1. No category

1
Evropska konferenca naravnih zdravilišč in wellnessa ENSPA
Skupnost slovenskih naravnih zdravilišč z organizacijo 1.
Evropske konference naravnih zdravilišč in wellnessa ENSPA odpira priložnost za prenos znanja, izkušenj in dobrih praks na področju medicinske rehabilitacije, zdraviliškega zdravljenja, wellnesa, mednarodnih standardov za zdravilišča in wellness centre. Seznanila bo z najnovejšimi trendi na teh področjih in odgovorila na vedno aktualno vprašanje o razmerju med medicinskim in wellness turizmom. Klasična zdravilišča v Sloveniji in bližnji okolici so v zadnjem desetletju svoje storitve dopolnila tudi s številnimi preventivnimi programi in prav ta imajo v prihodnosti še velik razvojni potencial.
Na konferenci ENSPA pričakujemo, da se bo zbralo do 100 strokovnjakov, predvsem iz slovenskih naravnih zdravilišč in term, ponudnikov wellness storitev in udeležencev sorodnih profilov iz tujine. V naslednjih letih je naš cilj, da konferenca postane še bolj mednarodno prepoznavna in priznana kot mesto spremljanja aktualnih, kot tudi iskanje in postavljanje novih trendov.
Prepričani smo, da je konferenca že letos odlična priložnost za pozitiven dialog, nove poslovne priložnosti in navezovanje novih poslovnih stikov. Ob tej priložnosti se v imenu Programskega
odbora zahvaljujemo vsem tujim in domačim strokovnjakom, ki so se odzvali našemu vabilu in bodo z nami delili izkušnje, ter jih posredovali tudi v okolja od koder prihajajo.
Vsem udeležencem konference želimo čim več novih spoznanj in prijetnega bivanja na izredni lokacij Wellness parka Laško, gostitelju letošnje 1. konference ENSPA.
Iztok Altbauer,
direktor Skupnosti slovenskih naravnih zdravilišč
predsednik organizacijskega odbora ENSPA 2012
Zahvaljujemo se pokroviteljem konference ENSPA:
In medijskim pokroviteljem:
2
European Natural Spa and Wellness Conference ENSPA
Slovenian Natural Spas is opening opportunities for knowledge
transfer, sharing of experiences and good practices in the field of
medical rehabilitation, spa healing, wellness, international
standards for spas and wellness centres through the 1st
European natural Spa and Wellness Conference ENSPA. The
conference will introduce the latest trends in these fields and
answer the ever topical question on relationship between
medical and wellness tourism. Classic spas in Slovenia and in the
near-by surroundings have complemented their offer with
numerous prevention programmes and these have great
development potential in the future.
We expect some up to 100 experts to gather at the conference,
above all from Slovenian Natural Spas, suppliers of wellness
services and participants of similar profiles from abroad. In coming years our goal is for the
conference to become even more internationally visible and recognised as the hub for following
topical questions as well as searching point and trend setter.
We are sure that the conference will be an excellent opportunity for positive dialogue, new
business opportunities and meeting new business contacts this year already. I would like to take
this opportunity to thank in the name of Programme Committee to all foreign and local experts,
who have accepted our invitation and will share experiences with us and transmit them into
areas they come from.
We would like to wish all participants at the conference lots of new knowledge and pleasant stay
at the location of Wellness Park Laško, the host of this year's 1st ENSPA conference.
Iztok Altbauer
Director, Slovenian Natural Spas
President of Organising Committee ENSPA 2012
We would like to thank the sponsors of ENSPA Conference:
And media supporters:
3
Program ENSPA
Sreda, 18. april 2012
18.00 – 19.00 Registracija
19.00 – 22.00 Pozdravni sprejem
Četrtek, 19. april 2012
08.00 – 09.30
09.30 – 10.00
10.00 – 11.30
10.00 – 10.45
10.45 – 11.30
11.30 – 12.00
12.00 – 13.30
12.00 – 12.45
12.45 – 13.30
13.30 – 15.00
Registracija
Uvod
Plenarno predavanje 1
Prof. dr. Zmago Turk in prof. dr. Janez Kraševec: Balneologija nekoč, danes in jutri
Prof. dr. Helena Burger: Rehabilitacija v 21. stoletju
Osvežilni odmor
Plenarno predavanje 2
Dr. Claus Arwed Lauprecht: Trendi in inovacije na področju velneške Dejavnosti
Melanie Smith: Razmerje med medicinskim in wellness turizmom
Kosilo
15.00 – 16.30 Sekcija 1: MEDICINSKA REHABILITACIJA
15.00 – 15.30 Dr. Vlasta Brozičević: Športna rehabilitacija v naravnih zdraviliščih
15.30 – 15.50 Doc.dr. Matjaž Sajovic: Športna rehabilitacija po rekonstrukciji sprednje križne vezi (SKV) pri uporabi presadka kite pogačice in kit fleksorjev v Termah Zreče
15.50 – 16.10 Prof. dr. Adolf Lukanovič: Konzervativno zdravljenje urinske inkontinence pri
ženski
16.10 – 16.30 Dr. Slavka Topolić: Subakutna rehabilitacija bolnikov po možganski kapi v Thermani Laško
16.30 – 16.45 dr. Tanja Rauter Pungartnik: Konzervativni pristop k zdravljenju ahilove
tendinopatije
15.00 – 16.30 Sekcija 2: WELLNESS
15.00 – 15.30 Mag. Slavka Gojčič: Analiza nakupnih motivov turistov z vidika njihove skrbi
za zdravje in dobro počutje
15.30 – 15.50 Mag. Helena Cvikl, mag. Nataša Artič: Razvoj izobraževanj in usposabljanj za potrebe velneške dejavnosti v Sloveniji in izzivi za prihodnost
15.50 – 16.10 Janja Strašek: Prehrana po programu SlimFit
16.10 – 16.30 Mojca Polak: Prednosti modificiranja lokalne kulinarike za potrebe velneške
dejavnosti
16.30 – 16.45 dr. Ivica Flis Smaka: Ohranimo kvaliteto življenja
16.45 – 17.00 Osvežilni odmor
4
17.00 – 18.45 Sekcija 3: MEDICINSKA REHABILITACIJA
17.00 – 17.15 Dr. Marija Ocvirk: Tradicija zdravljenja ginekoloških obolenj v Termah Dobrna
17.15 – 17.30 Dr. Peter Kurila: Obravnava pacientov z vertebrogeno patologijo po metodi
dinamične nevromuskularne stabilizacije v Termah Olimia
17.30 – 17.45 Mojca Kranjc: Novosti v rehabilitaciji po artroplastiki kolena
PROSTE TEME: KOMPLEMENTARNI PRISTOPI
17.45 – 18.00 Dr. Lepa Veljanović: Zdravstveni wellness bo pomemben temelj v turizmu
tudi v prihodnosti
18.00 – 18.15 Dr. Cvetka Avguštin: Bioenergijsko prehranjevanje
18.15 – 18.30 Martin Trapečar: Vpliv rednega uživanja mineralnih vod Radenska Classic na telesno sestavo in njegovo delovanje
18.30 – 18.45 Branko Ravnak: Koristi potapljanja za gibalno ovirane v moderni
hidroterapiji
17.00 – 18.45 Sekcija 4: WELLNESS
17.00 – 17.15 Mag. Helena Cvikl, dr. Janez Mekinc: Referenčni okvirji varnosti v velneških centrih
17.15 – 17.30 Mag. Nataša Artič: Osnutek etičnega kodeksa v velneški dejavnosti
17.30 – 17.45 Mag. Rudi Rumbak: Razlika med standardi zdraviliškega zdravljenja in medicinskega wellnessa
17.45 – 18.00 Monika Vičič: Osebna podoba kot sestavni del wellnessa
18.00 – 18.15 Barbara Lesničar: Poučevanje angleščine kot jezika stroke – Wellness
18.15 – 18.30 Christoph Moderegger, Kemcel: Preventatio® – peventiva pri izgorelosti
18.45 – 20.00 Sprostitveni program
20.00 – 22.00 Večerja
Slavnostni govor predsednika Skupščine SSNZ, g. Jožeta Duha ter podelitev nagrade za življenjsko delo.
Petek, 20. april 2012
8.00 – 09.30
09.30 – 11.00
09.30 – 09.50
09.50 – 10.20
10.20 – 10.40
Registracija / jutranje aktivnosti
Plenarno predavanje 3
Miriam Schöniger: WellGuide, predstavitev nemškega wellness portala Kathrin Spiller: Zdraviliški in wellness standardi
Alenka Šik, Adriatic Slovenica: Reforma zdravstvenega sistema: kaj lahko
pričakujemo?
11.00 – 11.30 Osvežilni odmor
11.30 – 13.00 Okrogla miza in zaključki: Ali so zdravstveni programi v zdraviliščih luksuz?
Moderator: Iztok Altbauer
5
Programme ENSPA
Wednesday, 18 April 2012
18.00 – 19.00 Registration
19.00 – 22.00 Welcome Reception
Thursday, 19 April 2012
08.00 – 09.30
09.30 – 10.00
10.00 – 11.30
10.00 – 10.45
10.45 – 11.30
11.30 – 12.00
12.00 – 13.30
12.00 – 12.45
12.45 – 13.30
13.30 – 15.00
Registration
Opening ceremony
Plenary lectures 1
Prof. dr. Zmago Turk and Prof. dr. Janez Kraševec: Balneology in the past,
present and future
Prof. dr. Helena Burger: Rehabilitation in the 21th Century
Refreshment Break
Plenary lectures 2
Dr. Claus Arwed Lauprecht: Trends and innovation in the field of wellness
activities
Melanie Smith: Relation between the medical and wellness tourism
Lunch
15.00 – 16.30 Session 1: MEDICAL REHABILITATION
15.00 – 15.30 Dr. Vlasta Brozičević: Sport rehabilitation in the medical spas
15.30 – 15.50 Assist. prof. Matjaž Sajovic: Sports Rehabilitation after ACL Reconstruction
comparing patellar versus hamsrtring autograft in Spa Center Zrece
15.50 – 16.10 Prof. dr. Adolf Lukanovič: Conservative treatment of urinary incontinence in
women
16.10 – 16.30 Dr. Slavka Topolić: Post-stroke subacute rehabilitation of patients at
Thermana Laško
16.30 – 16.45 dr. Tanja Rauter Pungartnik: Conservative treatment of achilles tendinopathy
15.00 – 16.30 Session 2: WELLNESS
15.00 – 15.30 Mag. Slavka Gojčič: Analysis of reasons for purchase among tourists in terms
of their health care and welfare
15.30 – 15.50 Mag. Helena Cvikl, mag. Nataša Artič: Development of wellness education and
training programme in Slovenia and challenges for the future
15.50 – 16.10 Janja Strašek: Nutrition in the SlimFit programme
16.10 – 16.30 Mojca Polak: Advantages of modifying the local cuisine for the wellness
Activities
16.30 – 16.45 dr. Ivica Flis Smaka: Keeping the quality of life
16.45 – 17.00 Refreshment break
6
17.00 – 18.45 Session 3: MEDICAL REHABILITATION
17.00 – 17.15 Dr. Marija Ocvirk: Tradition of healing gynecological diseases in Terme
Dobrna
17.15 – 17.30 Dr. Peter Kurila: Treatment of patients with vertebrogenic pathology in
Terme Olimia using the method of Dynamic Neuromuscular Stabilization
17.30 – 17.45 Mojca Kranjc: Novelties in rehabilitation after total knee arthroplasty
FREE THEMES: COMPLEMENTARY APPROACHES
17.45 – 18.00 Dr. Lepa Veljanović: Medical wellness will remain an important asset for
tourism also in the future
18.00 – 18.15 Dr. Cvetka Avguštin: Bio energetic nutrition
18.15 – 18.30 Martin Trapečar: Effect of regular consumption of mineral water Radenska
Classic on body composition and its performance
18.30 – 18.45 Branko Ravnak: The benefits of scuba diving for disabled in modern
hydrotherapy
17.00 – 18.45 Session 4: WELLNESS
17.00 – 17.15 Mag. Helena Cvikl, dr. Janez Mekinc: Referential frames of security in wellness
Centres
17.15 – 17.30 Mag. Nataša Artič:Draft of code of ethics in wellness
17.30 – 17.45 Mag. Rudi Rumbak: Difference between standards of health resort
treatments and medical wellness
17.45 – 18.00 Monika Vičič: Personal image as a basic part of wellness
18.00 – 18.15 Barbara Lesničar: Teaching English for Specific Purposes – Wellness
18.15 – 18.30 Christoph Moderegger, Kemcel: Preventio® – Burnout prevention
18.45 – 20.00 Relaxation programme
20.00 – 22.00 Dinner
Address by the president of Slovenian Spas Association, Mr. Jože Duh and Award ceremony for Lifetime Achievement.
Friday, 20 April 2012
08.00 – 09.30
09.30 – 11.00
09.30 – 09.50
09.50 – 10.20
10.20 – 10.40
Registration / morning activities
Plenary lectures 3
Miriam Schöniger: WellGuide, presentation of German Wellness Web Portal
Kathrin Spieller: Medical and wellness standards
Alenka Šik, Adriatic Slovenica: Reform of health insurance system in Sloveniawhat can we expect?
11.00 – 11.30 Refreshment break
11.30 – 13.00 Round table and conclusions: Are medical programs in natural spas
considered a luxury?
