Course speleotherapy in the conditions of the underground department

Inpatient speleotherapy (includes three periods)

1. Adaptation and preparatory period

  • Medical examination of patients
  • Individual program of rehabilitation is prepared for the patient
  • Medical documentation is prepared – Patients are assigned to medical examinations
  • a course of speleotherapy treatments is prescribed during the daytime or at night, taking into account the patient’s form of illness and the
  • presence of concomitant pathology
  • physical therapy procedures are prescribed
    patients are provided with all the information about speleotherapy, medical and service fees – if necessary, patients are examined by the medical advisory committee
  • patients are given a presentation of the hospital and instructions on the rules of the facility and safety precautions

The adaptation period lasts for 2-3 days, and can be longer, depending on the individual characteristics of the body, the severity of the main disease and the presence of related diseases.

2. Main therapeutic period

  • Patients follow the doctor’s prescription, daily regimen, diet
  • Speleo-procedures are released daily in the daytime (duration of stay – up to 5 hours) and in the evening and night time (duration of stay – up to 11 hours)
  • Medical examination, dynamic medical supervision and control over the state of health and individual reactions to speleo-environment – Physical therapy treatments are provided

Patients attend the “Asthma-school”, where they are trained in:

  • The rules of using a pykflometer (measurement of exhalation peak velocity, which characterizes the permeability of the bronchi as a whole)
  • The rules of using a nebulizer;
  • Techniques for the use of metered-dose aerosol inhalers;
  • principles of using baseline medication therapy;
    the rules of assessing the degree of control of the
  • disease by asthma – control test.

In the underground department:

  • breathing exercises in the LFC room;
  • there is a distance walking on the walking path (360 meters);
  • volleyball, table tennis, basketball, badminton lessons;
  • In recreation rooms there are conditions for reading, playing chess, checkers, billiards, watching TV.

In the course of treatment, patients need proper rest, sleep, walks in the fresh air (near the hospital there is a pine forest, a reservoir, a water spring).

3. Therapeutic and rehabilitation period

  • Medical examination and examination of patients;
  • recommendations are given and the patient is discharged;

The method of speleotherapy provides for dosed stay of patients in the specific conditions of the underground environment.

For treatment, we accept patients from 10 years of age.

Children from 10 to 16 years old are accepted accompanied by the legal representative.

Since January 2013, the National Hospital of Speleotherapy has a structural subdivision – branch “Green Forest” for children. Children from 6 to 18 years old are treated and recuperated there. Children over 10 years old as part of organized groups receive a course of speleotherapy in the hospital’s underground speleological complex.

In this regard, schedules for hospitalization and descending of patients to the underground speleotherapy department have been optimized, which is dictated by the new conditions of functioning of the institution.

Speleotherapy courses are now no less than 12 and up to 18 days. The descents are carried out in three shifts. Patients of the hospital speleotherapy receive speleotherapy during the daytime and in the evening – night time, lasting 5 and 11 hours respectively. At the same time in the underground speleological complex is treated 120 – 130 patients per shift.

Children branch children department “Green Forest” descend into the underground department in the morning, the duration of speleological treatment for children is 3 hours.

Halo Cave (speleo-room) above-ground department

For patients with contraindications to go down into the underground cave therapy department and for children from 3 to 10 years old there is a cave equipped with conditions similar to the microclimate of the underground cave environment.

Speleo-room is a room, the walls of which are covered with salt materials using a special technology, as well as a halogenator for saturating the atmosphere with fine salt aerosol. During grinding in halogenators, due to a powerful mechanical impact, salt particles acquire a negative charge and high surface energy. When the salt particles interact with air molecules, aerionization occurs; the light negative ions are an additional factor in the therapeutic effect on the body and purification of the environment of the room.

The technique is applicable for both children and the elderly. As a rule, the course of treatment is at least 12 daily sessions of 40 minutes.

The main mechanisms of the therapeutic effects of halopechera:

  • Respiratory system: anti-inflammatory, anti-allergic, bronchodilator effect.
  • Central nervous system: reduction of fatigue; calming, mild sleeping pills, painkillers; anti-stress effect.
  • Metabolic processes: increase redox processes, stimulation of carbohydrate, protein and water metabolism.
  • Circulatory system: decrease in blood pressure; improvement of microcirculation; antispasmodic effect.
  • Blood system: normalization of blood count; increase in hemoglobin; normalization of electrolyte metabolism; immunomodulatory effect.

The list of medical contraindications for speleotherapy

  • Acute illness – until recovery.
  • Chronic diseases – in the stage of exacerbation and severe course of the disease.
  • Infectious and parasitic diseases – until recovery and the end of the isolation.
  • Carrying pathogens of infectious diseases.
  • Severe course of asthma.
  • Tuberculosis of various localizations.
  • Respiratory diseases with phenomena of respiratory insufficiency of 2-3 degrees.
  • Malignant tumors of all localizations.
  • Blood diseases – in the stage of exacerbation and within 6 months from the onset of remission.
  • Diseases of the circulatory system with phenomena of heart failure.
  • Renal insufficiency.
  • Enuresis.
  • Liver insufficiency.
  • Convulsive seizures and their equivalents.
  • Mental and behavioral disorders.
  • Diabetes mellitus.
  • Other diseases of the endocrine system, eating disorders and metabolic disorders – in the decompensation stage.
  • Illnesses with impaired motor function and lack of ability to independent movement and self-care.
  • Post-operative conditions – the first three months after surgery.
  • Diseases of the middle and inner ear, in which pressure fluctuations are contraindicated.
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