ptc.2022.74.issue-4

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147 Physiotherapy Canada Advancing health through scientific inquiry and knowledge translation Pour l’avancement de la santé par l’enquête scientifique et la transmission du savoir Volume 74 • Number 4  November 2022  ISSN 0300-0508  E-ISSN 1708-8313 TABLE OF CONTENTS 325 Challenges with Telerehabilitation for Persons with Stroke: Perspectives from a Clinician and Graduate Researcher GUEST EDITORIAL / COLLABORATION S. Gregor SPÉCIALE 327 Les difficultés de la téléréadaptation pour les victimes d’un accident ARTICLES vasculaire cérébral : les points de vue d’une clinicienne et chercheuse au troisième cycle S. Gregor 330 Portfolios with Evidence of Reflective Practice Required by Regulatory Bodies: An Integrative Review M. Zaccagnini and P.A. Miller 340 Clinician’s Commentary M. Fricke 342 High Patient Satisfaction with Examination by Advanced Practice Physiotherapists in an Orthopaedic Outpatient Shoulder Clinic: A Cross-Sectional Study Using Quantitative and Qualitative Methods E.B. Bødskov, C.P. Nielsen, L.R. Mikkelsen, T.M. Klebe, M.T. Høybye, and M.N. Madsen 353 Clinician’s Commentary V. Lowry 355 Barriers to Physiotherapists’ Use of Professional Development Tools for Chronic Pain: A Knowledge Translation Study T. Etheridge, G.P. Bostick, A.M. Hoens, J. Holly, P. Ippersiel, P. Bobos, V. Arumugam, S. Woods, S. Gielen, A. Woznowski-Vu, and N. Campbell 363 Current Practices in and Barriers to Physiotherapists’ Use of Resistance Exercise with Older Adults in Acute Care A. Chan, A. Hoens, C. Singh, M. Elashi, K. Gerevas, M. Idle, J. Lundie, M. Urbina, A. Pace, and J. Ma 370 Quantifying Physical Resilience in Ageing Using Measurement Instruments: A Scoping Review S. Peters, T.D. Cosco, D.C. Mackey, G.S. Sarohia, J. Leong, and A. Wister 379 Signs of Inequitable Access: Users of Private Physiotherapy Services Do Not Reflect the Urban Population in Winnipeg, Manitoba S.C.Webber, J.L. Parsons, T. Arnott, A. Bauer, D. D’Errico, J. Fillion, J. Giesbrecht, A. Loewen, C. Scheller, J.Y.Y. Tse, and P. Thille © Canadian Physiotherapy Association, 2022

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147 PROMOTING HEALTHY BEHAVIOUR 387 Clinical Motor Coordination Tests in Adult Neurology: A Scoping THROUGH EXERCISE AND PHYSICAL Review ACTIVITY IN INDIVIDUALS LIVING WITH E. Schwartz, K. Guidry, A. Lee, D. Dinh, M.F. Levin, and M. Demers CHRONIC CONDITIONS SERIES COCHRANE COLLABORATION 396 A Pragmatic Pilot Randomized Controlled Trial of the OA Go Away Among Individuals with Osteoarthritis of the Hip or Knee PEER REVIEWERS FOR 2021 G. Paterson, I. Gaboury, J. Bernick, G.A. Wells, P. Tugwell, and K. Toupin-April 404 What Does Cochrane Say About … Strength or Resistance Training in Rehabilitation? 405 © Canadian Physiotherapy Association, 2022

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147 Physiotherapy Canada Advancing health through scientific inquiry and knowledge translation Pour l’avancement de la santé par l’enquête scientifique et la transmission du savoir SCIENTIFIC CO-EDITORS EDITORIAL OFFICE Dina Brooks, PhD, MSc, BSc (PT) University of Toronto Press - Journals Division Professor, Vice-Dean & Executive Director 5201 Dufferin St., North York, Ontario M3H 5T8 Canada Tel.: School of Rehabilitation Science, McMaster University, Hamilton, 416-667-7777 ext. 7751, Fax: 416-667-7832 or 1-800-221-9985 Ontario, Canada E-mail: [email protected], www.utpjournals.press Marilyn MacKay-Lyons, BSc(PT), MSc(PT), PhD INTERNATIONAL ADVISORY BOARD Professor, School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada Rik Gosselink, PhD, PT Professor, Department of Rehabilitation Sciences, Katholieke ASSOCIATE EDITORS Universiteit Leuven, Leuven University, Belgium Karen Grimmer-Somers, PhD, MMedSci, BPhty, CertHealthEc, Denise Connelly, PhD, BScPT LMusA Associate Professor, School of Physical Therapy, University of Professor, School of Health Sciences Director, Centre for Allied Western