Care Pathways for Enabling Recovery from Common Traffic Injuries: A Focus on the Injured Person
|
|
- Conrad Sparks
- 5 years ago
- Views:
Transcription
1 Care Pathways for Enabling Recovery from Common Traffic Injuries: A Focus on the Injured Person Jessica J. Wong, DC, MPH, FCCSC Research Associate, UOIT-CMCC Centre for Disability Prevention and Rehabilitation University of Ontario Institute of Technology (UOIT) Canadian Memorial Chiropractic College (CMCC)
2
3 Outline Overview and Methodology Management of Acute Neck Pain and Whiplash-associated Disorders Management of Chronic Neck Pain and Whiplashassociated Disorders Key Messages
4 Overview and Methodology
5
6 Develop a minor injury protocol suitable for incorporation by FSCO into a new Minor Injury Guideline for the treatment of minor injuries regularly resulting from motor vehicle accidents based on best evidence as identified through appropriate research.
7 Evidence-based Medicine (EBM) Sackett DL et al. BMJ 1996;312:71 EBM is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of patients EBM integrates clinical expertise + best available clinical evidence from systematic research Clinically relevant research Emphasizes patient-centred clinical research Efficacy and safety New evidence may invalidate previously accepted treatments Replace them with more efficacious and safer ones
8 Patient-centered Care Requires the practitioner to empower the patient, share in the power relationship and consider the whole person the interaction between mind and body (Belle Brown et al., 2003) It is health care that is delivered humanely and respectful of patient needs and preferences (Institute of Medicine, 2001)
9 Multidisciplinary Guideline Expert Panel Clinical Specialty Scientific Specialty Other Perspectives Rehabilitation medicine Epidemiology Consumers Emergency medicine Clinical epidemiology Patients Internal medicine Health economics Insurers Orthopedic surgery Qualitative research Legal - Retired judge Dentistry Health policy Chiropractic Library sciences Physiotherapy Psychology Nursing
10 Methodology 1 Scope What health conditions are included? What health conditions are excluded? What clinical interventions are eligible? 2 43 Systematic reviews by Internal Research Team Qualitative Study 3 Approved by Core Scientific Team Explore experiences 4 Approved by Guideline Expert Panel
11 Systematic Review A scientific investigation that focuses on a specific question and uses explicit, pre-specified scientific methods to identify, select, assess, and summarize the findings of similar but separate studies. It may include a quantitative synthesis (meta-analysis), depending on the available data - Institute of Medicine, 2011
12 The Systematic Review Process Systematic Search Screening Critical Appraisal Data Synthesis 43 Systematic Reviews: OVERALL TOTAL TOTAL CITATIONS SCREENED APPRAISED ADMISSIBLE
13 - 30 published/accepted papers - The Spine Journal - J Occupational Rehabilitation - European Spine Journal - Journal of Manipulative and Physical Therapeutics - Journal of the Canadian Chiropractic Association - Manual Therapy - Physical Therapy - Disability and Rehabilitation - Clinical J Pain - 1 in progress
14 5 Draft Recommendation by Recommendation Development Subgroup OHTAC Determinants Overall clinical benefits Review and Approval by Guideline Expert Panel 2. Consistency with societal and ethical values 3. Value for money Report to Superintendent 4. Feasibility of adoption in the automobile insurance system
15 Outcomes 1. Accelerate recovery 2. Reduce the intensity of symptoms 3. Promote early restoration of function 4. Prevent chronic pain and disability 5. Improve health-related quality of life 6. Reduce recurrences 7. Promote active participation of patients in their care
16 Conditions Covered by the Guideline Physical, mental and psychological impairments No significant loss of anatomical alignment or no loss of structural integrity Evidence of favourable recovery (50% recover within 6 months) Grades I to III NAD Headaches associated with neck pain Mid and lower back pain Thoracic and lumbar radiculopathy Grades I and II sprains and strains Skin and muscle contusions, abrasions and skin lacerations Mild traumatic brain injuries Psychological signs and symptoms
17 Care Pathway Structure of Guidelines
18 Structure of Guidelines Quick Reference Guide
19 Recommendations Structure of Guidelines
20 Management of Acute Neck Pain and Whiplash-associated Disorders
21 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders Neck pain and its associated disorders (NAD) refers to neck pain, stiffness or tenderness not attributed to pathology such as fractures, dislocations, infections or tumours
22 Citations identified through database searching: 38,135 Duplicates removed: 7,007 Citations screened using titles and abstracts: 31,128 Citations excluded due to ineligibility: 30,858 Articles eligible for critical appraisal: 270 Articles with a high risk of bias: 98 Articles with a low risk of bias included in qualitative synthesis: 172 (reporting 168 studies)
