{"id":6644,"date":"2023-06-21T14:40:02","date_gmt":"2023-06-21T14:40:02","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/sustainable-healthcare-and-environmental-physiotherapy-fr\/"},"modified":"2023-06-21T17:08:59","modified_gmt":"2023-06-21T17:08:59","slug":"sustainable-healthcare-and-environmental-physiotherapy-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/sustainable-healthcare-and-environmental-physiotherapy-fr\/","title":{"rendered":"La sant\u00e9 durable en physioth\u00e9rapie environnementale"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>\u00c9diteur original <\/b>&#8211; <a href=\"\/User:Stacy_Schiurring\" title=\"User:Stacy Schiurring\">Stacy Schiurring<\/a> \u00e0 partir du cours de <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/srishti-banerjee\/\">Srishti Banerjee<\/a><br \/>\n<b>Principaux contributeurs<\/b>  &#8211;  <a href=\"\/User:Stacy_Schiurring\" class=\"mw-userlink\" title=\"User:Stacy Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a>,  <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a>,  <a href=\"\/User:Wanda_van_Niekerk\" class=\"mw-userlink\" title=\"User:Wanda van Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>,  <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a> et <a href=\"\/User:Lucinda_hampton\" class=\"mw-userlink\" title=\"User:Lucinda hampton\"><bdi>Lucinda Hampton<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Sustainable_Healthcare\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">La sant\u00e9 durable<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Healthcare's_Carbon_Footprint\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">L&#8217;empreinte carbone des soins de sant\u00e9<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Sources_of_Healthcare%E2%80%99s_Carbon_Footprint\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">Les sources de l&#8217;empreinte carbone des soins de sant\u00e9<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Threats_to_Sustainability_by_Healthcare\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">Ce qui menace la durabilit\u00e9 des soins de sant\u00e9 <\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Physiotherapy_as_a_Sustainable_Alternative\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">La physioth\u00e9rapie, une alternative durable<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Hospital%E2%80%99s_Carbon_Footprint_and_Pre-operative_Physiotherapy\"><span class=\"tocnumber\">2.2.1<\/span> <span class=\"toctext\">L&#8217;empreinte carbone de l&rsquo;h\u00f4pital et la physioth\u00e9rapie pr\u00e9op\u00e9ratoire<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#NSAIDs_and_Physiotherapy_Pain_Management\"><span class=\"tocnumber\">2.2.2<\/span> <span class=\"toctext\">Les AINS et le traitement de la douleur en physioth\u00e9rapie<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Conclusion\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Conclusion<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Resources\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/eb\/E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\/400px-E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\" decoding=\"async\" width=\"400\" height=\"309\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/eb\/E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\/600px-E_2018_SDG_Poster_without_UN_emblem_Letter_US.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/eb\/E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\/800px-E_2018_SDG_Poster_without_UN_emblem_Letter_US.png 2x\" data-file-width=\"1650\" data-file-height=\"1275\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:E_2018_SDG_Poster_without_UN_emblem_Letter_US.