Linnea Thacker1, Robert M Walsh1, Gabriella Shinyoung Song1, Hammad A Khan1, Prem Parmar1, Kaitlin T Vance1, Gillian Grant1,2, Giulia Mesaroli1,3, Judith Hunter1, Kyle Vader4,5. 1. Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada. 2. Toronto Academic Pain Medicine Institute, Women's College Hospital, Toronto, Ontario, Canada. 3. Department of Rehabilitation Services, The Hospital for Sick Children, Toronto, Ontario, Canada. 4. School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. 5. Chronic Pain Clinic, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Abstract
Background: Chronic pain affects one in five persons and is a leading contributor to years lived with disability and high health care costs. In 2016, the government of Ontario increased public funding for pediatric and adult hospital-based interprofessional chronic pain clinics (HICPCs) in Ontario, Canada, expanding the role of physiotherapy in chronic pain management in the province. This role has yet to be described in the literature. Aim: The aim of this study was to explore physiotherapy practice within HICPCs in Ontario. Methods: We conducted an interpretive description qualitative study based on semistructured interviews with physiotherapists employed in pediatric and adult HICPCs in Ontario. Interviews were audio recorded, transcribed verbatim, and reviewed for accuracy. We analyzed interview data using thematic analysis. Results: Ten physiotherapists who practiced in pediatric and adult HICPCs (n = 4 pediatric; n = 6 adult) in Ontario were interviewed between February and April 2020. We constructed five themes related to physiotherapy practice in this setting. Themes included (1) contributing a functional lens to care; (2) empowering through pain education; (3) facilitating participation in physical activity and exercise; (4) supporting engagement in self-management strategies; and (5) implementing a collaborative approach to whole-person care. Conclusions: Our results illuminate how physiotherapy practice within HICPCs in Ontario focuses on providing a collaborative and whole-person approach to care, with an emphasis on supporting patients to increase their functional capacity by promoting engagement in active chronic pain management strategies.
Background: Chronic pain affects one in five persons and is a leading contributor to years lived with disability and high health care costs. In 2016, the government of Ontario increased public funding for pediatric and adult hospital-based interprofessional chronic pain clinics (HICPCs) in Ontario, Canada, expanding the role of physiotherapy in chronic pain management in the province. This role has yet to be described in the literature. Aim: The aim of this study was to explore physiotherapy practice within HICPCs in Ontario. Methods: We conducted an interpretive description qualitative study based on semistructured interviews with physiotherapists employed in pediatric and adult HICPCs in Ontario. Interviews were audio recorded, transcribed verbatim, and reviewed for accuracy. We analyzed interview data using thematic analysis. Results: Ten physiotherapists who practiced in pediatric and adult HICPCs (n = 4 pediatric; n = 6 adult) in Ontario were interviewed between February and April 2020. We constructed five themes related to physiotherapy practice in this setting. Themes included (1) contributing a functional lens to care; (2) empowering through pain education; (3) facilitating participation in physical activity and exercise; (4) supporting engagement in self-management strategies; and (5) implementing a collaborative approach to whole-person care. Conclusions: Our results illuminate how physiotherapy practice within HICPCs in Ontario focuses on providing a collaborative and whole-person approach to care, with an emphasis on supporting patients to increase their functional capacity by promoting engagement in active chronic pain management strategies.
Authors: Philip Peng; Jennifer N Stinson; Manon Choiniere; Dominique Dion; Howard Intrater; Sandra LeFort; Mary Lynch; May Ong; Saifee Rashiq; Gregg Tkachuk; Yves Veillette Journal: Pain Res Manag Date: 2008 Nov-Dec Impact factor: 3.037
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Authors: Nathan Augeard; Geoff Bostick; Jordan Miller; David Walton; Yannick Tousignant-Laflamme; Anne Hudon; André Bussières; Lynn Cooper; Nicol McNiven; Aliki Thomas; Lesley Singer; Scott M Fishman; Marie H Bement; Julia M Hush; Kathleen A Sluka; Judy Watt-Watson; Lisa C Carlesso; Sinead Dufour; Roland Fletcher; Katherine Harman; Judith Hunter; Suzy Ngomo; Neil Pearson; Kadija Perreault; Barbara Shay; Peter Stilwell; Susan Tupper; Timothy H Wideman Journal: Can J Pain Date: 2022-01-11