Utility and Utilization Imaging and Lab Tests in MSK Physiotherapy
Expanding scopes of practice for Physiotherapists are opening new advanced practice roles for Physiotherapists in Canada. An appreciation of the current best-practice utility and utilization medical imagining and laboratory testing are an integral component of the advanced practice skill set. This seminar is designed to introduce participants to the role of medical imaging and lab testing in clinical practice specific to the MSK system.
|Jack Miller – Registered Physiotherapist, Bachelor of Science (PT) University of Toronto, Diploma Manipulative Therapy New Zealand Manipulative Therapy Association, Master of Clinical Science Western university, Doctor of Physical Therapy University of St. Augustine|
|Rob Werstine – Registered Physiotherapist Bachelor of Science (PT), Western University, Dipolma of Manaipulative Therapy Orthopaedic Division CPA, Master of Science Western Universtiy|
Double Hatting! Physiotherapy with a Coaching Edge!
Jim Millard – BSc(PT), MClSc, DPT, FCAMPT
Given the frequency and duration of our interactions with patients, the means by which we communicate should not be viewed as passive but as a fundamental strategized form of care that is thoughtfully selected for each patient in a similar manner to other interventions. Coaching is a communication intervention strategy that improves patient outcomes by empowering autonomy, motivation and behaviour change. Coaching helps move patients from speculation to motivation and from passive to pro-active. Acquisition of coaching skills by physiotherapists should not be overlooked.
This is an interactive presentation introducing and practicing a few powerful coaching tools.
|Jim graduated from UWO in 1991 with a BSc(PT) and in 2010 with a MClSc. He obtained a DPT in 2013. Jim has been an FCAMPT since 2000. He is an accredited Mulligan Concept teacher. Jim is passionate about the importance and development of communication skills in physiotherapy. He works and lives in London, Ontario.|
Implementing knowledge from sport and orthopaedic physiotherapy to help decrease injuries in dance.
Dinah Hampson – FCAMPT, IFSPT, PBT, IMS, Pelvic floor
Let’s start treating dancers like the athletes they are! This presentation will review the literature regarding the prevalence and incidence of injury in dance and examine the application of strengthening in youth and dancers. The targeted application of strengthening in a young dancer population will then be explored to focus on injury prevention and performance.
Dinah was classically trained in ballet. Dinah is status faculty at the University of Toronto. She has been a medical team member for many international multisport events and is the founder of Pivot Sport Medicine where she regularly assesses dancers and co-founder of Pivotdancer.
What is the diagnostic accuracy of red flags related to Cauda Equina Syndrome (CES), when compared to Magnetic Resonance Imaging (MRI)?
Nathalie Dionne, PT, MClSc, FCAMPT.,University of Western Ontario
Cauda Equina Syndrome (CES) is a serious neuropathic pathology that can lead to life-changing, irreversible disability if it is not identified and managed promptly. Patients with low back pain are seen daily in the clinical setting and as such, clinicians need to know how to best screen for this condition. To date, assessment involves evaluating for the presence of key clinical signs and symptoms, referred to as “red flags” for CES, during the subjective history and physical examination. If patients present any of these red flags, then an urgent MRI is recommended to confirm the diagnosis. The purpose of this study was to identify prior research exploring the diagnostic accuracy of CES red flags in adults with low back pain, and to compare the utility of those findings using MRI as a reference standard.
|Nathalie in an FCAMPT who obtained her BScPT at the University of Ottawa in 2009. She completed the Advanced Health Care Practice Masters degree at the University of Western Ontario in July 2018 (previously known as the Masters of Clinical Science – Manip) and mainly works in orthopedics as well as pelvic floor rehabilitation.|
The MyotonPro: A reliable and valid tool to quantify the viscoelastic properties of a trigger point on the infraspinatus in non-traumatic chronic shoulder pain.
