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 .
[The rhinogenic deafness and SPA therapy: clinical-experimental study].
OBJECTIVES The sulphur SPA inhalation therapy is useful in respiratory and otolaryngologic chronic inflammatory diseases in adult subjects and children . The therapeutic action relies on anti-inflammatory , mucolytic and trophic effects . Particularly in children , the sulphur SPA inhalation therapy , using endotympanic ventilation or Politzer method , would be suitable in the treatment of the rhinogenic deafness . Several reports have demonstrated the effectiveness of endotympanic ventilation while the results on the Politzer method are inconclusive . On the basis of these considerations , aim of our study was to analyze the effectiveness and the safety of the aerosol+Politzer with a sulphur mineral water in children affected by rhinogenic deafness or chronic inflammatory processes responsible for the onset or persistence of rhinogenic deafness . PATIENTS AND METHODS The study has been performed on 23 subjects in pediatric age ( 61 % women and 39 % males ; mean age : 6+/-2.4 years ; age range : 3 - 14 years ) affected by chronic catarrhalis otitis , chronic rhino-pharyngitis inflammations , chronic or recurrent adenoiditis with dysfunction of the Eustachian Tube . The investigated subjects underwent 12 consecutive days sulphur SPA inhalation therapy ( aerosol+Politzer ) at the Terme of Stabia in Castellammare ( Naples , Italy ) . At the beginning and at the end of the SPA cycle the functionality of the middle ear and the tolerability were evaluated . RESULTS The results have shown an increase of the impedance curves that correspond to the normal ventilation of the tympanic box ( type A ( 13 % before therapy and of 57 % post-therapy ) and a decrease of the pathological curves of type B and type C ( 87 % pre-therapy and of 43 % post-therapy ) ; a significant increase of compliance ( p 0.05 ) in pathological curves of type B and C. No adverse reaction to the SPA inhalation therapy has been reported during the study . CONCLUSIONS In concordance with the literature our data demonstrated that the sulphur SPA inhalation treatment induce a improvement of middle ear function of the subjects examined with good local and systemic tolerability
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 .