Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2025-09-03DOI: 10.3138/ptc-2024-0030
Elizabeth L Inness, Anessa Koussiouris, Navaldeep Kaur, Margot Catizzone, Diane Tse, Gayatri Aravind, Jennifer O'Neil, Lisa Sheehy, Joyce Fung, C Allyson Jones, Heidi Sveistrup, Nancy M Salbach
{"title":"A Theory-Based Approach to Adapting a Task-Oriented Community Exercise Programme for Virtual Delivery for People With Balance and Mobility Limitations.","authors":"Elizabeth L Inness, Anessa Koussiouris, Navaldeep Kaur, Margot Catizzone, Diane Tse, Gayatri Aravind, Jennifer O'Neil, Lisa Sheehy, Joyce Fung, C Allyson Jones, Heidi Sveistrup, Nancy M Salbach","doi":"10.3138/ptc-2024-0030","DOIUrl":"10.3138/ptc-2024-0030","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Despite the health benefits for people with mobility limitations of participating in community-based exercise programmes (CBEPs), accessing and implementing in-person CBEPs can be challenging. We describe a theory-based approach to adapting a group task-oriented, in-person CBEP targeting balance and mobility to a virtual format. <b><i>Method:</i></b> We used the Knowledge-to-Action and Medical Research Council frameworks to guide adaptation of an established CBEP for virtual delivery. We undertook consultations with knowledge users (i.e., CBEP providers, health care professionals, managers, policy-makers) and researchers on adapting programme components to optimize the feasibility of virtual delivery and retain benefits of the in-person CBEP. Concurrently, we conducted three feasibility studies involving post-programme participant surveys to evaluate and refine programme components. <b><i>Results:</i></b> Programme components, including a pre-programme safety video and use of trained facilitators to stream exercise videos via videoconferencing and facilitate social times, met safety, feasibility, and acceptability benchmarks. In studies 1, 2, and 3, the majority of participants described benefit to physical function (59%, 64%, and 79%, respectively) and emotional well-being (64%, 62%, and 75%, respectively). <b><i>Conclusions:</i></b> Theoretical frameworks were useful to guide adaptation of an established in-person CBEP to a virtual format. This theoretical approach may inform virtual programme development for other populations and targeted outcomes.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"328-338"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on Farajzadeh et al.","authors":"Katie Kowalski","doi":"10.3138/ptc-2024-0050-cc","DOIUrl":"10.3138/ptc-2024-0050-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"406-407"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2025-11-04DOI: 10.3138/ptc-2024-0101
Julie Paradis, Tamara L Morgan, Isaac Kelman McFadyen, Kyra J Kane, Jacqueline Josee van Ierssel, Stéphanie Bernard, Linda C Li, Zachary J Weston, Jennifer Tomasone
{"title":"Designing the Whole Day Matters Toolkit for Physiotherapists to Enhance Movement Behaviour Discussions: Findings From a Multi-Study Usability and Consensus-Building Process.","authors":"Julie Paradis, Tamara L Morgan, Isaac Kelman McFadyen, Kyra J Kane, Jacqueline Josee van Ierssel, Stéphanie Bernard, Linda C Li, Zachary J Weston, Jennifer Tomasone","doi":"10.3138/ptc-2024-0101","DOIUrl":"10.3138/ptc-2024-0101","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The Canadian 24-Hour Movement Guidelines for Adults (24HMG) provide evidence-based recommendations for optimal levels of movement behaviours. Physiotherapists are well positioned to promote health through 24HMG discussions but are not the intended users of the existing Whole Day Matters Toolkit created to facilitate these discussions. This study aimed to understand the specific needs and preferences of physiotherapists for a toolkit that facilitates 24HMG discussions with their patients and to design and develop an effective, user-friendly one. <b><i>Method:</i></b> We undertook a two-phase research process. We collected perceptions from eight physiotherapists about the existing toolkit using think-aloud, near-live, and interview methods. Using the findings, we revised the existing toolkit to create a draft Physiotherapy Toolkit. Twenty-one physiotherapists then completed a modified Delphi study to reach consensus on the draft toolkit. <b><i>Results:</i></b> Physiotherapists felt positively toward having a toolkit and thought it facilitated a client-centred approach; however, barriers included 24HMG knowledge and discussion initiation. Consensus was reached on the draft toolkit in three rounds of the modified Delphi. <b><i>Conclusions:</i></b> The Whole Day Matters Toolkit for Physiotherapists addresses barriers to 24HMG discussions by providing 24HMG knowledge, a questionnaire, and a handout. The toolkit supports physiotherapists' roles in health promotion through movement behaviour counselling.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"417-433"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2026-06-08DOI: 10.3138/ptc-2024-0001
