Physiotherapy Canada最新文献

{"title":"A Survey of Hospital-Based Physiotherapists' Roles and Responsibilities during the COVID-19 Pandemic in Ontario, Canada.","authors":"Mairin Christie, Mehrzad Khademi, Asma Muhammad, Disha Naik, Alexander Polanski, Jaimie Coleman, Crystal MacKay, Anna Chu","doi":"10.3138/ptc-2022-0097","DOIUrl":"10.3138/ptc-2022-0097","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The COVID-19 pandemic and resulting high number of individuals requiring hospitalization has caused health care systems worldwide to alter hospital policies and procedures. This study examined how changes in hospital operations between March 2020 and March 2021 affected physiotherapists' roles and responsibilities in Ontario, Canada. <b><i>Method:</i></b> Between February and March 2021, we conducted a cross-sectional study using an online survey of physiotherapists employed in acute care and rehabilitation hospitals. <b><i>Results:</i></b> Among 230 respondents, 82 (35.7%) reported being redeployed at some point during the study period to new settings or areas of practice. Physiotherapists typically working in outpatient settings were the most likely to be redeployed (63.3%), with 62.9% of respondents reporting caring for COVID-19 patients. Among 37.1% of respondents reporting undertaking new responsibilities (e.g., personal support work, nursing, infection control), 72.0% reported being confident in their abilities; however, only 49.4% felt adequately trained. <b><i>Conclusions:</i></b> Hospital-based physiotherapists in Ontario, Canada took on a variety of traditional and non-traditional responsibilities during the first year of the pandemic. Although confident in their abilities, feelings of being inadequately trained highlight the need for improved processes when taking on new responsibilities to support delivery of patient care and physiotherapists' well-being.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"61-68"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47248831","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":"Changing Self-Perceptions and Self-Management of Urinary Incontinence with Pelvic Floor Physiotherapy and Social Support: A Qualitative Descriptive Study.","authors":"Sarah Fraser, Kadia St-Onge, Kenneth Southall, Melanie Morin, Lauriane Forest, Chantale Dumoulin","doi":"10.3138/ptc-2023-0072","DOIUrl":"https://doi.org/10.3138/ptc-2023-0072","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The aim of this study was to explore how social support during a pelvic floor muscle training (PFMT) programme, performed in a group or individually, influences the perceptions of older women with urinary incontinence (UI) regarding their condition and self-management. <b><i>Method:</i></b> This qualitative study was conducted with a subset of participants (<i>n</i> = 15), who had completed a large randomized controlled trial (RCT) on PFMT for UI. Incontinent older women participated in individual semi-structured interviews about their self-perceptions, self-management, and social support. Interviews were audio recorded and transcribed and content analysis was conducted. <b><i>Results:</i></b> Four inter-related categories emerged describing how social support positively influenced UI self-perceptions and self-management. These four categories were: (1) point of entry, (2) safe space, (3) concealment to disclosure, and (4) change in perspective. <b><i>Conclusions:</i></b> Social support within a PFMT programme helps women with UI improve their UI self-perception and self-management. The PFMT programme itself can also improve seeking of social supports for women with UI.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"77 1","pages":"7-17"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082453","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 the Effectiveness of TENS for Managing Acute and Chronic Pain?","authors":"","doi":"10.3138/ptc-76-4-cochrane","DOIUrl":"https://doi.org/10.3138/ptc-76-4-cochrane","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"76 4","pages":"423"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082201","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":"Developing a National Consensus of the Physiotherapy Entry-Level Business and Practice Management Core Curriculum Competencies: A Delphi Study.","authors":"Diana Hopkins-Rosseel, Darryl Yardley, Jennifer Turnnidge, Nancy Dalgarno, Klodiana Kolomitro","doi":"10.3138/ptc-2022-0054","DOIUrl":"10.3138/ptc-2022-0054","url":null,"abstract":"<p><strong>Purpose: </strong>Physiotherapists need to develop strong business acumen to make informed decisions, drive positive outcomes, and thrive in their practice. Competencies in these areas are partially reflected in the <i>Competency Profile for Physiotherapists in Canada</i>; however, there is little consistency in how these are applied across academic institutions. The purpose of this study was to develop a set of foundational entry-to-practice (ETP) competencies related to business and practice management (BPM) that can prepare physiotherapy students for work in all Canadian health care service sectors upon graduation.