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Objectifs de d\u00e9veloppement durable des Nations unies<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Le <a href=\"\/Climate_Change\" title=\"Climate Change\">changement climatique<\/a> et le d\u00e9veloppement durable sont au c\u0153ur de l&rsquo;actualit\u00e9. Le Royaume-Uni a accueilli la 26e Conf\u00e9rence des Nations unies sur le changement climatique (COP26) \u00e0 Glasgow en 2021, dans le but d&rsquo;acc\u00e9l\u00e9rer les actions visant \u00e0 atteindre les objectifs de l&rsquo;Accord de Paris et de la Convention des Nations unies sur les changements climatiques.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>Selon les Nations unies, nous assistons \u00e0 un r\u00e9chauffement climatique acc\u00e9l\u00e9r\u00e9 d\u00fb aux activit\u00e9s humaines, principalement la combustion de carburants fossiles, qui g\u00e9n\u00e8rent des \u00e9missions de gaz \u00e0 effet de serre. <\/li>\n<li>La concentration accrue de gaz \u00e0 effet de serre tels que le dioxyde de carbone et le m\u00e9thane dans notre atmosph\u00e8re isole la terre, emprisonnant la chaleur du soleil et augmentant les temp\u00e9ratures moyennes mondiales. <sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Cliquez ici pour en savoir plus sur le <a href=\"\/Climate_Change\" title=\"Climate Change\">changement climatique<\/a>.<\/li>\n<\/ul>\n<p>Les <a href=\"\/Sustainable_Development_Goals\" title=\"Sustainable Development Goals\">objectifs de d\u00e9veloppement durable<\/a> (ODD) \u00e0 l&rsquo;Agenda 2030 des Nations unies appellent \u00e0 la \u00ab\u00a0mobilisation de toutes les ressources disponibles, \u00e0 la participation de tous les pays, de toutes les parties prenantes et de tous les peuples\u00a0\u00bb pour \u0153uvrer en faveur d&rsquo;un avenir plus durable. Pour les professions de sant\u00e9, incluant les physioth\u00e9rapeutes, il s&rsquo;agit l\u00e0 d&rsquo;un appel \u00e0 l&rsquo;int\u00e9gration des consid\u00e9rations de durabilit\u00e9 dans les routines et les pratiques quotidiennes.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Sustainable_Healthcare\">La sant\u00e9 durable <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sustainable Healthcare\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=2\" title=\"Edit section: Sustainable Healthcare\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<blockquote><p><i>\u00ab\u00a0Syst\u00e8me qui am\u00e9liore, maintient ou restaure la sant\u00e9 tout en minimisant les impacts n\u00e9gatifs sur l&rsquo;environnement et en exploitant les possibilit\u00e9s de le restaurer et de l&rsquo;am\u00e9liorer, au b\u00e9n\u00e9fice de la sant\u00e9 et du bien-\u00eatre des g\u00e9n\u00e9rations actuelles et futures\u201d &#8211; D\u00e9finition de l&rsquo;OMS de la sant\u00e9 durable<\/i><\/p><\/blockquote>\n<p>Le r\u00f4le du praticien lorsqu&rsquo;il fournit des soins de sant\u00e9 durables est de faire ce qui suit :<\/p>\n<ul>\n<li>Prescrire des interventions th\u00e9rapeutiques ou diagnostiques en gardant \u00e0 l&rsquo;esprit la sant\u00e9 environnementale tout en prenant soin de la sant\u00e9 d&rsquo;un individu.<\/li>\n<li>La mesure de l&#8217;empreinte carbone permet de d\u00e9terminer si une intervention est durable ou non.<sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Healthcare.27s_Carbon_Footprint\"><\/span><span class=\"mw-headline\" id=\"Healthcare's_Carbon_Footprint\">L&#8217;empreinte carbone des soins de sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Healthcare's Carbon Footprint\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=3\" title=\"Edit section: Healthcare's Carbon Footprint\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Selon les Nations unies, l&rsquo;<b>empreinte carbone<\/b> est d\u00e9termin\u00e9e par la quantit\u00e9 de gaz \u00e0 effet de serre (GES) contenant du carbone, notamment le dioxyde de carbone et le m\u00e9thane, rejet\u00e9e dans l&rsquo;environnement par une activit\u00e9, un processus, un individu ou un groupe, g\u00e9n\u00e9ralement exprim\u00e9e en kilogrammes de dioxyde de carbone. Les GES peuvent \u00eatre \u00e9mis par la combustion de carburant fossiles, le d\u00e9frichement et la production ainsi que la consommation d&rsquo;aliments, de produits manufactur\u00e9s, de mat\u00e9riaux, de bois, de routes, de b\u00e2timents, de transports et d&rsquo;autres services.