Physiotherapy Canada. Physiotherapie Canada最新文献

{"title":"Build Insight, Change Thinking, Inform Action: Considerations for Increasing the Number of Indigenous Students in Canadian Physical Therapy Programmes.","authors":"Jason Cox, V. Kapil, Aindrea N McHugh, Jaya Sam, K. Gasparelli, S. Nixon","doi":"10.3138/PTC.2018-14.E","DOIUrl":"https://doi.org/10.3138/PTC.2018-14.E","url":null,"abstract":"Purpose: We explored the perspectives of experts on increasing the recruitment of Indigenous students into Canadian physical therapy (PT) programmes. Methods: For this qualitative interpretivist study, we conducted in-depth, semi-structured interviews with individuals with expertise in encouraging Indigenous students to pursue higher education, recruiting them into PT programmes, or both. Data were organized using NVivo and analyzed using the DEPICT method, which included inductive and deductive coding to develop broader themes. Results: Analyzing the participants' perspectives revealed three themes, which could be layered sequentially, so that each informed the next: (1) building insight by increasing awareness of structural forces and barriers; (2) changing thinking, using a paradigm shift, from the dominant Eurocentric orientation to a view that respects the sovereignty and self-determination of Indigenous peoples; and (3) informing action by recommending practical strategies to facilitate the recruitment of Indigenous students into Canadian PT programmes. Conclusions: This is the first study to provide evidence of the structural considerations, barriers to, and facilitators of increasing the recruitment of Indigenous students into Canadian PT programmes.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124984844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Performance Scores of Internationally Educated Physical Therapists during Clinical Education in a Bridging Programme.","authors":"M. Kalu, S. Switzer-McIntyre, M. Quesnel, C. Donnelly, K. Norman","doi":"10.3138/PTC.2018-10.E","DOIUrl":"https://doi.org/10.3138/PTC.2018-10.E","url":null,"abstract":"Purpose: We describe the numerical ratings assigned by clinical instructors to the performance of internationally educated physical therapists (IEPTs) during their clinical internships while enrolled in a bridging programme. Method: We conducted a secondary analysis of the quantitative data for IEPT learners attending the Ontario Internationally Educated Physical Therapist Bridging Program using the Canadian Physiotherapy Assessment of Clinical Performance (ACP) tool. We extracted the scores from each IEPT's ACP form at the midterm and final evaluations for two internships and conducted a descriptive analysis. Results: We obtained 318 data sets for 61 IEPTs. By the final point of the second internship, (1) items about communication pertaining to ethical professional relationships, conducting oneself within legal and ethical requirements, and respecting the individuality and autonomy of the client had high mean ratings; (2) most items rated achieved advanced intermediate performance and many indicated entry-level performance; and (3) most IEPTs (84%) either had high scores throughout or improved from lower scores to at least advanced intermediate performance. Conclusions: Items relating to professional conduct and effective communication in professional relationships were relatively high among the IEPTs. By the end of the second internship, most IEPTs in this bridging programme had improved their clinical performance toward or up to the entry-level standard for Canadian physiotherapists.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130378226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inter-Instrument Reliability and Agreement of Fitbit Charge Measurements of Heart Rate and Activity at Rest, during the Modified Canadian Aerobic Fitness Test, and in Recovery.","authors":"G. Nazari, J. Macdermid, K. Sinden, J. Richardson, A. Tang","doi":"10.3138/PTC.2018-25","DOIUrl":"https://doi.org/10.3138/PTC.2018-25","url":null,"abstract":"Purpose: We determined the inter-instrument reliability and agreement parameters of the Fitbit Charge Heart Rate (Charge HR) device during three phases: rest, modified Canadian Aerobic Fitness Test (mCAFT), and recovery. Method: We recruited 60 participants for this cross-sectional measurement study using convenience and snowball sampling approaches. The performance of the Charge HR was assessed throughout the rest, mCAFT, and recovery phases. To establish inter-instrument reliability, the Charge HR variables - heart rate, steps taken, and energy expenditures - were compared with those for two other devices: the Zephyr BioHarness (ZB) for heart rate and the Fitbit One for steps taken and energy expenditure. Measurements were recorded every 30 seconds. Results: At rest, the inter-instrument intra-class correlation coefficient (ICC) (standard error of measurement [SEM]) for the Charge HR versus the ZB was ≥ 0.97 (range, min-max, 1.02-1.32). During the mCAFT and in recovery, the ICCs (SEMs) for the Charge HR and the ZB were ≥ 0.89 (range, min-max, 1.30-3.98) and ≥ 0.68 (range, min-max, 3.58-8.35), respectively. During the mCAFT only, the number of steps taken and the energy expenditure recorded by the Charge HR and the Fitbit One displayed ICCs (SEMs) of 0.97 (83.00) and 0.77 (14.70), respectively. The average agreement differences in heart rate in this pair-wise device comparison indicated mean differences of -0.20, 4.00, and 1.00 beats per minute at rest, during the mCAFT, and in recovery, respectively. Conclusions: The Charge HR heart rate variable demonstrated excellent inter-instrument reliability compared with the ZB and provided good levels of agreement. The steps taken and energy expenditure variables displayed excellent reliability measures between Charge HR and Fitbit One. Our findings may be used to capture field-based wireless measures of heart rate in various phases and provide information about possibly using the Charge HR and ZB devices interchangeably.