HYPOXIA MEDICAL CENTER

1. Höhenzentrum Europas - über 60 Jahre Erfahrung

 english version  

 

1.) Hypobaric (Altitude) Chamber for adults and children   2.) Interval Hypoxic Training (adults only)

3.) Alpine Sports-Trekking-altitude journeys    4.) Endurance Sports-enhancement of performance

 

REVITALISATION - HEALTH BUILDING COURSE - ENHANCEMENT OF PERFORMANCE - PREVENTIVE TRAINING



1.) Hypobaric (Altitude) Chamber - Adults and children 

 

 

 


 


 


adults in the hypobaric chamber, 3.700m (app.12.200 ft)

adult during Interval Hypoxic Training

child at medical examination

children and parents  in the hypobaric chamber 3.700m (app.12.200 ft)

Additional application in the infectious-free period

  • chronic and recurrent bronchitis
  • bronchial asthma, hypersensitive bronchial system
  • chronic obstructive pulmonal disease (COPD)
  • chronic cough, airways mucous obstruction
  • immunodeficiency with recurrent infections

  • sinusitis, sinubronchial syndrome, allergic and chronic rhinitis

  • accelerated progress in rehabilitation of bronchitis, status post pneumonia, severe influenza infection
  • atopic dermatoses, neurodermatitis
  • fibromyalgia
  • tinnitus


Mechanism of action and targets  - Altitude chamber/Hypobaric Chamber

  • anticonvulsant (antispasmodic)
  • reduction of sputum (secretolytic)
  • anti-inflammatory
  • production of red blood cells (hematopoietic)
  • immune system modulation (immunomodulatory)
  • increased blood flow (increased capillarization)
  • improvement of oxygen transport and utilization 

The lowered air pressure facilitates breathing, has an anticonvulsant effect, reduces sputum and increases blood flow. The mild height stimulus (as at natural altitude level) activates the immune system modulation, improves oxygen transport and utilisation. Repeated courses of hypobaric exposition have hematopoetic effect with increase of red blood cells.

A session lasts 55 minutes. 10 treatments should be achieved in 3-4 weeks.   


2.) Interval Hypoxic Training-IHT®  (adults only) 

additional application in the infectious-free period

  • chronic and recurrent bronchitis
  • bronchial asthma, hypersensitive bronchial system
  • chronic obstructive pulmonal disease (COPD)
  • chronic cough, airways mucous obstruction
  • immunodeficiency with recurrent infections

  • accelerated progress in rehabilitation of bronchitis, status post pneumonia, severe influenza infection
  • atopic dermatoses, neurodermatitis
  • fibromyalgia

Mechanism of action and targets: Cardio-respiratory exercising  

  • reduction of shortness of breath
  • enhancing performance
  • improvement in breath power
  • improvement of lung function
  • improvement of oxygen saturation in blood
  • lowering of the resting pulse

 


 3.) ALPINE SPORTS - TREKKING - ALTITUDE JOURNEYS

BASICS IN HIGH ALTITUDE KNOWLEDGE - HYPOXIC CHALLENGE TESTS FOR PREDICTION OF THE SUSCEPTIBILITY TO ACUTE MOUNTAIN SICKNESS - PREACCLIMATISATIONTRAINING   

flyer sports and alpinism
Flyer Leistungs u Alpinsport.pdf (293.42KB)
flyer sports and alpinism
Flyer Leistungs u Alpinsport.pdf (293.42KB)



Duration of basic instruction and hypoxic challenge tests with progressive loads: 2,5 hours. Please arrange an appointment at least 4 weeks before your journey to high altitude in generally good physical condition (no acute inflammation). 

Preacclimatisationstraining should be performed close to your plannend trip. 5-15 sessions of hypoxic training are recommended depending on the severity level of the ascent and estimated altitude profile.

Mostly, Interval Hypoxic Training (customized respiratory exercising with hypoxic gas mixtures) and training under low physical load in the hypobaric chamber are combined accordingly to the individual results of pretesting.

 

BASICS

Exposures to high altitude are associated with a decline in endurance performance and the risk for high altitude illnesses of which acute mountain sickness (AMS) is the most common. AMS is characterised by unspecific symptoms like headache, dizziness, nausea, vomiting, loss of appetite, fatigue and insomnia. Although usually benign and self-limiting the presence of AMS markedly compromises the feeling of well being, reduces the chance to reach the summit and to return safely, and may progress to life-threatening high altitude pulmonary (HAPE) or cerebral edema (HACE). Among other factors the degree of altitude acclimatization determines the risk to develop AMS with a lower risk in well acclimatized compared to non acclimatized persons.  

