Stephanie Scodras, Euson Yeung, Heather Colquhoun, Susan B. Jaglal, Nancy M. Salbach
{"title":"Pelvic Health Content in Canadian Entry-To-Practice Physiotherapy Programs: An Online Survey","authors":"Stephanie Scodras, Euson Yeung, Heather Colquhoun, Susan B. Jaglal, Nancy M. Salbach","doi":"10.3138/ptc-2023-0030","DOIUrl":"https://doi.org/10.3138/ptc-2023-0030","url":null,"abstract":"Purpose: Pelvic health physiotherapy is an emerging and sensitive area of practice that offers effective conservative treatment for pelvic health conditions. Canadian entry-to-practice curriculum guidelines accord programs considerable flexibility regarding incorporating pelvic health content, which may lead to differences between programs and diverse levels of competence among new graduates. The purpose of this study was to determine the nature and extent to which pelvic health content is incorporated in entry-to-practice physiotherapy programs in Canada. Method: We conducted a descriptive cross-sectional e-survey of representatives from Canadian entry-to-practice physiotherapy programs. Results: Ten out of 15 Canadian programs participated. Programs incorporated pelvic health content throughout the required curriculum ( n = 9) and in optional courses ( n = 6). All participating programs covered musculoskeletal-related conditions, urinary incontinence, and pelvic pain conditions, and included anatomy and physiology, clinical reasoning, subjective assessment and pelvic floor muscle training topics. Three programs trained students in internal pelvic floor techniques in elective courses. All programs covered cisgender women populations, however, transgender populations were seldom covered. Conclusions: This study provides an understanding of pelvic health curricular content that can serve as a first step towards standardizing and improving entry-level pelvic health training in Canada.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136377912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanessa Pereira Lima, Paulo Henrique Lopes, Henrique Silveira Costa, Maria Carolina Barbosa Costa, Jefferson Freitas Rocha, Vanessa Gomes Brandão Rodrigues, Emílio Henrique Barroso Maciel, Frederico Lopes Alves, Maria Cecília Sales Mendes Prates, Patrícia Cardoso Campos, Ana Cristina Rodrigues Lacerda, Pedro Henrique Scheidt Figueiredo
{"title":"The 6–Minute Pegboard and Ring Test (6PBRT) for Evaluation of Upper Limbs Functional Capacity in Hemodialysis Patients: A Validation Study","authors":"Vanessa Pereira Lima, Paulo Henrique Lopes, Henrique Silveira Costa, Maria Carolina Barbosa Costa, Jefferson Freitas Rocha, Vanessa Gomes Brandão Rodrigues, Emílio Henrique Barroso Maciel, Frederico Lopes Alves, Maria Cecília Sales Mendes Prates, Patrícia Cardoso Campos, Ana Cristina Rodrigues Lacerda, Pedro Henrique Scheidt Figueiredo","doi":"10.3138/ptc-2022-0067","DOIUrl":"https://doi.org/10.3138/ptc-2022-0067","url":null,"abstract":"Objectives: To verify the 6–minute peg board and ring test (6PBRT) validity for functional evaluation in hemodialysis patients and upper limb (UL) functional capacity by the 6PBRT. Methods: In a cross–sectional study, patients on hemodialysis three times a week for at least 6 months performed the 6PBRT as well as handgrip strength and endurance. Health–related quality of life (HRQoL) by KDQOL–SF questionnaire, Human Activities Profile (HAP), and level of social participation were also evaluated. Convergent validity was verified by correlation analysis. Results: Thirty–seven individuals were evaluated, predominantly adult males (67.6%). The mean age was 50.1 ± 16.4 years old. The average number of rings moved during the 6PBRT was 306.2 ± 68.2. The 6PBRT correlated with handgrip strength ( r = 0.37; p = 0.025), the domain “Functional Capacity” ( r = 0.49; p = 0.008) of the KDQOL–SF questionnaire, and with HAP score ( r = 0.43; p = 0.01). There was no correlation between handgrip endurance ( r = 0.18; p = 0.281) and social participation ( r = −0.12; p = 0.48). Heart rate and dyspnea (modified Borg scale) increased by 13.3 bpm (95% CI: 9.8, 16.8) and 0.5 points (95% CI: 0.1, 0.9) during the 6PBRT. Conclusion: The 6PBRT is associated with UL strength, physical aspects related to HRQoL, and daily activity level, which accounts for its construct validity. Therefore, the test has potential value in the functional evaluation of the ULs in hemodialysis patients. However, in this population, the level of social participation seems to depend on other factors than the functional capacity of the UL itself.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136313452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physiotherapy CanadaPub Date : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2020-0141
Kathleen C Madara, Moiyad Aljehani, Adam Marmon, Steven Dellose, James Rubano, Joseph Zeni