<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<p>Qu&rsquo;est-ce que l&#8217;empreinte carbone ? La vid\u00e9o suivante, d&rsquo;une dur\u00e9e de 2 minutes, offre une explication simple.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/8q7_aV8eLUE?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h4><span id=\"Sources_of_Healthcare.E2.80.99s_Carbon_Footprint\"><\/span><span class=\"mw-headline\" id=\"Sources_of_Healthcare\u2019s_Carbon_Footprint\">Les sources de l&#8217;empreinte carbone des soins de sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sources of Healthcare\u2019s Carbon Footprint\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=4\" title=\"Edit section: Sources of Healthcare\u2019s Carbon Footprint\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ol>\n<li>\u00c9missions directes\n<ul>\n<li><i>La consommation d&rsquo;\u00e9nergie <\/i>: utilisation de l&rsquo;\u00e9lectricit\u00e9 dans les h\u00f4pitaux et les cliniques pour alimenter les \u00e9quipements de diagnostic<\/li>\n<li><i>Le transport <\/i>: d&rsquo;un patient par ambulance ou h\u00e9licopt\u00e8re, de mat\u00e9riel m\u00e9dical, de literie, de produits pharmaceutiques, etc.<\/li>\n<li><i>La fabrication de produits <\/i>: tous les produits n\u00e9cessaires aux soins de sant\u00e9<\/li>\n<li><i>L&rsquo;utilisation et l&rsquo;\u00e9limination des produits <\/i>: pr\u00e9paration des aliments dans les h\u00f4pitaux, proc\u00e9dures chirurgicales, dispositifs de surveillance utilis\u00e9s pendant le s\u00e9jour d&rsquo;un patient \u00e0 l&rsquo;h\u00f4pital ou lors d&rsquo;une proc\u00e9dure ambulatoire. L&rsquo;\u00e9limination des d\u00e9chets m\u00e9dicaux soit dans des d\u00e9charges, soit dans des incin\u00e9rateurs, chacun ayant son propre prix en termes d&rsquo;\u00e9missions de carbone<\/li>\n<\/ul>\n<\/li>\n<li>\u00c9missions indirectes : proviennent de l&rsquo;\u00e9lectricit\u00e9, de la vapeur, des syst\u00e8mes de refroidissement et de chauffage <sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<p>Comment les \u00e9missions de gaz \u00e0 effet de serre d&rsquo;une organisation sont-elles surveill\u00e9es et mesur\u00e9es ? Cette vid\u00e9o de 5 minutes explique comment cela se fait dans le monde des affaires, mais les informations pr.sent\u00e9es peuvent \u00eatre appliqu\u00e9es aux soins de sant\u00e9.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/q8VMsHKcywg?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Threats_to_Sustainability_by_Healthcare\">Ce qui menace la durabilit\u00e9 des soins de sant\u00e9 <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Threats to Sustainability by Healthcare\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=5\" title=\"Edit section: Threats to Sustainability by Healthcare\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ol>\n<li>La pollution caus\u00e9e par l&rsquo;\u00e9limination des d\u00e9chets plastiques<\/li>\n<li>L&rsquo;\u00e9limination inad\u00e9quate des d\u00e9chets biom\u00e9dicaux, en particulier lorsqu&rsquo;ils atteignent nos cours d&rsquo;eau<\/li>\n<li>L&rsquo;utilisation excessive de produits pharmaceutiques et leur effet polluant sur nos environnements aquatiques par le biais des eaux us\u00e9es <sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<h3><span