Sulphur mud is a unique peloid both in the European as well as worldwide scale. Its base is a homogenized sediment precipitating in the river Vah by-pass branch on the site of the current hot springs of the sulphuric thermal mineral water. Saturation of the mineral water without air creates a unique environment inhabited by desulphurisation bacteria (Desulfovibrio desulfuricens) and by other bacteria with metabolism dependent on the presence of sulphur (Thiobacterium, Thiospirillum). The mud has important antifugal features. It is prepared for balneological application using the original technology, which cause it to mature and regenerate, which is accompanied by multitude of chemical and biological reactions. The mature mud has a butter-like consistency, it is greasy, malleable, with good heat conducting features, it cools down four times faster than water, compared to which the former has 350x higher viscosity. The colour of the mature mud varies from steel blue to black. Mud application temperature is approximately 45°C (from 44° to 46°C); duration of partial or total wrap is 20 minutes. The thickness of the mud wrap layer applied on the body is approximately 5 cm (3 - 8 cm); the mud consumption per the total wrap is up to 60 kg. The wrap is not applied on the head, frontal parts of the throat and chest. The patient is under the permanent medical supervision. The wrap causes a temporary local, as well as total body overheating, which depends on the application area of the wrap. The mud pack causes the reduction of local swellings around joints, reduction of the muscle tension, better nutrition of cartilage, connective tissues and intervertebral discs. It strengthens anti-inflammatory activity and immune processes within the body, preventing degradation of elastine, collagen and hyaluronane, and thus improving the function of cartilage, connective tissues and joint motorics. The procedure ends with a shower and up to 15-min dry wrap. The procedure and scale of mud application are subject to the doctor's prescription.

TUB BATHS
Generally exerts mechanical effects (hydrostatic pressure and buoyancy, which both act as an elastic bandage, eliminating effects of gravity through lifting the body, thus supporting the vascular and lymphatic circulation) and thermal effects (depending on the temperature, duration, and the surface area and mass of the body), which through affecting the thermoregulatory processes mobilizes the nervous, endocrineous, cardio-vascular, respiratory and immune system. The specific chemical effect of the bath depends on the composition of the used water. Piestany mineral water is natural, weakly mineralized sulphate-hydrocarbonate, calcium-sodium, and hypo tonic sulphuric thermal water. Save the head, during baths in tubs the whole body or its part are submerged in the water.
a) Bath in thermal mineral water is used mainly for the dermatic penetration of clupeids from mineral water, which results in deposits of sulphur in the skin. From there the sulphur gradually migrates to other structures, mainly as chondroitinsulphate to the connective tissues (ligaments, cartilage, sinews, etc.), and it is further absorbed in the body as cysteine, methionine or gluthation. The sulphur inhibits the degradation of elastine, collagen and hyaluronane, thus reducing he blood pressure, and causing the dilatation of blood vessels; it positively affects the volume of Vitamin C in the plasma, and supports the destruction of free oxygen radicals. The bath has the total relaxation and tranquillizing effect. The temperature of the mineral sulphuric bath is usually 36°­38°C (in exceptional cases up to 40°C), it lasts 20 minutes (sometime a doctor may prescribe only 15 minutes for health reasons), and it ends with a dry wrap up to 15 minutes. The procedure is subject to the doctor's prescription, but it could be prescribed also to persons with severe mobility handicaps, and also to patients who cannot be prescribed the mirror pool (since for them it is counter-indicated). The bath with temperature 37°C and less is listed as freely purchasable procedure.
b) Bubble bath is prepared through saturation of the mineral water with the temperature 36°- 37°C using the compressed air (0.15 MPa), which is fed to the perforated matt placed on the bottom of the tub. Air bubbles rise up from the bottom to the surface, and cause soft massage of the skin. The bath lasts 20 minutes, and it ends with a dry wrap up to 15 minutes. The bath has a sedative effect, it facilitates the patient's tranquillization, and it is suitable in case of insomnia and neurotic problems. It is either prescribed by the doctor, or freely saleable.
c) Tub carbon bath is prepared through saturation of the mineral water cooled down to 32°- 34°C (hypothermic bath) with a carbon dioxide used in food industry, taken from the pressure vessel (2 - 3 atm), and applied through a saturator. The carbonic bath has to contain at least 1000 mg of free CO2 per 1 kg of water. In order to dissolve in water a sufficient volume of CO2, the temperature of water has to be lower, the tube has to be filled from the bottom up, and the position of a patient in the bath should be fully relaxed, with head over the edge of the tub. The water must not whirl since that would cause an excessive release of dissolved CO2, and its cumulating just over the surface of the water (the risk of toxic affect of an excessive concentration of CO2, which is heavier than air). The surface of the bath is thus covered, especially on the place below the patient's face. During the bath CO2 bubbles are generated on the skin (creating sort of gas film), and the gas is strongly diffused and absorbed (depending on the quality of the sk61 and its blood supply). The carbonic bath reduces the blood pressure, improves the efficiency of the heart action, and significantly improves the congestion in the body with the simultaneous elimination of its thermal overload. The initial feeling of cold is in some 10 seconds replaced by the feeling of pleasant warmth, which is the result of active hyperemia, boosted activity of thermo receptors and contrariwise reduced activity of cold receptors. The bath is suitable for coronary-vascular and nerve diseases. It lasts from 15 to 20 minutes, followed by the dry wrap up to 15 minutes. It is either prescribed by the doctor, or freely saleable.

SAUNA
Is a bath in hot and dry air (temperature 60°- 90°C, but low moisture 10 - 30%). Air temperature in sauna is typically divided into bands according to the height of individual benches (lowest next to the floor, approximately 40°C, highest next to the ceiling, up to 110°C). In the height 150 cm and 100 cm from the heat sources it should reach 80°C, with the relative moisture not more than 15%. In such environment the sweat evaporates well, resulting in an effective cooling of the organism. A constituent part of the course of sauna is the subsequent chilling with cold water (washing, showering, immersion bath, swimming). This cycle is repeated 2 - 3 times and ends with relaxation or walking. In addition to that the skin in sauna is exposed to mechanical irritation (flogging with a leafy birch branches), which results in a histamine reaction, and dilatation of capillaries. Sauna treatment includes also the so-called shock-steam waves (sudden increase of air moisture, e. g. by pouring water over the hot stones), which changes the evaporation of sweat and the further increases the temperature of the organism core. Sauna supports the body conditioning, and it is a suitable prevention against cold-caused diseases, positively affecting the functional circulatory malfunctions, light rheumatic diseases, and some allergic diseases. Recommended periods: 20 min stay in sauna, 5 min cooling + flogging, 15 min stay in sauna (+ steam shock), 5 min cooling + flogging, 10 min stay in sauna (+steam shock), 5 min cooling + flogging (60 minutes), final rest after sauna 60 minutes.

