 21(9): 11192 | | [Pubmed] | [DOI] | | | 36 |
Exploring the use of Halliwick aquatic therapy in the rehabilitation of children with disabilities: A scoping review |
|
| Stephanie Rohn,Monika Novak Pavlic,Peter Rosenbaum | | Child: Care, Health and Development. 2021; | | [Pubmed] | [DOI] | | | 37 |
Main Therapeutic Uses of Some Moroccan Hot Springs’ Waters |
|
| Kawtar Fikri-Benbrahim,Asmae Houti,Abdelhakim El Ouali Lalami,Rachid Flouchi,Naoufal El Hachlafi,Mariam Houti,Saad Rachiq,Deborah A. Kennedy | | Evidence-Based Complementary and Alternative Medicine. 2021; 2021: 1 | | [Pubmed] | [DOI] | | | 38 |
Comparison of effect of aquatic interventions on cardiac modulation of obese young males in motion. A crossover trial |
|
| Ertan Tufekcioglu,Ferman Konukman,Samer Arafat,Abdul-Majeed Almalty,Abdussalam Kanniyan,Bijen Filiz | | Biomedical Human Kinetics. 2021; 13(1): 20 | | [Pubmed] | [DOI] | | | 39 |
“The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals” |
|
| Poornima Bansal,Sujatha Kannarpady Janardan,Prashanth Shetty | | Journal of Complementary and Integrative Medicine. 2021; 0(0) | | [Pubmed] | [DOI] | | | 40 |
Overview of Systematic Reviews with Meta-Analysis Based on Randomized Controlled Trials of Balneotherapy and Spa Therapy from 2000 to 2019 |
|
| Hiroharu Kamioka,Sachihiko Nobuoka,Junichi Iiyama | | International Journal of General Medicine. 2020; Volume 13: 429 | | [Pubmed] | [DOI] | | | 41 |
Changes in Fatigue Recovery and Muscle Damage Enzymes after Deep-Sea Water Thalassotherapy |
|
| Nam-Ik Kim,Sagn-Jin Kim,Jee-Hun Jang,Woon-seob Shin,Hyok-ju Eum,Buom Kim,Ahn-Ryul Choi,Sang-Sik Lee | | Applied Sciences. 2020; 10(23): 8383 | | [Pubmed] | [DOI] | | | 42 |
Evaluating the effectiveness of aquatic therapy on mobility, balance, and level of functional independence in stroke rehabilitation: a systematic review and meta-analysis |
|
| Alice Mary Iliescu,Amanda McIntyre,Joshua Wiener,Jerome Iruthayarajah,Andrea Lee,Sarah Caughlin,Robert Teasell | | Clinical Rehabilitation. 2020; 34(1): 56 | | [Pubmed] | [DOI] | | | 43 |
The benefits of combining water and land-based therapy |
|
| Alexios G. Carayannopoulos,Alex Han,Igor N. Burdenko | | Journal of Exercise Rehabilitation. 2020; 16(1): 20 | | [Pubmed] | [DOI] | | | 44 |
Rehabilitation of Spinal Cord Injury: WFNS Spine Committee Recommendations |
|
| Nikolay Peev,Alexander Komarov,Enrique Osorio-Fonseca,Mehmet Zileli | | Neurospine. 2020; 17(4): 820 | | [Pubmed] | [DOI] | | | 45 |
Effect of hot arm and foot bath on heart rate variability and blood pressure in healthy volunteers |
|
| Samruddhi Chintaman Vyas,A. Mooventhan,N. K. Manjunath | | Journal of Complementary and Integrative Medicine. 2020; 17(1) | | [Pubmed] | [DOI] | | | 46 |
Water-Based Interventions for People With Neurological Disability, Autism, and Intellectual Disability: A Scoping Review |
|
| Karlee Naumann,Jocelyn Kernot,Gaynor Parfitt,Bethany Gower,Kade Davison | | Adapted Physical Activity Quarterly. 2020; : 1 | | [Pubmed] | [DOI] | | | 47 |