class=\"mw-headline\" id=\"Physiotherapy_as_a_Sustainable_Alternative\">La physioth\u00e9rapie, une alternative durable <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy as a Sustainable Alternative\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=6\" title=\"Edit section: Physiotherapy as a Sustainable Alternative\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La physioth\u00e9rapie est unique dans les syst\u00e8mes de soins de sant\u00e9 ; elle utilise la communication avec le patient, la palpation, les tests physiques sp\u00e9ciaux et l&rsquo;\u00e9valuation des mouvements pour le diagnostic et le traitement des d\u00e9ficiences. La physioth\u00e9rapie repose donc moins sur l&rsquo;utilisation de tests de diagnostic ou d&rsquo;\u00e9quipements consommateurs d&rsquo;\u00e9nergie de plus grande empreinte carbone.<sup id=\"cite_ref-:1_4-3\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Pour illustrer comment la physioth\u00e9rapie peut \u00eatre une alternative durable aux syst\u00e8mes de sant\u00e9 actuels, nous examinerons deux sujets plus en d\u00e9tail : comment la physioth\u00e9rapie pr\u00e9op\u00e9ratoire peut r\u00e9duire l&#8217;empreinte carbone des h\u00f4pitaux, et comment la physioth\u00e9rapie peut \u00eatre une alternative aux <a href=\"\/NSAIDs\" title=\"NSAIDs\">anti-inflammatoires non st\u00e9ro\u00efdiens<\/a> (AINS) dans la gestion de la douleur.<\/p>\n<h4><span id=\"Hospital.E2.80.99s_Carbon_Footprint_and_Pre-operative_Physiotherapy\"><\/span><span class=\"mw-headline\" id=\"Hospital\u2019s_Carbon_Footprint_and_Pre-operative_Physiotherapy\">L&#8217;empreinte carbone des h\u00f4pitaux et la physioth\u00e9rapie pr\u00e9op\u00e9ratoire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Hospital\u2019s Carbon Footprint and Pre-operative Physiotherapy\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=7\" title=\"Edit section: Hospital\u2019s Carbon Footprint and Pre-operative Physiotherapy\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>De nouvelles \u00e9tudes sugg\u00e8rent que l&#8217;empreinte carbone du syst\u00e8me mondial de soins de sant\u00e9 repr\u00e9sente environ 4,4 % des \u00e9missions nettes de gaz \u00e0 effet de serre, soit jusqu&rsquo;\u00e0 deux gigatonnes de dioxyde de carbone.<sup id=\"cite_ref-:1_4-4\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Une \u00e9tude r\u00e9alis\u00e9e en 2020 par Karliner et al. indique que \u00ab\u00a0si les soins de sant\u00e9 mondiaux \u00e9taient un pays, ils seraient le cinqui\u00e8me plus grand \u00e9metteur de gaz \u00e0 effet de serre au monde\u00a0\u00bb.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<p>Combien repr\u00e9sente une tonne de dioxyde de carbone ? Comment les \u00e9missions de GES sont-elles calcul\u00e9es ? Regardez cette vid\u00e9o de moins de 2 minutes pour voir un exemple de ce qui se fait au Canada :<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/EBNBSLRDFdg?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/p>\n<p>L&rsquo;infrastructure de base d&rsquo;un h\u00f4pital peut produire une empreinte carbone importante. Cette infrastructure comprend l&rsquo;\u00e9lectricit\u00e9 et les biens m\u00e9dicaux durables utilis\u00e9s quotidiennement :<\/p>\n<ul>\n<li> <i>L&rsquo;\u00e9lectricit\u00e9<\/i> : sert \u00e0 tout alimenter, des besoins de base tels que l&rsquo;\u00e9clairage, les ordinateurs, la climatisation et le chauffage, aux appareils m\u00e9dicaux plus complexes et aux syst\u00e8mes de surveillance<\/li>\n<li> <i> Le diagnostic m\u00e9dical <\/i>: incluant les \u00e9quipements m\u00e9dicaux tels que les appareils d&rsquo;imagerie. L&#8217;empreinte carbone de ces appareils comprend l&rsquo;\u00e9nergie n\u00e9cessaire \u00e0 leur fonctionnement, l&rsquo;\u00e9nergie et les ressources n\u00e9cessaires \u00e0 leur construction