Updates & Insights: AHS Physio Teleconsult Service for Chronic Pain
Speaker: Kate Gerry
Join Kate for an update on the AHS Physiotherapy & Rehabilitation Chronic Pain Teleconsult Service. The program has a dual purpose, to ascertain the needs of health-care professionals while helping to support best practice. Learn what have been the trends in the data thus far and how accessing this service may help to support & optimize your management of your chronic pain patients.
MDT With and Without Steroid Injections for Lumbar Radiculopathy
Speaker: Audrey Long and Geoff Bostick
This feasibility study compared the effects of Mechanical Diagnosis and Therapy (MDT), with and without steroid injection, in people with lumbar radiculopathy. Participants were randomly allocated into a control group (steroid injection only) and the intervention group (MDT with or without a steroid injection). In the intervention group, participants were initially screened to determine response to MDT. Responders continued with MDT while non-responders received a steroid injection, followed by MDT. All participants were evaluated at baseline, 2 weeks, 6 weeks and 3 months for leg pain intensity, disability and global perceived effect. Preliminary findings are presented.
Can Physiotherapists Screen for Psychosocial Factors in Patients with Low Back Pain
Speaker: Karin Eldred, Krista Shore & Jason Daoust
As part of the AHS Research Challenge, our team investigated the feasibility of North Zone physiotherapists’ ability to screen outpatients with low back pain for psychosocial risk factors using the StarTBack Tool. PTs were asked to use the StarTBack Tool with appropriate patients over a 3-month period. The PTs were then interviewed about their experience. We will share the themes that emerged and discuss opportunities for and barriers to broader implementation.
A New Post-Sternotomy Movement Strategy: Keep Your Move in the Tube
Speaker: Lauren Park
There is little evidence to support the movement restrictions associated with sternal precautions post-sternotomy. An alternative, evidence-based, approach is needed. We are prospectively comparing sternal precautions to a new strategy called Keep Your Move in the TubeTM (KYMITT) using a before/after cohort design. We have recruited 100 patients into the sternal precautions group and another 100 patients will be recruited into the KYMITT strategy group. Patient-oriented outcomes (e.g., return to function, pain, wound healing, health services use) will be measured over 12-weeks post-operatively. Study results should confirm KYMITT is a useful evidence-based movement strategy for post-sternotomy patients.