Balneotherapy is defined as the treatment performed in spa resorts, making use of several environmental factors such as thermal springs, climate, diet, physical exercise and so on as a tool of the therapy. It is, therefore, more often denominated Kurorttherapie or cure de station thermale in Europe.
Biological effects of the balneotherapy and it's machanism have been extensively investigated, particularly centered around the effects of thermal spring bathing in Japan. Many investigators have paied much attention toward chemicals dissolved in thermal springs, in hope of explaining the effects from pharmacological aspects. As far as bathing effects are concerned, however, convincing relationship between chemicals and biological effects has not been recognized.
Another concept of the balneotherapy, represented by the term of stress therapy or Reizserientherapie, was stemmed from the fact that environmental factors are non-specific stimulants in nature. Body reactions provoked by the stimulation are associated with functional activation of many organs, irrespective of stimulants. This non-specific reaction favors body in promoting health and accelarating convalescence. This concept seems to be supported by many reported observations and also by ours as well in which wound healing and postoperative recovery were promoted by thermal bathing.
Repeated application of a stimulus eventually induces adaptation or tolerance in the body. A cross-relationship has been reported between adaptative states against different stimulants of either physiologic or noxious, thus indicating that the adaptation is also a non-specific biological process. In this context, we observed that physically trained rats were much tolerant to hemorrhagic hypotension compared with sedentary controls.
The so-called nomalization effect of balneotherapy, which indicates a reduction of variance in biometrical data, has been widely accepted to be a phenomenon characteristically take place in the subjects following balneotherapy. This was, however, also recognized in men and animals subjected to an exercise training. This again seems to suggest that a biological sequence following balneotherapy is the adaptative body reaction which is non-specific to stimuli.
Thus, balneotherapy is considered to be a part of the stress therapy which stimulates homeostatic mechanism to develop adaptation and ultimately improve physiological fitness, when appropriately applied. Medical significance of the therapy seems to be apparent, both in promoting and restorating the health.
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