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2014 ; 27
(4
): 184-91
Nephropedia Template TP
gab.com Text
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English Wikipedia
How important is hydrotherapy? Effects of dynamic action of hot spring water as a
rehabilitative treatment for burn patients in Switzerland
#MMPMID26336365
Moufarrij S
; Deghayli L
; Raffoul W
; Hirt-Burri N
; Michetti M
; de Buys Roessingh A
; Norberg M
; Applegate LA
Ann Burns Fire Disasters
2014[Dec]; 27
(4
): 184-91
PMID26336365
show ga
Burn rehabilitation using hydrotherapy can have multiple benefits for the burn
patient. The therapy uses specific mineral enriched hot spring water and water
jets with varied hydro-pressure to combat hypertrophy, inflammatory reaction
signs, abnormal pigmentation, and, more specifically, redness and scarring.
Standard operating procedures for burn rehabilitation have been developed and
integrated into the Standard of Care at the CHUV hospital using localized
hydro-mechanical stimulation of burn sites (20 minutes of alternating anatomical
sites) followed by constant pressure large-bore and filiform showers targeting
specific scarred areas. These therapeutic regimens are repeated daily for 2 to 3
weeks. Patients showed lasting effects from this regimen (up to 3-6 months), the
results becoming permanent with more uniform skin structure, color and
visco-elasticity in addition to a decrease in pruritus. The specifications of
clinical protocols are described herein along with the virtues of hot spring
hydro-pressure therapy for burn rehabilitation. The use of hydrotherapy, which
has been a controversial topic among burn units across the world, is also
discussed. In North America, hydrotherapy is defined only within the scope of
in-patient wound cleansing and is thought to lead to microbial auto-contamination
and bacterial resistance. In Switzerland and France the emphasis of hydrotherapy
is on rehabilitation after the wound has closed.