Status: Article accepted
Authors: James McLoughlin
DOI: 10.14426/art/1260
Date submitted: 17/05/2020
Date accepted: 17/11/2020
Clinicians and researchers in neurorehabilitation continue to have difficulties with reporting and describing the many active components used within physical therapy interventions. People with neurological conditions can present with cognitive, perceptual, behavioural and physical impairments that require individual consideration within their training program. Current knowledge from the areas from motor control theories, neuroscience and clinical evidence from neurological and musculoskeletal rehabilitation all inform the design of movement training programs. Such a diverse field of theoretical, scientific and clinical knowledge makes it difficult to agree upon a consistent way to label the many components relevant to training. This article proposes the use of ten guiding principles of movement training that can provide terminology for use in neurorehabilitation clinical practice that could be used by both professionals and individuals with neurological conditions. The ten Movement Training Principles could potentially improve interdisciplinary collaboration, enhance teaching of the clinical reasoning process and drive innovation for future therapies.
Read: Ten guiding principles for movement training in neurorehabilitation
Status: Article accepted
Authors: Jerin Mathew, Muhammed Rashid, Priyanka Shirsath, Kavitha Raja
DOI: 10.14426/art/1126
Date submitted: 04/02/2020
Date accepted: 03/12/2020
Background and purpose: It is necessary to bring the current understanding of pain to undergraduate, postgraduate, and academic faculty of physiotherapy in all the universities and independent institutions in India. Approximately 15,000 students graduate every year from various physiotherapy institutions in India. More than 20,000 physiotherapists teach or practice in various institutions, hospitals, and universities. The current pain curriculum for physiotherapy education is outdated and scanty. Physiotherapists are first-line managers of pain and it is important to understand the current advances in pain management to effect competent practice. Methods: An action research methodological concept (three phases) has been adapted to identify the missing areas of pain science from the physiotherapy curricula of universities of India (n=30). Instructional Digital Versatile Discs (DVD) was developed in these areas by experts through consensus methods. The reach of the study was evaluated through Google forms and email responses received from the participating institutions. Results: Pain lectures (22 hours) were recorded and four DVDs were commercially produced and duplicated. The DVDs were sent to all the universities and individual institutions (n=469) by post and recommended that they incorporate the information into the undergraduate and postgraduate curricula. The lecture series was also made available online via the institutional library depository system. Conclusion: This project has created a snowball effect by imparting current understanding and knowledge in young therapists and teaching faculty as the lectures are available on the website of the participating institution. Cultural and other characteristics are similar across the countries of South Asia (India, Pakistan, Sri Lanka, Nepal, Bhutan, Bangladesh, Maldives, and Myanmar) and all of these countries use English as the medium of higher education. Hence a regional impact is also anticipated.
Read: Development of learning material to complement pain education of physiotherapists in Indian universities: A synthesis of an action research study
Status: Article accepted
Authors: Meike Schwinger, Marion Grafe
DOI: 10.14426/art/1023
Date submitted: 16/10/2019
Date accepted: 06/02/2020
Background: Traditionally, the clinical education of physiotherapy students in Germany takes place in inpatient settings. Against the background that the majority of graduated physiotherapists work in private settings like private practices, this education structure is no longer viable. Therefore, there is a need to develop models of cooperation between private practice and schools of physiotherapy. Aim: The aim of this study is to describe advantages, barriers and options of collaboration between physiotherapy educational institutions and private practices. Methods: A qualitative interview study was conducted, in which two practice owners of a physiotherapy practice and two programme directors were interviewed using a problem-centred interview approach. All participants were contacted via email or telephone. Textual data was analysed using thematic analysis, to inductively discover and describe relevant themes. Results: The economic conditions of private practices in Germany, legal requirements and training regulations are identified as the main barriers preventing forms of collaboration. One of the advantages of offering students practical placements is their probable future employment. Successful collaboration may depend on remunerating clinical instruction time, relaxing legal requirements or increasing the participation of schools in practical training. Conclusion: Private practice needs financial and content-related support to engage in clinical education. Health insurance companies or the government could act as financial sponsors.
Read: Exploring barriers, advantages and potentials in realising clinical education in private physiotherapy practice settings in Germany
Status: Article accepted
Authors: Filip Maric, David A Nicholls
DOI: 10.14426/art/908
Date submitted: 14/05/2019
Date accepted: 12/05/2020
The fundamental role of ontology, epistemology, and ethics is widely recognised across the healthcare professions. Yet what is less known in physiotherapy is how ontology and epistemology potentially undermine the ethical intentions of our theories and practices. In this article, we draw on the work of 20th-century philosopher Emmanuel Levinas to highlight this problem. Particularly Levinas’s ethical critique of ontology and the associated notion of thematisation enable us to highlight a violence that takes place in the philosophical foundations of physiotherapy. Using the overarching aims of physiotherapy, the theory and practice of diagnosis, and the notion and enforcing of professional identities as examples, we additionally show how this violence consequently pervades physiotherapy theory and practice. By exploring a range of critical and practical implications, we finally show how an application of Levinas’s critique of ontology additionally opens toward an otherwise physiotherapy grounded in a renewed understanding of self, other, and their relation. With this, we hope to highlight the core value and critical need for a deeper engagement with the work of Levinas in relation to all aspects of physiotherapy, and particularly its understanding and implementation of ethics that is so fundamental to its practice and a cornerstone of physiotherapy education.
