Géza Bálint, Dóra Csákvári, Aniella Hunka, Péter Bálint

National Institute of Rheumatology and Physiotherapy

A MODEL FOR ORGANIZING EFFECTIVE HEALTH TOURISM AT SPAS

SPAS ARE EXCELLENT CENTRES FOR RELAXATION, HOLIDAYS AND SOCIAL COMMUNICATIONS

SPAS ARE IDEAL CENTRES FOR

- MUSCULO-SKELETAL

- CARDIO-PULMUNARY

- MENTAL HEALTH

HÉVIZ - Hungary

SPAS MAY PROVIDE

-REHABILITION FACILITES

-TREATMENT AND POSTOPERATIVE CARE

-FACILITIES FOR PREVENTATION

PROGRAMMED SURGERY LIKE CARDIAC AND ORTHOPEDIC SURGERY, MEDICAL REHABILITATION CAN BE PROVIDED FOR EC COUNTRIES

SPECIALIZED REHABILITATION TEAMS ARE NEEDED FOR REHABILITATION OF PATIENTS FOR DIFFERENT CONDITIONS, LIKE

-POSTTRAUMATIC REHABILITATION

-PERIPHERAL PARESIS

-ANKYLOSING SPONDYLITIS

-FIBROMYALGIA

-POSTINFARCT REHABILITATION

-DEPRESSION

3-6 PATIENTS WITH NEARLY SIMILAR STATUS SHOULD FORM A REHABILITATION GROUP HEADED BY AN EXPERIENCED PHYSIOTHERAPIST, WHO RESPONSIBLE FOR THE WHOLE REHABILITATION PROCESS GROUP.

PRE- AND POSTREHABILITATION ASSESSMENT EXACTLY WORKED OUT PROGRAM AND TIMETABLE SHOULD BE INCLUDE

- SUBAQUAL AND GROUND EXERCISES

- ELECTROTHERAPHY AND BALNEOTHERAPY

- REST AND RELAXATION TRAINING

- PATIENTS EDUCATION

- FREE TIME ACTIVITIES

FIBROMYALGIA: A PROGRAMME EXAMPLE

PHASE 1. ASSESSMENT, PATIENT EDUCATION

„EXTERNAL RELAXATION: WARM WATER, MASSAGE, MUD TREATMENT, ELECTROTHERAPY, STRECHING, REHALXATION EXERCISES

PHASE 2 RELAXATION TECHNIQUE – AUTOGENOUS TRAINING

PHASE 3 STRENGTHENING EXERCISES, OUTCOME MEASUREMENTS

SPAS AS CENTRES OF PREVENTION

-HEALTH CLUB FOR LOCAL CITIZENS FOR DIFFERENT AGE GROUPS

-HEALTH ASSESSMENT INCLUDING AEROBIC CAPACITY, MUSCLE STRENGTH AND ENDURANCE, PSYHOLOGICAL STATUS

DIFFERENT EXERCISES AND RELAXATION PROGRAMME FOR DIFFERENT AGE AND HEALTH PROGRAMME FOR DIFFERENT AGE AND HEALTH GROUP. DIETETIC COUNSELLING ADVICE, DIETETIC RESTAURANTS

SPORT FACILITIES, DIFFERENT GAMES, SOCIAL EVENTS, HEALTH EDUCATION PROGRAMMES

THE EFFECT OF HEALTH CLUBS SHOULD BE EVALUATED AFTER 3-5 YRS

IN YOUNG PEOPLE

-INCIDANCE OF UPPER RESPIRATORY AILMENTS

-AEROBIC CAPACITY

-MUSCLE STRENGTH AND ENDURANCE COMPARED TO MATCHED CONTROLS

IN ELDERLY PEOPLE INCIDENCE OF OBESITY

-DIABETES

-HEART ATTACK, STROKE, INJURIES, DEPRESSION

-AEROBIC CAPACITY, MUSCLE STRENGTH AND INDURANCE,

-QUALITY OF LIFE SHOULD BE ASSESSED COMPARED TO CONTROLS

WELLNESS IS A PROGRAMME FOR RELAXATION, FITNESS AND ENJOYING LIFE, FEELING. EATING AND LOOKING OUT GREAT WITHOUT ANY ASSESSMENT

PREVANTIVE HEALTH TOURISM SHOULD PROVIDE

-EVALUATION OF HEALTH STATUS INCLUDING AEROBIC CAPACITY

-HEALTH MAINTANANCE PROGRAMME FOR DIFFERENT AGE GROUPS, FAMILIES WITH DIFFERENT DURATION WITH ASSESSMENT

- HOLIDAYS, VACATIONS FOR DIFFERENT PATIENT ORGANIZATIONS

SPA TREATMENT AND PREVENTION SHOULD BE

SCIENTIFICALLY BASED

PROFESSIONALY PERFORMED

ASSESSING THE RESULTS