Physiotherapy Canada. Physiotherapie Canada最新文献

{"title":"What Has Stigma Got to Do with Physiotherapy?","authors":"J. Setchell","doi":"10.3138/ptc.69.1.GEE","DOIUrl":"https://doi.org/10.3138/ptc.69.1.GEE","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":"122759720","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 Mori et al.(1).","authors":"M. Hall","doi":"10.3138/ptc.2014-29E-CC","DOIUrl":"https://doi.org/10.3138/ptc.2014-29E-CC","url":null,"abstract":"Clinical education is an integral component of physiotherapy student training,2,3 comprising approximately one-third of all coursework in physiotherapy programmes across Canada. During clinical placements or internships, physiotherapy students develop and apply the knowledge, skills, and professional behaviours necessary for competent entry-level practice, and they are evaluated on these clinical competencies by physiotherapist supervisors or clinical instructors (CIs). At present, most Canadian physiotherapy schools use the Physical Therapist Clinical Performance Instrument (CPI)4 to assess students' performance during their clinical placements. The CPI consists of 24 items or performance criteria that, together, are considered to represent all aspects of physiotherapy clinical performance. Developed in the United States, the CPI has undergone rigorous development and testing and has been found to be a valid and reliable measure of physiotherapy student performance.4 \u0000 \u0000While the CPI's psychometric properties have been established, a recent Canadian study5 identified the CPI and the evaluation of students as a barrier to physiotherapists' offering to supervise a student. The study also confirms anecdotal reports from Canadian CIs that the CPI is lengthy, takes too long to complete, and is not always suited to the Canadian physiotherapy context.5 The new instrument developed by Mori and colleagues1 is a welcome addition to the evaluation of Canadian physiotherapy students, and I am sure many CIs will say it is long overdue! \u0000 \u0000In an era of evidence-informed practice, and in light of the principles of research we emphasize to the students in our programmes, both the physiotherapy community and our students should expect assessments of student performance to be grounded in evidence. Like the developers of the CPI, Mori and colleagues document a systematic and rigorous process for the initial development of their new instrument, the Canadian Physiotherapy Assessment of Clinical Performance (ACP).1 \u0000 \u0000In Phase 1, Mori and colleagues consulted widely with experts in assessment and measurement, as well as with experts in Canadian physiotherapy clinical education. Because the ACP was intended to be a national instrument, members of the National Association for Clinical Education in Physiotherapy (NACEP) and the Canadian Council of Physiotherapy Academic Programs (CCPUP) were invited to participate in the Delphi process, ensuring that the developers received feedback and input from all Canadian physiotherapy programmes before reaching consensus on the competencies to be included in the ACP. \u0000 \u0000Phase 2 gathered feedback from academic experts in measurement and clinical education, as well as from end users (i.e., CIs and recent graduates), on the items to be included in the instrument, their understanding of these items, the rating scale to be used, and their overall impressions of the instrument. Cognitive interviewing is an important step in developing s","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128657425","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 Akhbari et al.(1).","authors":"K. Zabjek","doi":"10.3138/ptc.2014-51-CC","DOIUrl":"https://doi.org/10.3138/ptc.2014-51-CC","url":null,"abstract":"The recent article by Akhbari and colleagues1 is representative of a growing body of clinical research aimed at providing evidence to support the clinical uptake of biomechanical techniques that measure postural stability.2–7 Overall, this body of work has sought to better understand the measurement properties of biomechanical variables that provide insight into the fundamental mechanisms that control postural stability. Although these biomechanical variables have shown promise for measuring clinical change over time,1–7 they have not often been examined in the context of randomized controlled trials.8 \u0000 \u0000In the context of upright stance, postural stability is often defined as the ability of the nervous system to control the position of the centre of mass (COM) in relation to the base of support (BOS).9 Biomechanical measurements of postural stability have traditionally been achieved by measuring the forces exerted through the base of support (kinetics), the movement of the body (kinematics), and the activation of muscle (electromyography). Analysis of the time and frequency domain characteristics of these measures has provided valuable insight into the movement of the COM in relation to the BOS and the basic strategies used to control this movement.10 Combining these biomechanical measures with variations in the task performed, the environmental context, and individual characteristics has further revealed the complexity of the strategies that the nervous system adopts to control postural stability.9 In this context, we can gain considerable insight into the underlying structural and functional determinants of postural instability, particularly where there is an underlying orthopaedic, neuromuscular, or neurological condition. However, the infrastructure and operating costs of conducting such assessments and the expertise required to interpret biomechanical measures may prohibit their application in large-scale, long-term clinical trials. \u0000 \u0000The recent emergence of accessible biomechanical sensor technology has provided new opportunities to measure postural stability in a variety of contexts beyond the traditional laboratory setting. Examples of this emerging technology include force sensors embedded in active gaming platforms, shoes, and walking surfaces;11–13 wireless accelerometers and inertial measurement units;14 and balance assessment platforms.1,15 Such technologies offer clinical researchers opportunities to bridge the gap between fundamental and translational research by accessing information once exclusive to the biomechanical laboratory environment. However, advances in this emerging area of clinical research will be achieved only through significant and sustained commitment to establishing the measurement properties of the biomechanical variables and integrating these variables into long-term prospective observational and randomized controlled trials. The work of Akhbari and colleagues1 is representative of several studies in the fiel","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115782656","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 Farrell et al.