Canadian Physiotherapy Network

What are your thoughts on acupuncture?

Did you know that health care professionals generally and physiotherapists in particular are at risk of burnout? In her article, "Burnout: Addressing the Eleph...ant in the Room," Leanne Loranger writes, "Due to the nature of physiotherapy in which we provide care to patients within an increasingly demanding health care system, physiotherapists are at risk of burnout." Canadian Physiotherapy Network. Read the full article here: https://bit.ly/2oqd3gU This MAY 4-5, 2019, Shelly is offering a 2-day course in beautiful Golden, BC, on using yoga to prevent burnout and empathic distress among health care providers. Many of the practices and information can be integrated immediately into the clinical setting and into your own home self-practice. There are ONLY 16 spots available, so reserve yours today if you're interested in attending this one-of-a-kind self-care event: http://goldenlotusyogastudio.com/trainings/ Kristie Norquay. #empathicdistress #compassionfatigue #burnout

Great post by @rehabscience explaining why exercise should be more of a focus than manual therapy due to the current body of evidence -- Reposted ...from @rehabscience - ---------- Spinal Manipulative Therapy (SMT) involves specific positioning of the patient's body and a specific movement (direction, magnitude of force and amplitude) by the practitioner. In the spine, manipulative therapy most directly affects the facet joints, which are synovial joints that allow our spine to move in all three planes of motion (sagittal, frontal & transverse). Like other synovial joints, the facet joints contain synovial fluid and are surrounded by a fibrous joint capsule composed of connective tissue. - The facet joints are thought to be one source of back pain and often respond quite well to various forms of joint mobilization. What you should know, however, is that the popping sound you hear when having your spine manipulated/adjusted is nothing more than a pressure change in the facet joints, just like popping the joints of your hands. It has NOTHING to do with correcting the alignment of the spine. Any practitioner who claims otherwise and tries to convince you that 'tune-up' treatments are necessary to maintain proper spinal alignment is simply not reading the research or more interested in their bank account than your health. And, just so everyone is clear, this is not an attack on any profession in particular. Physios, osteopaths and chiropractors all use spinal manipulation to varying degrees. - At the end of the day, research has demonstrated time and time again that manual therapy can be helpful, but the effects are largely short-lived. A long-term recovery program should focus more on active interventions, like exercise, as these have stronger evidence in terms of promoting more permanent changes in both function and pain. Bialosky JE, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018. . Bialosky JE, et al. The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model. Manual Therapy. See more

Episode 5 of the Clinical Thinker Podcast is out. We discuss "what is pain" and some of the limitations of current thought processes Check below for the links!

Great post by @rehabscience explaining why exercise should be more of a focus than manual therapy due to the current body of evidence -- Reposted ...from @rehabscience - ---------- Spinal Manipulative Therapy (SMT) involves specific positioning of the patient's body and a specific movement (direction, magnitude of force and amplitude) by the practitioner. In the spine, manipulative therapy most directly affects the facet joints, which are synovial joints that allow our spine to move in all three planes of motion (sagittal, frontal & transverse). Like other synovial joints, the facet joints contain synovial fluid and are surrounded by a fibrous joint capsule composed of connective tissue. - The facet joints are thought to be one source of back pain and often respond quite well to various forms of joint mobilization. What you should know, however, is that the popping sound you hear when having your spine manipulated/adjusted is nothing more than a pressure change in the facet joints, just like popping the joints of your hands. It has NOTHING to do with correcting the alignment of the spine. Any practitioner who claims otherwise and tries to convince you that 'tune-up' treatments are necessary to maintain proper spinal alignment is simply not reading the research or more interested in their bank account than your health. And, just so everyone is clear, this is not an attack on any profession in particular. Physios, osteopaths and chiropractors all use spinal manipulation to varying degrees. - At the end of the day, research has demonstrated time and time again that manual therapy can be helpful, but the effects are largely short-lived. A long-term recovery program should focus more on active interventions, like exercise, as these have stronger evidence in terms of promoting more permanent changes in both function and pain. Bialosky JE, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018. . Bialosky JE, et al. The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model. Manual Therapy. See more

Is Spinal Manipulation and Needling a Distraction? I‘m broadcasting with Ecamm Live! Interact with the broadcast by granting Ecamm Live permission to see your name at ecamm.live/b8987f

Haha watch until the end. Point is that palpation has very poor evidence for its efficacy and reliability. We can't just feel around the body and figure out the problem. This goes for physios/chiros/rmts/osteopaths. There is simply no research studies to support this claim. There are cases where palpation is more relevant, but for the most part, there are other clinical tests to help us narrow down problems better. The other issue here is that some people claim muscles are t...ight (without even checking their length) and they even go as far as blaming ONE muscle as a causative factor in your problem. If there is a lesson to take from this is that causation is very hard to establish. At best, we may consider association and perhaps a few muscles that are linked to the issue, but rarely can anyone just point at the issue as if they had a magic wand. See more

TOP 40 Physical Therapy Influences 2018 (social media as well as overall impact) You may find individuals whom you resonate within this list and should follow. Perhaps you should even contact these individuals for mentorships! https://updocmedia.com/updoc-media-top-40-physical-therapy/

Happy new year everyone! I have a feeling this year is going to be a special one! What are some things you would like to see happening in physiotherapy in 2019? ... Any burning topics you would like to cover? I will be working on building our network so as to build a big enough group to do social gatherings and presentations. If you haven't joined our discussion group please join now so we can keep in touch Canadian Physiotherapy Network Group

Great Read! https://physio-network-pn.com/why-do-muscles-feel-tight/

https://www.conferenceboard.ca//canada-facing-growing-need Hello colleagues, writing to you on the topic of supply, demand, scalability, and physiotherapy.... to keep it simple, we will be in short-supply of physiotherapists in Canada, especially in remote areas, within a few years. This has a few key repercussions. 1) We may allow more internationally trained professionals into Canada (more professional visas offered) 2) Need to use technology to extend physiotherapy services to remote areas: Telehealth 3) What about accessibility? Do seniors of all socioeconomic strata have enough coverage from public and private sources to sustain their living and pursue physiotherapy? What are your thoughts on 1,2,3? Let's talk "meeting the rising demand for physiotherapy services will be difficult as physiotherapists are already in short supply, especially in rural and remote communities. It will require collaborative efforts among educators, governments, and health care service providers. Strategies to increase the number of physiotherapist and physiotherapist assistants include: ensuring adequate education and training; attention to recruitment and retention practices for rural settings; leveraging existing technologies for service delivery; and fostering innovation in new technologies to improve access."