Moderator: Iztok Altbauer
7
Programski odbor ENSPA
Vladimir Maganja, dr. med., Terme Dobrna
Mag. Helena Cvikl, VŠGT Maribor
Mag. Nataša Artič, VŠGT Maribor
Tanja Rauter Pungartnik, dr. med, Terme Zreče
Nada Milač, Krka d.d.
Iztok Altbauer, SSNZ
Gorazd Čad, GO.MICE
Prof. dr. Zmago Turk, dr. med., višji svetnik
Programme Committee ENSPA
Vladimir Maganja, Terme Dobrna
Mag. Helena Cvikl, Vocational College for Catering and Tourism Maribor
Mag. Nataša Artič, Vocational College for Catering and Tourism Maribor
Tanja Rauter Pungartnik, Terme Zreče
Nada Milač, Krka d.d.
Iztok Altbauer, SSNZ, Slovenian Natural Spas
Gorazd Čad, GO.MICE
Prim. Prof. Zmago Turk, Higher Council
8
Abstrakti /Abstracts
Balneologija nekoč, danes in jutri
Prim. prof. dr. Zmago Turk, višji svetnik
Prim. prof. dr. Janez Kraševec
Univerza v Mariboru, CIMRS, Inštitut za balneologijo in medicinsko klimatologijo,
Slovenija
Prikazan bo kratek zgodovinski oris razvoja balneologije od prazgodovine do danes. Prikazani
bodo osnovni balneološki pojmi o termalnih vodah, peloidih in drugih naravnih dejavnikih v
slovenskih naravnih zdraviliščih. Balneoterapija in znanost o balneologiji so medicinske vede, ki nujno potrebujejo svojo
rehabilitacijo, tako v strokovnem kot v organizacijskem smislu. Slovenska naravna zdravilišča, skupaj z možnostjo talasoterapije v obmorskih krajih in možnosti klimatoterapije v sredogorju in visokogorju, predstavljajo potencialne razvojne resurse za razvoj zdraviliškega turizma. Restrikcijski programi in omejevanje zdravstvenega varstva, plačljivega s strani ZZZS, prisiljujejo ljudi, da začnejo pravočasno skrbeti za svoje zdravje, iskati preventivne ukrepe za preprečitev nastanka bolezni, za zmanjšanje posledic staranja in razvoja kroničnih bolezni. Zdravilišča so s svojimi potenciali najprimernejši resursi, kjer bi ljudje, ki iščejo tako preventivne kot kurativne storitve, lahko najhitreje dobili pravilen strokovni in pravočasni odgovor na svoje zahteve. Povezanost slovenskih naravnih zdravilišč s sodobno organizirano šolsko rehabilitacijsko medicino na eni strani, na drugi strani pa razvijanje novih oblik prevencije bolezni, je vizija
razvoja zdravilišč. Če k temu prištejemo še ponovni vzpon alternativnih oblik zdravljenja, kjer predstavlja naravni dejavnik pomemben del, ter iskanje vedno novih oblik, prinesenih z Vzhoda
ali Zahoda (akupunktura, ayurveda, fitoterapija, body-mind medicine), potem je možno dobiti holistični pristop zdravstvenih in rekreativnih storitev v slovenskih zdraviliščih. Zdravstvena
prosveta je tista, ki bo znala ljudem predstaviti koristnost uporabe naravnih dejavnikov v
prevenciji bolezni in ohranitvi zdravja. Na medicinskih strokovnjakih in menedžmentu
slovenskih zdravilišč leži odgovornost najti pravi način strokovne povezanosti in poslovne
odličnosti ter uporabe naravnih resursov, ki so nam v Sloveniji dani.
Ključne besede: balneologija, klimatologija, zdravstveni turizem, medicinska rehabilitacija.
Balneology in the past, present and future
Prim. Prof. Dr. Zmago Turk, Higher Councillor
Prim. Prof. Dr. Janez Kraševec
University of Maribor, CIMRS, Institute for Balneology and Medical Climatology, Slovenia
Short historical outline of the development of balneology from prehistory to today will be given.
Basic balneologic terms about thermal waters, peloids and other natural factors in Slovenian
natural spas will be explained.
Balneotherapy and the science on balneology are medical sciences that are in urgent need of
rehabilitation themselves both in expert and organisational sense. Slovenian natural spas, including
option of thalassotherapy in costal centres and option of climatherapy in highlands represent
potential development resources for development of spa tourism. Restriction programmes and
limits on health care paid for by The Health Insurance Institute of Slovenia (ZZZS) are forcing
9
people to start looking after their own health on time, to look for preventive measures for avoiding
illness, to limit consequences of ageing and to avoid the development of chronic diseases. Spas are
the most appropriate resources with their potentials, where people looking for both preventive and
curative services could get the correct expert and timely answer to their needs. Connection between
Slovenian natural spas on one side, with well organised school rehabilitation medicine, and on the
other side the development of new forms of illness prevention is the vision of development of spas. If
we add to this the upturn of alternative ways of healing, where natural factor is important and the
search for ever new forms brought from East and West (acupuncture, ayurvedic medicine,
phytotherapy, body-mind medicine) then we can have a true holistic approach to medical and
recreational services in Slovenian spas. Health education will know how to present the value of
natural factors in prevention of illnesses and keeping of good health. Responsibility lies on medical
experts and on the management of Slovenian natural spas to find the right way of expert
integration and business excellence as well as the use of natural resources that we have in Slovenia.
Key words: balneology, climatology, medical tourism, medical rehabilitation
Rehabilitacija v 21. stoletju
Helena Burger
Univerzitetni rehabilitacijski inštitut Republike Slovenije
Maja 2001 je Svetovna zdravstvena organizacija sprejela Mednarodno klasifikacijo
funkcioniranja, zmanjšane zmožnosti in zdravja (MKF), ki uveljavlja biospishosocialni model (1). Klasifikacija in model sta postala osnova fizikalne in rehabilitacijske medicine. Glavni cilj
rehabilitacije je osebam z zmanjšano zmožnostjo omogočiti, da živijo kot bi same želele, kljub omejitvam, ki so posledica poškodb ali bolezni, ali njihovih osebnih dejavnikov. To najlažje dosežemo s kombinacijo ukrepov, s katerimi zmanjšamo ali zaobidemo okvare ter odstranimo ali
zmanjšamo ovire v njihovem okolju (2). Rezultat je celostna rehabilitacija oseb usmerjena v vse vidike funkcioniranja posameznika. Rehabilitacija poteka v krogu prva ocena, postavitev
kratkoročnih in dolgoročnih ciljev, priprava načrta rehabilitacije in izbor ustreznih metod, izvajanje posameznih terapevtskih postopkov ter ocena uspešnosti oziroma izida. Metode, ki jih uporabljamo morajo temeljiti na najnovejših dokazih kliničnih študij, testi za oceno pa morajo imeti dobre psihometrične lastnosti.
Ključne besede: rehabilitacijska medicina, terapevtski postopki, dokazi kliničnih študij
Literatura:
1. Mednarodna klasifikacija funkcioniranja, zmanjšane zmožnosti in zdravja. Ljubljana, Inštitut za varovanje zdravja Republike, Slovenije in Inštitut Republike Slovenije za rehabilitacijo 2006.
2. Gutenbrunner G, Ward AB, Chamberlain MA. Bela knjiga o fizikalni in rehabilitacijski
medicini. Rehabilitacija 2008;7(1).
Rehabilitation in the 21st century
Helena Burger
University Rehabilitation Institute Republic of Slovenia
In May 2001 World Health Organisation launched International classification of functioning,
disability and health (ICF), which introduced biopsychosocial model (1). Classification and model
10
became the basis of physical and rehabilitation medicine (PRM). The overall aim of rehabilitation is
to enable people with disabilities to lead the life that they would wish, given any restriction imposed
on their activities by impairments resulting from illness or injury as well as from their personal
context. In practice this can be achieved by combination of measures to overcome their
impairments and to remove or reduce the barriers in their environment (2). The result is
comprehensive rehabilitation focused on all levels of individuals functioning. Rehabilitation is
performed in a rehabilitation cycle. It starts with initial assessment, setting goals and preparing
rehabilitation pan, choosing appropriate methods and their implementation and at the end
evaluation of outcome. Methods used should base on use of current best evidence from clinical care
research in the management of individual patients.
Key words: rehabilitation, rehabilitation methods, clinical care research
References:
1. International classification of functioning, disability and health. Geneva, World Health
Organisation 2001.
Gutenbrunner G, Ward AB, Chamberlain MA. White book on physical and rehabilitation medicine in
Europe. J Rehab Med 2007; 39 (suppl 45).
Trendi in inovacije na področju velneške dejavnosti Dr. Claus Arwed Lauprecht
International SPA & Wellness Association e.V., Nemčija
Trends and innovation in the field of wellness activities
Dr. Claus Arwed Lauprecht
International SPA & Wellness Association e.V., Germany
Razmerje med zdravstvenim in wellness turizmom
Melanie Smith
Poslovna šola v Budimpešti, Madžarska
Predstavitev bo prikazala razmerje med zdravstvenim in wellness turizmom, vključno z definicijami, tipologijami, nacionalnim in regionalnim razvojem in novimi trendi na tem
področju. Zdravstveni-wellness spekter obsega vse od kirurgije do zdravstvenega wellnessa, od
zdravilnih, termalnih vod do lepotilnih salonov. Terminologija in tipologija postajata vedno bolj
zapleteni, izvajalci in pacienti pa prepoznavajo, da je optimalno zdravje mogoče doseči samo s holističnimi pristopi. Predstavljeni bodo tudi rezultati mednarodne študije, ki je bila izvedena za potrebe globalnega vrha spa centrov („Global Spa Summit”) leta 2011. Razščiščeni bodo pojmi in definicije, prikazana bo raznolikost produktov zdravstvenega in wellness turizma. Dodatno bodo
predstavljene analize poglobljenih raziskav, ki so bile izvedene v 12 državah, ki naj bi bile reprezentančne za svoje regije, s tem znanjem pa bo avtorica kombinirala tudi svoje predhodno znanje o različnih pristopih k zdravju in wellnessu, ki jih lahko prepoznamo v zahodni, srednji,
vzhodni, severni in južni Evropi. To kaže na pomen regionalne zgodovine, geografije, resursov in kulture pri oblikovanju razvoja zdravstvenega in wellness turizma. Prezentacija se zaključi z ugotovitvijo, da so potrebne dodatne na dokazih temelječe raziskave, da bi ’dokazali’ učinkovitost številnih tretmajev, za katere trenutno velja, da so osredotočeni samo na wellness. To vključuje starodavne, tradicionalne in avtohtone zdravstvene prakse. Morali bomo tudi
11
prepoznati, da mentalni, psihološki in duhovni dejavniki lahko prav tako igrajo ključno vlogo pri pacientovem dobrem počutju, zmanjševanju stresa in okrevanju. Zdravstveni in wellness turizem torej ne moreta biti obravnavana kot popolnoma ločena, na kar kažejo novi trendi in nove ’modne’ besede, o katerih bo govora na koncu te prezentacije.
Ključne besede: zdravstveni turizem, wellness turizem, raznolikost produktov.
The Relationship between Medical and Wellness Tourism
Melanie Smith
Budapest Business School, Hungary
This presentation will consider the relationship between medical and wellness tourism, including
definitions, typologies, national and regional developments and new trends. The medical-wellness
spectrum runs from surgery to medical wellness to healing waters to thermal spas to beauty salons.
However, terminology and typologies are becoming more and more complex as practitioners and
patients alike recognise that optimum health can only be achieved through holistic approaches. The
results of an international study undertaken for the Global Spa Summit in 2011 are presented,
which clarify definitions and show the diversity of medical and wellness tourism products and
tourist activities. In addition, an in-depth analyses of twelve countries considered to be
representative of their regions is combined with the researcher’s earlier work on the different approaches to health and wellness which can be identified in Western, Central and Eastern,
Northern and Southern Europe. This shows the significance of regional history, geography,
resources, and culture in shaping the development of medical and wellness tourism. The
presentation concludes that there is a need for more evidence-based research to ’prove’ the effectiveness of many treatments currently considered to be focused on wellness only. This includes
ancient, traditional and indigenous health practices. It should also be recognised that mental,
psychological and spiritual dimensions can play a key role in patient wellbeing, stress reduction and
recovery. Medical and wellness tourism should therefore not be labelled as entirely separate
phenomena, as reflected in some of the new trends and buzzwords discussed briefly at the end of
this presentation.
Key words: medical tourism, wellness tourism, relationship, diversity of products
Športna rehabilitacija v naravnih zdraviliščih
Dr. Vlasta Brozičević
Terme Selce and Biodex isokinetic reference center, Hrvaška
Športna rehabilitacija vključuje postopke, ki so namenjeni maksimizaciji funkcionalnosti po
poškodbi ali bolezni. Vključuje postopke za povrnitev športnikovega stanja na predhodno
stopnjo funkcionalnosti v najkrajšem možnem času. Rehabilitacija se začne takoj po poškodbi, nadaljuje skozi akutno in subakutno fazo poškodbe ali kirurškega posega in se zaključi s športnikovim varnim povratkom med športnike.
Rehabilitacija in povratek k športu sta kompleksna tako zaradi specifičnosti vsake poškodbe kot tudi zaradi pričakovanj samih športnikov, trenerjev in drugih vključenih v proces rehabilitacije in vrnitev poškodovanih športnikov.
Z izboljšanjem življenjskih razmer se povečuje število posameznikov, ki se aktivno ukvarjajo s 12
športom. Kljub izboljšanim pogojem, športni opremi in treningu je še vedno velika pojavnost
športnih poškodb.
