Issue 3: Thursday 23rd June 2011
20-23 June 2011 Amsterdam
WCPT CONGRESS NEWS
Supported by platinum sponsors Hur, MBT and Meeùs
A symposium in blue People’s perceptions affect the level of pain they feel – and PTs can play a role in that, delegates heard on Wednesday. The pain symposium, held in the spectacular Elisium room (pictured right) was packed with delegates wanting to hear from three leading pain experts. David Butler from Australia said: ‘It’s doesn’t mean just cognitive behavioural therapy. It’s much bigger than that.” He advocated a biopsychosocial approach, which recognised psychological factors affecting pain, rather than a biomedical one where the approach was to find a problem, then to fix it.
Aid must be sustainable
David Charles, one of the few physical therapists in Haiti before the earthquake in 2010
The best way that physical therapists can deal with natural disasters is to look beyond the disaster, according to a Canadian physical therapist who has worked building health facilities in Haiti before and after the earthquake that struck on 2010. Shaun Cleaver, who coordinated rehabilitation services development at the Hôpital Albert Schweitzer (HAS) in Haiti, said that though disasters themselves
presented development opportunities, they were “not the only or the best time for progress”. He was speaking at the discussion session on how physical therapy projects can bring long-term sustainable benefits in conflict zones and disaster areas. “The real challenge is to build strong systems everywhere,” he said. He pointed out that the earthquake left 100-200 people with spinal injuries, which gained
WCPT would like to thank the following platinum sponsors of World Physical Therapy 2011:
global attention and emergency flown in. Yet before and after the earthquake, 300 people a year had spinal injuries. And despite the disaster relief, today, many have to be turned away from clinics because of lack of facilities. “If I had a spinal injury, I’d rather have it in on 12th January 2010 than January 1st 2009,” he said. There was a danger that once the eyes of the world turned away (Continued on page 2)
INSIDE THIS ISSUE 5 How WCPT all began 6 A picture memento 9 Focus turns to education issues 10 Today’s ICF sessions
WCPT Congress News
PTs in oncology get networking Some physical therapists are now seeing cancer patients before treatment, providing psychosocial support, information about what to expect and reassurance about how side effects can be treated. This was one encouraging message from a networking session on oncology and palliative care. Participants heard that physicians sometimes resisted the idea of physical therapists being involved before surgery, radiotherapy and chemotherapy, fearing that discussions about side effects might alarm the patient. However this did not seem to be the case, reported session chair Jackie Drouin from the United States. Providing information in advance on treatments for conditions such as lymphoedema could provide reassurance. One patient was
reported as saying to a physical therapist who had seen her shortly after diagnosis: “You’ve given us some hope.” This was one of many networking sessions held yesterday, providing physical therapists the opportunity to talk informally about subjects of common interest. Another networking session was for retired physical therapists. What valuable new roles and and activities could they take up within and outside the profession, asked session chair Nina Holten from Denmark. One participant answered that, as well as providing younger physical therapists with a historical context, they could take up advisory roles outside the profession – for example on local planning and accessible housing.
Physical therapists working in the field of cancer gather round the table.
WCPT CONGRESS NEWS
Supported by platinum sponsors Hur, MBT and Meeus
Editor and writer: Simon Crompton (www.simoncrompton.com) Printed by: Penfields Business Centers (www.penfields.eu) Produced specially for World Physical Therapy 2011 WCPT Congress News, reporting on and previewing congress events, is available on the Tuesday, Wednesday and Thursday of congress. Printed issues are distributed to delegates. An online edition is posted daily on the WCPT website at www. wcpt.org If you have any news or suggestions for articles please contact Simon Crompton at news@wcpt.org 2
The proud parents of seven-year-old Ansel LaPier from the United States, one of the winners in WCPT’s Art and Health Competiton, admire his photograph of “Shadows in Motion” on display in the exhibition hall. Mother Tanya is a physical therapist, and submitted her son’s picture to the competition. With his older brother, Ansel sells photography products to raise funds for the local children’s hospital.
