Speleoterapi - Mağara Tedavisi: Terapötik Amaçlı Kullanımına Yönelik Bir Değerlendirme

Yıl 2024, , 198 - 215, 30.09.2024

Tekin Sancar , Mehmet Hakkı Alma

https://doi.org/10.31200/makuubd.1541844

Öz

Tuz, sağlığa faydaları ve tedavi edici etkisi nedeniyle binlerce yıldır dünyanın farklı bölgelerinde farklı kültürler tarafından kullanılmaktadır. Tuz madenleri ve mağaraların ikliminin kullanımı olan speleoterapi, özellikle astım ve KOAH olmak üzere birçok kronik solunum yolu hastalıklarının tedavisinde kabul görmüş ancak yaygın olarak bilinmeyen bir terapötik uygulama şeklidir. Bazı mağaraların ve tuz madenlerinin mikro iklimi solunum bozukluklarını olumlu yönde etkileyebileceği ve karmaşık solunum rehabilitasyonu için en uygun ortam olabileceği düşünülmektedir. Tuz madenleri ve mağaraların temel tedavi endikasyonları solunum yolu hastalıklarında, özellikle de astım hastalığı ile temsil edilmektedir. Klimaterapinin özel bir şekli olan Speleoterapi, mağaralara ve tuz madenlerine özgü belirli koşulları, özellikle solunum ve ciltle ilgili olmak üzere çeşitli tıbbi durumları tedavi etmek için kullanılır. Bu, her türlü tahrişi azaltır ve böylece hasta tuz madenine yerleştirilirken hastalık semptomları hafifletilir veya tamamen ortadan kaldırılır. Bazı kaynaklar Hipokrat'ın tuzlu sudan buhar solumak da dahil olmak üzere tuz bazlı terapilerin solunum semptomlarını hafiflettiğine inandığını iddia etmektedir. Roma döneminde ve orta çağda madencilerin nefes alışverişlerinde iyileşmeler olduğuna dair iddialar vardır. Bu araştırmanın temel amacı, speleoterapinin terapötik amaçlı kullanımına yönelik faydalarını tartışmaktır.

Anahtar Kelimeler

Speleoterapi, Mağara Tedavisi, Terapötik Amaçlı Kullanım

Etik Beyan

Araştırma için Iğdır Üniversitesi Bilimsel Araştırma ve Yayın Etik Kurulu’ndan 24.07.2024 tarih ve 2024/21 karar no’lu etik izin alınmıştır. Çalışmaya katılımda gönüllülük esas alınmıştır.

Speleotherapy - Cave Therapy: An Evaluation of its Use for Therapeutic Purposes

Öz

Salt has been used for thousands of years by different cultures in different parts of the world for its health benefits and therapeutic properties. Speleotherapy, the use of the climate of salt mines and caves, is an accepted but not widely known form of therapeutic application in the treatment of many chronic respiratory diseases, particularly asthma and COPD. The microclimate of some caves and salt mines is thought to have a beneficial effect on respiratory diseases and may be the most suitable environment for complex respiratory rehabilitation. The main therapeutic indications of salt mines and caves are represented by respiratory diseases, especially asthma. Speleotherapy, a special form of climatotherapy, is used to treat the specific conditions of caves and salt mines, various diseases, especially respiratory and skin diseases. By reducing any irritation and thus the symptoms of the disease are alleviated or completely eliminated while the patient is placed in the salt mine. Some sources claim that Hippocrates believed that salt-based therapies, including the inhalation of salt water vapours, relieved respiratory symptoms. There are claims of improvements in the breathing of miners in Roman and medieval times. The main aim of this research is to discuss the benefits of speleotherapy for therapeutic use.