Učinkovit pristop pri rehabilitaciji športnih poškodb je multi-disciplinaren timski pristop. Ne
glede na vrsto športa, starost in zapletenost poškodbe je pristop individualen. Potek rehabilitacije je odvisen od ustrezne prve pomoči, natančne diagnoze, izbranega tretmaja ali operacije, različnih metod rehabilitacije, predanosti športnikov in drugih sodelujočih. Cilj rehabilitacije je, da se športnika v čim krajšem času povrne k treningu, ne da bi tvegali nove poškodbe. Varen povratek zagotavlja konstantno spremljanje rehabilitacije.
Zdravilišča, ki uporabljajo naravne dejavnike pri preventivi, diagnozi in rehabilitaciji lokomotoričnega sistema so idealno mesto za posameznike in klube za okrevanje po športnih poškodbah. Človeški viri in stalno izobraževanje, tradicija, prostorske danosti, tehnološka oprema, klimatski dejavniki, geografska lokacija, športni objekti, gastronomska ponudba in ostala ponudba so ključni dejavniki, ki delajo zdravilišča idealna za rehabilitacijo športnikov ter
za krajše ali daljše bivanje, počitnice, sprostitev, pripravo, izobraževanje in športne dogodke.
Ključne besede: športna rehabilitacija, športniki, zdravilišča, rehabilitacija, priprava.
Sport rehabilitation in medical spas
Vlasta Brozičević, D.M.
Terme Selce and Biodex isokinetic reference center, Croatia
Sport rehabilitation involves procedures designed to maximize function after injury or illness. It
includes procedures designated to restore athletes to their previous level of function within the
shortest time possible. Rehabilitation begins immediately after the injury, progresses through the
acute and sub acute phases of injury or surgery, ending in safe return to sport.
Rehabilitation and return to sports is complex, both because of specific injuries and the
expectations of athletes, coaches and other participants in the process of recovery and return of
injured athletes.
By improving living standards there is growing percentage of those who are actively engaged in
sports activities. Despite the improved conditions, sports equipment and training there is increasing
number of the incidence of sports injuries.
Effective approach in the rehabilitation of sports injuries is multidisciplinary team approach.
Regardless of the type of sport, age and complexity of the injury approach is individual. The course
of rehabilitation depends on the proper first aid, precise diagnosis, chosen treatment or surgery,
differentiated methods of rehabilitation, dedication of athletes and other participants.
Rehabilitation’s goal is to train athletes in a short time without the risk of new injuries. Safe return is guaranteed by continuous monitoring, rehabilitation’s evaluation and return to sport criteria.
"Medical Spas" that use natural factors in prevention, diagnosis and rehabilitation of the locomotor
system are the ideal place to individuals and clubs to recover after a sports injury. Human resources
and continuous education, tradition, spatial abilities, technological equipment, climatic factors,
geographic location, sports facilities, gastronomic offer, and other offer make such institutions an
ideal place for the rehabilitation of athletes, and for a shorter or longer stay, for holiday, relaxation,
preparation, education and sports events.
Key words: sport rehabilitation, athlets, medical spas, recovery, preparation
13
Športna rehabilitacija po rekonstrukciji sprednje križne vezi (SKV) pri
uporabi presadka kite pogačice in kit fleksorjev v Termah Zreče
Doc. dr. Matjaž Sajovic, dr. med.
Oddelek za ortopedijo in športne poškodbe, Splošna učna bolnišnica Celje, Slovenija
Izhodišča
Izbira presadka v primarni rekonstrukciji SKV je še vedno nedorečena. Za ugotovitev morebitnih razlik med obema presadkoma so potrebne kratkoročne in dolgoročne, prospektivne,
randomizirane študije. Prav tako je potrebno ugotoviti, ali je pospešena rehabilitacija primerna za oba presadka.
Metode
Bolnike, ki so bili zaradi pretrgane SKV operirani med junijem 1999 in marcem 2000, smo
naključno razdelili v dve skupini. V STG skupini z 32 bolniki sta bili kot presadek uporabljeni kiti mišic semitendinosus in gracilis, v PK skupini s 32 bolniki pa presadek iz dela kite pogačice. Vse operativne posege je opravil isti kirurg. Po-operativno so vsi bolniki izvajali enak pospešen rehabilitacijski protokol.
Rezultati
Po ocenitvenem sistemu Lysholm, ki smo ga pridobili 5 mesecev po operativnem posegu, je 85%
bolnikov v STG skupini in 70% bolnikov v PK skupini doseglo odličen rezultat. Povrnitev polne gibljivosti je bila pogostejša v STG skupini (100 % versus 80 %). Manjši deficit iztegnitve ( 3°) je bil pogostejši v PK skupini (15 % versus 0 %). Patelofemoralne krepitacije so bile prisotne v 5
% STG skupine in v 30 % PK skupine. Testiranje s KT-1000 artrometrom pokaže 3 mm pri 80
% skupine PK (povprečje 1.8 mm) in v 85 % skupine STG (povprečje 2.0 mm). Izokinetično testiranje smo izvedli v 12 in 20 tednu. Ob 5 mesecu smo izmerili moč ekstenzorjev operiranega kolena (Power test: 60 stop/sec), ki je znašala 84 % v STG skupini versus 61 % v PK
skupini. Izmerjeni deficit moči fleksorjev kolena je znašal 8 % v STG skupini in 4 % v PK skupini.
11 let po operativnem posegu je bilo 22 bolnikov (81 %) v STG skupini in 18 bolnikov (72 %) v
PK skupini še vedno tekmovalno aktivnih. Do ponovne raztrganine SKV je prišlo pri 2 bolnikih (6
%) v STG skupini in pri 4 bolnikih (12 %) v PK skupini. Rentgenski znaki degenerativnih
sprememb rekonstruiranega kolena so bili prisotni v 84 % (21/25) bolnikov v PK skupini in 63
% (17/27) bolnikov v STG skupini (P = .008).
Zaključki
Kratkoročni rezultati obeh operativnih tehnik ne pokažejo signifikantnih razlik v po-operativni
stabilnosti kolena, toda patologija odvzemnega mesta presadka igra odločilno vlogo pri funkcionalnosti operirane ekstremitete. Pospešena rehabilitacija je primerna pri uporabi obeh
presadkov. 11 let po operativnem posegu oba presadka zagotavljata dobro subjektivno oceno in
objektivno stabilnost kolena. Signifikantnih razlik v odpovedi presadka nismo našli. Rentgenski znaki degenerativnih sprememb so pogostejši pri bolnikih s presadkom iz dela kite pogačice. Ključne besede: rekonstrukcija sprednje križne vezi (SKV); kite fleksorjev (STG); kita pogačice (PT); bolečina in SKV, SKV in artroza; kratkoročna klinična študija; dolgoročna klinična študija.
14
Sports Rehabilitation after ACL Reconstruction Comparing Patellar
versus Hamsrtring Autograft in Spa Center Zrece
Assistant Prof. Matjaz Sajovic PhD. MD.
Department for Orthopedic and Sports Trauma Surgery, General Hospital Celje, Slovenia
Background
There are still controversies about graft selection for primary ACL reconstruction. Prospective,
randomized short-term and long-term studies are needed to determine the differences between
graft materials. It is still not clear if rehabilitation program should be adjusted to graft choice.
Methods
From June 1999 to March 2000, 64 patients were included in this prospective study. A single
surgeon performed primary arthroscopically assisted ACL reconstruction in an alternating
sequence. In 32 patients, ACL reconstruction was performed with hamstring tendon autograft (STG
group) while in the other 32 patients, ACL reconstruction was performed with patellar tendon
autograft (PT group). Pooperatively, all patients underwent the same accelerated rehabilitation
protocol.
Results
Lysholm scores were obtained at 5 month follow-up. 85% in STG group and 70% in PT group had
excellent results. Return to full ROM was more frequent in STG group (100% versus 80%). A minor
extension loss ( 3°) was more frequent in the PT group (15% versus 0%). Deterioration of patellofemoral crepitation developed in 5% of STG group and in 30% of PT group. KT-1000
arthrometer side-to-side difference 3 mm at 30 pounds was present in 80% of the knees of PT
group (average 1.8 mm) and in 85% of those of STG group (average 2.0 mm). The isokinetic muscle
tests were performed at 12th and 20th week. At 5 months follow-up, the mean peak extension torque
value of the reconstructed knees (Power test: 60 deg/sec) was 84% in STG group versus 61% in PT
group. The corresponding hamstring peak torque deficit was 8% and 4% respectively. At 11 years
follow-up, 22 patients (81%) in the STG group and 18 patients (72%) in the PT group were still on
their pre-injury level of activity. Graft rupture occurred in 2 patients from the STG group (6%) and
in 4 patients from the PT (12%). The grade B and C abnormal radiographic findings were seen in
84% (21/25) of patients in the PT group and in 63% (17/27) of patients in the STG group (P =
.008).
Conclusion
In short term follow-up, both operative techniques do not show significant differences in
postoperative stability of the knees, but donor site morbidity plays a major role in functional
outcome of extremity. The accelerated rehabilitation program is appropriated for both graft
material. At 11 years, both STG and PT autografts provided good subjective outcomes and objective
stability. No significant differences in the rate of graft failure were identified. Patients with patellar
tendon graft had a greater prevalence of osteoarthritis at 11 years after surgery.
Key words: anterior cruciate ligament (ACL) reconstruction; hamstring tendons (STG); patellar
tendon (PT); pain and ACL, ACL and arthritis, gender laxities; long-term clinical study.
15
Konzervativno zdravljenje urinske inkontinence pri ženski
prof. dr. Adolf Lukanovič
Ginekološka klinika UKC Ljubljana, Slovenija
Conservative treatment of urinary incontinence in women
prof. dr. Adolf Lukanovič
Gynaecology, UKC Lubljana, Slovenia
Subakutna rehabilitacija bolnikov po možganski kapi v Thermani Laško
Topolić Slavka dr. med. specialist fizikalne in rehabilitacijske medicine
Silvester Krelj, dr. med., specialist fizikalne in rehabilitacijske medicine
Thermana, d.d., Laško
V Zdravilišče Laško, ki je sestavni del Thermane, d.d., sprejemamo bolnike z možgansko kapjo tudi neposredno po končanem zdravljenju v bolnišnici. Običajno so premeščeni v zdravilišče dva do tri tedne po nastanku možganske kapi. Osnovni namen rehabilitacije je obnovitev prizadetih motoričnih funkcij in osnovnih dnevnih aktivnosti. Obravnava bolnikov je skupinska, vodi jo specialist fizikalne in rehabilitacijske
medicine, sodelujejo diplomirani fizioterapevti, diplomirani delovni terapevti, diplomirane
medicinske sestre, zdravstveni tehniki in bolničarji. Motorično reedukacijo živčno mišičnega sistema izvajamo z različnim tehnikami fizikalne terapije. S pomočjo specifičnih nevroterapevtskih vaj in metod učimo bolnike dnevnih aktivnosti in nadaljujemo z obravnavo kognitivnih aktivnosti
Rehabilitacijsko nego izvajamo na negovalnem oddelku neprekinjeno štiriindvajset ur.
Trajanje rehabilitacije je omejeno na štirinajst oziroma enaindvajset dni. Omejeno je število in čas posameznih terapij. Letno obravnavamo 250-300 bolnikov z možgansko kapjo, premeščenih neposredno iz slovenskih bolnišnic. Ključne besede: subakutna rehabilitacija, zdravilišče, možganska kap.
Post-Stroke Subacute Rehabilitation of Patients at Thermana Laško
Dr Topolić Slavka, a specialist in physical medicine and rehabilitation
Dr Silvester Krelj, a specialist in physical medicine and rehabilitation
Thermana d.d., Laško
At Zdravilišče Laško, a constituent part of Thermana, d.d., we admit patients with a stroke immediately after the completion of their hospital treatment. Usually, they are transferred to our
health spa two to three weeks after the onset of a stroke.
Rehabilitation’s basic goal is the restoration of affected motor functions and basic daily activities. There is a group treatment of patients led by a specialist in physical medicine and rehabilitation,
16
assisted by graduated physiotherapists, graduated occupational therapists, graduated nurses,
medical technicians and paramedics.
The motor retraining of the neuromuscular system is performed with a variety of physical therapy
techniques. Using specific neurotherapeutic exercises and methods, we teach our patients how to
perform daily activities as well as continue with the treatment of cognitive activities.
Rehabilitation care is performed on the nursing ward 24 hours a day without a break.
The duration of rehabilitation is limited to two or three weeks. Furthermore, the number and
duration of therapies is also limited. Annually, we treat 250 to 300 patients suffering from a stroke,
who have been transferred here directly from Slovenian hospitals.
Key words: Subacute rehabilitation, health spa, stroke
Konzervativni pristop k zdravljenju Ahilove tendinopatije
Dr. Tanja Rauter Pungartnik
Katja Skaza
Terme Zreče, Slovenija
Glavni vzrok za nastanek tendinopatij je preobremenitveni sindrom, ki se začne s postopnimi bolezenskimi spremembami. Očitni simptomi z vsemi neugodnimi posledicami za športnika se pojavijo sorazmerno pozno v obdobju izvajanja športne aktivnosti. Tipične značilnosti razvoja preobremenitve gibal: postopen in nezaznaven začetek okvare, težave so običajno povezane s tipično aktivnostjo, športniki pogosto začetnih znakov ne vzamejo dovolj resno in jih pripisujejo neogretosti, pretiravanju v obremenitvi in neugodnim zunanjim vplivom.