(1).","authors":"A. Agur","doi":"10.3138/ptc.2014-38E-CC","DOIUrl":"https://doi.org/10.3138/ptc.2014-38E-CC","url":null,"abstract":"Clinically based anatomy is a foundational science for musculoskeletal (MSK) physiotherapists. Best practices are based on informed treatment strategies that rely heavily on an extensive and up-to-date knowledge of MSK anatomy. The results of this novel study by Farrell and colleagues,1 which investigated the use of clinical anatomy resources by outpatient physiotherapists, are important in identifying the extent of self-directed learning that is taking place in this area after graduation. \u0000 \u0000The finding that more experienced physiotherapists used resources significantly less frequently than their less experienced colleagues can be interpreted in many ways. Perhaps more experienced physiotherapists do not see a need for further clinical anatomy education and view anatomy as a “textbook science,” to be studied from textbooks rather than from the research literature. On the opposite end of the spectrum, it may be that current clinical literature, including relevant basic science studies, is relatively inaccessible as a result of high subscription rates. Open-access papers are readily available, but obtaining articles from many specialty-specific journals requires access to a library that subscribes to these journals or purchasing or renting articles from the publisher. This can be costly, as students' library privileges are terminated on graduation. Canada, unlike Australia (where Farrell and colleagues practise), does not have a “statewide health department online resource portal,” which may further limit the number of physiotherapists who can access online library resources. \u0000 \u0000Encouraging students to become lifelong learners is an important goal of professional programmes. Farrell and colleagues state that “clinical reasoning demands a thorough understanding of the appropriate clinical subject matter,” but the results of their study suggest that gaining deeper insight into pathology-specific MSK anatomy may not be a high priority for some practitioners. Clinical anatomy is a living and evolving science, and all practitioners should therefore strive to keep abreast of the current literature, with a view to integrating the findings into their clinical practice. Textbooks are useful references, but the research literature provides the key to advance evidence-based practice. \u0000 \u0000I congratulate the authors on their excellent study exploring physiotherapists' behaviour and attitudes toward clinical anatomy. Their findings support the development of better resources with greater accessibility to the physical therapy community, enabling lifelong learning and the integration of research findings into clinical practice.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122759612","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":"Global Health: Where Do Physiotherapy and Rehabilitation Research Fit?","authors":"S. Nixon, M. Hunt","doi":"10.3138/ptc.67.3.GEE","DOIUrl":"https://doi.org/10.3138/ptc.67.3.GEE","url":null,"abstract":"Physiotherapy Canada is running a special series on global health, disability, and rehabilitation. But what do we mean by “global health,” and why is it relevant to the practice of all physiotherapists? Our goals in this editorial are to introduce the multifaceted notion of “global health”; to orient readers to the Convention on the Rights of Persons with Disabilities (CRPD) and its companion document, the World Report on Disability (WRD); and, in closing, to situate this special series as a response to the CRPD and WRD's call for more high-quality research to better meet the needs of people with disabilities throughout the world.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132601022","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":"Length of Stay and Achievement of Functional Milestones in a Rural First Nations Population in Northwestern Ontario during Acute-Care Admission after Total Hip Replacement: A Retrospective Chart Review.","authors":"C. Sinclair, Nicole Brunton, W. Hopman, L. Kelly","doi":"10.3138/ptc.2014-45","DOIUrl":"https://doi.org/10.3138/ptc.2014-45","url":null,"abstract":"PURPOSE\u0000To understand the postoperative acute-care physiotherapy course for First Nations people returning after total hip replacement (THR) to remote communities with limited rehabilitation services and to evaluate length of stay and attainment of functional milestones after THR to determine to what extent an urban-based clinical pathway is transferrable to and effective for First Nations patients in a rural setting.\u0000\u0000\u0000METHODS\u0000Data were collected retrospectively by reviewing charts of patients who underwent THR in the Northwest Ontario catchment area from 2007 through 2012.\u0000\u0000\u0000RESULTS\u0000For the 36 patient charts reviewed, median length of stay (LOS) at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) was 7.5 days (range 2-335); median LOS from time of surgery at the regional hospital (Thunder Bay Regional Health Centre) to discharge from SLMHC was 13.5 days; and median time for mobilizing and stairs was 9 days (range 1-93).\u0000\u0000\u0000CONCLUSION\u0000Commonly accepted urban clinical pathways are not a good fit for smaller rural hospitals from which First Nations patients return to remote communities without rehabilitation services. LOS in a rural acute-care facility is similar to LOS in an urban rehabilitation facility.