Andreas Alt

• Doctor of Public Health
• External Expert at Bern University of Applied Sciences, Lecturer at MediABC, Physiotherapist at SportClinic Zurich | BFH | MediABC

Background The effectiveness of physiotherapy to reduce low back pain depends on patient adherence to treatment. This requires effective strategies to facilitate but also tools to measure adherence to physiotherapy. Facilitators and barriers to patient adherence are multifactorial and include patient and therapist-related factors. Purpose This th...

Background: Patient adherence to physiotherapy is influenced by a multitude of factors including the characteristics and attitudes of patients and physiotherapists. This study aims to identify typologies of patients with back pain and their physiotherapists and attempts to explain how typologies could influence patient adherence. Method: This stu...

The impact of modern lifestyles confronts physiotherapists with two main areas of responsibility. These include, on the one hand, reviewing and reducing their ecological footprint and, on the other, their own scope of action to facilitate ecologically responsible and socially just healthcare. The latter approach in particular illustrates the great...

This presentation aims to explain the complexity of environmental healthcare and physiotherapy in particular. It is not only patients who suffer from ineffective treatment methods, but society as a whole. Constantly rising health insurance premiums, primary care that is reminiscent of industrial assembly line production, and digitalization that de...

Eine nachhaltige Physiotherapie, egal, ob im Rahmen der Schmerztherapie oder der Therapie von klassischen Verletzungen, wie z.B. Bandverletzungen, erfordert Selbstmanagement von Betroffenen. Eines der relevantesten Kriterien für die Nachhaltigkeit in der Physiotherapie ist die langfristige Effektivität der physiotherapeutischen Methoden und die eff...

The book titled "Back pain patients' adherence to sustainable physiotherapy - where are the opportunities?" presents the latest evidence on back pain patients’ adherence to physiotherapy. Even the most effective therapy becomes ineffective if the patient does not adhere to the therapy. Sustainability is becoming increasingly important in medicine...

Background: Long-term effectiveness of physiotherapy (PT) for low back pain (LBP) depends on the adherence of patients. Objectives: (1) Identify aspects associated with the adherence of patients with LBP to physiotherapy, and (2) identify factors to facilitate adherence of patients with LBP to PT. Method: Focus group interviews were conducted with...

Background The effectiveness of physiotherapy to reduce low back pain depends on patient adherence to treatment. Facilitators and barriers to patient adherence are multifactorial and include patient and therapist-related factors. This Delphi study aimed to identify an expert consensus on aspects facilitating the adherence of patients with back pain...

Background Sustainable management for non-specific low back pain relies on adherence. This requires effective strategies to facilitate but also tools to measure adherence to physiotherapy. Objective This two-stage systematic review aims to identify (1) tools to measure non-specific back pain patients’ adherence to physiotherapy and (2) the most ef...

BACKGROUND Vulnerabilities of physiotherapy, such as the question of uniqueness, sustainability, and internal conflicts of interest appear to slow the unleashing potential of physiotherapy for becoming a sustainable resource in the healthcare system. AIMS This work aims (1) to construct a thought model as an orientation tool for sustainable physio...

On August 30 this year, a short version about the Physio2Future model in the ""pt Portal" was presented in advance. This article is another detailed proposal for the physiotherapy of the future. In the social media, the information about this model runs under the hashtags #physio2future and #physio2futuremodel . Suggestions, feedback and comments a...

Physiotherapie Grundlagen (Best Practice), 3. Auflage ist die vollständig überarbeitete Neuauflage des erfolgreichen Vorgängerwerks. Die qualitativ hochwertige Physiotherapie nimmt in Deutschland zunehmend an Fahrt auf. Dennoch reichen die bisherigen Anstrengungen nicht aus, die dafür notwendigen Maßnahmen autonom und nachhaltig umzusetzen. Auch se...

Even decades after the publications of different models, theories and findings on the understanding of pain in the context of medicine and especially physiotherapy, pain is still a central problem worldwide. At the latest with the publication of the biopsychosocial model in the 70s, the importance of multidimensional pain development and its manage...

„Sportphysiotherapie und Athletiktraining – Rehabilitation, Diagnostik und Entwicklung“ ist die vollständig überarbeitete Neuauflage nach dem erfolgreichen Vorgängerwerk „Rehabilitation, Leistungsdiagnostik und Entwicklung von Athleten“. Die qualitativ hochwertige Betreuung von Athlet_innen ist bis heute ausbaufähig. Warum ist die Umsetzung eviden...

There are many benefits to incorporating guidelines, including better patient care and optimizing the profession and multidisciplinary collaboration. The individual value of physiotherapy would increase and the future conditions would be more attractive. The objective is complex, therefore all parties involved must work together - as has long been...

The poster is related to our work in the context of the question "Is the MOM superior as an educational tool to other models for analyzing pain mechanisms and their consequences, especially in the Netherlands and in the German-speaking application area?" We used the best available evidence from different databases in addition to a narrative analysi...

The digitization process has already been progressing for years, and the consequences of the corona crisis have accelerated the intensity of development even further. And it is not only about the effectiveness of digital therapy methods, but also about questions of training, ethics, economic viability and feasibility. But which are the most relevan...

What does "evidence" mean in physical therapy? In this work, the most important principles of evidence-based physiotherapy are taught. Practical tips and case studies help to understand and deepen the content. The authors clarify and present the opportunities that evidence offers for modern physiotherapy. In addition, the following contents are for...

Climate change is increasingly being felt - on many levels and not just in faraway countries. Modern, evidence-based physiotherapy has a greater impact on sustainability and environmental protection than many might think at first glance. Meanwhile, international and national organizations are ensuring that awareness of this issue is also increasing...

