1. SPA AND THERMAL TREATMENTS IN PRM : THE ITALIAN PROJECT SPA AND THERMAL TREATMENTS IN PRM : THE ITALIAN PROJECT Michele De Fabritiis _ Stefano Masiero Sergio Mariotti - Gaetano Gigante - Massimo Groppi Michele De Fabritiis _ Stefano Masiero Sergio Mariotti - Gaetano Gigante - Massimo Groppi SECTION SECTION “ THERMAL REHABILITATION” OF ITALIAN SOCIETY OF PRM (SIMFER)

2. REHABILITATION & SPA in ITALY IN THE LAST YEARS THERE IS A SIGNIFICANT EMERGENCE OF REHABILITATION TREATMENTS AT VARIOUS ITALIAN SPA RESORT

3. FAVORABLE FACTORS – CLIMATE – PHYSICAL/CHEMICAL EFFECTS OF THE MINERAL WATER – HEALTHY AND RELAXING ENVIRONMENT

4. RATIONAL BASES THE SYNERGISM ESTABLISHED BETWEEN THE SYNERGISM ESTABLISHED BETWEEN SPA THERAPIES AND AND PHYSICAL ENERGIES & REHABILITATION TECNIQUES IS SO WELL KNOWN ….. IS SO WELL KNOWN …..

5. …THAT IT REPRESENTS ONE OF THE MAIN POSITIVE ARGUMENTS REGARDING TO THE BENEFITS OF IMPLEMENTING REHABILITATION PROGRAMS IN SPAS IT REPRESENTS ONE OF THE MAIN POSITIVE ARGUMENTS REGARDING TO THE BENEFITS OF IMPLEMENTING REHABILITATION PROGRAMS IN SPAS

6. CONSEQUENTLY CONSEQUENTLY ALSO FOR THE PRESENT FAVORABLE ELEMENTS ALSO FOR THE PRESENT FAVORABLE ELEMENTS IT RESULTS SUITABLE TO OUR SPAS TO CARRY OUT REHABILITATIVE TREATMENTS IT RESULTS SUITABLE TO OUR SPAS TO CARRY OUT REHABILITATIVE TREATMENTS

7. Materials and methods 1° step TO BETTER QUANTIFY AND QUALIFY CURRENT SITUATION REGARDING REHABILITATION AT ITALIAN SPAS TO BETTER QUANTIFY AND QUALIFY CURRENT SITUATION REGARDING REHABILITATION AT ITALIAN SPAS WE HAVE COLLECTED WITH A SURVEY SOME DATA IN ORDER TO UNDERSTAND THE RANGE AND TYPES OF REHABILITATION TREATMENTS CARRIED OUT WE HAVE COLLECTED WITH A SURVEY SOME DATA IN ORDER TO UNDERSTAND THE RANGE AND TYPES OF REHABILITATION TREATMENTS CARRIED OUT

8. Results DATA OBTAINED FROM 43 SPAS THE KIND OF CONDITIONS MOST COMMONLY TREATED WITH COMBINED SPA TREATMENTS AND REHABILITATIVE PROGRAMS ARE THE KIND OF CONDITIONS MOST COMMONLY TREATED WITH COMBINED SPA TREATMENTS AND REHABILITATIVE PROGRAMS ARE

9. PATHOLOGICAL CONDITIONS ORTHOPAEDICRHEUMATOLOGICALNEUROLOGICALGERIATRICPNEUMOLOGICAL VASCULAR VASCULAR UROGYNECOLOGICAL UROGYNECOLOGICAL SPORTS SPORTS CARDIOLOGICAL CARDIOLOGICAL

10. results ORTHOPAEDICRHEUMATOLOGICALRESPIRATORYNEUROLOGICAL CONSULTANT PHYSIATRIST 95% OF SPAS 95% OF SPAS 65% “ 65% “ 48 % “ 48 % “ 67% “ 67% “

11. Evidenced Limits from our survey RELATIVE LACK OF PRESENCE OF PHYSIATRIST RELATIVE LACK OF PRESENCE OF PHYSIATRIST IN ITALIAN SPAS, IN SPITE OF THE NUMEROUS WORTHY ATTEMTS, IN ITALIAN SPAS, IN SPITE OF THE NUMEROUS WORTHY ATTEMTS, RESEARCH HASN’T CONCRETELY DEVELOPED ALTHOUGH THERE IS A STRONG NECESSITY OF : RESEARCH HASN’T CONCRETELY DEVELOPED ALTHOUGH THERE IS A STRONG NECESSITY OF : EFFICACY EFFICACY QUALITY QUALITY SCIENTIFIC VALIDATION SCIENTIFIC VALIDATION SUITABILITY SUITABILITY