Ahilova tendinopatija je boleče stanje, ki se pojavlja pri aktivnih in tudi malo manj aktivnih posameznikih. Bolečina se pojavi kot posledica nanovo nastalih žil s pripadajočimi živci. Osnovno zdravljenje se začne s tradicionalnimi neinvazivnimi terapijami, ki vključujejo: modifikacijo aktivnosti, ortoze (da se popravi nepravilen položaj stopala), raztezanje, dvig pete (da se sprosti napetost v kiti), masažo, termoterapijo, UZ, nesteroidna protivnetna zdravila. Prispevek je
pregled fizikalnih modalitet s posebnim poudarkom na predstavitvi učinkovitosti ekscentričnih vaj s postopno obremenitvijo, s katerimi odpravljamo bolečine, ki se pojavijo pri pojavu tendinopatije.
Program ekscentrične vadbe vključuje spuščanje stopala iz polozaja polne plantarne fleksije v
dorzalno fleksijo s kolenom v iztegnjenem (za gastroknemius) in rahlo pokrčenem polozaju (za soleus). Vaje se izvajajo na stopnici in sicer tri serije po 15 ponovitev, 2x dnevno, vsak dan v
tednu. Svetuje se izvajanje v obdobju 12 tednov, kjer se obremenjevanje progresivno stopnjuje.
Najprej se vaja izvaja z lastno tezo, ko bolečina izgine, dodamo obremenitev preko nahrbtnika ali z dodajanjem prostih utezi v primeru potrebe po velikih obremenitvah. Tak pristop da pozitivne
rezultate pri 80% pacientov.
Ključne besede: tendinopatija, preobremenitve gibal, modifikacija aktivnosti, ortoze, raztezanje,
dvig pete, masaža, termoterapija, UZ, nesteroidna protivnetna zdravila
17
Conservative treatment of Achilles Tendinopathy
Dr. Tanja Rauter Pungartnik
Katja Skaza
Terme Zreče, Slovenia
The main etiology for Achilles tendinopathy is overuse syndrom, which starts slowly and gradually.
Obvious symtomps with all negative consequences for the athlete appear relatively late in the
period of activities. Typical features of the overuse syndrome are: the gradual and imperceptible
starting of the symptoms, problems are usually associated with typical activity, athletes don't take
seriously early symptoms.
Achilles tendinopathy is a painful condition that occurs in active and less active individuals. Pain
occurs as a result of newly generated blood vessels associated with nerves. Primary treatment
begins with the traditional non-invasive therapies, which include: activity modification, orthoses (to
correct the incorrect position of the foot), streching, heel raising (to release tension in the tendon),
massage, thermotherapy, ultrasound, non-steroidal anti-inflammatory drugs. This article reviews
the physical modalities with special emphasis on presentation the efficiency of eccentric exercises
with progressive load to eliminate the pain, which occur in the tendon.
The program of eccentric exercise involves lowering the foot from the position of full plantar flexion
to dorsal flexion with the knee extended (for gastrocnemius) and in slightly bent position (for
soleus). Exercises are carried out on the stairs and through three sets of 15 repetitions, 2 x day,
every day of the week. The exercices should extend period of 12 weeks with the load progressively
increasing. First, the exercise is carried out by its own weight and when pain disappears, we add the
load over a backpack or by the addition of extra weights in the case of the need for high loads. Such
an approach showed positive results in 80% of treated patients.
Key words: tendinopathy, activity modification, orthoses, streching, heel raising, massage,
thermotherapy, ultrasound, non-steroidal anti-inflammatory drugs
Analiza nakupnih motivov turistov z vidika njihove skrbi za zdravje in
dobro počutje Mag. Slavka Gojčič
Go-spa S d.o.o., Slovenija
Velneški turizem je pomemben segment velneške dejavnosti, ki svojo ponudbo oblikuje na področju promocije zdravja oziroma preventivne skrbi za zdravje posameznika. Današnjo predstavo o zdravju povzemamo v smislu, da je zdravje moč realizirati, ga interpretirati,
družbeno definirati in z njim tržiti. Zdravja torej ne smemo pojmovati samo kot odsotnost motenj v telesu, temveč kot sposobnost živeti z določenimi omejitvami. Takšno pojmovanje sovpada z velneškimi cilji, da je potrebno izkoristiti vsak zdravstveni potencial posameznika.
Zakaj v zadnjih letih tako velik porast turizma, ki je bolj ali manj povezan z zdravjem? Odgovor je
iskati v podaljševanju življenjske dobe ljudi in v iskanju kakovostnejšega življenja po meri posameznika. Temeljno poslanstvo velneških ponudnikov je v izobraževanju svojih uporabnikov za zdravi življenjski slog, ki ga naj udejanjajo v svojem življenju in ne samo na aktivnih počitnicah. V raziskavi smo analizirali nakupne motive turistov v izbranih hotelih v Sloveniji in Avstriji in jih primerjali z njihovo skrbjo za zdravje in dobro počutje, ki so ju izrazili z dvanajstimi trditvami. Proučevali smo, ali obstajajo statistično značilne razlike v pomembnosti teh dejavnikov med gosti v hotelih v Sloveniji in Avstriji in glede na sociodemografske spremenljivke
ter jih primerjali z nakupnimi motivi. Ugotovili smo, da so za turiste, ki sami zelo intenzivno
18
preferirajo skrb za svoje zdravje in dobro počutje, med najbolj pomembnimi nakupni motivi s področja zdravja, športa in rekreacije ter počitka in sprostitve.
Ključne besede: velnes, zdravje, zdrav življenjski slog.
Analysis of tourist buying motives from the health care point of view
Mag. Slavka Gojčič
Go-spa S d.o.o., Slovenia
Wellness tourism is a very important segment of the wellness activity (industry); its offer is based
and combined on the promotion of health or the prevention of healthy living. Today’s perception of health can be summarized as health is achievable; it can be interpreted, socially defined and
marketed. Health therefore can not be defined as “a lack of disturbances” (in a person’s body), but as being able to live with limitations. This definition coincides with wellness goals, like it is
necessary to make the most of each individual’s medical prospective. Why is there such a strong
increase of tourism in the past years that is more or less connected with health? The answer can be
found in the extended lifetime of people and in the search for a higher quality of living for every
individual person. The basic mission of wellness providers is educating its users how to live a
healthier life, how to implement “wellness” into their everyday life (not only during their vacation and free time). In our research we analyzed buying motives in selected hotels in Slovenia and
Austria and we compared their concern for health and wellbeing, which was stated in twelve
hypothetical sentences. We tried to find out if there are statistical differences in the importance of
these key factors between guests in Slovenian and Austrian hotels and socio-demographic variables
and compared them to buying motives. We documented that tourist, who intensively care for their
health and wellbeing themselves have high buying motives towards areas of health, sports,
recreation as well as rest and relaxation.
Key words: wellness, health, healthy way of life
Razvoj izobraževanj in usposabljanj za potrebe velneške dejavnosti v Sloveniji in izzivi za prihodnost
Mag.Helena Cvikl
Mag. Nataša Artič
Višja strokovna šola za gostinstvo Maribor, Slovenija
Velnes je v slovenskem prostoru prisoten že skoraj desetletje in v tem času se je v stroki nenehno nadgrajeval. Danes lahko gledamo nanj ali z vidika velneške dejavnosti (podjetja) ali kot način življenja (posameznika). Leta 2010 je v Sloveniji stopil v veljavo prvi akreditiran, javno
veljavni izobraževalni program za področje velneške dejavnosti, čeprav je že prej bilo mogoče zaslediti študijske programe, ki ponujajo predmete oziroma module z velneško tematiko. Ob dejstvu, da je Slovenija v preteklem desetletju investirala v razvoj velneške infrastrukture ogromna sredstva, je prišel čas, da se ob standardih na strani ponudbe vzpostavijo tudi standardi na področju izobraževanja za potrebe izvajanja velneške dejavnosti. S prenosom javno veljavnega nemškega programa usposabljanja na področju velnesa v Slovenijo govorimo o prvih zametkih postavljanja standardov velneške dejavnosti tudi na področju izobraževanja, kar je zagotovo pripomoglo k razvoju teorije in vsebin tega področja v prihodnje in ne nazadnje tudi k
razvoju samostojnega javno veljavnega izobraževalnega programa za organizatorja velneške dejavnosti. V študijskem letu 2011/12 se v Sloveniji izobražuje po študijskem programu Velnes prva generacija vpisanih študentov. Istočasno smo v Sloveniji priča naglemu razvoju velneške 19
dejavnosti, uveljavljanju svetovnih trendov slednje ter povečanem povpraševanju po storitvah,
povezanih s skrbjo za zdravje in zdravim načinom življenja. Ob tem se tudi izobraževalna sfera srečuje z novimi izzivi za nadaljnji razvoj usposabljanj in izobraževanj za potrebe velneške dejavnosti.
Ključne besede: velnes, velneška dejavnost, usposabljanje, izobraževanje, študij.
Development of Wellness Education and Training programme in
Slovenia and Challenges for the future
mag.Helena Cvikl
mag. Nataša Artič
College for Catering and Tourism Maribor, Slovenia
Wellness activity has been present in Slovenia for almost a decade and has been improving ever
since. This can now be seen from the wellness activities point of view (enterprises) or as a way of
life. Slovenia has invested quite some amounts of its funds into the development of wellness
infrastructure and the accredited study wellness program was a matter of time. The transfer of
officially recognized German training program for wellness services to Slovenia set the first
foundations of wellness service standards. In year 2010 there has been accredited publically valid
study program for the wellness activity in Slovenia, even thou there has been some private program
on the market before. In study year 2011/20 there is the first generation of wellness program
students on the way to degree. At the same time Slovenia is facing with the fast development of
wellness market, new trends and demand acceleration. The growing market is highly challenging
for the further development of wellness education and training.
Key words: wellness, training, education, study programme
Prehrana v programu SlimFit
Janja Strašek, Nada Milač, Albina Vrbos, Anita Možgan, Gorazd Šošter
Terme Krka, Slovenija
Krkine Terme Šmarješke Toplice so sodobno slovensko termalno zdravilišče, znano po zdraviliških storitvah in izbrani ponudbi najsodobnejših storitev medicinskega wellnessa Vitarium Spa&Clinique.
Predstavljen je program SlimFit, ki je medicinsko zasnovan program hujšanja, s katerim s pomočjo najnovejših spoznanj in postopkov rešujemo problem prekomerne telesne teže. Temelji na diagnostiki, telesnih aktivnostih, negi telesa in zdravi prehrani.
Vzpostavili smo individualen pristop do vsakega gosta in prilagodili prehranski režim njegovim potrebam in življenjskemu slogu. Z izdelano interno logistiko smo dosegli individualno pripravljanje in serviranje hrane - za vsakega gosta posebej.
Uspešnost programa je predstavljena s pomočjo rezultatov meritev zmanjšanja telesne teže in maščobe. Nakazane so možnosti razvoja, zlasti na področju prehrane.
Ključne besede: Terme Šmarješke Toplice, Vitarium Spa&Cliniqe, SlimFit, zdrava prehrana, šport, meritve.
20
Nutrition in the SlimFit Programme
Janja Strašek, Nada Milac, Albina Vrbos, Anita Možgan, Gorazd Šošter Terme Krka, Slovenia
Terme Šmarješke Toplice Spa is a modern Slovene thermal spa known for its spa services and exquisite offer of the state-of-the-art medical wellness services at its Vitarium Spa&Clinique
Wellness.
SlimFit is a medical programme for losing weight which includes the latest techniques and
procedures that help people with weight and obesity problems. Diagnostics, physical activity, body
treatment and healthy diet are the basis of this programme.
We have introduced an individual approach towards each guests and prepared a tailor-made
nutrition regime adapted to the guest’s needs and lifestyle. With the help of a refined internal logistics we have achieved individual food preparation and serving for each and every guest.
The success of the programme is proved with the help of reduced body weight and body fat
measurements. There are also various possibilities for further progress, especially in the field of
nutrition.
Key words: measurements and results, Nutrition and slimming, Terme Šmarješke Toplice, Vitarium Spa&Clinique Wellness Centre
Prednosti modificiranja lokalne kulinarike za potrebe velneške dejavnosti
Mojca Polak
VŠGT Maribor, Slovenija
Zdrava prehrana predstavlja enega od štirih temeljnih stebrov velneške filozofije. Bistvene značilnosti velnes kulinarike so uporaba lokalnih sezonskih živil ter skrbno sestavljeni jedilniki,
ki zagotavljajo zadostno količino antioksidantov, vitaminov in mineralov. Prav tako pa je iz
izobraževalnega in animacijskega vidika velneškega gosta potrebno stremeti k ponudbi
kreativnih jedi in pijač, ki očarajo vse čute in dovolijo gostu za mizo »varno« razvajanje. Tako imenovana »doživljajska kulinarika« ima svojo načela in posebnosti ter se lahko za potrebe
velneške ponudbe Slovenije razvije na osnovi slovenske kulinarične dediščine. Za to je potrebno
predvsem dosledno vključevanje kakovostnih slovenskih lokalnih pridelkov v modificirane
lokalne recepture ter oblikovanje celovite ponudbe, ki bo zraven okusov vključevala tudi
etnološke posebnosti Slovenije. V teoretičnem delu prispevka bodo predstavljeni temelji
nacionalne kulinarike, ki bodo uporabljeni kot izhodišče za potrebe modificiranja. Prav tako
bodo v nadaljevanju predstavljene osnove zdrave prehrane v velneški ponudbi ter njeno oblikovanje za potrebe doživljajske kulinarike.
Ključne besede: zdrava prehrana, velnes kulinarika.
