Welcome Bobby Edwards, PT

We would like to introduce Bobby Edwards, BHK, MPT. He is a physiotherapist with a strong interest in orthopedics and sports rehabilitation. Bobby will be working out of Guildford Physiotherapy & Hand Center. Bobby graduated from the University of British Columbia in 2009 with a Bachelor of Human Kinetics, with a Kinesiology and health science major. He completed his Masters of Physical Therapy in 2011 at UBC and is now entering private practice. Bobby is results focused and seeks to provide effective and time sensitive treatments. As a professional, he seeks to engage clients in an active lifestyle that extends beyond the duration of their physiotherapy treatment. Key success factors involve establishing trust and rapport with each individual client, taking time to understand and address their individual mobility goals.

Medical Compression Stocking Therapy

Reasons to Use Stockings - Deep Vein Thrombosis - Venous Diseases - Lymphodema - Lipodema - Lipo-lymphodema - Phlebolymphedema Recognize Symptoms Early for Best Treatment 1. Tired, heavy feeling legs 2. Leg pain from prolonged sitting or standing 3. Swollen ankles at night 4. Varicose or spider veins, especially during pregnancy 5. Tingling, numbness, burning, or cramping in legs and feet 6. Discoloration of skin 7. Open sores or ulcers on the lower leg 8. History of vein problems in the family If you have any questions, ask your therapist when you book an appointment at Helping Hands www.physiotherapycentres.com

The Right Kind of Exercise

The Right Kind of Exercise The right kind of exercise can improve how well your heart functions. You need to move at a brisk pace so your heart will beat faster. Moving this way will cause you to breathe harder, and you may break into a sweat. Exercise should fit your lifestyle, too. It should be safe, fun, and comfortable for you. And it should fit your budget and schedule. Picking Your Best Options What kind of exercise you do is up to you. Swimming, walking, and riding a bike all can improve how well your heart functions. So can many group fitness classes or exercise videos. Byt what also matters is that your activity should work for you. Do activities that you enjoy. For a change of pace, mix and match activities from day to day. Ask your therapist at Helping Hands what options may be best for you. Why Walking Works Walking works for most people. All it takes is a pair of sturdy, well-fitting walking shoes. Be sure to start with small goals, like walking 10 minutes a day. Then build up to at least 30 minutes a day. If you choose walking, you can begin by using the walking program below. Or, ask your therapist at Helping Hands for advice. Follow this link to find a sample walking program

Protect Yourself

It’s time to get out and enjoy all the outdoor activities summer has to offer: cycling, skateboarding, rollerblading, field hockey, golf, swimming, tennis, lacrosse, roller hockey and so many more. Such activities can help keep you in shape, improve your outlook on life and let you enjoy some of BC’s spectacular parks and scenery. Unfortunately, participating in outdoor activities can put you at a higher risk for injury, although there are simple ways to reduce your risk. Concussions can result in poorer memory, decreased reaction time, and a decline in motor skills later in life. If you think you or a loved one might have suffered a concussion, warning signs to watch out for include: Behavioural changes, such as irritability and anxiety • Confusion • Dizziness • Fatigue • Headache • Lack of concentration • Memory loss • Nausea • Ringing in the ears • Slowed thinking • Vision loss If you are experiencing any of these symptoms contact your doctor for a complete examination. Protection is the Best Medicine Be proactive and protect yourself before you suffer an injury that can slow you down and potentially ruin your summer. Physiotherapists and Registered Massage Therapists can help with a step-by-step rehabilitation program which in many cases can help you return to normal activity and reduce the chance of persistent symptoms. They can also help ensure that your protective equipment properly and effectively fits you. Feel free to call one of our experts at 604.973.0242 (Winter Club), 604.990.7851 (Capilano University) or 604.929.8444 (Deep Cove) to help you play safe. Then you can enjoy a summer filled with fun activities.