Mélanie Roch – FCAMPT, PT, master student, health sciences research program, Faculty of medicine and health sciences, University of Sherbrooke
|Mélanie Roch is a FCAMPT and teaches manual therapy for the NOD since completing her fellowship in 2009. She also teaches manual therapy in France for KPTEN and at the entry level at Université de Sherbrooke. In 2016, after being a clinician for 20 years, she enrolled into a master’s degree program in research at the same university under the direction of Nathaly Gaudreault, PT, PhD and Mélanie Morin, PT, PhD. Her field of research is on pain and trigger points. In the last 3 years, she’s been doing research on the validation of a tool to quantify the viscoelastic properties of trigger points and also touched on the short-term effects of dry needling on trigger points. She plans on pursuing her studies at the PhD level has of 2020.|
United We Stand, Divided We Fail
Darryl Yardley – Brantford General Hospital, Western University
Sinead Dufour – The WOMB, McMaster University
Carolyn Vandyken – Pelvic Health Solutions, PhysioWorks Muskoka
Utilizing a case study format, we will overview the importance of considering lumbo-pelvic pain from a broad multidimensional perspective including orthopedic considerations, urogyencological considerations as well as mediating central mechanisms. Four divisions of the Canadian Physiotherapy Association are represented among our panel informing how clinical interventions across specific content areas and competencies could be applied. Currently, the clinical landscape of lumbo-pelvic pain is characterized by inconsistent approaches across health care providers, even across physiotherapists. The result has been a continued track of substandard outcomes for those seeking our care. We are divided and thus we are failing.
|Darryl Yardley is the Director of Quality, Risk, Patient Experience and Therapy Services at BCHS. The founder of Mentorship Bootcamp, a program offering business training and career coaching to practicing clinicians. He is the professor of the Business and Entrepreneurship in Physical Therapy course at Western University. He is an advisor with Clinic Accelerator and consults with many clinic owners to grow their business. He has recruited and mentored over 100 therapists. A co-founder myEPE.ca|
|Dr. Sinéad Dufour is an Associate Clinical Professor in the Faculty of Health Science at McMaster University, Canada. She teaches and conducts research in both the Schools of Medicine and Rehabilitation Science. She completed her MScPT at McMaster University (2003), her PhD in Health and Rehabilitation Science at Western (2012), and returned to McMaster to complete a post-doctoral fellowship (2014). Her current research interests include: conservative approaches to prevent and manage pelvic floor dysfunction, pregnancy-related pelvic-girdle pain, and interprofessional collaborative practice models of service provision to enhance pelvic health. She is an active Urogynecology Committee member of the Society of Obstetricians and Gynecologists of Canada and has authored several clinical practice guidelines within this role. Sinéad stays currently clinically through her work as the Director of Pelvic Health Services at The World of my Baby (the WOMB), a family of perinatal care centers located in the Greater Toronto Area, Canada. She is a proud mother of two wonderful children (twins!), whose birth was the catalyst for her professional interest in perinatal care.|
|Carolyn Vandyken graduated from McMaster University in 1986 with a Bachelor’s Degree in Physiotherapy, and has practiced in a wide variety of clinical settings, focusing primarily on orthopedics. She has been a McKenzie credentialed physiotherapist since 1999 and has been a member of the Canadian College of Medical Acupuncture since 2002. Her clinical focus changed to Pelvic Health and Incontinence in 2001. Carolyn presents extensively internationally on pelvic health and central sensitization. She has published numerous framework articles on integrating central pain mechanisms into clinical practice, a pain education book, and several chapters in textbooks on pelvic pain and central sensitization. She is actively involved in research with Dr. Sinead Dufour at McMaster University and has published several studies on the connection between low back pain and pelvic floor dysfunction. Carolyn won the distinguished Education Award from the Ontario Physiotherapy Association in 2015. She co-owns her practice in Muskoka, PhysioWorks Muskoka along with her daughter, Brittany Vandyken.|
Subscapularis, the Forgotten Rotator Cuff Muscle
The presentation will look at the diagnostic accuracy of subscapularis clinical tests when compared to arthroscopy as well as the typical clinical presentation of a subscapularis tendon tear in order to improve our ability to diagnose its involvement in shoulder pathologies.
|Yara is a Registered Physiotherapist. She completed her Bachelors of Science with a Specialization in Biochemistry in 2009 and her Masters of Health Science in Physiotherapy in 2012 at the University of Ottawa. After graduating, Yara has been working in the Private Sector where she acquired experience in Neuro Rehabilitation, Vestibular Rehabilitation and Orthopedic Manual Therapy. Yara is in pursuit of the Fellowship of Manipulative Physiotherapy to further improve her skills, clinical reasoning and integrate an Evidence-Informed Practice Approach to cases.|
The Empowered Clinician: Clinical Intelligence in the Digital Age
Maggie Bergeron – PT, BSc(HK) University of Ottawa, MSc(PT) McMaster University
This presentation will outline the research from the past half-century in five key recommendations as well as explore how physiotherapists can embrace technology to improve business outcomes and improve patient care.
