Physiotherapy Canada最新文献

{"title":"Examining the Effect of a Simulation-Based Activity on Learner Comfort and Confidence With Challenging Communication Scenarios for Physical Therapy Students: A Mixed-Methods Analysis.","authors":"Caitlin McArthur, Sara Ripley, Niousha Alizadehsaravi, Karen Bassett, Marie Earl, Kate Grosweiner, Melanie MacLeod, Daphne Periera","doi":"10.3138/ptc-2024-0039","DOIUrl":"10.3138/ptc-2024-0039","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> We described physiotherapy (PT) learner confidence and comfort in engaging in challenging conversations before and after a simulation-based lab and explored how learners found the activity helpful. <b><i>Method:</i></b> Quantitative data were collected through three online surveys (before, immediately after, and 3 months after the lab) and analyzed via descriptive statistics. Qualitative data were collected through open-ended survey questions and reflection papers, and analyzed via thematic content analysis. <b><i>Results:</i></b> Twenty-two, predominantly female (72.7%) second year entry-level PT learners participated (mean age 25.7 [SD 2.9] years). Learners' confidence or comfort increased 16%-100% after the lab. Learners found the lab to be a valuable learning experience and reported that feedback and observation, realism, and preparation influenced their learning. The lab reinforced and provided new learning about several communication skills like developing a connection and reading non-verbal cues. Some learners had difficulty integrating communication into their perception of PT skills and felt the need to resolve or \"fix\" the issue. <b><i>Conclusions:</i></b> A simulation-based Challenging Conversations Lab was perceived to be a valuable learning experience that may have increased comfort and confidence in engaging in challenging communication scenarios for entry-level PT students.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"212-219"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118655","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":"Feasibility of Sarcopenia Assessment and Association With Functional Outcome in Acute Ischemic Stroke.","authors":"Stanley Hughwa Hung, Sharon F Kramer, Emilio Werden, Vincent Thijs, Bruce C V Campbell, Amy Brodtmann","doi":"10.3138/ptc-2024-0088","DOIUrl":"10.3138/ptc-2024-0088","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The primary aim was to report feasibility of sarcopenia assessment within 7 days of ischemic stroke. Secondary aims were to estimate prevalence of sarcopenia and its association with functional outcome after stroke. <b><i>Method:</i></b> Participants, ischemic stroke survivors from two hospital acute stroke units, underwent sarcopenia assessment steps using the revised European Working Group on Sarcopenia in Older People (EWGSOP-2) guidelines within 7 days after stroke. Functional outcome (modified Rankin Scale [mRS]) was assessed 4-6 months post-stroke. Assessment steps were feasible if all participants completed them without serious adverse events. Ordinal regression was used to assess mRS associations at 4-6 months (dependent variable) with grip strength and muscle mass during the acute phase post-stroke (independent variables). <b><i>Results:</i></b> All 47 participants completed bioelectrical impedance analyses (BIA) and grip strength with at least the non-stroke affected side without serious adverse events. Six and five participants did not complete chair-rise and gait speed tests, respectively. Four participants (9%) met criteria for sarcopenia. Higher grip strength was independently associated with reduced odds of higher mRS scores. <b><i>Conclusions:</i></b> Grip strength and BIA assessments using the EWGSOP-2 guidelines were feasible. Skeletal muscle strength may be an intervention target to improve functional outcome after stroke.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"259-268"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118455","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":"Measurement Properties of Commonly Used Outcome Measures in Patients With Glenohumeral Instability.","authors":"Helen Razmjou, Leila Rahnama","doi":"10.3138/ptc-2024-0062","DOIUrl":"10.3138/ptc-2024-0062","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The objective of this study was to compare the reliability and validity of the Western Ontario Shoulder Instability Index (WOSI), a disease-specific outcome measure, with two commonly used joint-specific measures, the American Shoulder and Elbow Surgery (ASES) score and the Constant Murley score (CMS), in patients who have undergone Bankart repair or capsular plication. <b><i>Method:</i></b> This was a secondary analysis of prospectively collected data. Cross-sectional validity involved internal consistency as part of