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Now available at Physiotherapy Canada Online Physiotherapy Canada - Volume 65, Number 3, Summer 2013 http://utpjournals.metapress.com/content/u33173525l00/ Attention Canadian Physiotherapy Association members! As a benefit of your CPA membership, you have full online access to current and past volumes of Physiotherapy Canada. To access all Physiotherapy Canada online content, please go to the member login page (http://www.physiotherapy.ca/Practice-Resources/Publications/Physiotherapy-C anada.aspx). Once logged in, you will be directed to Physiotherapy Canada Online where you have open access to 500+ articles, reviews, Clinician's commentaries, Congress abstracts and special series articles such as Pain, Bone Health, Oncology and Behavioural Change. This issue contains: Rehabilitation Research: Who Is Participating? Kara K. Patterson DOI: 10.3138/ptc.65.3.GEE http://utpjournals.metapress.com/content/87321w8330q208n0/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/87321w8330q208n0/?p=2fd8ccc7d90742 11954aa6759e253211&pi=0> &pi=0 La recherche en réadaptation : Qui y participe? Kara K. Patterson DOI: 10.3138/ptc.65.3.GEF http://utpjournals.metapress.com/content/0jt01751v72734uq/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/0jt01751v72734uq/?p=2fd8ccc7d90742 11954aa6759e253211&pi=1> &pi=1 Physiotherapy Needs Assessment of People with Stroke Following Discharge from Hospital, Stratified by Acute Functional Independence Measure Score Vincent G. DePaul, Julie D. Moreland, Amy L. deHueck To determine the physiotherapy-related needs of people with stroke at discharge, 6 months after discharge, and 1 year after discharge from hospital, and to examine the results stratified by participants' acute Functional Independence Measure (FIM) scores. DOI: 10.3138/ptc.2012-14 http://utpjournals.metapress.com/content/278l461466803173/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/278l461466803173/?p=2fd8ccc7d90742 11954aa6759e253211&pi=2> &pi=2 Clinician's Commentary on DePaul et al. Lou Biasin DOI: 10.3138/ptc.2012-14-CC http://utpjournals.metapress.com/content/8x718417050nw608/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/8x718417050nw608/?p=2fd8ccc7d90742 11954aa6759e253211&pi=3> &pi=3 The Effect of Parkinson Drug Timing on Cardiovascular Response during Treadmill Exercise in a Person with Parkinson Disease and Freezing of Gait Cheryl M. Petersen, Reid Nelson, Teresa M. Steffen To examine the response of cerebral oxygenation during treadmill walking in a person with Parkinson disease (PD) who experiences freezing of gait (FOG) and to determine whether the oxygen response was related to the timing of his PD medication. DOI: 10.3138/ptc.2011-57 http://utpjournals.metapress.com/content/a140521757256236/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/a140521757256236/?p=2fd8ccc7d90742 11954aa6759e253211&pi=4> &pi=4 An Intensive Programme of Passive Stretch and Motor Training to Manage Severe Knee Contractures after Traumatic Brain Injury: A Case Report Joan Leung, Lisa A. Harvey, Anne M. Moseley While contemporary management of contractures (a common secondary problem of acquired brain injury that can be difficult to treat) includes passive stretch, recent evidence indicates that this intervention may not be effective. This may be because clinical trials have not provided a sufficient dose or have not combined passive stretch with other treatments. The purpose of this case report is to describe a programme of intensive passive stretch combined with motor training administered over a 1.5-year period to treat severe knee contractures. DOI: 10.3138/ptc.2012-29 http://utpjournals.metapress.com/content/040j415083685222/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/040j415083685222/?p=2fd8ccc7d90742 11954aa6759e253211&pi=5> &pi=5 The Relationship of Knee-Extensor Strength and Rate of Torque Development to Sit-to-Stand Performance in Older Adults Katie Crockett, Kimberly Ardell, Marlyn Hermanson, Andrea Penner, Joel Lanovaz, Jonathan Farthing and Cathy Arnold Purpose: To investigate the association of knee-extensor strength and power to performance in the 30-second sit-to-stand test (30sSTS) in healthy older adults. Method: In a cross-sectional study of 29 healthy older adults aged 60–82 years (12 male, 17 female), hierarchical regression was used to determine the relationship of knee-extensor concentric and eccentric strength, peak rate of torque development (peak RTD) using isokinetic dynamometry, and momentum variables with the number of sit-to-stand repetitions completed in 30 seconds (30sSTSreps). DOI: 