Download - TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
1/24
Author: Fausto Bonsignori , Medical Director Petriolo
Terma spa Resort
TERMINOLOGY AND CLASSIFICATION
IN THERMAL MEDICINE
A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
2/24
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
IN ALL AREAS OF INTERNATIONAL COOPERATION
IS NECESSARY TO USE COMMON TECHICAL THERMS
IN THE MEDICAL FIELD IS VERY IMPORTANT ALSO SHARE PROTOCOLS FOR
RESEARCH AND FOR PRACTICE
THIS IS ALSO ONE OF THE OBJECTIVE OF OUR PROJECT
THIS PRESENTATION IS INTENDED AS A CONTRIBUTION
TO ACHIEVE THE OBJECTIVE
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
3/24
THERMAL MEDICINE
MEDICAL HYDROLOGY is the branch of
medicine that studies the TERAPEUTIC
APPLICATION OF WATER WITH SPECIFIC
PHARMACOLOGICAL ACTIONS
CRENOTHERAPY ( from greek cren =
source ) is the branche of medicine that
studies the ACTION OF VARIUS
THERAPEUTIC MEANS OF THERMAL
ENVIRONMENT.
CRENOTERAPY stand for THERMAL
MEDICINE
THERMAL RESOURCE OF CARE
MINERAL WATER
MUD (Peloids)
SAND and SEAWEED
GAS
MICROCLIMATE
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 3
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
4/24
MINERAL WATERSTHERAPEUTIC CLASSIFICATION
1. MAIN CRITERIA
1. TEMPERATURE
2. FREEZING POINT
3. RESIDUE AT 180 C
4. PREVAILING IONIC
COMPOSITION AND
SPECIAL PHYSICAL
CHIMICAL CHARACTERISTIC
5. MAIN BIOLOGICAL
ACTIVITY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
5/24
MINERAL WATERS main criteria of CLASSIFICATION
TEMPERATURE
cold water < 20 , hypo thermal 20-30 c ,thermal 30-40 c, hyperthermal > 40c
FREEZING POINT
hypotonic < 9 gr/lt salt, isotonic 9 gr/lt salt (fisiologic saline) , hypertonic > 9gr/lt salt
RESIDUE AT 180C
strict mineral R. > 1 gr/lt, mediomineral R. 200 mg-1g/lt oligomineral R. < 200 mg/lt
PHYSICAL-CHEMICACAL CHARACTERISTICChloro-sodic (saline) , solfate , bicabonate-calcium(alkaline and alkaline terrouse)
carbogaseus, sulfurrous, arseniacal-ferrinous, radiactive
MAIN BIOLOGICAL ACTIVITY : diuretic, purgative, antiphlogistic
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 5
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
6/24
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
INTERNAL THERMAL MEDICINE
Drinking therapy
Irrigation
Inhalation therapy
Insufflation
EXTERNAL THERMAL MEDICINE
Balneotherapy
Therapeutic showers
Mud
MICROCLIMATE-THERAPYTHALASSOTHERAPY
6
THERMAL MEDICINE : METHODS
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
7/24
DRINKING THERAPY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
WATER LOAD : the morning (empty stomac) in abaut 30
DIVIDED DOSES : the morning (empty stomac) or in the afternoon between
meals, in small spis during a walk
Dosage basis of 500cc + 10cc of water per Kg of body weight , at natural
temperature or slightly heated, pure or diluite
DIURETIC : oligomineral-mediomineral, usually in divided doses
modalityurinary lithiasis : water load modality
PURGATIVE : saline , saline and solfate, alkaline
DIGESTIVE : cold or warm, alkaline
HAEMOPOIETIC : arsenicale-ferruginous diluited in relation to the minerals
concentration
7
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
8/24
IRRIGATION
Thermal water flow is in contact with the mucosa of open body cavity ( rectum,nose, mouth, vagina ) .