Aid for disaster and conflict zones must be sustainable (continued from page 1) from disaster areas, sustaining gains could be hard. “The interventions that came in 2010 were high cost and unsustainable, and won’t be available to people for long after the earthquake,” he said. David Charles, also on the panel, was the only physical therapists on site at the Hôpital Albert Schweitzer clinic when the earthquake struck. “We had a long list of challenges,” he said. “One was the lack of resources – professionals, equipment and finances. Then there was the problem of coordinating services. The third area was knowledge – there was little disaster preparedness in the professions, and we were young physical therapists.” Najmuddin Helal, an Afghan physical therapists who lost both legs as a result of a landmine blast, spoke of physical therapy in a war zone. “As you know, Afghanistan has been at war for more than 30 years,” he said. “In my opinion, physical therapy services can be set up and be permanent, even in a war situation. Physical therapy should be considered an essential service, even in a war situation. It is not something to be postponed for better times, for times of peace.” “I got an artificial leg 25 years ago during the war. Can you
imagine what my life would be like if I had had to wait for peace to get it?” The true physical and psychological trauma inflicted by natural disasters and conflict became apparent to delegates when a physical therapist stood up to speak of her own experiences of Taiwan earthquake in 1999, and became unable to speak because of the memories evoked. “Around 2700 people died and in the beginning I was there to help them,” she said. “It is a horrible experience. You feel you can do nothing. The only thing you have is your friends, and your skills, so what we did was help people. Then we found we could do lots of things.” She said she believed it was extremely important for physical therapists to make sure they didn’t just concentrate on major orthopaedic problems, but also on soft tissue injuries and lower back pain. “If you have lost your family, and you have back pain, it is extremely uncomfortable for them. But if you can help them with their back pain, it can help them with their psychological recovery. One year after the earthquake, we found that a lot of people got post traumatic stress syndrome. We also found that the rate of stroke increased because of the stress.”
Issue 3: Thursday 23rd June 2011
Fund makes world of a difference
Data on PT workforce is lacking Global health workforce planning suffers from lack of awareness of physical therapy and a lack of statistics on the profession’s density from country to country. This was the consensus from participants in a discussion panel on health human resources yesterday. Michel Landry, who is head of the Physical Therapy Programme at Duke University in the US, said existing statistics seemed to indicate that there is a relationship beween density of doctors and physical therapists and life expectancy. But the data was not good enough to be definitive. “We don’t know enough about the relationship between supply and demand,” he said, urging international organisations like WCPT to collect data. WCPT has embarked on a common data set project to collect such information from all its member organisations.
Physical therapists who received bursaries from the Royal Dutch Society for Physical Therapy (KNGF) to attend the WCPT Congress gathered to say thank you yesterday. The eight come from Tanzania, the Philippines, Ethiopia, Bangladesh, Rwanda, Malawi, Thailand and Uganda. For all of them, it was a chance to connect with a world of physical therapy they would otherwise not have seen. Hailu Seifu Tsegaye from Ethiopia believes he would have been unable to get a visa to travel to the Netherlands if it hadn’t been for the support of KNGF, WCPT and Handicap International. As it was, the visa only arrived four hours before his flight was due to depart from Ethiopia. The bursary programme was created to help people who did not have sufficient funds to attend World Physical Therapy 2011. The bursary covered flight, five nights accommodation and congress registration for three days.
The eight bursary winners in the Dutch Village yesterday.
Priscillah Ondoga from Uganda says she had never dreamed she would be able to attend a WCPT Congress. “It’s been amazing to actually meet some of the people I have read about, and whose papers I have read,” she said. “Also, just to meet so many physical therapists from all over the world, to be able to exchange contacts and network. It’s valuable not just for me. The information
and contacts I collect will benefit every physical therapist in my country. It will help us develop our entry level programme. I am so grateful to KNGF.” Edward Gorgon from the Philippines said: “I value most the rich discussion on research. We are still struggling to develop our research knowledge and skills in the Philippines, so I will take this home and hope to inspire people.”
