Position statement regarding the current standing of exercise therapy in Austria (Positionspapier zur Situation der Trainingstherapie in Österreich)

In Austria, exercise therapy is an accredited profession that requires academic training on the university master’s level. However, exercise therapy is not listed in the service plans of health and medical insurance funds and is therefore not reimbursed as a health service for patients. This position paper aims to compile the scientific evidence of the efficacy and effectiveness of exercise therapy as a treatment component in medical care. It also informs about the skills and competencies that exercise therapists acquire during their university studies in sport science. Thus, the necessity to include exercise therapy as a health service for patients is argued. Additionally, legal parity for exercise therapists within the healthcare professions offering evidence-based treatment methods is advocated. Numerous studies confirm that exercise therapy clearly leads to improvements in musculoskeletal, internal, neurological, psychiatric, and psychosomatic diseases. Exercise therapy is a highly evidence-based, low-side-effect component of prevention, treatment, and rehabilitation measures for almost all chronic diseases. It has a positive impact on pathogenesis, symptoms, fitness, quality of life, morbidity, and mortality of affected patients. The five-year academic training in sport science for exercise therapists conveys medical, theoretical knowledge, and practical skills on training and exercise, communication-related, sports-, and movement-related skills, as well as a profound education in scientific methodology. Consequently, the integration of exercise as therapeutic treatment into the healthcare system is highly indicated from a medical, societal and economic perspective. A new legal framework offering self-employment regulations for exercise therapists is required.