Integrative Health and Wellness Division of the Department of Medicine, Hennepin Healthcare Systems, Minneapolis, Minnesota, USA.
Empower Veterans Program, Atlanta Veterans Administration Health Care System, Atlanta, Georgia, USA.
Phys Ther. 2023 Dec 6;103(12). doi: 10.1093/ptj/pzad138.
Integrative health is an emerging specialty inside multiple disciplines within the medical community, yet the practice of integrative physical therapy remains undefined. This perspective paper suggests a set of guiding principles to support the role of physical therapy in integrative health. These guiding principles, including therapeutic partnership, whole person health, living systems, movement as an integrative experience, and salutogenesis, are described and explored in-depth as they relate to all aspects of patient care and clinician experience. These guiding principles are articulated within the context of social determinants of health and the interrelated roles that environment, trauma, stress, and lifestyle all play within an integrative physical therapy plan of care. Examples of current integrative physical therapy practices that embody these principles are described. The 5 guiding principles are designed to elicit interprofessional inquiry into how integrative health models can be applied to the art and science of physical therapy practice. The expansion of integrative health into the field of physical therapy has the potential to improve individual and population health, as integrative physical therapy can be used to address prevention, health promotion, primary care, and wellness while acknowledging the complex, dynamic, and interconnected nature of the human condition.
This perspective article presents 5 guiding principles to establish a framework to define and shape the growing application of an integrative health model to physical therapy practice. These integrative physical therapy guiding principles aim to improve the quality of whole-person, patient-centered care.
整体健康是医学领域内多个学科内的一个新兴专业,但综合物理治疗的实践仍未得到定义。本文从观点的角度提出了一套指导原则,以支持物理治疗在整体健康中的作用。这些指导原则包括治疗伙伴关系、整体健康、生命系统、运动作为一种综合体验以及健康促进学,它们与患者护理和临床医生经验的各个方面都有关联,并在其中进行了深入的描述和探讨。这些指导原则是在健康的社会决定因素的背景下制定的,并探讨了环境、创伤、压力和生活方式在综合物理治疗护理计划中所扮演的相互关联的角色。描述了体现这些原则的当前综合物理治疗实践的例子。这 5 项指导原则旨在引发跨专业的探究,了解整体健康模式如何应用于物理治疗实践的艺术和科学。将整体健康扩展到物理治疗领域有潜力改善个人和人群的健康,因为综合物理治疗可以用于预防、促进健康、初级保健和健康促进,同时承认人类状况的复杂性、动态性和相互关联性。
本文提出了 5 项指导原则,为定义和塑造整体健康模式在物理治疗实践中的应用框架提供了依据。这些综合物理治疗指导原则旨在提高整体、以患者为中心的护理质量。