Anahtar Kelimeler

Speleotherapy, Cave Therapy, Therapeutic Use

Kaynakça

• Abdrakhmanova, L. M., Farkhutdinov, U. R., & Farkhutdinov, R. R. (2000). Effectiveness of halotherapy of chronic bronchitis patients. Vopr Kurortol Fizioter Lech Fiz Kult., 4(6), 21-24.
• Abramson, M. J., Crockett, A. J., Frith, P. A., & McDonald, C. F. (2006). COPDX: an update of guidelines for the management of chronic obstructive pulmonary disease with a review of recent evidence. Med J Aust., 184(7), 342-345.
• Barber, D., Malyshev, Y., Oluyadi, F., Andreev, A., & Sahniet, S. (2022). Halotherapy for chronic respiratory disorders: From the cave to the clinical. Altern Ther Health Med., 2020 Aug 20, AT6413. https://pubmed.ncbi.nlm.nih.gov/32827399
• Beamon, S. P., Falkenbach, A., Fainburg, G., Linde, K., & Group, C. A. (1996). Speleotherapy for asthma. Cochrane Database Syst. Rev.
• Beamon, S., Falkenbach, A., Fainburg, G., & Linde, K. (2001). Speleotherapy for asthma. The Cochrane Database of Systematic Reviews, 2(CD001741). doi: 10.1002/14651858.CD001741.
• Bercea, S., Năstase-Bucur, R., Mirea, I. C., Măntoiu, D. Ş., Kenesz, M., Petculescu, A., Baricz, A., Andrei, A. Ş., Banciu, H. L., & Papp, B. (2018). Novel approach to microbiological air monitoring in show caves. Aerobiologia, 34, 445–468.
• Bjermer, L. (2005). Complementary and alternative treatment of asthma. Breathe, 1(4), 288-295.
• Bobrov, L. L., Ponomarenko, G. N., & Sereda, V. P. (2000). The clinical efficacy of haloinhalation therapy in bronchial asthma patients. Vopr Kurortol Fizioter Lech Fiz Kult, 1, 25–29.
• Bralewska, K., Rogula-Kozłowska,W., Mucha, D., Badyda, A. J., Kostrzon, M., Bralewski, A., & Biedugnis, S. (2022). Properties of particulate matter in the air of the wieliczka salt mine and related health benefits for tourists. Int. J. Environ. Res. Public Health, 19, 826.
• Burkhardt, R., & Pankow, W. (2016). Chronic Obstructive Pulmonary Disease (COPD) - rational diagnostics and therapy. Pneumologie, 70(8), 533-545.
• Chervinskaya, A. (2012). Salt rooms and halotherapy in european Health Resorts and Spas: Fashionable trend or real therapy? Med Hydrol Balneol: Environ Aspects., 10, 235-236.
• Chervinskaya, A. V., & Zilber, N. A. (1995). Halotherapy for treatment of respiratory diseases. Journal of Aerosol Medicine, 8(3), 221–232.
• Chervinskaya, A. V. (2000). The scientific validation and outlook for the practical use of halo-aerosol therapy. Vopr Kurortol Fizioter Lech Fiz Kult., 1, 21-24.
• Chervinskaya, A. V. (2003). Halotherapy of respiratory diseases. Physiotherapy, Balneology and Rehabilitation, 6, 8-15.
• Chervinskaya, A. V., & Ziber, N. A. (1995). Halotherapy for treatment of respiratory diseases. J Aerosol Med., 8, 221–232.
• Chervinskaya, A. V., & Zilber, N. A. (1995). Halotherapy for treatment of respiratory diseases. J. Aerosol. Med., 8, 221–232.
• Chervinskaya, A. V., Kvetnaia, A. S., Cherniaev, A. L., Apul’tsina, I. D., Amelina, E. L., Molodtsova, V. P., & Faustova, M. E. (2002). Effect of halogen aerosol therapy on resistance parameters of the respiratory tract. Ter Arkh., 74(3), 48-52.
• Clemente-Suárez, V. J., Mielgo-Ayuso, J., Ramos-Campo, D. J., Beltran-Velasco, A. I., Martínez-Guardado, I., Navarro Jimenez, E., Redondo-Flórez, L., Yáñez-Sepúlveda, R., & Tornero-Aguilera, J. F. (2023). Basis of preventive and non-pharmacological interventions in asthma. Front. Public Health, 11, 1172391.