MAIN METHODS IN USE
RECTAL IRRIGATION
dose range 4-10 lt, flowed slowly (10-15) at temperature of 36-38c
VAGINAL or GYNECOLOGICAL IRRIGATION
dose range 2-3 lt . The supply pressure must be very low and the flow velocityvery slow (30) temperature 36-38c
NASAL , GUM AND ORAL WASHES
sprayed water (pressure 1-2 atm and temperature 38-40c) also with
anatomical mouthpieces
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 8
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
9/24
INHALATION THERAPHY
THE CHOISE OF APPLICATION
TECHNIQUE IS CRUCIAL FOR
THERAPY
SPECIFIC RELATIONSHIP BETWEEN
WATER PARTICLES DIAMETER AND
SECTOR TO BE TREATED
LARGES PARTICLES ARE DEPOSITED
ON THE UPPER AIRWAYS (PHARYNX,
LARYNX, TRACHEA)
DROPLETS WITH A DIAMETER LESS
THAN 3 MICRON CAN GET TO
PULMONARY ALVEOL
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
DIAMETER RETENTION
RATE
MAX. LOCATION
> 10 100% Pharynx, larynx,
trachea
6 95 Larynx, trachea,
bronchi
4 90 Bronchi, bronchioles
2 80 Bronchioles, acini,
alveoli
1 60 Acini , alveoli
0,6 35 alveoli
< 0,1 variable alveoli
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
10/24
MAIN TECHINIQUES FOR INHALATION THERAPY
IN THERMAL MEDICINE
THERMAL WATER FOG
in satured steam room ,Variable diameter particles wet or dry fog . Treatment
time : 15-20 the first 3 sessions then go to 60
INHALATION
individual equipmement that produces a jet of thermal steam (direct jet steam)
with large particles . Treatment time : 20
AEREOSOL
special equipment that divided themal water in tiny particles diameter 15 micron
Treatment time :15
HUMAGES
it take advantage of the gaseous content of some water . individual or collective.
Treatment time 20 (indiv) 30
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
11/24
INSUFFLATIONonly thermal gas without water particles
POLITZER TECHNIQUE
ENDOTYMPANIC INSUFFLATION with
ITARD TUBAL CATHETER
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 11
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
12/24
BALNEOTHERAPHY
CLASSIC BALNEOTHERAPY
ALL THERMAL WATERS
NATURAL OR DILUITED
AVERAGE TEMP. 33-35C
(VARIABLE)
TREATMENT TIME : 20
IMMERSION BODY
AFTER : REST PERIOD 20-30
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 12
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
13/24
MAIN TYPES OF BALNEOTHERAPY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 13
POOLSMax height 120-130 cm , diving handrail along perimeter 10 cm diving
chairs and beds ( 40 and 20 cm ) , whirpools
H. SINGLE BATH
standard size length 210-220 cm , width 85-90 cm , capacity 200-220 lt
LOCAL BALNEOTHERAPHY
h. baths for hands and feet
WATER PASSAGE
2 long (8-10 mt) and narrow pools , near but no connected, 50-60 cm, deep,
water with different temperature : 27-30c/24-26c . Whirlpools,
cobblestone floor.
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
14/24
LOCAL BALNEOTHERAPY and WATER COURSE
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
15/24
SHOWER
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 15
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.
Patient standing at a distance of 2,5-3 m treatment time : 10
RAIN SHOWER ( VICHY SHOWER )
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 emit thermal water at
different temperature. Alternating or simultaneously. Treatment time 5
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
16/24
RAIN SHOWER and SCOTTISCH SHOWER
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
17/24
PEILODS
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 17
PELOIDS
INORGANIC
MUD
SILT
ORGANIC
PEAT
MILDEW
SUBSTANCE FORMED IN
NATURAL CONDITIONS UNDERTHE INFLUENCE OF GEOLOGICAL
PROCESS AND WICH IN
SMOOTHLY DIVIDED STATE AND
IN MIXURE WITH MINERAL
WATER ARE USED IN MEDICAL
PRACTICE
COMBINATION OF MINERAL
WATER AND ORGANIC-
INORGANIC SUBSTANCE
DERIVED FROM GEOLOGIC-
BIOLOGICAL PROCESSES
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
18/24
APPLICATION TECHNIQUES
Fausto Bonsignori , Medical Director of PetrioloTerme spa Resort
MUD
Solid and liquid part ( clay + mineral water ) togheter for at last 6 months for the
maturation processes
THE STANDARD TEMPERATURE (43-45c) IS KEPT CONSTANT .
