Physiotherapy Canada最新文献_第2页

Student Perceptions of MPT-PhD Programmes in Canada: A Qualitative Study. 加拿大学生对MPT-PhD课程的看法：一项定性研究。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2026-04-24 DOI: 10.3138/ptc-2024-0046

Rochelle Furtado, Christina Ziebart, Joy C MacDermid

{"title":"Student Perceptions of MPT-PhD Programmes in Canada: A Qualitative Study.","authors":"Rochelle Furtado, Christina Ziebart, Joy C MacDermid","doi":"10.3138/ptc-2024-0046","DOIUrl":"10.3138/ptc-2024-0046","url":null,"abstract":"Purpose: Hybrid training programmes (MPT-PhD) were developed at four Canadian universities to support aspiring clinician-scientists in the physiotherapy field. The purpose of this study was to qualitatively explore the experiences of MPT-PhD trainees to understand (1) the supports needed to be successful within this programme, (2) the associated barriers that can arise within this programme, and (3) careers and opportunities available after graduation. Method: An interpretive descriptive approach was used to interview individuals in various stages of the MPT-PhD programme in Canada. Interviews were conducted by two researchers. Results: A total of nine participants from three of the four programmes completed interviews. Overall, participants had a positive experience in the programme but noted barriers: lack of clinician-scientist placements, lack of programme structure, and poor work-life balance. Integrating their experiences led to recommendations to set clear milestones: having at least one placement in a clinical setting related to their research, creating social connections with other students, and facilitation of clinician-scientist positions both within and beyond academia. Conclusion: Although preliminary, the results provide an understanding of the MPT-PhD student experience. Findings serve as a first step toward improving and supporting MPT-PhD students' needs as they develop into clinician-scientists.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"408-416"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118666","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}

引用次数: 0

Mobility Profiles of Residents Living With Dementia in Canadian Long-Term-Care Homes: A Cross-Sectional Study. 加拿大长期护理院痴呆症患者的行动能力概况：一项横断面研究。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2025-10-21 DOI: 10.3138/ptc-2024-0103

Michael C Ibekaku, Lori E Weeks, Caitlin McArthur

{"title":"Mobility Profiles of Residents Living With Dementia in Canadian Long-Term-Care Homes: A Cross-Sectional Study.","authors":"Michael C Ibekaku, Lori E Weeks, Caitlin McArthur","doi":"10.3138/ptc-2024-0103","DOIUrl":"10.3138/ptc-2024-0103","url":null,"abstract":"Purpose: People living with dementia experience a decline in mobility, leading to adverse health outcomes. Method: Using the Resident Assessment Instrument-Minimum Data Set 2.0 (RAI-MDS 2.0) and interRAI Long-Term Care Facilities (LTCF) assessment form data, we conducted a cross-sectional study of 79,773 LTC residents across four Canadian provinces. Mobility was assessed using four measures: bed mobility, transfers, locomotion, and walking. We used a generalized logit model to examine associations between mobility and selected determinants. Results: The sample had a mean age of 86.17 (SD 7.96) years; two-thirds were female, with most residing in Ontario. Cognitive impairment reduced independence (odds ratio [OR]: 0.01-0.75, 95% CI: 0.01, 0.91, p < 0.05). Residents with depression had higher odds of requiring limited assistance (OR: 1.50-1.72). Contextual factors, including province, influenced mobility, with Manitoba residents having the highest odds of independence (OR: 1.71-9.09). Receiving physiotherapy or occupational therapy was linked to lower odds of independence (OR: 0.32-0.77), likely because of prioritization of severely impaired residents. Conclusions: The mobility of residents with dementia in LTC is associated with physiological, subjective, and contextual factors. These factors should be considered in developing interventions to improve mobility across different provinces.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"368-379"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118637","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}

引用次数: 0

Exploring the Use of Simulation for Teaching Cardiovascular Pulmonary Skills and Clinical Reasoning in Canadian Entry-Level Physiotherapy Programmes: A Mixed-Methods Study. 探索在加拿大入门级物理治疗课程中使用模拟教学心血管肺技能和临床推理：一项混合方法研究。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 DOI: 10.3138/ptc-2024-0117

Lisa Wickerson, Sunita Mathur, Heather Braund, Nadeen Al Awamry, Eli Zytoon, Erin Miller

