dr. c. holtherm, bundeswehr institute of sports medicine nato medical conference 2009 30 sep – 2...

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

NATO Medical Conference 200930 Sep – 2 Oct 2009

German Armed Forces Health Promotion and Preventive Health Care Action

Preventive Health Care– a Joint Scientific Effort

• Bundeswehr Institute of Medical Occupational and Environ-mental Safety

Berlin

• Central Bundeswehr Institute Medical Service Koblenz, Lab Division IVMilitary Ergonomics

• Bundeswehr Institute of Sports Medicine, Warendorf

Preventive Health Care

Preventive Health Care

Role 1 Medical Care Medical Evacuation

Military Pharmacy and Med Service Mission Support

Clinical Care Roles 2/3/4

Research,Development and Procurement Projects

Medical C4 I C² Support

Science TeachingInitial and Advance Training

Curative Medicine

PerformanceDiagnostics General

MedicineExp

ert o

pin

ion

FunctionalFunctionalDiagnosticsDiagnostics

Internal Medicine

OrthopedicsCou

nse

ling

The Bw Institute of Sports Medicine

The Current Situation

Decreasing Physical Fitness throughout civil society

Decreasing Physical Fitnessnew applicants/milit. personnel over 40

Armed ForcesOperational Readiness

Armed Forces Transformation

• Obesity Intervention Program• Workshop “Prevention for Medical

Corps Officers“• PersonalHealthManagement for Military

Leaders• Health Focused Sports

Instructor/Supervisor• Services for the Special Forces

Command • Regional Medical Command IV Health

Initiative

Bundeswehr Projects with the Participation of the Bw Institute of

Sports Medicine

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

OIP Body Weight Development

- 5.4kg - 4.2kg

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

outpatients patients in trg courses

OIP Performance Improvement(max. performance on the ergometer / body weight)

+18% +11%

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

ouptatients patients in trg courses

2nd Workshop “Prevention for Med. Corps Officers“ 6 Dec - 12 Dec 2009 in WARENDORF

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

Bundeswehr Institute of Sports Medicine Workshop “Prevention for

Med. Corps Officers“

Up to 25 participants from major medical clinics, Bw hospitals, Medical Corps Officers

• Aim: – motivate, provide tools– spread OIP for outpatients across Germany– evidence-based therapy

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

Personal Health Management for Military Leaders

All under one roof – saving a lot of time

Personal Health Management for Military Leaders

Functional Capacity Improvement

Adopt Preventive Health Care

Information

Time Management Nutrition Counseling

Therapy Training

Diagnosis

Risk Reduction

Implementation in Subordinate Command

Identification of risk factors

Start Gesundheitsinitiative Süddeutschland01.04.2009

Start of the Health Initiative for Southern Germany April 2009

Health Focused Sport Instructor

Lack of Physical Stamina

Chronic Diseases

ObesityMetabolic Syndrome

Lack of Exercise

Instructor Training:

Physical Fitness Restoration / Improvement of

Operational Readiness

Anatomy, Physiology, Sports Medicine, Nutrition

Training Management; Practice

Field Test; Selection of Type, Scope,Intensity of Physical Exercise

Training Methods/Didactics

Performance DiagnosisTraining Counseling

Workshop Soldiers

Performance and Fitness for Special Forces

Command

Interdisciplinary outpatientconsulting hours

Intensive orth.rehabilitation

Bw Institute Support to the Special Forces Command

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine

Preventive Medicine

Field Medicine

Dr. C. Holtherm, Bundeswehr Institute of Sports Medicine