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WCPT Congress News
Collaborative practice is an important strategy Could interprofessional education and collaborative practice help make the most of human health resources, and be an important strategy to improve patient care? This was the question that researchers at the University of Saskatchewen asked, and Liz Harrison, the university’s Associate Dean of Physical Therapy, presented the findings of the research at a poster discussion session yesterday. A group of interprofessional health researchers carried out a knowledge synthesis study, looking at literature between 2004 and 2009. It revealed that interprofessional interventions involving physical therapists resulted in improvements in workplace quality, provider satisfaction, number of students in rural placements, recruitment of
graduates to rural and underserved communities and reduction in costs of patient care. The research concluded that implementing interprofessional interventions at education, practice and organisational levels can improve human health resource planning and management strategies. The literature frequently cites physical therapists and physical therapy students as members of health teams engaged in interprofessional interventions. “We found that physical therapists are often involved in collaborative practice,” said Liz Harrison. However, there were concerns about physical therapy involvement. “We aren’t being well represented when these research projects are being designed,” she said.
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Issue 3: Thursday 23rd June 2011
The year the world of physical therapy changed As the congress that marks WCPT’s 60th anniversary ends, Simon Crompton looks at the values that defined the confederation at his foundation, and continue still Delegates at WCPT’s first General Meeting in Copenhagen
It’s hard to believe that, before the second half of the 20th century, though physical therapists were part of national families, they were not part of a global one. In the early 50s, World War had divided nations and peoples, and the damage wreaked to economies and infrastructure made the challenge of making links between like-minded people in different countries all the more daunting. But for physical therapists, all that changed with the establishment of WCPT in 1951. WCPT’s first President, Mildred
Elson from the United States, was well aware that setting up a global body to represent physical therapy across the world was an ambitious project. But in a world ravaged by disability caused by war and disease, the need was urgent. “The magnitude of the political, socio-economic and health problems could hardly be recognised by the average citizen then any more than now,” she recalled in 1983. “It was recognised universally, however, that if peace and stability were to be attained, all must work a share
Your code to encouraging greater muscle activation
to alleviate these problems.” Representatives from 15 countries gathered in London in 1948 to investigate the possibility of setting up an international organisation to give guidance to the profession, the United Nations, specialised agencies and international voluntary organisations sponsoring rehabilitation programmes. “Discussions with leaders of other organisations convinced us that there was no alternative to an international physical therapy organisation,” said Mildred Elson.
The inaugural meeting of WCPT took place on 8th September, 1951 in Copenhagen, Denmark. National representatives discussed how they might help physical therapists promote the interchange of professional and scientific knowledge, create closer links between the profession in different countries and provide on an international level many of the services that professional associations offered at national level. These have been priorities for the Confederation ever since.
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therapy can include sensorimotor training1, balance and stability training2,4, particularly when used as a device to train the small muscles around the ankle joint 3,4. The MBT Academy ensures ongoing research into current and potential applications in cooperation with international institutions and universities. For more information visit mbt.com
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References 1. Korsten K., Mornieux G., Walter N., & Gollhofer A., 2008. Gibt es Alternativen zum Sensomotorischen Training? Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie, 56 (4), 150-155. 2. Ramstrand N., Thuesen A.H., Nielsen D.B., & Rusaw D., 2010. Effects of an unstable shoe construction on balance in women aged over 50 years. Clinical Biomechanics 25 (5), 455-460. 3. Kälin, X. The MBT as a Therapeutic Device to treat Ankle Joint Instabilities. Sports Medicine conference in Preparation for 2010 of the Canadian Academy of Sport Medicine. 3-7 June 2009, Vancouver, Canada. Podium Presentation. 4. Landry S., Nigg B.M., & Tecante K., 2010. Standing in an unstable shoe increases postural sway and muscle activity of selected smaller extrinsic foot muscles. Gait & Posture 32 (2), 215–219.
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WCPT Congress News
Remember us this way...
Delegates collect their WCPT Congress News at the RAI entrance
Taking a breather in Dutch Village to reconsider that packed programme
The opening ceremony’s keynote speaker Lorimer Moseley
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Someone has a close shave in the exhibition area.
