Advancing an environmentally responsible physiotherapy
A recent study from the US showed that in 2013 the health care sector was ‘responsible for significant fractions of national air pollution emissions and impacts, including acid rain (12%), greenhouse gas emissions (10%), smog formation (10%), criteria air pollutants (9%), stratospheric ozone depletion (1%), and carcinogenic and non-carcinogenic air toxins (1–2%)’ (Eckelman and Sherman, 2016).
‘The impact of human activities on our planet’s natural systems has been intensifying rapidly in the past several decades, leading to disruption and transformation of most natural systems. These disruptions in the atmosphere, oceans, and across the terrestrial land surface are not only driving species to extinction, they pose serious threats to human health and wellbeing. Characterising and addressing these threats requires a paradigm shift’ (Myers, 2017).
Resources and references
On this page you will a range of existing resources and reference that could inspire environmental physiotherapy and environmental physiotherapy education in the broadest sense. We draw especially on resources and references currently less endemic to physiotherapy so far, including sustainable healthcare, planetary health, the UN SDGs, and many more. We hope this will provide you with some interesting starting points for further exploration and development.
Sustainable healthcare and planetary health centres and networks
Centre for Sustainable Healthcare, Oxford, UK: The Centre for Sustainable Healthcare is renowned for its work on sustainable healthcare research and practice and provides strategic input and consultancy to internation, national and local programmes.
Centre for Sustainable Healthcare Education SHE, UiO University of Oslo, Norway: SHE is a Centre for Excellence in Education at the Faculty of Medicine that will educate students to become change agents for the sustainable healthcare in both the global and local contexts, and will provide them with competencies to make sustainable evidence-based decisions.
Centre for Sustainable Health Systems – Redefining sustainable healthcare, Canada: The Centre for Sustainable Health Systems is a research and innovation lab, a training shop, and a network of allies and partners working on the transition to truly sustainable and social health care.
inVIVO Planetary Health: A collaborative network for planetary health with the mission ‘To transform personal and planetary health through awareness, attitudes and actions, and a deeper understanding of how all systems are interconnected and interdependent’.
Planetary Health Alliance: The Planetary Health Alliance is a consortium of over 200 universities, non-governmental organizations, research institutes, and government entities from around the world committed to understanding and addressing global environmental change and its health impacts.
Planetary Health Platform, University of Sydney, Australia. The Planetary Health Platform fosters understanding of how natural systems support civilisation health, drives research, education and leadership on the relationships between ecological, economic and social change and the health and wellbeing of future generations.
Sustainable Development Unit, UK: The Sustainable Development Unit (SDU) help organisations across health and care embed and promote sustainable development in order to reduce emissions, save money and improve the health of people and communities.
Sustainable Healthcare training tools
Canadian Association of Physicians for the Environment (2019). Climate Change Toolkit for Health Professionals.
Nicholas, K. (2018). Climate Change We Can Fix It World Cafe: A 3 hour activity where students analyze, compare, and present climate solutions proposed and now underway from governments, non-governmental organizations, businesses, scientists, citizens, and more.
Climate for Health (2019). Moving Forward Toolkit. The Climate for Health: Moving Forward Toolkit provides guidance and tools to reduce energy use, to build resilient clinics and health departments, and advocate for climate solutions that prioritize health and equity. The website also provides a range of other helpful resources.
EcoAmerica (2016). Let’s talk health and climate: Communication guidance for health professionals. Climate for Health, Washington, DC.
Harvard University (2019). The Health Effects of Climate Change: Learn how global warming impacts human health, and the wayswe can diminish those impacts. A free online course by Harvard University’s Global Health Institute.
International Federation of Medical Students’ Associations (2016). Climate and Health Training Manual. Enabling students and young professionals to understand and act upon climate change using a health narrative. Developed by IFMSA, with the support of World Health Organisation (WHO).
NurSusTOOLKIT for Sustainability Literacy and Competency (SLC in nurse education.) International Erasmus+ Project seeking to enhance the availability of an evidence-based learning offer in Sustainability Literacy and Competency (SLC) in nurse education.
One UN Climate Change Learning Partnership: The One UN Climate Change Learning Partnership (UN CC:Learn) is a joint initiative of more than 30 multilateral organizations helping countries to achieve climate change action both through general climate literacy and applied skills development. UN CC:Learn provides strategic advice and quality learning resources to help people, governments and businesses to understand, adapt, and build resilience to climate change.
Rehr, R.C., & Perkowitz, R.M., ecoAmerica (2019). Moving Forward Toolkit: A Guide for Health Professionals to Build Momentum on Climate Action. Washington, DC. Retrieved February 16, 2020.