{"title":"Factors Related to Expectations in Individuals Waiting for Total Knee Arthroplasty.","authors":"Kathleen C Madara, Moiyad Aljehani, Adam Marmon, Steven Dellose, James Rubano, Joseph Zeni","doi":"10.3138/ptc-2020-0141","DOIUrl":"10.3138/ptc-2020-0141","url":null,"abstract":"<p><strong>Purpose: </strong>There is no consensus on how age and expectations influence planning for total knee arthroplasty (TKA). This study developed and evaluated a new expectation questionnaire and assessed the relationship between preoperative expectations and patient characteristics.</p><p><strong>Method: </strong>The questionnaire evaluated expectations for mobility, pain, participation, and rate of recovery after surgery. Fifty-five participants completed a 6-minute walk test and expectation questionnaire prior to TKA; 17 participants repeated the questionnaire one week later for reliability testing. Analysis of the questionnaire included intra-class correlation coefficient (ICC), homoscedasticity, skewness, kurtosis, multicollinearity, and descriptive measures. A four-step hierarchical linear regression was completed to determine the relationship of patient age, BMI, previous contralateral TKA, and 6-minute walk test scores to expectations.</p><p><strong>Results: </strong>The questionnaire showed good/high test-retest reliability (ICC 0.84; 95% CI: 0.57, 0.94; <i>p</i> > 0.001). The final model was significant in predicting expectation scores <i>R</i><sup><i>2</i></sup> = 0.19 (<i>p</i> = 0.017).</p><p><strong>Conclusions: </strong>This questionnaire reliably measures patient expectations before TKA; however, further research is needed. Although we anticipated younger age to be related to higher expectations, higher function prior to TKA appears to be more strongly associated with higher expectations.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"257-263"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158454","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0078
Jessica Nolan, Erin Godecke, Katrina Spilsbury, Barbara Singer
{"title":"Post-Stroke Lateropulsion: Resolution and Function After Discharge From Inpatient Rehabilitation - A Cohort Study.","authors":"Jessica Nolan, Erin Godecke, Katrina Spilsbury, Barbara Singer","doi":"10.3138/ptc-2021-0078","DOIUrl":"10.3138/ptc-2021-0078","url":null,"abstract":"<p><strong>Purpose: </strong>A person with post-stroke lateropulsion pushes their body toward their hemiparetic side and/or resists accepting weight onto their nonparetic side. Research findings regarding long-term persistence of lateropulsion and its association with function are lacking. This study reports associations between lateropulsion severity (Four Point Pusher Score - 4PPS) and functional outcome (Functional Independence Measure - FIM) at three months after discharge.</p><p><strong>Methods: </strong>This prospective cohort study included 41 consecutive admissions to a stroke rehabilitation unit. Lateropulsion severity and FIM were measured at admission, discharge and three-month follow-up. Lateropulsion status at discharge, stroke laterality, ongoing physiotherapy after discharge, and demographic variables (age and sex) were tested for association with FIM change over the follow-up period.</p><p><strong>Results: </strong>Complete data were available for 38 participants. Among these, 17 (44.7%) showed lateropulsion (4PPS ≥ 1) on admission, 9 (23.7%) showed persistent lateropulsion on discharge, and 7 (18.4%) showed persistent lateropulsion at three month follow-up. Improved functional status (FIM score) was seen at follow-up in those discharged with lateropulsion who had right-sided lesions but not in those with left-sided lesions.</p><p><strong>Conclusions: </strong>Lateropulsion can continue to resolve after discharge from inpatient rehabilitation. Larger cohort studies are needed to further explore associations between persistent lateropulsion and long-term outcomes.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"264-268"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41141618","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0085
Nicole M J Gastle, Michael A Porreca, Madeline M Aarts, Hetavi Patel, Simone G V S Smith, Grace M Underwood, Jaimie Coleman, Brenda Mori, Kristin E Musselman
{"title":"Exploring the Experiences and Impacts of Research Role-Emerging Placements in Physiotherapy.","authors":"Nicole M J Gastle, Michael A Porreca, Madeline M Aarts, Hetavi Patel, Simone G V S Smith, Grace M Underwood, Jaimie Coleman, Brenda Mori, Kristin E Musselman","doi":"10.3138/ptc-2021-0085","DOIUrl":"10.3138/ptc-2021-0085","url":null,"abstract":"<p><strong>Purpose: </strong>Research role-emerging placements (RREPs) have been integrated into placement offerings in Canadian physiotherapy programmes. The purpose of the present study is to describe the experiences and impacts of RREPs completed by graduates of Canadian physiotherapy programmes.</p><p><strong>Methods: </strong>Participants were recruited by purposive sampling and completed semi-structured interviews to explore their RREP experiences. Themes were identified using thematic analysis and collaboratively analyzed using the DEPICT model.