{"id":292,"date":"2017-03-13T10:56:50","date_gmt":"2017-03-13T09:56:50","guid":{"rendered":"https:\/\/kineoweb.fr\/kineoblog\/?p=292"},"modified":"2017-03-14T10:00:56","modified_gmt":"2017-03-14T09:00:56","slug":"activite-physique-sur-ordonnance","status":"publish","type":"post","link":"https:\/\/kineoweb.fr\/kineoblog\/activite-physique-sur-ordonnance\/","title":{"rendered":"Activit\u00e9 physique sur ordonnance"},"content":{"rendered":"

[et_pb_section bb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb header_font_size=\u00a0\u00bb30″ header_font_size_tablet=\u00a0\u00bb30″ header_font_size_phone=\u00a0\u00bb30″ header_letter_spacing=\u00a0\u00bb0″ header_letter_spacing_tablet=\u00a0\u00bb0″ header_letter_spacing_phone=\u00a0\u00bb0″ header_line_height=\u00a0\u00bb1″ header_line_height_tablet=\u00a0\u00bb1″ header_line_height_phone=\u00a0\u00bb1″ text_letter_spacing=\u00a0\u00bb0″ text_letter_spacing_tablet=\u00a0\u00bb0″ text_letter_spacing_phone=\u00a0\u00bb0″ text_line_height=\u00a0\u00bb1.7″ text_line_height_tablet=\u00a0\u00bb1.7″ text_line_height_phone=\u00a0\u00bb1.7″ border_width=\u00a0\u00bb1″]<\/p>\n

Depuis le 1er Mars 2017 l\u2019Activit\u00e9 Physique Adapt\u00e9e (APA) peut \u00eatre prescrite par les m\u00e9decins pour les patients atteints d\u2019une Affection de Longue Dur\u00e9e (ALD). Cette mesure, adopt\u00e9e \u00e0 l\u2019unanimit\u00e9 par les d\u00e9put\u00e9s il y a plus d\u2019un an, est inscrite au Journal Officiel par d\u00e9cret<\/a> depuis le 31 d\u00e9cembre 2016. Celui-ci d\u00e9finit les APAs ainsi que les conditions dans lesquelles elles sont dispens\u00e9es. Les modalit\u00e9s d’intervention et de restitution des informations au m\u00e9decin traitant sont \u00e9galement encadr\u00e9es par ce texte de loi.<\/p>\n

Sport sur ordonnance: objectif pr\u00e9vention sant\u00e9.<\/h2>\n

Le but de la mesure est de r\u00e9duire les facteurs de risque et les limitations fonctionnelles li\u00e9s \u00e0 l\u2019ALD en permettant d’adopter un mode de vie physiquement actif sur une base r\u00e9guli\u00e8re. L\u2019activit\u00e9 physique est ainsi int\u00e9gr\u00e9e dans le parcours de soin au profit des quelques 11 millions de personnes qui souffrent d\u2019une Affection de Longue Dur\u00e9e.<\/p>\n

L\u2019Activit\u00e9 Physique Adapt\u00e9e joue avant tout un r\u00f4le pr\u00e9ventif. Elle n\u2019est d\u2019ailleurs pas consid\u00e9r\u00e9e comme un acte de soin et ne peut pr\u00e9tendre \u00e0 une prise en charge par l\u2019assurance maladie. Cependant certaines mutuelles, associations ou collectivit\u00e9s locales peuvent en financer une partie. C\u2019est le cas par exemple de la ville de Strasbourg qui n\u2019a pas attendu la loi puisque depuis la mise en place du \u201csport sur ordonnance<\/a>\u201d fin 2012 la premi\u00e8re ann\u00e9e d\u2019activit\u00e9 physique est gratuite et les 2 ann\u00e9es suivantes financ\u00e9es proportionnellement selon les revenus du b\u00e9n\u00e9ficiaire.<\/p>\n

Qui sont les intervenants de l’Activit\u00e9 Physique Adapt\u00e9e?<\/h2>\n

Les professionnels de sant\u00e9 (Masseur-Kin\u00e9sith\u00e9rapeute, Ergoth\u00e9rapeute, Psychomotricien\u2026) sont \u00e9videmment les premiers concern\u00e9s. Le CNOMK a d\u2019ors et d\u00e9j\u00e0 lanc\u00e9 sa campagne de communication<\/a>\u00a0\u00e0 afficher dans les cabinets. Les m\u00e9decins traitants peuvent \u00e9galement orienter les patients atteint d\u2019une ALD vers les professionnels titulaires d\u2019un dipl\u00f4me ou, au minimum, d\u2019une certification de qualification dans le domaine de l\u2019APA.<\/p>\n

Pour favoriser le suivi et la transmission des informations entre intervenant et m\u00e9decin, le d\u00e9cret pr\u00e9conise un compte rendu r\u00e9gulier sur le d\u00e9roulement des activit\u00e9s physiques adapt\u00e9es. Les professionnels sportifs peuvent \u00e9mettre des pr\u00e9conisations quant \u00e0 la poursuite de l\u2019activit\u00e9 et aux risques inh\u00e9rents \u00e0 celles-ci. La communication se fait avec l\u2019accord et au travers du patient qui en est le destinataire.<\/p>\n

