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In addition to fitness, new terms such as scoliosis, pelvic tilting, and pain management are being used frequently in the gym. After these terms, it's the gym that adds muscle and loses fat outside of the big world of physical therapy.
These physical therapies, which can deal with limited body range and pain problems, have become a buzzword in China's first-tier cities at the pace of 996. Even like national fitness, it has become a national topic.
Recently, the office of the health China action committee has listed cervical spondylosis, periarthritis of shoulder, back pain and other diseases that workers should prevent. In the gym, it is estimated that nearly 500,000 people in the United States were injured by using fitness equipment in 2012.
It seems that the need for rehabilitation is driven by modern lifestyles, but in fact the post-war injuries of 100 years ago, along with the emergence of polio, once promoted physical therapy that improved "muscle and bone". In 2014, the physical therapy market in the United States reached $30 billion, among which the listed us physical therapy has 593 rehabilitation stores in the United States.
Behind the business is the maturing physical therapy industry in the United States, which includes a number of health care systems, standardized rehabilitation facilities, and the implementation of personnel quality assessment.
S us physical therapy
For example, FGRS, the prepaid medical payment system in the United States, has greatly promoted the development of the physiotherapy industry in the United States. And the introduction of rehabilitation talents as the basis, also through the nptee national physical therapist qualification examination certification, get professional protection.
In contrast, the gap between the physiotherapy industry in China and the United States is nearly 100 billion yuan. The shortage of rehabilitation teachers and the lack of rehabilitation concept are the main reasons for the gap.
■ proportion of rehabilitation doctors in China
According to the data of the Chinese association of rehabilitation medicine, there are 62.8 rehabilitation doctors for every 100,000 people in the United States, and the proportion of rehabilitation doctors in China is only 0.4 for every 100,000 people. Naturally, there are not enough professional talents, but the market demand never decreases, which provides the soil for many folk rehabilitation treatments that are difficult to justify.
Despite various problems, the national fitness trend of nearly 40 million people with sports injuries, as well as the sub-health trend of urban working population, may mean a new opportunity for physical therapy in China.
Physical therapy has the potential to become a neglected business outside of gyms in China.
In addition to "slimming and toning", "posture correction" that claims to improve forward leaning of the pelvis and upper chiasm syndrome may be one of the most popular private instruction classes in the gym. Although the professionalism is still in doubt, the combination of strengthening, stabilizing and stretching exercises, as well as massage and relaxation techniques, constitutes an important part of physical therapy.
Physical therapy, which emphasizes "moving", once broke the traditional theory of "resting in bed for 100 days after injury".
Contrary to the conventional wisdom, rehabilitation combined with exercise has been shown to help restore athletic ability. In the annals of internal medicine, the American medical association has shown that physical therapy combined with exercise therapy can provide functional benefits to patients with osteoarthritis of the knee, even avoiding surgery.
■ exercise therapy study
Source: annals of internal medicine
In addition to scientific proof, the origin of some physical therapy also shows the characteristics combined with exercise.
The royal central gymnastics academy was founded in 1813 by per henrik ling, the "father of Swedish gymnastics", who offered massage, manipulation and training. The sjukgymnast (gymnast) means a person who USES gymnastic training to heal an injury or injury.
■ gymnastics combined with injury treatment
Material therapy can improve physical injury, while subhealth of urban office population and sports injury contribute to the development of physical therapy.
Legal match, an American legal service, has counted the number of criminal cases brought by injuries at gyms. It found that in 2012 nearly half a million people were injured using fitness equipment in the us. In the Daly ranking of disability adjusted life years, cervical spine pain jumped from the 21st in 1990 to the 9th in 2017, and back pain rose from the 17th to the 13th.
■ gym injury trendsSource: relivastatistics
Although the audience for physical therapy is growing. However, by contrast, the physiotherapy industry in China is still in its infancy.
According to online data from China market research, the market value of the physiotherapy industry in China was 20 billion yuan in 2015, while that of the United States exceeded 100 billion yuan in 2014.
The reasons behind the industrial gap include the supply of physical therapy professionals and the difficulty in penetrating the concept of rehabilitation.
According to the statistics of the Chinese association of rehabilitation medicine, the proportion of rehabilitation doctors in the basic population in China was about 0.4:100,000 in 2015. According to the international union of physical medicine and rehabilitation, the number of rehabilitation therapists in Europe, America, Japan and other developed countries is generally 30 to 70 per 100,000 population.
However, the lack of rehabilitation talents leads to the difficulty in popularizing the scientific rehabilitation concept, which results in a series of fragmented online scientific popularization contents that are difficult to penetrate.
For example, "back pain, 1 action to complete", "three minutes, no trace of cervical spondylosis" and so on. But in fact, the forward posture of the neck is not caused by a single overtension of the shoulder and neck muscles. Because from the top down, straightening of the thoracic spine, or even pelvic tilting due to a high arched foot, is a potential cause of cervical compensatory tilting.
