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 .
Sulphurous thermal water inhalations in the treatment of chronic rhinosinusitis.
INTRODUCTION The aim of this study was to evaluate the efficiency of sulphurous thermal water in the treatment of chronic rhinosinusitis ( CRS ) . METHODS Eighty patients with CRS were included and r and omly assigned into two groups . Patients underwent a 12-day course of warm vapour inhalations and nasal irrigations with sulphurous thermal water in group A , and a physiological solution in group B. RESULTS Compared with group B , in group A the results were as follows : serum concentration of IgE was significantly lower ( p<0.05 ) 12 days ( 76.27 + 26.3 mg/dl vs. 97.44±45.4 ) and 3 months after the beginning of the treatment ( 75.48 + 26.1 mg/dl vs. 98.37±41.4 ) ; IgA titers were not significantly higher 12 days ( 231.09±120.3 mg/dl vs. 220.44 + 114.4 mg/dl ) and 3 months after the beginning of the treatment ( 235.44±118.5 mg/dl vs. 214.51±111.8 mg/dl ) ; VAS scores were significantly ( p<0.05 ) improved at 12 days ( 1.7 + 0.18 vs. 6.9±0.51 ) and 3 months after the start ( 1.8 + 0.22 vs. 7.1±0.59 ) ; NMIT was normal at 12 days ( 11.54±1.59 min vs. 17.38 + 1.83 min ) and 3 months after the beginning of the treatment ( 11.46 + 2.07 min vs. 17.43±2.01 min ) ; total nasal resistances were significantly ( p<0.05 ) decreased at 12 days and 3 months . CONCLUSION Our results indicate the efficiency and applicability of sulphurous thermal water in the treatment of CRS
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 .