Chapter II: Prescription of physical activity

Adapted physical activity, within the meaning of article L. 1172-1, means the practice, in a context of everyday activity, leisure, sport or programmed exercise, of bodily movements produced by skeletal muscles, based on the aptitudes and motivations of people with specific needs that prevent them from practising under ordinary conditions. The aim of adapted physical activity is to enable a person to adopt a physically active lifestyle on a regular…

Without prejudice to the list of long-term conditions set out inarticle D. 160-4 of the French Social Security Code, the list of chronic diseases, risk factors and situations of loss of autonomy giving entitlement to a prescription for adapted physical activity is set as follows: 1° Chronic diseases which have an impact on daily life, are likely to generate incapacity or even serious complications, and require long-term treatment; 2° Risk…

The doctor involved in the care of a patient suffering from a long-term condition or chronic disease, with risk factors or a loss of autonomy, for whom adapted physical activity has demonstrated beneficial effects, may prescribe adapted physical activity, with the patient’s agreement and in the light of the patient’s pathology, situation, physical capacities and medical risk. When prescribing adapted physical activity, doctors should refer to the guidelines for prescribing…

With the patient’s agreement, the masseur-physiotherapist may, unless otherwise indicated by the doctor, renew the initial medical prescription for adapted physical activity once the duration thereof or the number of sessions prescribed has expired, or adapt it in terms of type of activity, intensity, frequency and duration, on the specific form provided for in article D. 1172-2, under the following conditions: 1° The reports and assessments mentioned in article D….

For patients with severe functional limitations as qualified by the prescribing doctor with reference to appendix 11-7-2, only the healthcare professionals mentioned in 1° of article D. 1172-2 are authorised to provide them with acts of re-education or physical activity, adapted to the pathology, the situation, the physical capacities and the medical risk. When patients have achieved sufficient autonomy and present an alleviation of the impairments mentioned in appendix 11-7-2…

Patient care is personalised and progressive in terms of the form, intensity and duration of exercise.

The qualified person mentioned in article D. 1172-2 providing adapted physical activity draws up : -at the start of the patient’s treatment, an assessment of physical fitness and functional capacities, as well as a motivational assessment, which will be used to define a programme of adapted physical activity for the patient, specifying the type of activity, intensity, frequency and number of sessions or duration of this activity ; -periodically, a…