Impact of naturopathy, yoga, and dietary interventions as adjuvant chemotherapy in the management of stage II and III adenocarcinoma of the colon |
|
| Kalpana Raghunath,Ch. Sumathi,Senthil J. Rajappa,M. V. T. Krishna Mohan,Uday Kumar,Ummar Shaik,Mahendran Botlagunta | | International Journal of Colorectal Disease. 2020; | | [Pubmed] | [DOI] | | | 48 |
Twenty minutes of gastro-hepatic pack reduces blood glucose levels in patients with type 2 diabetes mellitus: A pilot single group pre-post study |
|
| A. Mooventhan,V. Venugopal,Sharad Shivajirao Chaudari | | Advances in Integrative Medicine. 2020; | | [Pubmed] | [DOI] | | | 49 |
Effects of hydrotherapy with massage on serum nerve growth factor concentrations and balance in middle aged diabetic neuropathy patients |
|
| Pouria Shourabi,Reza Bagheri,Damoon Ashtary-Larky,Alexei Wong,Mohamad S. Motevalli,Akram Hedayati,Julien S. Baker,Amir Rashidlamir | | Complementary Therapies in Clinical Practice. 2020; 39: 101141 | | [Pubmed] | [DOI] | | | 50 |
Effects of winter sea bathing on psychoneuroendocrinoimmunological parameters |
|
| Ilaria Demori,Tommaso Piccinno,Daniele Saverino,Erika Luzzo,Stefano Ottoboni,Davide Serpico,Marco Chiera,Roberto Giuria | | EXPLORE. 2020; | | [Pubmed] | [DOI] | | | 51 |
Structured Water Dance Intervention (SWAN) for adults with profound intellectual and multiple disabilities: study protocol |
|
| Lars-Olov Lundqvist,Marie Matérne,Anette Granberg,André Frank,Patrik Arvidsson,Anna Duberg | | Heliyon. 2020; 6(7): e04242 | | [Pubmed] | [DOI] | | | 52 |
Cannabinoid Hyperemesis Syndrome: A Review of Potential Mechanisms |
|
| Marieka V. DeVuono,Linda A. Parker | | Cannabis and Cannabinoid Research. 2020; | | [Pubmed] | [DOI] | | | 53 |
The Role of Thermal Water in Chronic Skin Diseases Management: A Review of the Literature |
|
| Sara Cacciapuoti,Maria A. Luciano,Matteo Megna,Maria C. Annunziata,Maddalena Napolitano,Cataldo Patruno,Emanuele Scala,Roberta Colicchio,Chiara Pagliuca,Paola Salvatore,Gabriella Fabbrocini | | Journal of Clinical Medicine. 2020; 9(9): 3047 | | [Pubmed] | [DOI] | | | 54 |
Muscle Activation and Distribution during Four Test/Functional Tasks: A Comparison between Dry-Land and Aquatic Environments for Healthy Older and Young Adults |
|
| Ántonio Cuesta-Vargas,Jaime Martín-Martín,David Pérez-Cruzado,Carlos L. Cano-Herrera,Javier Güeita Rodríguez,Jose Antonio Merchán-Baeza,Manuel González-Sánchez | | International Journal of Environmental Research and Public Health. 2020; 17(13): 4696 | | [Pubmed] | [DOI] | | | 55 |
Identification of Tools for the Functional and Subjective Assessment of Patients in an Aquatic Environment: A Systematic Review |
|
| Antonio Cuesta-Vargas,Jaime Martin-Martin,Manuel Gonzalez-Sanchez,Jose Antonio Merchan-Baeza,David Perez-Cruzado | | International Journal of Environmental Research and Public Health. 2020; 17(16): 5690 | | [Pubmed] | [DOI] | | | 56 |
The effects of balneotherapy on human immune gunction: should baths and mud applications have a role during covid-19 pandemic? |