Your Physiotherapist and You - Working together to help you return to work

Your doctor has referred you to a physiotherapist to help you: • Recover from your workplace injury • Return to work as soon as you can safely do so • Prevent a similar injury from happening again. During your first visit, your physiotherapist will: • Ask questions about your work • Assess your injury and, if necessary, start treatment to help your recovery • Explain what you can expect during your treatments • Explain your role in recovery • Plan with you how and when you will be able to return to work Why is your physiotherapist asking questions about your work? Your physiotherapist needs to know the kinds of activities you do at work and the way your workplace is set up so he or she can: • Understand how your injury affects your ability to work • Advise on when and how you can safely return to your regular or modified work • Advise you on how to prevent a similar injury from reoccurring How will your physiotherapist assess your injury? Your physiotherapist will ask you questions about how your injury occurred and the limitations the injury is causing. He or she will examine the injured part of your body. If your physiotherapist treatments are required, your physiotherapist will begin right away. What may your physiotherapy treatments include? • Exercise – specific exercises to increase mobility and strength; doing the exercises recommended by your physiotherapist is very important to your recovery. • Control inflammation – such as ice, ultrasound, and laser. • Control of pain – such as ice, heat, mild electrical stimulation, and stretching. • Manual therapy – a “hands on” approach to improve mobility • Education – to help prevent a similar or future injury and control pain. • Home program – exercises that you can do on your own. Y our physiotherapist will explain how many treatments you are likely to need and how often you need to attend the clinic. You will discuss a target date for being able to return to work safely. The physiotherapist is available to answer any questions regarding your treatment. Before going to back to work, you must notify your doctor, who may wish to see you. What are your responsibilities during recovery? Much of your recovery is up to you. Your physiotherapist will show you how to do the exercises that will help you regain your strength and flexibility. Learning how to do the exercises correctly, then doing them at home as recommended by your physiotherapist, is important. Remain as active as you can during your recovery. This will help your recovery and get you back to your regular job as soon as possible. Your physiotherapist will provide guidance regarding the types of activities that are beneficial. Keep in touch with your employer and be willing to do tasks that your physiotherapist, doctor, and employer agree you are able to safely do. If you cannot return to your regular job, WorkSafe BC will contact your employer to see if there is suitable work. When will you be able to return to work? Your physiotherapist and your doctor will both discuss with you when you might be able to return to work. Here are some possibilities: • Your return to your regular job as soon as you are able to do so safely • You return to your job with temporary modifications in your hours of work, the tasks you do, and/or the way you do your tasks for a defined period of time Your physiotherapist may recommend that you return to work before you feel you are fully recovered. The type of activities that you do at work may contribute to a faster recovery. If necessary, you will continue your physiotherapy treatment for a brief period after you return to work. Return to work is good recovery Return-to-work programs are based on the idea that many injured workers can safely perform work during their recovery period and doing so provides emotional and physical benefits which can help in recovery. WorkSafe BC nurse advisors are here to help you return to work and recover from your injury. What is a nurse advisor? A nurse advisor is a registered nurse with additional training and education focused on recovery and return-to-work planning. The nurse advisor does not handle claim entitlement issues. How can the nurse advisor help you? The nurse advisor may contact you to assist with developing a return-to-work plan. In doing so the nurse advisor may: • Collobarate with you and your physician, employer and health care provider • Organize, start, and monitor a return-to-work plan • Support you throughout the recovery process Other important questions for you and your physiotherapist to discuss Who pays for your physiotherapy treatments • If you have reported your injury to your employer and WorkSafe BC, you will have a claim number. • If WorkSafe BC accepts your claim then WorkSafe BC will pay your physiotherapist directly. YOU DO NOT HAVE TO PAY ANY COSTS • If your claim is not accepted, you are responsible for the full cost of your physiotherapy care • If your claim is pending, WorkSafe BC will pay gor your initial physiotherapy visit. However, you will need to pay for any subsequent visitis privately. If your claim is then accepted, your physiotherapist will directly bill WorkSafe BC and reimburse you any money you have paid. • If your claim is pending on the date of your initial visit and then not accepted, your physiotherapist will directly bill WorkSafe BC for the initial visit only and reimburse you any money paid for this visit. What if you have not started a claim with WorkSafe BC? Call WorkSafe BC at one of the following numbers: General claim or entitlement inquiries Lower Mainland 604-231-8888 You will be given a claim number, which you can give to your physiotherapist. Keep these numbers close at hand so you can call if you have any questions about your claim. What if you have not returned to work as you and your physiotherapist planned? If you have not returned to work as planned, WorkSafe BC will work with your doctor and physiotherapist to confirm a future treatment plan. While receiving physiotherapy treatment, how often should you go to your doctor? Go to your doctor if: • Your condition changes significantly • Your physiotherapist recommends a visit • Your doctor recommends a visit Your doctor is not required to send progress reports to WorkSafe BC for you to continue receiving compensation payment. If you have had a workplace injury, call one of our offices to book an appointment for your initial assessment.

Becoming Active Step by Step

To get fit, you don’t need to become an athlete. But you do need a certain amount of exercise to improve your heart health. Aim to get at least 30 minutes of brisk exercise on most or, ideally, on all days of the week. As you may be just starting out, you can build up to this goal slowly. If you stick with your goal, you’re bound to succeed. Take It One Step at a Time You may have been active before your heart trouble. Or, perhaps this is the first time you’ve started an exercise program. In either case, ease into your routine. Set small goals, and then build on them. In time, you will be doing enough exercise to improve your heart health. Make Exercise a Daily Habit You will reap the most rewards if you exercise at least 30 minutes each day. This takes about the same amount of time as watching a TV show or going to the market. You don’t have to complete your whole exercise program at once. You can also reach your goal by exercising for 10 minute, 3 times a day. Step Up Your Activity Level Besides doing your exercise program, try being more active throughout the day. This will help you reach your goals. Start by moving more during your daily routines. When doing errands, walk as much as you can. Take on more household tasks or yard work. For fun, chat with a friend while on a walk, rather than on the phone. Visit a local park or go out dancing instead of watching TV. Or book an appointment at Helping Hands to use the gym faciliites with supervision.

Ensuring Your Safety and Comfort

If you feel safe and comfortable while exercising, you are more likely to enjoy your workouts. You also have a better chance of maintaining your exercise program. Following the guidelines below can help ensure your safety and comfort. If you have any questions, be sure to ask your therapist. Dressing Right for Exercise When dressing for exercise, it’s best to wear loose-fitting clothes. Put on layers, so you can take something off if you get hot. Always wear shoes that fit well and are designed for exercise. When it’s cool outside, wear a hat to retain your body heat. Protect your eyes and skin from sun with a wide-brimmed hat or visor and sunscreen. Exercising Safely Following a few guidelines can help you exercise safely. Exercise indoors on hot, cold, humid, or windy days, or when the air outdoors is polluted. You can do this at our clinic (drop in fee of $10), shopping mall or community gym. Drink plenty of water before and after exercise. And take frequent breaks for water during exercise. If you take medication for angina, always carry it with you. If you have Diabetes • Talk with your physiotherapist before staring an exercise program. • Eat 1 to 2 hours before exercise. Carry a glucose tablet or a snack. If you have low blood sugar symptoms, take the tablets or eat your snack. • Carry a medical ID card or wear a medical alert bracelet that says you have diabetes. • Check your blood sugar before and after exercise. Don’t exercise of your blood sugar is above 13.3 mmol. • Wear shoes that fit well and seamless cotton socks. • After exercise, check your feet for sores, blisters, and spots that are red and tender.

