The development status and impact of sports rehabilitation institutions in Nanning under the trend of "integration of sports and medicine" from 2023 to 2024

——以南宁市区内为例

Huang Chaoyue, Fan Kunpeng, Zhan Wenzheng

Corresponding Author: Lu Yu

Abstract: On July 18, 2021, the State Council issued the National Fitness Plan (2021-2025), which clearly proposes to promote the integrated development of national fitness and improve the level of scientific fitness guidance services[¹], and the "Healthy China 2030" Planning OutlineIt is pointed out that it is necessary to strengthen the integration of sports and medicine and promote the formation of a disease management and health service model combining sports and medicine [²], and it is under such a historical background that China's sports rehabilitation industry came into being and developed rapidly.

南宁是广西的首府与经济中心，南宁市专业运动康复机构分布与发展现状是广西运动康复机构未来发展的重要影响因素。本文以南宁市市区内为例，在“体医融合”趋势下，进行对运动康复机构数量与分布情况的数据收集与分析，通过文献资料法、问卷调查法等对它们的专业化程度、经营发展情况进行调查，对其组成、人员结构、群众需求几个方面进行归纳和分析，得出相关研究结果，并通过所研究结果发现其发展的优势与不足，并基于数据研究与结论提出针对性的建议，以对广西运动康复发展和全民健康发展起一定的参考意义。

关键词:南宁市；运动康复机构；运动损伤；体医融合

1. Research objects and methods

(1) Research object: the distribution and operation and development status of professional sports rehabilitation institutions in the urban area of Nanning.

(2) Research Methods:

1. Literature research method: log in to CNKI, TIMI database, Guangxi Bureau of Statistics, AutoNavi and other databases, search for keywords "sports rehabilitation", "sports rehabilitation institutions", "rehabilitation", etc., to review the literature, and log on to the websites of various government platforms to consult relevant materials, so as to provide theoretical basis and data support for this study.

2. Investigation method: through the database of Gaode and Tianyancha enterprises, it is determined that there are about 13 professional sports rehabilitation institutions in the urban area of Nanning City, and 12 of them are selected for investigation and research (among them, Ai Lian Sports Rehabilitation Studio has been suspended), and the specific names of the institutions are: Champion Home Sports Rehabilitation Center, Guangxi Sports Center Weituopu Training Center Rehabilitation Studio, Nanning Jiandao Sports Rehabilitation Health Management Center, Global Sports Rehabilitation Center, Yue Qiyuan Sports Rehabilitation Center, Chaoruishi Sports Rehabilitation Center, Baishen Sports Rehabilitation Center, Guisong Sports Rehabilitation Studio, Lihan Sports Rehabilitation Center, SZ Sports Rehabilitation Studio, Guangxi Weizhi Sports Rehabilitation Center, Chiropractic Customized Sports Massage; At the same time, different forms of random interviews were conducted with store staff and consumers to understand their subjective wishes and thoughts. A variety of survey methods were used in this survey, specifically:

（1）实地调查法

本文通过走访南宁市12家运动康复机构，对其专业化程度、营业规模、人员人才构成等进行了调查和记录，为后续进一步的分析提供数据和信息。

(2) Interview method

While investigating the situation of the institution itself, interviews were conducted with the personnel in the institution, including but not limited to the staff of different positions such as rehabilitation therapists, on the service methods and price standards of the institution, and relevant text and digital information were collected.

（3）问卷调查法

Combined with the data obtained from the previous survey on some sports rehabilitation, a questionnaire was designed, and a questionnaire survey was conducted on rehabilitation therapists and consumers through online and offline channels to gain a deeper understanding of the public's understanding of sports rehabilitation.

(1) Questionnaire validity test: This questionnaire was designed with reference to the questionnaire of the "Investigation and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" [³], and the original questionnaire has been conducted and passed the validity test, and the maturity scale has been referenced. The specific validity test of the original questionnaire is shown in Table 1~4 below.

Table 1: Expert statistics (N=12).

Data source: Survey and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai.

Table 2 Expert evaluation of the structure design of the two questionnaires (N=12).

