La mécanothérapie dans le Grand établissement thermal de Vichy au début du XXe siècle : entre médication physique méthodique et enjeux publicitaires.

In Vichy, spa treatments were transformed at the end of the 19th century by advances in medical science. Water-based medication is now accompanied by a wide range of treatments. Indeed, the spa industry is fighting to win triple recognition - medical, scientific and technical. This article examines the entire process that led to the creation of a specialized area within the spa dedicated to a new therapy: mechanotherapy. Dosing and fitting "medication through movement", this practice overturns accepted practices. The curative use of rigorously administered physical exercise breaks with accepted ideas of health care. The innovative nature of this practice suggests that it has therapeutic and strategic implications for the resort's recognition, modernization and visitor numbers. The introduction of mechanotherapy is part of a competitive process between the various spas of the Belle Époque. It brought diversification and renewal to treatments, and contributed to the medical excellence and glamour of the Grand Établissement Thermal de Vichy, from both a commercial and advertising perspective.