21
Advantages of modifying the local cuisine in Wellness Tourism
Mojca Polak
VŠGT Maribor, Slovenia
Healthy diet represents one of the four fundaments of wellness philosophy. The main characteristics
of wellness cuisine are local and seasonal products and sophisticated menu planning, which ensures
needed amount of antioxidants, vitamins and minerals. From the wellness guest aspect of education
and motivation, it is also important to look for creative food and drink offer which will charm all
the senses and allow the guest “safe” enjoyment. So called adventure cuisine has its specifics and
principles that can be adapted from Slovenian national cuisine for the wellness product of Slovenia.
Therefore it is necessary for local quality products to be consistently included in modified local
recipes as well as the design of complete gastronomic offer that will beside the taste also include
ethnographic origins of Slovenia. In theoretical part of the report we will present the fundaments of
national cuisine that will be used as a starting point for the modification. Furthermore there will be
presented the basics of healthy diet in wellness offer and its transformation for the adventure
cuisine.
Key words: local products, Slovene recipe modification, wellness, culinary in wellness tourism
Ohranimo kvaliteto življenja Ivica FLIS SMAKA, dr.med., spec.
Zasebna ambulanta za fizikalno medicino in rehabilitacijo, Ivica FLIS SMAKA, dr. med.
Specialistka fizikalne medicine in rehabilitacije, Slovenija
Večinoma razmišljamo na osnovi stereotipov o lepoti in ne o kvaliteti počutja - vse pač povežemo s tem, kar vemo o anti-aging postopkih: modne smernice, kozmetična sredstva, kirurgija, vitkost za vsako ceno, glajenje gub in še kaj v povezavi biti lep in mlad.
V svetu medicina uporablja bioidentične hormone za izboljšanje kvalitete počutja. Uporabljajo se v zadnjih letih, ko vse večje število zdravnikov ne zdravi le očitnih pomanjkljivosti in izvidov, temveč tudi mejne. Sodoben pristop, ki spominja na preventivo, pa temelji v glavnem na
bolnikovih težavah in telesnih znakih – terapija se predpiše tudi takrat, ko so bolnikove vrednosti (morda) še v mejah normale, oseba pa že ima določene težave. Poseben poudarek je na bolnikih, ki imajo tipične znake določenega pomanjkanja npr. hormonov, njihovi laboratorijski izvidi pa so
še v mejah normale. Najbolj nazoren primer je perimenopauza, obdobje pred in v začetku mene, ko imamo ženske številne težave, vrednosti hormonov pa so velikokrat v mejah normale. Največ težav v tem obdobju povzroča pomanjkanje progesterona, za njim je estrogen, padec ostalih hormonov. Nizek progesteron povzroča slabo počutje, bolečine in napetost v sklepih in mišicah, razdražljivost, jeza, znižan prag bolečine, nespečnost – v tem obdobju so pogoste ločitve. Bioidentični hormoni (BiH) imajo popolnoma enako zgradbo kot hormoni, ki se po naravni poti
izločajo v človeškem telesu. Nasprotno pa je struktura modificiranih (ne-bioidentičnih) sintetiziranih hormonov (SH) drugačna in različna od tiste, ki jo imajo naravni hormoni.
Popravljanje vrednosti na višjo raven zavaruje ženske (in moške) pred staranjem, da nov zagon za življenje, prenavlja duševne in telesne energije. Popravljen nivo hormonov ščiti tudi pred Alzheimerjevo boleznijo in pred pretiranim gubanjem, pomaga tudi pri težavah multiple skleproze, pri otrocih in še kje.
Ključne besede: kvaliteta počutja, progesteron, Bioidentični hormoni, modificirani sintetizirani
hormoni
22
Keeping the quality of life
Ivica FLIS SMAKA, dr.med., spec.
Private clinic for physical medicine and rehabilitation, Ivica FLIS SMAKA, dr. med. Specialist
in physical medicine and rehabilitation, Slovenia
Tradicija zdravljenja ginekoloških obolenj v Termah Dobrna Dr. Marija Ocvirk
Terme Dobrna, Slovenija
V članku je prikazan kratek zgodovinski opis razvoja zdravljenja ginekoloških obolenj v Termah Dobrna, organizacija našega dela ter vpliv in načini uporabe naravnega faktorja v medicinskih programih in celostno delovanje na telo. Terapije, ki jih izvajamo, delujejo resorbtivno,
stimulativno, preventivno, podpirajo rekonvalescenco in rehabilitacijo. Obravnavane so
indikacije za ginekološko balneologijo, kot so kronična vnetja, sterilnost in infertilnost, hormonske motnje, rehabilitacija po zdravljenju malignomov in rehabilitacija po komplikacijah
po ginekoloških operacijah.
Pomembno je, da vse te terapije izvaja ustrezno izobražen kader pod vodstvom zdravnika
ginekologa in fiziatra ob upoštevanju kontraindikacij za posamezne terapije.
Ključne besede: balneoginekologija, naravni faktor, termalna voda, peloidi, rehabilitacija.
Tradition of healing gynecological diseases in Terme Dobrna
Dr. Marija Ocvirk
Terme Dobrna, Slovenia
In article is given brief hystorical survey of development of healing gynecological diseases in
Terme Dobrna, and professional organisation of our work and effect of use of natural factors in
medical programs and comprehensive influence on the body. Therapies used are acting
resorbtively, simulative, preventive and are supporting reconvalescence and rebilitation. The main
indications for gynecologic f are chronic infflammations, sterility and infertility, hormones
disregulations, rehabilitions after treatments of malignoma, rehabilitations for complications after
gynecologic operations. It is of great importance that gynecologic therapy is applied by
professionally educated team under the supervision of gynecologist and physiatrist, having in mind
of the indications and contraindications for applied therapies.
Key words: balneogynecology, natural factor, thermal water, peat therapy, rehabilitation
Obravnava pacientov z vertebrogeno patologijo po metodi dinamične nevromuskularne stabilizacije v Termah Olimia
Peter Kurila, dr. med.
Terme Olimia, Slovenija
Dinamična nevromuskularna stabilizacija (DNS) je razmeroma nov koncept za konzervativno obravnavo pacientov z vertebrogeno patologijo. Metodo je razvil v devetdesetih letih 20. stoletja
23
v Pragi prof. Kolář, učenec prof. Lewita in pokojnega prof. Vojte, katerega metoda je uveljavljena na področju nevrorehabilitacije otrok.
DNS temelji na korekciji gibalnih vzorcev in funkcionalnih odnosov med mišicami in sklepi, tako
kot jih definira razvojna kineziologija, s ciljem doseči boljšo kakovost in časovno usklajenost aktivacije stabilizacijskih mišičnih verig, korigirati smer vleka mišic in doseči boljšo centracijo opornih segmentov telesa.
V predavanju bodo podrobneje opisani dinamični testi, ki se uporabljajo za oceno stabilizacijske funkcije hrbtenice po metodi DNS, praktična načela terapevtskega pristopa in rezultati zdravljenja, pri pacientih po operaciji hernije medvretenče ploščice - spremljani z lestvico ´Back Pain Index´ v Termah Olimia.
Ključne besede: prsnoledvena prepona, stereotip dihanja, intraabdominalni pritisk,
funkcionalna centracija sklepov, razvojna kineziologija.
Treatment of patients with vertebrogenic pathology in Terme Olimia
using the method of Dynamic Neuromuscular Stabilization
Peter Kurila, dr.med.
Terme Olimia, Slovenia
Dynamic neuromuscular stabilization (DNS) is a relatively new concept for conservative treatment
of patients with vertebrogenic pathology. The method was developed in the nineties of the 20th
century in Prague by prof. Kolář, a disciple of prof Lewit and late prof. Vojta, whose method is established in the field of neurorehabilitation of children.DNS is based on correcting movement
patterns and functional relationships between the muscles and joints, as defined by developmental
kinesiology, with the aim of achieving better quality and timing of activation of stabilizing muscle
chains, to correct the direction of muscle pull and achieve better centration of supporting segments
of the body. The presentation will further describe the dynamic tests which are used to assess the
stabilizing function of spine according to the DNS method, practical principles of the therapeutic
approach and results of the treatment in patients following surgery due to herniated disc –
monitored by ´Back Pain Index´ scale in Terme Olimia.
Key words: breathing stereotype, developmental kinesiology, intraabdominal pressure,
thoracolumbar diaphragm
Novosti v rehabilitaciji po artroplastiki kolena
Mojca Kranjc, dipl. fiziot.
Terme Olimia, Slovenija
Posamezniki, ki jih je prizadela huda osteoartroza kolena, se srečujejo z znatnimi funkcionalnimi omejitvami, zmanjšano mišično močjo spodnjih udov, manjšo telesno vzdržljivostjo in upadom kakovosti življenja. Potreba po rehabilitaciji, ki sledi artroplastiki (AP)
kolena, temelji na dokazih, da se nastali funkcionalni izpadi ne popravijo samodejno po operaciji.
Čeprav AP kolena sledi hitro in bistveno zmanjšanje bolečine, 37 % bolnikov beleži eno leto
po operaciji le omejeno izboljšanje funkcije. Najpogostejše omejitve pri teh bolnikih so
počasnejša hoja, težave pri hoji po stopnicah in nezmožnost povrnitve k športom, s katerimi so se ukvarjali pred operacijo. Šibkosti mišice kvadricepsa je bilo posvečeno dovolj znanstvene in raziskovalne pozornosti in številne študije so ocenjevale vlogo kvadricepsa pri funkcionalnih
24
omejitvah po AP kolena. Glede na raziskave, objavljene lani, vloga kolčnih abduktorjev pri funkcionalni omejitvi po AP kolena zna biti ravno tako pomembna ali še bolj pomembna od vloge
kvadricepsa. Zmanjšano moč iztegovalk kolena po AP, ki zmanjšuje funkcionalno delovanje, vsaj
delno povzroča otekanje kolena v zgodnji pooperativni dobi. To je nov in pomemben
podatek. Poleg tega je zmanjšano funkcionalno delovanje po AP kolena povezano z omejeno
močjo mišic iztegovalk in tudi z omejeno gibljivostjo kolena v smeri upognitve.
V moji predstavitvi bodo poudarjene novosti v rehabilitaciji in funkcionalni rezultati
rehabilitacije po AP kolena, spremljane z lestvico Knee Society Score pri pacientih med
stacionarnim zdraviliškim zdravljenjem v Termah Olimia po AP kolena.
Ključne besede: artroplastika, rehabilitacija, Knee Society Score.
Novelties in rehabilitation after total knee arthroplasty
Mojca Kranjc, PT
Terme Olimia, Slovenia
People affected by severe knee osteoarthritis experience significant functional limitation, reduced
lower limb muscle strength, aerobic fitness and quality of life. The need for rehabilitation following
total knee arthroplasty (TKA) is based on the evidence that these deficits do not spontaneously
resolve after surgery. Although there is a rapid and substantial reduction of knee pain after TKA,
37% of patients have limited functional improvement one year after the surgery. The most common
limitations of these patients are diminished walking speed, difficulty in ascending and descending
stairs, and inability to return to sports played prior to the surgery. The weakness of the quadriceps
muscles has received a good amount of research attention, and several studies have tested its
contribution to functional limitations after TKA.
According to the studies revealed last year, the contribution of hip abduction strength to
functional limitations in patients with TKA may be as relevant as, or even more relevant than the
contribution of quadriceps muscle strength. The well-known finding of decreased knee-extension
strength after TKA, which decreases functional performance, seems to be caused in part by
postoperative knee swelling in the very early postoperative phase. This is a new and important
information. Moreover, decreased functional performance after TKA seems to be related to both
decreased knee-extension strength and decreased knee-flexion ROM.
In my presentation, novelties in rehabilitation and functional outcomes of rehabilitation after TKA
will be emphasized, using a Knee Society Score at in-ward patients, treated in Terme Olimia after
TKA.
Key words: arthroplasty, rehabilitation, Knee Society Score
Zdravstveni wellness bo pomemben temelj v turizmu tudi v
prihodnosti: Primer Terme & Wellness LifeClass Portorož
Lepa Veljanović, dr. med, spec. fiziater
Terme & Wellness LifeClass Portorož, Slovenija
Slovenija ima izjemne priložnosti za razvoj turizma na temelju naravnih danosti. Zdraviliški turizem je eden paradnih produktov tega področja, ki se hitro razvija in ima lepe razvojne perspektive tudi v bodočnosti. Terme & Wellness LifeClass Portorož (in njegovi predhodniki) je
25
že desetletja eden izmed vodilnih akterjev na tem področju v Sloveniji.
Trajnostni razvoj turizma temelji na lokalni tradiciji, ohranja kulturno integriteto, ekološke procese, biološko raznovrstnost in socialno integriteto. Zdraviliški turizem v Portorožu ima dolgo tradicijo. Terme imajo danes raznovrstne dejavnosti zdravilišča in zdravstvenega wellnessa, ki temelji na tradiciji talassoterapije (naravnih zdravilnih faktorjev iz morja in solin) s
souporabo fizioterapije, kar zaokrožujejo tradicionalne tehnike medicine Vzhoda, predvsem
Kitajske in Indije. Danes ponujamo zdraviliške storitve predvsem za lajšanje težav z gibalnim sistemom, kožo in po srčnih operacijah. Zdraviliške storitve kombiniramo s programi za obvladovanje stresa in programi za zdrav način življenja kot učinkovite preventive. Zaradi demografskih sprememb in staranja prebivalstva na naših ključnih tržiščih (predvsem Italija, Rusija, pa tudi Slovenija) ima razvoj zdraviliškega wellnessa tudi v bodočnosti lepe perspektive. Pri naših gostih opažamo tudi trend vse večje osveščenosti, informiranost o
zdravstvenih tematikah in večjo skrb za lastno zdravje, zato postajajo naravna zdravilna sredstva
vse bolj zaželena. Turistične organizacije se bodo morale trendu prilagajati tako v kadrovskem
kot tudi organizacijskem in infrastrukturnem pogledu, če bodo želele ohraniti konkurenčnost v bodoče.