Casey Goheen, Travis Goetti, Julien Trapeau, Pulak Parikh, Jennifer Van Bussel, Heather Gillis, Laura Churchill
{"title":"Return to Sport Guidelines Following Total Knee Arthroplasty: A Scoping Review.","authors":"Casey Goheen, Travis Goetti, Julien Trapeau, Pulak Parikh, Jennifer Van Bussel, Heather Gillis, Laura Churchill","doi":"10.3138/ptc-2024-0001","DOIUrl":"10.3138/ptc-2024-0001","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Our scoping review aimed to explore available evidence on health care providers' recommendations for return to sport (RTS) after total knee arthroplasty (TKA), particularly in the context of increasing demand among younger patients to restore function, enhance quality of life, and resume sports participation. <b><i>Method:</i></b> We searched MEDLINE, CINAHL, Embase, Scopus, and SPORTDiscus for diverse study designs, published between January 1, 1990, and March 30, 2023, that focused on health care provider recommendations for RTS following TKA. Studies were screened through a title/abstract review, followed by a full-text review. The Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was used to evaluate the methodological quality. We synthesized recommendations with a narrative review. <b><i>Results:</i></b> Altogether, 23 articles were included for evaluation. Most studies (12) were evaluated as low quality (score < 25%), while remaining studies (11) were rated as moderate quality (score 25%-75%). Recommendations indicated a return to low-to-moderate impact and avoidance of high-impact sports. Concerns for implant survivorship and patient-related factors strongly influenced recommendations. <b><i>Conclusion:</i></b> While low-to-moderate impact is recommended, a clear understanding of what defines level of impact and the sports included in each category are not well established and should be explored to offer consistent guidelines.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"380-388"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parting Words From the Interim Scientific Editor.","authors":"S Jayne Garland","doi":"10.3138/ptc-78-3-gee","DOIUrl":"10.3138/ptc-78-3-gee","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"289-291"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2026-07-09DOI: 10.3138/ptc-2024-0091
Alyssa Benitez, Aly Knox, Brooke Hogben, Adam Ziabari, Phillip Park, Rahul Manikonda, Euson Yeung, Charlotte Anderson
{"title":"The Role of Physiotherapists on Family Health Teams: Understanding Active Interprofessional Team Members' Perspectives.","authors":"Alyssa Benitez, Aly Knox, Brooke Hogben, Adam Ziabari, Phillip Park, Rahul Manikonda, Euson Yeung, Charlotte Anderson","doi":"10.3138/ptc-2024-0091","DOIUrl":"10.3138/ptc-2024-0091","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Family Health Teams (FHTs) were established in 2005 to increase access to health care and collaborative decision-making. It remains unclear how effective this care model is for socio-economically and culturally diverse areas like Scarborough, Ontario. This study aimed to (1) understand administrators' and practitioners' perspectives on how FHTs are operating in this region; and (2) illuminate the current and potential roles of physiotherapists within FHTs to address diverse health needs in the Scarborough community. <b><i>Method:</i></b> Participants were recruited by snowball and purposive sampling and completed semi-structured interviews. The DEPICT model was used for qualitative data analysis. <b><i>Results:</i></b> Ten active members of Scarborough FHTs took part in this study. All participants noted that physiotherapists would be beneficial to FHTs. Three overarching themes emerged from the data: (1) FHT model of care, (2) resource availability and allocation, and (3) competing perspectives on interprofessional collaboration in FHTs. <b><i>Conclusion:</i></b> FHTs in underserved areas may benefit from greater integration of physiotherapists to maximize the potential of this care model. Ongoing communication with governing bodies and front-line workers about changing health needs in the community to improve resource allocation and funding is crucial. Increasing diversity within FHTs could better represent the cultural diversity of Scarborough.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"354-364"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2025-09-22DOI: 10.3138/ptc-2024-0050
