Canadian Physiotherapy Association’s Post

The turf wars and scarcity approach to health care funding is not serving us well (population health or access to primary care top of mind). Time for a provincial planning behaviour change or pivot to ensure physiotherapy in addition to vestibular health are common approaches to aging and health promotion to optimize functional mobility at any age. I am unsure what statistics speak to decision makers, or have we stopped measuring well being and functional movement within Ontario? Unsure how we can be OPEN for BUSINESS when the mental and physical health of tmconstituents is in chronic decline. Help me reconcile the current state. Share your lived experience and narratives with your MP to offer insight into your current state of now private (off loaded) rising cost of health and care needs. I know our family has experienced a need for many private care and mobility supports and options to sustain mobility and support aging in place. We did see this aging demographic , our politicians failed to act & proactively plan accordingly. Hennick Bridgepoint Hospital, Sinai Health University Health Network UHN Foundation Vestibular Disorders Association Ontario Health | Santé Ontario Ontario Medical Association Registered Nurses' Association of Ontario (RNAO) The College of Physiotherapists of Ontario Ontario Physiotherapy Association CBC CityTV Toronto Global News

HELLO ONTARIO HEALTHCRATS: you may have been surprised by the number of baby-boomers who got old and increasingly living with chronic pain, but you can hear them today complaining about the last three generations of healthcrats who failed to plan for their needs. Increasingly, older people need better access to physiotherapy services. That’s why older citizens supported the Ontario Physiotherapy Association to expand their scope of practice 15 years ago, but while that fight was won, the next two generations of healthcrats failed to get around to implementing the regulation changes to Bill 179 — which had the support of all three political parties in the Legislature. Busy, busy healthcrats — and absentee Ministers of Health — have thwarted the will of the Legislature, and ignored the needs of the population who would have benefited enormously if our physiotherapy professionals could have been ordering diagnostic imaging and laboratory tests that would enable a reduction in the burden of illness in citizens experiencing discomfort and pain. Hello OMA: you have been advocating for a “better healthcare system that meets the needs of your patients” with the Government of Ontario. Here is another “low hanging fruit” that needs your support and advocacy. Occasionally, the Government will listen to you. Could you add your voice to advocate that the healthcrats arrange to implement the regulation changes required 15 years ago to enable physiotherapists to more effectively do their job?🙏

Osteopathy: The Global Health Hero Canada Forgot to Regulate… Osteopathic medicine is steadily gaining recognition worldwide as an essential part of healthcare. From its origins in the late 19th century, this holistic approach to health has expanded across continents, offering patients a unique blend of manual therapy, medical knowledge, and a patient-centered philosophy. 📊 By the numbers: • In the United States, over 150,000 licensed osteopathic physicians (DOs) are practicing in all areas of medicine, with osteopathic medical students now representing 25% of all U.S. medical students. • Across Europe, countries like the UK, France, and Italy have established osteopathy as a regulated healthcare profession, with more than 20,000 osteopaths serving their communities. • Globally, over 80 countries recognize and support osteopathy, with growing interest in regions like Australia and Asia. What makes osteopathy unique is its focus on treating the whole person, not just the symptoms. Through hands-on techniques and an understanding of how the body’s systems are interconnected, osteopaths aim to promote self-healing and long-term wellness. 🌍 While osteopathy is growing worldwide, it’s disappointing that Canada still does not regulate osteopathy, leaving the profession in a challenging position. Without regulation, there is no standardized training or protection for patients. This lack of recognition also limits public access to qualified practitioners who can provide safe and effective care. As an osteopath trained in France and practicing in Canada, I’ve witnessed the incredible potential of osteopathy to improve healthcare outcomes. But the lack of regulation creates barriers that need to be addressed. Patients and practitioners alike deserve better. The future of osteopathy is bright—but we must advocate for greater recognition in Canada to ensure its full potential is realized. What are your thoughts on osteopathy’s role in the healthcare system? Let’s keep the conversation going! #Osteopathy #GlobalHealthcare #HealthcareInnovation #PatientCare #RegulationMatters

A modern way to teach and practice manual therapy The aim of this paper is to stimulate debate about the future teaching and practice of manual therapy through the proposal of an evidence-informed re-conceptualised model of manual therapy. The new model dismisses traditional elements of manual therapy which are not supported by research evidence. In place, the model offers a structure based on common humanistic principles of healthcare. https://lnkd.in/dN6-r244

Very interesting to see these figures!

The most appreciated post would have a few considerations included... Those who agree with this post should know that in Pakistan 🇵🇰, we only have one semester to cover all top 5 concepts, which are merged into a single semester. Each school of thought ideally requires a full semester to understand, so we need 2 to 3 years to grasp Manual Therapy fully. All top 5 points (from Mulligan to cyriax) fall under the domain of Manual Therapy, and our HEC course content is derived from the outlines of these books. I can provide evidence for this. The last 4 points (LASER to sports condiitoning) are either not part of our curriculum or are only slightly introduced. So, before appreciating the post, consider the country you are in and what you are following. Lastly, from dry needling to chiropractic techniques, these are additional tools for pain management or patient satisfaction as complementary approaches. Don't become a dry needling practitioner or chiropractor, but learn these techniques for better results. Note: This post is intended to elaborate on concepts and to highlight that Manual Therapy is one of the most neglected subjects in Pakistan. The course curriculum needs revision at the very least. No university in Pakistan is able to cover all five concepts of Manual Therapy in just one semester. Based on my personal experience, I have observed that students are deprived of even the basic concepts of Manual Therapy, let alone an entire school of thought. As a physiotherapist who has taught and visited the most institutions and universities across Pakistan 🇵🇰, I strongly urge the HEC to revise the physiotherapy course curriculum, particularly to include and emphasize Manual Therapy.