Ključne besede: talassoterapija, zdravstveni wellness, fizioterapija.
Medical Wellness will remain an important asset for tourism in the
future also; Example: Terme & Wellness LifeClass Portorož
Dr.med. Lepa Veljanović, specialist physiatrist
Terme & Wellness LifeClass Portorož, Slovenia
Slovenia has exceptional opportunities for the development of tourism based on natural resources
and advantages. Spa tourism is one of the foremost products in this field, which is not only
developing fast but shows good development perspectives for the future, also. For decades already,
the Portorož Terme & Wellness LifeClass (along with its predecessors) has held one of the leading
roles in this field in Slovenia.
Based on local tradition, the sustainable development of tourism preserves and nurtures cultural
integrity, ecological processes, biological diversity and social integrity. The Portorož spa tourism boasts a long tradition. Today, the Spa features a diversity of spa services as well as medical
wellness, which is based on the tradition of thalassotherapy (the natural medicinal elements from
the sea and the salt fields) and the combination with physiotherapy, additionally enriched by the
traditional techniques of Eastern medicine, especially of China and India. Today we offer spa
services particularly intended to alleviate problems related to the locomotor system, the skin and
conditions following heart surgery. Medical services are combined with stress management
programmes and programmes promoting healthy living as a way of efficient prevention.
Due to demographical changes and ageing of the population on our key markets (predominantly
Italy, Russia, also Slovenia), the development of spa wellness looks promising in the future, too.
There is a trend noted among our guests to be ever more aware of and informed on medical issues
and to be more health oriented, which makes the natural remedies ever more appreciated. Tourist
organisations will have to adapt to this trend as regards the area of human resources as well as the
organisation and infrastructure if they are to stay competitive in the future.
Key words: medical wellness, spa Slovenia, thalassotherapy, saltpan Europe, physiotherapy
26
Bioenergijsko prehranjevanje
Cvetka Avguštin, dr. med.
Terme Olimia, Slovenija
Hrana je temeljni vir posameznikovega zdravja in energije. Zato ji je potrebno nameniti ustrezno
pozornost. O bioenergijskem prehranjevanju govorimo, kadar tudi pri prehranjevanju
upoštevamo, da smo ljudje le del kozmosa. Pravzaprav kozmos v malem. Bioenergijsko
prehranjevanje temelji na štiriindvajseturnem ritmu in okusih, ki so povezani z našimi notranjimi organi, izhajajoč iz tradicionalne kitajske medicine. V našem okolju je manj običajno
govoriti o energijski vrednosti živil. S tem namreč ne mislimo na kalorično vrednost, ampak na
snovi, ki našo hrano naredijo »živo«, nam pa dajejo energijo. V prispevku bo predstavljen sistem
prehranjevanja glede na pet elementov, kjer so živila razporejena k enemu od petih elementov (voda, les, ogenj, zemlja, kovina), glede na termične lastnosti pa še podrobneje opredeljena kot hladno, osvežujoče, nevtralno, toplo ali vroče.
Ključne besede: bioenergijsko prehranjevanje, energijska vrednost, voda, les, ogenj, zemlja,
kovina, hladno, osvežujoče, nevtralno, toplo, vroče.
Bio energetic nutrition
Dr. Cvetka Avguštin, PhD.
Terme Olimia, Slovenia
Bio energetic food is the basic source of individual health and energy. Therefore should we give it
special attention. We speak about bio energetic nutrition when we consider that we are a part of
cosmos. Actually, microcosmos. Bio energetic nutrition is based on 24-hour rhythm and taste that
are connected with our inner organs based on traditional Chinese medicine. In our culture is it not
so common to talk about energy value of food. We do not have in mind caloric value of food, but
other stuff that make our food alive and give energy to our inner organs. The theme will introduce
nutrition system according to five elements. Each food is arranged to one of five elements (water,
wood, fire, earth, metal). Further, we determine food according to thermic characteristic as cool,
fresh, neutral, warm or hot.
Key words: bio energetic nutrition, energy value, water, wood, fire, earth, metal, cool, fresh,
neutral, warm, hot
Redno uživanje naravne mineralne vode Radenska Classic ugodno vpliva na rast mišic in zmanjševanje telesne teže – Pilotni primer
Martin Trapečar1*, Mario Gorenjak2, Lea Zbontar Zver3, Avrelija Cencic1,2
1*Katedra
za biokemijo in nutricistiko, Univerza v Mariboru, Medicinska fakulteta,
Slovenija
2Katedra za mikrobiologijo, biokemijo, molekularno biologijo in biotehnologijo, Univerza
v Mariboru, Fakulteta za kmetijstvo in biosistemske vede, Slovenija
3Radenska d.d., Oddelek za raziskave in razvoj, Slovenija
Sodobno življenje je označeno z vse manjšo fizično aktivnostjo, močnim porastom stresa ter slabih prehranjevalnih navad. Iz tega razloga današnji potrošniki čedalje pogosteje iščejo načine,
27
kako se spopasti z izzivi, ki jih predstavlja naš čas. Naravna zdravilišča in uživanje naravnih mineralnih vod z visoko vsebnostjo mineralov, ki potrošniku zraven prehrambene vrednosti ponujajo tudi dodatne za zdravje koristne lastnosti, so pomembna alternativa. Takšna voda je mineralna voda Radenska Classic, ki jo tradicija že več kot 140 let povezuje s številnimi
pozitivnimi učinki.
V naši nedavni študiji smo ocenjevali biološko dostopnost Radenske Classic in njen potencialni vpliv na rast mišic v In vitro 3D celičnem modelu črevesja. Poleg tega smo povezali naše ugotovitve s klinično študijo, v kateri je sodelovalo 44 prostovoljcev, ki so redno uživali Radensko Classic skozi obdobje treh mesecev.
V 3D modelu smo pokazali, da v primerjavi s kontrolno vodo Radenska Classic spodbuja rast
skeletnih mišic in njihovo metabolno dejavnost. Ti rezultati so v skladu z ugotovitvami klinične študije, kjer so posamezniki, ki so uživali Radenska Classic, pridobili v povprečju 1 kg več mišične mase in izgubili 1,4 kg več telesne maščobe kot placebo skupina. Posledica te transformacije je splošni upad indeksa telesne mase.
Značilnost visoke fizične aktivnosti je povečano delovanje muskulature in povečana izguba elektrolitov. Ob tem dejstvu predstavlja Radenska Classic kot dostopen vir ionov, ki hkrati
spodbuja delovanje in rast mišičevja, odlično prehransko dopolnilo visoko aktivnemu delu
prebivalstva kot tudi manj aktivnemu.
Z našim delom smo razvili nov pristop za preučevanje potencialnih pozitivnih učinkov naravnih mineralnih vod.
Ključne besede: mineralne vode, Radenska, pozitivni učinki.
Regular consumption of natural mineral water Radenska Classic
enhances muscle growth and reduces body weight – A case study
Martin Trapecar1*, Mario Gorenjak2, Lea Zbontar Zver3, Avrelija Cencic1,2
1*Department
of Biochemistry and Nutrition, University of Maribor, Faculty of Medicine,
Slovenia
2 Department of Microbiology, Biochemistry, Molecular Biology and Biotechnology,
University of Maribor, Faculty of Agriculture and Life Sciences, Slovenia
3 Radenska d.d., Research and development department, Slovenia
Modern day lifestyle, defined by a decrease in physical activity and an increase in unhealthy
nutritional habits as well as prolonged exposure to stress, gives rise to augmented incidence of
several health related problems. Today’s consumers are therefore increasingly looking for ways how
to cope with these challenges. Natural spa treatments and the consumption of natural waters with
high mineral content, which provide the consumer with additional health beneficial attributes
beside their nutritional value, represent an important alternative. Among such waters is the
mineral water Radenska Classic that has been linked with widely recognised health related
properties for over 140 years.
In our recent study we have assessed the bioaccessibility of Radenska Classic and its potential to
influence muscle growth in a novel In vitro 3D model of the gut. Further, we have linked our
findings with a clinical study with 44 volunteers that have regularly consumed Radenska Classic for
a period of three months.
28
The In vitro model showed that when compared to the control water Radenska Classic is able to
enhance muscle proliferation and metabolic activity. These results are in line with the findings of
the clinical study where subjects consuming Radenska Classic have gained in average 1 kg more
muscle mass and have lost 1,4 kg more body fat as the placebo group, resulting in a overall
decrease of the body mass index.
With our work we have developed an approach that provides long time overdue means to fully
exploit the potential of natural mineral water.
Key words: mineral warters, Radenska, potential
Koristi potapljanja za gibalno ovirane v moderni hidroterapiji
Branko Ravnak, Alenka Fidler
IAHD Adriatic in Terme Zreče, Slovenija
Potapljanje je lahko del rehabilitacije in rekreacije za ljudi s posebnimi potrebami. Primerno je
tako za posameznike po poškodbi hrbtenjače kot tudi za ljudi z duševnimi in fizičnimi omejitvami, kot so cerebralna paraliza, živčno-mišična obolenja, multipla skleroza, astma,
amputacije, diabetes, slepota in gluhost. V določenih segmentih je potapljanje primerno tudi za starejšo zdravo populacijo, ki želi obnoviti, ohraniti ali izboljšati kakovost svojega življenja.
Od leta 2002 je IAHD Adriatic razvil široko paleto programov, v katere so bile vključene in skrbno spremljane s strani zdravstvenih in potapljaških strokovnjakov iz celega sveta vse omenjene skupine. Programi se izvajajo v bazenih kot del moderne hidroterapije in v odprtih vodah kot
osnovno in napredno usposabljanje za potapljače.
V zadnjih desetih letih smo opazili, da so bili vplivi potapljanja majhni, vendar zelo koristni.
Vpliv hidroterapije je namreč zaradi redne telesne aktivnosti, izboljšane socialne interakcije ter psiholoških prednosti v veliki meri pripomogel k izboljšanemu zdravstvenemu stanju in k večji kakovosti življenja invalidnih potapljačev.
Kljub dejstvu, da invalidi, ki so do sedaj vključeni v naše programe, niso imeli omembe vrednih zdravstvenih zapletov, smo prepričani, da je še naprej potrebno nameniti veliko pozornost kakršnim koli spremembam. Sistematično zbiranje, dokumentiranje in obdelava pridobljenih podatkov povečujejo naše znanje in prispevajo k temu, da je potapljanje postalo dostopnejše in bolj varno za vse več ljudi s posebnimi potrebami.
Ključne besede: hidroterapija, terapevtsko potapljanje, SCUBA potapljanje, poškodba hrbtenjače, invalidnost, duševne motnje.
The benefits of scuba diving for disabled in modern hydrotherapy
Branko Ravnak, Alenka Fidler
IAHD Adriatic and Terme Zreče, Slovenia
Scuba diving can be a part of rehabilitation and recreation for groups of people with disabilities. It
is suitable for individuals after Spinal Cord Injury – SCI and also for others with mental and
physical restrictions like cerebral palsy, nerve and muscular disorders, sclerosis multiplex, asthma,
amputations, diabetes, blindness and deafness. In some parts can be used for the healthy older
population who needs to recover, preserve or improve their quality of life.
29
Since 2002 IAHD Adriatic developed a wide range of programs in which all the mentioned groups
were included and carefully monitored by medical and diving specialists worldwide. Programs are
performed in swimming pools as a part of modern hydrotherapy and in open water as basic and
advanced diving training.
In last ten years we noticed that immediate effects of diving were minor and mainly beneficial.
However, improved health and quality of life of disabled divers could be the effect of hydrotherapy,
regular physical activity, improved social interactions, psychological benefits of achievements and
fulfilled life.
In spite the fact that until now disabled participants did not have any noteworthy medical
complications, we believe that vigilance must be maintained. Systematic data collection, their
analysis and documentation of experiences increased our knowledge and contributed to dive safety
for people with disabilities.
Key words: hydrotherapy, therapeutic diving, SCUBA diving, Spinal Cord Injury, physical
disabilities, mental disabilities.
Referenčni okvirji varnosti v velneških centrih Mag. Helena Cvikl
Višja strokovna šola za gostinstvo in turizem Maribor in Fakulteta za turistične študije –
Turistica, Slovenija
Doc. dr. Janez Mekinc
Fakulteta za turistične študije – Turistica, Slovenija
Kako pomemben delež zavzemajo počitnice, povezane z zdravjem, pove podatek ESA (European Spas Association), da vsako leto obišče termalna zdravilišča v Evropi kar 20 milijonov gostov. V
zadnjih desetih letih se je po podatkih IPK International za takšno obliko preživljanja dopusta odločilo 69 odstotkov več ljudi. Zaradi navedenih dejstev želi prispevek analizirati enega ključnih elementov velneške ponudbe, in to je varnost v velneških centrih. Prispevek na
sistematičen in analitičen način analizira vse zakonske temelje v Sloveniji, ki predstavljajo okvir za varno izvajanje dejavnosti v velneških centrih ter s tem tudi okvir za varnost gostov teh centrov. Sistematičnost pri obravnavi problematike prispevka nakazuje tudi dejstvo, da se v
analizi prepleta tako zdravstvena varnost gostov, njihova osebna varnost ter varnost premoženja na eni strani, kot tudi varnost njihovih osebnih podatkov. Prav slednja omogoča zaupanje gosta, saj se z njo gostu zagotavlja osebna integriteta.