Ontario, London, Ontario, Canada Health Evidence, University of South Australia, Australia Isabelle Gagnon, pht, PhD Meg E. Morris, BAppSC(Physio), MAppSc, Grad Dip(Geron), Assistant Professor, School of Physical and Occupational PhD, FACP Therapy, McGill University, Montreal, Quebec, Canada Professor and Chair, School of Physiotherapy, University of Melbourne, Australia S. Jayne Garland, PhD, PT Professor and Department Head, Department of Physical Kenneth J. Ottenbacher, OT, PhD Therapy, University of British Columbia, Vancouver, British Russel Shearn Moody Distinguished Chair in Neurological Columbia, Canada Rehabilitation, Senior Associate Dean for Graduate Research Education, School of Allied Health Sciences, University of Texas Crystal MacKay, PhD, PT Medical Branch, Texas, United States Scientist, West Park Healthcare Centre Assistant Professor, Carol L. Richards, PhD, PT, FCAHS Department of Physical Therapy, University of Toronto, Toronto, Professor and Canada Research Chair in Rehabilitation, Ontario, Canada Department of Rehabilitation Medicine, Laval University, Quebec City, Quebec, Canada Maxi Miciak, PhD, PT Adjunct Associate Professor, Faculty of Rehabilitation Medicine, Peter Rosebaum, MD, CM, FRCP(C) University of Alberta; Principal, Maxi Miciak Consulting, Professor, Department of Pediatrics, McMaster University Edmonton, Alberta, Canada Hamilton, Ontario, Canada Stephanie Nixon, PhD Julius Sim, BA, MSc(Soc), MSc(Stat), PhD Associate Professor, Department of Physical Therapy, University Primary Care Musculoskeletal Research Centre, Keele University, of Toronto, Toronto, Ontario, Canada Newcastle, United Kingdom Kathleen E. Norman, BScPT, PhD STATISTICAL CONSULTANT Associate Professor and Associate Director (Research and Post- Professional Programs), School of Rehabilitation Therapy, Queen’s Paul Stratford, PT, MSc University, Kingston, Ontario, Canada Professor Emeritus, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada Brenda O’Neill, BScPT, Fellow HEA, PhD Centre for Health and Rehabilitation Technologies (CHART), PUBLISHER Institute Nursing and Health Research, Sch Health Sciences, Ulster University, Northern Ireland Canadian Physiotherapy Association 955 Green Valley Crescent, Suite 270, Ottawa, Ontario, Marco Pang, BScPT, PhD K2C 3V4 Canada Assistant Professor, Department of Rehabilitation Sciences, The Tel.: 613-564-5454 or 800-387-8679, Fax: 613-564-1577 Hong Kong Polytechnic University, Kowloon, Hong Kong E-mail: [email protected] www.physiotherapy.ca Michelle Ploughman, PhD, PT Competing Interest Statements for Physiotherapy Canada Associate Professor of Medicine and Canada Research Chair, Editorial Board members are available online at Memorial University of Newfoundland, St. John’s, Newfoundland, https://www.utpjournals.press/journals/ptc/editorial-board Canada James Shaw, PT, PhD Scientist, Women’s College Hospital; Research Director and Assistant Professor, University of Toronto, Toronto, Ontario, Canada Sarah Wojkowski, MScPT, PhD Associate Professor, Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada © Canadian Physiotherapy Association, 2022

https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147 STATEMENT OF PURPOSE OBJECTIF Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association, giving direction to excellence in Physiotherapy Canada est la publication scientifique officielle révisée en clinical science and reasoning, knowledge translation, therapeutic skills profondeur de l’Association canadienne de physiothérapie. and patient-centred care. Son objectif est de fournir des orientations à l’excellence en sciences et en Recognized as one of the top five evidence-based journals of raisonnement clinique, transmission du savoir, compétences physiotherapy worldwide, Physiotherapy Canada publishes the results of thérapeutiques et soins centrés sur le patient. qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice Reconnu comme l’un des cinq grands journaux de physiothérapie guidelines, and case