CLASSICAL MASSAGE
Manual application of targeted mechanical stimuli, the so-called touches, which contain not just kneading action (friction, wiping, grinding and kneading), but also striking actions (pounding and vibration). The massage supports evacuation of surface veins, lymphatic vessels, secretion of sweat glands, normalization of skin tonus, better blood flow in the region subjected to massage, absorption of swellings or hemorrhages, it relaxes or stimulates muscles (depending on the location of touches), improves the nutrition of the tissue and mitigates pain. Through reflex reaction and through change of the blood supply the massage affects also other remote organs, and it affects the total organism, which could have either tranquillizing or stimulating effect. The massage is combined with the application of local massage agents, most often water and non-irritating soap, eventually massaging emulsion, oils or suitable crèmes. The partial massage in the configuration back, arms and lower extremities lasts approximately 20 minutes, the configuration upper extremities, belly, chest and neck also approximately 20 minutes, the total massage lasts approximately 40 minutes. The so-called descending total massage is applied in the following sequence - upper extremities, chest, belly, back and lower extremities, its effect is rather tranquillizing, the so-called ascending massage is applied in the opposite direction, and its effect is rather stimulating (increasing the blood pressure). The classical massage could be optionally combined with bath in the mirror pool or in the bath. It is subject to the doctor's prescription (partial or total massage with specification of scale or required locations), and is also freely saleable as relaxing or stimulating massage. However patients with diseases of spine, affecting especially their cervical or lumbar segment should consult the relevancy of classical massage with their doctor, since in some cases is the classical massage considered to be impropriate or even counter indicated.

REFLEX MASSAGES
Are a form of the special reflex therapy, where the treatment intervention acts through nerve connections and endings in the area of selected reflex arcs.. It is a manual treatment on the body surface, especially in places affected by disease through reflectory changes. A special technique is gradually applied to achieve reflectory changes in the skin, subcutaneous area, muscular faciae, muscles, and eventually in periosteum of some osteal surfaces. The treatment of nerve endings is done mainly through application of stimulation, mainly by pulling. Grinding touches with fingertips immersed in the skin or sub cutis are moved forward, backward, along the imaginary short or long, direct or curved lines. According to the intensity of the treatment, pressure and slope of fingers one distinguishes between the following techniques: cutaneous, subcutaneous or facial. During the connective tissue reflex massage the masseur directly displaces sub cutis versus base by grasping the skin and sub cutis between thumbs and forefingers. There are special treatment touches such as "pushed spiral", two-finger touch, saw-like touch, interspine touch, pushed vibration, across-the-back spine vibration, interrupted fork-pulling, etc. Reflex massage is very sensitive body intervention, which besides local sensations (dull pressure, friction, blushing, etc.) causes also stranded emotions and reactions (heart beating feeling, short breath, pain in the belly, pressure in the urine bladder, sweating all over the body, the feeling of sudden fatigue with an acute need of sleep). This implies the necessity to prescribe this procedure by a doctor, who should specify the target massage configuration. There are four basic reflex massage configurations: configuration for the neck and head, configuration for the back (dorsal), configuration for the chest (thoracic) and configuration for pelvis. The timing unit is 20 minutes; the doctor can prescribe also a combination of individual configurations during individual days. The current combination of reflex massage with the classical massage is not appropriate, since it leads to the negation of the therapeutic effect, and one can not exclude the worsening of the patient's condition and a higher risk of the overall negative response.

TRACTION THERAPY
Is a passive procedure, which uses mechanical force to induce centrifugal traction in the spine axis, root joint axis (traction), or in axis of an extremity (extension). The traction force acts essentially only at the level of soft tissues of the motorics organs (muscles, ligaments, sinews, joint capsule). Traction pulling can be induced manually by another person (manual traction), which could be a part of the whole set of techniques used in the context of individual remedial gymnastics (mainly manual tractions of the cervical spine, or manual tractions of the lower extremities in the femoral axis). Similarly during the individual remedial gymnastics the therapeutist can apply the so-called redressive positioning, which consists of force (hand, sand bags, belts) applied directly through the joint, the limited motorics of which we thus wish to intentionally change. The so-called mechanical traction of cervical spine is done using the Glisson's cervical traction set with T-bar and applied pulling with a weight, or on a sloping traction table taking advantage of the pulling force of the patient's weight caused by gravity. Similarly is applied traction of the lumbar spine in a position lying on the back, with a side-fixed pelvis (with the traction option flexion-wise or extension-wise). The pulling force acting during these tractions is constant and continuous. Tractions in water use again the pulling of the patient's own body, the influence of gravitation in the water environment is significantly eliminated by buoyancy caused by hydrostatic pressure. The so-called instrument-assisted tractions are performed using a special equipment, which works in the mode of intermittent tractions, with pre-set not just traction force and its total duration, but also duration of the dynamic pulling and resting interval. Modern equipment has pre-set special programs. The procedure lasts 20 minutes and has to be prescribed by a doctor, who specifies the type and location of the required traction.

YOGA EXERCISES
Is carried on in group, under the guidance of a trained facilitator. The main focus is to achieve a better harmonization and synergy between individual body systems and functions, inducing psychic as well as physical harmony, enhancing physical as well as psychological resistance. The organism is trained in the context of the unity of body, mind and emotions. Hatayoga has the best elaborated training compositions, which through static/dynamic activities affect not only the motoric system, but also internal organs and the central nerve system. The main effects of the yoga exercise could be summarized into the following effects: relaxation, gradual adaptation to the reflex stimulation, changes in intensity and distribution of the stimulation, and inhibition in the central nerve system, changes in the rhythm, stabilization of the regulatory processes, training designed to control autonomous functions, the use of negative induction on the mediated inhibition of some systems, and therapeutic auto-suggestion focused on narrowing the consciousness. The main exercise categories include asana (positions), bandhas (closures - predefined configurations of muscles), mudras (similar to bandhas but with symbolic content), purification procedures (kriya), breathing exercise with holding one's breath (pranayama) and mantrayoga (meditational syllables and texts). The time unit applied is 20 minutes.

NORDIC WALKING
Is a dynamic fitness walking in a terrain with different demand ness profile, where the walker uses a pair of special sticks for Nordic walking. The rhythm of movements is determined by a cross-walking dynamics. This is an ideal form of physical exercise with an efficiency higher by 40 - 50% then during the normal walking. The walker has a better stability and feels more secure, load imposed upon load-bearing joints is by 30% lower, and the Nordic walking is thus better tolerated in cases of degenerative diseases of the spine and load-bearing joints, and it is one of the most suitable motoric activities for patients affected by osteoporosis. It improves the fat and carbohydrate metabolism, and thus could be used as an effective outdoors exercise for reducing the body weight. It is also an efficient breathing gymnastics, improving cardio-pulmonal efficiency, being a good form of cardio-pulmonal exercise. The Nordic walking is an ideal motoric activity for all age groups, including seniors with degenerative diseases of spine, load-bearing joints, balance-stability-co-ordination impairments, or ischemic vascular diseases. It should be prescribed by a doctor, procedure is designed for 60 minutes. Individually adjustable size of Nordic sticks are fit for each patient and borrowed to him/her. The procedure takes place in the natural environment of the Spa Island. We recommend sport/outdoor dress and conformable sport shoes. During the rainy weather the procedure takes place in the gymnasium ­as a special exercise NW Stretching.