23
24 R 1 R 2 R 3
25
26 Poor Prognostic Factors
27
28
29
30
31
32
33
34 Management of Chronic Neck Pain and Whiplash-associated Disorders
35
36
37
38
39
40
41
42
43
44
45 Measuring Recovery How well do you feel you are recovering from your injuries? 1. Completely better 2. Much improved 3. Slightly improved 4. No change 5. Slightly worse 6. Much worse 7. Worse than ever Recovered
46 Key Messages 1. Establish the plan of management on partnership with the patient, with a patient-centered care approach 2. The management of acute neck pain should include structured education in combination with: Unsupervised range of motion exercises Manipulation or mobilization Muscle relaxants
47 Key Messages 1. The management of persistent neck pain should include structured education in combination with: Supervised combined exercises for the neck (range of motion, strengthening, and flexibility) Qigong Iyengar yoga A short course of multimodal care A short course of clinical massage Low level laser therapy Non-steroidal anti-inflammatory drugs 2. Effective interventions provide small benefits 3. Reassess patients at every visit and discharge patient when recovered 4. Avoid using ineffective interventions
48
MUSCULOSKELETAL PROGRAM OF CARE
MUSCULOSKELETAL PROGRAM OF CARE AUGUST 1, 2014 Table of contents Acknowledgements... 3 MSK POC Scope... 3 The Evidence... 3 Objectives.... 4 Target Population.... 4 Assessment of Flags and Barriers to
More informationWhiplash Injury. Journal of Bone and Joint Surgery (British) July 2009, Vol. 91B, no. 7, pp
Whiplash Injury 1 Journal of Bone and Joint Surgery (British) July 2009, Vol. 91B, no. 7, pp. 845-850 G. Bannister, R. Amirfeyz, S. Kelley, M. Gargan COMMENTS FROM DAN MURPHY This is a review article that
More informationEvaluator. the. CSCE President s Report November Content
the Evaluator Content CSCE President s Report 1 The MIG-can one size fit all? 2 The MIG, it is a Guideline? 3 The MIG: a Common Treatment Pathway and Funding Model 4 The MIG - A Work in Progress 5 The
More informationENABLING RECOVERY FROM COMMON TRAFFIC INJURIES: A FOCUS ON THE INJURED PERSON Response of the Ontario Physiotherapy Association
ENABLING RECOVERY FROM COMMON TRAFFIC INJURIES: A FOCUS ON THE INJURED PERSON Response of the Ontario Physiotherapy Association INTRODUCTION The Ontario Physiotherapy Association (OPA), a branch of the
More informationPROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews Prognostic factors for pain and functional recovery following physiotherapy management for musculoskeletal shoulder pain Rachel Chester,
More informationClinical guidelines for best practice management of acute and chronic whiplash-associated disorders. Clinical resource guide
Clinical guidelines for best practice management of acute and chronic whiplash-associated disorders Clinical resource guide TRACsa was integrated into the Motor Accident Commission (MAC) in November 2008.
More informationNon-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy!
Non-Pharmacological Interventions for Pain:! Chiropractic Manipulative Therapy! Dr. Marie Rudback, DC, CCSP, ART! Chiropractic Physician, Certified Chiropractic Sports Physician, Active Release Technique
More informationWhiplash! The 3 Phases of Healing Introduction-Full recovery from a whiplash injury requires chiropractic care. and the insurance you already have
Whiplash! The 3 Phases of Healing Introduction-Full recovery from a whiplash injury requires chiropractic care. and the insurance you already have will most likely cover chiropractic treatment for a whiplash
More informationTRIBUNAL D APPEL EN MATIÈRE DE PERMIS
LICENCE APPEAL TRIBUNAL Safety, Licensing Appeals and Standards Tribunals Ontario TRIBUNAL D APPEL EN MATIÈRE DE PERMIS Tribunaux de la sécurité, des appels en matière de permis et des normes Ontario Date:
More informationAcknowledgment of Clinic Terms
Acknowledgment of Clinic Terms Our GOAL The goal of CHIRO-FIT, Inc. is to detect and correct subluxations of the spine and body. We do not focus on the treatment of pain and disease, instead aim to help
More informationmain/1103_new 01/11/06
Search date May 2006 Allan Binder QUESTIONS What are the effects of treatments for people with uncomplicated neck pain without severe neurological deficit?...3 What are the effects of treatments for acute
More informationCritical Appraisal of a Clinical Practice Guideline
Critical Appraisal of a Clinical Practice Guideline Goal: To critically evaluate a guideline, using the Users Guides (reference below). Objectives: 1. Assess the validity of a guideline 2. Understand the
More information2. Ms. Gilbertson applied for accident benefits August 6, 2013 and received seven physiotherapy treatments.