Before Getting Started

Before you start exercising, your healthcare provider may advise you to have an exercise stress test. This test shows how your body responds to exercise. Your exercise stress test may be done on a treadmill (a moving platform that you walk on) or an exercise bike. You may also have other special cardiac tests. Based on these results, you and your healthcare provider can plan an exercise program that is safe and effective. Questions You May Have About Exercise Talk with your physiotherapist before starting your exercise program. Be sure to mention all of your concerns and questions. Below are some questions people with heart disease often ask about exercise. • Is an exercise program safe for my heart? Exercise can help your heart in many ways. If you have safety concerns, ask whether you should have an exercise stress test. • How will I know my exercise program is helping me? You should be able to exercise longer with less effort. And your heart rate may be lower than it used to be at any level of effort. • What should I do if my heart beats too fast, too slow, or irregularly during exercise? What if I feel pain or discomfort in my chest, neck, back or ams (angina)? Or, what if I have unusual shortness of breath? Stop exercising right away and call your healthcare provider. Before your appointment with your therapist, write down your own questions or concerns. To book an appointment visit http://www.physiotherapycentres.com/contact

Exercise Is Good For You

Exercising regularly offers many healthy rewards. It can help you: • Improve your cholesterol levels to help prevent further heart trouble • Lower your blood pressure to help prevent a stroke or heart attack • Control diabetes, or reduce your risk of getting this disease • Improve your heart and lung function • Reach and maintain a healthy weight • Make your muscles stronger and more limber so you can stay active • Prevent falls and fractures by slowing the loss of bone mass (osteoporosis) • Manage stress better Exercise Feels Good, Too Exercise isn’t just good for your body. It can also help you enjoy a better life. People who have started exercising and have kept it up say they feel: • Better about themselves • More upbeat about life • More energetic • More relaxed For Family and Friends • Tell your loved one that you care about his or her health • Talk about why exercise is healthy • Join an exercise program with you’re loved on. You, too, can reap the rewards of being active

An Active Lifestyle for a Healthy Heart

Your doctor says that exercise can improve your heart health. Even though you have heart trouble, adopting an active lifestyle that includes regular exercise is important. In fact, it is one of your links to a healthy enjoyable future. Are You Thinking About Exercise? If you're thinking about exercise, you're on the right track. Learning more about the rewards of being active may help you get started. And wanting a better life for yourself may help you make exercise part of your daily routine. Overcoming Your Hurdles Starting an exercise program may seem like a big goal. But you can build up to your goal slowly. If this is the first time you will be exercising routinely, know that it can be fun. The goal is to choose an activity you like. If your days are hectic, you may need to juggle your schedule. But do make your health a top priority. If you don’t plan to exercise soon, ask yourself why. Write your answers down and list ways you can overcome your hurdles. My Hurdles Ways I Can Overcome My Hurdles Your doctor will tell you that exercising regularly can help improve your heart health! Call and book an appointment with one of our therapists to have them create a safe exercise plan for you! http://www.physiotherapycentres.com/contact

Dear Marla

Dear Marla, I know you have an often difficult and thankless job. Just wanted to saythanks for always being so friendly and accomodating. I always enjoy chatting too :) Have a great week! Alana W

Back Tips

Back Tips
1. Split the load. Divide groceries into two lighter bags to distribute the weight more evenly. If carrying just one bag, alternate sides. Always carrying a bag, purse or briefcase on one side can put strain on your neck, shoulder and lower back - switch it up.
2. Fit your backpack. Choose a pack with two padded straps and a chest or waist belt to provide adequate support. Tighten the straps so the pack fits against your upper back and the waist belt is snugly fastened around your hips. Place heavier items in the center and close to your back.
3. Keeping it close lightens the load. Carry a purse with a strap diagonally across your body, messenger style to distribute the weight more evenly. This will encourage a more efficient posture. Your physiotherapist can show you how to improve posture and keep you pain free.
4. Push rather than pull luggage. The new all directional wheels make it even easier to maneuver. Keep your feet close to the luggage to maintain a more upright body position and minimize strain.

Thank You

Dear Monica, Kristan and Team
Thank you for your ongoing dedication to the education and success of our students. It is always a pleasure working with you.
Most Gratefully,
Jane Unsworth
Practicum Coordinator
Vancouver Career College

Thank You

I really appreciate the experience I've had and the relationships I've made, working here. I've had alot of fun over the last 4 years and I have learned so much. I feel the team here, has always supported one another, which is one of the reasons why I loved working here. I will MISS YOU ALL SO MUCH!! Thank you all, for making my time here so enjoyable and memorable!

Gloria

Thank You

"Thank-you for welcoming me to your clinic & making my 5 weeks with you a great learning experience. I really appreciate all the effort made to introduce me to the world of private practice physiotherapy & allow me the opportunity to work with a number of therapists with different backgrounds & specialties. I feel that I picked up quite a few tips & tricks during my time with you. I hope I have been some help to the patients I had the pleasure of working with & am grateful that such consideration was given to assigning my caseload. "Head & shoulders, knees & toes" has been a whole new meaning to me, & of course HANDS! Thank you for your patience & suggestions for reading materials & topics of interest for me to investigate outside of the clinic hours to help me become a better physiotherapist.

To the front desk staff - thank you SO much for putting up with me creeping on the daily schedules & generally being in the way as I spent a million years charting in your domain. And thank you for cleaning up rooms, electrodes & foot baths after me as I ran around like a chicken with its head cut off in my first week (ok, in reality - all 5 weeks).

Wishing you all the very best for the future!

Erin

Infection Control in Therapy Clinics

Why is Infection Control Important
Infection control is important because it is the best way that we can prevent the spread of many common contagious diseases.
What are Infection Control Practices
Infection control practices can be grouped in two categories:
1. Standard precautions;
2. Additional (transmission-based) precautions.
Spread of infections in physio clinics can be prevented and controlled. Basic infection control protection which must be applied to all clients and staff at all times, regardless of diagnosis or infectious status. Additional precautions which are specific to types of transmission (airborne, droplet and contact).
Standard Precautions
Standard precautions include the following:
• hand washing and antisepsis (hand hygiene);
• use of personal protective equipment when handling blood, body substances, excretions and secretions;
• appropriate handling of patient care equipment and soiled linen;
• prevention of needlestick/sharp injuries;
• environmental cleaning and spills-management; and
• appropriate handling of waste.
Additional (transmission-based) precautions
Additional (transmission-based) precautions are taken while ensuring standard precautions are maintained. Additional precautions include:
• Airborne precautions;
• Droplet precautions; and
• Contact precautions.