• Crisan-Dabija, R., Sandu, I. G., Popa, I. V., Scripcariu, D. V., Covic, A., & Burlacu, A. (2021). Halotherapy-an ancient natural ally in the management of asthma: A comprehensive review. Healthcare (Basel), 9(11), 1604.
• Cristofori, A., Cristofolini, F., & Gottardini, E. (2020). Rare occurrence of airborne bioparticles in a speleotherapy site: The case study of the Sant’Aloisio disused siderite mine (Brescia, Italy). Aerobiologia, 36, 125-130.
• Czeranko, S. C. (2007). Halotherapy: A naturopathic breath of fresh air. Vital Link: Resp Conditions, 14. Erişim tarihi: 05.09.2024, http:www.halotherapy.com/news1.htm.
• Eslaminejad, A., Taghavi, K., Zohal, M., Kialashaki, M., & Fakharian, A. (2017). Speleotherapy as an effective treatment of chronic obstructive pulmonary disease. J. Respir. Med. Lung Dis., 2, 1029.
• Fjær, E. L., Landet, E. R., McNamara, C. L., & Eikemo, T. A. (2020). The use of complementary and alternative medicine (CAM) in Europe. BMC Complement Med Ther, 20(1), 108.
• Fraczek, K., & Górny, R. L. (2011). Microbial air quality at szczawnica sanatorium, Poland. Ann. Agric. Environ. Med., 18, 63-71.
• Freidl, J., Huber, D., Braunschmid, H., Romodow, C., Pichler, C., Weisböck-Erdheim, R., & Hartl, A. (2020). Winter exercise and speleo therapy for allergy and asthma: Arandomized controlled clinical trial. Journal of Clinical Medicine, 9(10), 1-18.
• Freidl, J., Huber, D., Braunschmid, H., Romodow, C., Pichler, C., Weisböck-Erdheim, R., Mayr, M., & Hartl, A. (2020). Winter exercise and speleotherapy for allergy and asthma: A randomized controlled clinical trial. J. Clin. Med., 9, 3311.
• GINA. (2024). Global strategy for asthma management and prevention. Erişim tarihi: 31.08.2024, https://ginasthma.org/reports/.
• Grinshtein, I., Shestovitskii, V. A., & Kuligina-Maksimova, A. V. (2004). Clinical significance of cytological characteristics of bronchial inflammation in obstructive pulmonary diseases. Ter Arkh., 76(3), 36-39.
• GSJ, S., Ramakodi, M. P., & TVBPS, R. (2023). Review of bioaerosols from different sources and their health impacts. Environ. Monit. Assess., 195, 1321.
• Györik, S. A., Brutsche, M. H. (2004). Complementary and alternative medicine for bronchial asthma: Is there newevidence? Curr Opin Pulm Med. Styczeń, 10(1), 37-43.
• Hedman, J., Hugg, T., Sandell, J., & Haahtela, T. (2006). The effect of salt chamber treatment on bronchial hyperresponsiveness in asthmatics. Allergy, 61(5), 605-610.
• Horak, F. B. (2006). Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Age Ageing, 35(2), 7-11.
• Horowitz, S. (2010). Salt cave therapy: Rediscovering the benefits of an old preservative. Alt Comp Ther., 16(3), 158-162.
• Horowitz, S. (2010). Salt cave therapy: Rediscovering the benefits of an old preservative. Alternative and Complementary Therapies, 16(3), 158-162. doi:10.1089/act.2010.16302
• Horvath, T. (1968). Speleotherapy: A special kind of Climatotherapy, its role in respiratory rehabilitation. Int Rehabil Med., 8, 90-92.
• Horvath, T. (1998). Speleotherapy in Hungary today. Journal of The Speleological Society of Korea, 7, 29-36.
• Hubelova, D., Ulmann, V., Mikuska, P., Licbinsky, R., Alexa, L., Modra, H., Gersl, M., Babak, V., Weston, R. T., & Pavlik, I. (2021). Nontuberculous mycobacteria prevalence in aerosol and Spiders’ webs in Karst Caves: Low risk for speleotherapy. Microorganisms, 9, 2573.
• Iqbal, M. A., Siddiqua, S. A., Faruk, M. O., Islam, A. R. M. T., & Salam, M. A. (2023). Systematic review and meta-analysis of the potential threats to respiratory health from microbial bioaerosol exposures. Environ. Pollut., 341, 122972.