2 OVERVIEW 1. The applicant, Michele Gilbertson, was injured in a motor vehicle accident on July 14, 2013, and sought benefits pursuant to the Statutory Accident Benefit Schedule, Effective September 1,
More informationSpine University s Guide to Whiplash and Whiplash-Associated Disorders
Spine University s Guide to Whiplash and Whiplash-Associated Disorders 2 Introduction It s estimated that there are as many as one million reported cases of whiplash every year in the United States. Most
More informationFinding the Evidence: a review. Kerry O Rourke & Cathy Weglarz UMDNJ-RWJ Library of the Health Sciences
Finding the Evidence: a review Kerry O Rourke & Cathy Weglarz UMDNJ-RWJ Library of the Health Sciences Evidence Based Medicine Evidence-based medicine is the conscientious, explicit and judicious use of
More informationDBC Method and Evidence
DBC Method and Evidence 1 2 DBC Method and Evidence The DBC treatment is applicable for most lumbar and cervical disorders. It is based on the principles of evidencebased medicine and is supported by scientific
More informationContent. Evidence-based Geriatric Medicine. Evidence-based Medicine is: Why is EBM Needed? 10/8/2008. Evidence-based Medicine (EBM)
Content Evidence-based Geriatric Medicine Patricia P. Barry, MD, MPH Review of evidence-based medicine (EBM) and evidence-based practice (EBP) Use of guidelines in evidence-based practice Relevance of
More informationTRIBUNAL D APPEL EN MATIÈRE DE PERMIS
LICENCE APPEAL TRIBUNAL Safety, Licensing Appeals and Standards Tribunals Ontario TRIBUNAL D APPEL EN MATIÈRE DE PERMIS Tribunaux de la sécurité, des appels en matière de permis et des normes Ontario Tribunal
More informationOntario Institute of Technology (UOIT) and Canadian Memorial Chiropractic College (CMCC), 6100 Leslie Street, Toronto, ON M2H 3J1, Canada.
Article Title: Are Work Disability Prevention Interventions Effective for the Management of Neck Pain or Upper Extremity Disorders? A Systematic Review by the Ontario Protocol for Traffic Injury Management
More informationChiropractic , The Patient Education Institute, Inc. amf10101 Last reviewed: 01/17/2018 1
Chiropractic Introduction Chiropractic is health care that focuses on disorders of the musculoskeletal system and the nervous system, and the way these disorders affect general health. Chiropractic uses
More informationA research report of the therapeutic effects of yoga for health and wellbeing Prepared at ScHARR for the British Wheel of Yoga
A research report of the therapeutic effects of yoga for health and wellbeing Prepared at ScHARR for the British Wheel of Yoga About The British Wheel of Yoga The British Wheel of Yoga The British Wheel
More information1. On contacting a chiropractic clinic, patients seeking care for acute neck pain are offered an appointment within three working days.
Chiropractic Quality Standard Acute Neck Pain s 1. On contacting a chiropractic clinic, patients seeking care for acute neck pain are offered an appointment within three working days. 2. Patients presenting
More informationImplementing Best Practice Rehabilitative Care for Patients with Hip Fracture & Total Joint Replacement
Implementing Best Practice Rehabilitative Care for Patients with Hip Fracture & Total Joint Replacement A Toolkit for Implementing the RCA s TJR and Hip Fracture Best Practice Frameworks January 2018 Purpose
More informationTALKING POINTS Chiropractic Cervical Manipulation and Informed Consent
TALKING POINTS Chiropractic Cervical Manipulation and Informed Consent One superior court judge has said that the risk of stroke due to a chiropractic cervical adjustment is so remote that informing the
More informationDeceleration during 'real life' motor vehicle collisions: A sensitive predictor for the risk of sustaining a cervical spine injury?
