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The Influence of Spa Treatment on the Person as a Biopsychosocial Unit
TREŠLOVÁ, Hana
The bachelor thesis deals with spa treatment of motion system and its influence on the person not only from the physical viewpoint but also from the psychosocial one. Although spa treatment specializes in specific diseases and during the therapy it mainly concentrates on the given problem, at present it is one of the few types of therapy, which has preserved a holistic approach to the person and treats both the physical and the mental aspect. This complex treatment is provided not only by the particular healing procedures, but also by the spa staff's approach to the patient, the good communication, the rest from everyday responsibilities and stress, meeting friends or making new friendships. Last but not least the beauty of the surrounding countryside and the local culture. The first part of the theoretical work describes spa treatment in general and the healing procedures in Bertiny lázně, it characterizes the diseases indicated for treatment and briefly describes their treatment both by physical means and by means of physiotherapy. The second part of theory deals with biopsychosocial viewpoint on the person and with spa treatment as holistic medicine. The aim of the practical part was to describe physiotherapeutic procedures and complex spa treatment in the interaction with biopsychosocial impact. The qualitative method of research in the form of interviews was used for processing. The research group was made of four chosen respondents with different diagnoses. Two of them were men and two were women at the age of 30 to 79. The research took place during physiotherapy, which was part of a three-week stay in Bertiny lázně, Třeboň. The respondents underwent case history, the entrance and the final kinesiological analysis, which was an objective evaluating parameter for gaining information about the degree of influence of the therapy on their physical condition. The entrance and the final kinesiological analysis included examination by aspection, palpation, auscultation, the examination of walk and a goniometric test. At the same time, the respondents underwent a final interview, which was chosen as a subjective evaluating parameter. Its aim was to gain information about the influence of spa treatment on their physical and psychosocial condition. During the interview I asked the patients basic questions, e.g. whether the pain had been relieved and the ability to move improved, how they felt mentally, whether and how the treatment had influenced their psychosocial condition. The interviews also took place during all the therapy and with their help I learnt more from the patients' lives. The gained information could help the therapy to be more effective. Also, at the beginning of therapy I created a short-term physiotherapeutic plan, which included various manual physiotherapeutic manoeuvres and exercise. Before finishing the therapy I created a long-term physiotherapeutic plan for the patients, in the form of individual movement regimen for improving or at least maintaining their current condition. On the basis of the gained results, a positive effect of spa treatment on both the physical and the psychosocial aspect was confirmed. The greatest influence of treatment on the physical condition was in the form of relieving the pain, improving the ability to move and energy recovery. The psychosocial condition was influenced by gaining motivation to start living a more active life style, meeting friends or making new friendships. The most commonly mentioned aspects, which had an impact on the psychosocial condition, was recreation, physiotherapeutic advice, active exercise and communication with other patients. The findings of this thesis can be used in the practice of physiotherapists in spas or for a higher awareness of students who practise lifelong education. They can also contribute to the present discussions about changing the reimbursement for spa care.
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