reports. Key messages, clinical commentaries, case reposant sur des faits scientifiques dans le monde, Physiotherapy Canada studies, evidence-based practice articles, brief reports, and book reviews publie les résultats de recherches qualitatives et quantitatives, notamment support knowledge translation to clinical practice. des revues systématiques, des méta-analyses, des métasyntheses, des recherches en politiques de la santé ou en politiques publiques, des Founded in 1923, Physiotherapy Canada meets the diverse needs of directives en pratique clinique et des études de cas. Ses messages clés, national and international readers and serves as a key repository of commentaires cliniques, études de cas, articles fondés sur des faits inquiries, evidence and advances in the practice of physiotherapy. scientifiques, résumés de discussions et comptes-rendus de livres favorisent la transmission du savoir à la pratique clinique. Physiotherapy Canada (ISSN 0300-0508) is published four times per year in Fspebrirnuga,rsyu, Mmamy,eAru, fgaullsta,nadndwNinotveermbbyetrhbeyUthneivUenrsiivteyrsoiftyTofronto Fondée en 1923, Physiotherapy Canada répond aux divers besoins de PTorerossntforPtrhesesCfoarntahdeiaCnanPahdyisainotPhheyrsaipotyhAersasopyciAastisoonc.iation. lecteurs canadiens et étrangers et se positionne comme un véritable recueil sur la recherche, les faits scientifiques et les progrès dans la EDITORIAL SUBMISSIONS pratique de la physiothérapie. Physiotherapy Canada welcomes manuscripts reporting results of qualitative or quantitative research. Systematic reviews, meta analyses La revue Physiotherapy Canada (ISSN 0300-0508) est publiée par les Presses (quantitative), meta syntheses (qualitative), public/health policy de l’Université de Toronto quatre fois l’an, en février, en mai, en août et en research, clinical practice guidelines, case reports (quantitative), case novembre, pour le compte de l’Association canadienne de physiothérapie. studies (qualitative), evidence-based practice articles and brief reports are also welcomed. Submissions are now being accepted online via PRESENTATIONS D’ARTICLES Physiotherapy Canada’s online peer-review system ScholarOne. To log in or see submission guidelines, please go to https://mc04. Physiotherapy Canada accepte les articles qui font état de résultats de manuscriptcentral.com/ptc. For technical support information or recherche qualitative ou quantitative. Les examens systématiques, les méta­ questions regarding the editorial process please contact us at analyses (quantitatives), les métasynthèses (qualitatives), les recherches sur [email protected]. les politiques publiques et de santé, les guides de pratique clinique, les rapports de cas (quantitatifs), les études de cas (qualitatives), les articles sur la Physiotherapy Canada is indexed by Allied and Complementary pratique factuelle et les rapports de mémoire sont aussi les bienvenus. Vous Medicine Database (AMED), CrossRef, Cumulative Index to Nursing pouvez présenter vos articles en ligne grâce au système électronique and Allied Health Literature (CINAHL), Google Scholar, National d’examen par les pairs ScholarOne de Physiotherapy Canada. 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https://www.utpjournals.press${contentReq.requestUri} - Horizon College Physiotherapy <[email protected]> - Thursday, January 26, 2023 9:54:11 PM - IP Address:43.246.243.147 GUEST EDITORIAL / COLLABORATION SPÉCIALE Challenges with Telerehabilitation for Persons with Stroke: Perspectives from a Clinician and Graduate Researcher Sarah Gregor, PT *†‡ I am a physiotherapist providing neurological phys­ rehabilitation typically involves performance-based mea­ iotherapy care in private practice, and a PhD candidate sures to quantify physical function (e.g., timed up-and-go conducting clinical research for persons with stroke in test), and observation of functional tasks such as sit-to­ Toronto, Canada. At least for a period of time, the onset stand, walking, and stair climbing to analyze