REHABILITATION SWIMMING
Belongs to most important sports for physically handicapped, which only supports the idea of its importance in rehabilitation. It also takes advantage of positive effects of water, both - thermal, as well as mechanical, induced by the hydrostatic pressure, water resistance and lifting of the body under the water. The basic styles are breast-stroke (the main driving force are lower extremities, this style is suitable for better mobility of lower extremity joints), crawl (the main driving force are upper extremities), back-stroke (this style is suitable especially for impaired body position, diseases of spine and lower extremities) and the butterfly (recommended for not yet fixed kyphosis at initial stages of Bechterev's disease). The styles breaststroke and butterfly are not suitable for cervical spine diseases with overloaded spine muscles, and neither for patients with impairments of intervertebral discs, for the latter the more suitable styles are backstroke or crawl.

MECHANOTHERAPY
In a narrow sense of the word uses various static as well as dynamic forces, applied through the use of different equipment, tools and devices designed for curative/rehabilitation purposes. The objective is mainly achievement of larger joint mobilization spans using technical means designed to increase the joint mobilization (e. g. biking on the fitness concept machines or ergo meters, mobilization of arm joints through exercising on wall bars, exercising with electric dynamic splints, relaxation of cramps (spasms) using special equipment with antispastic devices - antispastic kinesiotherapy Rack Motomed). These devices can act either passively (i. e. controlled with patient's own forces), or actively, using the equipment drive with an option of varying different parameters set up (speed, frequency, resistance, direction of the motion). Further purpose of mechanotherapy is the strengthening of selected muscle groups, which is achieved mainly through various resistance-weight systems, electromagnetic induced resistance, or resistance induced with elastic belts or springs. Many devices have universal character and at the same time improve the mobilization of joints and muscles. The procedure has to be prescribed by a doctor; time unit applied is 20 minutes.

FITNESS CENTRE
Is a modern unit, which has many in common or similar with mechanotherapy. However it is focused mainly on the targeted and professionally guided fitness training of individual muscle groups. Individual fitness machines are always designed for different muscle groups, which are in most cases involved in a certain isolated movement (e. g. stretching arms, extending arms, bending down, straightening, internal and external rotation, etc.). The procedure has to be prescribed by a doctor (which should specify main objectives and recommended courses), but it is also freely saleable, applied time unit is 20 minutes.

MANIPULATION AND MOBILIZATION THERAPY
Are techniques of the manual medicine. In most cases they are used for the treatment of functional joint blocks, which are painful and restrict the movement, and cause additional pathological reflectory changes, mainly aching points, zones of hyperalgic and muscle spasms. These are in most cases the so-called joint areas of spine, Le. the joint connecting head with 1st vertebra of the cervical spine, 1st and 2nd vertebrae of the cervical spine, cervical/thoracic, thorax/trunk and trunk/lower back. The purpose of the treatment is the release of the motoric segment (in the are of spine), or the restoration of the joint freedom (in joints), but also the adjustment of the muscle tone, and treatment of the so-called trigger points, which many times cause I the pain, muscle weakness or limited motorics. Manipulation has to be done I exclusively by a doctor, specially trained and licensed. The idea is first to create the so-called overstress and then to release the block through the fast movement directed in the designed direction, small in scale and using a small force. The mobilization results either in the mitigation of the block prior to the subsequent manipulation, or in a direct elimination of the block. It applies the principle of short repetitive movements starting from marginal to neutral position, without impact, but with a permanent overstress. Effects caused by the method could be magnified. through the combination of the muscle facilitation and inhibition. However the method requires the co-operation of the patient, which exerts an isometric pressure in the opposite direction, and its relief results in relaxation, which allows partial movement in the direction of the block (Mitchell). The application should be repeated several times. In order to exert the isometric resistance, the therapist can also take advantage of gravitation force of head or extremity (ant gravitation relaxation - Zbojan). Selected simple mobilization techniques may be also applied by a trained physiotherapist (slower muscle pulling - release, subsequent muscle extension - stretching, post facilitation relaxation or inhibition) in combination with the so-called soft techniques. This is a non-standard, specially covered treatment procedure.

PHOTO THERAPY
a) Ultraviolet rays is a part of the sunlight,. in photochemical and biological sense very active. The component UV-C (wavelength < 280 nm) IS absorbed in upper layers of atmosphere owing to the ozone layer. It has bactericide nature. The sunshine component UV-B (315 - 280 nm) is the main cause of sun-induced erythema and skin pigmentation. The component UV-A (400 ­315 nm) is more energy-poor, and because of its better penetration it has curative importance. UV rays with the wavelength 250 - 300 nm is involved in the production of vitamin D. Cautiously applied UV light can improve the body immune response, muscle performance, and it supports the creation of red blood cells. On the other hand in a long-run UV-C light and also some other components have carcinogenic nature. Modern solariums are the combination of multiple UV and infrared radiation. They are good for the prevention of rachitis, poor health condition, fatigue, anemia, some neuralgia and a set of allergic and skin diseases (special lamps). Application has to be designed by a doctor, it lasts from 30 seconds and after gradual increase (by 1 minute) could be applied up to 10 minutes (which is strictly individual).
b) Laser therapy uses coherent, monochromatic light - part of the segment of visible light or microwaves. The laser beam is the carrier of energy, which it can deliver after falling on the illuminated plane. The Helium-Neon laser applies the red light with the wavelength 632.8 nm. The diode-based therapeutic lasers have the wavelength from 532 nm (green) up to 1060 nm (infrared). In order to affect the superficial tissues it is better to use lasers with a shorter wavelength, infrared laser affects deeper layers. The laser can be applied either continuously or in impulses. It has a significant biostimulating effect, mainly due to the fact that it stimulates collagen, supports tissue vascularisation, speeds up the regeneration of blood vessels, lymphatic routes and epithelia, better use of oxygen and glucose, and in general facilitates the healing process. At the same time it acts as analgesic, anti-inflammatory agent (antibacterial and antiviral agents), and causes also the shrinking of oedemas. However the application of laser has also several counter indications (strict prohibition of application on eyes, on malign and precancer tissues, banned application on glands, belly during pregnancy, varicose veins or acute neuralgic attacks). Application is done locally, based on the doctor's prescription, either on small areas (algic points, initiating trigger points, treatment of wounds, etc.), or larger areas (using laser scanner). A doctor licensed in acupuncture can apply the laser in acupuncture points (laser acupuncture).
c) Bioptronic lamp is the source of curative biostimulating light, which uses polarized light generated with the halogenous lamp. The light polarization is a prerequisite for the stimulation of living tissue following the contact between the light and the tissue, which supports the development of health cells, which is the essence of the biostimulating effect. Bioptronic lamp (biolamp) produces polarized light, which is polychromatic, and completely stripped of the UV component. The light has the wavelength 430 - 2800 nm, it affects mainly the surface, but also the depth of tissues (approximately 1 - 2.5 cm). The light supports control processes on the tissue and cellular level, slowing down pathological and degenerative processes within cells, accelerating metabolic processes, activating the mitochondria apparatus, supporting the creation of prostaglandin and other cellular transmitters, accelerating healing of wounds, skin drafts and scars. It has applications in dermatology, for the treatment of scars, diabetic complications, bedsores, reflex changes, oedemas, biolamp supports regenerative processes during the skin ageing. The duration of application is 4 - 6 min, skin surface has to be duly cleaned and degreased.