|
| M.C. Maccarone,G. Magro,U. Solimene,S. Masiero | | Bulletin of Restorative Medicine. 2020; 97(3): 22 | | [Pubmed] | [DOI] | | | 57 |
Egyptian and Greek Water Cultures and Hydro-Technologies in Ancient Times |
|
| Abdelkader T. Ahmed,Fatma El Gohary,Vasileios A. Tzanakakis,Andreas N. Angelakis | | Sustainability. 2020; 12(22): 9760 | | [Pubmed] | [DOI] | | | 58 |
Effectiveness of Hydrotherapy on Communication Skills of Children with Autism Spectrum Disorder: A Single Case Study |
|
| Samad Azimigarosi,Aliakbar Arjmandnia,Alireza Mohseni Ezhei,Mostafa Asgari | | Quarterly Journal of Child Mental Health. 2020; 6(4): 35 | | [Pubmed] | [DOI] | | | 59 |
The short-term effects of hydrotherapy on pain and self-perceived functional status in individuals living with osteoarthritis of the knee joint |
|
| Kganetso Sekome,Stacey Maddocks | | South African Journal of Physiotherapy. 2019; 75(1) | | [Pubmed] | [DOI] | | | 60 |
Effects of moderate mountain hiking and balneotherapy on community-dwelling older people: A randomized controlled trial |
|
| Johanna Prossegger,Daniela Huber,Carina Grafetstätter,Christina Pichler,Renate Weisböck-Erdheim,Bernhard Iglseder,Gerti Wewerka,Arnulf Hartl | | Experimental Gerontology. 2019; 122: 74 | | [Pubmed] | [DOI] | | | 61 |
Sulphate mineral waters: A medical resource in several disorders |
|
| Maria Costantino,Viviana Izzo,Valeria Conti,Valentina Manzo,Antonella Guida,Amelia Filippelli | | Journal of Traditional and Complementary Medicine. 2019; | | [Pubmed] | [DOI] | | | 62 |
Contrast bath-induced neurite outgrowth in PC12m3 cells via the p38 mitogen-activated protein kinase pathway |
|
| Hirotoshio Motoda,Fukumi Hiragami,Kenji Kawamura,Shigeki Inoue,Yutaka Gomita,Yoshio Kano | | Heliyon. 2019; 5(10): e02656 | | [Pubmed] | [DOI] | | | 63 |
Trends in the use of Yoga and Naturopathy based lifestyle clinics for the management of Non-communicable diseases (NCDs) in Tamilnadu, South India |
|
| K. Maheshkumar,V. Venugopal,S. Poonguzhali,N. Mangaiarkarasi,S.T. Venkateswaran,N. Manavalan | | Clinical Epidemiology and Global Health. 2019; | | [Pubmed] | [DOI] | | | 64 |
Efficacy of aquatic therapy for neck pain: a systematic review |
|
| Iluminada Corvillo,Francisco Armijo,Antonio Álvarez-Badillo,Onica Armijo,Enrique Varela,Francisco Maraver | | International Journal of Biometeorology. 2019; | | [Pubmed] | [DOI] | | | 65 |
Geothermal water for health state improvement: randomised controlled study |
|
| Lolita Rapoliene,Lina Gedrime,Arturas Razbadauskas,Aelita Skarbaliene,Constantin MUNTEANU | | Balneo Research Journal. 2019; 10(10.2): 153 | | [Pubmed] | [DOI] | | | 66 |
Congruence with Health by Divergence in Uses of Water: An Ayurvedic Notion |
|
| Anam Aftab,Vandana Verma,Sangeeta Gehlot | | Current Research in Nutrition and Food Science Journal. 2019; 7(3): 738 | | [Pubmed] | [DOI] | | | 67 |
Relation of Different Components of Climate with Human Pituitary-Thyroid Axis and FT3/FT4 Ratio: A Study on Euthyroid and SCH Subjects in Two Different Seasons |