deviations to of the COVID-19 pandemic led to the majority of both my inform a movement diagnosis. These elements of assess­ clinical practice and research being delivered remotely ment often require the clinician to be close to the patient through telerehabilitation. I reflect on my personal expe­ for safety to guard against falls. Some aspects of assess­ rience with transitioning to telerehabilitation and offer ment require handling skills whereby the physiotherapist suggestions for future research. passively moves a limb (e.g., assess tone), or resists move­ ments (e.g., assess muscle activation, strength). WHAT IS TELEREHABILITATION? Telerehabilitation is the remote delivery of rehabilita­ Other researchers have recognized the challenge of assessment in telerehabilitation.1,8 However, to my knowl­ tion services using technology (e.g., Internet or phone) edge there are no guidelines for the virtual PT assessment to facilitate communication and provide health care to of persons with stroke. Interestingly, in most neurological patients in a location different from the clinician.1 Tel­ telerehabilitation research, the assessments of partici­ erehabilitation can be used for all aspects of physiother­ pants are completed in-person.9,10 During the pandemic, apy, including assessments, goal setting, treatments, and I performed virtual assessments in my research and clin­ education,1 and is generally well accepted by clinicians, ical practice when the provincial guidelines did not allow persons with stroke, and their caregivers.2 There are many in-person physiotherapy or research to be conducted review articles that evaluate the effectiveness of telere­ in-person. Lacking clear guidelines but through trial and habilitation after stroke, all mostly stating the equal or error, I was able to adapt some of my assessment prac­ superior effectiveness of telerehabilitation compared tices to the virtual environment (e.g., getting clients to to traditional in-person care, yet calling for additional move their more-affected limb with their less-affected research to extend the evidence base.1,3–5 Since the World limb). Individuals needed to be fully visible in the camera Health Organization declared COVID-19 a global pan­ view to see how different body segments moved together demic on March 11, 2020, researchers and clinicians have so that I could virtually observe movement function such advocated that now is the appropriate time for increased as walking. Despite instructions such as “Your full body uptake of telerehabilitation for stroke care.6,7 This recom­ must be in the shot; it cannot only be legs” or “The far­ mendation is based on the stated benefits of telerehabil­ ther you are from the camera, the easier it will be to see itation,6,7 and the inaccessibility of health care to many your full body,” many had difficulty positioning them­ people with stroke during the pandemic.6 selves appropriately. For example, during gait assess­ ments, clients/research participants would walk behind CHALLENGES WITH PHYSIOTHERAPY ASSESSMENTS their bed or with only their feet in camera view. Often, Physiotherapy assessment is an important aspect of they would report not being able to adjust the camera angle if they had a desktop computer, or not having an care, as it guides the implementation of a treatment or open space in their home where they could move freely. management care plan. In-person, an assessment in stroke From the: *Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada; †KITE, University Health Network, Toronto, Ontario, Canada; ‡School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada. Correspondence to: Sarah Gregor, Rehabilitation Sciences Institute, 500 University Avenue, Suite 160, Toronto, Ontario M5G 1V7, Canada; [email protected]. Acknowledgements: The author thanks Dr. Kara Patterson for her assistance in conceptualizing this article. Physiotherapy Canada 2022; 74(4); 325–327; doi:10.3138/ptc-2021-0080-gee © Canadian Physiotherapy Association, 2022 325