World Health organization (WHO) defines health as ''a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.''1
1. Non - communicable diseases.
People of all age groups, regions and countries are affected by NCDs. These conditions are often associated with older age groups, but evidence shows that 15 million of all deaths attributed to NCDs occur between the ages of 30 and 69 years. Of these "premature" deaths, over 85% are estimated to occur in low- and middle-income countries. Children, adults and the elderly are all vulnerable to the risk factors contributing to NCDs, whether from unhealthy diets, physical inactivity, exposure to tobacco smoke or the harmful use of alcohol.
2. Mental health perspective in health promotion.
People with mental disorders experience disproportionately higher rates of disability and mortality. Mental disorders often affect and are affected by other non-communicable diseases such as cancer and cardiovascular diseases. Work-related stress or job stress is one of the major mental health problems during adulthood.2 Stress and mental health problems are closely related to unhealthy lifestyles that are risk factors for mental and physical health.3
Sleep troubles also lead to a lack of concentration and reduced physical performance. A restorative sleep is not only important for your patient with depression, but also for your athletic patient during the regeneration phase or before his next competition, and also for you. And we as physiotherapists can improve the sleep quality and quantity of our patients. So this presentation is interesting for every physiotherapist.
3. Injury prevention.
Sports injuries can be prevented at least to a certain extent by using injury and sports speciﬁc methods, and athletes may yield major benefits by taking such preventive actions in practice. Because sports injuries are detrimental to an athlete’s career and health, and incur major costs for society, it is essential to promote evidence-based preventive methods.4
4. Ergonomics and occupational health perspective in health promotion.
According to Kjerstin Stigmar from the WCPT subgroup for physical therapists working in the area of occupational health and ergonomics (IFPTOHE): ''Being a physical therapist specialized in occupational health and ergonomics means being interested in and qualified for work with promoting a sustainable working life. This includes health promotion; prevention of work-related injuries and diseases, and medical and vocational rehabilitation to support a return to work.
Physical therapists specialized in occupational health and ergonomics work with non-communicable diseases and use the work place as an arena to support sound living habits. We direct interventions to the individual to support behavioral changes, but also to the surrounding work environment and work organization to provide an environment that encourages the employees to make healthy choices.''
5. Healthcare technology in rehabilitation/physiotherapy perspective in health promotion.
Recently, a great interest has arisen in wearable technology.5 Wearable technology could make physiotherapy more engaging and immersive than the standard therapy regimens while objectively measuring physical improvements. Wearable devices can thus be used to refine personal treatment and monitor individual progress.6
6. Rehabilitation and COVID-19.
COVID-19 can have a huge impact on patients and their physical functioning. Although evidence on COVID-19 and recovery of patients is slightly growing, we already know that many patients experience various problems in their daily life both short term and long term. Even 6 months after infection both, older and younger, formally active people still experience health issues. Physiotherapy plays an important role in the recovery of these patients.
This presentation highlights the impact of COVID-19 on patients’ physical function and the important role of the physiotherapist in the recovery of patients. Recommendations for physiotherapy in patients with COVID-19 after hospital discharge and after illness at home - developed by the Royal Dutch Society for Physical Therapy (KNGF) - are explained.
2 Nakao M. Work-related stress and psychosomatic medicine. Biopsychosoc Med. 2010;4:4.
3 Molarius A, Berglund K, Eriksson C, Eriksson HG, Linden-Bostrom M, Nordstrom E, et al. Mental health symptoms in relation to socio-economic conditions and lifestyle factors--a population-based study in Sweden. BMC Public Health. 2009;9:302
4 Göpfert A, Van Hove M, Emond A, et al. Prevention of sports injuries in children at school: a systematic review of policies BMJ Open Sport & Exercise Medicine 2018;4:e000346. doi: 10.1136/bmjsem-2018-000346
5 Tong, R. (Ed.). (2018). Wearable Technology in Medicine and Health Care. Academic Press.
6 Meijer, H. A., Graafland, M., Goslings, J. C., & Schijven, M. P. (2017). Systematic Review on the Effects of Serious Games and Wearable Technology Used in Rehabilitation of Patients With Traumatic Bone and Soft Tissue Injuries. Archives of Physical Medicine and Rehabilitation. doi:10.1016/j.apmr.2017.10.018