et \u00e0 leur fabrication, ainsi que le transport, parfois international, pour les livrer \u00e0 l&rsquo;h\u00f4pital<\/li>\n<li> <i> Les proc\u00e9dures chirurgicales :<\/i> incluant l&rsquo;\u00e9lectricit\u00e9 pour faire fonctionner la salle, les instruments de chirurgie et de diagnostic, l&rsquo;autoclave pour pr\u00e9parer l&rsquo;installation chirurgicale, l&#8217;empreinte de toutes les fournitures st\u00e9riles \u00e0 usage unique et l&#8217;empreinte du transport de l&rsquo;ensemble du personnel chirurgical et de soutien<\/li>\n<li> <i> Le s\u00e9jour postop\u00e9ratoire du patient \u00e0 l&rsquo;h\u00f4pital <\/i>: incluant toute l&rsquo;\u00e9lectricit\u00e9 n\u00e9cessaire pour faire fonctionner l&rsquo;h\u00f4pital et les \u00e9quipements de surveillance, pr\u00e9parer les repas, laver la literie, transporter le personnel <sup id=\"cite_ref-:1_4-5\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<p>Au vu de la litt\u00e9rature existante, il est important de consid\u00e9rer le potentiel de la physioth\u00e9rapie pr\u00e9op\u00e9ratoire dans la r\u00e9duction de l&#8217;empreinte carbone des h\u00f4pitaux. M\u00eame avec l&rsquo;av\u00e8nement des ressources renouvelables, telles que l&rsquo;\u00e9nergie solaire, la forte demande en \u00e9nergie des h\u00f4pitaux les gardera d\u00e9pendants de la consommation de combustibles fossiles, alourdissant leur empreinte carbone. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9) <\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Avec des interventions th\u00e9rapeutiques pr\u00e9op\u00e9ratoires, la physioth\u00e9rapie peut \u00eatre utilis\u00e9e afin de r\u00e9duire la dur\u00e9e du s\u00e9jour hospitalier d&rsquo;un patient lors de chirurgies planifi\u00e9es. La physioth\u00e9rapie pr\u00e9op\u00e9ratoire favorise un r\u00e9tablissement rapide, et donc des s\u00e9jours hospitaliers plus courts. Une dur\u00e9e de s\u00e9jour plus courte r\u00e9duira l&#8217;empreinte carbone globale du patient pendant son s\u00e9jour \u00e0 l&rsquo;h\u00f4pital. Voici quelques exemples tir\u00e9s de la litt\u00e9rature :<\/p>\n<ol>\n<li>Il a \u00e9t\u00e9 d\u00e9montr\u00e9 que le recours \u00e0 la r\u00e9adaptation multidisciplinaire pr\u00e9op\u00e9ratoire pour am\u00e9liorer la capacit\u00e9 fonctionnelle du patient, l&rsquo;\u00e9ducation aux attentes de l&rsquo;h\u00f4pital et la planification pr\u00e9coce de sa sortie r\u00e9duisent la dur\u00e9e de s\u00e9jour \u00e0 l&rsquo;h\u00f4pital apr\u00e8s une arthroplastie du genou ou de la hanche de 10,5 \u00e0 6,5 jours.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Les patients participant \u00e0 des exercices respiratoires pr\u00e9op\u00e9ratoires sous la direction d&rsquo;un physioth\u00e9rapeute pr\u00e9sentaient moins de complications respiratoires et avaient une dur\u00e9e de s\u00e9jour globalement plus courte, 9,6\u00b13,2 jours contre 13\u00b15 jours, apr\u00e8s un pontage aortocoronarien.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/li>\n<\/ol>\n<h4><span class=\"mw-headline\" id=\"NSAIDs_and_Physiotherapy_Pain_Management\">Les AINS et le traitement de la douleur en physioth\u00e9rapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: NSAIDs and Physiotherapy Pain Management\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=8\" title=\"Edit section: NSAIDs and Physiotherapy Pain Management\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Les AINS sont prescrits pour traiter des douleurs l\u00e9g\u00e8res \u00e0 mod\u00e9r\u00e9es. Ils font partie des m\u00e9dicaments les plus couramment prescrits dans le monde en raison de leur grande efficacit\u00e9 et de leur faible potentiel de d\u00e9pendance.