Following the success of the GLA:D comprehensive care concept for knee and hip osteoarthritis, the Danes transferred the basic therapy principles to a back program. This resulted in GLA:D Back, an evidence-based therapy for patients with back pain. This, too, is implemented by therapists across Denmark on an interdisciplinary basis. Is this success...

How much time needs the academization process in Germany? There is a lack of unity and motivation in Germany. - A commentary by Andreas Alt - Meanwhile, there are many advocates for full academization. How long the process will take and what it will require are controversial issues among experts. While some experts estimate more than ten years,...

Die Rezension von Andreas Alt zum im Mai 2020 erschienenen Buch von Heidi Höppner, Petra Kühnast und Claudia Winkelmann „Potenziale der Physiotherapie erkennen und nutzen. Von der Kompetenz zur Performanz in der Gesundheitsversorgung“ ermöglicht einen fachbezogenen Vorgeschmack.

Die Ökonomie der evidenzbasierten Physiotherapie-ein neuer Weg vermittelt Möglichkeiten und Visionen, die derzeit von so großer relevanz geprägt sind wie zuletzt zu Beginn der Physiotherapie im Jahr 1951 durch die World Confederation for Physical Therapy. Das von vielen politischen Akteuren*innen im gesundheitswesen als normal und bedenkenlos ange-...

Non-specific low back pain (NLBP) affected every fourth Swiss citizen in 2018. The aims of this prospective randomized controlled trial were to determine which therapeutic strategy is most effective and sustainable to reduce NLBP and avoid chronification of non-chronic NLBP in patients in Switzerland. The therapy effects were compared between a com...

Nach einer missglückten Landung bei einem Fallschirmsprung war nichts mehr wie vorher. Die Akutversorgung erfolgte in den USA, dann der Transport in die Schweiz. Außer vielen Traumen, Einschränkungen und Schmerzen musste sich der Patient auch um die Frage der Kostenübernahme kümmern. Er lernte deutliche Unterschiede der Rehabilitation und der physi...

Es gibt kein „Schema F“ für Patienten mit unspezifischem Rückenschmerz. Deswegen werden aktuell verschiedene Therapiestrategien erforscht, wobei vor allem die langfristige Effektivität einer Therapie und das Eigenmanagement der nicht-chronischen Patienten eine wesentliche Rolle spielen. Das so zu verringernde Chronifizierungsrisiko und die Reduktio...

Die Kritik an der Physiotherapie-eine wahre Chance beinhaltet neben einer detaillierten und fachlich präzisen Recherche eine Vielzahl von Erläu-terungen in Bezug auf alle wesentlichen Aspekte im Zusammenhang mit der Professionsentwicklung der Physiotherapie. Ein Weg mit vielen Hinder-nissen, die alle erkannt und kritisch beleuchtet werden. Ebenso w...

Background In Switzerland, direct (treatment costs) and indirect (sick days) costs account for 13.4 percent of total medical costs for musculoskeletal disorders such as back pain. Germany recorded a cost expenditure of 48 billion euros per year for back pain and its consequences, such as depression. The aim of this research was primarily to find ou...

Spannungsfelder in der Physiotherapie - Wie kann professionelles Arbeiten gelingen? Vier identifizierte Spannungsfelder zeigen, welche Konsequenzen sich für den Berufsstand der Physiotherapie ergeben, wenn sich die nötigen gesetzlichen Vorgaben nicht mit den aktuellen Herausforderungen des Berufs beschäftigen: die persönliche Kompetenz des Therape...

Physiotherapie Grundlagen (Best Practice) 2. Auflage beinhaltet neben der Vermittlung von Chancen, Weiterentwicklungen und Risiken innerhalb der Profession Physiotherapie eine ausführliche und extrem detaillierte Erläuterung der bisher bestehenden Themengebiete. Die Integration von 10 umfangreich ausgearbeiteten Fallbeispielen zur Verdeutlichung de...

„Rehabilitation, Leistungsdiagnostik- und Entwicklung von Athleten“ ermöglicht einzigartig detaillierte Einblicke anhand aktueller, evidenzbasierter Erkenntnisse hinsichtlich der physiotherapeutischen Rehabilitation, der Leistungsdiagnostik und der Leistungsoptimierung von Athleten. Das Buch zeigt einen völlig neuen Ansatz des Anwendungsspektrums i...

Best Practice ermöglicht ein optimales Verständnis der Chancen, Weiterentwicklungen und Risiken innerhalb der Profession Physiotherapie. Die Zukunft der therapeutischen Medizin hängt vom reibungslosen Zusammenspiel der drei tragenden Säulen ab: klinische Relevanz, Wirtschaft und Wissenschaft. Erläuterungen aufeinander bezogener Abhängigkeiten zeige...

PURPOSE: Eccentric strength training has shown to reduce pain and improve functionality in patients with patellar tendinopathy (PT) known as “jumper’s knee. The purpose of this study was to compare the effects of a high and a low volume bodyweight strength training on a decline board on pain and functionality. METHODS: A total of thirteen physical...

Object: The effectivity of active exercises in the reduction of pain in the disease pattern of adult shoulderimpingement syndrome was evaluated in this systematic literature research. Method: By using the databases PubMed and PEDro only studies in English and German language and in the design of randomized clinical and clinical trials were selected...

Abstract Object: The effectivity of active exercises in the reduction of pain in the disease pattern of adult shoulderimpingement syndrome was evaluated in this systematic literature research. Method: By using the databases PubMed and PEDro only studies in English and German language and in the design of randomized clinical and clinical trials were...

The purpose of this study was to find a therapie concept wich save time and enable a more efficent therapy. The economic factor out of this purpose is obvious through the time reduction fact for this treatment. The these to find out the contents of a referring methode produced the following consideration: Identify the effects of comparisson between...