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115521252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Lower Limb Muscle Strength, Balance, Mobility, and Function in Older Women with Urge and Mixed Urinary Incontinence: An Observational Pilot Study.","authors":"M. Le Berre, M. Morin, H. Corriveau, M. Hamel, S. Nadeau, J. Filiatrault, C. Dumoulin","doi":"10.3138/PTC.2018-30","DOIUrl":"https://doi.org/10.3138/PTC.2018-30","url":null,"abstract":"Purpose: After the age of 65, urinary incontinence (UI) occurs in one of every two women. A positive correlation between falls and urgency UI (UUI) or mixed UI (MUI) has also been identified. However, lower extremity impairments in older women with UUI or MUI have not been thoroughly investigated. The primary goal of this study was to compare lower limb strength, balance, mobility, and function in older women with and without UUI or MUI. The secondary goal was to evaluate the association between these measurements and UI severity. Method: A total of 40 older women with and without UUI or MUI completed standardized tests for lower limb strength (knee flexor or extensor dynamometry, 30-second sit-to-stand test), balance (single-leg stance test, Four Square Step Test, Activities-specific Balance Confidence questionnaire), mobility (10-metre walk test, 6-minute walk test), and function (Human Activity Profile questionnaire, 12-Item Short Form Health Survey). Results: Significant differences in balance and mobility were observed between the two groups. Women with UI had shorter single-leg stance times, lower balance confidence scores, and slower gait speeds. Conclusions: The results from this pilot study suggest that high-functioning older women with UUI or MUI have balance and mobility impairments. More studies are needed to confirm these results. By reporting power calculations for sample size, this pilot study provides a useful basis on which to design and conduct larger studies.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121843407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of Physiotherapy for Stress Urinary Incontinence after Open or Robotic-Assisted Radical Prostatectomy.","authors":"Anika Sehgal, R. Baverstock, Ian Wright, C. Frey, Trafford Crump, K. Carlson","doi":"10.3138/PTC.2017-90","DOIUrl":"https://doi.org/10.3138/PTC.2017-90","url":null,"abstract":"Purpose: We determined whether the patient-reported benefits of physiotherapy for stress urinary incontinence (SUI) symptoms differ significantly between men who have had open prostatectomy and those who have had robotic-assisted laparoscopic prostatectomy. Method: We conducted a retrospective analysis of data collected from the Rapid Access Clinic 4 offered by the Prostate Cancer Centre in Calgary, Alberta. Baseline characteristics were measured at the pre-surgery appointment, including demographics, health factors, and potential risk factors for SUI. Patient-reported SUI symptoms were measured pre- and post-surgery using the global score of the International Consultation on Incontinence Questionnaire-Urinary Incontinence. Results: Data from 56 men were included in the analysis, evenly split between the open and robotic sub-groups. At 3 months post-surgery, no statistically significant differences were found in the factors associated with incontinence between the two sub-groups. There was a statistically significant improvement in self-reported incontinence symptom severity from 3-month to 2-year follow-up for both sub-groups. Physiotherapy did not differentially affect either sub-group in a significant way. Conclusions: The self-reported benefits of physiotherapy for SUI symptoms did not differ significantly between the two types of prostatectomy surgery at 2 years post-surgery.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122611203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La version franco-canadienne de l'outil Assessment of Multiple Systematic Reviews (AMSTAR)","authors":"L. Brosseau, C. Laroche, P. Guitard, J. King, S. Poitras, L. Casimiro, Julie Alexandra Barette, Dominique Cardinal, S. Cavallo, L. Laferrière, Rose Martini, Nicholas Champoux, Jennifer Taverne, C. Paquette, S. Tremblay, Anne Sutton, R. Galipeau, J. Tourigny, K. Toupin-April, Laurianne Loew, Catrine Demers, Katrine Sauvé-Schenk, N. Paquet, Jacinthe Savard, J. Lagacé, Denyse Pharand, V. Vaillancourt","doi":"10.3138/ptc.2015-80F","DOIUrl":"https://doi.org/10.3138/ptc.2015-80F","url":null,"abstract":"Objectives: The primary objective was to produce a French-Canadian translation of AMSTAR (a measurement tool to assess systematic reviews) and to examine the validity of the translation's contents. The secondary and tertiary objectives were to assess the inter-rater reliability and factorial construct validity of this French-Canadian version of AMSTAR. Methods: A