|
| Taha O. Mahwi,Darya S. Abdulateef | | International Journal of Endocrinology. 2019; 2019: 1 | | [Pubmed] | [DOI] | | | 68 |
The Thermal Effects of Water Immersion on Health Outcomes: An Integrative Review |
|
| Jiyeon An,Insook Lee,Yunjeong Yi | | International Journal of Environmental Research and Public Health. 2019; 16(7): 1280 | | [Pubmed] | [DOI] | | | 69 |
Effect of hydrotherapy on sleep deficiency among older people in integrated community health services in Pandak I Bantul |
|
| Agus Warseno,Anastasia Suci Sukmawati | | Frontiers of Nursing. 2019; 6(1): 67 | | [Pubmed] | [DOI] | | | 70 |
Yeni Bir Hidroterapi Egzersiz Aletinin Sistematik Konstrüksiyon Yaklasimiyla Kavramsal Tasarimi |
|
| C. Oktay Azeloglu,M. Eda Alper | | Gazi Üniversitesi Fen Bilimleri Dergisi Part C: Tasarim ve Teknoloji. 2019; 7(2): 291 | | [Pubmed] | [DOI] | | | 71 |
Applied Pediatric Integrative Medicine: What We Can Learn from the Ancient Teachings of Sebastian Kneipp in a Kindergarten Setting |
|
| Marion Eckert,Melanie Anheyer | | Children. 2018; 5(8): 102 | | [Pubmed] | [DOI] | | | 72 |
Comparison of the relaxation and calming effect of a foot bath and a lavender foot bath, through EEG and emotional responses analysis |
|
| Eun-Young Kim,Min-Kyung Kim,Sun Tae Kim,Hee Wook Ryu | | Journal of Odor and Indoor Environment. 2018; 17(2): 122 | | [Pubmed] | [DOI] | | | 73 |
Efficacy of Warm Showers on Postpartum Fatigue Among Vaginal-Birth Taiwanese Women: A Quasi-Experimental Design |
|
| Ching-Hsing Hsieh,Chien-Lan Chen,Feng-Fang Chung,Su-Ying Lin | | Research and Theory for Nursing Practice. 2017; 31(2): 96 | | [Pubmed] | [DOI] | | | 74 |
A specifically designed aquatic exercise protocol to reduce chronic lower limb edema |
|
| Sergio Gianesini,Mirko Tessari,Primo Bacciglieri,Anna Maria Malagoni,Erica Menegatti,Savino Occhionorelli,Nino Basaglia,Paolo Zamboni | | Phlebology: The Journal of Venous Disease. 2017; 32(9): 594 | | [Pubmed] | [DOI] | | | 75 |
Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis |
|
| Wai Yeung,Adam I Semciw | | Lymphatic Research and Biology. 2017; | | [Pubmed] | [DOI] | | | 76 |
The benefit of exercise training in pulmonary hypertension: a clinical review |
|
| Karen S. W. Chia,Peter K. K. Wong,Steven G. Faux,Craig S. McLachlan,Eugene Kotlyar | | Internal Medicine Journal. 2017; 47(4): 361 | | [Pubmed] | [DOI] | | | 77 |
Implementation of a Hydrotherapy Protocol to Improve Postpartum Pain Management |
|
| Meghann Batten, Eleanor Stevenson, Deb Zimmermann, Christine Isaacs | | Journal of Midwifery & Women's Health. 2017; 62(2): 210 | | [Pubmed] | [DOI] | | | 78 |
The effect of balneotherapy on pain relief, stiffness, and physical function in patients with osteoarthritis of the knee: a meta-analysis |
|
| Hiromi Matsumoto,Hiroshi Hagino,Kunihiko Hayashi,Yuki Ideno,Takashi Wada,Toru Ogata,Masami Akai,Atsushi Seichi,Tsutomu Iwaya | | Clinical Rheumatology. 2017; | | [Pubmed] | [DOI] | | | 79 |
