Physiotherapy CanadaPub Date : 2026-05-01Epub Date: 2026-03-26DOI: 10.3138/ptc-2024-0064
Gauthier Everard, Roxane Duchemin, Geneviève Boulay, Sophie Boivin, Charles Sebiyo Batcho
{"title":"Immersive Virtual Reality to Assess and Promote Upper Limb Activity in Older Adults With and Without Major Neurocognitive Disorder: A Qualitative Study.","authors":"Gauthier Everard, Roxane Duchemin, Geneviève Boulay, Sophie Boivin, Charles Sebiyo Batcho","doi":"10.3138/ptc-2024-0064","DOIUrl":"10.3138/ptc-2024-0064","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study explores how older adults with and without major neurocognitive disorder experienced the use of immersive virtual reality (VR) applications aiming to promote and assess upper limb activity. <b><i>Method:</i></b> A qualitative design within an interpretivist paradigm was employed. Thirty participants over 60 years of age were recruited from the Canadian population. After an upper limb immersive VR session, semi-structured interviews were conducted to gather insights from the participants. Thematic analysis using a six-phase framework was performed to identify and analyze key themes in the interview data. <b><i>Results:</i></b> Five main themes emerged from the analysis: prior experience and apprehensions toward immersive VR, comfort and usability of the device, design of the virtual background, interaction in immersive VR, and clinical applicability of immersive VR. Overall, older adults seemed motivated by the playful, challenging, and entertaining interactions offered by immersive VR. <b><i>Conclusions:</i></b> Immersive VR was described as beneficial for motricity and cognition. Participants found it to be an interesting tool for performing exercises and assessing performance more autonomously.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"148-159"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118436","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 : 2026-05-01Epub Date: 2025-08-11DOI: 10.3138/ptc-2024-0054
Diana A Harrison, Laura Santurri, Lisa Borrero, Jennifer Green-Wilson
{"title":"Exploration of the Perceived Value of Self-Leadership Capacity in Physical Therapist Clinicians.","authors":"Diana A Harrison, Laura Santurri, Lisa Borrero, Jennifer Green-Wilson","doi":"10.3138/ptc-2024-0054","DOIUrl":"10.3138/ptc-2024-0054","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Self-leadership, or leading oneself, is a critical component of leadership linked to improved individual performance, team effectiveness, and patient and organizational outcomes. This qualitative study explores physical therapist clinicians' perceived value of self-leadership in their clinical practice and their interactions with inter-professional team members. <b><i>Method:</i></b> Purposeful sampling was used to recruit participants via the maximum variation strategy. Eleven licensed physical therapist clinicians with 2-39 years of clinical experience in five different clinical settings participated. Participants engaged in individual, semi-structured interviews that were audio-recorded and transcribed verbatim. Study rigour was addressed through the use of multiple coders, memoing, and member checking. <b><i>Results:</i></b> Four main themes emerged: developing expertise, pursuing professional growth, discovering and amplifying voice, and advocacy. The \"why\" behind the actions of those interviewed was to influence patient outcomes and quality of care and to address role identity as a physical therapist across multiple contexts. <b><i>Conclusions:</i></b> This is the first known exploration of the perceived value of self-leadership capacity in physical therapist clinicians. The study results suggest that leadership must be reframed as self-leadership, the precursor to leading others, so physical therapist clinicians can lead at all levels in everyday practice.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"220-228"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118708","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 : 2026-05-01Epub Date: 2025-08-01DOI: 10.3138/ptc-2024-0070
Jeffrey Paskewitz, Janet Readinger, Kshamata Shah, Philip McClure