</p><p><strong>Method: </strong>We undertook a modified Delphi study. An online call for participants was circulated via the Canadian Physiotherapy Association's Private Practice and Leadership Divisions, Canadian provincial and territorial physiotherapy regulators, and 15 Canadian university physiotherapy programmes. Individuals in the profession with known expertise in management and/or business were also invited to participate.</p><p><strong>Results: </strong>Two rounds of the Delphi were necessary to reach consensus. Forty-one participants were included in the first round of Delphi including academics, regulators, registered physiotherapists, and senior students. Twenty-one (51%) participated in round 2 of the study. Sixty-six ETP BPM foundational curriculum competencies, within nine domains, reached consensus (via the Delphi process).</p><p><strong>Conclusions: </strong>Consideration of the ETP competencies in the areas of business and practice management derived with this national Delphi process may enhance and harmonize the physiotherapy curricula across Canada.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"389-399"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48072430","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":"Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists.","authors":"Leslie Soever, Andrew Courchene, Marcia Correale, Tamara Gotal, Marsha Alvares, Emily May, Christian Veillette, Yoga Raja Rampersaud","doi":"10.3138/ptc-2022-0084","DOIUrl":"10.3138/ptc-2022-0084","url":null,"abstract":"<p><strong>Purpose: </strong>To better understand patients' perspectives on virtual care (VC) delivered by advanced practice physiotherapists (APPs) for hip/knee, foot/ankle, shoulder/elbow, and low back related symptoms.</p><p><strong>Method: </strong>A patient satisfaction questionnaire was developed and distributed electronically to all patients seen by APPs from August 1, 2020 to January 31, 2021. The questionnaire contained quantitative items using a 5-point Likert scale and open-ended questions that yielded qualitative findings. Descriptive statistics were applied to the quantitative data. Qualitative findings were analyzed using a qualitative description approach to identify recurrent themes.</p><p><strong>Results: </strong>Response rate was 74% (374/505) across all clinics. Videoconference was the most common delivery method (91.7%). Overall satisfaction with VC was very high (4.7-4.8/5). Emergent qualitative themes were related to Personal Connection; Preparatory Materials; Virtual Physical Examination; Practical Advantages of VC; Virtual Waiting Room; and Technical Issues.</p><p><strong>Conclusions: </strong>Overall, across several facets including personal connection, patient experience with VC for a variety of musculoskeletal conditions was rated high. Clinically, a systematic approach to the physical examination with preparatory patient education materials was key to positive patient experience.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"351-358"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46785002","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":"Cost-Effectiveness of Physiotherapy Services for Chronic Condition Management: A Systematic Review of Economic Evaluations Conducted Alongside Randomized Controlled Trials.","authors":"Jenna Smith-Turchyn, Julie Richardson, Susanne Sinclair, Ying Xu, Silvana Choo, Janelle Gravesande, Aiping Lai, Elyse Letts, Muhib Masrur, Ashley Morgan, Celeste Petrusevski, Holly Edward, Feng Xie","doi":"10.3138/ptc-2022-0016","DOIUrl":"10.3138/ptc-2022-0016","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the cost-effectiveness of physiotherapy (PT) to manage individuals with chronic conditions.</p><p><strong>Method: </strong><i>Design:</i> Systematic review of randomized controlled trials (RCTs). <i>Eligibility:</i> RCTs with adult participants diagnosed with ≥1 chronic condition, an intervention delivered or supervised by a physiotherapist, including an economic evaluation of the intervention provided. <i>Procedure:</i> Eight databases were searched. Title/abstract screening, full-text review, and data extraction were performed in duplicate. The quality of included studies was assessed using Cochrane's Risk of Bias Assessment 2.0.</p><p><strong>Results: </strong>Fifty-three articles were included in this review. Fifteen compared PT to no PT; 38 compared novel PT to conventional PT. Of the studies comparing PT to no PT, 53% found PT to be cost-effective. Of the studies comparing novel to conventional PT, 55% found novel interventions were cost-effective. Overall, PT was cost-effective in most studies related to arthritis, chronic low back pain, and chronic neck pain. The heterogeneity of study characteristics limited the ability to perform a meta-analysis.</p><p><strong>Conclusions: </strong>Over half of included studies reported PT to be cost-effective. Future high quality RCTs performing rigorous economic evaluations are needed to determine the cost-effectiveness of different interventions delivered or supervised by a PT to prevent disability for those with chronic conditions.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"402-414"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46088538","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 Quigley et al.¹.","authors":"Puja Ahluwalia","doi":"10.3138/ptc-2023-0054-CC-Ahluwalia","DOIUrl":"https://doi.org/10.3138/ptc-2023-0054-CC-Ahluwalia","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"76 4","pages":"338-339"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082206","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 Quigley et al.