Rehabilitation Programs Instead of Sports Rehabilitation
Sports rehabilitation and rehabilitation in a rehabilitation facility are two different things.
It is an unfortunate development that sports rehabilitation is increasingly prescribed instead of rehabilitation programs. The statutory health insurances pay for sports rehabilitation about 5 euros per session, up to a maximum of 50 session. These sessions focus on group-dynamic exercises intended to promote social contacts among group members.
To be able to address individual conditions which still need to be treated, targeted prescription of physiotherapy, physiotherapy on resistance machines as well as sequential training are available. However, exactly these measures are not covered by sports rehabilitation. The article is somewhat misleading as it does not mention certain effective measures, such as rehabilitation provided by a team of physicians, physiotherapists and sports scientists, as well as the use of sequential training. Many community-based physicians are concerned about their budget and rather prescribe sports rehabilitation instead of physiotherapy on resistance machines and “D1”. Likewise, not enough use is made of the possibility to apply for a rehabilitation measure using template 61, which any statutory health insurance physician can do.
Dr. med. Frank Brons
Reha am Kaifu, Hamburg, Germany
Conflict of interest statement
The author is an orthopedist in a rehabilitation center.
|1.||Beck H, Beyer F, Gering F, et al.: Sports therapy interventions following total hip replacement—a randomized controlled trial. Dtsch Arztebl Int 2019; 116: 1–8 VOLLTEXT|