{"title":"Feasibility, Reliability, and Validity of the Timed Functional Arm and Shoulder Test Among Individuals With Parkinson's Disease.","authors":"Jeffrey Paskewitz, Janet Readinger, Kshamata Shah, Philip McClure","doi":"10.3138/ptc-2024-0070","DOIUrl":"10.3138/ptc-2024-0070","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To examine the feasibility, test-retest reliability, and validity of the Timed Functional Arm and Shoulder Test (TFAST) with individuals with PD. <b><i>Method:</i></b> Twenty-six participants with PD were examined using TFAST; Disability of the Arm, Shoulder, and Hand (DASH); and Movement Disorder Society Unified Parkinson Disease Rating Scale (UPDRS) Motor subscale. TFAST was readministered 2-7 days after baseline. Correlation analysis examined relationships between the measures. Participants' TFAST scores were compared with those of asymptomatic older adults. <b><i>Results:</i></b> Of participants, 96.2% completed TFAST. Reliability was characterized by an intra-class correlation coefficient (2,1) of 0.93 (95% CI: 0.84, 0.97). TFAST and UPDRS correlated weakly (<i>r</i> = -0.19, 95% CI: -0.55, 0.22) and TFAST and DASH (<i>r</i> = -0.36, 95% CI: -0.66, 0.04), and UPDRS and DASH (<i>r</i> = 0.46, 95% CI: 0.08, 0.72) correlated moderately. Participants with PD had lower TFAST scores than older adults (mean difference 18.8, 95% CI: 6.0, 31.6, <i>p</i> = 0.005). <b><i>Conclusions:</i></b> TFAST appears feasible and highly reliable with people with PD. Moderate correlations between the measures suggest each provides unique insight into disability. TFAST scores of people with PD were significantly lower than those of asymptomatic older adults with less upper extremity disability.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"269-275"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118471","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 : 2026-05-01Epub Date: 2024-10-10DOI: 10.3138/ptc-2024-0020
Joanne L Parsons, Sandra C Webber, Tory Crawford, Shelley Sargent, Brenda Tittlemier, Kristy Wittmeier, Loring Chuchmach
{"title":"Consolidation of Publicly Funded Outpatient Musculoskeletal Physiotherapy Services in Winnipeg, Manitoba: Effects on Accessibility and Service Delivery.","authors":"Joanne L Parsons, Sandra C Webber, Tory Crawford, Shelley Sargent, Brenda Tittlemier, Kristy Wittmeier, Loring Chuchmach","doi":"10.3138/ptc-2024-0020","DOIUrl":"10.3138/ptc-2024-0020","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> In 2017, publicly funded outpatient musculoskeletal physiotherapy services in Winnipeg, Manitoba, were consolidated by closing seven hospital-based departments and limiting access to patients who met specific diagnostic criteria. Our purpose was to compare service delivery metrics and patient demographics before and after service consolidation. <b><i>Method:</i></b> We used an exploratory, retrospective cohort study design. Service delivery metrics and patient demographics were obtained from the regional database and compared using inferential statistics. <b><i>Results:</i></b> Initial physiotherapy assessments conducted per month decreased by 85.4% (absolute numbers decreased from 18,261 initial assessments in 23 months pre-consolidation to 6,715 in 61 months post-consolidation). Treatment duration (days from assessment to discharge) increased, whereas the number of appointments per patient and wait times decreased (all <i>p</i> < 0.001). The mean age of patients decreased by 5.2 years (<i>p</i> < 0.001). More patients with wrist/hand conditions and fewer patients with surgical knee and hip conditions were seen post-consolidation. Patients attending at both time points generally came from the same neighborhoods, and measures of deprivation and marginalization were intermediate or higher on Canadian Index of Multiple Deprivation scales. <b><i>Conclusions:</i></b> Closing publicly funded outpatient physiotherapy services and changing eligibility limited access for many patients who may no longer be able to access necessary care if they cannot afford private services.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"169-176"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118631","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}
Jason Xi, Harneet Somal, Luka Eskic, Tanha Patel, Saara Mohamed, Nicole Liolios, David M Walton, James Shaw
{"title":"Leaders' Views on the Implications of Digital Technologies for the Future of Physical Therapy.","authors":"Jason Xi, Harneet Somal, Luka Eskic, Tanha Patel, Saara Mohamed, Nicole Liolios, David M Walton, James Shaw","doi":"10.3138/ptc-2024-0027","DOIUrl":"10.3138/ptc-2024-0027","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> This study explores Canadian physical therapy (PT) leaders' knowledge of digital technologies and examines their beliefs about the ways in which emerging technologies will shape PT practice in the future. <b><i>Method:</i></b> We recruited 11 physical therapists with leadership roles at universities, commercial technology vendors, clinics, and regulatory bodies. We conducted semi-structured interviews and then analyzed them using the DEPICT