An apple a day... or two
Somehow managing to meet up in those enormous exhibition halls
Issue 3: Thursday 23rd June 2011
...some sights of congress It’s hard to believe, but today is the final day of the 2011 WCPT Congress. Thank you to our hosts the KNGF for making us all so welcome. If you’ve enjoyed the experience, remember you can do it again... and again, and again. The next congress will be in Singapore in 2015. So if you want to have a reunion with some of the people you’ve met in Amsterdam, start organising now!
How a seagull sees our delegates
Promoting the next WCPT Congress, Singapore physical therapists demonstrate a traditional feather game
The amazing La Vizio gets congress off to a stunning start
The delicious smell of Dutch stroopwafel permeates the exhibition halls
You never know what you’re going to find in a congress bag
Physical therapists keep in shape during the daily fitness sessions
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WCPT Congress News
Are our patients and clients really satisfied with what we do? How do you really know whether your patients or clients are happy with the physical therapy services they receive? It’s a deceptively difficult area, as the participants in this morning’s discussion panel on patient satisfaction will describe. At “Got to keep our customers satisfied: how do we best assess and use patient satisfaction in physical therapy?”, panel members from the USA, Brazil, Rwanda, the UK, Canada and the Netherlands will appraise different methods of gauging satisfaction. They will also discuss patient/ client satisfaction monitoring in different social and cultural contexts, and look at how to use the data to make improvements in service delivery and patient experiences. The session will be chaired by Emma Stokes, who is a Senior Lecturer at the Department of Physiotherapy in Trinity College
Dublin and is the author of a new book on rehabilitation outcome measures. She says that patient/client satisfaction is one of the most important outcomes of physical therapy care, but it is notoriously difficult to assess. “As physical therapists, we work closely with our patients/ clients, and often their families and carers. The individual experience of those interactions, whether with an individual physical therapist or as part of an interdisciplinary team, may be influential on the outcome of interventions.” “Increasingly it is a mandatory requirement to formally gather and evaluate the opinions of our clients/patients for the commissioners or providers of funding for services. So this is an important area.” “Exploring and understanding
considerations and challenges to capturing meaningful information.” This symposium will consider how best to gather useful information from physical therapy service users. It will explore the importance of taking a patient/ client-centred approach and consider what questions should be asked, and how they should be asked. Differing cultural perspectives will be discussed. The panel draws on leading international experts with differing perspectives and patient organisation representatives. Emma Stokes
the perspective of the users of physical therapy services may, at first glance, seem like a simple and straight forward enterprise – for example, completing a satisfaction survey. Nonetheless, there are interesting
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“Got to keep our customers satisfied: how do we best assess and use patient satisfaction in physical therapy?” is at 8.30 to 10am in the RAI Emerald Room. There is also a poster discussion session on quality and health services management at 1.45pm in RAI 102-103 (Topaz)
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Issue 3: Thursday 23rd June 2011
Focus turns to international PT education issues Education is a focus of attention today, with two major sessions looking at international issues this morning. First, a focused symposium will look at how international clinical education placements can benefit the profession in many countries – but also cause problems. Then a discussion panel will ask whether there are any benefits from interprofessional education and collaborative practice. The focused symposium, entitled “International Clinical Education: bridging global communities while developing professional competency” will explore the impact that student clinical placements can have on community services in lowresource settings. One of the speakers is Carilus Okidi from Kenya, who is recognised as a student preceptor by two schools of rehabilitation at Canadian universities.
“I intend to speak about international student placements as the starting point for expanded curriculum coverage, and a clear understanding of cultural diversities and policy. This can pave the way for maximum utilisation of resources, both human and material. “I strongly feel that African countries would benefit from these arrangements, increasing manpower and professionalism, with international students offering services and exchanging knowledge among professionals and students.” “Such initiatives can facilitate partnership and collaboration between international rehabilitation experts and programmes.” The second main session, on interprofessional education, will be chaired by Patty Solomon, Professor in Physiotherapy at McMaster University in Canada.