12. CONSEQUENT PROPOSAL FROM OUR SECTION CONSEQUENT PROPOSAL FROM OUR SECTION WITH A SPECIALIZED REHABILITATION UNIT MANY SPAS CAN OFFER COMPREHENSIVE REHABILITATION TREATMENTS, THUS BEING ABLE TO ASSUME THE ROLE OF PROPER REHABILITATION CENTRES FOR THEIR CORRESPONDING AREAS WITH A SPECIALIZED REHABILITATION UNIT MANY SPAS CAN OFFER COMPREHENSIVE REHABILITATION TREATMENTS, THUS BEING ABLE TO ASSUME THE ROLE OF PROPER REHABILITATION CENTRES FOR THEIR CORRESPONDING AREAS

13. GOAL 1 IN THESE CONDITIONS IN THESE CONDITIONS THERE IS THE POSSIBILITY OF RUNNING REHABILITATION PROGRAMS IN DAY HOSPITAL OR HOTEL RESIDENCE THERE IS THE POSSIBILITY OF RUNNING REHABILITATION PROGRAMS IN DAY HOSPITAL OR HOTEL RESIDENCE

14. Goal 2 IN PARTICULAR CASES WHICH DO NOT REQUIRE CONTINUOS HEALTCARE THIS SETTING PROVIDES A REALISTIC ALTERNATIVE TO INAPPROPRIATE HOSPITALIZED REHABILITATION IN PARTICULAR CASES WHICH DO NOT REQUIRE CONTINUOS HEALTCARE THIS SETTING PROVIDES A REALISTIC ALTERNATIVE TO INAPPROPRIATE HOSPITALIZED REHABILITATION

15. CONCLUDING SPA THERMAL RESORT MUST CONCRETELY ACTIVATE AND EQUIP ITSELF IN ORDER TO PLAY SUCH ROLE IN REHABILITATIVE FIELD, BOTH FOR OUT-PATIENT AND RESIDENTIAL SPA THERMAL RESORT MUST CONCRETELY ACTIVATE AND EQUIP ITSELF IN ORDER TO PLAY SUCH ROLE IN REHABILITATIVE FIELD, BOTH FOR OUT-PATIENT AND RESIDENTIAL

16. NEEDS FOR THESE GOALS REHABILITATIVE TREATMENTS MUST OFFER THE HIGHEST GUARANTEES OF REHABILITATIVE TREATMENTS MUST OFFER THE HIGHEST GUARANTEES OF RELIABILITY,QUALITY RELIABILITY,QUALITY SPECIALIZATION SPECIALIZATION THE THERAPEUTIC ACTIVITY MUST BE CARRIED OUT BY A REHABILITATION TEAM THAT MEETS THE STANDARD REQUIRED,IN CLOSE COLLABORATION WITH FAMILY DOCTOR, HYDROLOGIST AND OTHER REQUIRED SPECIALISTS THE THERAPEUTIC ACTIVITY MUST BE CARRIED OUT BY A REHABILITATION TEAM THAT MEETS THE STANDARD REQUIRED,IN CLOSE COLLABORATION WITH FAMILY DOCTOR, HYDROLOGIST AND OTHER REQUIRED SPECIALISTS

17. Ending point IN THESE CONDITIONS Ending point IN THESE CONDITIONS THERE WOULD BE POSITIVE RESULTS FOR THE DEVELOPMENT OF THE THERMAL AREA WITH THE ADDICTION OF REHABILITATIVE ACTIVITY TO THE TRADITIONAL ONE THERE WOULD BE POSITIVE RESULTS FOR THE DEVELOPMENT OF THE THERMAL AREA WITH THE ADDICTION OF REHABILITATIVE ACTIVITY TO THE TRADITIONAL ONE PRM WOULD FIND A CONCRETE POSSIBILITY FOR FURTHER DEVELOPMENT IN SPAS PRM WOULD FIND A CONCRETE POSSIBILITY FOR FURTHER DEVELOPMENT IN SPAS

18. Conclusion IN SPITE OF THE NUMEROUS WORTHY ATTEMPTS TO QUALIFY AND MEASURE THE RESULTS OF THE REHABILITATION ACTIVITY WITH SPECIFIC EVALUATIONS’ SCALES THE RESULTS NOW SHOW THAT IN SPITE OF THE NUMEROUS WORTHY ATTEMPTS TO QUALIFY AND MEASURE THE RESULTS OF THE REHABILITATION ACTIVITY WITH SPECIFIC EVALUATIONS’ SCALES THE RESULTS NOW SHOW THAT USER’S SATISFACTION IS PERHAPS ONE OF THE MOST IMPORTANT ELEMENT USER’S SATISFACTION IS PERHAPS ONE OF THE MOST IMPORTANT ELEMENT