HEAT THERAPY
a) Paraffin therapy is the local application of heat, which takes advantage of the latent heat transmission during the paraffin hardening process. Paraffin hardens at the temperature approximately 55°C (52 - 56°C), 1 k~ renders 35 kcal. The paraffin temperature tolerance could reach u~ t~ 60 C. ,There are several application methods, method of paraffin veils (application of veils submerged in the liquid paraffin), method of repeated soaking (short-term soaking of e.g. hand in the paraffin bath, after lifting the hand up there is a thin layer of paraffin on the skin which starts hardening, the repeating of this procedure results In creation of the "paraffin glove" - suitable mainly for the application, on small joints and unflat surfaces), the method of brush application In layers (similar principle), film method (application of 5 - 10 mm thick paraffin film a the stage of starting hardening). The local application of heat affects the skeletal muscles, causing relaxation, releasing spasms and contractures, easing the chronic pain, improving the local blood hyperemia, nutrition and healing of tissues, affecting the softened tissue, causing resorption of chronic infiltrates and oedemas, it has sedative and immunobiological features. In case of acute inflammations the heat applied locally increases the pain, supports the development of oedema, and often worsens the patient's condition. Special precaution has to be taken in case of seniors with cardio-vascular disease. Local heat cannot be applied on places with implanted metallic material. The procedure lasts 20 minutes and it has to be prescribed by a doctor.
b) Piestany Parafango is the original form of local application of heat through application of parafango film, approximately 1 cm thick, applied at the moment when it begins to harden. According to the original technology the, Piestany parafango is made as a mixture of dry matter from the Piestany mud and a clean hard paraffin and paraffin oil. The mixture is melted and heated in a special mixing unit. It is a more patient-friendly local heat load applied on the body, and since it is not the plain paraffin, the amount of delivered latent heat during hardening is lower. Part of the heat is delivered to the body through conduction from the preheated Piestany mud component.
In addition to that the heat is delivered also through direct heat flow and convection. The temperature of the film at the moment of application is around 50 - 55°C. Indications, effects and counter-indications of this therapy are similar as those applicable to paraffin therapy. The procedure last 20 minutes and it has to be prescribed by a doctor. Since the heat load is patient friendly, the procedure is freely saleable.
c) Dry hot patch (thermophor, lavathermie - hot pack) is the local application of dry heat through the application of heat carrier. The old standard thermophor is filled with a hot water, modern lavathermie or hot pack contains chemical substance, which generates heat if activated and reaches up to 54°C. This heat pack could be repeatedly used for the local application of cold, if precooled down to approximately 6°C.
d) Priessnitz's packs are cold, sweat-generating wraps for local application, mainly for cases of joint problems combined with oedemas and pain (inflammatory or traumatic etiology), subcutaneous hem atoms, for the relaxation of skeletal muscles, but also for e. g. chest during tonsillitis, pharyngitis, or irritating coughing. A wet cold compress is applied on the treated area (a fabric soaked with cold water, water is partially removed), it is further covered with PE foil and further with dry, warm (best if wool) pack. During first 5 - 10 minutes there is a hypothermic phase with vasoconstriction, another approximately 20 minutes there is an isothermal phase with a switch from vasoconstriction to vasodilatation, further approximately 20 minutes there is an ongoing local vasodilatation and hyperemia - hyper thermal phase. The pack should be kept applied for approximately 1 hour, and could be applied repeatedly.
e) Cryo therapy is the treatment with cold, which is administered either as a total or (more often) as local application. For this reason there are several types of cooling compressors available on the market. Most often they are cryo-packs, containing the pearl cellulose, which is cooled down to -18°C and it still keeps well shapeable consistency. The similar effect could be achieved with also gel cryo-pack (hydrated silicates), similarly cooled down to -18°C. The local application of cold will induce firstly vasoconstriction, leading to the inhibition of muscle spasms and muscle hyper tone, mitigation of pain, improved mobility, and at the same time to slower progression of nerve impulses, mitigation of inflammation and stimulation of immune response with anti-inflammatory effect. There is at the same time a better conduction of heat from deeper layers as well as convection of heat through the blood vessels. It is very important that after each cryotherapie administration there is an active motorics-oriented therapy (active exercise), which strongly supports an active vasodilatation. In addition to this the exercise is easier for the patient (inhibited muscle spasms and pain). Indications are wide - fresh-posttraumatic states, active inflammation of joints, mitigation of spastic conditions in neurology, painful diseases of spine with paravertebr-al spasms, or individual treatment with curative gymnastics. The procedure has to be prescribed by a doctor, which shall determine the location, number of cryo - packs and application time. The procedure is contraindicated in case of disorders of arterial blood supply, allergy to cold and other forms of cold intolerance.

INHALATION
Uses inhalation of liquid or solid agents dispersed most often in the air (the so­ called aerodispersoids). These are mainly aerosols (gentle fog up to 10 microns) or sprays (coarse fog, 10 - 40 microns). Most often used are aerosols inhaling devices or ultrasonic inhalators. The use of mineral water with the sulphur content (H2S, HS', S20t , sot) has a local antiseptically action, which is caused by the sulphur in oxidized of reduced form. Sulphuric waters equally reduce the volume of secretions during hyper secretion. H2S concentration should not exceed 0.006%. Very effective is the use of weak sodium chloride waters (salty waters), which act as expectorant agents, making the phlegm less viscous and making the coughing easier. lodine/brome containing salty waters contain ions of iodine, they act as mucolytic agents, being expectorants and anti-inflammatory agents. Inhalation therapy is suitable especially for the treatment of chronic inflammatory diseases of upper and lower respiratory infections, and bronchial asthma.

SPECIAL PSYCHOTHERAPY
Is a special care offered to patients individually by the clinical psychologist. Short-term interventions are focused mainly on handling the acute crisis situations, when the bad condition of the mind adversely affects the pattern of practically all clinical diseases, and thus the course of the spa treatment and its final effect. Such conditions include depressive states, different form of neurotisation and patient's psychological misbalance, which could be the result of situations experienced under acute stress, or chronic diseases. Part of the curative psychotherapeutic sessions is also autogenously exercise, and instructing the patient in order to give him/her strength to overcome current forms of psychological stress, and to generate positive psychological relaxation in the social environment of his/her own living space. Part of the psychological care is its diagnostic stage, when the psychologist performs the evaluation of the psychological condition of a patient or the analysis of his/her personality. Psychotherapy is offered individually, but also as a group therapy with relaxation focus. The procedure should be prescribed by a doctor, and delivered by a clinical psychologist. It should be mentioned that the spa environment itself is an efficient psychotherapeutic tool, being a mutual symbiosis of culturally advanced and social environment of the spa city, with a unique natural ecotype of the Spa Island and its neighborhood. Higher frequency of social contacts and cultural events is sensitively combined with the treatment program of spa guests, significantly relieving the physical as well as mental recreation, and regeneration of strength.