The Canadian Coalition for Green Healthcare: Green Hospital Scorecard: The Green Hospital Scorecard (GHS) is the only comprehensive health care benchmarking tool in Canada measuring energy conservation, water conservation, waste management and recycling, corporate commitment and pollution prevention.
US National Institute of Environmental health Sciences: Climate Change and Human Health Lesson Plans. Climate and Health learning modules for a variety of student audiences that explore the health impacts of climate change both in the United States and globally.
Inspiration from indigenous knowledges, philosophy, the social sciences and humanities
Barnhardt, R., & Kawagley, A.O. (2008). Indigenous Knowledge Systems and Alaska Native Ways of Knowing. 36(1), 8-23. doi:10.1525/aeq.2005.36.1.008
Haraway, D. (2003). The Companion Species Manifesto: Dogs, People, and Significant Otherness. Prickly Paradigm Press, Chicago.
Hill, R., et al. (2020). Working with indigenous, local and scientific knowledge in assessments of nature and nature’s linkages with people. Current Opinion in Environmental Sustainability, 43, pp. 8–20. doi:10.1016/j.cosust.2019.12.006
Jonas, H. (1984). The imperative of responsibility. In search for an ethics for the technological age. Chicago: University of Chicago Press.
Kawagley, A.O., Barnhardt, R. (2008). Education Indigenous to Place: Western Science Meets Native Reality. Alaska Native Knowledge Network, Alaska University, Fairbanks.
Kropotkin, P. (1993). Mutual Aid: A Factor of Evolution. London: Freedom Press.
Morton, T. (2017). Humankind: Solidarity with nonhuman people. London: Verso Books.
Næss, A. (1989). Ecology, community and lifestyle. Cambridge: Cambridge University Press.
Nicholls, D. (2018). New Materialism and Physiotherapy. In: Manipulating practices: A critical physiotherapy reader (Edited by Gibson, B.E., Nicholls, D.A., Setchell, J., Groven, K.S.). Oslo: Cappelen Damm Akademisk.
Nicholls, D. (2020). What’s real is immaterial: What are we doing with new materialism? Aporia, 11(2), 4-14. doi:10.18192/aporia.v11i2.4594
O’Gorman, E., et al. (2019). Teaching the Environmental Humanities: International Perspectives and Practices. Environmental Humanities, 11(2): 427–460. doi:10.1215/22011919-7754545
Redvers, N. (2018). The Value of Global Indigenous Knowledge in Planetary Health. Challenges, 9, 30. doi:10.3390/challe9020030
Surrales, A., & Hierro, P.G. (eds.)(2005). The Land Within: Indigenous Territory and the Perception of Environment. Copenhagen: Centralrtykkeriet Skive A/S.
Tuhiwai Smith, L. (2001). Decolonizing methodologies: Research and Indigenous peoples. Dunedin: University of Otago Press.
Articles on sustainable healthcare education
Alvarez-Nieto, C., Richardson, J., Parra-Anguita, G., Linares-Abad, M., Huss, N., Grande-Gascon, M.L., Grose, J., Huynen, M., Lopez-Medina, I.M. (2018). Developoing digital educational materials for nursing and sustainability: The results of an observational study, 60, pp. 139-146. doi:10.1016/j.nedt.2017.10.008
Barna, S., Goodman, B., Mortimer, F. (2012). The health effects of climate change: What does a nurse need to know? Nurse Education Today, 32(7), pp. 765-771. doi:10.1016/j.nedt.2012.05.012
Hackett, F., Got, T., Kitching, G.T., MacQueen, K., Cohen, A. (2020). Training Canadian doctors for the health challenges of climate change. Lancet Planetary Health, 4(1), PE2-E3. doi:10.1016/S2542-51961930242-6
Madden, D., McLean, M., & Horton, G. (2018). Preparing medical graduates for the health effects of climate change: an Australasian collaboration. The Medical Journal of Australia, 208(7), 291-293. doi:10.5694/mja17.01172
Maxwell, J.; Blashki, G. (2016). Teaching about climate change in medical education: an opportunity. Journal of Public Health Research, 5, pp. 673. doi:10.4081/jphr.2016.673
Musaeus, P., Wellbery, C., Walpole, S., Rother, H.A., Vyas, A., Leedham-Green, K. (2018). E-collaborating for environmentally sustainable health curricula. In: Climate literacy and innovations in climate change education. Berlin: Springer: 151–167.
