Hot sand baths (psammotherapy): A systematic review.

INTRODUCTION: Psammotherapy is a traditional practice in which hot sand baths are employed for therapeutic purposes. This systematic review aims to investigate the potential efficacy of psammotherapy in the treatment of any disease. METHODS: Medline via PubMed, Embase, Web of Science, Cochrane Library, and Google Scholar were searched for articles describing studies on the efficacy of psammotherapy in patients with different health conditions. Articles were screened by the two author independently and, in case of disagreements, items were discussed until consensus was reached. All relevant clinical outcomes (symptom and pain relief, modifications in any functional and laboratory parameter, changes in drug consumption, variations of quality of life) were extracted from included studies. RESULTS: After article screening and selection, three studies were included in the review. One study involved patients with chronic obstructive pulmonary disease, while in the other two studies patients with rheumatoid arthritis were recruited. Included trials indicate that psammotherapy might be useful for the management of studied diseases. DISCUSSION: Based on available data, no conclusions can be driven on the clinical efficacy of psammotherapy. However, very limited evidence suggests that hot sand baths might be useful in improving symptoms and functionality of patients with some rheumatic and respiratory chronic illnesses. Further studies are encouraged to better assess the clinical efficacy of hot sand baths.

Effects of Uygur sand therapy on the mechanical properties of femurs in osteoarthritic rabbits.

OBJECTIVE: To investigate the effects of Uygur sand therapy on the mechanical properties of the femur bone of osteoarthritic rabbits. METHODS: Sixteen rabbits were injected with papain in the right posterior femoral articular cavity on the first, fourth and seventh day to establish the osteoarthritis (OA) rabbit model. Animals were divided into the experimental group and control group (8 rabbits each). The experimental group was treated with sand therapy, and the control group received no sand therapy treatment. Computed tomography (CT) scanning was used to collect the data of the femur before modeling, after modeling and 14 and 28 days after sand treatment. A 3D model of the femur was generated with the MIMIC software the bone layer was divided according to the different gray values and the change of the bone volume was analyzed. The body mesh is divided, and the material properties are given, then the three-point bending simulation is performed in Ansys. Additionally, the three-point bending test was performed on all the rabbits' femur to obtain the deflection and maximum stress values. And the effects of the sand treatment on the volume and mechanical properties of the bone were analyzed. Finally, the simulation results are compared with the experimental results, and the effects of sand treatment on the volume and mechanical properties of the bone are analyzed. RESULTS: (1) there is a tendency in the control group to convert the hard bone into dense bone and soft bone, while in the experimental group, the soft bone is converted into dense bone and hard bone obviously; (2) the morphological parameters of the experimental group are lower than those of the control group, whereas the maximum load, maximum normal stress, maximum shear stress of the experimental group are higher than those of the control group. (3) The mechanical test of three-point bending test was carried out using the three dimensional finite element model of rabbit femur. CONCLUSION: The sand therapy has positive effects on the volume distribution of bone layer and the mechanical properties of the femur of adult osteoarthritic rabbits.

[Stimulation for sebum excretion of PCDDs, PCDFs and coplanar PCBs on bathing ceramic sand bath].

We previously reported that high risk environmental contaminants such as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and coplanar polychlorinated biphenyls (PCBs) are excreted not only in feces but also in the sebum of the face and body in both normal subjects and Yusho patients. A combination of administration of rice bran fiber and cholestyramine increased fecal excretion of PCDFs and PCBs. In the present study, we stimulated excretion of these compounds in sebum using a ceramic sand bath, a kind of sand bath using small ceramic balls (3.5 mm diameter) instead of natural sand. Five normal volunteers participated in this experiment. Sebum eliminated from the body on bathing ceramic sand bath was collected and weighed and then concentrations of the compounds interest in the sebum were determined. We also examined the effects varying the bath conditions such as temperature of sand, length of bathing time and frequency of taking bath on the amounts of the compounds in the eliminated sebum. The results can be summarized as follows: 1. The average amount of sebum per one bath eliminated from the body during the ceramic sand bath was 0.252 g, and those of PCDDs, PCDFs and coplanar PCBs in it were 2.2, 2.0 and 2.2 pg of TEQ (2,3,7,8-tetrachlorodibenzo-p-dioxin equivalent quantity). It was considered that the amounts of these compounds corresponded to between one quarter and third of those eliminated through the sebum in a day. On the other hand, 0.05 g of the sebum was collected from the face during the bath, included 0.39, 0.39 and 0.59 pg TEQ for PCDDs, PCDFs and coplanar PCBs, respectively. 2. As the number of bathing times a day increased, the amount of sebum per bath gradually decreased. However, we could not determine the influence of the conditions of the bath such as temperature and time.