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup> Les AINS les plus couramment prescrits comprennent le diclof\u00e9nac, l&rsquo;ibuprof\u00e8ne et le naprox\u00e8ne, qui figurent parmi les dix polluants pharmacologiques les plus persistants, repr\u00e9sentant plus de 15 % de tous les produits pharmaceutiques d\u00e9tect\u00e9s dans les environnements aquatiques. En tant que produits pharmaceutiques consomm\u00e9s par voie orale, les AINS sont ing\u00e9r\u00e9s, m\u00e9tabolis\u00e9s et excr\u00e9t\u00e9s par le corps humain avant d&rsquo;arriver dans les stations d&rsquo;\u00e9puration et finalement dans les rivi\u00e8res, les lacs et les oc\u00e9ans. <sup id=\"cite_ref-:1_4-6\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>La vid\u00e9o suivante, d&rsquo;une dur\u00e9e de 4 minutes, explique comment les produits pharmaceutiques voyagent \u00e0 travers le cycle de l&rsquo;eau de la plan\u00e8te. Il est surprenant de constater \u00e0 quel point ils peuvent affecter la qualit\u00e9 de vie de l&rsquo;homme.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/lAc4qExVGNg?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<p>Les AINS ont des effets toxiques sur diverses formes de vie aquatique, notamment les poissons, les mollusques et les crustac\u00e9s. Ces m\u00e9dicaments perturbent l&rsquo;hom\u00e9ostasie m\u00e9tabolique des animaux cibl\u00e9s, qui \u00e0 leur tour perturbent l&rsquo;ensemble de l&rsquo;\u00e9cosyst\u00e8me. Les AINS induisent un stress oxydatif dans la vie aquatique qui provoque des alt\u00e9rations de l&rsquo;activit\u00e9 <a href=\"\/Enzymes\" title=\"Enzymes\">enzymatique<\/a> et des changements dans la transcription des <a href=\"\/Genetic_Conditions_and_Inheritance\" title=\"Genetic Conditions and Inheritance\">g\u00e8nes<\/a>.<\/p>\n<ul>\n<li><i>Diclof\u00e9nac <\/i>: module les g\u00e8nes des poissons qui affectent la capacit\u00e9 des reins \u00e0 se r\u00e9parer et \u00e0 se r\u00e9g\u00e9n\u00e9rer, affecte la fonction des branchies et du foie, modifie le comportement alimentaire et affecte la gam\u00e9togen\u00e8se, ce qui limite la capacit\u00e9 de l&rsquo;esp\u00e8ce \u00e0 se reproduire. Le diclof\u00e9nac provoque \u00e9galement des troubles du d\u00e9veloppement et des malformations chez les poissons<\/li>\n<li><i>Naproxen<\/i>: affecte l&rsquo;expression des g\u00e8nes antioxydants dans l&rsquo;intestin des poissons<\/li>\n<li><i>Ibuprof\u00e8ne<\/i>: affecte la production d&rsquo;\u0153ufs des poisson et leur capacit\u00e9 \u00e0 \u00e9clore<\/li>\n<li><i>Ac\u00e9taminoph\u00e8ne<\/i>: a un effet immunosuppresseur sur le <a href=\"\/Immune_System\" title=\"Immune System\">syst\u00e8me immunitaire<\/a> des poissons <sup id=\"cite_ref-:1_4-7\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> <sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<p>La physioth\u00e9rapie peut \u00eatre une alternative durable dans le traitement de la douleur. Il est possible d&rsquo;am\u00e9liorer les plaintes subjectives de douleur sans utiliser d&rsquo;AINS gr\u00e2ce \u00e0 des interventions en physioth\u00e9rapie. Les AINS oraux sont connus pour avoir un large \u00e9ventail d&rsquo;effets secondaires n\u00e9gatifs directs sur la sant\u00e9 humaine, notamment l&rsquo;augmentation du risque d&rsquo;\u00e9v\u00e9nements ind\u00e9sirables dans le <a href=\"\/NSAID_Gastropathy\" title=\"NSAID Gastropathy\">tractus gastro-intestinal<\/a> (perforation, ulc\u00e8res, h\u00e9morragie), le <a href=\"\/Cardiovascular_System\" title=\"Syst\u00e8me cardiovasculaire\">syst\u00e8me cardiovasculaire <\/a><a href=\"\/Myocardial_Infarction\" title=\"Myocardial Infarction\">(infarctus du myocarde<\/a>, <a href=\"\/Heart_Failure\" title=\"Heart Failure\">insuffisance cardiaque<\/a>, <a href=\"\/Hypertension\" title=\"Hypertension\">hypertension<\/a>), le foie et les <a href=\"\/Kidney\" title=\"Kidney\">reins<\/a>. <sup id=\"cite_ref-:1_4-8\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Les