|Maggie is a physiotherapist in Toronto, the co-founder of Embodia and the host of HealthTO – a health technology event that brings together 200+ healthcare practitioners and innovators bi-monthly for a learning and networking event. Maggie started Embodia 3 years ago to help her patients follow their programs between their sessions and to provide an elevated patient experience. Today Embodia is an end-to-end knowledge translation platform where physiotherapists can take online continuing education courses, receive certificates, discuss with their colleagues via forums, and prescribe digital home exercise programs to their patients.|
The effectiveness of non-surgical interventions for managing adhesive capsulitis in patients with diabetes: A systematic review.
Sana’a A. Alsubheen – MSc. PhDc PT Western university, London ON, Canada
Adhesive capsulitis (AC) is a progressive and painful restriction of shoulder range of motion that results in functional disability. Our systematic review evaluated the effectiveness of non-surgical interventions on pain, function and range of motion for managing AC in diabetic patients. Diabetic patients with AC may show more improvements with joint mobilization and exercises than corticosteroid injection.
|Sana’a A. Alsubheen. I hold a bachelor degree in Physiotherapy from the University of Jordan, Jordan. I completed a Master of Science degree in Kinesiology, Exercise Physiology, from Memorial university of Newfoundland, Canada. I am currently a Ph.D candidate at Western University, London, Ontario, Canada. My main interest is investigating shoulder disorders and management in patients with diabetes.|
Adverse Events and Needling Techniques
Enoch Ho – MPh, PT, RAc, Assistant Clinical Professor, McMaster University
John Chan – PT, RAc, FCAMPT
In view of the recent increase of adverse events of applying acupuncture in treating MSK conditions, we would like to encourage physiotherapists who practice acupuncture to attend this revision course. By attending this course, we will go through the prevention of major and minor adverse events, Ontario College of TCMP standards, and practical sessions in acupuncture points which have a higher risk of major adverse events. During the course, we will also discuss some common but challenging topics, e.g. acupuncture for headaches, and discuss the use of various theories including TCM approach, in treating these conditions.
Both Enoch and John are Registered Acupuncturists in Ontario and passed the licensing examination for the General Member category of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario.
|Enoch has been involved in teaching and supervising students in clinical practice and research in both physiotherapy and acupuncture for many years. His research interest is very diverse from studying Hospital Mortality Rate to running clinical trials in acupuncture for stroke patients and CRPS. Enoch is also one of the founders of the Acupuncture Course – Evidence Base Approach to TCM at McMaster University. Currently, he is a registered acupuncturist (General Member) in Ontario.|
|John has received his physiotherapy and acupuncture training in Hong Kong and Canada. He has been teaching acupuncture for more than 10 years. He is also a Fellow of Canadian Academy of Manipulative Therapy (FCAMPT). John is currently running his private practice office in St. Catherine and teaching the Acupuncture Course – Evidence Base Approach to TCM at McMaster University. Currently, John is also a registered acupuncturist (General Member) in Ontario.|
Private Practice Division:
How to Crush your competition without selling your soul to the devil
Karim Meghji – Chair, CPA Private Practice Division, Founder – YYC Rehab
The fact that your attending this symposium tells me you’re an ultra achiever. You’ve taken the levels, and maybe became the FCAMT you’ve always dreamed of. If you’re really keen you’ve often fallen asleep each nite with your OrthoDiv manual by your side dreaming about being able to move all the patients of the world with the wizardry of your pop, cracks and snaps. But let me ask you a question … What if you were the best therapist in the city but no one knew about you? What level of impact would you have created ? What would all of this education amounted to ? Let me ask you another question, when you leave this symposium what one piece of knowledge has the potential to pivot your practice from the movement of your hands to the movement of your community? I’ve dedicated my time with you to create the anti-seminar. This anti-seminar will not include any reference to journal articles, special tests, isolated muscle techniques, advanced handling skills or diagnostic imaging. In keeping with the Ortho