• Karen, M. P., & Karen, S. D. (2000). Understanding the modalities of complementary and alternative asthma treatments: What every health. The International Electronic Journal of Health Education, 3(1), 6-18.
• Kendrová, L., Taká č, P., Kubincová, A., Mikuľáková, W., & Nechvátal, P. (2016). Effect of spatreatment and speleotherapy in the treatment of chronic obstructive pulmonary disease. Clinical Social Work and Health Intervention, 2(7), 7-15.
• Khan, M. A., Khoruzhenko, O. V., Vakhova, E. L., Lyan, N. A., & Radetskaya, L. I. (2015). The role of non-medicamental technologies in the rehabilitation of the children presenting with acute rhinosinusitis. Vopr Kurortol Fizioter Lech Fiz Kult. Sierpień, 92(4), 36-40.
• Kim, K. H., Kabir, E., & Jahan, S. A. (2018). Airborne bioaerosols and their impact on human health. J. Environ. Sci., 67, 23-35.
• Kostrzon, M., ´Sliwka, A., Włoch, T., Szpunar, M., Ankowska, D., & Nowobilski, R. (2019). Subterranean pulmonary rehabilitation in chronic obstructive pulmonary disease. Adv. Exp. Med. Biol., 1176, 35-46.
• Kostrzon, M., Czarnobilski, K., & Czarnobilska, E. (2015). The influence of pulmonary rehabilita-tion in the Wieliczka Salt Mine on asthma control-preliminary results. Prz. Lek., 72, 716-720.
• Labaki, W. W., & Han, M. K. (2020). Chronic respiratory diseases: A global view. Lancet Respir. Med., 8, 531-533.
• Lăzărescu, H., Simionca, I., Hoteteu, M., & Mirescu, L. (2014). Speleotherapy -modern bio-medical perspectives. J Med Life, 7, 76-79.
• Lemko, I. S., Lemko, O. I., & Haysak, M. O. (2015). Haloaerosoltherapy - method of treatment or spa-procedure? Source: Acta Balneologica, 57(1), 28-33.
• Linneberg, A., Dam Petersen, K., Hahn-Pedersen, J., Hammerby, E., Serup-Hansen, N., & Boxall, N. (2016). Burden of allergic respiratory disease: A systematic review. Clin. Mol. Allergy, 14, 12.
• López-Campos, J. L., Ruiz-Ramos, M., & Soriano, J. B. (2014). Mortality trends in chronic obstructive pulmonary disease in Europe, 1994–2010: A Joinpoint Regression Analysis. Lancet Respir. Med., 2, 54-62.
• Manoharan, P., & Kaliaperumal, K. (2022). Salt and skin. International Journal of Dermatology, 61(3), 291-298.
• Martinez Garcia, L., McFarlane, E., Barnes, S., Sanabria, A. J., Coello, P. A., & Alderson, P. (2014). Updated recommendations: An assessment of NICE clinical guidelines. Implement Sci., 9, 72.
• Mathers, C. D., & Loncar, D. (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med., 3(11), e442.
• Mayr, M., & Hartl, A. (2020). Winter exercise and speleotherapy for allergy and asthma: A randomized controlled clinical trial. J. Clin. Med., 9, 3311.
• Mętel, S., Kostrzon, M., & Adamiak, J. (2022). Dynamic balance and chest mobility of older adults after speleotherapy combined with pulmonary rehabilitation, endurance and strength training-a prospective study in chronic respiratory diseases. Int J Environ Res Public Health, 19(18), 11760.
• Metel, S., Kostrzon, M., Adamiak, J., Gattner, H., Ko´scielecka, D., Sosulska, A., Szczygieł, E., & Golec, J. (2020). The influence of speleotherapy combined with pulmonary rehabilitation on functional fitness in older adults–preliminary report. Ther. Adv. Respir. Dis., 14, 1753466620926952.
• Miravitlles, M., Vogelmeier, C., Roche, N., Halpin, D., Cardoso, J., Chuchalin, A. G., Kankaanranta, H., Sandström, T., Śliwiński, P., & Zatloukal, J. A. (2016). Review of national guidelines for management of COPD in Europe. Eur. Respir. J., 47, 625-637.
