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Kacha N, Dorel G, Frappé P, Chauleur C, Raia-Barjat T. [Influence of water immersion on the use of epidural anesthesia during labor]. GYNECOLOGIE, OBSTETRIQUE, FERTILITE & SENOLOGIE 2024; 52:454-459. [PMID: 38316256 DOI: 10.1016/j.gofs.2024.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 01/27/2024] [Accepted: 01/29/2024] [Indexed: 02/07/2024]
Abstract
OBJECTIVE Immersion in water during labor could reduce pain and use of epidural anesthesia during childbirth. The main objective of this study was to evaluate the influence of immersion in water during labor on the use of epidural anesthesia in a midwife care setting. METHODS We conducted a single-center retrospective study of all women who gave birth in the physiological ward of Saint-Étienne University Hospital between October 2020 and December 2022. RESULTS The study did not find difference between immersion group and control group concerning the use of epidural anesthesia (P=0.49). The immersion group counted more women with a duration of labor greater than 6hours than in the control group. The multivariate analysis adjusted for parity and duration of labor did not find difference between both groups [OR 0.58; 95% CI (0.30; 1.09)]. CONCLUSION Even if it does not seem to modify the use of epidurals, immersion in water does not seem to increase maternal and neonatal morbidity and mortality. It represents a therapeutic alternative with reasonable cost to offer for pregnant women who wish to give birth without epidural anesthesia.
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Affiliation(s)
- Nesrine Kacha
- Département de médecine générale, université de Saint-Étienne, Saint-Étienne, France
| | - Gwendoline Dorel
- Service de gynécologie obstétrique, centre hospitalier universitaire de Saint-Étienne, avenue Albert-Raymond, 42055 Saint-Étienne cedex 2, France
| | - Paul Frappé
- Département de médecine générale, université de Saint-Étienne, Saint-Étienne, France
| | - Céline Chauleur
- Service de gynécologie obstétrique, centre hospitalier universitaire de Saint-Étienne, avenue Albert-Raymond, 42055 Saint-Étienne cedex 2, France; Inserm U1059 Sainbiose, université Jean Monnet, Saint-Étienne, France
| | - Tiphaine Raia-Barjat
- Service de gynécologie obstétrique, centre hospitalier universitaire de Saint-Étienne, avenue Albert-Raymond, 42055 Saint-Étienne cedex 2, France; Inserm U1059 Sainbiose, université Jean Monnet, Saint-Étienne, France.
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Gálvez I, Fioravanti A, Ortega E. Spa therapy and peripheral serotonin and dopamine function: a systematic review. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2024; 68:153-161. [PMID: 37950094 PMCID: PMC10752831 DOI: 10.1007/s00484-023-02579-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 10/23/2023] [Accepted: 11/04/2023] [Indexed: 11/12/2023]
Abstract
Spa therapy consists of multiple techniques based on the healing effects of water, including hydrotherapy, balneotherapy, and mud therapy, often combined with therapeutic exercises, massage, or physical therapy. Balneotherapy is a clinically effective complementary approach in the treatment of low-grade inflammation- and stress-related pathologies, especially rheumatic conditions due to its anti-inflammatory properties. The main objective of this investigation was to conduct a systematic review analyzing the available evidence on the effect of spa therapy on serotonin and dopamine function. The databases PubMed, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) were used from June to July 2023. Exclusion criteria were (1) articles not written in English, (2) full text not available, (3) article not related to the objective of the review. JADAD scale was used for methodological quality evaluation. Four studies were included in the systematic review. Two studies were related to serotonin in healthy individuals, one to serotonin in fibromyalgia, and one to dopamine in healthy individuals. One of the studies evaluated hydrotherapy, another one balneotherapy and mud-bath therapy, and the other two assessed balneotherapy interventions. Studies were very heterogeneous, and their methodological quality was low, making it difficult to draw clear conclusions regarding the effect of spa therapy on peripheral serotonin and dopamine function. The findings of this review highlight the lack of studies evaluating these neurotransmitters and hormones in the context of spa therapy. Further research is needed to evaluate the potential effects of these therapies on serotonin or dopamine function.
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Affiliation(s)
- Isabel Gálvez
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain
- Departamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de Extremadura, 06006, Badajoz, Spain
| | - Antonella Fioravanti
- Organisation Mondiale du Thermalisme (OMTh) - World Hydrothermal Organization, Sede Palazzo Terme, via Vittorio Emanuele, 38056, Levico Terme, Italy
| | - Eduardo Ortega
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06006, Badajoz, Spain.
- Departamento de Fisiología, Facultad de Ciencias, Universidad de Extremadura, 06071, Badajoz, Spain.