Hip Surgery

It is very important to exercise after hip surgery to keep your hip and leg from getting stiff. Some discomfort is normal, but exercising after pain medications and after using covered ice packs on your hip for 15 minutes before exercising may reduce this.

Wear socks or stockings to protect your heel for sliding exercises and shoes for the standing exercises. Do the exercises with the operated leg, three times a
day, 10-15 times each. Your physiotherapist will provide you with exercises and teach you how to do them effectively and safely.

CAN LASER HELP CANCER PATIENTS?

Studies have proven that low-level laser therapy (LLLT) reduces the symptoms of oral mucositis, which are terribly painful mouth sores caused by the toxic effects of chemotherapy. However, unlike these previous studies, the researchers in this experiment wanted to assess if there was any improvement in the Quality of Life of patients receiving radiation and LLLT for head and neck cancer.

Sixty patients were studied and objective tests were performed to assess the patients Quality of Life during radiation treatment for cancer. Quality of Life was defined as a composite of many factors including pain, function of the head and mouth, anxiety, and physical appearance.

The results showed that there was a significant improvement in the Quality of Life of the patients who received LLLT. So, unlike our worries about LLLT negatively influencing the lives of cancer patients, these newer studies are showing POSITIVE effects. To date, these positive studies have all used cool lasers, not hot ones. At the present time, because research has documented that hot lasers can increase cancer activity, researchers are primarily using cool lasers.

Head Neck. 2011 Apr 5.
http://campaign.r20.constantcontact.com/render?llr=rmualbcab&v=001cijNGvIyoo7OOSUVp9tzkXe8g-5hYkOpWTBE_v-bHUrvahVzmp-kjA2vx8YTmTmxZJPGyVly1qrIjEgkUWRxBnLuSYj9AV31Q7ypXi0ffH-aKIPsflvKnkfbBfv1LKim

Tips for Bike Riding

Tips for Cycling to prevent injury,
alleviate pain and keep you moving for life.

If you feel pain during or after riding, a physiotherapist can help.

1. Select a bike that fits. An ill-fitting bike causes pain.
A bike that fits – frame size, pedal alignment, handlebar position and saddle
height – promotes good posture. Your physio can provide tips on correct bike
fit and can correct poor mechanics before pain and injury develop.

2. Choose cycling if you have osteoarthritis in your hips,
knees or feet. The non-impact, rhythmic motion helps reduce joint pain and stiffness and keeps your muscles strong. Your physio can prescribe a cycling program and help you choose the right bike.

3. The aerobic benefits of cycling help to manage high
blood pressure and reduce the risk of heart disease.
Cycling builds stamina. Your physio can help determine the right level of
aerobic exercise and develop a program to meet your goals.

4. Stretch and strengthen off your bike to improve
on-bike performance. Your physio can create a program to treat muscles that are prone to tightness as well as help you strengthen areas such as your core to dramatically improve your cycling efficiency.

Boot Camp

Boot Camp Fitness Program

This fitness program is designed to make working out fun, keep you motivated, and best of all make you shred inches. It is the drive that you have been waiting for to get that much-needed push in the right direction. It is effective because it offers a variety of exercises with little to no rest in between so that your muscles are always guessing, preventing exercise plateau. Our Program is unique in that it offers trained Kinesiologists that have developed a challenging, individually tailored, class for people of all fitness levels. Whether you are master of your domain or never exercised before, we have the ability to make the modifications that you need to make your program a success.

What to expect:
• A motivating, trained, and knowledgeable instructor with a degree in Kinesiology
• A range of resistance exercises, aerobics, cardio, core strengthening, circuit training, and calisthenics
• A non-threatening environment
• A fast-paced, challenging work-out!

Benefits to expect:
• Loss of Inches
• Increased coordination, endurance, and confidence
• Improvements in cardiovascular and resistance training ability

Equipment Needed:
• Yoga Mat
• 5lb-8lb dumbbells

Program Cost:
• 5 days/week = $275.00/month OR $750.00 for 3 months
• 3 days/week = $225.00/month OR $600.00 for 3 months
• 2 days/week = $190.00/month OR $495.00 for 3 months
• 10-pass card = $220.00 (3-month expiry terms)
• 20-pass card = $320.00 (3-month expiry terms)

Please call the office for class dates and times! We look forward to hearing from you!

Lifestyle Training Program

Our clinics place great value in our Lifestyle Training Program because it motivates individuals to take an active role their personal well-being. Our clients work closely with both a Physiotherapist and Kinesiologist to provide a comprehensive weight-loss protocol that provides education, conditioning, nutrition consultation and therapeutic exercises so that the client learns to manage his/her fitness lifestyle independently.

Experts with Obesity Canada (http://www.obesitycanada.com/) estimate that “10 to 25% of all teenagers and 20 to 50% of all adults have a weight problem”. It is known that obesity brings many health hazards with it, including heart attacks, strokes and diabetes along with all of its complications. Obesity is a serious concern to all health care practitioners. Lifestyle Training provides your patient motivation to lose weight and get healthy through an individualized program in safe environment.

Our Physiotherapist and Kinesiologist will provide comprehensive initial, interim, and final assessments that can easily be used to measure the effectiveness of the treatment you are receiving.

