Integrating Environmental Physiotherapy into PT Education at the Health School of the Polytechnic University of Coimbra (ESTeSC-IPC)

Physiotherapy (PT) education in Portugal has evolved significantly in recent years, incorporating new methodologies and addressing emerging global challenges. At our institution, the Health School of the Polytechnic University of Coimbra, our PT program aims to develop highly skilled professionals who are not only proficient in Physiotherapy but also socially responsible practitioners. Recognizing the growing impact of climate change on human health, we have taken a proactive approach by integrating Environmental Physiotherapy (EPT) elements into our curriculum.

Integrating EPT into PT Education

Understanding the critical role physiotherapists play in mitigating the effects of climate change on health, we have introduced EPT-related content in key course of Emergent Topics in Physiotherapy, within our program. By incorporating sustainability and climate-resilient strategies into this course, students gain awareness of how environmental factors influence physical and mental functions, activities, lifestyles and participation outcomes.

What we have done

Our approach involved a multi-faceted strategy:

Adaptation of Assessment Techniques

Gradually we are adjusting our evaluation methods to consider environmental variables, such as the effects of air pollution and extreme temperatures on respiratory and other conditions.

Modification of Treatment and Intervention Plans

Students learn to adapt physical activity programs for vulnerable populations, considering climatic variations that may exacerbate pain, fatigue and other complains.

Educational Campaigns and Community Engagement

We developed initiatives to educate our community on the importance of sustainable health practices, such as energy-efficient physiotherapy techniques and the use of eco-friendly physiotherapy tools.

Scientific Contribution and Initiatives

Our faculty and students actively participate in projects that investigate the intersection of environmental changes and physiotherapy practice, contributing to a more sustainable future for healthcare.

1st National Congress on Health and Environment: For a healthy and sustainable future, Culturgest, Lisbon | 07 – 08 Feb 2025

Our faculty and students participated with two posters; one on the topic Good practices in environmental sustainability in the health sector (PO 13 – Ecology and sustainability in physiotherapy: strategies and impacts) and another on the topic Innovation in adaptation actions to the health impacts of climate change and environmental degradation (PO 45 – Physiotherapists’ role in mitigating the impact of climate change on health).

Anabela Correia Martins (PT, PhD)

Full Professor, Department of Audiology, Physiotherapy and Environmental Health, Health School of the Polytechnic University of Coimbra (ESTeSC-IPC)

Anabela Correia Martins is a physiotherapist since 1989. With a background in sociology (MSc) and psychology (PhD), her work bridges clinical models and innovative and sustainable health. Her research focuses on Active and Healthy Ageing; Fall Prevention; Health Literacy; Movement System & Sustainability; and Assistive Technologies.

Reflections on our experience

Feedback from both students and faculty has been overwhelmingly positive. Students appreciate the relevance of EPT content, noting that it enhances their understanding of the broader implications of their profession. Faculty members have observed increased engagement in discussions surrounding sustainability in healthcare. Furthermore, patient approaches have highlighted the importance of educating the public on how climate change can impact their rehabilitation and overall well-being.

Challenges remain, particularly in shifting mindsets towards a more environmentally conscious physiotherapy practice. However, the willingness of students and faculty to embrace this change is encouraging.

Future plans

Moving forward, we aim to expand the integration of EPT into additional courses and strengthen partnerships with other programs in our institution and international organizations advocating for environmentally sustainable healthcare. We also plan to develop digital resources, such as an online platform with educational materials and best practices, to facilitate learning and professional development in EPT. Additionally, we intend to encourage further research into sustainable physiotherapy practices and establish collaborations with community health programs to raise awareness about climate-related health risks.

Conclusion

The integration of Environmental Physiotherapy into PT education at the Health School of the Polytechnic University of Coimbra represents a significant step towards a more sustainable and responsible approach to healthcare. By fostering awareness, adapting intervention strategies, and promoting environmental responsibility, we are preparing the next generation of physiotherapists to tackle global health challenges with a holistic and forward-thinking perspective.