Chiropractors, do you need CE hours in a PACE state, Kentucky Chiropractic CE hours, or Kentucky Peer Reviewer CE hours? If so, I'm tickled pink that this one-hour course might help you to meet those licensure requirements, better assess your patients' response to conservative care, and prevent or effectively appeal inappropriate medical necessity denials from third-party payers. Part two of this series I taught on using functional measures to demonstrate medical necessity went live today. The first webinar discussed the evidence that supports using standardized functional outcome measures. This second one-hour webinar addresses the challenges associated with determining if change in the score on patient-reported functional outcome measures (sometimes called OATs) is "clinically meaningful". Part two also covers common patient-reported outcome measures for neck and extraspinal complaints. Additionally, it describes other types of measures that clinicians can use to demonstrate functional improvement with care if a patient's unique situation is not a good fit for standardized patient-reported outcome measures like an Oswestry or Neck Disability Index. The last fifteen minutes or so put a bow on the series by addressing important information on appealing inappropriate medical necessity denials. This includes a discussion of sample cases. The handouts include a table with values that are commonly accepted as a clinically meaningful change in patient-reported outcome assessments like the NDI, ODI, LEFS, DASH, or PSFS. The table includes references to peer-reviewed literature that you can review and cite in your appeal letters or peer reviews when appropriate. If you experience medical necessity denials and you don't understand why your appeals or peer-to-peer calls are not effective, the resources in this course might help you to recover the small cost of the webinar many times over. I hope this new content helps ensure that chiropractic patients have timely and sustainable access to conservative treatments, and I welcome any feedback that you may have after attending. Your feedback will be especially helpful with this course. Several of the source materials cited in the presentation were published in the past year, and most of this is new material that I've never taught anywhere before. Thanks to the Kentucky Association of Chiropractors and Rachel Wendt, DC for the opportunity to put this course online so that I can help more providers and peer reviewers with less travel and less time away from my family and other professional endeavors. Please check it out today! https://lnkd.in/eAsPQfbD #chiropractic #medicalnecessity #medicalnecessitydenials #patientreportedoutcomemeasures #NDI #LEFS #DASH #QuickDASH #FunctionalRatingIndex #SPADI #PSFS #MedicalNecessityAppeals #OATs #PROMs

23 years after qualifying as a physiotherapist I continue to really enjoy my clinical work. I do at least one MSK clinic a week and love the fact that our profession is focused on helping people get the most out of life. For me MSK Physiotherapy is about empowering people: 🤔 understanding & manage their MSK health & wellbeing 🙂 Reducing pain 📈 increasing joint range 💪 increasing strength and confidence Which in turn allows us to promote function and reduce fear of moving and exercise 🏋🏽♂️🏌🏽🏊🏼🚴♀️🏃🏻🧑🏽🦽🚶🏿♀️➡️ There is still a lot of misinformation out there and I spend a fair bit of my time educating people about the evidence around physical activity and how it can positively impact health (physical, mental and reduce most risk factors for long term conditions). Intergrating evidence from research helps combat poor health beliefs. Pure Physiotherapy has a dedicated team of researchers, clinicians and supporting teammates who review and present evidence to our internal team and our primary care partners. This paper is a great example of their findings and how good research can improve clinical practice, allowing us to better help our patients. Does runnig increase the prevalence of osteoarthritis: NO 🥳 Running offers huge health benefits and research tells us that is does not increase risk of osteoarthritis 🙌🏽🏃🏻💪 #evidence #physiotherapy

We know research is important, but not all questions can be answered using only randomised controlled trials or observational studies. This is particularly true for the type of complex interventions we see in musculoskeletal healthcare. We need to use a multiplicity of approaches, ones that fit the question we need to answer and are trustworthy when it comes to research methodology. Michael Fleischmann is providing an opportunity to collect excellent case study data for osteopaths to better understand these complex issues in a real life context. The more information we have as osteopaths the better our decision making process, and very importantly, the stronger our research base the better our patient care and health outcomes.

Unlock the Power of clinical practice: A New Approach for Osteopathic Research 🔈 As osteopaths, we’re always looking for ways to refine our practice and push the boundaries of non-pharmacological interventions. But when it comes to reporting some of our novel approaches and/or treating rare conditions/patients, we often do not have time to do so. A key barrier is the perception that reporting/research is difficult. However, case studies and case series studies may offer busy osteopaths in clinical practice an opportunity to engage with research. Dr. Michael Fleischmann, experienced osteopath, presents 13 key design attributes and an adapted checklist specifically for clinicians to engage with research. This practical framework helps ensure your case study/series is robust, reliable, and ready for publication. Why it Matters 🎇 Clear, actionable guidelines for documenting your cases. Focus on techniques and interventions beyond the conventional medical model. Enhance your credibility and contribute valuable data to the osteopathic community. Don’t miss this chance to refine your research approach and set new standards in the field of osteopathy. Osteopaths New Zealand #webinar #research Register here 👇 Zoom: https://lnkd.in/gqebBYgW