¹.","authors":"Roberto Sandoval","doi":"10.3138/ptc-2023-0054-CC","DOIUrl":"https://doi.org/10.3138/ptc-2023-0054-CC","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"76 4","pages":"336-337"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082175","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":"Telerehabilitation Implementation: Perspectives from Physiotherapists Working in Complex Care.","authors":"Jennifer O'Neil, Jacquie van Ierssel, Judy King, Heidi Sveistrup","doi":"10.3138/ptc-2022-0072","DOIUrl":"10.3138/ptc-2022-0072","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic resulted in a rapid change in ways clinicians deliver physiotherapy services, leading to an important uprise in telerehabilitation implementation. Sharing the experiences of physiotherapists in clinically adopting this technology during this initial wave of the pandemic can influence future implementation. This mixed-method study aimed to identify the barriers and new facilitators of telerehabilitation clinical implementation.</p><p><strong>Method: </strong>Canadian physiotherapists with and without telerehabilitation experience, working in various clinical settings, were recruited during the first wave of the COVID-19 pandemic. Participants completed the Assessing Determinants of Prospective Uptake of Virtual Reality instrument (ADOPT-VR) adapted for telerehabilitation and participated in online focus groups to explore their experiences with telerehabilitation implementation. Demographic data and ADOPT-VR responses were analyzed descriptively. Qualitative data were analyzed using content analysis.</p><p><strong>Results: </strong>Sixteen physiotherapists completed the study. Scores on the Likert scale showed that physiotherapists enjoyed telerehabilitation (7.5/10) and perceived it as being useful (7.3/10). Physiotherapists disagreed with the necessity to use only minimal mental efforts (4.4/10) and feeling familiar with the evidence (4.7/10). Limited access to telerehabilitation implementation evidence, a reduced hands-on approach, and a lack of validated remote assessments were reported as barriers. Clinical practice guidelines, validated remote neurological assessments, changes in physiotherapy curriculum, and policy-making are critical to improving telerehabilitation implementation within physiotherapy practices.</p><p><strong>Conclusions: </strong>Participants positively experienced the quick use of telerehabilitation from the beginning of the COVID-19 pandemic, but some important barriers remain.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"359-367"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41619919","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":"Using Geospatial Analysis to Determine the Proximity of Community Gyms for a Population-Based Cohort of Young People with Cerebral Palsy.","authors":"Yeshna Bhowon, Luke A Prendergast, Nicholas F Taylor, Nora Shields","doi":"10.3138/ptc-2022-0064","DOIUrl":"10.3138/ptc-2022-0064","url":null,"abstract":"<p><strong>Purpose: </strong>To quantify a perceived barrier to physical activity participation (proximity to exercise facilities) by investigating the distance a population-based cohort of young people with cerebral palsy aged 13-30 years lived from community gyms.</p><p><strong>Method: </strong>We developed a web-based application using open-access software that could be used to complete a geospatial analysis by simultaneously visualizing, describing, and estimating the location of young people with cerebral palsy, using deidentified data from a cerebral palsy register, in terms of distance and travel time to all available community gyms in one metropolitan city. The suitability of facilities for individuals was not investigated. Distance to the closest gym for participants was measured using the \"as the crow flies\" and \"street network\" methods. The proportion of the cohort living 5, 7, and 9 km from a community gym was calculated using the \"as the crow flies\" method. Distances and travel times to the closest gym for each person were calculated using the \"street network\" method. Data analysis used one-dimensional (median, quartiles) and two-dimensional (spatial median, bagplot) dispersion measures.</p><p><strong>Results: </strong>Of 568 young people with cerebral palsy, 97% lived within 7 km of a community gym, with a median absolute distance to their closest gym of 3.6 km (1^st and 3^rd quartiles 2.4, 5.1) and median travel time of 6.6 minutes (1^st and 3^rd quartiles 4.4, 8.8) by car. For the two-dimensional analysis, the spatial medians were 3.7 km and 6.5 minutes.</p><p><strong>Conclusions: </strong>The open-access, web-based application that was developed can be used by physiotherapists and others to study proximity of clinical and community infrastructure for other populations in other cities and regions. In this study, most young people with cerebral palsy living in one metropolitan city had reasonable access by car to a community gym.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"415-422"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49289277","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}