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AbstractIntroductionObjectivesMethodsResultsConclusionPlanetary health is deteriorating rapidly and climate change is one of the core boundaries for planetary health. Climate change is associated with worsening human health and physiotherapists are involved in managing its downstream effects on patients. Meanwhile, health care is a significant contributor to global carbon emissions.Identify and map the existing literature that explores the relationship between physiotherapy and planetary health.Four databases and grey literature were systematically searched. Material was eligible if it explored physiotherapy theory or practice related to a change in the environment. Two independent reviewers screened article title and abstracts, then assessed the full-text for eligibility for inclusion. Characteristics and nature of the literature were extracted and synthesised descriptively.Thirty-four of 4510 outputs met the inclusion criteria. Twenty were journal publications and fourteen were available on websites. A common theme related to the concept of physiotherapy as an environmentally friendly healthcare practice (n = 8) which may be through promoting interventions that are environmentally friendly (n = 7) and encouraging sustainable practice as a profession (n = 6).There is a strong global call for the physiotherapy profession to advocate for environmentally sustainable practice at individual and organisational realms. More empirical research on the relationship between physiotherapy and planetary health is now needed to strengthen knowledge of accessible and effective interventions to address this health crisis. [ABSTRACT FROM AUTHOR]

There is a high prevalence of persistent pain following SCI yet insights into its impact and the quality of pain care are limited. We aimed to explore, in-depth, the problem of persistent pain in Australian community-dwelling adults with a spinal cord injury (SCI). Our objectives were to investigate (i) how individuals experience persistent pain, (ii) how they experience pain care and (iii) the concordance between clinical practice guidelines for managing pain and reported care practices. We conducted a mixed-methods convergent parallel study. Adults with SCI and persistent pain completed a survey (n = 43); a subset of participants completed interviews (n = 10). We analysed the data from each method separately and then integrated the findings. Results indicated that the life impact of persistent pain is variable but it can be more disabling than physical impairments and compound a sense of isolation and despair. Community-based management was reported to predominantly have a pharmacological focus, with occurrences of opioid misuse apparent in the data. Access to expert, comprehensive and individualised care was frequently reported as inadequate. While some people with SCI and persistent pain can effectively self-manage their pain, for others the impact on quality of life is profound and complex care needs are commonly unmet. Persistent pain is a common consequence of SCI and profoundly impacts quality of life. Complex pain care needs are commonly unmet. Individuals require regular, comprehensive, biopsychosocial assessment. The effectiveness of pain management strategies must be monitored on an ongoing basis. Opportunities for personal self-management support must be available long-term. [ABSTRACT FROM AUTHOR]