A Comparison of Eccentric and Concentric Upper Limb Strength in Elderly Women in the Sixth, Seventh and Eighth Decade: A preliminary investigation – Hayley Legg
Cultural Competence in Healthcare, Are We There Yet? – Sherrill Rutherford
Author(s): Sherrill Rutherford, BScPT, MClScPT, EdD, FCAMPT
Presenter(s): Sherrill Rutherford
Cultural competence is proclaimed to be the key to equitable, effective healthcare that ensures positive health outcomes for all individuals. However, despite implementation of cultural competence education for healthcare providers, inequities in healthcare and health persist. This poster reviews the influence of culture on healthcare, reveals sources of inequalities in health and healthcare, and displays a path to truly culturally competent healthcare that could underpin the development of an effective cultural competence curriculum for healthcare providers.
The Effect of Taping on Throwing Velocity and Electromyographic Muscular Activity of the Shoulder in Baseball Players – Paolo Sanzo, DScPT, MSc, BScPT, FCAMPT, CAFCI
Author(s): Logan McCall HBK (candidate), Paolo Sanzo DScPT, MSc, BScPT, FCAMPT, CAFCI, & Carlos Zerpa PhD
Presenter(s): Paolo Sanzo
Therapeutic taping has been widely used over the past decade both to treat injured athletes but also in an attempt to improve performance. With its vibrant colours and high media exposure, its use continues to increase clinically but the utility of the tape remains unclear. This poster presentation will highlight the findings of a pilot study on the effects of therapeutic taping on pitch velocity and shoulder electromyographic muscle activity in the shoulder.
The Effect of Diabetes on Functional Outcomes Among Individuals with Distal Radial Fractures – Sana’a Alsubheen
Authors: Sana’a Alsubheen, Joy MacDermid, David Walton, and Ruby Grewal
It is well documented that patients with diabetes have a higher risk of distal forearm fractures (DRF) due to hyperglycemia that impairs bone quality. However, the impact of diabetes on functional outcomes after DRF has not been well-examined. This poster illustrates the effect of diabetes on pain, hand function, physical health status, grip strength, wrist and forearm range of motion after DRF. It shows that diabetes is associated with hand disability, poorer health status and slower recovery.
The Effects of the Phase of Respiration and Foot Strike Pattern on Peak Ground Reaction Force During Walking – Paolo Sanzo, DScPT, MSc, BScPT, FCAMPT, CAFCI
Author(s): Cassandra Felice HBK, Paolo Sanzo DScPT, MSc, BScPT, FCAMPT, CAFCI, & Carlos Zerpa PhD
Presenter(s): Paolo Sanzo
The type of foot strike pattern (heel, mid-foot, or forefoot striker) and the relationship to the phase of breathing (inspiration or expiration) has been proposed to possibly affect the peak ground reaction forces at the time of contact with the ground during walking and running in animals. This poster presentation will highlight the findings of a pilot study on the effects of breathing and its relationship to foot strike pattern and peak ground reaction forces in humans during walking.
Development of a Clinical Rule aimed at Predicting Success of a Multi-Station Exercise Program in Soldiers with Low Back Pain – Marc Perron M.Sc., PT; Chantal Gendon B.Sc., PT, FCAMPT, 2; Pierre Langevin M.Cl.Sc., PT, FCAMPT, Jean Leblond, Ph.D, Jean-Sébastien Roy Ph.D., PT
Background: Low back pain (LBP) is a diagnosis that encompasses heterogeneous patients unlikely to respond to a unique treatment approach. Identifying sub-groups of patients with LBP sharing characteristics may help to plan interventions and to improve treatment outcomes. Purpose: To create a clinical prediction rule (CPR) that will accurately predict the success to a supervised multi-station exercise program in soldiers with LBP. Methods: Soldiers with non-specific LBP were consecutively recruited to participate in a 6-week supervised program comprising 7 stations, each consisting of exercises of increasing difficulty. The exercises were grouped together as follows: Hip strengthening and control, squatting, core stability, abdominal plank, abdominal and back extensor strengthening, lifting techniques. The progression was determined according to the irritability level, the most limited plane of motion and the quality of execution of exercises. The exercise progression led to the simulation of occupational tasks (gradual exposure and task oriented approach). Demographic, impairment and disability data were collected during a baseline testing session. The modified Oswestry Disability Index (ODI) was administered at baseline and following the 6-week program. An improvement of 50% in the initial ODI score was considered