reliability assessment and factorial validity, cross-sectional convergent, and known-group validity. Longitudinal validity involved assessment of sensitivity to change in patients with pre- and post-operative data. <b><i>Results:</i></b> The data of 206 patients were used for cross-sectional analysis and the data of 140 patients were used for longitudinal validity. Factor analysis of the WOSI produced three domains, with some questions being eliminated or loaded in a different domain. The Cronbach coefficient alphas for total WOSI were 0.91 and 0.82, 0.86, 0.70, and 0.87 for its respective four domains. There was a positive moderate association between WOSI and ASES (<i>r</i> = 0.60) and CMS (<i>r</i> = 0.49). All measures were able to differentiate between patients with different levels of pathology, with the ASES and CMS being superior to WOSI. Standardized response mean values were 1.07, 0.85, and 0.84, for WOSI, ASES, and CMS, respectively. <b><i>Conclusions:</i></b> The WOSI, ASES, and CMS had comparable convergent and known-group validity and sensitivity to change in patients with glenohumeral instability. The four-domain theory and clear distinction of each construct of the WOSI was not supported.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"201-209"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118456","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":"Perceptions of Physical Activity Prescription Among Final-Year Physiotherapy and Medical Students.","authors":"Marie-Claude Saint-Amour, Josiane Roberge, Kalpit Agnihotri, Dianna Moulden, Jane Thornton, Alison Rushton","doi":"10.3138/ptc-2024-0058","DOIUrl":"10.3138/ptc-2024-0058","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To evaluate final-year physiotherapy and medical students' perceptions of physical activity prescription. <b><i>Method:</i></b> A cross-sectional non-validated survey was designed/piloted in English and French. Survey sections/questions were informed by validated questionnaires and existing evidence for physical activity prescription. The open online survey was hosted on Qualtrics, a secure online data collection system. A convenience sample of Canadian final-year physiotherapy and medical students were recruited June 2022 to April 2023 through their programme leads. Altogether 107 students participated (58 medical, 49 physiotherapy). Independent variables were field of study (physiotherapy/medicine) and previous degree. <b><i>Results:</i></b> Most participants (99.1%) strongly agreed that physical activity is an essential component of preventive medicine, and 95.3% agreed they needed more training regarding the role of physical activity in preventive medicine. Students felt they had the knowledge (77.0%) and skills (82.0%) required to prescribe physical activity. Knowledge to prescribe was highly correlated with confidence to prescribe physical activity. However, confidence varied with degree programmes and prior education. <b><i>Conclusions:</i></b> Physical activity is highly valued among final-year medical/physiotherapy students; they feel knowledgeable and confident in their skills prescribing physical activity. Some factors, such as previous degree (kinesiology) and field of study (physiotherapy), positively influence confidence in designing physical activity programmes.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"231-238"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118446","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 Razmjou and Rahnama.","authors":"Rochelle Furtado","doi":"10.3138/ptc-2024-0062-cc","DOIUrl":"10.3138/ptc-2024-0062-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"210-211"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118692","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":"Does a Simulated Patient Experience Improve Physiotherapy Students' Confidence of Shared Decision-Making? A Mixed Methods Study.","authors":"Nathan Liddle, Alice Franklin, Paul Chesterton","doi":"10.3138/ptc-2024-0044","DOIUrl":"10.3138/ptc-2024-0044","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Physiotherapy entry-level programmes are designed to equip graduates with the skills required to be autonomous practitioners. Innovative teaching methods, such as role-play simulation, are designed to support students' transition into practice. This study aimed to investigate whether a simulated patient experience could influence student confidence when facilitating behavioural change using a shared decision-making approach. <b><i>Method:</i></b> A mixed methods design comprising online pre- and post-surveys of student physiotherapists at one U.K. higher education institution, followed by an invitation to participate in a follow-up semi-structured focus group. Pre- and post-simulation surveys were completed in