Deceleration during 'real life' motor vehicle collisions: A sensitive predictor for the risk of sustaining a cervical spine injury? 1 Patient Safety in Surgery March 8, 2009 Martin Elbel, Michael Kramer,
More informationPrimary Chiropractic and Physical Therapy Soft Tissue Treatment Guidelines
Primary Chiropractic and Physical Therapy Soft Tissue Treatment Guidelines 1. Preface The WCB Health Services Unit developed these guidelines for soft tissue injuries, with input from biomechanical health
More informationEvidence-based medicine: Too much evidence?
DISCLAIMER: The content of this presentation may not accurately reflect current legal or regulatory requirements, industry standards, or professional best practices. ISMPP is providing access to this presentation
More informationTRIBUNAL D APPEL EN MATIÈRE DE PERMIS
LICENCE APPEAL TRIBUNAL TRIBUNAL D APPEL EN MATIÈRE DE PERMIS Safety, Licensing Appeals and Standards Tribunals Ontario Tribunaux de la sécurité, des appels enmatière de permis et des normes Ontario Date:
More informationBackground: Traditional rehabilitation after total joint replacement aims to improve the muscle strength of lower limbs,
REVIEWING THE EFFECTIVENESS OF BALANCE TRAINING BEFORE AND AFTER TOTAL KNEE AND TOTAL HIP REPLACEMENT: PROTOCOL FOR A SYSTEMATIC RE- VIEW AND META-ANALYSIS Background: Traditional rehabilitation after
More informationThe association between exposure to a rear-end collision and future health complaints. Journal of Clinical Epidemiology, 54 (August, 2001)
1 The association between exposure to a rear-end collision and future health complaints Journal of Clinical Epidemiology, 54 (August, 2001) 851-856 Anita Berglund, Lars Alfredsson, Irene Jensen, J. David
More informationNeck Pain Guide. Understanding Causes, Treatment and Prevention
Neck Pain Guide Understanding Causes, Treatment and Prevention Neck pain may be more than a nuisance; it could be a symptom of an underlying condition. Use this guide to help you understand common causes
More informationTRIBUNAL D APPEL EN MATIÈRE DE PERMIS
LICENCE APPEAL TRIBUNAL Safety, Licensing Appeals and Standards Tribunals Ontario TRIBUNAL D APPEL EN MATIÈRE DE PERMIS Tribunaux de la sécurité, des appels en matière de permis et des normes Ontario Tribunal
More informationOPA Submission Regarding the CTI Guideline
1 OPA Submission Regarding the CTI Guideline September 11, 2015 2 Table of Contents Introduction... 4 Key Recommendations... 4 Recommendations regarding clarification of language in the draft guideline...
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review consultation document Review of Clinical Guideline (CG88) Low back pain: early management of persistent non-specific
More informationEvidence Based Medicine
THE ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS Evidence Based Medicine Summary Statement Aim Background Position of the RACGP Recommended Role for Individual GPs Strategies References Notes Summary
More informationCanadian Chiropractic Guideline Initiative (CCGI) Guideline Summary
Canadian Chiropractic Guideline Initiative (CCGI) Guideline Summary Title of guideline Osteoarthritis: care and management Clinical guideline Author of guideline National Institute for Health and Care
More informationSpine, October 1, 2003; 28(19): Eythor Kristjansson, Gunnar Leivseth, Paul Brinckmann, Wolfgang Frobin
Increased Sagittal Plane Segmental Motion in the Lower Cervical Spine in Women With Chronic Whiplash-Associated Disorders, Grades I-II: A Case-Control Study Using a New Measurement Protocol 1 Spine, October
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 2902/16
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 2902/16 BEFORE: V. Marafioti : Vice-Chair S.T. Sahay : Member Representative of Employers A. Grande : Member Representative of Workers HEARING:
More informationCHIROPRACTIC NEW PATIENT FORM REASON FOR VISIT
DR. ANN IZARD, B.COMM, DC DOCTOR OF CHIROPRACTIC 4353 HASTINGS STREET BURNABY, BC V5C 2J7 TEL: 604.293.2941 FAX: 604.298.2941 WWW.BHIHC.COM WWW.ANNIZARD.COM FULL NAME: DATE OF BIRTH (DD/MM/YYYY): STREET
More informationWHY IS YOUR NECK SO IMPORTANT
DOCUMENT PROVIDED BY MOVE WELL PHYSIOTHERAPY WHY IS YOUR NECK SO IMPORTANT 1. A Strong Neck Is Less Prone to Whiplash Injuries 2. Effective defense against concussive forces 3.Poor posture weighs on neck
More informationPhysical Therapy DPT Curriculum Hunter College (Effective Spring 2016)
Summer, Year # 1 (8 weeks) Physical Therapy DPT Curriculum Hunter College (Effective Spring 2016) (Includes new course numbering effective Spring 2016 and new course naming effective Spring 2018) Course
More informationA M E R I C A N A R B I T R A T I O N A S S O C I A T I O N NO-FAULT/ACCIDENT CLAIMS AWARD OF DISPUTE RESOLUTION PROFESSIONAL
CASE NO. 18 Z 600 14244 03 2 A M E R I C A N A R B I T R A T I O N A S S O C I A T I O N NO-FAULT/ACCIDENT CLAIMS In the Matter of the Arbitration between (Claimant) AAA CASE NO.: 18 Z 600 14244 03 v.