She points out that in some parts of the world, interprofessional education (IPE) and interprofessional collaboration (IPC) have been receiving increased attention within education and health care systems. “The panel discussion will look at the challenge of shifting practice to be more interprofessional and the cultural differences in understanding of what collaboration entails.” “We have worked hard as a profession to develop our scope of practice and professional identity. Will we be at risk of losing ground if we engage in IPC? Should IPE be a priority in educational programmess or are these skills best learned on the job following graduation?” The focused symposium on international clinical placements is at 8.30 to 10am in RAI Elicium 1.
Patty Solomon and Carilus Okidi
There are also platform abstracts on clinical education at 10.45 in RAI E106-107. The discussion panel on multi-professional collaboration is at 10.45 in the RAI Emerald Room.
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WCPT Congress News
Research needed to refine the ICF
Alan Jette, a presenter at today’s focused symposium
Something for everyone with an interest in the international classification Yvonne Heerkens of the Dutch Institute on Allied Health Care previews the three sessions concentrating on the ICF today Thursday is an important day for physical therapists interested in the ICF, the International Classification of Functioning, Disability and Health, as there are three ICF-sessions in succession! Early in the morning at 7am there is a WCPT network session for ICF (in RAI: E103). The session is chaired by Catherine Sykes of the WCPT Secretariat, an ICF expert. Participants are free to bring up the issues that concern them, and the session is an excellent opportunity to talk to other people interested in the application of the ICF in physical
Yvonne Heerkens, who chairs the ICF platform presentations.
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therapy practice and to learn from each other. Directly after the network meeting, at 8.30am, there is a focused symposium on the ICF (RAI Forum) with the challenging title”Concept to practice: moving physical therapy forward using the ICF”. It promises to be a successful symposium with four excellent speakers from all over the world: Allan Jette (USA), Reuben Escorpizio (Switzerland), Soraya Maart (South Africa), and Jiro Okochi (Japan). After a coffee break at 10.45am there is a platform presentation session on the ICF (RAI: Elicium D201-202), where there will be six presentations providing an overview of the potential for using the ICF in physical therapy practice. The physical therapy applications described in the session will include using ICF core sets for people with back problems or breast cancer, using the ICF in vocational rehabilitation, and using it to describe the functioning of children or elderly people. These are excellent opportunities to build or renew your knowledge about the ICF and to meet other people interested and involved in the application of the ICF in physical therapy practice.
The ICF needs to be further refined to make it better suited to physical therapy practice, according to one of the presenters at today’s focused sympositum on “Concept to practice: moving physical therapy forward using the ICF”. Alan Jette, Professor of Health Policy and Management at Boston University’s (BU) School of Public Health, will say that research is needed to further refine the ICF framework. “My hope for the symposium is that physical therapists will better appreciate the benefits that the ICF can provide to the field of physical therapy, research and practice communities.” Jette is a physical therapist with extensive research expertise in the area of disablement and outcomes measurement, and has published widely on these topics. He says: “The biggest
challenge to using it in clinical settings is adopting ICF measures into clinical practice that are both practical and psychometrically adequate. The challenge for researchers is to find better ways to disseminate measurement innovations for assessing the ICF domains into clinical practice around the globe.” The session aims to demonstrate to delegates current and concrete applications of the ICF and how it can be used in physical therapy research and clinical care. It will help them recognise the challenges and opportunities of using the ICF in a clinical setting and promising areas for future research to advance the ICF within physical therapy. “Concept to practice: moving physical therapy forward using the ICF” is at 8.30am in the RAI Forum
Where the world of physical therapy meets The World Confederation for Physical Therapy is the sole international voice for physical therapy, representing more than 250,000 physical therapists worldwide through more than 100 member organisations. WCPT is committed to forwarding the physical therapy profession and its contribution to global health. It encourages high standards of physical therapy research, education and practice. You can find out about the wide range of resources, information and services it provides on its website www.wcpt.org
www.wcpt.org
Issue 3: Thursday 23rd June 2011
Are we getting best value from information technologies? Wireless and mobile technologies and social networking have transformed the way we work and communicate over the past decade. Physical therapists have been among the professional groups that have seen the potential for improving the quality of their services. But have they made the most of the opportunities, and what directions should future use of new technologies take if we are to truly capitalise on their potential? A discussion panel today (Can new information technologies add value to physical therapy practice and outcomes? RAI Forum, 13:45-15.15) will be chaired by Simon Crompton, a British health journalist and editor of WCPT publications. “We have an extremely knowledgable panel with a wide ranger of experience
on the use of information technology in healthcare,” he said. “With the help of participants from the audience, I’m hoping we can look beyond all the fabulous opportunities that information technologies present, and try and answer some fundamental questions.” “How to we measure the value that new technologies bring to the profession? Do we know whether their introduction ultimately brings benefits to patients/clients? And what have we learned about pitfalls and benefits that could inform future projects?” The panel will consist of physiotherapists Rachael Lowe, Eugene Mutimura, Lisbeth Eriksson and Lisa Harvey. It will also include Neil Pakenham Walsh, the coordinator of the Healthcare Information for All by 2015 campaign (HIFA2015).