</p><p><strong>Results: </strong>Eleven participants who completed RREPs during their Canadian physiotherapy programmes (three men, eight women; aged 26.9 [SD 2.7] years) took part in this study. The participants expressed the RREP was a valuable experience. Four themes emerged from the data: (1) Motivators for selecting an RREP included interest in research or a medical injury, (2) The RREP experience involved benefits and challenges, (3) Impacts of completing an RREP, and (4) RREP participant suggestions.</p><p><strong>Conclusions: </strong>RREPs are valuable placement opportunities for learners in Canadian physiotherapy programmes facilitating the development of essential competencies in a non-traditional setting. RREPs could be considered as a placement opportunity for other allied health programmes, as the skills gained are beneficial for all health care professionals.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"246-254"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159447","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0078-cc
Suzanne Babyar
{"title":"Clinician's Commentary on Nolan et al.<sup>1</sup>.","authors":"Suzanne Babyar","doi":"10.3138/ptc-2021-0078-cc","DOIUrl":"10.3138/ptc-2021-0078-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"269-270"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180444","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0085-cc
Parvin Eftekhar
{"title":"Clinician's Commentary on Gastle et al.<sup>1</sup>.","authors":"Parvin Eftekhar","doi":"10.3138/ptc-2021-0085-cc","DOIUrl":"10.3138/ptc-2021-0085-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"255-256"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172386","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0074
Lazar I Jovanovic, Hope Jervis Rademeyer, Maureen Pakosh, Kristin E Musselman, Milos R Popovic, Cesar Marquez-Chin
{"title":"Scoping Review on Brain-Computer Interface-Controlled Electrical Stimulation Interventions for Upper Limb Rehabilitation in Adults: A Look at Participants, Interventions, and Technology.","authors":"Lazar I Jovanovic, Hope Jervis Rademeyer, Maureen Pakosh, Kristin E Musselman, Milos R Popovic, Cesar Marquez-Chin","doi":"10.3138/ptc-2021-0074","DOIUrl":"10.3138/ptc-2021-0074","url":null,"abstract":"<p><strong>Purpose: </strong>While current rehabilitation practice for improving arm and hand function relies on physical/occupational therapy, a growing body of research evaluates the effects of technology-enhanced rehabilitation. We review interventions that combine a brain-computer interface (BCI) with electrical stimulation (ES) for upper limb movement rehabilitation to summarize the evidence on (1) populations of study participants, (2) BCI-ES interventions, and (3) the BCI-ES systems.</p><p><strong>Method: </strong>After searching seven databases, two reviewers identified 23 eligible studies. We consolidated information on the study participants, interventions, and approaches used to develop integrated BCI-ES systems. The included studies investigated the use of BCI-ES interventions with stroke and spinal cord injury (SCI) populations. All studies used electroencephalography to collect brain signals for the BCI, and functional electrical stimulation was the most common type of ES. The BCI-ES interventions were typically conducted without a therapist, with sessions varying in both frequency and duration.</p><p><strong>Results: </strong>Of the 23 eligible studies, only 3 studies involved the SCI population, compared to 20 involving individuals with stroke.</p><p><strong>Conclusions: </strong>Future BCI-ES interventional studies could address this gap. Additionally, standardization of device and rehabilitation modalities, and study-appropriate involvement with therapists, can be considered to advance this intervention towards clinical implementation.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"276-290"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174427","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-2021-0074-cc
Parvin Eftekhar
{"title":"Clinician's Commentary on Jovanovic et al.<sup>1</sup>.","authors":"Parvin Eftekhar","doi":"10.3138/ptc-2021-0074-cc","DOIUrl":"10.3138/ptc-2021-0074-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"291-292"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161354","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 : 2023-09-19eCollection Date: 2023-09-01DOI: 10.3138/ptc-75.3-cochrane
{"title":"What Does …Cochrane Say About Culturally Appropriate Health care?","authors":"","doi":"10.3138/ptc-75.3-cochrane","DOIUrl":"10.3138/ptc-75.3-cochrane","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":"308"},"PeriodicalIF":0.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170676","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}