modified approach to Vallerand's methodology (1989) for cross-cultural validation was used.1 First, a parallel back-translation of AMSTAR2 was performed, by both professionals and future professionals. Next, a first committee of experts (P1) examined the translations to create a first draft of the French-Canadian version of the AMSTAR tool. This draft was then evaluated and modified by a second committee of experts (P2). Following that, 18 future professionals (master's students in physiotherapy) rated this second draft of the instrument for clarity using a seven-point scale (1: very clear; 7: very ambiguous). Lastly, the principal co-investigators then reviewed the problematic elements and proposed final changes. Four independent raters used this French-Canadian version of AMSTAR to assess 20 systematic reviews that were published in French after the year 2000. An intraclass correlation coefficient (ICC) and kappa coefficient were calculated to measure the tool's inter-rater reliability. A Cronbach's alpha coefficient was also calculated to measure internal consistency. In addition, factor analysis was used to evaluate construct validity in order to determine the number of dimensions. Results: The statements on the final version of the AMSTAR tool received an average ambiguity rating of between 1.0 and 1.4. No statement received an average rating below 1.4, which indicates a high level of clarity. Inter-rater reliability (n=4) for the instrument's total score was moderate, with an intraclass correlation coefficient of 0.61 (95% confidence interval [CI]: 0.29, 0.97). Inter-rater reliability for 82% of the individual items was good, according to the kappa values obtained. Internal consistency was excellent, with a Cronbach's alpha coefficient of 0.91 (95% CI: 0.83, 0.99). The French-Canadian version of AMSTAR is a unidimensional tool, as confirmed by factor analysis and community values greater than 0.30. Conclusion: A valid French-Canadian version of AMSTAR was created using this rigorous five-step process. This version is unidimensional, with moderate inter-rater reliability for the elements overall, and with excellent internal consistency. This tool could be valuable to French-Canadian professionals and researchers, and could also be of interest to the international Francophone community.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126857254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician's Commentary on Coghlan et al.1.","authors":"Brenda Mori","doi":"10.3138/ptc.2016-23E-CC","DOIUrl":"https://doi.org/10.3138/ptc.2016-23E-CC","url":null,"abstract":"","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122272076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician's Commentary on Yoon et al.1.","authors":"J. King","doi":"10.3138/ptc.2015-52-CC","DOIUrl":"https://doi.org/10.3138/ptc.2015-52-CC","url":null,"abstract":"INTERPROFESSIONAL MENTORING An interesting finding of this work was that the physiotherapist participants acknowledged that they provided mentoring to their interprofessional colleagues. Other researchers have noted this from the mentees’ perspective, including that of newly graduated Canadian occupational therapists transitioning from university to their 1st year of practice. Darene Toal-Sullivan6 found that the support of colleagues and peers was critical to new graduates’ learning and eased the adjustment from student to occupational therapist. Toal-Sullivan noted in her qualitative study that ‘‘mentoring was evident in collaborative approaches to learning among colleagues and clients who provided guidance and support to the participants’’ and that ‘‘the participants most frequently learned in collaboration with physiotherapists, during collaborative activities such as carrying out components of clients’ evaluation and treatment together and problem-solving practice situations.’’6(p519)","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127862906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Values and Principles of Teaching Critical Disability Studies in a Physical Therapy Curriculum - Part 2: Pedagogical Imperatives and Teaching Innovations.","authors":"Karen K. Yoshida, Hazel Self, H. Willis, Natalie Rose","doi":"10.3138/ptc.69.1.GEE2","DOIUrl":"https://doi.org/10.3138/ptc.69.1.GEE2","url":null,"abstract":"In Part 1 of this two-part editorial, we focused on de-scribing and discussing critical disability studies (CDS) and the values needed to lead and teach CDS scholarship in a non-CDS academic space, such as a physical therapy (PT) curriculum. To briefly summarize, we presented a four-point CDS value framework for a PT curriculum that focuses on (1) embracing and working from a CDS standpoint and that of other critical social science litera-ture, (2) stating one’s relationship to disability, (3) valuing the knowledge of disabled people or the lived experience of disability, and (4) learning from, and working in regular partnership with, disability rights communities and disability consumer–led organizations.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125055347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician's Commentary on Figueiredo et al.1.","authors":"S. Harrison","doi":"10.3138/ptc.2015-68-CC","DOIUrl":"https://doi.org/10.3138/ptc.2015-68-CC","url":null,"abstract":"","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115111152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}