{"title":"Exploring the Use of Simulation for Teaching Cardiovascular Pulmonary Skills and Clinical Reasoning in Canadian Entry-Level Physiotherapy Programmes: A Mixed-Methods Study.","authors":"Lisa Wickerson, Sunita Mathur, Heather Braund, Nadeen Al Awamry, Eli Zytoon, Erin Miller","doi":"10.3138/ptc-2024-0117","DOIUrl":"10.3138/ptc-2024-0117","url":null,"abstract":"Purpose: This study aimed to identify simulation practices currently working well to teach cardiovascular pulmonary (CVP) physiotherapy skills, and to describe what educators perceive as the ideal future use for simulation. Method: Participants were physiotherapists involved in teaching CVP physiotherapy at 1 of the 15 Canadian entry-to-practice physiotherapy programmes. We collected data with an online survey and through virtual focus groups. We conducted the focus groups using an appreciative inquiry approach and analyzed results using directed content analysis. Results: Eleven people (representing 73.3% of Canadian physiotherapy programmes) completed the survey, and 12 (representing 80.0% of Canadian physiotherapy programmes) participated in focus groups. They described various simulation practices across programmes, detailing equipment used, educational context, and skills targeted. We identified six themes: (1) there is value in different simulation modalities and levels of fidelity; (2) using simulation presents multiple ubiquitous challenges; (3) educators are open to innovative and collaborative co-design; (4) the ideal use of simulation involves dynamic scenarios that build in complexity; (5) structured debriefing from experienced educators is an essential component; and (6) sustainable delivery requires advocacy, initial investment, and broadening the application of simulation. Conclusions: Innovative and collaborative co-design may further evolve and strengthen simulation practice in CVP physiotherapy education.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"292-299"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118642","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}

引用次数: 0

Treatment Fidelity in a Multi-Centre Study of Early Physical Rehabilitation in Mechanically Ventilated Patients: A Secondary Analysis of the CYCLE Pilot RCT. 机械通气患者早期物理康复多中心研究中的治疗保真度：CYCLE先导随机对照试验的二次分析

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2025-10-24 DOI: 10.3138/ptc-2024-0085

Christopher Farley, Heather K O'Grady, Timothy Karachi, Bram Rochwerg, Alison E Fox-Robichaud, Sunita Mathur, Karen E A Burns, Ian M Ball, Diane Heels-Ansdell, Sue Berney, Deborah J Cook, Jen Hoogenes, Mark Duffett, Dina Brooks, Michelle E Kho

{"title":"Treatment Fidelity in a Multi-Centre Study of Early Physical Rehabilitation in Mechanically Ventilated Patients: A Secondary Analysis of the CYCLE Pilot RCT.","authors":"Christopher Farley, Heather K O'Grady, Timothy Karachi, Bram Rochwerg, Alison E Fox-Robichaud, Sunita Mathur, Karen E A Burns, Ian M Ball, Diane Heels-Ansdell, Sue Berney, Deborah J Cook, Jen Hoogenes, Mark Duffett, Dina Brooks, Michelle E Kho","doi":"10.3138/ptc-2024-0085","DOIUrl":"10.3138/ptc-2024-0085","url":null,"abstract":"Purpose: To determine the relationship between patient characteristics and treatment fidelity in adult ICU patients enrolled in the CYCLE Pilot randomized controlled trial. Method: We conducted a secondary analysis of a pilot trial in which patients were randomly assigned to in-bed cycling plus usual physiotherapy (PT) or usual PT alone. We calculated protocol fidelity for each patient as the proportion of planned days when the assigned treatment was delivered or did not occur due to medical instability. Using multiple linear regression, we assessed the association of protocol fidelity with admission severity of illness, sex, assigned treatment, baseline comorbidities, and frailty. Results: Sixty-six patients were enrolled in this pilot trial (36 cycling, 30 usual PT) with a median (1st-3rd quartiles) protocol fidelity of 100% (83%-100%), 89% (75%-100%) in cycling and 100% (90%-100%) in usual PT. By regression analysis, assignment to in-bed cycling plus usual PT was associated with a 9.7% (95% CI: -17.8, -1.5) lower protocol fidelity compared to usual PT alone. Conclusions: We found those in the usual PT group had higher protocol fidelity; no other associations were found. This study offers an analytic approach for trialists to assess treatment fidelity for rehabilitation interventions in clinical trials.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"339-348"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118764","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}