Data source: "Survey and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" Validity Analysis of the Questionnaire of Private Sports Rehabilitation Institutions.

Table 3 Evaluation of the content of the two questionnaires by experts (N=12)

Data source: "Survey and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" Validity Analysis of the Questionnaire of Private Sports Rehabilitation Institutions.

Table 4 Expert evaluation of the overall design of the two questionnaires (N=12)

Data source: "Survey and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" Validity Analysis of the Questionnaire of Private Sports Rehabilitation Institutions.

(2) Questionnaire reliability test: This questionnaire was designed with reference to the questionnaire of private sports rehabilitation institutions in the "Investigation and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" [⁸], and the original questionnaire has been carried out and passed the reliability test, and the maturity scale has been referenced. The specific reliability test of the original questionnaire is shown in Table 5 below.

Table 5 Statistical analysis of test results (N=30).

Data source: "Survey and SWOT Analysis of the Operation Status of Private Sports Rehabilitation Institutions in Shanghai" Reliability Analysis of the Questionnaire of Private Sports Rehabilitation Institutions.

(3) Questionnaire distribution and recycling: Questionnaire surveys were conducted on rehabilitation therapists in 12 sports rehabilitation institutions surveyed, and on-site distribution and on-site recycling were adopted. A total of 30 questionnaires were distributed to rehabilitation therapists, and 30 were recovered, with a recovery rate of 100%, of which 30 were valid, with an effective rate of 100%; The questionnaire was distributed online to the public, and the online questionnaire was adopted, of which 62 were valid, with an effective rate of 100%. This is shown in Table 6 below.

Table 6 Statistics on questionnaire recovery

Data source: This article collects the statistical data of the questionnaire by itself.

(3) Mathematical statistics

Excel software and spss software were used to classify and count the data obtained in this study in a more detailed and comprehensive manner, and the data were repeatedly calculated and processed to ensure the authenticity and reliability of the final results.

(4) Logical analysis

This paper comprehensively analyzes and discusses various information consulted and collected by using generalization and summarization, and puts forward constructive suggestions on relevant conclusions.

2. The current situation of the operation and development of sports rehabilitation institutions in the urban area of Nanning

(1) Quantity and area

1. Quantity: At present, there are 12 sports rehabilitation professional institutions in normal business in the urban area of Nanning City, the number is small, and the subdivision into districts is: six in Qingxiu District, two in Xixiangtang District, two in Liangqing District, one in Xingning District, and one in Wuming District.

2. Area:

Table 7 Area table of each institution

Data source: offline institutional interview method; Statistics for 2024 on the registration of establishments in the business administration sector.

This includes the respective areas of the two branches of Kashishiwa Sports Rehabilitation.

(2) Institutional staffing

Table 8 Staffing table of the organization

Data source: offline institutional interview method; Tianyancha Industrial and Commercial Administration Bureau of Industry and Commerce Registration Information 2024 Statistics.

Summary: Basically, except for the "center", the rest of the "studios" are small, and even the Lihan Sports Rehabilitation Studio in Wuming District has only one rehabilitation therapist to work; The sports rehabilitation institutions of the "center" units are large-scale, and the staffing is adequate and reasonable. The overall distribution is dense in the city center, and the number of institutions in each district is negatively correlated with the distance from the city center, that is, the farther away from the city center, the less the distribution of sports rehabilitation institutions. In general, the radioactive distribution from Qingxiu area was sparse. The distance between the various institutions is relatively long, and the service radiation range is small. For example, the scale, facilities, and personnel of the higher-level Baishen Sports Rehabilitation Center and the Weituopu Training Center are relatively complete, while the scale, facilities, and personnel of the lower-level Lihan Sports Rehabilitation Studio are far less than the above, so the distribution of quality levels shows a decreasing trend from large-scale institutions to individual studios.