Symposium this session will teach manipulation techniques but of your mindset. This session is about inspiring you to think beyond tests, beyond the PIVM and seperate yourself from the heard. Attend this session if you believe advance care practice in physical therapy is the unicorn we all know about but the general public has now idea exists. Attend this session if you believe you need focus to build your brand, build your tribe and build a movement that is all your own. Attend this if you believe that success is more than just the accumulation of knowledge but is about executing on actionable steps. My focus will be to help clinic owners and health entrepreneurs execute their focus within a private practice setting. Finally my last question to you is… who’s ready to crush your competition without selling your soul to the devil 😈? @physiokarim
|Karim S Meghji is the owner of YYC Rehab Consulting in Calgary AB. Karim has a degree in Behavioural Psychology from McMaster University and a Physical Therapy degree from the University of Toronto. Karim has accomplished advanced certifications in Manual therapy, Movement Analysis, Mechanical Diagnosis of Spinal Pain, and almost two decades of clinical experience. Karim’s most noted for his dry needling skills with advanced certificates in Medical Acupuncture, Gunn IMS and Functional Dry Needling. He has lectured nationally and internationally on practice management and key clinic skills. Karim has served as an executive on the CPA Private Practice Division for six years and is the current PPD Chair. Follow Karim’s journey on Instagram @physiokarim|
Management of mid-portion Achilles tendinopathy with exercise and intramuscular dry needling
Lorrie Maffey – MPhty, FCAMPT
Lyndal Solomons – BAppSc. (Phty), MManTher. Rehabilitative exercise remains the gold standard for conservative management of mid-portion Achilles tendinopathy (MPAT) but is ineffective in up to 44%. Intramuscular dry needling (IMDN) is being used increasingly often in the management of MSK conditions, including MPAT. A randomised controlled trial comparing exercise plus IMDN based on the Gunn Intramuscular Stimulation (IMS) model with exercise and sham IMDN for MPAT showed: additional gains in Global Rating of Change at 12 weeks and 12 months for the IMDN group; and a gradual increase in gastrocnemius/soleus length over 12 months in the IMDN group, but a decrease in the sham IMDN group.
|Lorrie Maffey– Musculoskeletal Clinical Specialist|
BMRPT, MPhty, FCAMPT, CGIMS, Medical Acupuncture.
Post physiotherapy, University of Manitoba, Lorrie completed a Clinical Masters from the University of Queensland and FCAMPT 1996 followed by mentoring, teaching, examination and then Chief Examiner with National Orthopaedic Division (NOD). Lorrie’s been involved with teaching and policy making for Gunn Intramuscular Stimulation (CGIMS) since 2000.
Published in peer reviewed journals and in a regular reviewer for CJSM as well as on the Standards Committee of the International Federation of Orthopaedic Physiotherapists (IFOMPT) which is a subdivision of the World Congress of Physiotherapy (WCPT ).
Lyndal has been a musculoskeletal physiotherapist for over twenty years. She graduated from the University of Sydney (BAppSc.(Phty)) and from the University of Western Australia (MManTher.). She is currently a PhD candidate at UBC. Lyndal is the Assistant Director of the UBC Gunn IMS program and a senior instructor.
Cannabinoids and Pain: Mechanisms and Considerations
The landscape of healthcare has changed since the legalization of cannabis. With a much more structured approach surrounding the control, distribution and prescription of these substances, it is very likely that physiotherapists will be approached by clients seeking information about cannabis as an option for pain management. This session will serve as a brief primer on the physiological mechanisms and social considerations surrounding cannabinoids and their fairly ubiquitous presence in a post-legalized Canada.
|Joshua Lee is an aspiring clinician scientist that seeks to bridge the gap between biological mechanisms of pain and clinical rehabilitation. Drawing from his previous experiences in graduate biochemistry, science education, and cross-cultural teaching, he brings a more integrative approach to physiotherapy. As a licensed physiotherapist, he deals primarily with underserved and marginalized populations In London, Ontario where he gains invaluable experience in delivering interdisciplinary care to those who need it. |
Currently, he remains optimistic that his PhD in chronic pain will soon end, and allow him to bring the innovations from the bench to the bedside.
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