More informationEvidence Based Medicine From Clinical trials to Clinical Practice. Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University
Evidence Based Medicine From Clinical trials to Clinical Practice Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University EBM: Topics to discuss Introduction to EBM Levels of evidence The
More informationWelcome to Compass Chiropractic!
Welcome to Compass Chiropractic! Name Age Birth Date / / Home Phone: Cell Phone: Preferred Number: Cell / Home Address: City: State: Zip: Occupation: Email Marital Status: M W D S P Spouse s Name: Number
More informationSite: College of Rehabilitation Sciences Department of Physical Therapy NEUROMUSCULOSKELETAL CLINICAL SKILLS CHECKLIST
Name: Site: College of Rehabilitation Sciences Department of Physical Therapy NEUROMUSCULOSKELETAL CLINICAL SKILLS CHECKLIST ASSESSMENT PROCESS / TECHNIQUE Opportunity to review and integrate A. Information
More informationCar a e e o f o th f e th e Pati Pa e ti n e t n wi w th i th a Mus u c s u c l u o l s o k s e k l e e l t e al a l Dis i o s r o de d r
Care of the Patient with a Musculoskeletal Disorder 1 Slide 1 Overview of Anatomy and Physiology Function of the bones Support Protection Movement Mineral storage Hemopoiesis Slide 2 Functions of the muscles
More informationPreliminary Report Choosing Wisely Identifying Musculoskeletal Interventions with Limited Levels of Efficacy in the Shoulder & Elbow.
Preliminary Report Choosing Wisely Identifying Musculoskeletal Interventions with Limited Levels of Efficacy in the Shoulder & Elbow. Prepared for The Canadian Orthopaedic Association Contents Executive
More informationPRE-ASS ESSMENT. Spinal Manipulation for Lower Back Pain
PRE-ASS ESSMENT No. 13 Dec 2002 Before decides to undertake a health technology assessment, a pre-assessment of the literature is performed. Pre-assessments are based on a limited literature search; they
More informationEvidence Based Practice (EBP) Five Step Process EBM. A Definition of EBP 10/13/2009. Fall
What is EBP? Classic Definition of Evidence Based Medicine (EBM) By Aaron Eakman PTOT 413/513 OT Profession Fall 2009 the explicit, judicious and conscientious use of current best evidence from health
More informationCourse Descriptions for Courses in the Entry-Level Doctorate in Occupational Therapy Curriculum
Course Descriptions for Courses in the Entry-Level Doctorate in Occupational Therapy Curriculum Course Name Therapeutic Interaction Skills Therapeutic Interaction Skills Lab Anatomy Surface Anatomy Introduction
More informationWorkshop: Cochrane Rehabilitation 05th May Trusted evidence. Informed decisions. Better health.
