HRM  treatment is associated with clinical improvement in diseases of the skin , respiratory , circulatory , digestive and nervous system among others .
The scientific literature of the last decade has shown that a number of non-musculoskeletal disorders are treated with different kinds of  HRM .
Health resort medicine ( HRM ; in German : Kurortmedizin ) is a field of medicine with long-lasting tradition in several European countries .
A number of systematic review s have shown the effectiveness of HRM  in musculoskeletal conditions .
Review s focusing on the effectiveness of HRM in non-musculoskeletal disorders are rare .
This systematic review aims to provide an overview about all types of health resort treatments applied in non-musculoskeletal conditions , to summarize evidence for its effectiveness and to assess the quality of published studies .
Clinical, functional and quality of life changes after balneokinesis with sulphurous water in patients with varicose veins.
BACKGROUND Purpose of this study was to assess the effects of thermal hydrotherapy ( balneokinesis ) with a sulphurous water on clinical symptoms , quality of life and some functional parameters in patients with varicose veins . PATIENTS AND METHODS 70 patients with primary or secondary symptomatic varicosis were enrolled and su bmi tted to elastic compression therapy . Patients were then r and omized to receive ( 50 pts , group A ) or not receive ( 20 pts , group B ) balneokinetic treatment for 12 days " on top " of elastic compression . Clinical symptoms , quality of life and functional parameters obtained with light reflex plethysmography ( PPG ) and laser Doppler fluxmetry ( LDF ) were assessed after 3 and 6 months . RESULTS Scores for subjective symptoms as pain , edema , and venous claudication were decreased after 6 months in both groups , but more evidently in group A su bmi tted to balneokinesis . Some parameters related to quality of life evaluation as " bodily pain " and " emotional role " were improved only in patients undergoing balneokinesis . Regarding functional parameters , with PPG venous refilling time after foot exercise moderately increased in both groups . With LDF a significant improvement in the veno-arteriolar reflex was seen in the group treated with balneokinesis . CONCLUSIONS These results show additional benefits of balneokinetic treatment in patients with symptomatic varices su bmi tted to elastic compression . In fact , clinical and quality of life improvements were observed . The associated amelioration in the veno-arteriolar reflex may support these subjective benefits
HRM  treatment is associated with clinical improvement in diseases of the skin , respiratory , circulatory , digestive and nervous system among others .
The scientific literature of the last decade has shown that a number of non-musculoskeletal disorders are treated with different kinds of  HRM .
Health resort medicine ( HRM ; in German : Kurortmedizin ) is a field of medicine with long-lasting tradition in several European countries .
A number of systematic review s have shown the effectiveness of HRM  in musculoskeletal conditions .
Review s focusing on the effectiveness of HRM in non-musculoskeletal disorders are rare .
This systematic review aims to provide an overview about all types of health resort treatments applied in non-musculoskeletal conditions , to summarize evidence for its effectiveness and to assess the quality of published studies .