effets limit\u00e9s des AINS sur la r\u00e9duction de la douleur et leurs divers effets n\u00e9gatifs sur la sant\u00e9 humaine, aquatique et des \u00e9cosyst\u00e8mes rendent \u00e9vidente la n\u00e9cessit\u00e9 de trouver des alternatives durables pour r\u00e9duire les douleurs musculo-squelettiques l\u00e9g\u00e8res \u00e0 mod\u00e9r\u00e9es. Bien que des recherches suppl\u00e9mentaires soient n\u00e9cessaires \u00e0 cet \u00e9gard, de plus en plus d&rsquo;\u00e9l\u00e9ments sugg\u00e8rent que la physioth\u00e9rapie est mieux tol\u00e9r\u00e9e et au moins aussi efficace que les AINS dans le traitement des douleurs musculo-squelettiques l\u00e9g\u00e8res \u00e0 mod\u00e9r\u00e9es pour une vari\u00e9t\u00e9 de conditions.<sup id=\"cite_ref-:1_4-9\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Les interventions de traitement physioth\u00e9rapeutique suivantes disposent de preuves de plus en plus nombreuses pour soutenir leur utilisation dans la gestion de la douleur musculo-squelettique :<\/p>\n<ul>\n<li><a href=\"\/Kinesio_Taping\" title=\"Kinesio Taping\">Le taping kinesiologique <\/a><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16) <\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17) <\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li><a href=\"\/Neurodynamics\" title=\"Neurodynamics\">La mobilisation neurale <\/a><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li><a href=\"\/Posture\" title=\"Posture\">L&rsquo;am\u00e9lioration de la posture <\/a><sup id=\"cite_ref-:2_20-0\" class=\"reference\"><a href=\"#cite_note-:2-20\">(20)<\/a><\/sup><\/li>\n<li><a href=\"\/Massage\" title=\"Massage\">Le massage <\/a><sup id=\"cite_ref-:1_4-10\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> et les diff\u00e9rents types de lib\u00e9ration myofasciale <sup id=\"cite_ref-:2_20-1\" class=\"reference\"><a href=\"#cite_note-:2-20\">(20)<\/a><\/sup><\/li>\n<li>Les programmes d&rsquo;<a href=\"\/Therapeutic_Exercise_Prescription:_Epigenetic_and_Healthy_Ageing\" title=\"Therapeutic Exercise Prescription: Epigenetic and Healthy Ageing\">exercices th\u00e9rapeutiques<\/a> <sup id=\"cite_ref-:2_20-2\" class=\"reference\"><a href=\"#cite_note-:2-20\">(20) <\/a><\/sup><sup id=\"cite_ref-:3_21-0\" class=\"reference\"><a href=\"#cite_note-:3-21\">(21)<\/a><\/sup><\/li>\n<li><a href=\"\/Cognitive_Behavioural_Therapy\" title=\"Cognitive Behavioural Therapy\">La th\u00e9rapie cognitivo-comportementale <\/a><sup id=\"cite_ref-:2_20-3\" class=\"reference\"><a href=\"#cite_note-:2-20\">(20) <\/a><\/sup><sup id=\"cite_ref-:3_21-1\" class=\"reference\"><a href=\"#cite_note-:3-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Conclusion\">Conclusion<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=9\" title=\"Edit section: Conclusion\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La recherche quotidienne montre \u00e0 quel point toutes les formes de vie sur Terre sont interconnect\u00e9es et comment les \u00eatres humains alt\u00e8rent l&rsquo;\u00e9quilibre d\u00e9licat de notre plan\u00e8te en raison de la pollution et du r\u00e9chauffement climatique. En travaillant \u00e0 la r\u00e9alisation des objectifs de d\u00e9veloppement durable (ODD) de l&rsquo;ONU, il est possible d&rsquo;am\u00e9liorer la vie sur notre plan\u00e8te pour tous les \u00eatres vivants. Le syst\u00e8me de sant\u00e9 doit s&rsquo;efforcer de r\u00e9duire son empreinte carbone en se tournant vers les ressources renouvelables lorsque cela est possible et am\u00e9liorer l&rsquo;efficacit\u00e9 des soins aux patients afin de r\u00e9duire la n\u00e9cessit\u00e9 d&rsquo;une admission \u00e0 l&rsquo;h\u00f4pital et la dur\u00e9e moyenne de s\u00e9jour des patients. En outre, le syst\u00e8me de sant\u00e9 doit r\u00e9\u00e9valuer sa d\u00e9pendance \u00e0 l&rsquo;\u00e9gard de la <a href=\"\/Pain_Medications\" title=\"Pain Medications\">m\u00e9dication analg\u00e9sique<\/a> dans le traitement de la douleur et se tourner vers des options plus durables. La physioth\u00e9rapie peut contribuer \u00e0 r\u00e9pondre \u00e0 ces deux besoins. Des recherches suppl\u00e9mentaires sont n\u00e9cessaires pour renforcer le r\u00f4le de la physioth\u00e9rapie en tant qu&rsquo;alternative durable aux AINS.