(3) Service content, process and current situation

1. Service content: According to the interviews with practitioners in the institution, most of the institutional services are mainly composed of Pilates, postpartum rehabilitation, acupuncture, manipulation (including massage, massage, fascial knife, etc.), post-injury exercise recovery, exercise prescription, etc., in various forms, with the ability to meet all kinds of rehabilitation needs; Under the trend of "integration of sports and medicine", there are also services for the design of recovery and training plans for post-sports injury recovery, and large-scale institutions can provide one-stop services for the examination and treatment of sports injuries, rehabilitation, and recovery training, with a high degree of specialization and good service results. Even small-scale studios, such as Lihan Sports Rehabilitation Studio, provide sports injury rehabilitation and manipulation with a high degree of specialization, serving people with common sports injuries and meeting their basic rehabilitation needs.

2. Service status: Although these sports rehabilitation institutions can provide professional sports rehabilitation services, but the main business sources of some institutions are postpartum rehabilitation, rehabilitation of the elderly and Pilates, in the survey of 12 institutions, a total of 6 postpartum rehabilitation, rehabilitation services for the elderly and middle-aged people, respectively:

Lihan Sports Rehabilitation Studio, Jiandao Sports Rehabilitation Center, Global Sports Rehabilitation Center, Champion Home, Baishen Sports Rehabilitation Center, Guisong Sports Rehabilitation Studio.

Among them, postpartum rehabilitation and rehabilitation of middle-aged and elderly people account for a certain proportion of services, which are:

Lihan Sports Rehabilitation Studio, Jiandao Sports Rehabilitation Center, Baishen Sports Rehabilitation Center, Home of Champions.

This may lead to the asymmetry of sports rehabilitation resources, and because the sports injury population cannot understand the location of the institution in time, and the institution cannot capture the counterpart customers, resulting in great information asymmetry, information barriers and resource misalignment, or resulting in a certain waste of professional resources for counterpart services.

According to the interviews with the heads of various institutions, the main demands of most of them are: (1) they hope that under the trend of "integration of sports and medicine", sports injury rehabilitation will be included in the basic medical insurance, which can reduce the burden of customer costs, reduce the cost of institutional services, and improve quality;

(2) It is hoped that the national or local government will introduce relevant support policies for sports rehabilitation institutions;

(3) It is hoped that the society will have a deep understanding of sports injuries and sports rehabilitation, and give certain humanistic care to people with sports injuries;

(4) It is hoped that under the new normal of "integration of sports and medicine", colleges and universities will train relevant talents at the same time, and do not separate learning and training.

3. Service Process

Under the trend of "integration of sports and medicine", the service process is gradually developing towards systematization and medical treatment:

(1) Appointment: Most institutions need to make an appointment for service one day before, and then the institution will assign rehabilitation therapists and personnel on duty according to the number of appointments and the required service content, and a small number of institutions support offline on-site services without appointments;

(2) Physical examination: physical examination according to the customer's self-reported needs, including muscle strength test, joint mobility test, etc.;

(3) Treatment and rehabilitation (training): formulate rehabilitation methods and plans according to needs, establish exclusive medical records, including manipulation, acupuncture, etc., and some institutions have professional plans for pre-game and post-game maintenance, with a high degree of professionalism;

(4) Re-appointment (follow-up): Long-term rehabilitation is carried out through the established plan, and long-term re-appointment is required.

3. Data analysis

The SPSS correlation analysis showed that P was less than 0.05, that is, it was significant, and the age obtained was negatively correlated with the degree of understanding of exercise rehabilitation, that is, the older the age, the less knowledge about exercise rehabilitation.

Table 9 Correlation analysis between age and Yunkang's understanding

Source: SPSS Correlation Analysis.

There was a positive correlation between the monthly income and the total consumption cost of sports rehabilitation. There is a positive correlation between the monthly income obtained and whether the subjective evaluation price standard is expensive or not[]; That is, the higher the monthly income, the more willing to spend more on sports and rehabilitation, and feel that the price standard is less expensive. ⁴

Table 10 Correlation analysis table between the variables of each question

Source: SPSS Correlation Analysis.

In summary, this data has effective significance, young people are more willing to learn about sports rehabilitation, and the income situation affects people's consumption level in sports rehabilitation to a certain extent.

