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Summary of our market study
The global market for physiotherapy services, including those provided by masseurs-kinésithérapeutes (MKs) in France, is experiencing significant growth. estimated at $19.9 billion in 2022, it is set to grow at a CAGR of 6.9% to reach $36.28 billion in 2031. The European region remains the largest contributor to this market. In France, the number of registered MKs has risen by 13.6%, and future projections point to a further increase of 36% by 2040. This rapid growth in the number of practitioners exceeds that of the French population.
Despite a slowdown during the COVID-19 crisis, the market has rebounded strongly with a 19% increase in the value of MK care consumption between 2020 and 2021, underlining the resilience and continued demand for physiotherapy services. The aging of the French population and the increase in long-term chronic illnesses (ALD) are key drivers of this demand. In particular, 50% of physiotherapy procedures involve patients with ALDs, and 10% of French people suffering from ALDs consult an MK on a daily basis.
The French public's opinion of MK services remains positive, with 84% considering MK care to be effective in relieving pain, a sentiment that is likely to persist given the continuing trend in healthcare consumption.
Dynamics of the physiotherapy market in France: an ageing population and chronic illnesses boost demand
In France, demand for physiotherapy services provided by masseurs-kinésithérapeutes (MKs) has followed an upward trajectory, influenced by socio-demographic factors and the prevalence of chronic diseases. As the population ages and the incidence of long-term conditions rises, physiotherapy has become an indispensable service for maintaining health and mobility.
The country has seen a significant increase in the consumption of ancillary medical care, including MK services, the value of which has tripled from around 2.8 billion euros in the early 2000s to almost 6.8 billion euros in recent years. Particularly worrying for the ageing population - those aged 75 and over - who consume five times more physiotherapy care than the general population, this demographic trend promises a steady influx of demand for MK services in the future. By 2070, the proportion of people aged 75 and over is expected to double, representing a substantial long-term market opportunity for physiotherapy providers. In addition, the prevalence of long-term conditions (ALD), or chronic illnesses, further reinforces this demand.
The number of people suffering from ALD is expected to reach between 10 and 15 million by the mid-2020s, which should broaden the scope of MK services. Currently, half of all procedures performed by MKs involve people with ALD, underlining their essential role in the management of these conditions. Market demand for physiotherapy is also driven by the confidence many people have in the effectiveness of the care provided by MKs, as well as the general appreciation of the profession within the French community. This positive sentiment, coupled with the increasing need for physiotherapy services due to demographic and health trends, places the MK market in a strong position for growth and continued public support.
Key players shaping the French masseur-physiotherapist market landscape
As the French physiotherapy market continues to thrive, several key players have emerged as important contributors to the sector. Their services range from providing platforms for MK-patient interactions to supplying specialized physiotherapy equipment that meets the needs of contemporary physiotherapy practice. Without dwelling on their financial performance, let's take a look at the role these companies play in the growing landscape of physiotherapy services in France.
- Doctolib: A pioneer in patient management technology for the healthcare sector, Doctolib offers a robust online platform for patients to find and book appointments with healthcare professionals, including physiotherapists. This service simplifies the process of connecting patients with the care they need, enhancing their accessibility to therapeutic services.
- Kinessonne: As a leading supplier of physiotherapy and rehabilitation equipment, Kinessonne provides healthcare professionals with the tools they need to deliver effective treatments. Its range includes electrostimulation, ultrasound and cryotherapy equipment, all essential to modern physiotherapy practices.
- Fyzea: Another major supplier to the market, Fyzea offers physiotherapists a variety of equipment options, supporting a wide range of therapeutic activities and enhancing the effectiveness of treatment protocols.
- Promokiné: This player also specializes in the sale of physiotherapy and rehabilitation equipment. By offering a wide range of equipment, Promokiné plays an essential role in enabling MKs to offer their patients comprehensive treatment options.
- Enraf-Nonius: This company is known for its technologically advanced medical equipment, which facilitates rehabilitation and physiotherapy treatments. Its products are designed to improve the quality of care provided by healthcare professionals, which is essential for patient recovery.
- Cefar Compex: Cefar Compex offers a range of electrostimulation devices that have become an integral part of physiotherapy practices. These devices help with muscle recovery and pain relief, two of the main concerns of physiotherapists.