Balneotherapy in osteoarthritis: Facts, fiction and gaps in knowledge |
|
| Antonella Fioravanti,Mine Karagülle,Tamas Bender,Müfit Zeki Karagülle | | European Journal of Integrative Medicine. 2017; | | [Pubmed] | [DOI] | | | 80 |
Immediate Effect of Hot Chest Pack on Cardio-Respiratory Functions in Healthy Volunteers: A Randomized Cross-Over Study |
|
| Thoudam Manjuladevi,A. Mooventhan,N.K. Manjunath | | Advances in Integrative Medicine. 2017; | | [Pubmed] | [DOI] | | | 81 |
Cannabinoid hyperemesis syndrome: A disorder of the HPA axis and sympathetic nervous system? |
|
| John R. Richards | | Medical Hypotheses. 2017; 103: 90 | | [Pubmed] | [DOI] | | | 82 |
Effects of Hydrotherapy on Postural Control of Women with Fibromyalgia Syndrome: A Single Arm Study |
|
| Deborah Colucci Trevisan,Mariana Arias Avila,Patricia Driusso,Karina Gramani-Say,Fernando M. Araujo-Moreira,Nivaldo Antonio Parizotto | | MYOPAIN. 2017; : 1 | | [Pubmed] | [DOI] | | | 83 |
Clinical Roundup |
|
| | | Alternative and Complementary Therapies. 2016; | | [Pubmed] | [DOI] | | | 84 |
Effects of ice massage of the head and spine on heart rate variability in healthy volunteers |
|
| A. Mooventhan,L. Nivethitha | | Journal of Integrative Medicine. 2016; 14(4): 306 | | [Pubmed] | [DOI] | | | 85 |
Effects of thermoneutral water, cold-water and contrasting water temperature immersions on lower limb vein cross-section |
|
| S. Beliard,A. Menetrier,G. Ravier,M. Rakobowchuk,L. Mourot,N. Tordi | | Science & Sports. 2016; | | [Pubmed] | [DOI] | | | 86 |
Immediate effect of cool spinal bath on blood pressure of healthy volunteers – Results of a single arm study |
|
| R. Jainraj,P.M.K. Nair,P. Khawale | | Advances in Integrative Medicine. 2016; | | [Pubmed] | [DOI] | | | 87 |
Combining balneotherapy and health promotion to promote active and healthy ageing: the Balaruc-MACVIA-LR® approach |
|
| H. Blain,P. L. Bernard,G. Canovas,N. Raffort,H. Desfour,L. Soriteau,M. Noguès,T. Camuzat,J. Mercier,A. Dupeyron,I. Quéré,I. Laffont,C. Hérisson,H. Solimene,J. Bousquet | | Aging Clinical and Experimental Research. 2016; | | [Pubmed] | [DOI] | | | 88 |
Short-Term Effects of Hydrokinesiotherapy in Hospitalized Preterm Newborns |
|
| Welcy Cassiano de Oliveira Tobinaga,Cirlene de Lima Marinho,Vera Lucia Barros Abelenda,Paula Morisco de Sá,Agnaldo José Lopes | | Rehabilitation Research and Practice. 2016; 2016: 1 | | [Pubmed] | [DOI] | | | 89 |
Temperature control of water-bath system in presence of constraints by using MPC |
|
| Sohaib Aslam,Sundas Hannan,Waheed Zafar,Muhammad Umar Sajjad | | International Journal of ADVANCED AND APPLIED SCIENCES. 2016; 3(12): 62 | | [Pubmed] | [DOI] | | | 90 |
Le site de référence du Partenariat européen d’innovation pour un vieillissement actif et en bonne santé MACVIA-LR (contre les maladies chroniques pour un vieillissement en bonne santé en Languedoc-Roussillon) |
|
| | | La Presse Médicale. 2015; 44: S6 | | [Pubmed] | [DOI] | |
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