the reference standard to determine the success to the exercise program. Univariate associations with success were tested for each baseline variable using chi-square or paired t-tests. Variables that showed between-group (success/failure) differences (p 0.01) were considered potential predictors. After determining the sampling adequacy of the potential predictors using a factor analysis (Kaiser-Meyer-Olkin statistic > 0.6), variables were entered in a logistic regression. Finally, continuous predictors were dichotomized and the sensitivity, specificity as well as the positive and negative likelihood ratios were determined for the model and for each predictor. Results: From the 104 included participants, 20 (18.3%) did not fill out the ODI questionnaire at the end of the program and were excluded. Five variables contributed to predict the success to the exercise program: No pain in lying (p = 0.017), no use of antidepressors (p = 0.061), FABQ work score < 22.5 (p = 0.061), less than 5 physiotherapy sessions before entering the program (p = 0.144) and less than 6-month work restriction (p = 0.161). This model yielded sensitivity of 0.775 (95% C.I. 0.61-0.89), specificity of 0.80 (95% C.I. 0.65-0.90), and LR+ of 3.88 (95% C.I. 2.1-7.1), LR- of 0.28 (95% C.I. 0.16-0.50). A probability of success of 77.5% following the program could be predicted if more than three predictors are present, while a probability of failure of 80% could be expected if only three or less predictors are present. Conclusion: This study led to the identification of predictors of success for an exercise program that can be easily objectified in the clinic and mostly not subject to evaluator bias. Implications: The use of such predictors may guide clinicians in making decisions about who should positively respond to the exercise program. However, care should be taken to avoid misinterpretation until further studies confirm the validity of this CPR with different populations.
Keywords: Low back pain, Clinical prediction rule, Exercises
Acknowledgment and Funding : The authors whish to thank Sophie Bernard, Nathalie Fortier, Pierre-Marc Vézina and Alex Volant, physiotherapists, Hélène Simard, physiotherapist-assistant for their contribution to data collection as well as Samuel Camiré-Bernier for its technical assistance. This research project was funded by a grant from the Ordre professionnel de la physiothérapie du Québec/Quebec Provincial Rehabilitation Network partnership program. The research protocol was approved by the research ethics committee of the CIUSSS de la Capitale-Nationale (IRDPQ).
The “Good Physio Project Part 2: A Delphi Survey to Achieve Consensus on Essential Qualities of a “Good Physiotherapist” – Peter Hartley, PT
Author(s): Steve Sasyniuk BHK, MPT(C), Christine Ecclestone BSc, MPT(C), Peter Hartley BA, MPT(C), Jeremy Wagner BHK, MPT(C), Cody Miller BSc, MPT(C), Bert Chesworth BA, BScPT, MCISc, PhD, Dave Walton BScPT, MSc, PhD
Presenter(s): Peter Hartley, PT
Physiotherapy has traditionally prioritized instrumental skills as the key component of professional development, but growing evidence indicates these represent only part of the qualities of a good clinician. The essential role of “soft skills” is not described. “Soft skills” include the cluster of personality traits, social graces, facility with language, friendliness and personal habits that go beyond technical skills to contribute to the overall picture of a clinician and their effectiveness with patient and interprofessional interactions. The physiotherapy profession is built upon patient interactions and interdisciplinary team involvement though current physiotherapy curricula across Canada do not explicitly include the development and evaluation of soft skills that are essential to success in the profession. Our poster highlights Part 2 of The “Good Physio” project and its purpose was to achieve consensus from practicing physiotherapists on the important qualities of a “good physiotherapist” (derived from qualities identified in Part 1) and whether they are essential for entry-to practice or not. Results will inform development of tools to evaluate development in key competencies to be used by education programs and clinicians.
Clinical Application of Skeletal Muscle Training Utilizing Push Up Variations and Progressions. – Ali Dib, Nick Dua, Shanjid Hasan, Ali Younes, Dr. Denise Connelly, Dr. Jennifer Jakobi and Jackie Sadi
Posterior Shoulder Instability Assessment and Management Pathway of Care: An International Delphi Study (Phase 1) – Corinne Lalonde, Erik Torchia, Marjorie Weber, Nan Wu, Dr. Ken Faber, Dr. Joy MacDermid, Dr. Lyn Watson
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