Ata Farajzadeh, Alexe Hébert, Ian M Lahart, Martin Bilodeau, Matthieu P Boisgontier
{"title":"Apathy and Physical Activity: A Systematic Review and Meta-Analysis.","authors":"Ata Farajzadeh, Alexe Hébert, Ian M Lahart, Martin Bilodeau, Matthieu P Boisgontier","doi":"10.3138/ptc-2024-0050","DOIUrl":"10.3138/ptc-2024-0050","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Patient motivation is essential for successful rehabilitation, so apathy may hinder physiotherapists' interventions aimed at increasing physical activity. We examined the relationship between apathy and physical activity to identify the factors that influence it. <b><i>Methods:</i></b> Pearson product-moment correlations were pooled from eligible studies to examine the relationship between apathy and physical activity. Subgroup meta-analyses and meta-regressions were also conducted. <b><i>Results:</i></b> From the systematic review (28 articles) and main meta-analysis (22 studies; <i>N</i> = 12,541), the results showed a negative correlation between apathy and physical activity (<i>r</i> = -0.13; 95% CI: -0.18, -0.09; <i>p</i> < 0.0001 based on Pearson's <i>r</i>-values; <i>r</i> = -0.40; 95% CI: -0.68, -0.02; <i>p</i> = 0.043 based on Spearman's ρ-values). The correlation was statistically significant in patients with Parkinson's disease and in older adults who were healthy, depressed, fallers, or had mild cognitive impairment. A meta-regression showed an effect of age, with a stronger correlation between apathy and physical activity in older adults compared to younger adults (<i>p</i> = 0.003). <b><i>Conclusion:</i></b> Higher levels of apathy are associated with lower levels of physical activity, and this negative association is stronger with age. Therefore, apathy may limit exercise therapy efficacy and carry prognostic implications for patients whose condition requires physical activity.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"389-405"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Stevenson, Mir Sanim Al Mamun, Jordan Miller
{"title":"Commentary on Benitez et al.","authors":"Emily Stevenson, Mir Sanim Al Mamun, Jordan Miller","doi":"10.3138/ptc-2024-0091-cc","DOIUrl":"10.3138/ptc-2024-0091-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"365-367"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2026-08-01Epub Date: 2026-04-24DOI: 10.3138/ptc-2024-0093
Dominique Arsenault, Tanya D Ivanova, S Jayne Garland
{"title":"Ankle Muscle Power and Balance Performance in Older Adults.","authors":"Dominique Arsenault, Tanya D Ivanova, S Jayne Garland","doi":"10.3138/ptc-2024-0093","DOIUrl":"10.3138/ptc-2024-0093","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This cross-sectional descriptive study sought to determine the influence of ankle power on balance performance. <b><i>Method:</i></b> Twenty healthy older adults (≥ 70 years; 11 men, 9 women; mean age of 76.6 [SD 5.5] years) with no prior debilitating injuries, neurological disorders, or respiratory diseases participated. Ambulatory balance was assessed using the Community Balance and Mobility Scale (CB&M, out of 96) - a performance-based functional outcome measure. Average power about the ankle joint was measured during unilateral isotonic ankle plantarflexion and dorsiflexion contractions. The Gait Real-Time Analysis Interactive Lab (GRAIL) system was used for perturbation tests, which included posteriorly directed movements of treadmill belts (300 ms duration, causing an anterior displacement of the participant's centre of mass) performed unilaterally (left belt) or bilaterally (both belts). The relationship between the average power measured at the ankle joint and balance performance was assessed. <b><i>Results:</i></b> Older adults demonstrated a significant positive correlation between ankle plantarflexor power and CB&M score (ρ = 0.464; <i>p</i> = 0.04) and between ankle plantarflexor power and unilateral perturbation intensity (ρ = 0.486; <i>p</i> = 0.03). <b><i>Conclusion:</i></b> Maintaining ankle plantarflexion power during the aging process may be critical in maintenance of functional performance in older adults.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"349-353"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What Does Cochrane Say About Telerehabilitation.","authors":"","doi":"10.3138/ptc-78-3-cochrane","DOIUrl":"10.3138/ptc-78-3-cochrane","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"434"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}