- Dynamika: A smaller but essential player, Dynamika adds to the diversity of market offerings with its range of physiotherapy equipment, responding to the personalized needs of different treatment methodologies.
- Sissel France: Offering a range of health and fitness products, Sissel France supports not only physiotherapists in their practice, but also individuals wishing to improve their personal well-being.
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Summary and extracts
1 Market overview
1.1 Definition and presentation
Physiotherapists (MKs), or kinesiologists in everyday language, are salaried or self-employed healthcare professionals whose work is governed by the French Public Health Code. They work with or without a doctor's prescription, and their sessions are reimbursed by the French Social Security system.
MKs specialize in the analysis of human body movements. They apply various healing techniques via massage and medical gymnastics, to relieve pain and muscular problems.
The worldwide market for MK services is estimated at 19.9 billion by 2022and is expected to continue growing at a CAGR of6.9% by 2031to reach36.28 billion.[Growth Market Reports]
Europe is the main revenue-generating region in the global MK industry. France is also the 2nd country with the most physiotherapists (97,790 in 2022) in the region, after Germany (204,909 in 2022). [Ordremk]
The number of registrations with theOrdre des Masseurs-Kinésithérapeutes has been growing steadily for several years(+13.6% since 2018) and is set to increase by 36% between 2022 and 2040.
At the same time, consumption of MK care in France has risen from 2,875 million euros in 2001 to 6,771 million euros in 2022. The rise in needs is partly driven by an ageing population, the growing choice of an active lifestyle and the development of healthcare-friendly reforms.
As the number of MKs is set to grow much faster than the French population, the density of MKs will tend to be higher and higher, and the supply of care will tend to grow faster than demand.
The physiotherapy market therefore offers opportunities, but also presents challenges. these include the need to manage growing demand, stand out in a competitive sector, comply with regulations (training and certification), and adapt to technological developments.
1.2 A healthy global and European market
The global market
The global market for masseur, physiotherapist (***) of *.*% to ****, reaching $**.** billion. [***]
Global Physiotherapists Market Sales World, ****-****, in billions of dollars Source: ****
The European market
Europe is the main revenue-generating region in the global MK industry. Factors such as the growing elderly population, the increasing choice of an active lifestyle, the generalization of MK services and favorable healthcare reforms are driving market growth in the region.
The European country with the highest density of physiotherapists is Belgium(***). France ranks *nd with **,*** physiotherapists, followed by Italy in *rd place with ** ,***.
Top ** European countries by density of physiotherapists Europe, ****, in number of physiotherapists per ***,*** inhabitants Source: ****
1.3 The growing French market
The growth of the French market is closely linked to the increasing consumption of medical auxiliary care. Medical auxiliaries are healthcare professionals governed by a specific section of the French Public Health Code. They include nurses, physiotherapists, speech therapists and orthoptists, chiropodists, opticians, dieticians, ambulance drivers and others.
The graph below shows the increase in the consumption of medical auxiliary care. Between **** and ****, the value of care consumed almost tripled, rising from *.* billion euros to **.* billion euros . Consumption only stagnated in **** and ****, before and during the Covid-** crisis, before picking up again in ****.
Consumption of medical auxiliary care France, ****-****, in billions of euros Source: ****
The consumption of MK care is the *st contributor to the increase in total current care in ****. Indeed, MK care consumption will increase by *. *% compared to ****, to reach almost *.* billion euros in ****, representing **. *% of medical auxiliary care excluding nurses.
As the price of MK care will be virtually stable in **** (***). [***]
Overall, consumption of MK care rose sharply between **** and ****, from *,*** million euros to *,*** million euros. The only period of declining growth was the year of Covid-**. In fact, consumption value fell by around **% in ****, before rising again by **% in ****.
MK care consumption France, ****-****, in millions ...
1.4 The effects of Covid-19
During the Covid-** crisis: MK practices closed
Following the President of the Republic's announcements and from March **, ****, MK practices had to close under orders from the Conseil national de l'Ordre des MK.
Thus[***]:
non-urgent and non-crucial treatments have ceased to be provided: urogynecological re-education, sprain re-education with no risk of complication... treatments requiring uninterrupted physiotherapy have been carried out at home, in compliance with hygiene rules designed to limit the spread of the virus: decluttering in the case of chronic pathologies (***), exercises for patients with multiple disabilities and elderly dependents.