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128826589","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":"Intra- and Inter-session Reliability of Static and Dynamic Postural Control in Participants with and without Patellofemoral Pain Syndrome.","authors":"B. Akhbari, M. Salavati, F. Mohammadi, Ziaeddin Safavi-Farokhi","doi":"10.3138/ptc.2014-51","DOIUrl":"https://doi.org/10.3138/ptc.2014-51","url":null,"abstract":"PURPOSE\u0000To determine the intra- and inter-session reliability of balance performance in people with patellofemoral pain syndrome (PFPS) and matched controls.\u0000\u0000\u0000METHODS\u0000In this methodological study, single-leg-stance performance of 15 participants with unilateral PFPS and 15 healthy matched controls was assessed using the Biodex Balance System (BBS) under 4 task difficulty levels (static and dynamic, with and without visual feedback). Intra-class correlation coefficients (ICCs), standard errors of measurement, and coefficients of variation were calculated for the overall stability index, anterior-posterior stability index, and medial-lateral stability index.\u0000\u0000\u0000RESULTS\u0000Static and dynamic postural performance during single-leg stance showed moderate to very high reliability in the PFPS group (ICCs=0.53-0.96) and in healthy control participants (ICCs=0.51-0.91). Both measures were more reliable with eyes closed than with eyes open.\u0000\u0000\u0000CONCLUSION\u0000BBS stability indices appear to have acceptable reliability in people with PFPS, particularly in more challenging conditions, and may be incorporated into the evaluation and rehabilitation of this patient group.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114943485","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":"Physical Activity Participation and Preferences: Developmental and Oncology-Related Transitions in Adolescents Treated for Cancer.","authors":"M. Wright","doi":"10.3138/ptc.2014-25LHC","DOIUrl":"https://doi.org/10.3138/ptc.2014-25LHC","url":null,"abstract":"PURPOSE\u0000To describe motor function and participation in, barriers to, and preferences for physical activity (PA) in adolescents during and after treatment of cancer and to discuss PA promotion in the context of developmental and cancer transitions.\u0000\u0000\u0000METHOD\u0000A cross-sectional survey study used the Transfer and Basic Mobility and Sports/Physical Functioning self-report and parent-report scales of the Pediatric Outcomes Data Collection Instrument (PODCI) and questions about PA participation and preferences to collect information from 80 adolescents and 63 parents.\u0000\u0000\u0000RESULTS\u0000PODCI scores for adolescents receiving treatment were more variable and significantly lower than those of adolescents who had been off treatment for more than 2 years. Fatigue, pain, general health, and doctor's orders were frequently identified as barriers to PA for adolescents receiving treatment. Many did not achieve recommended levels of PA. The adolescents expressed preferences for being active with friends and family, at home or in school, in the afternoon or evening, and through daily recreational and sports activities typical of teenagers.\u0000\u0000\u0000CONCLUSIONS\u0000Physical abilities and participation in and barriers to PA vary across the cancer journey. Interventions should be sensitive to variability and acknowledge individual preferences and environments throughout the trajectories and transitions of cancer treatment and youth development to achieve lifelong healthy lifestyles.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121591934","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":"Evidence-Based Management of Postural Control in a Child with Cerebral Palsy.","authors":"C. Mackenzie, Susan McIlwain","doi":"10.3138/ptc.2014-34","DOIUrl":"https://doi.org/10.3138/ptc.2014-34","url":null,"abstract":"The authors review and discuss the evidence exploring the use of dynamic compression garments with children with cerebral palsy. The evidence is presented in case-study format with a focus on postural control and impact on involuntary movements.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129387708","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":"Development of the Canadian Physiotherapy Assessment of Clinical Performance: A New Tool to Assess Physiotherapy Students' Performance in Clinical Education.","authors":"Brenda Mori, D. Brooks, K. Norman, Jodi Herold, D. Beaton","doi":"10.3138/ptc.2014-29E","DOIUrl":"https://doi.org/10.3138/ptc.2014-29E","url":null,"abstract":"PURPOSE\u0000To develop the first draft of a Canadian tool to assess physiotherapy (PT) students' performance in clinical education (CE). Phase 1: to gain consensus on the items within the new tool, the number and placement of the comment boxes, and the rating scale; Phase 2: to explore the face and content validity of the draft tool.\u0000\u0000\u0000METHODS\u0000Phase 1 used the Delphi method; Phase 2 used cognitive interviewing methods with recent graduates and clinical instructors (CIs) and detailed interviews with clinical education and measurement experts.\u0000\u0000\u0000RESULTS\u0000Consensus was reached on the first draft of the new tool by round 3 of the Delphi process, which was completed by 21 participants. Interviews were completed with 13 CIs, 6 recent graduates, and 7 experts. Recent graduates and CIs were able to interpret the tool accurately, felt they could apply it to a recent CE experience, and provided suggestions to improve the draft. Experts provided salient advice.\u0000\u0000\u0000CONCLUSIONS\u0000The first draft of a new tool to assess PT students in CE, the Canadian Physiotherapy Assessment of Clinical Performance (ACP), was developed and will undergo further development and testing, including national consultation with stakeholders. Data from Phase 2 will contribute to developing an online education module for CIs and students.","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130764478","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}