THIKNESS 10 cm , no total body .
TREATMENT TIME : 20 and after SHORT WARM BATH OR SHOWER andfollowing a RELAX PERIOD (30) COVERED.
SILT ( SEAMUD )
Formed in shallow marine ( lagoon or lake ) . Curing time is very long : decades
STANDARD APPLICATION AS THE MUD
MEDALLION METHOD
SHIRT METHOD
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
19/24
APPLICATION TECHNIQUES
Fausto Bonsignori , Medical Director of PetrioloTerme spa Resort
PEAT
Formed by decomposition of waste vegetable ( RAW PEAT ) soaked in mineral
Water.
STANDARD APPLICATION AS MUD
APPLICATIONS AS SILT
RAW PEAT AS ENRICHMENT OF BALNEOTHERAPY
MILDEW
Mucilaginous substance ( derived from algae ) that are formed with sulphurosous
water.
APPLIEN IN VERY THIN LAYER , TREATMENT TIME 15
WRAPS METHOD
FACE MASKS
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
20/24
MICROCLIMATE THERAPHY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
PARTICULAR MICROCLIMATES (WARM OR COLD, WET OR DRY) PRESENT IN
NATURAL OR ARTIFICIAL CAVITIES USED FOR THERAPEUTIC PURPOUSE
HOT WET CAVITY
Variables levels of temperature ( 32-43c ). Usually relative humidity 90-95%
Treatment time : differente than the temperature ( 15-50 ) HOT DRY CAVITY
Temperature up to 70-75c .
Treatment time : 20-30
COLD DRY CAVITY
Constant temperature ( 9-12c ) .
Treatment time : minimum 120
SALT CAVE : HALOTHERAPY
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
21/24
THALASSOTERAPY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort
DEFINITION
THE THERAPEUTIC UTILIZZATION OF FISIC AND CLIMATIC
STIMULETS CAUSED BY PECULIAR ENVIRONMNENTS OR MEANS
DERIVED FROM THE SEA-SIDE
THE COMBINATE USE FOR PREVENTION OR CURE OF ALL THE
BENEFICIAL ASPECTS OF THE SEA ENVIRONMNENTS : THE
CLIMATE, SEAWATER, SEAMUD, SEAWEED, SAND AND OTHER
SUBSTANCES DERIVED FROM THE SEA
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
22/24
22
THALASSOTERAPY
A CHAPTER OF MEDICAL THERMALISM TO WICH IT RESEMBLES,FOR THE SIMILAR USE OF MINERAL WATER FOR THERAPEUTIC
STARTEGY, FOR GENERAL INDICATIONS AND
CONTROINDICATIONS, AND FOR EMPLOYEMENT OF THE SAME
HYDROTHERMAL TECHIQUES AND METHODOLGIES
IN MEDICAL PRACTICE
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
23/24
MARINE
CLIMATOLOGY
SEAMUDTHERAPY
SEAWEEDTHERAPY
PSAMMOTHERAPY
BALNEO
THERAPYCOLD , WARM
WITH ELEMENTS
HELIOTHERAPY
IONIZINGWALKS
SEAPOOLS,
INDIVIDUALBATHS,WATER
PASSAGES
IRRIGATION
INHALATIONMARINE
HALOTHERAPY
SHOWER
AFFUSIONJET
SCOTTISCH
UNDERWATER
THALASSOTHERAPICMETHODS
Fausto Bonsignori Medical Director Petriolo terme spa resort
-
7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE
24/24
EVEN THE MONKEYS USE THE THERMAL BATHS
FOR THEIR HEALT
Fausto Bonsignori , Medical Director Petriolo Terma spa Resort24
MANY THANKS FOR YOUR ATTENTION