Consequently, as we saw earlier, the market for MK services slowed sharply in ****. The value of MK care consumption fell by **% in ****, from *.** billion euros in **** to *.** billion euros. [***]
However, the crisis has not had a devastating effect on this market, quite the contrary, since MKs were particularly in demand after the pandemic. As a result, the value of MK care consumption increased by **% between **** and ****. [***]
The role of MKs post-Covid
The bio-psycho-social consequences of the pandemic were, and still are, significant. In France, MKs therefore played a major public health role in the treatment of the following patients:
Patients affected by long Covid : "more than half of patients still present ...
2 Demand analysis
2.1 Socio-demographic factors driving market growth
Demand for MK care is present at all stages of life, but is particularly correlated with the ageing of the population. According to theWorld Health Organization (***), the incidence of stroke, Alzheimer's disease and hip fractures increases exponentially with age, and these conditions are common in people over **. Thus, the aging population with some form of disability will be the main market driver. [***]
In addition, non-communicable diseases (***) account for around **% of the healthcare burden in the elderly population of low-, middle- and high-income countries. the elderly will require three to five times more medical services than younger adults, which will increase the demand for MK care. According to DREES, the over-**s consume on average * times more physiotherapy care than the general population.
The ageing population: already a reality...
Proportion of French population aged ** or over France, ****-****, in % Source: ****
...which will continue to be a growth driver for the future of the sector
Population projections to **** in millions of inhabitants, France, ****-****, % Source: CNSA (***) Source: CNSA (***) based on INSEE The aging of the French population is real, as this graph shows. While those aged ** and over willrepresent only *.*% of the population in ****, their weight in the French population will double ...
2.2 MKs' main patients: seniors and ALD patients
Affections longue durée (***) are diseases whose severity and/or chronic nature require prolonged treatment. They include diabetes, coronary heart disease, neurological diseases, cancer, etc.
The number of people suffering from ALD is expected to reach ** million by ****, an increase of **.*% on ****.
According to the French Medical Association (***), **% of procedures performed by MKs concern a person suffering from ALD, and **% of French people suffering from ALD consult an MK on a daily basis. ALDs have become a major public health issue, and MKs play an important role in the care of patients suffering from these pathologies. They help to develop the conditions under which disabled people are cared for, whether in an institution or at home, thereby meeting the challenges posed by the growing number of patients suffering from ALD, loss of autonomy, etc. [***]
Number of people with ALD France, ****-*****, in millions of people CAGR: +**.*% Source: ****
Although there is no age limit for receiving MK care, the age group most concerned by MK care remains the elderly. Other MK patients are often ALD and those affected by musculoskeletal problems such as:fracture after-effects, scoliosis, back pain, osteoarthritis, or neurological diseases such as hemiplegia and paraplegia, as well as respiratory ...
2.3 A practice generally appreciated by the French
Harris interactive carried out a survey on "Le regard des Français sur les masseurs-kinésithérapeutes" in ****, on a sample of *,*** individuals representative of the French population aged ** and over.
The graph below represents the French people's opinion of the effectiveness of MK care in relieving pain. **% of those questioned considered consulting an MK to be rather or very effective in relieving pain, while only **% considered consultations to be not very or not at all effective.
In your opinion, is consulting a masseur-physiotherapist effective in relieving pain? France, ****, % source: Harris Interactive
The graph below shows the level of confidence French people have in their MK. **% of those surveyed had some or total confidence in their physiotherapist, while only *% had little or no confidence.
Do the French trust their masseur-kinésithérapeute? France, ****, % Source: ****
So, in ****, the French had an overall positive opinion of MK services. Given that consumption of MK care has been growing since ****, we can consider that physiotherapists will still have a good image with the French in ****.
3 Market structure
3.1 Who are the Masseurs-kinésithérapeutes in France?
Number of MKs
In France, in ****, there will be **,*** MKs registered with the Order. The number of registered MKs has been rising steadily in recent years(***), and is set to increase by **% between **** and ****, to ***,***.
This increase, clearly higher than that of the French population (***), and thesupply of care will grow faster than needs.