The SPSS correlation analysis of the offline questionnaire of rehabilitation therapists showed that P was less than 0.05, that is, it was significant, and there was a strong correlation between the number of years of work obtained and the amount of teaching[]. ⁵

Table 11 Correlation analysis between working years and average daily teaching volume

Source: SPSS Correlation Analysis.

The analysis of variance between the teaching volume and the variables of each question showed that there were significant differences in the teaching volume on age and working years.

Table 12 ANOVA table of questionnaire data

Source: SPSS analysis of variance.

In summary, the correlation coefficient between working years and teaching volume was 0.546, and showed a significance of 0.01 level, indicating that there was a significant positive correlation between them[]; Age and years of experience have a certain impact on the number of lectures. ⁶

In other words, the longer the working experience, the more the average daily teaching volume of the rehabilitation therapist, and the older the age, the more teaching.

Fourth, the public's understanding and demand for sports rehabilitation

According to the statistics obtained from the public questionnaire, the proportion of people who know about sports rehabilitation and those who do not know is 50%, that is, 31 people each; The most ways to learn about sports rehabilitation were media networks, accounting for 74.19%, that is, 23 people, and the proportion of acquaintance recommendation, offline promotion and other channels was small, 3.23%, 6.45%, and 16.13% respectively.

Among the statistics of the required needs, the most is fitness fat loss, followed by sports injuries, as shown in the donut chart below:

Figure 1 Statistical chart of consumer demand

Source: Data from the survey.

For those who had received sports rehabilitation services, 54.84% (i.e., 34 people) were generally satisfied, and 30.65% and 14.52%, i.e., 19 and 9 people were very satisfied, respectively.

In random offline interviews, nearly seventy percent of the people who understand the trend of "integration of sports and medicine" advocated by the country believe that sports rehabilitation is closely related to life, and said that they have learned about relevant institutions; About two adults believe that exercise rehabilitation is only relevant to the exercise population; About one adult believes that the grassroots people do not have access to sports rehabilitation.

To sum up, the number of people who understand sports rehabilitation occupies a certain scale, and the most ways to understand sports rehabilitation are media networks, and the most demand is fitness and fat loss, followed by sports injuries, most people think that sports rehabilitation is related to life, but there are still a small number of people who feel that it is unrelated, indicating that the popularity of the correct cognition of sports rehabilitation has been relatively high, but it still needs to continue to be popularized.

Conclusions and Recommendations

(1) Conclusion:

1. Business development

The number of sports rehabilitation institutions in Nanning is small and unevenly distributed, most of them are concentrated in Qingxiu District, with large differences in scale, and individual independent rehabilitation studios are small in scale, small in area, and low in configuration.

On the whole, the city center is dense and decreasing, and the service radiation scope is limited.

The service content of institutions is diverse, but the main business of some institutions deviates from sports injury rehabilitation, and there is a problem of resource misallocation, but under the "integration of sports and medicine", the service process is developing towards systematic medical treatment; Institutions have strong demands for policy support and medical insurance inclusion.

2. Public perception and social impact

The public's awareness of sports rehabilitation is medium, mainly through the media network, the demand is mainly for fitness fat loss and sports injuries, and the satisfaction of those who have received services is acceptable, but there are still some people who have insufficient understanding of its relevance to life, and the popularization of cognition needs to be strengthened.

(2) Recommendations:

1. For business development issues:

The government has introduced policies such as tax incentives and venue subsidies to reduce the operating costs of institutions and promote their development, with a special focus on small-scale institutions; Explore the path of inclusion of institutional sports injury rehabilitation medical insurance, coordinate the cooperation of all parties, strengthen supervision, and formulate and improve industry norms and standards.

The organization optimizes itself, adjusts its business focus according to market demand, and conducts targeted publicity according to the services provided, such as targeting sports preference groups; Strengthen cooperation and sharing among institutions, expand business channels, and enhance industry influence.

2. For the general public:

Social coordination and cooperation to strengthen the publicity of sports rehabilitation knowledge through multiple channels to improve public awareness; Promote cooperation between universities and institutions, optimize talent training models, and promote talent exchanges.

References