addition to the Modified Satisfaction with Simulation Experience (MSSE) survey. Likert scale data were treated as numeric variables with the median and Interquartile (IQR) range calculated for combined responses across potential answers. Focus groups included semi-structured questions with thematic analysis generating themes. <b><i>Results:</i></b> All 39 respondents \"Strongly Agreed\" that they were satisfied with the simulated experience, which could be transferred to clinical practice (5, IQR 4-5). The stimulation developed both confidence (5, IQR 4-5) and developed participants' perception of their shared decision-making skills (4, IQR 4-5). Three key emergent themes from the focus groups included (1) Bridging the gap between clinical practice, (2) Authenticity, and (3) Psychological safety. <b><i>Conclusions:</i></b> The simulated role-play patient experience improved the confidence and participants' perception of their ability to use shared decision-making to facilitate behavioural change. Themes from the semi-structured interviews suggested increased authenticity and psychological safety during the task, which could bridge the gap between theoretical teaching and clinical practice.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"160-168"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118697","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 Health Behaviour Change for Rehabilitation?","authors":"","doi":"10.3138/ptc-78-2-cochrane","DOIUrl":"10.3138/ptc-78-2-cochrane","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"288"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118602","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":"Association Between Diagnostic Imaging, Medication Intake, and Health Outcomes in Chronic Whiplash-Associated Disorders: An Observational Study.","authors":"Ashley Smith, Michael Westaway, Geoff Schneider, Benjamin Andruski","doi":"10.3138/ptc-2024-0032","DOIUrl":"10.3138/ptc-2024-0032","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Studies have demonstrated that medication and diagnostic imaging (DI) use and, more broadly, health care resource utilization, are not necessarily concordant with clinical practice guidelines. However, these studies did not evaluate the concurrent presence of clinical manifestations. This study therefore aimed to investigate the association between medication intake and DI, and health outcomes including pain, disability, physical, and mental health-related quality of life in people with chronic whiplash-associated disorders (WADs). We also aimed to evaluate whether medication intake and DI use differed based on specific presenting clinical manifestations (pain classification category [nociceptive, nociplastic, or neuropathic], psychologic features, pain cognitions, and sleep). <b><i>Method:</i></b> This cross-sectional study investigated people attending a multidisciplinary chronic pain centre in Calgary, Canada, between October 2019 and December 2021 who attended for evaluation of chronic symptoms arising from a motor vehicle collision. Participants completed a series of questionnaires that evaluated various health domains (pain intensity/interference; disability; physical and mental health-related quality of life; depression, anxiety, and stress; post-traumatic stress; pain catastrophizing; and sleep) at intake, and anonymized results were entered into a registry database with their informed consent. <b><i>Results:</i></b> Different classes of medication intake, use of multiple medications, receiving CT, ultrasound, or MRI scans and multiple DI utilization were associated with worse health outcomes. Increased medication intake was also associated with increased DI utilization. In concert, these results suggest that increased health care resource utilization was associated with worse health outcomes - both physically and psychologically - in chronic WAD. <b><i>Conclusions:</i></b> Our results indicate that medication intake and DI were not matched to clinical manifestations, and thus further education of health care providers is warranted to assist with appropriate health care resource utilization. These results also suggest that chronic WAD guidelines are required inclusive of recommendations for appropriate utilization of medication and referral for DI.