Workshop: Cochrane Rehabilitation 05th May 2018 Trusted evidence. Informed decisions. Better health. Disclosure I have no conflicts of interest with anything in this presentation How to read a systematic
More informationCombination therapy compared to monotherapy for moderate to severe Alzheimer's Disease. Summary
Combination therapy compared to monotherapy for moderate to severe Alzheimer's Disease Summary Mai 17 th 2017 Background Alzheimer s disease is a serious neurocognitive disorder which is characterized
More informationCERVICAL STRAIN AND SPRAIN (Whiplash)
CERVICAL STRAIN AND SPRAIN (Whiplash) Description time and using proper technique decrease the frequency of Whiplash is an injury to the neck caused when it is forcefully whipped or forced backward or
More informationWSIB MSK Program of Care Webinar
WSIB MSK Program of Care Webinar July 17, 2014 Presented by: Participants Anthony Tibbles (OCA) Bob Haig (OCA) Jennifer Holstein (OPA) Christie Brenchley (OSOT) Debbie Wilcox (RMTAO) Jill Haig (RMTAO)
More informationCHIROPRACTIC NEW PATIENT FORM REASON FOR VISIT
FULL NAME: DATE OF BIRTH (DD/MM/YYYY): STREET ADDRESS: PROVINCE: HOME PHONE: (CHECK WHICH PREFERRED) WORK PHONE: EMAIL ADDRESS: NEW LEGISLATION REQUIRES THAT WE OBTAIN CONSENT PRIOR TO SENDING EMAILS TO
More informationThe aging population and the case for integrating Manual Osteopathy in the normal healthcare framework. Marinus van Aarle (B.Sc)
The aging population and the case for integrating Manual Osteopathy in the normal healthcare framework Marinus van Aarle (B.Sc) National Academy of Osteopathy Research Thesis February 12, 2016 Hypothesis:
More informationDr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac Brant Street, Burlington, Ontario L7R 2J9 (905) Fax (905)
Dr. Gary Malstrom B.Sc.(Hon.), D.C., C.Ac. Personal History: Name: Address: City: Province: Postal Code: Birth date: day /month /year Age: Sex: M F Home Phone: Business Phone: Cell Phone: E-mail: Health
More informationEFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN
EFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN Dr.U.Ganapathy Sankar, Ph.D Dean I/C, SRM College of Occupational Therapy, SRMUniversity, Kattankulathur, KancheepuramDistrict, Tamil
More informationAdult New Patient Intake. Your Health Summary
Adult New Patient Intake Name Age Birth Date / / Soc. Sec. # - - Home Phone Cell Phone Address: City: State: Zip: Occupation: Email Marital Status: M W D S Spouse s Name: Children # and Ages: Whom may
More informationSURNAME: FIRST NAME: Address: Who Is your GP and where do they practice? Friend: Please Name
PATIENT INTAKE FORM OFFICE USE ONLY: Intake Date: Practitioner: Dr. S. Venaille Dr. C. Lees Dr. J. Mokrzycki Informed consent: / Limited Flags: Notes: TITLE: SURNAME: FIRST NAME: BIRTHDATE: AGE: SEX: M
More informationDECISION NO. 2870/16
Counsel: H.K., for Worker No one for Employer 2016 ONWSIAT 3235 Ontario Workplace Safety and Insurance Appeals Tribunal Decision No. 2870/16 2016 CarswellOnt 19003, 2016 ONWSIAT 3235 DECISION NO. 2870/16
More informationGetting at the CORE of Low-back pain Treatment Dr. John Flannery Dr. Carlo Ammendolia
Disclosure & Acknowledgment Getting at the CORE of Low-back pain Treatment Dr. John Flannery Dr. Carlo Ammendolia Disclosures - None Acknowledgements Dr. Andrea Furlan Dr. Julia Alleyne Dr. Hamilton Hall
More informationCHIROPRACTIC NEW PATIENT FORM REASON FOR VISIT
DR. ANN IZARD, B.COMM, DC DOCTOR OF CHIROPRACTIC 4353 HASTINGS STREET BURNABY, BC V5C 2J7 TEL: 604.293.2941 FAX: 604.298.2941 WWW.BHIHC.COM WWW.ANNIZARD.COM FULL NAME: DATE OF BIRTH (DD/MM/YYYY): STREET
More informationHome Address. City Postal Code Home Telephone # Business Telephone # Address. Emergency Contact Name, Address, Phone#
Date Name / / last first middle initial Personal Health # - Male Female Home Address City Postal Code Home Telephone # Business Telephone # Cell # E-Mail Address Best way to contact you: Home # Work #
More informationPERSONAL INJURY VERIFICATION
PERSONAL INJURY VERIFICATION Name Email Home Phone Cell Phone Address City Zip Code Birth Date Age Marital Status Employer Occupation Name of Spouse In case of emergency, please notify Phone MED-PAY Policy
More informationOUTCOMES, ACCESS, AND COST THE CHIROPRACTIC ANSWER: COPAY PARITY
OUTCOMES, ACCESS, AND COST THE CHIROPRACTIC ANSWER: COPAY PARITY N C C H I R O P R AC T I C AS S O C I A T I O N Dr. Joe Siragusa Executive Director www.ncchiro.org drjoe@ncchiro.org 919-832-0611 ext.