<\/h2>\n

[\/et_pb_text][et_pb_image admin_label=\u00a0\u00bbImage\u00a0\u00bb src=\u00a0\u00bbhttps:\/\/kineoweb.fr\/kineoblog\/wp-content\/uploads\/sites\/2\/2017\/03\/Activite-sportive-ALD.jpg\u00a0\u00bb show_in_lightbox=\u00a0\u00bboff\u00a0\u00bb url_new_window=\u00a0\u00bboff\u00a0\u00bb use_overlay=\u00a0\u00bboff\u00a0\u00bb animation=\u00a0\u00bbleft\u00a0\u00bb sticky=\u00a0\u00bboff\u00a0\u00bb align=\u00a0\u00bbleft\u00a0\u00bb force_fullwidth=\u00a0\u00bboff\u00a0\u00bb always_center_on_mobile=\u00a0\u00bbon\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb alt=\u00a0\u00bbprescription activit\u00e9 physique\u00a0\u00bb] [\/et_pb_image][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb header_font_size=\u00a0\u00bb30″ header_font_size_tablet=\u00a0\u00bb30″ header_font_size_phone=\u00a0\u00bb30″ header_letter_spacing=\u00a0\u00bb0″ header_letter_spacing_tablet=\u00a0\u00bb0″ header_letter_spacing_phone=\u00a0\u00bb0″ header_line_height=\u00a0\u00bb1″ header_line_height_tablet=\u00a0\u00bb1″ header_line_height_phone=\u00a0\u00bb1″ text_letter_spacing=\u00a0\u00bb0″ text_letter_spacing_tablet=\u00a0\u00bb0″ text_letter_spacing_phone=\u00a0\u00bb0″ text_line_height=\u00a0\u00bb1.7″ text_line_height_tablet=\u00a0\u00bb1.7″ text_line_height_phone=\u00a0\u00bb1.7″ border_width=\u00a0\u00bb1″]<\/p>\n

Tous les patients atteints d\u2019une ALD peuvent-ils b\u00e9n\u00e9ficier de ce syst\u00e8me?<\/h2>\n

Seuls les professionnels de sant\u00e9 peuvent prendre en charge les patients souffrant de \u201climitations fonctionnelles s\u00e9v\u00e8res\u201d. Celles-ci sont d\u00e9finies en annexe du d\u00e9cret pour les fonctions locomotrices, c\u00e9r\u00e9brales et sensorielles. La prise en compte de la douleur est \u00e9galement un facteur de restriction quand elle est \u201cconstante avec ou sans activit\u00e9\u201d.<\/p>\n

Lorsque les conditions du patient s\u2019am\u00e9liorent seuls les professionnels titulaires d\u2019un dipl\u00f4me dans le domaine de l\u2019APA peuvent intervenir en compl\u00e9ment du professionnel de sant\u00e9.<\/p>\n

En dehors de ces restrictions le m\u00e9decin r\u00e9f\u00e9rent pourra prescrire au travers d\u2019un formulaire sp\u00e9cifique (qui n\u2019est pas une ordonnance m\u00e9dicale) une activit\u00e9 physique adapt\u00e9e en ad\u00e9quation avec la condition et les pr\u00e9f\u00e9rences du patient.<\/p>\n

Une mesure sous forme de bon \u00e9chauffement.<\/h2>\n

La reconnaissance de la compl\u00e9mentarit\u00e9 entre les professionnels de sant\u00e9 et du sport est un premier pas pour les personnes atteintes d\u2019une ALD. Cependant le financement ne peut se faire qu\u2019au bon vouloir d\u2019associations ou de collectivit\u00e9s. Une offre de prise en charge se d\u00e9veloppe aussi avec des organismes priv\u00e9s. Le risque est donc d\u2019accro\u00eetre les in\u00e9galit\u00e9s sociales de sant\u00e9.<\/p>\n

La mise en application est \u00e9galement chronophage pour les m\u00e9decins g\u00e9n\u00e9ralistes (\u00e9valuations, cr\u00e9ation d\u2019un r\u00e9seau de correspondants…). Heureusement ils pourront compter sur les kin\u00e9sith\u00e9rapeutes pour les accompagner avec le \u201cbilan kin\u00e9\u201d et sur les professionnels du sport pour se faire conna\u00eetre.<\/p>\n

C\u2019est donc une bonne base qui a ses limites, peut-\u00eatre le d\u00e9but du chemin vers un syst\u00e8me organis\u00e9 et financ\u00e9….<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Depuis le 1er Mars 2017 l\u2019Activit\u00e9 Physique Adapt\u00e9e (APA) peut \u00eatre prescrite par les m\u00e9decins pour les patients atteints d\u2019une Affection de Longue Dur\u00e9e (ALD). Cette mesure, adopt\u00e9e \u00e0 l\u2019unanimit\u00e9 par les d\u00e9put\u00e9s il y a plus d\u2019un an, est inscrite au Journal Officiel par d\u00e9cret depuis le 31 d\u00e9cembre 2016. Celui-ci d\u00e9finit les APAs […]<\/p>\n","protected":false},"author":7,"featured_media":295,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite"],"yoast_head":"\nActivit\u00e9 physique sur ordonnance enfin effective - Kin\u00e9Oblog<\/title>\n<meta name=\"description\" content=\"La prescription d'une Activit\u00e9 Physique Adapt\u00e9e concerne 11 millions de personnes atteintes d'une Affection de Longue Dur\u00e9e.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineoweb.fr\/kineoblog\/activite-physique-sur-ordonnance\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Activit\u00e9 physique sur ordonnance enfin effective - 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