MIRROR POOL
Is a pool with artificial bed, filled with natural sulphuric thermal mineral water with temperature 38° - 39°C, where the patient is submerged up to his/her arms, or he/she can sit on the poll edge. The mirror bath, and its duration is subject to the doctor's prescription, it last 10 - 20 minutes and ends with the dry total wrap up to 15 minutes. Patients are under the permanent supervision. If a patient's conditions allows that, the doctor on duty can prescribe a combination of consecutive baths in the mud pool and in the mirror pool. Some mirror pools have a temperature of the mineral water that was reduced down to 37°C. This configuration of procedures is freely purchasable (it is known as folk bath).

DRY CARBON BATH
Is applied for the whole body or for extremities and in its nature it completely differs from the water bath. The medium used is 95 - 100% carbon dioxide moisture with sweat within a closed space in PE bag, with the heat accumulation inside. Effects: stronger hyperemia of the body organs, brain and muscle tissues as a result of vessel dilatation, including capillaries, better blood flowage characteristics, better elasticity of erythrocytes, better generation of an intracellular glycogen, better coronary blood supply into the myocardium, better efficiency of the heart action, drop of the blood pressure, better blood supply into extremities, less new swellings, positive impact on varicose complications, positive effect on the cellulite skin, hyper pigmentation, emerging old-age coetaneous nevuses, better recovery of skin defects and decubitis ulcers, ulcus cruris, burns, scar softening, faster recovery of skin. The patient's body is enclosed in a special plastic bag, with inflated approximately 125 I of carbon dioxide, of which some 2 I will be taken in through skin surface resorption, which significantly improves when the skin is hyperemic and then moistured. The application time is 40 minutes. The procedure requires rest, eventually accompanying relaxation music. Operator must make sure that the patient does not inspire gas (during filling up the "bath itself", and subsequent release of gas). The procedure is suitable for all indicated groups, especially for patients with diseases of heart and blood vessels, including vasculatory diseases of brain, hypertension, varicose vein inflammations, vasculatory complications of diabetes, osteoporosis, spine diseases, but also post surgery, posttraumatic or rheumatic diseases of locomotive organs. This is a non-standard, special treatment procedure, which is included in some of the several special treatment programmes.

WATER TREATMENTS
a) Sub-aqua manual massage (underwater massage) is applied to a patient, which lies in a 37°C (36° - 38°) bath in a multifunctional tub, or in a Hubbard's tank. The massage itself is performed using the energy of the water stream, which outflows with the pressure 0.2 - 0.4 MPa (Le. 2 - 4 atm). The water stream is applied on the body manually, from the distance 10 - 15 cm and under the angle 30° - 60°. By varying the distance and the application angle it is possible to change the intensity of massage. The application on extremities should be done from the periphery towards the body centre; the reverse direction should by-pass the body. On the belly the direction should follow the course of the large intestine, oh the chest and back the applied pattern should have the shape of repeated horizontal eight. The pressurized water shall not be applied on genitals, female breasts, and the area of the heart. The duration of the procedure is 15 minutes. The massage acts mainly to release the stiffness of muscles and connective tissues, to mitigate the pain and to partially release the joints. The procedure is not appropriate for bleeding conditions, skin and subcutaneous tumors, pregnancy, renal diseases, varicose veins, vein post-inflammation conditions, hernia in the region of belly, post-operational scars, conditions following the heart failure. Underwater massage could by provided in a hydro massage tub, where it is applied using larger number of jets of different size and diameter, which operate either stationary or they are controlled with special software. Manual underwater massage has to be prescribed by a doctor; hydro massage bath (whirlpool) is freely saleable.
b) Scottish sprays are a very radical, strongly stimulating and irritating procedure, based on the contrast application of cold and warmth. It is applied using the water flow from jet with pressure 3 atm, from the 3 - 4 m distance. The spray starts with 38° - 42°C water applied during 30 seconds, followed by the spray with 16° ­18°C water applied for 5 - 10 seconds. The spray is repeated several times, first in the area of upper and lower extremities, then on the torso and belly (following the course of the large intestine), always from the frontal as well as rear side. The procedure is not applied on the area of breasts and genitals. It ends with the cold spray. The whole application results in a significant hyperemia of the skin and feeling of the well-congested and warm skin. The procedure increases the immunity, supports the metabolism, facilitates the restoration of vegetative and functional malfunctions, and stimulates immune response. The procedure last 15 minutes, and it has to be prescribed by a doctor.
c) Whirlpool bath is a gentle massage, using the whirling water, either through its partial application on upper of lower extremities (whirlpool bath of upper extremities, lower extremities), or through the total body application (total body whirlpool bath) in a tub with 1/2 or 3/4 water fill with isothermal temperature (36°­37°C). The water in the bath is whirled using the electrically operated water turbine. It contributes to a better blood flow in extremities, activation of skin receptors; and release of muscles and joint stiffness. The procedure lasts 15 minutes. The total body whirlpool bath can be substituted with a similar hydro massage tub or Jacuzzi pool. The procedure has to be prescribed by a doctor, and is also freely saleable.
d) Stepping bath - "alternating leg bath" is an active movement/ hovering in small tubs, filled with water with contrast temperatures. It starts in the hot water (40° - 46° - 50°C) lasting 1 - 2 minutes, then the patient steps in the cold water (10° - 16°C) for 15 - 30 seconds, and the whole cycle is repeated 6 - 10x. The procedure always ends in the cold water with subsequent drying with a bath towel. The procedure has positive impact on headaches, migraine, vegetative disorders, disorders of the blood circulation (cold feet), it is an excellent vein gymnastics for varicose at initial stage, supports the loosening of ankles, leg joints, and it is suitable for use after traumas of these body parts (feet). The procedure lasts 15 minutes, it has to be prescribed by a doctor, and is also freely saleable.

FUNCTIONAL REHABILITATION DIAGNOSTICS
Is designed to make special evaluations of the functional capacities of the motorics system, e. g. muscle test and goniometry of extremities, walking test, diagnostics of neurological, motorics and communication capacities, capacity testing of spine, test of the hand, capacity index of patient's self-sufficiency, some further specialized tests (Parkinson's disease, paralysis of facial nerve, etc.). This diagnostics registers the status of tested capacities in the beginning of patient's stay and their subsequent change throughout the course of balneo­rehabilitational course. It is subject to the doctor's prescription, and is used mainly in case of more complicated diseases of the motorics organs, performing mainly the purpose of impartial examination of a changed health status of patients. The diagnostics should be carried out by a professional physiotherapeutist (rehabilitation worker) as the follow up of the procedure called individual therapeutic/remedial gymnastics.