Among those contributing to discussions at the session on how new information technologies can add value to physical therapy practice and outcomes are Rachel Lowe from the UK (top) Simon Crompton, editor of WCPT publications (left), and Eugene Mutimura from Rwanda
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WCPT Congress News
Coming up: the IFOMPT congress and more! If you’ve caught the congress bug, there are lots of major events coming up in the world of physical therapy. One of the most popular will be the IFOMPT world congress. Details are below, followed by other major physical therapy events in the coming months and years 30th Sept-5th Oct 2012 IFOMPT 2012 Rendez-vous of hands and minds Quebec City, Canada IFOMPT is hosting its world congress of manual/musculoskeletal physiotherapy in Eastern Canada. The best and brightest in research, clinical practice and academics will come together. www.ifomptconference.org 28th-31st Aug 2011 8th G-I-N Conference Linking Evidence, Policy & Practice Seoul, Korea
www.g-i-n.net/events/8thconference 31st Aug- 2nd Sept European Conference on Post Polio Syndrome Copenhagen, Denmark www.polioconference.com 29th Nov-1st Dec 2nd Asia Pacific CBR Congress “CBR: Building Communities for Everyone” Manila, Philippines Web: http://www.ncda.gov.ph 17th-19th Dec 2011 International Conference on Current Trends in Physiotherapy & Occupational Therapy Goa, India www.ijpotconf.com 6th-9th Mar 2012 28th International Seating Symposium Vancouver, BC, Canada
Web: www.interprofessional.ubc. ca/28th_Seating.htm 22-27 Apr 2012 13th World Congress on Public Health Towards Global Health Equity Addis Ababa, Ethiopia Web: www.etpha.org/2012 6th-9th June 2012 9th WCPT Africa Congress Nairobi, Kenya Email: www.ksphy.org 8th-9th Sept 2012 Singapore Physiotherapy Association National Congress www.physiotherapy.org.sg 8th-9th Nov 2012 3rd European Congress on Physiotherapy Education Vienna, Austria Web: http://congress2012. physioaustria.at 4th-9th Sept 2013 WCPT Asia Western Pacific Congress Taichung, Taiwan www.ptaroc.org.tw
It’s nearly over... but it’s never over It’s the last day of congress – but this isn’t the end. There are plenty of ways to continue with all the links and learning you’ve begun. Here are some suggestions: • Swap details. Easily done. A bit archaic. • Stay in touch via Linked in www. linkedin.com and Facebook www. facebook.com • Follow the WCPT Facebook page, where you’ll find lots of colleagues with similar interests • Keep up to date with the WCPT webpage www.wcpt.org which is constantly updated with new information and initiatives • Create a Google group, where you can continue to discuss issues with friends and colleagues you have met in Amsterdam. You can find out how at http://groups.google.com/ • Read WCPT News. It’s online, and there’s a new issue every quarter. www.wcpt.org/wcptnews
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