COURSES/PRESENTATIONS/EVENTS U of T

REHAB ROUNDS SCHEDULE – 2010/2011

Date Speaker Location
June 2nd 12:00 – 1:00 Sharon Staus
Associate Professor, Department of Medicine, UofT; Director, Knowledge Translation Program, LiKaShing Knowledge Institute, St. Michael’s Hospital
Rm 132
June 9th
12:00 – 1:00 Dr.Lyn Turkstra
Associate Professor in the Department of Communicative Disorders at the University of Wisconsin-Madison
Rm 132


CENTRE FOR FACULTY DEVELOPMENT SPRING WORKSHOPS

To view upcoming workshops and to register, please go to:

http://www.cfd.med.utoronto.ca/programs/upcoming-workshops.html

For more information, contact Jackie McCaffrey, Project Coordinator at: mccaffreyj@smh.toronto.on.ca (416) 864-6060 x6546


POST-STROKE LOCOMOTOR TRAINING – ICDR 2011 LECTURE DAY

Presented by the Philippine Working Group of the International Centre for Disability and Rehabilitation at UofT (ICDR)

Date: May 14, 2011 (Saturday)
9am – 12noon

Keynote Lecturer: Dr. Susan O’Sullivan
Author of the book “Physical Assessment and Rehabilitation”

Location: Earth Sciences Auditorium (University of Toronto), 5 Bancroft Avenue, Toronto

Registration: $80.00 for professionals and non-students
$50.00 for students

For Registration Form and Information: jeffrey.andrion@utoronto.ca
Jeffrey Andrion, The Holland Orthopaedic and Arthritic Centre
Sunnybrook Health Sciences Centre



REGISTRATION NOW OPEN - 2011 ANNUAL NICE KNOWLEDGE EXCHANGE

We are pleased to announce that registration is now open for the Annual NICE Knowledge Exchange, taking place May 19th, 2011 in Toronto.

Building on the success of last year's conference, this year's program features:
• Keynote Address:
• Dr. Carole Estabrooks, Enhancing the Aging Experience through Global Knowledge Transfer Interactive Workshops:
o Dr. Marnin Heisel, Mental Health of Seniors - Strategies that Work!
o Scott Dudgeon, Living with Dementia - Addressing the Needs of Individuals and their Families
o Elena Jara, Educate & Empower - Improving the Financial Literacy of Older Adults
o Alison Leaney & Dr. Lisa Manuel, Intervention & Advocacy for the Prevention of Elder Abuse
• Extended Theme Team Presentations
• Beta site for the cutting-edge Aging Application - participate in a hands-on exploration of this exciting new app, which will be launched at the Exchange and will revolutionize aging and caregiving by providing access to leading experts and innovative management tools, anywhere, anytime.
• Scientific Director's Reception

Space is limited so register now at www.niceke.ca/

For more information, visit our conference website at www.niceke.ca/

Should you have any questions feel free to contact us at anke@nicenet.ca

MUSCULAR DYSTROPHY FUNDRAISER

May 25th, 2011
The PT Student Council is holding a screening of the award winning documentary film, “Darius Goes West”. The film follows the life of a young man with Duchenne muscular dystrophy.
The trailer can be viewed at: http://www.dariusgoeswest.org/

Location: McLeod Auditorium, Medical Sciences Bldg, Rm 2158

Date: May 25th, 2011, 7-9pm

RSVP to: dariusgoeswest.uoft@gmail.com

Admission is free. Donations will be accepted towards Duchenne muscular dystrophy research.


GO BACK TO SCHOOL FOR THE WEEKEND!! MAY 25 – 29TH

1. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ALUMNI PUB NIGHT

Friday, May 27th, 7:30 – 11:59pm

Event Details:
An informal gathering with light refreshments. Cash bar. O’Grady’s on College (171 College St.)

2. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ALUMNI ANNUAL GENERAL MEETING AND BREAKFAST

Saturday, May 28, 9am – 12 noon

Event Details:
Breakfast, Annual Report 2009-2010, Address from current PT and OT Chairmen, Alumni Achievement Awards Presentation, Guest Speaker (Sunita Mathur - Recent Advances in Muscle Imaging in Rehabilitation), Pins and Medals Presentation and Building tours. Rehabilitation Sciences Building (500 University Ave.). Free.

3. UNIVERSITY OF TORONTO ALUMNI PRE-AGM BBQ

Saturday, May 28th, 11:30 – 2:00pm

Event Details:
Join us for lunch and take in the entertainment with other alumni, including our special guest, Professor David Naylor, President.

4. PERSONALIZED HEALTH CARE PANEL PRESENTATION

Saturday, May 28th, 2:30 – 5:00pm

Event Details:
Join our host, Dean Catharine Whiteside as she discusses with a panel of researchers, the outstanding advances being made at U of T in the field of personalized health care. Afterwards there will be reception, where alumni can mingle and reconnect with former classmates and faculty members. Health Sciences Building (155 College Street at McCaul), 610 Auditorium

Register for these events: springreunion.utoronto.ca

Contact: Simone Olivero 416-978-1820 ptotalumni.facmed@utoronto.ca

General questions about Spring Reunion, contact: 1-888-738-8876 or
spring.reunion@utoronto.ca


CANADIAN BOBATH INSTRUCTORS ASSOCIATION

Treatment and Management of the Hemiplegic Shoulder and Upper Limb
A three day introductory course. The Bobath Concept.

Dates: Friday May 27th to Sunday May 29th, 2011

Location: William Osler Health Centre, Brampton Civic Hospital, Brampton, Ontario

Cost (HST included):
NSD members $474.00
CPA/CAOT members $508.00
Non members $604.00
Lunch is not included in course fees.

Instructors
Libby Swain PT, MA, IBITA Instructor and Catherine Eustace PT, Advanced IBITA Instructor. The Canadian Bobath Instructors Association (CBIA) is a component of the Canadian Physiotherapy Association, Neurosciences Division, Bobath Special Interest Group.

This course is an introductory level course to expose the course participant to the treatment and management of the hemiplegic upper limb based on the principles of the Contemporary Bobath Concept and an understanding of human movement. The course will consist of lectures, patient demonstrations and practical sessions.

