Movement as Medicine the Bigger Picture

Year 3 Student PhysiotherapistsThe University of Nottingham

January 2016

Ann GatesCEO, Exercise Works!

©Simone Santi

Movement as Medicine!

By Ann GatesMovement

1. the act, process, or result of moving. an instance of moving

2. a group of people working together to advance their shared ideas

©Simone Santi

From patient consults to the bigger picture…"Why do we care about exercise?

Because we care about our patients" Surgeon @ianrit4 PrRCSEd @RCSEd

“A qualified doctor, nurse, midwife or allied health professional may see half

a million patients during their career so this has enormous potential for advocacy and the promotion of

physical activity” ~Ann Gates 2015

Preventing and treating non-communicable diseases #NCDs

at scale

Br J Sports Med bjsports-2015-095489Published Online First: 19 October 2015 doi:10.1136/bjsports-2015-095489

National and international evaluation conducted by Nottingham University School of Medicine and Health Sciences, UKFunded by:

Excellent!

Training tomorrow’s health care professionals..for tomorrow’s patients...

“To protect and promote health from cradle…

…through early movement…

Via active play, sports and exercise in schools and colleges..

Making this happen, for every child, is the challenge…

Active play, green spaces, social engagement,

friends, family, neighbourhoods….

Freedom to play, is a basic human right!

Inequalities existUse YOUR influence to change outcomes!

Low and middle income areas

at greatest risk of #NCDs©Simone Santi

Sitting and sedentary behaviours are killers!

Women at greatest risk of future inactivity#ThisGirlCan

“Build it, and they will come”Field of Dreams ~Kevin Costner

#Physio influence is critical as health professionals…

Walking works!

DESIGNED TO MOVE: Active cities report 2015

http://www.fph.org.uk/uploads/bs_great_outdoors.pdf

”

• Access to green spaces can increase levels of physical activity for all ages

• Having green spaces in an area can contribute to reduced health inequalities

• Safe, green spaces can increase levels of communal activity across different social groups as well as increase residents’ satisfaction with their local area

“contact with green spaces and natural environments can reduce symptoms of poor mental health,

and stress, and improve mental wellbeing across all age groups”

• Green [and blue spaces] can help with our response to climate change through their potential to reduce the impacts of heatwaves and reduce flooding and reducing CO2 emissions

• Green spaces and natural environments can improve air and noise quality and support sustainability through increasing biodiversity, encouraging active transport and community participation.

four out of five disabled people are not active Active People Survey 2014

BUT seven in ten want to increase the amount of physical activity they take part in EFDS 2013

NHS physical activity “services”

...to grave care

For patients, like Bert..Movement matters.

In sickness, in health, in immobility, in disparities, in disability, and

over a life course….

JOIN the local,national, andglobal,

big picture!

Acknowledgments and disclosures

©Simone Santi

@gatesphysio

• Arial 18pt• Arial 18pt professionals• patient education and support• exercise advice, every patient, every opportunity

• when and where• every health consult• In hospitals, out patients, clinics, home visits• the viral use of social media

Exercise-Works-Ltd

@exerciseworks

exerciseworks

See © Exercise Works! patient exercise sheetsAll content and concepts intellectual copyright to © Exercise Works! www.exercise-works.org 2012- 2016.

Session 10