<\/p>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=10\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><b>Articles connexes :<\/b><\/p>\n<ul>\n<li><a href=\"\/Active_Transportation_and_Planetary_Health\" title=\"Transport actif et sant\u00e9 plan\u00e9taire\">Transport actif et sant\u00e9 plan\u00e9taire<\/a><\/li>\n<li><a href=\"\/Environmental_Physiotherapy_Project\" title=\"Environmental Physiotherapy Project\">Environmental Physiotherapy Project<\/a><\/li>\n<li><a href=\"\/Indigenous_Ways_of_Life,_The_Environment_and_Physiotherapy\" title=\"Indigenous Ways of Life, The Environment and Physiotherapy\">Indigenous Ways of Life, The Environment and Physiotherapy<\/a><\/li>\n<li><a href=\"\/Waste_Reduction_in_Acupuncture\" title=\"Waste Reduction in Acupuncture\">Waste Reduction in Acupuncture<\/a><\/li>\n<\/ul>\n<p><b>De plus, vous pouvez visionner :<\/b><\/p>\n<ul>\n<li>For deeper discussion on environmental physiotherapy, please view this <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.youtube.com\/watch?v=u5UBzqGdcO8&amp;t=40s\">webinar<\/a> by Dr. Filip Maric, PT.<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Sustainable_Healthcare_and_Environmental_Physiotherapy&amp;action=edit&amp;section=11\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">United Nations. UN Climate Change Conference UK 2021. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/ukcop26.org\">https:\/\/ukcop26.org<\/a> (accessed 15\/11\/2021).<\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">United Nations. Global Issues, Climate Change. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.un.org\/en\/global-issues\/climate-change\">https:\/\/www.un.org\/en\/global-issues\/climate-change<\/a> (accessed 15\/11\/2021).<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Maric, F., Groven, K.S., Banerjee, S. &amp; Dahl-Michelsen, T. (2021). <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.fysioterapeuten.no\/fagfellevurdert-sustainable-physiotherapy\/essentials-for-sustainable-physiotherapy-introducing-environmental-reasoning-into-physiotherapy-clinical-decision-making\/131740\">Essentials for sustainable physiotherapy: Introducing environmental reasoning into physiotherapy clinical decision-making<\/a>. Fysioterapeuten, 4\/21.<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-2\">4.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-3\">4.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-4\">4.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-5\">4.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-6\">4.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-7\">4.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-8\">4.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-9\">4.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-10\">4.10<\/a><\/sup><\/span> <span class=\"reference-text\">Banerjee, S, Sustainable Healthcare. Sustainable Healthcare and Environmental Physiotherapy. Plus. November 2021.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Youtube. Simpleshow Explains the Carbon Footprint. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=8q7_aV8eLUE\">https:\/\/www.youtube.com\/watch?v=8q7_aV8eLUE<\/a> (accessed 18\/11\/2021).<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Youtube. Scope of GHG emissions Explained. 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