Thompson, T., Walpole, S., Braithwaite, I., Inman, A. Barna, S., Mortimer, F. (2014). Learning objectives for sustainable healthcare. The Lancet, 384(9958), pp. 1924-1925. doi:10.1016/S0140-67361462274-1
Walpole, S., Barna, S., Richardson, J., & Rother, H. (2019). Sustainable healthcare education: integrating planetary health into clinical education. The Lancet Planetary Health, 3(1), e6. doi:10.1016/S2542-51961830246-8
Walpole, S. Mortimer, F. (2017). Evaluation of a collaborative project to develop sustainable healthcare education in eight UK medical schools. Public Health, 150, pp. 134-148. doi:10.1016/j.puhe.2017.05.014
Walpole, S., Mortimer, F., Inman, A., Braithwaite, I., Thompson, T. (2015). Exploring emerging learning needs: a UK-wide consultation on environmental sustainability learning objectives for medical education. International Journal of Medical Education, 6, pp. 191-200. doi:10.5116/ijme.5643.62cd
Walpole, S., et al. (2017). Building an environmentally accountable medical curriculum through international collaboration. Medical Teacher, 39(10), 1040-1050. doi:10.1080/0142159X.2017.1342031
SDG teaching tools and resources
TEACH SDGs: Volunteer organisation with the goal to actively support and enhance the work of the United Nations’ efforts within K-12 classrooms by connecting with global educators dedicated to responding to a call to action within education to meet the Sustainable Development Goals, pointing to open and accessible resources, lessons plans, and global projects directly aligned to the Sustainable Development Goals. See also their comprehensive ‘Responding to a Call to Action: How do you #TeachSDGs?’ blogpost.
The World’s Largest Lesson in collaboration with UNICEF: A UNICEF project looking to integrate ‘A lesson about the #GlobalGoals for Sustainable Development in every school on the planet’. Free materials available on the website.
UN DESA Department of Economic and Social Affairs, Division for Sustainable Development Goals: Sustainable Development Goals Knowledge Platform
UNESCO What is Education for Sustainable Development? Retrieved February 20, 2020.
UNESCO (2018). Education for Sustainable Development and the SDGs: Learning to Act, Learning to Achieve. Policy Brief: Advancing ESD Policy. UNESCO Global Action Programme on Education for Sustainable Development. Retrieved February 20, 2020.
UNESCO and Gaia Education:
Other references cited in the EPT Agenda 2023
Maric, F., Nicholls, D., Mostert, K., Culpan, J., Stone, O., van Wijchen, J., Kennedy, M., Long, I., Bundtzen, T. (2020). The Environmental Physiotherapy Agenda 2023. Oslo: Environmental Physiotherapy Association (EPA). ISBN: 978-82-303-4491-0
Association of Clinical Psychologists UK (2019). Practitioner psychologists and the trauma of climate change. An open letter demanding immediate and effective action. Association of Clinical Psychologists (ACP-UK). Retrieved March 1, 2020.
Battiste, M. (2019). Decolonizing Education: Nourishing the Learning Spirit. UBC Press. Vancouver, BC, Canada.
Battiste, M., Bell, L., Findlay, L.M. (2002). Decolonializing education in Canadian universities: An interdisciplinary, international, indigenous research project. Canadian Journal of Native Education, 26(2): 82-95.
Benda, W., McGibbon, N.H., & Grant, K.L. (2004). Improvements in Muscle Symmetry in Children with Cerebral Palsy After Equine-Assisted Therapy (Hippotherapy). The Journal of Alternative and Complementary Medicine, 9(6), 817-825. doi:10.1089/107555303771952163
Berger, M. (2019). Italy’s government becomes first to mandate climate change education in schools. The Washington Post. Retrieved November, 6 2019.
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Boucaut, R. & McPhee, B, (2013). Physiotherapists in occupational health — the Australian experience. Physical Therapy Reviews, 18(5), 327-335, doi:10.1179/1743288X13Y.0000000091
Climate Health Action (2019). US Call to Action on Climate, Health, and Equity. Climate Health Action: A Policy Action Agenda. Climate Health Action (CHA). Retrieved March 1, 2020.
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Eckelman, M.J., Sherman, J. (2016). Environmental Impacts of the U.S. Health Care System and Effects on Public Health. PloS One, 11: e0157014. doi:10.1371/journal.pone.0157014
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European Commission (2019). Communication from the Commission to the European Parliament, the European Council, the Council, the European Economic and Social Committee and the Committe of the Regions: The European Green Deal. COM/2019/640 final. Brussels, 11.12.2019.
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International Association of Physical Therapists in Animal Physiotherapy (2020). WCPT Network for animal physical therapy practice (www.iaptap.com). Retrieved February 16, 2020.
International Federation of Physical Therapists working in Occupational Health and Ergonomics (2019). Subgroup of WCPT. Retrieved February 12, 2020.
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