INDIVIDUAL CURATIVE PHYSICAL EDUCATION
Represents a special kinesiotherapy, which uses motion for the recovery or reparation of kinetic capacities of the rehabilitant. It is carried out either individually, or in groups, and there are many different types of it.
a) Individual curative physical education is performed by a physiotherapeutist, who individually treats the patient. It is designed to maintain or restore physical motorics capacities, as well as to develop functional motorics adaptation of the organism. Prevailing are special exercises of individual disabled parts, training of basic motorics stereotypes, provided they had been disabled by a disease or injury, damaging the capacities of bones, muscles, joints and nerve system. Especially for cases with weakened muscles, stiffened joints or other defects is combined with passive exercising, positioning, spling traction, or other special methods. Inseparable part is the rehabilitant's participation in an active exercise is his/her proactive involvement in it, and co-operation during exercise. Used methods include also visualization exercise, active muscle contraction, active assisted movements, free active movement, or active isometric exercise. An important part of the procedure is the fitness exercise, strengthening, correct breathing training, correct body position training, correct sitting position training, correct standing position, walking and correct motorics stereotypes during daily activities. Individual curative gymnastics uses the whole set of specific methods, targeted based on the indicated therapy (e.g. Kenny's analytical gymnastics, Kabat's nerve-muscle facilitation, training of Mensendieckova's correct motorics co-ordination, Klapp's or Fay's crawling, or reflex crawling and Vojt's locomotion or Bobaths' facilitation of motorics patterns). Procedure duration is 20 minutes; procedure is subject to the doctor's prescription.
b) Sling exercise therapy (the so-called self locking function rehabilitation concept) is a special format of individual remedial gymnastics, which excludes the influence of gravity, i.e. it is an exercise with the elimination of the weight of exercised segment of extremity. The method is suitable for cases of weak muscle strength, if the person cannot overcome the resistance of gravity. It allows the use of relaxation elements, patient-friendly mobilizing techniques, patient-friendly dynamic traction, training of the muscle stability, sensomotoric exercise, cautious increase of motion span, exercise within open and closed kinetic cycle. The method improves the maintenance of stability and morphological integrity of segments, global regulation of the body position, better capacity of fast physical response and capacity to impose strength. During this exercise we use a high-end state-of-the-art rehabilitation equipment Nordisk Therapy Master device. The procedure lasts 20 minutes and has to be prescribed by a doctor.

SOFT TECHNIQUES
Are a special method of manual medicine, which affects reflex changes in muscles and sub cutis, designed to reduce pain and muscle tension, and facilitate the subsequent mobilization or manipulation. Soft techniques should be applied by a physiotherapeutist, and this method applies several techniques, which could be partially compared to massage elements, mainly to those used for the reflex massage. They include e. g. the skin fold, which is very painful in places of reflectory changes, and the method is trying to gradually reduce its resistance, or connective tissue massage applied with a soft pressure and finger tips movement with fingers immersed in the skin. Another method is based on skin elongation and the gradual elongation of skin through making folds in places with hyperalgic alterations. Also used is the soft touching the skin with a finger. Soft techniques could be prescribed as an independent procedure (time unit 20 minutes), often being applied in the context of individual remedial gymnastics.

MANUAL LYMPHATIC DRAINAGE
Is a highly specific method, during which the therapist, using a series of gentle stroking pressure and other manual techniques facilitates the faster return of venous liquids into the treated extremity. The procedure results in the evacuation of capillary vessels followed by an influx of arterial blood (suction principle), with the most important impact - a better lymphatic draining. Better circulation and improved evacuation of lymph from the extremity results in smaller oedema and the subsequent reduction of chronic and lymphatic swellings, as well as better blood supply and nutrition. The method is used mainly for the treatment and prevention of chronic Iymphoedemas of upper and lower extremities (e.g. after the mastectomy). Inseparable part of this procedure is the follow up bandage of the extremity and its positioning. The procedure lasts approximately 30 min / 1 lower extremity, and it shall be prescribed by the doctor. It is classified as a non­standard, specially covered treatment intervention. The lymphatic drainage can be performed also using such equipment as pneumatic vacuum massage device (using the suction principle induced through uninterrupted negative pressure), or overpressure massage device (using the principle of interrupted overpressure in an inflatable pneumatic splint), or a combined vacuum/overpressure massage device (using the principle of alternating negative pressure and overpressure in a special cylinder inside the device).

GROUP KINESIOTHERAPY
Which is an expert-guided active curative gymnastics in a gym, with a group of rehabilitants with a similar diagnostic profile. Examples: group kinesiotherapy for diseases of SPINE, LOAD-BEARING JOINTS (hips or knees), group kinesiotherapy designed for OBESITY, OSTEOPOROSIS, for RHEUMATIC DISEASES, for VASCULAR DISEASES OF BRAIN, for CARDIAC etc. The exercise uses elements designed to relax overloaded muscles, strengthening of weak muscle groups, mobilization of joints and pelvis, strengthening of static/dynamic functions necessary for the correct body position, and training of correct motorics stereotypes. Inseparable part of the exercise is the breathing gymnastics, as well as training of speed, agility, endurance, balance, strength and overall fitness improvement. The time unit applied is 20 minutes.

REHABILITATION PATH - SCHOOL OF WALKING
Is a special method focused on the restoration and training of the basic human motoric stereotype - walking with erected position of the body. Rehabilitation is designed based on the walking impairment (costal component, connective tissue component, nerve/muscle component, and combined forms). This determines the type of the walking exercise without any load, with partial load or full load. The patient is learning to use different supportive aids (verticalising frame; path with safety rail; underarm, French, Canadian crutches; multipoint bars; "baby" walkers, or different other, more complex prosthetic aids). Part of the walking training is focused on overcoming architectural barriers, walking in difficult terrain, on a sloped terrain, etc. The procedure is performed under the control of the specially trained physiotherapeutist, it has to be prescribed by a doctor, and the time unit applied is 20 minutes. It could be carried out also with a group of patients, under the supervision of a skilled trainer, guiding each member of the group individually. Walking school starts in the premises of spa houses and in their rehabilitation facilities, and then moves to use rehabilitation sidewalks (sometimes called as healthy sidewalks) outdoors, in the beautiful environment of the Spa Island.

HYDROKINESIOTHERAPY IN REHABILITATION POOL
Is an active physical exercise performed in the water under the guidance of a specialist. The exercise takes place usually in groups with a similar diagnostic focus. The procedure takes advantage of the positive effect of the water environment (water temperature, hydrostatic pressure, buoyancy, and water resistance). The water buoyancy lifts the patients, and it is used especially for patients with so far unhealed wounds from accidents or surgery of upper extremities, which are not yet allowed to fully load the extremity. Movements in the water environment are often less painful than on the land, the muscle relaxation is more efficient. The water pressure acts as elastic bandage; water resistance strengthens the muscle corset. The water environment is very suitable for treatment of static impairments and incorrect body position, very efficient is the hydrokinesiotherapy, used for exercises for patients with degenerative diseases of weight-carrying joints and spine. In water it is possible to train walking, the water resistance could be increases using the artificial stream. The water temperature in the rehabilitation pool is approximately 33°C; the pool is 120 cm deep. The most frequent indication groups for hydrokinesiotherapy are: spine disease group, group of patients with diseases affecting lower extremities, group of patients with neurological diseases, geriatric group of rheumatics, etc. The procedure lasts 20 minutes and has to be prescribed by a doctor, but it is also freely saleable.