Number of registered MKs France, ****-*****, in units Source: ****
age and gender of MKs
In France, **.*% of MKs are women and **. *% are men. The feminization of the profession observed in recent years is set to continue. In ****, **% of MKs will be women, compared with **.*% in ****[***].
Distribution of MKs by gender France, ****, % [Source: Ordremk Source : Ordremk In ****, the average age of MKs registered with the Ordre is **.**, with a median age of **.**. In ****, the average age was **.**and the median age **.**. The average age of MKs is expected to reach **.* in ****, due to longer career lengths and the aging of generations subject to increasing quotas since the early ****s.
The broadening of the base of the age pyramid highlights an increase in the number of new practising physiotherapists over the generations. Indeed, the graph below shows that the **-** age group is the largest, followed by the **-** ...
3.2 Graduating as a physiotherapist abroad: a growing phenomenon
From January **** to January ****, there was a *. *% increase in the number of registered professionals with a French diploma, from **,*** to **,***. In comparison, the number of registered professionals with foreign degrees grew much faster, by **.*%, from **,*** to **,***, equivalent to a progression * times faster than that of French graduates.
There are a number of reasons why some physiotherapy students choose to study abroad:
Limited places in highly competitive national schools. International recognition of certain foreign diplomas. Specialized training not available in France. More affordable training costs. Opportunity to travel and experience new cultures.
In ****, of the **,*** graduates registered with the Ordre and holding a degree obtained outside France, **,*** are of French nationality(***).
Proportion of French nationals holding a degree obtained outside France France, ****-****, in units Source: ****
Analysis of the diplomas obtained outside France by professionals registered on the roll on January *, **** reveals a predominance of Belgian diplomas, representing a significant **. *% share (***). Together, these * countries account for **.*% of registered graduates who obtained their training outside France.
Countries of origin of diplomas obtained outside France among registrants Europe, ****, in % Source: ****
The proportion of diplomas obtained by French nationals is broadly similar: **.*% were obtained in Belgium, **.*% in Spain, **.*% in Germany and *.*% in Portugal. Only *.*% of ...
3.3 Where are the MKs in France?
The Top * regions with the highest MK populations areÎle-de-France, with a total of **,*** MKs,Auvergne-Rhône-Alpes with **,*** MKs andOccitanie with **,*** MKs. The regions with the lowest concentration of MKs are: Bourgogne-Franche-Comté (***).
Number of MKs by region France, ****, in units Source: ****
The map below on the density of MKs by region confirms that physiotherapists prefer to settle in the south of France south of France, on the coast and in major conurbations , to avoid areas far from cultural and sporting facilities, and rail and airport links. according to the Odre des MK, the national density of masseurs-physiotherapists is *** per ***,*** inhabitants in ****, and should reach *** per ***,*** inhabitants in **** (***).
3.4 The related market for physiotherapy equipment
The practice of MKs can rely on theuse of a wide range of equipment and accessories, especially for MKs working in hospitals or rehabilitation centers.
This market is segmented by type of equipment or accessories and by type of application[***] :
equipment or accessories: hydrotherapy, electrotherapy, continuous passive movement units, multi-exercise therapy unit, thermotherapy, ultrasound, physiotherapy furniture, physiotherapy bandages, others. applications: musculoskeletal, neurological, cardiovascular, pediatric, gynecological, others.
Growth in the global physiotherapy equipment market is being driven by a variety of factors, such as increasing demand for MK care, overloaded schedules for working professionals, and the development of new technologies.
The market is highly fragmented, with numerous players responding to the growing demand for physiotherapy tools. Major market players include : Enraf-Noninus, DJO Global, HMS-Vilgo, Promokiné, Kin'essonne, Cefar Compex, etc.
In ****, the global physiotherapy equipment market is valued at $**.** billion and is expected to grow at a CAGR of *.**% over the next * years, reaching $**.** billion in ****.
This market is dominated by North America (***), but the growthgrowth is a global phenomenon that also concerns the French physiotherapy equipment market .
