Background: Chronic Obstructive Pulmonary Disease (COPD) is a common condition that can cause dyspnea, pain, and biomechanical-postural alterations, especially when overlapping with Myofascial Pain Syndrome (MPS). Balneological rehabilitation medicine can help manage COPD and MPS, but it lacks homogeneity and detailed descriptions of effective therapeutic protocols. Therefore, we conducted a case series to preliminarily evaluate the clinical effects of a detailed and codified approach, called Bio-Physico-Metric Integrated Thermal Care (BPM-ITC), for COPD+MPS. Methods: 10 patients were observed while undergoing 20 sessions of BPM-ITC in 4 weeks. Patients were assessed before and after the protocol using the Medical Research Council (MRC) dyspnea scale, Numeric Pain Rating Scale (NPRS), and the Bio-Postural Questionnaire (BPQ) for bio-physical health status. Treatments included manual therapy of key myofascial trigger points combined with crenotherapy, steam inhalations, mud therapy, vascular path, and water-based motor re-education. Results: At the end of the protocol, clinically relevant improvements were observed in almost all parameters considered in single observed cases; overall statistical analysis of the data highlighted significant positive effects in concomitance with the BPM-ITC protocol. Conclusions: The BPM-ITC protocol was followed by significant clinical improvements in the observed cases, suggesting its potential as a complementary approach for COPD+MPS. Further studies on this topic are recommended.

Background/Objectives: Chronic Musculoskeletal Pain (CMP) is a rather widespread and heterogeneous health problem whose evaluated framework can be of fundamental importance to intervene effectively and rapidly on the causes and consequences of the pathology, as well as on the dominant symptom of pain. One of the evaluation parameters that is increasingly gaining consensus in the assessment of the health status is the Phase Angle (PA), obtained through bioelectrical monitoring with body Bioimpedance Analysis (BIA); Methods: To evaluate the reliability of the PA as a tool for assessing CMP, data from 53 patients, with an average age of 60 years, were observed. They underwent assessment of perceived pain using the Numeric Pain Rating Scale (NPRS) and of the body's bioelectrical status using the BIA, before the beginning (T0) and after the end (T1) of a cycle of 10 treatment sessions with Ion Cyclotron Resonance - Bioresonance Therapy (ICR-BT); Results: At the end of the observation we detected a significant reduction in the NPRS value and a positive but not statistically significant increase in the PA value. Furthermore, given the misalignment in the significance of the positive trend of the two observed variables, it was not possible to define a clear correlation between pain and the bioimpedenziometric values ​​of patients. Conclusions: The study confirms the efficacy of ICR-BT as a therapeutic tool in the presence of CMP. However, it was not possible to define a clear reliability of PA as a diagnostic tool for CMP. Although PA has shown a promising trend during the study, its non-significant correlation to the pain trend would suggest investigating the topic more deeply, through larger and better structured experimental studies.

The assessment of Chronic Musculoskeletal Pain (CMP) is fundamental for its management. An evaluation parameter that is gaining consensus in clinical practice is the Phase Angle (PA), obtained through bioelectrical monitoring with body Bioimpedance Analysis (BIA). To evaluate the reliability of the PA for CMP assessment, data from 53 patients (mean age 60 years) were observed. They had been evaluated through the Numeric Pain Rating Scale (NPRS) and the BIA, before (T0) and after (T1) a cycle of 10 treatment sessions with Ion Cyclotron Resonance (ICR). Following ICR applications, we detected a significant reduction in NPRS and a positive but not significant increase in PA values. Furthermore, given the misalignment in the significance of the positive trend of the two observed variables, it was not possible to define a clear correlation between pain and the bioelectrical values of patients. The study confirms the efficacy of ICR as a therapy for CMP. However, it was not possible to define a clear role of PA as a specific diagnostic tool for CMP. Although PA showed a promising trend, its non-significant correlation to the pain trend suggests investigating the topic in a more thorough and rigorous manner.