ERGO THERAPY
Is a therapy using the labour activity in order to achieve better re-education of the body functions. It is used for the objectivisation of the functional capacity of individual patient (testing of usual activities), which is necessary for the correct therapeutic specification necessary for achieving the social adaptation and integration of a handicapped individual, both at work and in personal life (self-reliance and self-service). Ergo therapy is very good for strengthening the motivating of a handicapped person. According to the type of disorder the exercise is focused mainly on exercising the hand and arm, leg, ankle and curs, but also on exercising the head, neck, chest and spine. Many times are disorders combined, i. e. disorders of motorics go hand in hand also with serious disorders of mind, cognitive functions and speech. In indicated cases this is an additional reason for necessary co-operation between ergo therapy, psychologist and the speech therapist. Ergo therapy shall be carried out by a specially trained the so-called ergo therapist, it should be prescribed by a doctor, applied time unit is 20 minutes.

ANTISPASTIC KINESIOTHERAPY
Of lower and upper extremities is carried out using a special, electronically controlled device RECK MOTOMED (MOTOmed VIVA), with original feature ­anti-spasm functionality, taking advantage of the principle of alternating phase of the muscle-antagonists movements. Antispastic kinesiotherapy always switches to the follow up training of walking. The device applies dynamic kinesiotherapy to lower and upper extremities, in case of minimal muscle strength or large "elasticity", which the is patient unable to overcome himself/herself, it uses electric motor, and the device acts partially also as a dynamic splint. The advantage of the device is its ability to record any active movement which the patient performs using its own strength. The patient should strive and be motivated to exercise active movements, and the device facilitates such efforts. The biggest advantage of the device is its anti-spasm action. If confronted with spasm the device stops moving and automatically moves back. This results in "the dissolution" of a spasm and gradually in a reduced frequency of spastic complications. It allows a more extensive dynamic antispastic kinesiotherapy, better self-reliance of the patient, and most of all the follow up verticalisation and training of walk. This anti spastic effect supports ergo therapeutic program, walking school and other activities. Antispastic kinesiotherapy at the same time supports trophies and mobilization of basic joints in the lower or upper extremity. It supports also the strengthening of muscles. The device is designed solely for neurological indications, and it does not serve as a replacement of ergo meter fitness concept machines, or ordinary bikes.

CARBON INSUFFLATIONS
Are subcutaneous injections of medical synthetic carbon dioxide (CO2 ). In order to apply gas from the pressure flasks method uses a special device with reduction valve with pre-set outlet pressure 75 kPa, special filter and own applicator which acts as an automatic syringe with electronic regulation and regulation of the gas volume. Needles used are disposable needles. Max. application pressure is 0.7 kp/cm3, i.e. approximately 69 kPa. Applied volume per single injection is 20 - 100 ml of gas, in average 30 - 40 ml per single injection, recommended number of injections is 6, total number of applied gas ­up to 200 ml. The procedure is subject to the doctor's prescription, and the latter shall specify application locations, application doses of gas, and number of injections. From the sub cutis CO2 resorbs very well into the venous and lymphatic circuit, causing artificial local oxygen debt with very efficient and active local and overall over flush, significantly improved oxidation, and tissue nutrition supports the creation of blood collaterals, improves the elasticity of collagen fibers, reduces pain, and makes exercise easier.

GAS INJECTIONS - PNEUMOPUNCTURE
Is an administration of a minimum doze (1 - 5 ml) of medical carbon dioxide into acupuncture points (also called pneumopuncture). It is one of the ways of influencing the organisms through stimulation (mainly mechanical, or using other types of stimulation) applied in specific points on the skin surface. It is applied especially to pain syndromes of any etiology, and if necessary they affect the muscle tone, muscle spasms or initiating points. The method is often used for neuralgic indications, par esthetic conditions and for several other indications. The local administration of carbon dioxide amplifies the affect of acupuncture, making the stimulation of acupuncture points stronger and longer. The stimulation of acupuncture points could be performed also using lasers, the so-called laser acupuncture. Only a practitioner licensed to perform acupuncture can apply the method. It is a non-standard, specially covered treatment intervention.

ACUPUNCTURE
Classical acupuncture, several thousand years old, is one of the oldest and most favorite methods of the traditional Chinese medicine. The oldest textbook described 365 treatment points on the body surface, in 1026 there were already some 600 described acupuncture points. Acupuncture is its essence inhibits the pathological dominant feature in the body, brings tone and vegetative body system response into the normal condition, and brings to norm different vegetative disorders. It is indicated especially in case of various neuralgia, headaches, migraines, aching conditions of spine and joints, and in series of vegetative disorders. Only a practitioner licensed to perform acupuncture can apply the method. This is a non-standard, specially covered treatment intervention. Stimulating the acupuncture points in case of classical acupuncture is performed with special acupuncture needles. Another possibility, used mainly in countries of Eastern Asia, is application of moxa heat. In our environment often applied method is the stimulation with a special palpation technique (acupressure), which the patient can apply himself/herself (self acupressure). Acupuncture points could be stimulated also using percutaneous stimulation with electric current (electro acupuncture), or by transcutaneous electro-neurostimulation applied through introduced acupuncture needles (AKU-TENS). Stimulation of acupuncture points could be done also using laser (laser acupuncture), or using a small dose of the medical carbon dioxide (pneumonic acupuncture).

