A5020611160- Musculoskeletal pain and rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Pain Mechanisms and Treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Spine and Intervertebral Disc Pathology
- Total Knee Arthroplasty Outcomes
- Pain Management and Placebo Effect
- Clinical practice guidelines implementation
- Stroke Rehabilitation and Recovery
- Complementary and Alternative Medicine Studies
- Shoulder Injury and Treatment
- Anesthesia and Pain Management
- Cultural Competency in Health Care
- Orthopedic Surgery and Rehabilitation
- Inflammatory mediators and NSAID effects
- Spinal Fractures and Fixation Techniques
- Nursing Roles and Practices
- Cerebral Palsy and Movement Disorders
- Opioid Use Disorder Treatment
- Delphi Technique in Research
- Global Health Workforce Issues
- Occupational Therapy Practice and Research
- Long-Term Effects of COVID-19
- Cervical and Thoracic Myelopathy
- Hip and Femur Fractures
McMaster University
2013-2025
St. Joseph’s Healthcare Hamilton
2011-2023
St. Joseph's Hospital
2023
Université de Montréal
2016-2022
National Center for Complementary and Integrative Health
2021
National Institutes of Health
2021
Centre for Interdisciplinary Research in Rehabilitation
2021
St. Joseph Hospital
2020
Hôpital Maisonneuve-Rosemont
2016-2019
University Health Network
2013-2017
SYNOPSIS: This position statement, stemming from the International IFOMPT (International Federation of Orthopaedic Manipulative Physical Therapists) Cervical Framework, was developed based upon best contemporary evidence and expert opinion to assist clinicians during their clinical reasoning process when considering presentations involving head neck. Developed through rigorous consensus methods, Framework guides assessment cervical spine region for potential vascular pathologies neck in...
Synopsis Orthopaedic physical therapy is considered safe, based on a lack of reported harms. Most the research until now has focused benefits. Consideration benefits and harm involves informed consent, clinical decision making, cost-benefit analyses. Benefits harms are treatment dosage specific. There currently an insufficient number trials in orthopaedic to identify optimal for common interventions, including exercise manual therapy. Published cases severe adverse events following...
Clinical practice guidelines on the management of neck pain make recommendations to help practitioners optimize patient care. By examining patterns practitioners, adherence CPGs or lack thereof, is demonstrated. Understanding utilization various treatments by and comparing these that recommended important identify gaps for knowledge translation improve treatment regimens.To describe interventions in patients with clinicians.A cross-sectional international survey was conducted from February...
It is not clear why some individuals develop pain with knee osteoarthritis (OA). We undertook this study to identify susceptibility phenotypes (PSPs) and their relationship incident persistent (PKP) 2 years later.We identified free of PKP from the Multicenter Osteoarthritis Study, a longitudinal cohort older adults or at risk OA. Latent class analysis was used determine PSPs that may contribute development apart structural pathology. These included widespread pain, poor sleep, psychological...
The concept of osteoarthritis (OA) heterogeneity is evolving and gaining renewed interest. According to this concept, distinct subtypes OA need be defined that will likely require recognition in research design different approaches clinical management. Although seemingly plausible, a wide range views exist on how best operationalize concept. current project aimed provide consensus-based definitions recommendations together create framework for conducting reporting phenotype research.A panel...
In Brief Study Design. Concurrent validity study. Objective. To examine the of Disabilities Arm, Shoulder, and Hand (DASH) QuickDASH in patients with neck pain comparison Neck Disability Index (NDI), Cervical Spine Outcome Questionnaire (CSOQ), Visual Analogue Scale (VAS) for pain. agreement between DASH assess whether can be used instead full Summary Background Data. NDI is commonly measuring neck-related disability pain; but it does not offer to potential upper extremity disability....
Objective To examine the cross‐sectional association of ascending pain mechanisms, implicated in sensitization, and descending modulation with patterns unpredictability pain. Methods The Multicenter Osteoarthritis Study is a longitudinal cohort older adults or at risk knee osteoarthritis. Peripheral central mechanisms were assessed using quantitative sensory tests, pressure thresholds handheld algometer (knee/peripheral wrist/central), temporal summation weighted probes (wrist/central)....
To determine i) pain phenotypes (PP) in people with early-stage knee osteoarthritis (EKOA); ii) the longitudinal association between and worsening at two years.
Pain phenotypes (PP) have been identified across different stages of knee osteoarthritis (KOA) and understanding the stability PPs prior to development symptomatic KOA can help inform preventative strategies. We aimed identify their transitions in people without radiographic profile participant characteristics. Data from 5 - (T1), 7- (T2) 12-year (T3) visits Multicenter Osteoarthritis Study (MOST) were used. Individuals with Kellgren-Lawrence grade 0 pain ≤30/100 at T1 sampled. PP variables...
Abstract Background Health inequities disproportionately impact equity-deserving groups, which include individuals marginalized due to race, ethnicity, Indigenous identity, sex and gender, socioeconomic status, other social determinants of health. This qualitative study aimed explore Canadian chiropractors’ experiences perceptions in delivering care groups identify individual institutional factors that may influence delivery. Methods We utilized interpretive description for data development,...
Purpose: In patients suffering from knee osteoarthritis awaiting arthroplasty, to measure associations between several selected determinants and pain, disability, health-related quality of life physical performance.Material methods: Validated self-reported measures were collected: (1) Western Ontario McMaster Universities Osteoarthritis Index, (2) Lower Extremity Functional Scale (LEFS) (3) Short-Form 36 (SF-36). Physical performance was also assessed with four validated tests. Demographic,...
Purpose: The aims of this study were to describe cultural diversity among physiotherapists, understand the challenges delivery physiotherapy equity-seeking communities, and measure assess factors associated with competency. Methods: We conducted a cross-sectional survey (57-items) Canadian physiotherapists that assessed demographics, competency, in rehabilitation. used backwards elimination method develop our regression models, cross-validated by estimating shrinkage. Results: Our sample...