More informationMASTER OF PHYSIOTHERAPY PROGRAM OUTCOMES
MASTER OF PHYSIOTHERAPY PROGRAM OUTCOMES The aim of the course is to provide comprehensive, individually focused training that prepares the students for providing a quality and specialized physiotherapy
More informationSPINE PROGRAM NEW PATIENT FORM
Name: Date of Birth: Today s Date: Are you right or left handed? What are your goals for the visit? Who referred you to us? Primary Doctor Another Doctor Dr. Of what specialty? Someone else: PAIN 1. Tell
More informationMINI SYMPOSIUM - EUMASS - UEMASS European Union of Medicine in Assurance and Social Security
MINI SYMPOSIUM - EUMASS - UEMASS European Union of Medicine in Assurance and Social Security Quality of Evidence and Grades of Recommendations in guidelines A role for insurance medicine? Prof. Regina
More information4. Counsel patients and families regarding athletic participation, including:
Sports Medicine Primary Goals for this Rotation GOAL: Prevention, Counseling and Screening. Understand the pediatrician's role in preventing sports-related injuries, disorders and dysfunction in children
More informationMassage Client Intake Form
Massage Client Intake Form Date: Name: Male Female DOB: Address: City: State: Zip: Phone: Can a message be left at this number? Yes No Occupation: Hobbies/Sports/Most frequent activities: What is the goal
More informationOginsky v Rasporskaya 2010 NY Slip Op 32251(U) August 12, 2010 Supreme Court, Richmond County Docket Number: /08 Judge: Philip G.
Oginsky v Rasporskaya 2010 NY Slip Op 32251(U) August 12, 2010 Supreme Court, Richmond County Docket Number: 104463/08 Judge: Philip G. Minardo Republished from New York State Unified Court System's E-Courts
More informationWhy choose Ottauquechee PT
Why does your back hurt? Low back pain is one of the most common patient complaints affecting 80% of adults at some point in their lives. Generally the source of pain is in the spine and/or its supporting
More informationChiropractic Glossary
Chiropractic Glossary Anatomy Articulation: A joint formed where two or more bones in the body meet. Your foot bone, for example, forms an articulation with your leg bone. You call that articulation an
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 328/15
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 328/15 BEFORE: B. Alexander: Vice-Chair HEARING: February 17, 2015 at Toronto Oral DATE OF DECISION: March 17, 2015 NEUTRAL CITATION: 2015 ONWSIAT
More informationFACULTY OF HEALTH SCIENCES MAJOR PROGRAM CHANGE PROPOSAL BRIEF
FACULTY OF HEALTH SCIENCES MAJOR PROGRAM CHANGE PROPOSAL BRIEF BACHELOR OF HEALTH SCIENCES (KINESIOLOGY MAJOR) DEGREE PATHWAY WITH TRENT UNIVESITY 1. INTRODUCTION This collaborative program between Trent
More informationCall for Applications
2013 Knowledge Synthesis Grant Program Call for Applications Program Guidelines Overview Technology Evaluation in the Elderly Network (TVN or the Network) is a new network funded by the Government of Canada
More informationCollege of Health Sciences. Physical Therapy
603 PHARMACOLOGY I. (1) Fundamental concepts of pharmacology and their impact on the physical therapy management of patients. This course focuses on the integration of basic science, research, and clinical
More informationFunctional Well-Being. Neck, Shoulders and Wrist
Functional Well-Being Neck, Shoulders and Wrist 1 Neck Definition and Structure Your neck (cervical spine) is made up of 7 vertebrae that extend from the skull to the upper torso. 2 Causes of Neck Pain
More informationNational Institute for Health and Clinical Excellence SCOPE. Rheumatoid arthritis: the management and treatment of rheumatoid arthritis in adults
National Institute for Health and Clinical Excellence 1 Guideline title SCOPE Rheumatoid arthritis: the management and treatment of rheumatoid arthritis in adults 1.1 Short title Rheumatoid arthritis 2
More informationInova. Spine Institute
Inova Spine Institute At Inova Spine Institute, you ll find a wide range of treatment alternatives, from physical therapy and rehabilitation to pain management. For patients who require surgery, Inova
More informationPractice Guide for the Management of Whiplash-Associated Disorders in Adults
Practice Guide for the Management of Whiplash-Associated Disorders in Adults June 2010 Available online: www.ccachiro.org This material was developed by the Guideline Development Committee (GDC) under