ELECTROTHERAPY
Uses the curative affect of different forms of electric energy, it can be also used for electro diagnostic purposes. The administration is done using different modern electronic devices. Electrotherapy to large extent uses its analgesic effects, often improves the blood circulation, nutrition of tissues, mitigates inflammatory activities, and thus facilitates a better recovery of motoric functions. The duration of majority of electrotherapeutic procedures is 15 minutes.
a) Galvanic therapy (galvanization, ionophoresis,. four-chamber bath) uses the flow of the galvanic (direct) current through the tissue, which causes an active hyperemia, improved metabolism in tissues, shrinking of oedemas and exudates, mitigation of pain. The procedure is indicated for all aching conditions of the motoric organs, of any - posttraumatic, inflammatory or functional origin, except the presence of metallic materials in the current route and cases of sensitivity disorders. It is applied as a single in-depth galvanization (using the protective solution for cathode and anode), or as a ionophresis (one of the clearly defined electrodes introduces in the surface layers some remedial agent, prepared in the format of an ionic solution, e. g. ionophoresis with procaine, calcium, hyaluronidase, iodine, salicylate), or as galvanic bath of extremities (known as hydro galvanic or two/four-chamber bath). The application of the galvanic current is done in the water bath, with extremities submerged, each in a separate tub, connected to cathode and anode. The negative electrode causes rather the increase of nerve agitation, the positive act more as a tranquillizer. The connection of upper extremities to the anode and lower one to the cathode acts as descending, tranquillizing galvanization, connection vice versa is typical for ascending galvanization with an effect of increasing the muscle tone.
b) Ultrasound uses electric energy of high-frequency currents, which are converted to the mechanical and heat energy. Ultrasound is a longitudinal mechanical oscillation with a frequency 0.75 - 3 MHz (most often 0.8 - 1.2 MHz), and with intensity maximum up to 3 W/cm2. Some 30% of this mechanical energy, which causes sort of micro massage in tissues is transformed into heat. Ultrasound supports the excitation of molecules and subsequent chemical reactions, it improves the blood circulation and nutrition of tissues, tissue diffusion, acts as spasmolytic agent, with resorbing, analgesic and antispasmodic effect. The depth of the impact varies between 2 - 6 cm. However ultrasound causes also remote reflex effects. The basic administration form is continuous or pulse application, the contact between the head of the device and tissue has to be supported with the contact medium (paraffin oil, or conductive gel), there are also heads for sub aqueous application. The place of application has to be prescribed by a doctor, generally it is either the place of ache, or a respective segment, with the respective spinal cord root, or nerve route. a respective segment, with the respective spinal cord root, or nerve route.
c) Interferential streams act based on the principle of using interference of the two medium-frequency streams within the tissue, where one circuit has a constant frequency and the other has adjustable, fluctuating one. The advantage of such approach is the smoother overcoming of the skin tissue resistance, good tolerance towards small sensorial and motoric stimulation, and inducing the effect of interference within the tissue layer. It affects directly muscles, nerves, improves blood supply (hyperemia) and nutrition of the tissue, all of which is caused by vasodilatation, analgesia and restoration of the tissue tone. Depending on the pre-set frequency and its modulation one can achieve either effects of motoric stimulation/irritation (up to bringing the muscles into the so-called muscle gymnastics condition), or, on the contrary, achieve the decline of an increased muscle tone, or cause the more significant analgesic and spasmolytic effects, or oscillate between stimulating and mitigating effects, causing the resorption of oedemas and exudates. The procedure has to be prescribed by a doctor, which should specify the location and necessary application parameters.
d) Diadynamic streams are mixed streams, which use effects of the concurrent application of galvanic and faraday, or other impulse-like streams. This results in combined effects of both types of streams, especially induction of hyperemia and analgesia. The galvanic stream component is combined with impulse component. Sinusoid-like impulse streams have inhibitory or facilitation effect, which depends on the frequency, intensity and other parameters. The stream with predominantly inhibitory effect has the frequency 100 Hz, stream with frequency 50 Hz acts rather dynamogenically, i. e. causing excitation, facilitation and supporting muscle tone, it eliminates oedema around the nerve envelope, reducing pain and supporting muscle tone. The procedure has to be prescribed by a doctor, which should specify the application location and necessary characteristics of applied type of stream.
e) TENS - transcutaneous electric electro-neurostimulation - uses the principle that the perception of pain and conducted pain impulses could be mitigated through stimulation of nerves on different levels of the nerve system. Used impulses differ in their shape (symmetrically or asymmetrically biphasic, biphasic- alternating), they are very short (0.01 - 0.75 ms). They are applied as TENS continual, or TENS-burst in bursts, or TENS-surge in waves. They are indicated mostly for conditions requiring reduction of pain (spine diseases, headaches, posttraumatic pain, and many others). The procedure has ,to be prescribed by a doctor.
f) Impulse therapy takes advantage of the curative effect of precisely shaped current impulses (e. g. sinusoid-like, rectangular, triangular, symmetric, asymmetric - monophasic, biphasic, etc.). The essential breakdown distinguishes between currents with rectangular or steep start, and currents with sloped gradual start. The use is very diverse: rectangular currents are used for the stimulation of health muscles and nerves (electro gymnastics), for the prevention of muscle atrophy, strengthening of belly and back muscles, strengthening of the muscle corset - rectangular angles; sloped currents with gradual start are used for the selective stimulation of nerves in cases with peripheral parenthesis, stimulation of smooth muscles, affecting painful neuralgia, as well as for the diagnostics of peripheral parestheses using lit curve, rhombuses, chronaxias and accommodation coefficient. The stimulation also supports hyperemia, tissue nutrition, if applied as reflex agent may cause relaxation and detoning, having also analgesic effect. The procedure has to be prescribed by a doctor.
g) Magnet therapy uses the curative effect of the magnetic field on the biological tissues. The weakest effect are caused magnetic fields which are static, more intense effects are induced by alternating magnetic fields, and the most dramatic ones are caused by impulse magnetic fields. In practice doctors apply different electromagnetic devices, which produce mainly impulse magnetic fields of certain shape, frequency and intensity. The main effects of the magnetic field upon the living tissues are vasodilatation, analgesia, anti-inflammatory effect, myorelaxation and spasmolytic effect, and support of healing processes and antioedemic action. Applicators have the shape of hollow solenoid cylinders or rings, flat applicators, or two-component racked applicators (magnetic induction, the so-called double decks, used for transregional application). Magnet therapy has also its counter-indications. These include mainly implanted cardio stimulators, hemorrhagic conditions, myasthenia gravis, all mycotic (fungal) diseases, which could become generalized, tumors, juvenile diabetes, pregnancy, active TBC. The procedure has to be prescribed by a doctor, time unit applied is 30 minutes.

OXYGEN THERAPY
Is an inhalation of air enriched with 40 - 60% oxygen, reasonable humid. Inhalation of the mixture is applied using original masks, or intranasal catheter. Pure medical oxygen is introduced into the body using a device developed by prof. von Ardenne (Oxymate). Long-term supply of oxygen eliminates impacts of chronic hypoxia in the body, improves resistance to the physical load, physical condition and efficiency of the mind, increased resistance to stresses, and eliminates their consequences, improves myocardial blood supply, prevents various coronary and brain episodes, supports brain metabolism, stabilizes the blood circulation and some other pulmonal and cardiac functions, enhances the body immune response. The final result of a better resistance to load connected with the balneo-rehabilitation therapy. The procedure lasts 1 - 2 hours requires quiet room, comfort and patient's relaxation. During the procedure the patient receives a ion-vitamin drink. This procedure is a extra one, specially covered medical intervention.

SPECIAL LOGOPAEDIA
Is a highly professional care, offered to patients with different forms of communication handicap, mainly verbal communication disorders, eventually other combined forms. The main objective of this treatment is the restoration or reparation of speech functions. Such disorders came about during the patient's childhood, either as a result of developmental defects, or in adult age as a result of sudden diseases (vascular brain episodes and a set of further neurological diseases and their consequences). Logopaedia care represents a long-term curative process, which cannot be finished during a single stay in spa. In indicated cases it requires the follow-up therapy in the patient's place of residence. The procedure should be rendered by a clinical speech therapist, and prescribed by a doctor treating the patient.

DIET TREATMENT
Is an inseparable part of the complex spa client care. The current spa dietary system is a complex of advanced, high-quality and health gastronomic services. The diet prescription is done by the doctor on duty, menu is prepared by dietary nurses, which provide also individual consulting services on dietary issues to patients with digestion or metabolic problems. Much focus is dedicated to the dietary treatment of metabolic disorders, especially disorders disrupting the metabolism of lipids, carbohydrates, purine compounds, since all of them are connected with the whole set of serious diseases, and in terms of their impacts or complications they can adversely affect also the patient's motoric functions and their rehabilitation (e. g. arteriosclerosis, diabetes, gout, etc.).