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Rehabilitation Research:School of Physical & Occupational Therapy
McGill University
…from disability to possibility
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Context of Rehabilitation Research• Medical and surgical advancesdramatic decline in
mortality– Survivors of complex health conditions now face chronic health
issues and disabilities• 7.7% Canadian children have a disability (NICU survivors)• 300,000 Canadians live with stroke-related impairments
• Increasing vigilance and acumen in the medical diagnosis of disorders with associated disabilities– Autism, attention deficit hyperactivity disorder, low back pain,
chronic pain syndromes, obesity, depression
• Growing demand for rehabilitation services and expertise across the lifespan
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Importance of Rehabilitation Research
• Growing evidence supporting the effectiveness of:– health promotion and disability prevention
strategies– targeted identification and therapeutic strategies,
interventions and programs
• Building research capacity and core knowledge urgently needed to ensure that rehabilitation is appropriate, scientifically-based, and cost-effective in maximizing health and well-being
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Rehabilitation Research at the School
Dynamic cycle of rehabilitation researchPopulation
health
Consequences of disease
Mechanisms
Determinants of health
Health services
Knowledge exchange
Clinical interventions
Rehabilitation Rx
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…understanding the underlying mechanisms of disease that limit human
functioning and health• Prenatal/perinatal brain injury using
novel MRI technologies• Mechanisms of language acquisition
and representation• Processes of disordered movement
and posture that impact on locomotion, balance, arm and hand use
• Influence of pain on movement, factors affecting pain perception
• Recovery and resilience following CNS injury
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…developing novel tools…technologic innovation
• Assessments:– Neurologic integrity in the
preterm neonate– Feeding – Speech and language skills– 60-second chair rise – Health-related quality of
life
• New technologies:– Mechanical ventilators– Assistive devices for arm
mobility
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…effectiveness of targeted rehabilitation strategies, interventions and
programs• Virtual reality
– Functional mobility– Alleviate pain
• Motor learning – Forced-use therapy, feedback
• Treatments to minimize hypertrophic scarring post-burns
• Aquatherapy for lymphedema• Recreational physical activities in
the elderly• Feeding interventions in the NICU
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…effectiveness of targeted rehabilitation strategies,
interventions and programs• Pre-habilitation to
optimize surgical recovery
• Driving rehabilitation programs
• Cost-effectiveness of novel early intervention programs
• Quality of health services– Factors influencing rehab
service utilization – Service resource needs to
support independence and integration
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…intrinsic and extrinsic factors influencing integration and quality
of life• Progression and evolution
of disease processes– Impact on health and
functioning– Determinants
• Outcomes such as:– Mobility, feeding– Reintegration to school, work– Participation in leisure– Health-related quality of life
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…enhancing the uptake and utilization of evidence by key stakeholders
• National practice guidelines– Burns, stroke, low back pain
• KT to address gaps between science and practice: e-learning
• StrokeEngine, SCORE• CPEngine• BurnEngine• Childhood-Disability-LINK
• Professional education– Mentoring by novice learners– Enhancing learning in novel settings– Promoting inter-professional practice
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Participants…fetus to frail elderly
…..Alzheimer’s disease …attention deficit disorder …autism …breast cancer …burns …cerebral palsy …chronic obstructive pulmonary disease …chronic pain syndromes …congenital heart defects …fetus …fibromyalgia …frail elderly …global delay …HIV …lung cancer …multiple sclerosis …muscular dystrophy …obesity …orthopedic injuries …Parkinson’s disease …preterm …psychosis …schizophrenia …specific language impairment …spinal cord injury …stroke …traumatic brain injury …vestibular dysfunction …whiplash …..
ICU …hospital …rehabilitation centre …work …school …community sites …home
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California, Delaware, Florida,
Illinois,Massachusetts,
Missouri, New Jersey,
Pennsylvania, Texas, Vermont & Washington DC
AlbertaU.
Alberta
Manitoba
Manitoba U.
Nova Scotia
Dalhousie U.QuébeQuébecc
U.S.A.U.S.A.
OntarioQueens U., U. Ottawa,U. Toronto,U. Windsor
British Columbia
UBC
QuébecU. Laval,
U. Montréal,UQÀM,UQO,
U. Sherbrooke
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California, Delaware,
Florida, Illinois,Massachusetts,
Missouri, New Jersey,
Pennsylvania, Texas, Vermont & Washington
DC
BC & Alberta
Manitoba& Ontario
Nova Scotia
QuébecQuébec
Australia
Brazil
United Kingdom
Spain
France
ItalyGreec
e
Israël
Germany
The Netherlands
Belgium
Denmark
China
Austria
Thailand
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Benefits to our students
• Research knowledge and expertise are readily integrated into our professional program curricula
• Research-intensive faculty promotes: – Evidence-based practice– Critical thinking– Lifelong learning
The best preparation for tomorrow is to do today's work superbly well.
…William Osler
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Benefits to Canadians
• Research efforts directed at unraveling the bio-psychosocial sources of disability– New discoveries regarding the mechanisms and determinants of
disability– New tools and technologies for clinical application – New treatments and programs to optimize functioning in target
populations– New vehicles for knowledge exchange and enhanced professional
education
To promote “best practice” that will ensure individuals with disabling health conditions are autonomous, employed, socially integrated, and experience a good quality of life
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Rehabilitation Research:School of Physical & Occupational Therapy
McGill University