• Moore, M., & Barker, K. (2017). The validity and reliability of the four square step test in different adult populations: A systematic review. Syst Rev., 6, 187.
• Munteanu, C. (2017). Speleotherapy-scientific relevance in the last five years (2013-2017)-A systematic review. Balneo Res. J., 8, 252-254.
• Munteanu, C., Munteanu, D., Simionca, I., & Hoteteu, M. (2010). Morphological and electrophoretic data about heterogeneous primary skin cells cultures obtained from normal and ovalbumin-challenged wistar rats after treatment by speleotherapy in the cacica and dej romanian salt mines. Balneo-Res. J., 1. Erişim tarihi: 05.08.2024, https://bioclima.ro/J14.pdf.
• Nagy, K., Berhés, I., Kovács, T., Kávási, N., Somlai, J., Kovács, L., …, & Bender, T. (2009). Study on endocronological effects of radon speleotherapy on respiratory diseases. International Journal of Radiation Biology, 85(3), 281-290. doi:10.1080/09553000802512550
• Nunez, J. S., & Torday, J. S. (1995). The developing rat lung fibroblast and alveolar type II cell activity recruit surfactant phospholipid substrate. American Institute of Nutrition, 1639S-1643S. Puryshev, E. A. (1994). The efficacy of speleotherapy in atopic dermatitis in children. vopr. kurortol. fizioter. I Lech. Fiz. Kult., 4, 34-35.
• Rabbani, B., Makki, S. S., Najafizadeh, K., Vishteh, H. R., Shafaghi, S., Karimi, S., & Mahmoodian, S. (2013). Efficacy of halotherapy for improvement of pulmonary function tests and quality of life of non-cystic fibrosis bronchiectatic patients. Tanaffos, 12, 22-27.
• Rashleigh, R., Smith, S. M., & Roberts, N. J. (2014). A review of halotherapy for chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis., 9, 239-246.
• Simionca, I. (2013). Speleotherapy development in Romania on the world context and perspectives for use of some salt mines and karst caves for speleotherapeutic and balneo climatic tourism purposes. Balneo Research Journal, 4(3), 133-139.
• Simionca, I., Grudnicki, N., Buturuga, A., Hoteteu, M., Kiss, J., & Oprina, A. (2009). Speleoterapia bolnavilor cu astm bronşic non-sever prin intermediul factorilor terapeutici din salina Slãnic Prahova. Suceava: Editura “George Tofan”.
• Spruit, M. A., Singh, S. J., Garvey, C. et al. (2013). An official American thoracic society/European respiratory society statement: Key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care, 188, 13-64. Tong, S., Yin, Y., & Bao, Y. (2022). Climatotherapy for asthma: Research progress and prospect. Environ. Res., 214, 113988.
• ur Rehman, A., Hassali, M. A. A., Abbas, S., Ali, I. A. B. H., Harun, S. N., Muneswarao, J., & Hussain, R. (2020). Pharmacological and non-pharmacological management of COPD; limitations and future prospects: A review of current literature. J. Public Health, 28, 357-366.
• Wasik, A. A., & Tuuminen, T. (2021). Salt therapy as a complementary method for the treatment of respiratory tract diseases, with a focus on mold-related illness. Altern. Ther. Health Med., 27, 233.
• Wo´zniak, A., Nowak, K., Pełkowska, A., Rys, K., Gawlik, J., & Składzie ´ n, J. (2021). The impact of treatment under subterraneotherapy conditions at the “Wieliczka” Salt Mine Health Resort on the symptoms of diseases of the nose and paranasal sinuses. Pol. Otorhinol. Rev., 10, 22-27.
• Youssef, D., Shams, W. E., Elshenawy, Y., El-Abbassi, A., & Moorman, J. P. (2014). Pulmonary infection with caseating mediastinal lymphadenitis caused by Mycobacterium gordonae. Int J Mycobacteriol, 3(3), 220-223.