10.3138/ptc.2012-04 http://utpjournals.metapress.com/content/8164838100p10k75/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/8164838100p10k75/?p=2fd8ccc7d90742 11954aa6759e253211&pi=6> &pi=6 Clinician's Commentary on Crockett et al. Derek Rutherford http://utpjournals.metapress.com/content/817888716g027664/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/817888716g027664/?p=2fd8ccc7d90742 11954aa6759e253211&pi=7> &pi=7 DOI: 10.3138/ptc.2012-04-CC Wait Times for Physical and Occupational Therapy in the Public System for People with Arthritis in Quebec Ashley Delaurier, Sasha Bernatsky, Marie-Hélène Raymond and Debbie Ehrmann Feldman Purpose: Although arthritis is the leading cause of pain and disability in Canada, and physical therapy (PT) and occupational therapy (OT) are beneficial both for chronic osteoarthritis (OA) and for inflammatory arthritis such as rheumatoid arthritis (RA), there appear to be problems with access to such services. The aim of this study was to document wait times from referral by physician to consultation with PT or OT in the public health care system for people with arthritis in Quebec, Canada. DOI: 10.3138/ptc.2011-62 http://utpjournals.metapress.com/content/q011061v650571lh/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/q011061v650571lh/?p=2fd8ccc7d90742 11954aa6759e253211&pi=8> &pi=8 Assessing the Amount of Change in an Outcome Measure Is Not the Same as Assessing the Importance of Change Paul W. Stratford, Daniel L. Riddle Purpose: To determine whether a difference exists between patients' self-ratings of amount of change and their self-ratings of importance of change. Methods: Eighty-eight patients receiving treatment of low-back pain completed two global rating of change (GRC) scales 4 to 6 weeks after their initial assessments. The scales were similar in format, differing only in that one asked respondents about the amount of change and the other about the importance of change. DOI: 10.3138/ptc.2012-16 http://utpjournals.metapress.com/content/m256g60502347575/?p=2fd8ccc7d907421 1954aa6759e253211 <http://utpjournals.metapress.com/content/m256g60502347575/?p=2fd8ccc7d90742 11954aa6759e253211&pi=9> &pi=9 Quantity and Quality of Physical Activity Are Influenced by Outdoor Temperature in People with Knee Osteoarthritis Shawn M. Robbins, Gareth R. Jones, Trevor B. Birmingham and Monica R. Maly Purpose: Environmental factors are known to influence physical activity (PA) levels of healthy people, but little work has explored these factors in people with osteoarthritis (OA). The purpose of this study was to explore the influence of outdoor temperature on PA in people with knee OA. Methods: A total of 38 people with knee OA (10 women; mean age 54 y) wore an accelerometer around their waist for 7 consecutive days. Dependent variables from the accelerometers were three PA measures: (1) activity counts/day and time spent at or above moderate levels of PA with (2) a cut-point of 1,041 activity counts/minute (MVPA1041) and (3) a cut-point of 1,952 activity counts/minute (MVPA1952). Independent variables were age, sex, body mass index (BMI), and maximum daily outdoor temperature. Three linear regression analyses were conducted using the three PA dependent variables and independent variables. DOI: 10.3138/ptc.2012-39 http://utpjournals.metapress.com/content/003500w22166m24w/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/003500w22166m24w/?p=c34b94eee44a4e b79f2d08f168714fca&pi=10> &pi=10 Determining Adverse Events in Patients with Neck Pain Receiving Orthopaedic Manual Physiotherapy: A Pilot and Feasibility Study Lisa C. Carlesso, Joy C. Macdermid, P. Lina Santaguida and Lehana Thabane Purpose: To pilot and determine the feasibility of estimating adverse events in patients with neck pain treated with cervical manipulation/mobilization by Canadian orthopaedic manual physiotherapists (OMPTs) using an online data-collection system to provide estimates for a future larger multi-centre international study. Methods: In a prospective multi-site two-group cohort study, participants received usual care and either (a) combined manipulation and mobilization or (b) mobilization only. Study feasibility objectives and criteria for success were set a priori. Data were analyzed using descriptive statistics. DOI: 10.3138/ptc.2012-28 http://utpjournals.metapress.com/content/225438v054183j42/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/225438v054183j42/?p=c34b94eee44a4e b79f2d08f168714fca&pi=11> &pi=11 Hip-Fracture Care in Rural Southwestern Ontario: An Ethnographic Study of Patient Transitions and Physiotherapy Handoffs Helen