High altitude sojourns are more and more common for different populations. Besides mountaineers or skiers, there are businessmen traveling to Colorado, South America, and other regions, tourists visiting historic sites in the Andes, scientists working at telescopes in the Andes, in Hawaii, or at the world's highest mines located at 5,300 m in Chile. Several 10,000 trekkers hike the Annapurna Trek every year with the highest point of this trek being Thorong La (5,416 m). Time pressure is the reason why Mt. Kilimanjaro (5,860 m) is considered as the most dangerous mountain in the world. More and more people try to climb it within 3–4 days and only a minority reaches the summit healthy. Businessmen are another group with limited time or unforeseen trips to high altitude. Principally, correct acclimatization was, is, and will ever be the “gold standard” for any altitude sojourn. But if immediate ascent or intermittent hypoxia >4,000 m (rsp. 12.5–13% O2 at 1 bar) cannot be avoided, preacclimatization avoids altitude-related diseases and stabilizes the performance of the persons. Physiologically, the main problem for the body is the management of the decreased oxygen pressure. If there would be no system to adapt to hypoxic conditions, an altitude of about 1,500 m could not be survived without accidental oxygen. Fortunately, there are multiple systems to manage the problem, some of them reacting within seconds or minutes (e.g., pulse rate, breathing frequency, breathing volume, shift of the oxygen binding curve), some others in days or weeks (e.g., circulation, hemoconcentration, ventilatory acclimatization), or even years or generations (e.g., vascular growth).  

The vulnerability of a person to acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema is influenced by the hypoxic pulmonary ventilatory drive (HVD), although this correlation is not strong enough to use HVD as a predictor of a person's ability to cope with high altitude conditions. HVD is genetically determined. But there are other important factors which are responsible for the individual fitness at altitude and the risk of altitude-related diseases as the limitation of diffusion capacity of the alveolar membrane or of minute breathing volume, the erythrocytes form, plasticity,size, and age, or increased plasma volume or low hematocrit, respectively.

Most knowledge about acclimatization strategies and ascent profiles are mainly based on empirical data, but these include >1,000 years of high altitude sojourns (military operations in the region today called Tibet, sacrifices in the Andes, and modern mountaineering and research for about 200 years). Nevertheless, there is no doubt that proper acclimatization according to the “gold standard” is the best way to prepare the body for high altitude.  Acclimatization is of special importance for any lowlander who will sleep at an altitude >2,500 m or who will stay at >4,000 m for >1–3 h. Persons with pre-existing conditions may need special advice or, in some cases, restrictions. The “gold standard” includes slow ascent (+500 m sleeping altitude every second day or a maximum of +1,000 m/week, beginning at 2,500 m), sleep with slight upper body increases, no breathing with pressure, and workload below the anaerobic threshold during the acclimatization phase. In some situations, such an ideal acclimatization profile cannot be realized. It may be impossible if the person has to fly to airports at high altitude (e.g., in the Andes or Tibet), if urgent and unexpected work has to be done at high altitude (e.g., for industrial maintenance and services at high altitude facilities or for some special rescue purposes), or “critical” mountains where a good altitude profile is difficult to be realized (e.g., Ruwenzori Mountains). While a preacclimatization for 24–48 h should be possible for most industrial or business tasks, the setting for most rescue operations is different. For normal alpine (helicopter) rescue, preacclimatization is not necessary, mainly because the crews stay too short at altitude and most of them are partially acclimatized. But if international operations should be assisted by a backup team of unacclimatized lowlanders, the time necessary to organize such operations should be used to preacclimatize the team members. But there are even more people who may benefit from preacclimatization: persons with known problems of acclimatization.

Preacclimatization decreases the risk of altitude diseases significantly, if acute ascent cannot be avoided. The special advantage of hypoxic chambers (hypobaric or normobaric)or Interval Hypoxic Training-IHT® is the well-controlled environment, the safety for persons with individual risks or pre-existing conditions, and the easy coordination of the exposure with normal daily life and work.  


 TRAINING

4.) ENDURANCE SPORTS - ENHANCEMENT OF PERFORMANCE

INTERVAL HYPOXIC TRAINING - Hypoxia enhances endurance performance

Based on the evidence of 140 years of high altitude and aeromedical research, recommendations for the methodology in the application of hypobaric hypoxia and Interval Hypoxic Training - IHT ® are derived (therapy and exercise duration, frequency, optimum altitude, repetition cycles, etc ...).

The use of Hypoxic Training in sports is a basic element of the training planning and preparation, the effectiveness dependents on an optimal integration into an overall concept. Hypoxic Training is not only used in endurance sports, but also in athletic sports, martial arts and in alpinism to mobilise reserve capacity, to accelerate regeneration and to prepare for high altitude.  

Hypoxic Training not only leads to better performance in professional sports, also amateur athletes, health conscious people or those with health deficits (recurrent infections, respiratory and cardiovascular diseases) take benefit of altitude therapy and altitude training. 


Effects of Hypoxic Training:  

  • stimulated erythropoesis  (EPO, blood formation in the bone marrow), increase of blood levels such as hemoglobin, hematocrit, erythrocytes and reticulocytes

  • increased oxygen-transport capacity to cells and skeletal muscles

  • enhanced endurance performance with higher load capacity

  • improvement  of pulmonary  functions

  • training of respiratory muscles, utilisation of the lung capacity reserve ("respiratory exercising") and economisation of the cardiovascular system

  • more favorable course of regeneration after several competitions / loads

  • protection of the musculoskeletal system

  • strengthening of the immune system (reducing the susceptibility to infection), increase of the success rates in pre-and post-operative programs 

Effective Hypoxic Training has to be customised and is therefore duty of experienced physicians!

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