Ključne besede: velnes, varnost, osebna integriteta, kakovost, tehnični standardi.
30
Referential frames of security in Wellness Centres
Helena Cvikl
Vocational College for Catering and Tourism Maribor and Faculty of Tourism Studies
Portorož – Turistica, Slovenia
Doc. dr. Janez Mekinc
Faculty of Tourism Studies Portorož – Turistica, Slovenia
The importance of health-related holidays is coherent with the ESA (European Spas Association)
fact, that yearly thermal spas in Europe are being visited by 20 million of guests. According to the
IPK International in the last ten years 69 percents more of people decided to spend their holidays in
thermal spas. Given those facts the article aims to analyze one of the key elements of wellness offer
in spas that is security in wellness centers. The article systematically and analytically analyses legal
foundations in Slovenia, that are presenting the legal frame for safe conduct of activities in wellness
centers and by doing this also frame for guests security in these centers. Systematic approach to
discuss the problem is shown by the fact that analyze aims to deal with health security of guests,
their personal security and security of their property on one side and on the other side personal
data protection. Personal data protection is enabling trust of the guests, since it is being foundation
for their personal integrity.
Key words: wellness, security, personal integrity, quality, technical standards
Osnutek etičnega kodeksa v velneški dejavnosti Mag. Nataša Artič Višja strokovna šola za gostinstvo in turizem Maribor, Slovenija
Prispevek v okviru teoretičnih izhodišč predstavlja etiko v poslovnem svetu in tako na kratko opredeljuje razvoj pravil etike vedenja skozi čas, povezavo etike s pravom, razliko med etiko, moralo in omiko, načela etike, neetično delovanje in podobna teoretična izhodišča, ki so botrovala k oblikovanju etičnega kodeksa za velneško dejavnost. Prispevek podaja primer etičnega kodeksa kot prvega zametka tovrstnih pravil na področju velneške dejavnosti v slovenskem prostoru, kar vsekakor predstavlja nov izziv za turistične delavce, ki že imajo svoj stanovski etični kodeks. V zaključnem delu prispevek predstavlja in potrjuje pomen spoštovanja kodeksov in pričakovanja obiskovalcev velneških obratov na področju etike ter predstavlja možnosti za nadaljnji razvoj etičnih pravil na področju velneške dejavnosti.
Ključne besede: etika, morala, kodeks, velnes, turizem.
Draft of code of ethics in Wellness
Mag. Nataša Artič Vocational College for Catering and Tourism Maribor, Slovenia
Contribution to the theoretical study represents ethics in the business world and also briefly
identifies the development of ethical rules of behaviour over time, the relationship of ethics with the
law, the difference between ethics, morality and civilization, the principles of ethics, unethical
action and similar theoretical frameworks that have fostered the creation of Code of Conduct for
wellness activity. This paper describes a draft of such a code of ethics as the first germ of such rules
31
in the field of wellness activities in the Slovenian territory, which represents a new challenge for
tourism operators who already have their peer code of ethics. In the final part of the paper presents
and confirms the importance of compliance with codes and expectations of the users of wellness
facilities in the area of ethics and presents opportunities for further development of ethical rules in
the field of wellness activities.
Key words: ethics, moral code, wellness, tourism
Razlika med standardi zdraviliškega zdravljenja in medical wellness
Mag. Rudi Rumbak
Višja strokovna šola za gostinstvo in turizem Maribor, Slovenija
Zdraviliško zdravljenje se v Sloveniji v pretežni meri še vedno financira iz javnih zdravstvenih sredstev. Plačnik te dejavnosti določa nabor, normativni obseg ter nivo kakovosti storitev, hkrati pa tudi pogoje za izvajanje dejavnosti, časovne normative ter ceno, torej standardizacijo zdraviliškega zdravljenja. Z vidika možnosti uvajanja medical wellnessa v ponudbo naših zdravilišč bi bilo zato morebiti najbolj enostavno te standarde prilagoditi povpraševanju po wellness storitvah, podobno, kot so bili nekdanji termalni programi, preventivni programi ter
programi oddiha in sprostitve preoblikovani v novo wellness ponudbo. V prispevku želimo opozoriti na določene specifičnosti medical wellnessa v primerjavi s klasično medicinsko rehabilitacijo, hkrati pa tudi poiskati morebitne skupne točke m ed že uveljavljenimi standardi na področju medical wellnessa v tujini.
Ključne besede: zdraviliško zdravljenje, medical wellness, standardi.
Difference between standards of health resort treatments and medical
wellness
Mag. Rudi Rumbak
Vocational College for Catering and Tourism Maribor, Slovenia
Health resort treatment is in Slovenia still largely financed by public health funds. The payer of this
activity provides selection, normative scope and level of service quality, but also the conditions for
an activity, time benchmarks and price, thus standardizing the health resort treatments. From the
viewpoint of the possibility of introducing medical wellness into our range of offers, they should
therefore just adapt these standards to the demands for health resort treatments, as were former
thermal programs, preventive programs and programs for rest and relaxation redesigned into new
wellness. In this paper we want to draw attention to certain specificities of medical wellness as
compared to conventional medical rehabilitation, but also to find any common ground between the
already established standards in the field of medical wellness abroad.
Key words: Health resort treatment, medical wellness, standards
32
Osebna podoba kot sestavni del velnesa
Monika Vičič, Šola za ženske – YOUNIQUE, Slovenija
Velnes sestavljajo štirje med seboj povezani stebri: zdrava prehrana, sprostitev, šport in gibanje ter lepota in telesna nega.
Lepota posameznika se izraža skozi skrb za zdravje, gibanje, nego telesa in sprostitev. Lepoto
posameznika pa najlepše nadgradi in zaokroži prav urejen in negovan videz. Urejen videz je pomemben dejavnik dobrega počutja, predvsem pa ima pomembno vlogo pri oblikovanju dobre
samopodobe posameznika.
Pri oblikovanju osebne podobe upoštevamo naravne danosti, kot sta barvni tip osebnosti in tip postave, ter različne spremenljivke, kot so na primer: osebni stil, osebni karakter in modni trendi. Obenem upoštevamo še sporočilnost, skladnost, udobnost in celovitost izbranih oblačil in modnih dodatkov. Osebna podoba je tako rezultat številnih med seboj dobro usklajenih in povezanih dejavnikov: oblačil, modnih dodatkov, pričeske, urejenosti telesa – predvsem rok in
obraza, pri ženskah pa tudi primernega ličenja. Z dovršeno zunanjo podobo sporočamo svoje lastnosti, kot so lahko profesionalnost, uspešnost, odločnost, kreativnost, odličnost …
Barvno in stilno svetovanje, definiranje barvnega tipa, tipa postave posameznika, ličenje, organiziranje garderobne omare in nakupovanje s stilistom so storitve osebnih stilistov, ki se
vedno pogosteje pojavljajo kot del ponudbe velneških centrov v tujini.
Urejena in negovana podoba posameznika je eden izmed ključnih elementov dobre samopodobe,
dobrega počutja in osebnega zadovoljstva, hkrati pa predstavlja integralni del velnesa. Zato bi
bilo potrebno znanje s področij oblačenja, barvnega svetovanja, stilnega svetovanja in ličenja bolj aktivno vključiti v ponudbo velneških centov pri nas in s tem celoviteje zaokrožiti pojem dobrega počutja v dobro vseh koristnikov velneških storitev.
Ključne besede: osebnostna podoba, styling.
Personal image as a component of Wellness
Monika Vičič
School for women – YOUNIQUE, Slovenia
Wellness is comprised of four interconnected pillars: healthy diet, relaxation, sports and exercise
along with beauty and body care. Beauty is expressed through the individuals’ health care, exercise, body care and relaxation, rounded by arranged and groomed appearance.
Appearance is an important factor in well being, in particular it plays an important role in creating
good self esteem of every individual.
When creating personal image we consider natural features such as colouring type and body shape
and different variables such as: personal style, personal character and fashion trends.
At the same time we also consider informative value, compliance, integrity and comfort of selected
clothing and accessories.
33
Personal image is the result of a number of well-coordinated factors: clothes, accessories, hairstyle,
body tidiness - particularly the hands and face as well as a suitable makeup for women. With a
sophisticated appearance we give a message of professionalism, success, determination, creativity,
excellence, ...
Styling consultancy, defining colour type, body type, make-up, wardrobe organizing and personal
shopping are services provided by personal stylists, which are increasingly emerging as part of the
offers in wellness centers worldwide.
Organized and groomed image of an individual is one of the key elements to build a good selfesteem, welfare and personal satisfaction, but also represents an integral part of wellness.
Therefore it is necessary to involve knowledge and skills in the areas of styling and make-up in
wellness centers services for a more rounded concept of welfare as a benefit of wellness services
users.
Key words: styling, personal image
Poučevanje angleščine kot jezika stroke – Velnes
Barbara Lesničar
Višja šola za gostinstvo in turizem Maribor, Slovenija
Turizem je ena izmed najbolj hitro razvijajočih se gospodarskih panog v svetu. Turistični delavci morajo biti sposobni zadovoljiti potrebe sodobnih popotnikov. Osnovni cilj poučevanja angleščine kot jezika stroke mora biti razvijanje sporazumevalne kompetence. Tuji jezik naj bo v
oporo ostalim predmetom in naj izpolnjuje določene naloge, kot so formalno pisanje, telefoniranje, sprejemanje naročil … Teme morajo biti avtentične in blizu realnemu življenju. Učitelj ima danes na voljo veliko virov, pisnih in elektronskih. Internet ponuja skoraj neskončne možnosti za simulacijo nalog iz resničnega življenja. Študente spodbuja pri razvoju bralne in slušne kompetence in jim je v pomoč pri osvajanju besedišča. Prav tako lahko internet študentom služi kot vir pri kritičnem selekcioniranju in vrednotenju informacij kakor tudi pri razvijanju medkulturne kompetence. Kot predavateljica na Višji šoli za gostinstvo in turizem v Mariboru opažam, da moji študenti potrebujejo precej podpore in časa, preden začnejo uporabljati internet kot vir informacij. Predavanja in vaje načrtujem tako, da so študenti pri svojem delu čim bolj samostojni. Moje gradivo vsebuje veliko internetnih povezav, ki so izhodišče nalogam povezanim z bodočim poklicem naših študentov. Veliko pozornosti posvečam tudi samovrednotenju, ki je del mojega poučevanja.
Ključne besede: sporazumevalna zmožnost, internetne povezave, samovrednotenje, podporni predmet.
Teaching English for Specific Purposes – Wellness
Barbara Lesničar
Vocational College for Catering and Tourism Maribor, Slovenia
Tourism is one of the fastest –growing industries in the world. Travel agents and hotel owners
should be able to meet the needs of modern travellers. That is why the basic goal of ESP learning is
to develop the communicative competence. When we take into consideration ESP we have to be
aware that it should serve as a support to other subjects and fulfil certain functions, such as formal
writing, dealing with complaints, making phone calls, taking orders etc. Themes and topics should
34
be authentic and as close to real life needs as possible. There are a number of sources available
nowadays, from written to electronic ones. The internet offers almost unlimited possibilities to
explore the real life. It encourages students to develop their reading and listening skills and thus
extend their vocabulary, to select the information and develop a critical approach towards it and
last but not least to understand and be tolerant towards other cultures. As a teacher of English at
the Vocational College for Catering and Tourism in Maribor I observe that students need quite some
time to get used to use the internet as a source of information and real life tasks. I try to use my
lessons and stimulate them to work on their own. My teaching materials contain many internet
links which serve as a starting point for classroom activities and lead students toward real life tasks
connected to their future profession. Self-assessment is a very important part of my teaching as
well.
Key words: communicatice competence, internet links, self-assessment, support subject
Preventio
- Preventiva pri izgorelosti
Christoph Moderegger
KemCel Trade, Slovenija
V današnjem času zahteva življenje od nas posebno sposobnost preživetja. Dopoldan stresna služba, v privatnem življenju številne obveznosti, hobiji, družina, itd. Čedalje več ljudi se počuti izčrpane ali izgorele. Nekaterim se zdi, da je to le modna muha in s tem namigujejo, da to sploh ni
bolezen, temveč le opravičilo za druge težave, ki jih imajo ljudje, kot so morda depresija, da želijo samo prekriti lenobo, ali podobno.
Dejstvo je, da čedalje več ljudi izpolnjuje kriterije za izgorelost, da komaj obvladujejo
vsakodnevne obremenitve, so tako fizično kot čustveno izčrpani in da živijo v notranji stiski. Ker za izgorelost nimamo neke laboratorijske preiskave in določene vrednosti, tudi nimamo zanesljivih statističnih podatkov o njeni dejanski razširjenosti v družbi. Nimamo niti univerzalnega zdravila za izgorelost. Dejstvo pa je, da se vse več ljudi sooča s tem pojavom, zato tudi mediji temu namenjajo čedalje več pozornosti.
Znano je dejstvo, da izgorelost povzroči nekatere kronične bolezni. Kako se torej izviti iz pasti in
kako ukrepati, saj gre po navadi za igro več dejavnikov. Najboljše napotilo, ki ga lahko damo, so
gibanje, sprostitev in regeneracija telesa.