The following topics will be explored and discussed:
 Musculoskeletal review of the shoulder girdle and upper limb with respect to hemiplegia
 The painful hemiplegic shoulder; causes and intervention
 Neural control of upper limb function
 Plasticity and expectations for functional recovery of the upper limb
 Critical review of the current research findings with respect to upper limb recovery and treatment following stroke.

Course Objectives:
 The Course participant will gain an understanding of:
 The relationship between musculoskeletal alignment and movement control.
 The role of sensation and motor control of the hemiplegic upper limb.

 The relationship between plasticity and functional recovery of the upper limb..

Contact: admin@cbiaorg.com; http://www.bobathcanada.com/


THE SECOND FESTIVAL OF INTERNATIONAL CONFERENCES ON CAREGIVING, DISABILITY, AGING AND TECHNOLOGY (FICCDAT)

Location and Date: Toronto, June 5-8, 2011

This is an amazing event where six international conferences come together under one roof. You pay one registration and then attend sessions in all six conferences and events. You can also submit abstracts to as many of the six conferences as you like.

Visit www.ficcdat.ca for more information.
http://www.ficcdat.ca/main.cfm?cid=1559


MANAGEMENT OF THE NEUROLOGICAL UPPER EXTREMITY – AN INTERMEDIATE LEVEL NDT WORKSHOP

Date: June 17-18, 2011
Location: Toronto Rehab’s University Centre - Auditorium, Toronto

This year, we will again offer the NDT/Bobath Certificate Course in the Management and Treatment of Adults with Hemiplegia. Successful completion of this 16-day course provides eligibility to apply for the NDT Certification Program.

Contact: Conference Services at 416-597-3422 x.3693 or conferences@torontorehab.on.ca. For more information, please visit http://www.torontorehab.com/Events/Corporate-Events/NDT-(Bobath)-Certificate-Course-in-the-Management-.aspx.


PHYSICAL THERAPY WORLD CONGRESS 2011

Date: June 20 – 23, 2011
Location: Amsterdam, Netherlands

The congress has a main scientific programme, planned over two years to reflect the best of world physical therapy, consisting of 140 sessions. Before, during and after the main congress, there are also education sessions and clinical visits, the satellite programme.

And then, there's a bustling social programme, allowing physical therapists to relax together and sample some of the best of Dutch culture.

For more information, and to register, visit: http://www.wcpt.org/congress


EHPIC 2011 - ADVANCING THE FUTURE OF HEALTHCARE THROUGH INTERPROFESSIONAL LEARNING

A certificate course for Health Professionals, Educators & Leaders

Sponsored by the Centre for Interprofessional Education, University of Toronto.

This course will enhance your natural leadership abilities to teach excellence in interprofessional Education (IPE), helping to build an IPE community of leaders in healthcare.

Objectives:
 Recognize and teach the importance of professional role understanding as an essential component for collaborative practice
 Experience and teach ways of effective team communication and the role of reflection in health care teams
 Practice skills in facilitating interprofessional teams particularly within an educational context
 Acknowledge professional attitudes and cultural values and recognizes their impact in the educational context
 Understand and develop a program to teach how collaborative practice is used to enhance patient-centered care
 Learn ways of evaluating the role of collaborators in educational contexts; and
 Define the current challenges facing educational leaders in moving IPE experiences forward at an institutional level and analyze these using an organizational framework.

Date: June 20-24, 2011

Location: The University of Toronto Conference Centre, Toronto, Ontario

For more information: The office of Continuing Education and Professional Development
416-978-2719 info-IPE1102-C@cepdtoronto.ca
www.cepdtoronto.ca

Abstract Submission: http://events.cepdtoronto.ca/website/index/IPE1102-C

Deadline to apply is April 1st, 2011!


THIRD NORTH AMERICAN CONGRESS OF EPIDEMIOLOGY

Date: June 21-24, 2011 – Sheraton Centre Montreal
Please visit the website to download the submission form. www.epicongress2011.org

Epidemiologic researchers, educators, and policy makers from academia, public health, government, and industry are invited to come together at the Third North American Congress of Epidemiology. The Congress aims to showcase and promote the diversity of study, practice and policy within epidemiology as a whole, and has no theme other than epidemiology. This meeting is held only once every five years and provides a unique opportunity to interact with a diverse group of epidemiologists from more than 20 professional societies. The meeting will include plenary addresses from visionary leaders; symposia addressing emerging issues cutting across topical fields; spotlight and poster sessions selected.

For more information: www.epicongress2011.org


NDT (BOBATH) CERTIFICATE COURSE IN THE MANAGEMENT AND TREATMENT OF ADULTS WITH HEMIPLEGIA

October 17-21, 24-28, and November 28-December 3, 2011

Location: Toronto Rehab’s University Centre - Auditorium, Toronto

This intermediate level workshop for PT and OT assistants will build on NDT principles and handling skills presented in the NDT Introductory Course in the Management of Adults with Hemiplegia. The goal of the course will be to enhance the clinician’s knowledge of thoracic and rib cage alignment and movement, scapulothoracic alignment and movement, their impact on upper extremity function as well as their contribution to commonly seen dysfunction such as pain, tone, oedema.

Contact: Conference Services at 416-597-3422 x.3693 or conferences@torontorehab.on.ca. For more information, please visit http://www.torontorehab.com/Events/Corporate-Events/Management-of-the-Neurological-Upper-Extremity---A.


FIRST ANNUAL SYMPOSIUM ON REGENERATIVE REHABILITATION

HOLD THE DATE: November 3, 4, 2011

Location: Pittsburgh, PA.

As you know, medical advances in the field of Regenerative Medicine are accelerating at an unprecedented rate. Biological technologies such as stem cell transplantation, scaffolds, and artificial devices are now being tested in clinical trials throughout the country, opening up a novel population of patients to clinicians and exciting new areas of investigation for rehabilitation scientists. As a field, physical therapists would benefit from a careful examination as to the implications of such advancements on our clinical practice, research agenda, and educational programs.