Johnson, Dorothy Forbes, Mary Y. Egan, Jacobi Elliott, Paul Stolee and Bert M. Chesworth Purpose: To examine information exchange by physiotherapists during care handoffs of patients with hip fracture in a rural health care setting. Methods: This qualitative ethnographic study used observation and interviews of 11 networks of patients with hip fracture (n=11), family caregivers (n=8), and health care providers (n=24). Patients were followed from acute care through each subsequent care setting. Data were supplemented by health care records and policy documents. DOI: 10.3138/ptc.2012-19 http://utpjournals.metapress.com/content/q837rt810778v523/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/q837rt810778v523/?p=c34b94eee44a4e b79f2d08f168714fca&pi=12> &pi=12 An Example of End-Digit Preference in Physiotherapy Practice Paul W. Stratford, Amy V. Wainwright, Deborah M. Kennedy Purpose: Standardizing and improving the validity of range of motion (ROM) measurements is of clinical relevance to physiotherapists. The purpose of this study was to assess whether end-digit preference exists in the measurement of knee ROM in people after knee replacement. Method: Following total knee replacement, 100 people underwent active-assisted knee ROM measurements using a goniometer calibrated in 1° increments. DOI: 10.3138/ptc.2012-42 http://utpjournals.metapress.com/content/x56440810444168j/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/x56440810444168j/?p=c34b94eee44a4e b79f2d08f168714fca&pi=13> &pi=13 Indoor and Outdoor Mobility following Total Knee Arthroplasty Ava S.T. Storey, Ainslie M. Myrah, Robyn A. Bauck, Danielle M. Brinkman, Shawn N. Friess and Sandra C. Webber Purpose: To determine the relationship between indoor and outdoor mobility capacity in older adults with unilateral total knee arthroplasty (TKA) and, secondarily, to determine walking intensity in the same population and to compare all outcomes to a control group of older adults without knee pathology. Method: In this cross-sectional study, participants (TKA=16, mean 22.9 (SD 9.7) mo post TKA; control=22) completed indoor walking tests and a 580 m outdoor course that included varying terrain (e.g., curbs, grass, sidewalk) and frequent changes in direction. Walking capacity was assessed using stopwatches, global positioning system watches and accelerometers. DOI: 10.3138/ptc.2012-36 http://utpjournals.metapress.com/content/1114844805483222/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/1114844805483222/?p=c34b94eee44a4e b79f2d08f168714fca&pi=14> &pi=14 BEHAVIOURAL CHANGE Usage Patterns and Beliefs about Therapeutic Ultrasound by Canadian Physical Therapists: An Exploratory Population-Based Cross-Sectional Survey Susan Armijo-Olivo, Jorge Fuentes, Iain Muir and Douglas P. Gross Purpose: To explore the frequency and patterns of ultrasound (US) usage among physical therapists, to describe the most common purposes for using therapeutic US, and to investigate beliefs about therapeutic US. Methods: A survey was sent to 95% of physical therapists licensed to practise in the province of Alberta, Canada. DOI: 10.3138/ptc.2012-30BC http://utpjournals.metapress.com/content/m23747827034t360/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/m23747827034t360/?p=c34b94eee44a4e b79f2d08f168714fca&pi=15> &pi=15 Clinician's Commentary on Armijo-Olivo et al. Sharon Gabison DOI: 10.3138/ptc.2012-30BC-CC http://utpjournals.metapress.com/content/2rqw474353620xwg/?p=c34b94eee44a4eb 79f2d08f168714fca&pi=16 COCHRANE COLLABORATION What Does the Cochrane Collaboration Say about Stretching Exercises? DOI: 10.3138/ptc.65.3.cochrane http://utpjournals.metapress.com/content/a408r4537qn00479/?p=c34b94eee44a4eb 79f2d08f168714fca <http://utpjournals.metapress.com/content/a408r4537qn00479/?p=c34b94eee44a4e b79f2d08f168714fca&pi=17> &pi=17 BOOK REVIEWS On Suffering: Pathways to Healing and Health Laura Roberta Moll DOI: 10.3138/ptc.65.3.rev01 http://utpjournals.metapress.com/content/j513225166447q02/?p=c34b94eee44a4eb 79f2d08f168714fca&pi=18 <http://www.utpjournals.com/physio/physio.html> Physiotherapy Canada www.utpjournals.com/ptc The official journal of the <http://www.physiotherapy.ca/> Canadian Physiotherapy Association (CPA), <http://www.utpjournals.com/physio/physio.html> Physiotherapy Canada is published quarterly and is a scholarly, refereed journal that promotes excellence in physiotherapy by providing an international forum for the publication and review of information generated through research findings and their application, as well as innovation in clinical practice. 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