引用次数: 0

Associations Between Mobility Capacity and Walking Performance in Community-Dwelling Older Adults With Outdoor Walking Limitations. 有户外行走限制的社区居住老年人的活动能力和行走表现之间的关系。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2026-07-09 DOI: 10.3138/ptc-2024-0074

Sabrina A Schlickmann Gil, Ruth Barclay, Nancy M Salbach, Sandra C Webber

{"title":"Associations Between Mobility Capacity and Walking Performance in Community-Dwelling Older Adults With Outdoor Walking Limitations.","authors":"Sabrina A Schlickmann Gil, Ruth Barclay, Nancy M Salbach, Sandra C Webber","doi":"10.3138/ptc-2024-0074","DOIUrl":"10.3138/ptc-2024-0074","url":null,"abstract":"Purpose: To determine relationships between mobility capacity and walking performance in older adults with outdoor walking limitations. Method: This cross-sectional study involved secondary analysis of baseline data from the Getting Older Adults Outdoors (GO-OUT) study (115 females, 53 males; mean age of 74.6 [SD 7.0] years). Mobility capacity tests included 6-minute walk test (6MWT), 10-metre walk test (10MWT), 30-second sit-to-stand (30sSTS), and Mini-BESTest. Walking performance included peak 30-minute cadence, time walked in bouts, and steps per day (accelerometry). Multiple linear regression was used to determine associations between capacity and performance, adjusted for age, sex, and comorbidity. Results: Individual measures of mobility capacity were significantly associated with all measures of walking performance, explaining variances of 24%-28% in peak 30-minute cadence, 9%-14% in time walked in bouts, and 18%-22% in steps per day. In combined models, 6MWT and 30sSTS were significantly associated with peak 30-minute cadence (R 2 = 0.37), 10MWT with time walked in bouts (R 2 = 0.15), and 30sSTS with steps per day (R 2 = 0.25). Conclusions: Relationships between mobility capacity and walking performance vary depending on chosen measure of performance. Lower extremity muscle endurance, muscle strength, cardiovascular capacity, and balance are important for walking in everyday life.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"320-327"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118566","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}

引用次数: 0

An Environmental Scan of Canadian Physiotherapy Dry Needling Regulations. 加拿大物理治疗干针法规的环境扫描。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2026-07-31 DOI: 10.3138/ptc-2024-0037

Nadine Crocker, Eric Parent

{"title":"An Environmental Scan of Canadian Physiotherapy Dry Needling Regulations.","authors":"Nadine Crocker, Eric Parent","doi":"10.3138/ptc-2024-0037","DOIUrl":"10.3138/ptc-2024-0037","url":null,"abstract":"Purpose: Dry needling (DN) regulations among the Canadian physiotherapy colleges were compiled to make recommendations toward a national guideline. Method: DN regulatory data extracted from regulatory body websites using an environmental scan framework was checked by an independent reviewer. Colleges were contacted to fill gaps identified from the web. Extracted content was compared to recommendations from two Canadian DN reviews to identify gaps in regulation. Results: DN regulation is done through legislation (two colleges), practice guidelines (one), or both (seven), depending on the college and its provincial or territorial jurisdiction. Three colleges have prerequisites for DN courses, four have approved DN courses, nine require specific course content, three require minimum course hours, nine require registration or rostering, and three have continued competency expectations. No colleges have evidence-based guidelines to inform requirements or meet all DN recommendations. Conclusions: Heterogeneity in regulation likely represents gaps that may potentially expose the public to risk. Physiotherapy colleges could review their regulatory process, address these gaps if they are deemed related to increase risk, and ultimately come to a consensus on what are the safest regulations of practice for Canadian physiotherapists.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"300-307"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118568","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}

引用次数: 0

Can Mechanomyography and Heart Rate Be Used to Guide Neuromuscular Electrical Stimulation Delivery in the Non-Responsive Patient? A Cross-Sectional Study in Healthy Adults. 肌力图和心率可以用来指导无反应患者的神经肌肉电刺激传递吗？健康成人的横断面研究

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-08-01 Epub Date: 2026-08-05 DOI: 10.3138/ptc-2023-0111

Nicholas Markakos, Brittany Wu, Deor Bektashi, Rebecca Campbell, Sabrina Dasouki, Roxana Juan Ding, Sunita Mathur, Jane Batt, Maryam Davoudpour, Vlad Porcila, Alireza Sadeghian, Adriana Ieraci, Sharon Gabison