Physiotherapy equipment market sales France, ****-****, in billions of dollars Source: ****
4 Offer analysis
4.1 Typology of MK procedures
The NGAP (***) breaks down the * main acts performed by MKs[***] as follows:
AMS: Rehabilitation acts for orthopedic and rheumatological conditions performed by the MK, **% of acts in **** ; AMK: Acts performed by the MK in the office or in the patient's home, with the exception of acts performed in an office set up within a private hospital establishment for the benefit of a hospitalized patient, **% of acts in ****; AMC: acts performed by the MK in a healthcare facility or institution, including when the patient has elected to live there, other than those which give rise to application of the AMK key letter, *% of acts in ****.
Top * MK activities France, ****, % of total Source: ****
4.2 MK care prices
The MK's field of expertise is largely defined by Decree no. ****-*** of June **, ****: "The aim is to prevent the deterioration of functional capacities, to help maintain them and, when they are impaired, to restore them.to prevent deterioration in functional capacities, to help maintain them and, when they are impaired, to restore or compensate for them. These acts are adapted to scientific and technical developments"[***]
On medical prescription, the masseur-physiotherapist is authorized to take part in the following rehabilitation treatments (***):
Orthopedic, neurological, traumatic, respiratory, cardiovascular, vascular and lymphatic rehabilitation; Re-education of amputees, abdominal lesions, perineo-sphincter from the **th day after childbirth, burn victims; Rehabilitation of facial motility and mastication, swallowing and balance disorders.
For these treatments, the masseur-kinésithérapeute uses, according to his kinesitherapic diagnosis, the activities of(***): massage, posture, joint mobilization, musculo-tendinous stretching, etc.[***]
Prices depend on the type of session. In non-therapeutic settings, these fees are free. In therapeutic settings, however, the MK must comply with the rates set by the health insurance scheme.
The most common procedure, limb re-education, is billed at €**.** per session, but for certain pathologies this can rise to €**. Social security reimburses **% of this amount if the patient has a medical prescription. MKs ...
4.3 Supply trends
In the field of physiotherapy, new technologies are being developed to improve the services and treatments offered by professionals.
The growing use of electrical, motorized and robotized equipment
electrical muscle stimulation devices: muscle strengthening and improved mobility. robotized treadmills: work on balance and coordination. motorized exoskeletons: mobility enhancement for patients with paralysis.
Aquatic physiotherapy: increasingly popular
This treatment method is based on the assumption that the aquatic environment offers unique advantages for physical rehabilitation. Reduced gravity and exercise in heated water reduce pressure on joints, enabling faster recovery.
The development of cutting-edge technologies offers
the use of AI (***): data analysis tools to help MKs make accurate diagnoses and provide personalized treatment programs. the use of VR (***) : mobile VR applications to help patients better understand rehabilitation exercises, VR training in a controlled and safe environment to overcome fears and anxieties.
Source: ****
5 Regulations
5.1 Current regulations
Practicing massage therapy
In France, the profession of masseur-kinésithérapeute is reserved for holders of the state diploma of masseur-kinésithérapeute. The "numerus clausus" was instituted by the law of June **, ****, and sets a limit on the number of students admitted to the second year of medicine, pharmacy, physiotherapy and midwifery[***].
In the ****-** academic year, *,*** students may therefore be admitted to the *st year of preparation for masseur-kinésithérapeute. The total duration of studies is * years (***). [***]
The MK's field of expertise is largely defined by decree no. ****-*** of June **, ****.
Numerus clausus trends for masseur-physiotherapists France, ****-****, in units Source: ****
The practice of masseur-physiotherapy is governed by various legal frameworks, including[***] :
The Code de la santé publique (***), defines the profession and the MK's field of competence, and includes the Code de déontologie ; Rider * to the national MKagreement governs relations between the organizations of all compulsory health insurance schemes and conventioned MKLs for care provided in the office or the patient's home; The NGAP lists the rehabilitation procedures reimbursed by the Assurance Maladie.
The general nomenclature of professional acts (***) can be searched by code, designation or chapter.
Reimbursement
Only NGAP-registered procedures performed personally by the MK may ...
6 Positioning the players
6.1 Player segmentation
- Doctolib
- NM Medical - Kinessonne
- FYZEA
- Elite Medicale - PromoKiné
- Enovis Compex
- Enovis Chattanooga
- Phyto Performance
- PCN Physio
- Enraf Nonius
- Kinvent Physio
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the physiotherapist masseur market | France
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