Physiotherapy plays a decisive role in promoting good sustainable practices

The Order of Physiotherapists is launching the "Sustainability in Action" awareness campaign, highlighting the profession's contribution to mitigating climate change and promoting sustainable health practices. The campaign emphasises the importance of integrating the Sustainable Development Goals (SDGs) into professional practice and reinforces the role of physiotherapists in responding to the environmental crisis.

World Physiotherapy has published a Policy Statement that recognises the interconnection between climate change and health, warning of the devastating impacts of global warming on populations. According to the organisation, the health sector is responsible for around 4.6% of global emissions and it is therefore urgent to adopt measures to reduce its environmental footprint. As Physiotherapy is intrinsically linked to the promotion of health and well-being, it can and must take an active role in this transformation.

In this context, WP identifies various strategies by which physiotherapists can contribute to a more sustainable future. These include adopting clinical practices with a lower environmental impact, such as conscious management of the resources used and encouraging sustainable transport. Educating and sensitising users to the influence of the environment on health, as well as promoting functionality and adaptation to the conditions imposed by climate change, are also priorities.

Collaboration with other health professionals and community organisations to create environmental mitigation and adaptation policies completes the set of recommendations proposed by the WP. These measures contribute not only to the sustainability of the planet, but also to fair access to care and the resilience of health systems in the face of emerging challenges.

The Order of Physiotherapists reinforces its commitment to adopting responsible environmental practices, based on measurable targets and scientific evidence that contribute to reducing the impact of health services on the environment. The profession thus has an unavoidable role to play in building sustainable solutions that preserve the health of people and the planet.

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Pedro Maciel Barbosa

Specialist physiotherapist at the Matosinhos Local Health Unit Sub-coordinator for Primary Health Care, Matosinhos Local Health Unit Visiting Assistant Professor at the Porto School of Health Member of the Board of Directors of the Foundation for Health - SNS Member of the General Council of the Order of Physiotherapists

Carlos Sand

Carlos Areia has been a physiotherapist since 2013, and has worked in various hospitals, clinics and clubs in both Portugal and the UK. He began his academic career at Oxford University in 2016, where he led a clinical trial comparing physiotherapy vs surgery in anterior cruciate injuries in 32 hospitals in England. In 2018 she moved to the neurosciences department, where she developed her own studies on remote monitoring of vital signs, which were implemented during the pandemic. Here he discovered his passion for data, and in 2022, he joined Digital Science as a Data Scientist. He completed his PhD earlier this year, and has more than 60 publications in journals such as The Lancet, BMJ, Cochrane, among others. He is also an honorary lecturer at Oxford Brookes University and a consultant in clinical research.

Eduardo José Brazete Carvalho Cruz

PhD in Physiotherapy from the University of Brighton, UK. Post-Doctorate in Epidemiology from the National School of Public Health at the New University of Lisbon.
Coordinator of the Studies and Planning Office of the Order of Physiotherapists. Coordinating Professor of the Physiotherapy Department of the School of Health of the Polytechnic Institute of Setúbal (ESS-IPS). President of the ESS-IPS Technical-Scientific Council. Coordinator of the Physiotherapy Department at ESS-IPS. Integrated Researcher at the Comprehensive Health Research Centre (CHRC) (a partnership between FCM-UNL, the National School of Public Health, the University of Évora, the Lisbon Institute of Global Mental Health and Santo Espírito Hospital, Terceira Island, Azores).

Sara Souto Miranda

Sara Souto Miranda has a bachelor's and master's degree in physiotherapy from the University of Aveiro, and a postgraduate qualification in adult respiratory physiotherapy from the same institution. In 2023 she completed her double doctorate in Rehabilitation Sciences/Health, Medicine and Life Sciences at the Universities of Aveiro and Maastricht (Netherlands) and is currently working as a technical-scientific advisor to the Studies and Planning Office (GEP) of the Order of Physiotherapists, and as a guest lecturer at the Piaget Institute in Vila Nova de Gaia. As a member of the Respiratory Research and Rehabilitation Laboratory at the University of Aveiro (Lab3R), she has carried out applied research in which she has assessed and treated patients with respiratory pathology, having taken part in 6 research projects. Throughout her career she has published 19 scientific articles in international peer-reviewed journals with an impact factor, 1 book chapter and more than 50 abstracts in conference proceedings. She was a research volunteer at the Ciro rehabilitation centre (Centre for expertise in chronic organ failure) in the Netherlands, and is currently a member of the Guideline Methodology Network of European Respiratory Society. She was honoured by European Lung Foundation e European Respiratory Society for carrying out patient-centred research, by the Directorate General for Higher Education with a merit grant for his master's degree, and by the Ciro Centre with a grant to support research abroad.

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