{"title":"Can Mechanomyography and Heart Rate Be Used to Guide Neuromuscular Electrical Stimulation Delivery in the Non-Responsive Patient? A Cross-Sectional Study in Healthy Adults.","authors":"Nicholas Markakos, Brittany Wu, Deor Bektashi, Rebecca Campbell, Sabrina Dasouki, Roxana Juan Ding, Sunita Mathur, Jane Batt, Maryam Davoudpour, Vlad Porcila, Alireza Sadeghian, Adriana Ieraci, Sharon Gabison","doi":"10.3138/ptc-2023-0111","DOIUrl":"10.3138/ptc-2023-0111","url":null,"abstract":"Purpose: Neuromuscular electrical stimulation (NMES) may be used to prevent ICU-acquired weakness. Heart rate variability (HRV), mechanomyography (MMG), and pain objectively assess patient experience and muscle response during NMES, which may facilitate its delivery in non-responsive patients. This study investigated the associations between the secondary outcomes of MMG and HRV with the primary outcomes, quality of contraction (QoC), and pain during NMES. Method: Using a cross-sectional design, an NMES protocol supervised remotely was delivered to the tibialis anterior muscle in 12 healthy participants. Data on MMG assessed using accelerometry, HRV using photoplethysmography, QoC using a modified version of the MRC scale, and self-reported pain using a numeric pain rating scale (NPRS) were collected. A Spearman rank-order correlation was used to determine associations between MMG and NPRS/QoC and between HRV and NPRS/QoC. Results: Positive correlations were found between MMG and NPRS scores, and between MMG and QoC. No significant correlations were observed between HRV and NPRS scores, and between HRV and QoC. Conclusion: MMG, but not HRV, is useful for assessing muscle QoC and pain during NMES. Findings from this study may help guide selection of variables to use in delivery of NMES in non-responsive patients. Further studies with larger sample sizes of non-responsive patients should be explored.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 3","pages":"308-319"},"PeriodicalIF":1.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118594","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}

引用次数: 0

Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study. 过度通气综合征患者的物理治疗教育和呼吸再训练：一项观察性研究。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-05-01 Epub Date: 2025-06-17 DOI: 10.3138/ptc-2024-0066

Marc Beaumont, Bertrand Selleron, Gregoire Passard, Kamber Karsandi, Mathilde Proffit, Rémi Valentin, William Poncin

{"title":"Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study.","authors":"Marc Beaumont, Bertrand Selleron, Gregoire Passard, Kamber Karsandi, Mathilde Proffit, Rémi Valentin, William Poncin","doi":"10.3138/ptc-2024-0066","DOIUrl":"10.3138/ptc-2024-0066","url":null,"abstract":"Purpose: The hyperventilation syndrome (HVS) is a dysfunctional breathing disorder with significant consequences on quality of life. HVS treatment involves an educational approach and breathing exercises. Although better understanding of HVS is needed, it is also relevant to provide evidence of HVS physiotherapy treatment efficiency. This study aimed to assess the effects of respiratory physiotherapy in HVS patients. Method: Patients referred by a physician to a physiotherapist for HVS-related symptoms were included in this prospective observational study. They received six respiratory physiotherapy sessions (1/wk) composed of therapeutic education and breathing exercises. The primary objective was to assess the pre-post change on HVS symptoms, using the Nijmegen Questionnaire, between baseline and 5 weeks. Secondary objectives assessed anxiety, depression, dyspnoea, quality of life, and respiratory rate at 5 weeks. Results: Of 46 patients, 42 were analyzed. Compared to baseline, after 5 weeks, anxiety, dyspnoea, respiratory rate, and most quality of life subscores significantly improved. The Nijmegen score decreased by 11.6 points (p < 0.001) and this decrease was maintained after 3 months. Conclusions: HVS symptoms have significantly decreased while anxiety, depression, dyspnoea, and quality of life substantially improved after six respiratory physiotherapy sessions.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"190-200"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118498","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}

引用次数: 0

Commentary on Harrison et al. 评论哈里森等人。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-05-01 DOI: 10.3138/ptc-2024-0054-cc

Alice Aiken

引用次数: 0

Commentary on Smith et al. 评论史密斯等人。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2026-05-01 DOI: 10.3138/ptc-2024-0032-cc

Jeffrey Begg

引用次数: 0