More informationSAMPLE. Osteopathy and Back pain a safe and effective approach
Osteopathy and Back pain a safe and effective approach Back pain will affect 8 out of 10 people at some point in their life - mild or severe, acute or chronic. Common causes of back pain include: heavy
More informationhttp://www.bls.gov/oco/ocos071.htm Chiropractors Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data Related Occupations Sources
More informationCURRICULUM VITAE EDUCATION:
CURRICULUM VITAE Rick D. Junnila, D.C., D.A.A.P.M. Doctor of Chiropractic Diplomat American Academy of Pain Management 130 Hours Chiropractic Rehabilitation Industrial Medical Evaluator Certified Manipulation
More informationPATIENT ENTRANCE FORM
PATIENT ENTRANCE FORM Name _ Date Address City/ Province Postal Code Home Telephone Work Telephone Email Address Would like email reminders for appointments? Yes No Date of Birth (Day/Month/Year) Age Marital
More informationUniversal Health & Rehabilitation, PC
28 Finch Avenue West, Suite 212 Tel: (416) 628-1336 Pain.Drs@gmail.com www.pain-drs.com Your Multidisciplinary Healthcare Solution Thank you for choosing our office! To ensure your visit with us is a pleasant
More informationManaging back pain a new approach
Managing back pain a new approach David Rogers Clinical Lead Functional Restoration Service Extended Scope Physiotherapist Royal Orthopaedic Hospital Setting the scene Back pain is one of the most common
More informationPhysical Therapy TDPD Curriculum
Nova Southeastern University NSUWorks Health Professions Divisions Course Catalogs NSU Course Catalogs and Course Descriptions 2016 Physical Therapy TDPD Curriculum Nova Southeastern University Follow
More informationFOOT AND ANKLE ARTHROSCOPY
FOOT AND ANKLE ARTHROSCOPY Information for Patients WHAT IS FOOT AND ANKLE ARTHROSCOPY? The foot and the ankle are crucial for human movement. The balanced action of many bones, joints, muscles and tendons
More informationIntroduction to Health Care & Careers. Chapter 23. Answers to Checkpoint and Review Questions
Introduction to Health Care & Careers Chapter 23 Answers to Checkpoint and Review Questions Checkpoints 1. What are the typical work responsibilities of physical therapists? Physical therapists review
More informationHistory of Present Condition
Name: Date: Address: City: Province: Postal Code: Home Phone: Cell Phone: Work Phone: Email: Marital Status: Name Of Family Physician (MD): Age: Occupation: Employer: Extended Health Care Company: Policy
More informationWhat do we want? Cervicothoracic Workgroup. ICF Scheme. start with end in mind. What do consumers want?
Cervicothoracic Workgroup Use of the International Classification of Functioning to Develop Evidence-Based Treatment Guidelines for the Management of Cervicothoracic Conditions John D. Childs, PT, PhD,
More informationCHIROPRACTIC -HOW IT AFFECTS YOU. Dr Milan Hari M- CHIRO. S.A GT Practitioner 07 June 2013
CHIROPRACTIC -HOW IT AFFECTS YOU. Dr Milan Hari M- CHIRO. S.A GT Practitioner 07 June 2013 Chiropractic Chiropractic focuses on disorders of the musculoskeletal system and the nervous system, and the effects
More informationThe Chiropractic Neck Book
The Chiropractic Neck Book A Painful Neck Problem Many people have neck pain at some point in their lives. Pain is often the result of injuries or other problems that cause the spine to be misaligned.
More informationGeneral Chiropractic/Health Information
General Chiropractic/Health Information Chiropractic Over 20 million people receive chiropractic care every year. What is chiropractic? The basis of chiropractic care is detecting and correcting irregularities
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1199/15
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1199/15 BEFORE: J.B. Lang: Vice-Chair HEARING: May 29, 2015 at Toronto Written DATE OF DECISION: August 4, 2015 NEUTRAL CITATION: 2015 ONWSIAT
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2010-1 June 10, 2010 Page 1 of 8 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID. 3 PROVIDER/QUALIFYING
More informationPatient Information Form
Patient Information Name: First Middle Last Address: City: State: Zip: Telephone: Home Cell Work Date of Birth: Social Security Number: (SSN is only needed if getting super-bills for potential insurance
More information