Že Hipokrat je učil: »da je preprečevanje boljše kot zdravljenje«! Zato je bil razvit tretman,
imenovan »PREVENTATIO®«, v katerega se vključuje relaksacija, regeneracija in tudi zdrava
prehrana.
Ključne besede: izgorelost, obremenitev, izčrpanost, relaksacija, regeneracija.
Preventio
- Burnout prevention
Christoph Moderegger
KemCel Trade, Slovenia
Nowadays, life presents us with more and more tasks and it seems we would require some special
abilities just to survive. We are faced with stressful days in the office, many obligations in private
life, hobbies, family, etc. More and more people feel exhausted or even burned out. Some people
might think, that being ‘burn out’ is just a fad and not a real ailment, but that people are just trying
35
to find an excuse for other problems, like for example depression, perhaps to hide laziness, or
similar.
The fact is that more and more people do fall under the burnout syndrome, all the struggling to
cope with everyday stress exhausts them physically and emotionally and they actually are in a
distress stage. Since we have no burnout laboratory tests and so special values confirming the
syndrome, we do not have a reliable statistics about its actual prevalence in society. We neither
have a universal medicine for the burnout syndrome. But the fact remains, that more and more
people are faced with this phenomenon, so the media devote more and more attention to it.
It is also known that burnout causes some chronic diseases. The question is how to break from these
pitfalls and how to act in such cases, because usually there are several factors in question.
Movement, relaxation and regeneration help our body and that is the best recommendation that
can be given.
Even Hippocrates taught that "prevention is better than cure"! Therefore, a treatment called
"PREVENTATIO ®" was developed, in which relaxation; regeneration and a healthy diet are
included.
Key words: burnout, stress, relaxation, regeneration
wellGuide – nova spletna stran za zdravstveni turizem
Miriam Schöniger
wellGuide AG, Nemčija
Dobro zdravje je največje bogastvo v življenju. Počitnice so lahko odličen začetek bolj zdravega življenjskega sloga. Vse več ljudi prevzema odgovornost za svoje zdravje, zato trg zdravstvenega
turizma konstantno raste. A kako lahko najdejo ustrezne ponudbe za svoje počitnice?
wellGuide je specializirana spletna stran za zdravstveni turizem, ki temelji na inovativnem
iskalniku. V iskalniku je lahko najti ustrezen produkt iz široke palete destinacij, hotelov in klinik. Uporabniki lahko izbirajo med do 200 tematikami, ki naj bi jih zdravstvene počitnice obsegale.
Ključne besede: zdravje, wellGuide, spletna stran.
wellGuide – the new website for health tourism
Miriam Schöniger
wellGuide AG, Germany
Good health is the greatest asset in life. A holiday could be a perfect start for a healthier lifestyle.
More and more persons take responsibility for their own health and the market for health tourism
grows continuously. But how can they find suitable holiday offers?
wellGuide is a specialized website for health tourism which is based on an innovative search engine.
It makes it easy to find a suitable product from a wide range of destinations, hotels and clinics.
Users can choose from up to 200 different topics which a health holiday can include.
Key words: health, wellGuide, web site
36
Zdraviliški in wellness standardi
Kathrin Spieller
Wellness Stars, Nemčija
WELLNESS STARS je kratica za osebno preverjeno kakovost, za visoko kvalificirano in dobro
usposobljeno osebje, ki nudi učinkovito zdravljenje v hotelih, zdraviliščih in wellnessih v Nemčiji,
Švici in severni Italiji. www.wellness-stars.eu
Ključne besede: Wellness Stars, kakovost, hoteli, zdravilišča, wellness.
Medical and wellness standards
Kathrin Spieller
Wellness Stars, Germany
For more than 7 years the quality label WELLNESS STARS was created by the SPA Association of
Baden-Württemberg (HKM GmbH) and by the State Tourist Board of Baden-Württemberg.
Today the WELLNESS STARS logo stands for personally tested quality, for a highly qualified and
well-trained staff offering effective treatments in hotels, Thermal Spas and medical wellness
facilities alltrough Germany as well as in Switzerland and Northern Italy.
The quality criteria of WELLNESS STARS are based upon intensive guest surveys and comparisons
between all existing qualifying methods for the spa and health tourism in Europe.
An advisory board consisting of hotels, clinics and hot springs is continuously evaluating and
adapting these criteria to the current situation.
The companies awarded with the quality seal WELLNESS STARS have to comply with very strict
standards and are rated on-site at around 400 different criteria. These criteria are divided in
minimum criteria (which have to be complied with) and compensating criteria (which can be
compensated by additional points). The evaluation of the establishments is carried out under the
perspective of the guests. The spa facilities are evaluated by their equipment, the performance of
the spa treatments, the qualification of the staff and the commitment to service of each
establishment. Furthermore the authenticity, competence, holistic offers, regional aspects and
sustainability are very important points. Only the actual existing quality is being evaluated.
The different facilities such as amenities, size and variety of the spa treatments allow a
comparability of the establishments and therefore quality segmentation can be achieved in each
star category.
In regular intervals independent testers from the Technical Control Board (TÜV) Rheinland are doing mystery checks in certified establishments where the main importance lies upon checking the
quality standards of the spa, health and beauty treatments. This guarantees a consistant quality in
all establishments.
WELLNESS STARS has the categories hotel (partner hotel / resort hotel), hot springs and medical
spa in order to facilitate the comparability of each category.
For each category specific criteria has been developed under guest perspective which makes it
possible to compare distinctly each establishment. By comparing these facilities of each category a
quality standard can be defined. The quality criteria exist in all facilities with 3 up to 5 stars.
But WELLNESS STARS is not only a label shining on the entrance of a SPA. There are a lot of
benefits that a company can use and measure.
37
•
•
•
•
•
•
•
•
•
Increasing of service quality
Approved trainings and education for the staff
Save running costs
Save time for internal belongings
Implementation of a excellent working quality management system
Participation from international co-operations
Use of an great network with other certificated businesses
A Marketing & Sales-system offered by WELLNESS STARS
Additionally, the whole destination can benefit in a way that the regional value
generation is optimized,
Consulting by planing, builting or extending the hotel, thermal spa or medical wellness facility.
www.wellness-stars.eu
Key words: Wellness Stars, quality, hotels, medical wellness
Zdravstvena reforma – kaj lahko pričakujemo? Mag. Alenka Šik
Adriatic Slovenica zavarovalna družba, d.d., Slovenija
V Sloveniji že nekaj časa govorimo o potrebnosti zdravstvene reforme, ki jo javnost pričakuje z velikim zanimanjem. Ideja o ukinitvi dopolnilnega zavarovanja je sicer mnogim slišati simpatično, po drugi strani pa ni države, ki bi lahko v zdravstvu preživela samo z javnimi sredstvi. Slovenija je z razmerjem 70:30 med javnimi in zasebnimi sredstvi za zdravstvo v
povprečju držav EU, ravno tako v deležu BDP, ki ga namenja za zdravstvo. Ukinitev dopolnilnega
zavarovanja bi ta razmerja porušila, če ne najdemo ustreznega nadomestila z drugo obliko zasebnih sredstev - z novimi zavarovanji ali direktnimi plačili iz žepa. V okviru kratkoročnih fiskalnih ukrepov je vlada že ponudila nekaj predlogov. Svoj predlog po vzoru nizozemskega
zdravstvenega modela so predstavile tudi zavarovalnice.
Doplačila za zdraviliško zdravljenje v okviru javne košarice pravic se sedaj gibljejo od 15 odstotkov (nadaljevanje bolnišničnega zdravljenja) do 90 odstotkov (nadomestno zdraviliško zdravljenje), pri čemer zavarovalnice letno prispevajo za zdraviliške storitve 66 odstotkov sredstev (23,3 mio EUR), ZZZS pa 33 odstotkov (12 mio EUR). Reforma predvideva izključitev nadomestnega zdravljenja iz javne košarice pravic, tako da bi bili pacienti v celoti samoplačniki za tovrstno rehabilitacijo. Kratkoročni fiskalni ukrepi predvidevajo tudi zvišanje doplačil za zdraviliško zdravljenje, ki je nadaljevanje bolnišničnega zdravljenja, za 5 odstotkov in znižanje vseh bolniških nadomestil za 10 odstotkov. Kratkoročno gledano bodo torej ljudje morali sami plačevati za več zdraviliških storitev kot sedaj, v času bolniške odsotnosti pa bodo imeli na razpolago še manj denarnih sredstev. Finančna varnost bo nižja, zato zavarovalnice predvidevajo, da se bo potreba po zavarovalniških produktih zaradi večje finančne varnosti povečala, med drugim tudi na področju zdraviliškega zdravljenja. Zdravilišča nudijo številne medicinske in nemedicinske storitve, ki so lahko potencialni predmet zavarovanja. Škodna zdravstvena zavarovanja so tista, pri katerih zavarovalnica povrne stroške zavarovanih storitev neposredno izvajalcu - na primer da krije stroške za specialistične preglede, ambulantno diagnostiko, fizioterapijo, zdravstvene posege ali za nadstandardno bivanje v zdravilišču. Vsotna zavarovanja so tista, pri katerih dobi zavarovanec izplačilo na svoj račun. S tem denarjem po lastni izbiri krije stroške okrevanja, rehabilitacije, dodatnih zdravil po prebolevanju srčnega infarkta, možganske kapi, operacijah srca, po različnih boleznih in poškodbah gibalnega sistema. To so vse storitve, ki jih kakovostno in v zadostnem obsegu nudijo tudi naša zdravilišča. Odprtje trga zdravstvenih storitev v letu 2014 lahko pripelje v zdravilišča tudi dodatna sredstva domačih in tujih zavarovalnic.
38
Ključne besede: zdravstvena reforma, finančna varnost, zdravstveno zavarovanje, okrevanje,
rehabilitacija.
Health care reform – What can we expect?
Alenka Šik, B.Sc. M.SC.
Adriatic Slovenica zavarovalna družba, d.d., Slovenia
In Slovenia we have been talking for some time now about requiring a health reform that the public
expects with great interest. The idea of terminating the co-payment health insurance sounds good
to many, but on the other hand there is no country in the world that could survive only on public
resources in health care. Slovenia is average among the EU countries with its 70:30 ratios among
public and private resources for health care as well as with its GDP share for health care. The
termination of co-payment health insurance would demolish these ratios, if we fail to find an
appropriate compensation with another form of private resources – with new forms of health
insurance or out-of-pocket payments. The government has already offered some of the prepositions
under the short-term fiscal measures. The insurance companies also introduced the preposition of
the model following the example of the Dutch health care model.
The surcharge for spa treatment under the public basket of rights is now moving from 15 per cent
(continuation of hospital treatment) to 90 per cent (compensational spa treatment) where the
insurance companies contribute 66 per cent of financial resources (EUR 23.3 m) for spa treatments,
the Health Insurance Institute of Slovenia (HIIS)) contributes 33 per cent (EUR 12 m). The reform
anticipates the exclusion of compensational treatment from the public basket of rights, so that the
patients would have to pay for the whole rehabilitation of this type themselves. The short-term
fiscal measures anticipate the increase in surcharges for spa treatment as well, which represents
the continuation of hospital treatment by 5 % and decrease in all hospital compensations by 10 per
cent. In a short-term aspect the people will have to pay for a larger number of spa services as they
have paid so far and will have, during the sick leave, fewer finances at their disposal. The financial
safety will be weaker; therefore, the insurance companies anticipate that the demand for insurance
products due to the higher financial safety will also increase in the field of spa treatment, as well as
among other fields. The spas offer numerous medical and non-medical services that can prove to
have potential for insurance. The insurance company can pays health care costs directly to the
health care provider - for example the costs of out-patient services, physical rehabilitation, superior
accommodation at the spa, or it pays the so called lump sum directly to the bank account of the
insured person. With this sum he or she can freely choose what to do with received amount - for the
recovery, rehabilitation, for supplemental medicines, after recovering from a heart attack, stroke,
heart surgical operations, after various diseases and injuries of sceletal-muscle system. These are
the services that are also offered by the Slovene spas and are of high-quality and on a sufficient
scale. The opening of the health care services market in 2014 can bring additional resources from
Slovenian as well as from foreign insurance companies to spas.
Key words: health reform, financial safety, health insurance, recovery, rehabilitation,...
39
Okrogla miza in zaključki: Ali so zdravstveni programi v zdraviliščih luksuz?
Iztok Altbauer
Skupnost slovenskih naravnih zdravilišč - SSNZ
Round table and conclusions: Are medical programs in natural spas
considered a luxury?
Iztok Altbauer
Slovenian Spa Association
Strokovni organizator
Tehnični organizator
Skupnost slovenskih naravnih zdravilišč
Teharska 40, SI-3000 Celje, Slovenija
GORMICE d.o.o.
Štihova 4, SI-1000 Ljubljana, Slovenija
Kontakt:
Iztok Altbauer, direktor
E: ssnz@siol.net
www.slovenia-terme.si
Kontakt:
Natalija Bah Čad
E: natalija.bah.cad@go-mice.eu
www.go-mice.eu
Za več informacij o konferenci ENSPA obiščite spletno stran www.en-spa.eu.
Scientific Organiser
Technical Organiser
Slovenian Natural Spas
Teharska 40, SI-3000 Celje, Slovenia
GORMICE d.o.o.
Štihova 4, SI-1000 Ljubljana, Slovenia
Contact person:
Iztok Altbauer, director
E: ssnz@siol.net
www.slovenia-terme.si
Contact person:
Natalija Bah Čad
E: natalija.bah.cad@go-mice.eu
www.go-mice.eu
For more information about ENSPA conference please visit www.en-spa.eu.
40