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Vion-Dury J, Micoulaud-Franchi JA, Grousset B, Kanny G, Dubois O. Psychosomatic states and their correlation with letting-go: two newly evaluated core factors for investigating the therapeutic effect of spa treatment. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2023; 67:1643-1650. [PMID: 37481483 DOI: 10.1007/s00484-023-02526-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 07/11/2023] [Accepted: 07/14/2023] [Indexed: 07/24/2023]
Abstract
Spa therapy (aka crenobalneotherapy) has been the object of criticism due to insufficient evidence of its effectiveness. While further effectiveness studies are needed, others are also required to better evaluate the curative factors involved during spa therapy that may contribute to the effectiveness. The current study used specific scales to investigate two possible curative factors: the psychosomatic state and the letting-go of patients with mental disorders after 3 weeks of spa therapy. The Saujon Psychosomatic Questionnaire (SPQ) and the Quantified Assessment of Fluidity of Consciousness Questionnaire (QACF) evaluate psychosomatic state and letting-go, respectively. The Hospital Anxiety and Depression Scale (HAD) and the Insomnia Severity Index (ISI) evaluate depression and anxiety symptoms and insomnia symptoms, respectively. Sixty-five subjects (57 women (87.69%); 8 men), with a mean age of 56.9 (± 9.7) years, were included. SPQ and QAFC scores improved significantly before and after the 3 weeks of spa therapy. Improvement in HAD and ISI scores was significantly correlated with SPQ and QACF scores. These preliminary results suggest that the induced psychosomatic state and the letting-go induced by spa treatment with bubbling baths, jet showers, pool bathing and massage could help patients to become more available and more able to change their psychophysiological state.
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Affiliation(s)
- Jean Vion-Dury
- PRISM, CNRS, Aix-Marseille University, Marseille, France.
| | - Jean-Arthur Micoulaud-Franchi
- UMR 6033, SANPSY, CNRS, University of Bordeaux, 33000, Bordeaux, France
- University Sleep Clinic, University Hospital of Bordeaux, Place Amélie Raba-Leon, 33076, Bordeaux, France
| | - Blandine Grousset
- Faculté de Médecine, Département de Médecine Générale, Aix Marseille Université, Marseille, France
| | - Gisèle Kanny
- Laboratoire INTERPSY EA 4432, axe GRC, Campus Lettres et Sciences Humaines et Sociales, Université de Lorraine, Nancy, France
- Faculté de Médecine, Laboratoire d'Hydrologie et Climatologie Médicales, CHRU de Nancy, Vandœuvre-lès-Nancy, France
| | - Olivier Dubois
- Groupe Thermes de Saujon, Cliniques de Saujon, Hippocrate et Villa du Parc., 17600, Saujon, France
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Takinacı ZD, Karagülle M, İşsever H, Karagülle MZ. Clinical efficacy of spa therapy (balneotherapy) for chronic low back pain: A randomized single-blind trial. Eur J Integr Med 2019. [DOI: 10.1016/j.eujim.2019.100928] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Baysal E, Leblebicioğlu H, Khorshid L, Sarı D. Why individuals choose balneotherapy and benefit from this kind of treatment. Complement Ther Clin Pract 2018; 32:157-162. [DOI: 10.1016/j.ctcp.2018.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 06/20/2018] [Accepted: 06/20/2018] [Indexed: 10/28/2022]
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Xu L, Wu L, Liu T, Xing W, Cao X, Zhang S, Su Z. Effect of a 21-day balneotherapy program on blood cell counts, ponogen levels, and blood biochemical indexes in servicemen in sub-health condition. J Phys Ther Sci 2017; 29:1573-1577. [PMID: 28931990 PMCID: PMC5599823 DOI: 10.1589/jpts.29.1573] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 06/08/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of our study was to explore the changes in the blood of servicemen in
sub-health conditions during a 21-day balneotherapy program. [Subjects and Methods] For
this study, 129 servicemen in sub-health condition were recruited. The subjects were
randomly divided into either the balneotherapy group (70) or the control group (59).
Subjects in the balneotherapy group received whole-body immersion bath therapy in
thermomineral water (30 min daily) for 21 days. Their blood samples were examined 1 day
before and after balneotherapy. The parameters studied included mean corpuscular
hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), white blood cell
(WBC), lactic acid (LAC), alanine aminotransferase (ALT), glucose (GLU), and triglycerides
(TG) levels. [Results] After 21 days of balneotherapy, MCH levels and MCHC increased
significantly and WBC counts increased significantly. LAC levels decreased significantly.
ALT, GLU, and TG levels decreased significantly. In the control group, there were no
statistical differences before and after tap water baths following the same procedure.
[Conclusion] A 21-day balneotherapy program significantly improved blood cell counts and
blood biochemical indexes and reduced ponogen levels in servicemen in sub-health
condition.