Read: The fundamental violence of physiotherapy: Emmanuel Levinas’s critique of ontology and its implications for physiotherapy theory and practice
Status: Article accepted
Authors: Jenny Setchell, David A Nicholls, Nicky Wilson, Barbara E Gibson
DOI: 10.3138/ptc.70.4.gee
Date submitted: 05/02/2019
Date accepted: 14/02/2019
In this editorial, we argue that ‘critical’ thinking, research and scholarship are essential to understanding and practising rehabilitation, and yet are under-represented in the existing rehabilitation literature. By using the term critical, we are referring to research and scholarship that draw from social theory to examine pervasive taken-for-granted practices, assumptions, and principles in any field, including health care. Thus, critical work offers opportunities to enact more ethical and socially just rehabilitation practices. In what follows we call for rehabilitation journals to recognise, welcome, seek out and publish submissions in this exciting area of research, and thereby lead the field in promoting a new understanding of rehabilitation’s purpose, goals, practices, and outcomes.
Read: Infusing Rehabilitation with Critical Research and Scholarship: A Call to Action
Status: Article accepted
Authors: Michael Rowe
DOI: 10.14426/art/528
Date submitted: 28/05/2018
Date accepted: 23/08/2019
About 200 years ago the invention of the steam engine triggered a wave of unprecedented development and growth in human social and economic systems, whereby human labour was supplanted by machines. The recent emergence of artificially intelligent machines has seen human cognitive capacity augmented by computational agents that are able to recognise previously hidden patterns within massive data sets. The characteristics of this technological advance are already influencing all aspects of society, creating the conditions for disruption to our social, economic, education, health, legal and moral systems, and which will likely to have a more significant impact on human progress than the steam engine. As AI-based technology becomes increasingly embedded within devices, people and systems, the fundamental nature of clinical practice will evolve, resulting in a healthcare system requiring profound changes to physiotherapy education. Clinicians in the near future will find themselves working with information networks on a scale well beyond the capacity of human beings to grasp, thereby necessitating the use of artificial intelligence to analyse and interpret the complex interactions of data, patients and the newly-constituted care teams that will emerge. This paper describes some of the possible influences of AI-based technologies on physiotherapy practice, and the subsequent ways in which physiotherapy education will need to change in order to graduate professionals who are fit for practice in a 21st century health system.
Read: Artificial intelligence in clinical practice: Implications for physiotherapy education
Status: Article accepted
Authors: Veronika Schoeb , Doris Chong
DOI: 10.14426/art/522
Date submitted: 27/05/2018
Date accepted: 01/03/2019
Background: Hong Kong is at the cross-road between Eastern and Western cultures. Increasing globalisation allows student to gather experiences from various educational contexts. While internationalisation has been promoted in higher education world-wide, the focus was often put on students from Chinese cultures integrating into Westernised education systems. Not much is known about how students from Chinese background with exposures to Western cultures, reintegrate into a Hong Kong university, characterised by a highly competitive system that potentially affects students’ well-being. Aim: To identify learning preferences by Hong Kong physiotherapy students who have been exposed to educational contexts in USA, Australia or Canada, and to explore their subjective experiences regarding different educational approaches during their studies. Methods: Ten students participated in this phenomenological study. Semi-structured interviews were conducted in English, transcribed ‘ad verbatim’ and analysed using qualitative content analysis. Findings: Three themes emerged from the data: (1) Interaction between students and teachers, (2) past experiences that help with future dreams, and (3) obstacles and opportunities in learning.
Conclusion: Physiotherapy students with globalised experience rely on their past educational exposure to give meaning to their future. They believe that a student-centred approach is crucial for learning. Their experiences shed light on consideration factors for optimally internationalising the physiotherapy curriculum.
Read: Students’ learning preferences and experience in a globalised world: Opportunity to optimise internationalisation in physiotherapy education
Status: Article accepted
Authors: Felicity AS Bright, Christine Cummins, Kate Waterworth, Barbara E Gibson, Peter Larmer
DOI: 10.14426/art/509
Date submitted: 18/05/2018
Date accepted: 19/12/2018
Background: Communication is fundamental in collaborative physiotherapy practice. Students develop understandings of what constitutes ‘good’ communication through the formal, informal and hidden curricula. Understanding how students understand communication and how this is influenced by the curricula can help educators consider how best to enhance communication knowledge and skills. Aim: This study explored how physiotherapy students conceptualised clinical communication. Methods: This study was underpinned by a social constructionist epistemology. Data consisted of fifteen assignments, completed by students as part of their coursework. Assignments were analysed using the Listening Guide which prompted attention to how the different ways students understood communication and how these understandings were constructed. Results: Communication was understood as uni-dimensional. It was presented as an act done to the patient by the physiotherapist, with little attention to the patient’s communication and involvement in the interaction. Through communication, physiotherapists demonstrated and reinforced their expertise while simultaneously positioning the patient as the recipient of care and knowledge. Conclusion: Understandings of communication reflect broader constructions of physiotherapy and the role of the physiotherapist. These also reflect tensions in the curricula. Enhancing communication in student education requires all parties to understand, value and critically reflect on how communication is constructed and enacted.
Read: Physiotherapy students’ conceptualisations of clinical communication: A call to revisit communication in physiotherapy education
Status: Article accepted
Authors: Jon Foo, Stephen Maloney
DOI: 10.14426/art/474
Date submitted: 20/03/2018
Date accepted: 15/06/2018
Physiotherapy education cannot occur without resources. A pragmatic approach to education design is required, with explicit consideration for the cost of our teaching and learning practices. In this editorial, we explore the concept of cost-conscious educational design in the context of physiotherapy education.
Read: Embracing a dialogue about cost in physiotherapy education