In general, the shortage of physiotherapy talents in China and the lack of scientific rehabilitation concept are the reasons why physiotherapy, a highly professional rehabilitation method, is difficult to get attention in China.
S ati physical therapy
When it comes to "physical therapy," more people may think of it as a way to recover from a major illness in a hospital or as a professional logistics team for NBA basketball players. But in the United States, physical therapy has become a mass-market business.
According to Harris Williams, an American investment bank, the physiotherapy industry is expanding at an annual rate of 7% and will reach nearly $50 billion in 2019.
The sheer size of the 16, 000 physical therapy facilities in the us and the highly fragmented market structure with less than 5 per cent corporate share may also mean that competition is pushing the business to expand rapidly.
■ the physical therapy industry in the United StatesSource: seeking alpha
In the fierce competition, ati physical therapy and us physical therapy, two head physical therapy institutions, adopt different operating strategies.
As a rehab sponsor for the indiana pacers, ati physical therapy focuses on workplace injuries, exercise prescriptions, and emerging hand therapy and women's health services. At the same time, focus on the development of "neighborhood" community clinics. Ati physical therapy achieves good user stickiness through frequent contact with users, and has opened nearly 600 stores in 10 years.
Compared with ati physical therapy, which mainly focuses on small community rehabilitation institutions, us physical therapy will be located in office buildings and shopping malls with dense population. Besides rehabilitation services, injury insurance and the acquisition of other institutions are its main business models. The physiotherapy company, which completed its ipo in 2016, is now worth $1.72 billion.
As you can see, the physiotherapy industry in the United States is diversifying its business model. However, on this basis, the perfect rehabilitation process under the medical insurance system and the scientific rehabilitation concept brought by formal talent training are needed to support.
S us physicaltherapy value
In 2002, the United States introduced the functional classification FGRS (function-related groups), which calculates the rehabilitation fee quota according to the level of dysfunction, age and complications of patients. In addition, medical insurance will pay the amount to rehabilitation institutions in advance, and the institutions can only get part of the amount if patients are transferred for treatment.
In addition, the three-tier system of on-demand referral also promotes efficient patient recovery. Doctors judge the injury level according to function independent measure, and assign patients to acute rehabilitation clinics or functional improvement and daily care institutions.
The rehabilitation process has been perfected enough to enable patients with rehabilitation needs in the United States to obtain the best physical therapy in the shortest time.
S functionindependent measure
Talent provides a strong guarantee for the physiotherapy industry in the United States. In the United States, every graduate receiving a physiotherapy education must pass the FSBPT licensing examination, the npte, to practice. In addition to the assessment of clinical analytical ability, npte also involves new technologies and concepts in the field of physiotherapy.
■npte examination categorySource: Chinese journal of rehabilitation medicine
Professional assessment ensures the quality of talent, while satisfactory salary and benefits prevent brain drain.
According to the labor department, the average salary for a physical therapist in the United States in 2018 was $87,000 a year, or $42 an hour. Between 2016 and 2026, the employment rate of physical therapists is expected to grow by 28%, well above the average for all occupations.
In general, the physical therapy industry is becoming a big business in the United States, as well as the sound medical care process system and high-quality talent introduction, all of which have proved that physical therapy is becoming an important trend in the United States.
■ physical therapist salaries in the United States
Centuries-old physical therapy has been shown to treat movement limitations caused by illness or injury, as well as pain problems. Physiotherapy may have great potential in China, a country with a large population.
It can be seen that, under the national fitness wave, the sports injury population of nearly 40 million people increases rapidly, as well as the sub-health trend of urban working population, which is the primary growth factor of physical therapy industry.
After the emergence of the basic user demand, the rehabilitation institutions for sports injury, shoulder, neck, waist and back rehabilitation therapy and other groups present development opportunities. In Shanghai, dianping search for "sports rehabilitation" has found more than 10 rehabilitation institutions that provide rehabilitation procedures including "palpation evaluation and program interpretation".
Capital concerns also allow us to see the possibility of expanding the physical therapy market. For example, a domestic sports rehabilitation equipment and services company, "demei medical", recently announced the completion of a series c financing of tens of millions of yuan. The sports rehabilitation clinic has a near perfect spine and has previously completed tens of millions of dollars in financing.
■ policies related to private capital running hospitals
On the basis of market expansion, some favorable policies for social capital to enter the medical service industry, as well as the training incentives for physical therapy talents, have also been issued successively.
Over the past 10 years, China has issued proposals to encourage private hospitals to meet diversified medical needs. In terms of talents, since the ministry of health formulated the basic standards of rehabilitation medicine in general hospitals, in addition to the increase in the admission rate of rehabilitation major in undergraduate colleges, there have also been incentive policies for rehabilitation training of on-the-job medical personnel.
In general, physical therapy, which may not be as effective as regular exercise, may be an important new health trend. But before it becomes a business, some basic rehabilitation philosophy, talent allocation and policy orientation may be the focus.
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