This conference has the goal of stimulating reflection and debate as to the emerging role of physical therapeutics in the field of regenerative medicine.

Who should attend? Program directors/ faculty members of Physical Therapy and Physiatry programs, Scientists and clinicians working in the fields of Regenerative Medicine and/or Rehabilitation, and graduate students with related interests are all welcome to attend.

More conference details to come! If you have any questions, contact Fabrisia Ambrosio ambrosiof@upmc.edu


PAIN MANAGEMENT: BRIDGING THE GAP FROM ACUTE CARE TO REHABILITATION AND INTO THE COMMUNITY

Date: Friday November 18, 2011

For more information: Toronto Rehabilitation Institute, Conferences Services
Phone 416-597-3422 x 3693 Email: conferences@torontorehab.on.ca

Website: http://www.torontorehab.com/Events/Corporate-Events/Pain-Management-Across-the-Continuum--Bridging-the.aspx

THE TIME PROGRAM: BUILDING EXERCISE CAPACITY IN THE COMMUNITY

By Jo-Anne Howe and Karen Brunton, Clinical Educators-Physiotherapy, Toronto Rehab, Lecturers, University of Toronto, Department of Physical Therapy.

TIME, which stands for ‘Together in Movement and Exercise’, is a community-based exercise program for people with a range of conditions usually of neurological origin, such as stroke, MS or brain injury. The rationale for the program is to assist individuals to take steps out of the health care system and re-integrate into local, community centers after discharge from rehabilitation.

The exercise program is a circuit station design for people who have reduced community mobility and ambulate for short distances often with assistive devices. Accordingly, the program exercises emphasize task-related training (for example, walking, step-ups and sit-to-stand), balance and strengthening especially of the core and legs. TIME has been running at two community centres in Toronto since the fall of 2007 and is in pilot phase at a third site.

Why is the TIME program unique?
The interesting innovation was the development of a partnership between a rehab facility, Toronto Rehab, and a municipal organization, City of Toronto Parks, Forestry and Recreation (PFR). The unique collaboration pools the strengths and resources of the two organizations. Toronto Rehab physiotherapists
• designed the evidence-based exercise program that is safe, do-able and effective for the participants
• provide ongoing education and support for the fitness instructors and volunteers
• maintain program quality through site visits to guide and problem solve with the instructors
• established the process for screening of the participants including a physician referral and telephone screen
• modify the exercise program as best practices evolve over time.

The community partner provides:
• space for the program
• human resources, that is, the fitness instructors who lead the exercise classes as well as their hiring, scheduling and performance management
• equipment, kept to a minimum to increase the feasibility of implementing the program in local rec centres
• expertise in community programming including participant registration, safety and emergency procedures.

How does the TIME program improve access to exercise?
TIME provides a much-needed option for exercise/fitness for clients living in the community after discharge from rehabilitation. As length of stay shortens even more, many therapists and patients grow increasingly concerned about how to maintain or even extend the benefits of rehab after they return home. To counteract the cycle of deconditioning, ongoing access to physical activity and exercise are essential. The partnership between health care and community recreation builds capacity for exercise and fitness as well as community re-engagement for clients living with mobility impairments.

Keeping it safe
When the pilot was implemented in the fall of 2007, our first priority was to evaluate the safety of the program. Would it be safe for community-based fitness instructors to lead exercise classes for people with neurological conditions without the direct supervision of the health care team? The results of the pilot evaluation were that in 293 attendances, there were two near-misses: a near-fall where the participant required steadying by the caregiver and a possible hypoglycemic episode. Since then, with 9 additional sessions running
at the two sites and approximately 3400 attendances, there still have not been any adverse events. The question then arises, how is the positive safety record maintained? The contributing factors likely include:

• the commitment and skill of all PFR staff involved
• the high instructor to participant ratio (1:4) plus volunteers and caregivers
• adherence by the instructors to the carefully crafted exercise program designed by physiotherapists
• provision of ongoing education to the instructors
• the use of admission screening tools before participants enter the program

The evolution of TIME
The program is not static and we continue to modify it. For example, more participants are now accepted into the program as the circuit stations have been modified to include more group work. As well, the functional inclusion criterion of ability to walk 10 metres with or without a walking aid has been maintained throughout but the diagnostic criteria have been expanded to include individuals with mobility limitations regardless of the underlying diagnosis.

A step-by-step Toolkit based on the TIME program has been published to enable health care professionals in other regions to implement a similar community-based exercise program. Contact renaud.marie-claude@torontorehab.on.ca for more information.

Contact howe.jo-anne@torontorehab.on.ca for any questions or comments about the TIME program.

“TIME demonstrates how you can take an evidence-based exercise class and partner with a municipal organization to provide universal community-based access to a regular exercise class for people with neurological conditions who wouldn’t otherwise have opportunity.”
Nancy Salbach, Assistant Professor, University of Toronto, Department of Physical Therapy

What is Functional Active Rehab?

Our Kinesiologists specialize in Functional Active Rehabilitation exercise programs that are tailored to each client's specific goals. Not only do they concentrate on rehabilitation from different types of injuries, but our Kinesiologists also aim to help improve clients' general health and fitness, overall sport specific endurance, or simply increase their tolerance for activities of daily living and return to work.

Prior to initiating a Functional Active Rehab program, clients are booked in to see a physiotherapist to assess cause of pain/dysfunction. The Physiotherapist and Kinesiologist work together to develop an individual client-centered program suitable to begin in the gym.

What is Work Conditioning
The FAR program includes work conditioning, where sessions are performed to simulate various work tasks, or a typical "work shift". This is appropriate for injured clients looking to return to work in the future (who may be on a WorkSafe BC or ICBC claim). The Kinesiologist's initial assessment for the FAR program includes a meeting regarding work status and job demands, with subsequent functional tests. The Kinesiologist is then able to develop a program to simulate a work environment for each and every individual client.