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Affiliation(s)
- Li Xu
- Department of Aerospace Biodynamics, Fourth Military Medical University, China.,Department of Medical Affairs, Lintong Sanatorium of Lanzhou Military Region, China
| | - Lin Wu
- Department of Medical Psychology, Fourth Military Medical University, China
| | - Tingting Liu
- Department of Aerospace Biodynamics, Fourth Military Medical University, China
| | - Wenrong Xing
- Department of Medical Affairs, Lintong Sanatorium of Lanzhou Military Region, China
| | - Xinsheng Cao
- Department of Aerospace Biodynamics, Fourth Military Medical University, China
| | - Shu Zhang
- The Key Laboratory of Aerospace Medicine, Chinese Ministry of Education: 17 Changle Xi Rd., Xi'an, Shaanxi 710032, China
| | - Zongyi Su
- Selection and Training Office, Shihezi University, China
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De Maricourt P, Gorwood P, Hergueta T, Galinowski A, Salamon R, Diallo A, Vaugeois C, Lépine JP, Olié JP, Dubois O. Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2016; 2016:8961709. [PMID: 27956923 PMCID: PMC5124454 DOI: 10.1155/2016/8961709] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Accepted: 10/11/2016] [Indexed: 11/21/2022]
Abstract
Benzodiazepines should be prescribed on a short-term basis, but a significant proportion of patients (%) use them for more than 6 months, constituting a serious public health issue. Indeed, few strategies are effective in helping patients to discontinue long-term benzodiazepine treatments. The aim of this study was to assess the feasibility and the impact of a program including cognitive behavioural therapy, psychoeducation, and balneotherapy in a spa resort to facilitate long-term discontinuation of benzodiazepines. We conducted a prospective multicentre cohort study. Patients with long-term benzodiazepine use were recruited with the aim of anxiolytic withdrawal by means of a psychoeducational program and daily balneotherapy during 3 weeks. The primary efficacy outcome measure was benzodiazepine use 6 months after the program, compared to use at baseline. A total of 70 subjects were enrolled. At 6 months, overall benzodiazepine intake had decreased by 75.3%, with 41.4% of patients completely stopping benzodiazepine use. The results also suggest a significantly greater improvement in anxiety and depression symptoms among patients who discontinued benzodiazepines compared to patients who only reduced their use. Our findings suggest that balneotherapy in association with a psychoeducative program is efficient in subjects with benzodiazepine addiction.
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Affiliation(s)
- P. De Maricourt
- Service Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, France
- INSERM UMR 894, PRES Sorbonne Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - P. Gorwood
- INSERM UMR 894, PRES Sorbonne Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - Th. Hergueta
- Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - A. Galinowski
- Service Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, France
| | - R. Salamon
- Institute of Public Health, Epidemiology and Development “ISPED”, Bordeaux University, Bordeaux, France
| | - A. Diallo
- Institute of Public Health, Epidemiology and Development “ISPED”, Bordeaux University, Bordeaux, France
| | - C. Vaugeois
- Le Manoir Clinic, 09400 Ussat les Bains, France
| | - J. P. Lépine
- APHP, Département de Psychiatrie et de Médecine Addictologique, Hôpital Fernand Vidal, Paris, France
| | - J. P. Olié
- Service Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, France
- INSERM UMR 894, PRES Sorbonne Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
| | - O. Dubois
- Saujon Clinic, BP 30, 17600 Saujon, France
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The reduction of distress using therapeutic geothermal water procedures in a randomized controlled clinical trial. Adv Prev Med 2015; 2015:749417. [PMID: 25866680 PMCID: PMC4383502 DOI: 10.1155/2015/749417] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Revised: 02/03/2015] [Accepted: 02/10/2015] [Indexed: 11/29/2022] Open
Abstract
Stress is an element of each human's life and an indicator of its quality. Thermal mineral waters have been used empirically for the treatment of different diseases for centuries. Aim of the Study. To investigate the effects of highly mineralised geothermal water balneotherapy on distress and health risk. Methodology. A randomized controlled clinical trial was performed with 130 seafarers: 65 underwent 2 weeks of balneotherapy with 108 g/L full-mineralisation bath treatment; the others were in control group. The effect of distress was measured using the General Symptoms Distress Scale. Factorial and logistic regression analyses were used for statistical analysis. Results. A significant positive effect on distress (P < 0.001) was established after 2 weeks of treatment: the number of stress symptoms declined by 60%, while the intensity of stress symptoms reduced by 41%, and the control improved by 32%. Health risks caused by distress were reduced, and resources increased, whereas the probability of general health risk decreased by 18% (P = 0.01). Conclusion. Balneotherapy with highly mineralised geothermal water reduces distress, by reducing the health risk posed by distress by 26%, increasing the health resources by 11%, and reducing probability of general health risk by 18%. Balneotherapy is an effective preventive tool and can take a significant place in integrative medicine.
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Balneotherapy versus paroxetine in the treatment of generalized anxiety disorder. Complement Ther Med 2010; 18:1-7. [PMID: 20178872 DOI: 10.1016/j.ctim.2009.11.003] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2009] [Revised: 10/20/2009] [Accepted: 11/04/2009] [Indexed: 11/20/2022] Open
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