model. <b><i>Results:</i></b> Participants were most knowledgeable in the use of telerehabilitation in PT practice. Participants believed there were opportunities for and challenges with the further integration of technology into the profession. Participants believed technology is increasingly pressuring the profession to change. A subset of participants believed the idea of professional evolution and maturity should serve as a lens through which the profession views the implications and further integration of technology into physical therapy care. Last, we found that access to care was a focal point for discussion of the integration of technology into the profession. <b><i>Conclusions:</i></b> The findings underscore the importance of further research and policy development regarding the maturity of the PT profession, with a particular focus on the interconnected issues of digital technology and access to care.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"249-258"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118445","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}
Nathan Augeard, Geoff Bostick, Jordan Miller, Lynn Cooper, Lesley Singer, Timothy H Wideman
{"title":"Pain Management Education in Canadian Physiotherapy: Lessons from a Decade of Coordinated Efforts.","authors":"Nathan Augeard, Geoff Bostick, Jordan Miller, Lynn Cooper, Lesley Singer, Timothy H Wideman","doi":"10.3138/ptc-78-2-gee","DOIUrl":"10.3138/ptc-78-2-gee","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 2","pages":"141-147"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118443","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 : 2026-02-01Epub Date: 2026-02-28DOI: 10.3138/ptc-2024-0014-cc
Leslie Soever
{"title":"Commentary on Herrington et al.","authors":"Leslie Soever","doi":"10.3138/ptc-2024-0014-cc","DOIUrl":"10.3138/ptc-2024-0014-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 1","pages":"137-138"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935380","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":"Balancing the Scales: Factors Shaping Physical Therapy Clinical Education Capacity.","authors":"Tyler Muirhead, Ushwin Emmanuel, Pooria Khoshnevisan, Malcolm Sanderson, Parneet Sidhu, Brenda Mori, Martine Quesnel","doi":"10.3138/ptc-2024-0008","DOIUrl":"10.3138/ptc-2024-0008","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To explore the current perspectives of physiotherapists regarding the factors and opportunities for increasing clinical education (CE) capacity in the Greater Toronto Area. <b><i>Method:</i></b> For our study design we used a cross-sectional qualitative descriptive design with focus group methodology to gain a thorough understanding of PTs' attitudes, enablers, and barriers to engage in CE. Subsequently, we used the six-step thematic analysis process proposed by Braun and Clarke. <b><i>Results:</i></b> We conducted five focus groups for a total of 15 participants. Five themes emerged from the data: workplace efficiency, workplace factors, university factors, student factors, and clinician factors. Clinicians' attitudes were found to be motivators to engage in CE. However, the perceived or actual decrease that hosting a student has on the clinical instructor's work efficiency was stated as a barrier. <b><i>Conclusions:</i></b> The current health care shortage in Canada, exacerbated by the COVID-19 pandemic, justifies the need to train more physiotherapists. As more studies explore the factors influencing the decision to engage in CE, an ongoing collaborative approach between the different stakeholders in CE is necessary to increase the capacity for placement opportunities.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 1","pages":"43-51"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935462","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 : 2026-02-01Epub Date: 2026-02-28DOI: 10.3138/ptc-2024-0023-cc
Michael J Lukacs
{"title":"Commentary on Lafrance et al.","authors":"Michael J Lukacs","doi":"10.3138/ptc-2024-0023-cc","DOIUrl":"10.3138/ptc-2024-0023-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 1","pages":"89-90"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935400","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 : 2026-02-01Epub Date: 2026-02-28DOI: 10.3138/ptc-78-1-cochrane
{"title":"What Does Cochrane Say About Interventions for Pelvic Floor Dysfunction in Women.","authors":"","doi":"10.3138/ptc-78-1-cochrane","DOIUrl":"10.3138/ptc-78-1-cochrane","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"78 1","pages":"139"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935417","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}