Our Kinesiologists are also able to coordinate Gradual Return to Work Programs, including Job Site Visits, for off-work clients. This includes coordination between client, insurer, doctor and employer. Additionally our Kinesiologists will monitor the RTW program and are able to provide Job Coaching.

We also provide care in active rehab for high performance athletes, individuals suffering from chronic injury or disease (diabetes, obesity), or simply those interested in jump starting an improvement in thier overall physical health and wellness.

What does the Functional Active Rehab Program Consist of?
- Cardiovascular Conditioning
- Whole Body Stretching
- Spinal Stabilization & Core Strengthening
- General & Focussed Strengthening
- Functional Tasks & Work Simulation
- Education!

Physiotherapists do that!

Two months ago Dianne was in a car accident and suffered a whiplash injury. After working with her physiotherapist, she’s now pain free and back to her regular work and home duties. Physiotherapists do that!

Recognize Symptoms Early for the Best Treatment

1. Tired, heavy-feeling legs
2. Leg pain from prolonged sitting or standing
3. Swollen ankles at night
4. Varicose or spider veins, especially during or after pregnancy
5. Tingling, numbness, burning, or cramping in legs and feet
6. Discoloration of the skin
7. Open sores or ulcers on the lower leg
8. History of vein problems in the family

Indications
- Deep vein trombosis
- Venous diseases
- Lymphodema
- Lipodema
- Lipo-lymphedema
- Phlebolymphedema

Back Pain

Oh, my aching back!
Almost everyone experiences some type of back pain during the course of their lives. More than 70% of back problems begin during routine daily activities. Accidents and other forms of trauma account for only 30% of back problems.

Back pain can be due simply to a lack of exercise or a result of poor posture or body mechanics.

Poor posture or twisting movements during such routine activities as gardening, housework, picking up a child, reaching for an object or even coughing can cause acute back pain: pain that can last for hours, days or even years if ignored. The pain can be felt in the back or may be “referred pain” that is felt in the low abdomen, groin, leg or foot. Specific sensations can include pins and needles, numbness or a burning feeling. These should not be left untreated.

Normally, pain resulting from muscle or ligament strains will fix itself in the first 24 to 48 hours. If the pain does not subside after 24 hours, is happening regularly, is severe, or is getting worse, you should see your Physiotherapist.

The physiotherapist’s focus is to treat the problem quickly, reduce pain and return you to normal activity as soon as possible.

Since so many factors can be the cause of back pain, physiotherapists offer a range of comprehensive treatment programs designed specifically for your individual case, including hands-on treatment such as:
 exercise prescriptions to strengthen and condition the back and stomach muscles that support the spine
 mobilization involving small movements
of one or more joints in the spine
 manipulation which improves spine mechanics
 physical modalities which can include the use of heat, ice, or various types of electrical stimulation
 posture correction
 advice and education to prevent future back pain, as well as back protection strategies.

Your body will go through 3 stages of healing after every injury, and your Physiotherapist will help you through each stage.

1. Inflammation – Pain and swelling need to be controlled. Physiotherapists recommend: ice, activity reduction, ultrasound or electro-therapy to help with inflammation control and pain management.
2. Repair – scar tissue formation occurs, which is how your body mends; at this stage your Physiotherapist will prescribe therapeutic exercise for range of motion or stretching.
3. Remodeling – your body is rebuilding healthy tissue; your Physiotherapist will guide you through a strengthening or conditioning program.

Regular aerobic exercise, such as walking, swimming will help prevent injury and provide the condition a healthy back needs. A Physiotherapist will help you maintain your strength and fitness to minimize injuries and prevent re-injury.

Clinical research shows that early treatment of back pain prevents chronic back pain, and sufferers can return to work and other activity, enhancing their quality of life and general well being.

Trigger Finger FAQ

TRIGGER FINGER FAQ

1. What is trigger finger?
The first sign of trigger finger is a feeling of stiffness and difficulty bending the finger. There may be swelling in the palm, Later, as the symptoms increase, the finger may “get stuck” in a bent position and have to be straightened with the help of the other hand. When the finger does move, it may snap, as it becomes “unstuck.”

2. Why does it happen?
The tendon that bends the finger passes through a pulley, much like a tunnel. If the tendon becomes enlarged by inflammation, it cannot pass trough this tunnel freely. A nodule, or bump, may form on the tendon making it even more difficult for the tendon to glide and causing stiffness and pain. When the nodule must pass under the pulley, it may stop or stick. It can be compared to trying to pass thread that has a knot in it through the eyes of a needle.




3. What causes the tendon to be inflamed?
Repetitive use of the hands may make trigger finger worse, but it has not been proven to be a cause of the inflammation. The cause is not certain, though it is most common in middle-aged women. Diabetes and rheumatoid arthritis may increase the chance of getting a trigger finger.

4. What can be done to help?
With a mild case, simply resting the finger may relieve the symptoms. Grasping and other painful activities should be avoided. A splint can be used to keep the tendon at rest. Wearing the splint and avoiding grasping for a period of time may be enough to relieve the symptoms.






If the symptoms are more severe and the finger is frequently getting “stuck”, a physician may recommend a steroid injection. The steroid can decrease the inflammation and therefore, the size of the tendon and nodule. This allows the tendon to move through the sheath more freely.


5. What about surgery?
Surgery is recommended when injections and conservative treatments fail to relieve symptoms. In surgery, a small incision is made in the palm. The pulley is cut to allow the tendon to glide. The incision will be covered with a dressing for a few days. Full, comfortable motion is allowed. It is important during this recovery time to elevate the hand as much as possible to decrease swelling. There will be a scar on the palm. This can be softened and made more comfortable by massage.
Recovery form trigger finger surgery usually takes only a few weeks.