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"177-187"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118709","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":"Isokinetic Knee Muscle Strength Following Anterior Cruciate Ligament Reconstruction in Adolescent Patients: A Comparison of In-Hospital Versus Private Clinic Rehabilitation.","authors":"Lilly Groszman, Jean-François Girouard, Thierry Pauyo, Mark Burman, Mathieu Lalumiere, Guy Grimard, Marie-Lyne Nault, Paul Martineau, Louis-Nicolas Veilleux","doi":"10.3138/ptc-2024-0042","DOIUrl":"10.3138/ptc-2024-0042","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To determine if rehabilitation after anterior cruciate ligament (ACL) reconstruction (ACL-R) in a tertiary care paediatric orthopaedic centre (TPOC) yields superior outcomes compared to private clinic (PC) rehabilitation. <b><i>Method:</i></b> In this retrospective analysis, patients aged 13 to 18 years who underwent standardized isokinetic knee assessment 5 to 7 months after ACL-R were reviewed. Exclusion criteria: previous injury to the non-operated limb, neuromuscular musculoskeletal disorder, isolated meniscal repair, isolated meniscectomy, posterior cruciate ligament reconstruction, and medial patellofemoral ligament reconstruction. To determine which of the two rehabilitation settings had the best outcomes, isokinetic parameters and patient-reported outcomes were compared between the TPOC and the PC groups using univariate analysis of variance. <b><i>Results:</i></b> Among 276 patients (63% female), 34 performed rehabilitation in a PC (12%) and 242 performed their rehabilitation in a TPOC (88%). Except \"ACL graft used\" (<i>p</i> < 0.05), no significant difference was found in demographic variables between the two rehabilitation groups. Patients who attended the TPOC setting had significantly higher limb symmetry index in flexion at 180°/s (<i>p</i> = 0.04), average relative peak torque in extension at 60°/s (<i>p</i> = 0.03), <i>z</i>-score at 60°/s in extension (<i>p</i> = 0.03), and total work at 60°/s in flexion (<i>p</i> = 0.04) compared to the PC group. ACL Return to Sport after Injury Scale scores were superior for PC rehabilitation patients (mean 83 [SD 20]) compared to patients attending the TPOC (mean 70 [SD 18]) (<i>p</i> = 0.03). <b><i>Conclusions:</i></b> Patients managed in a TPOC have better isokinetic outcomes 6 to 7 months post-surgery compared to patients managed in a PC rehabilitation setting, which may suggest that the expertise and multidisciplinary nature of the TPOC favour rehabilitation.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"239-248"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118469","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":"Facilitators and Barriers to Integrating Sleep Recommendations for Counselling Patients With Arthritis: A Survey of Physiotherapists and Students in Canada.","authors":"Codie A Primeau, Deniz Bayraktar, Michelle E Kho, Christopher Tong, Linda C Li","doi":"10.3138/ptc-2024-0069","DOIUrl":"10.3138/ptc-2024-0069","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Individuals with arthritis face challenges in balancing activity, rest, and sleep. While physiotherapists address activity, sleep considerations are often overlooked, despite evidence suggesting better sleep improves treatment outcomes. The purpose of this study was to describe facilitators and barriers for physiotherapists and students incorporating sleep in practice. <b><i>Method:</i></b> We conducted a self-administered electronic survey among physiotherapists and students in Canada. The survey included 28 items (7-point Likert scale) mapped on the Capability-Opportunity-Motivation-Behaviour system and Theoretical Domains Framework. We report means (95% CIs) and identified facilitators (mean >5/7) and barriers (mean <4/7) by item. <b><i>Results:</i></b> Between January and November 2023, 216 responded and 191 (88%) completed the survey (149 physiotherapists; 42 students). Mean age was 35 (SD 11) years. Most delivered in-person care (67%) in urban settings (67%). Facilitators (mean >5/7) included the belief that sleep health is within practice scope, optimism about its benefits, awareness of sleep's importance in managing arthritis, learning about movement guidelines, and plans to integrate sleep education into arthritis treatment. Barriers (mean <4/7) included being unaware of where to find sleep resources (mean 3.63 [95% CI: 3.39, 3.89]) and lacking knowledge about sleep guidelines (mean 3.78 [95% CI: 3.46, 4.10]) and lack of confidence in guiding sleep for patients (mean 3.38 [95% CI: 3.10, 3.69]). Few reported providing sleep education for patients with arthritis (mean 3.52 [95% CI: 3.27, 3.77]), or observing similar behaviours from colleagues (mean 3.60 [95% CI: 3.40, 3.80]). <b><i>Conclusions:</i></b> While physiotherapists and students show positive perceptions about sleep health in practice, challenges remain for effective implementation. These findings can inform the development of theory-informed behaviour-change interventions to engage physiotherapists in greater sleep integration in practice.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"276-287"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118479","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}