Utility and Utilization Imaging and Lab Tests in MSK Physiotherapy
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
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.
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.
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 Hampson – FCAMPT, IFSPT, PBT, IMS, Pelvic floor
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.
Genevieve Renaud – MClScPT, FCAMPT, IFSPT
Co-Founder of Pivotdancer and creator of the Strong Dancer Program; a strengthening program for dancers designed with injury prevention in mind while improving performance. Geneviève works at AMPED Sports Lab in Ottawa, ON.
What is the diagnostic accuracy of red flags related to Cauda Equina Syndrome (CES), when compared to Magnetic Resonance Imaging (MRI)?
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 Dionne, PT, MClSc, FCAMPT.,University of Western Ontario
Abiodun Adefolarin, PT, MClSc, FCAMPT., University of Western Ontario
Dena Kunzelman, PT, MClSc, FCAMPT., University of Western Ontario
Nitin Trehan, PT, MClSc, FCAMPT., University of Western Ontario
Laura Finucane, PT, MSc, MMACP. NHS
Lenerdene Levesque, PT, MClSc, FCAMPT., University of Western Ontario
Dave Walton, PT, MSc, PhD., University of Western Ontario
Jackie Sadi, PT, MSc, FCAMPT., University of Western Ontario
To review and statistically pool available evidence on the diagnostic accuracy of red flags to clinically identify Cauda Equina Syndrome (CES).
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
Nathaly Gaudreault – PhD, PT, Associate Professor, School of rehabilitation, Faculty of medicine and health sciences, University of Sherbrooke
Mélanie Morin – PhD, PT, Associate Professor, School of rehabilitation, Faculty of medicine and health sciences, University of Sherbrooke
This talk will present and discuss the results of a validation study (intra- and inter- evaluator and test-retest reliability and discriminant validity) that measured and compared the viscoelastic properties of a trigger point and a non-trigger point in the infraspinatus muscle. Thirty-five individuals with non traumatic shoulder pain were recruited. The participants were independently measured twice with the MyotonPro by two evaluators within the same day and the day after. The results of this research are promising, the MyotonPro is an affordable, portable and reliable tool that could be use in a clinical or research context, to objectivate and quantify the viscoelastic properties of trigger points.
Is There a Relationship between Severity of Hip Dysplasia and Patient Reported Pain?
Shawn Okpara – B.S
Joel Wells – M.DUT Southwestern Medical Center, Dallas, Texas
The purpose of this study was to investigate if there is a relationship between severity of dysplasia and patient-reported pain. A secondary aim was to determine the relationship between hip dysplasia and activity level.
Does Pain Catastrophizing Predict Age of Onset in Symptomatic Hip Dysplasia and Femoroacetabular Impingement?
Shawn Okpara – B.S
Joel Wells – M.DUT Southwestern Medical Center, Dallas, Texas
The purpose of this study was to investigate if pain catastrophizing, anxiety, and depression can predict the age of onset of hip pain in hip dysplasia (DDH) and femoroacetabular impingement (FAI). A secondary aim was to assess whether other radiographic or demographic variables predict age of onset in DDH and FAI.
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.
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.
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.
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.
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 and John Chan
Private Practice Division:
How to Crush your competition without selling your soul to the devil: market, recruit, retain and build a tribe
Karim Meghji – Chair, CPA Private Practice Division, Founder – YYC Rehab
Mid-portion Achilles tendinopathy (MPAT)
Lorrie Maffey – MPhty, FCAMPT
Lyndal Solomons – BAppSc. (Phty), MManTher., PhD(c)
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