Primary Care and Rehab

Continuity of care

The US beauty queen making her invisible illness visible

“It’s not easy to stand on stage in a bikini in pageants. I have a 25-inch scar that runs down my spine. And people can see it… like, really see it.” Victoria poses in a backless ball gown revealing her surgery … READ MORE

Aquatic exercise for knee OA: beyond treating pain alone

The prescription of therapeutic aquatic exercise to people with knee OA should focus on trying to improve the patient’s own individual symptoms and functional impairments which both affect patients’ quality of life, as well as … READ MORE

Prehabilitation for TKA: Preop and postop benefits

Prehabilitation, particularly in the form of exercise, has the potential to significantly improve preoperative and postoperative outcomes in patients with knee osteoarthritis who are undergoing total knee arthroplasty. Both … READ MORE

Doctor-Patient communication, a thorny challenge

Many veteran doctors have probably been there: You sit your patient down and explain their diagnosis. You walk them through how to take their medication. They nod and promise that they don’t have any questions. Next visit, you … READ MORE

Anatomy of a referral: Why wait times for specialists are still too long

Nancy is “beyond frustrated” with how long her family has had to wait to see specialists. She has been waiting 16 months to see a rheumatologist, and has been told there’s a two-year wait to a pain management centre to help with … READ MORE

Home may be the best place to recover after total joint replacement surgery

Despite higher costs, many doctors recommend and some patients prefer, recovery at an in-patient rehabilitation facility following total hip (THR) or total knee replacement (TKR) surgery. And yet a new study to be presented Thursday, … READ MORE

Shared doctor-patient orthopaedic treatment decisions improve outcomes, patient experience

Well-informed patients who decide with their orthopaedic surgeon what treatment is best for them have better outcomes and higher patient satisfaction rates, according to new study presented today at the 2017 Annual Meeting of the … READ MORE

Tuned AFO improves gait in patient with stroke

Adjusting the mechanical properties, alignment, plantar flexion and dorsiflexion resistance of a novel ankle-foot orthosis improved hemiparetic gait in a patient with stroke, according to data presented at the American Academy of … READ MORE

AFO stiffness can help optimize patient function

Decisions related to the stiffness of an ankle foot orthosis (AFO)—whether they involve device design or the materials from which it’s fabricated—can help lower extremity clinicians customize stability, biomechanics, and muscle … READ MORE

Calgary Herald’s ‘Life with Emily’ documentary a finalist for international media award

The Calgary Herald has been named a finalist in a prestigious international media awards competition for a 2016 project called Without Limits: Kids With Special Needs. Our Special Children. Taking a break from lunch, 7 year old Emily … READ MORE

Children experience long wait times for developmental specialists

Rutgers study also finds language barriers limit access. An estimated one in six children in the United States have development disorders such as autism, attention deficit hyperactivity disorder or cerebral palsy, according to the … READ MORE

Scoliosis-specific exercises likely reduces curve severity AIS

Results from this study demonstrated superior outcomes with the addition of Schroth physiotherapeutic scoliosis-specific exercises to the standard of care vs. the standard of care alone for patients with adolescent idiopathic … READ MORE

Recent generations are experiencing higher rates of arthritis

A Singular Rise for Arthritis and Obesity. A Canadian study spanning 18 years confirms that arthritis is more prevalent today, but also that people are increasingly being diagnosed at a younger age and with an increasingly higher BMI. … READ MORE

Alberta stroke treatment now among fastest in world

Quality improvement program cuts time for life-saving drug treatment from 70 to 36 minutes. The clot-busting drug tPA (tissue Plasmonogen Activator) can be used with ischemic stroke patients to greatly improve their care. John … READ MORE

Obesity in pregnancy tied to cerebral palsy in kids

Women who are overweight or obese during pregnancy may be increasing the chances that their baby could be born with cerebral palsy, a new study suggests. Excess pre-pregnancy weight may slightly raise baby’s cerebral palsy risk. … READ MORE

Risk factors for conversion to TKA following knee arthroscopy

Results from this study demonstrated women, patients 70 years and older, obese patients, those with diabetes, depression disorders and rheumatoid arthritis had a higher chance of conversion to total knee arthroplasty 2 years following … READ MORE

Knee surgery holds even in heavier patients

Success rates for meniscus surgery were similar for those with average and higher BMI. Some surgeons may be hesitant to repair a torn meniscus on heavier patients, assuming there is a higher chance of the repair failing. But a study … READ MORE

Controversial changes to physiotherapy coverage put on ice: Alberta Health Services

‘The hardest hit people would have been the working poor or people who are struggling to get by.’ Alberta Health Services has backed away from planned changes that would have restricted physiotherapy services now covered. … READ MORE

Reducing frustration with health care for adults with chronic medical conditions

Navigating the U.S. health care system can be frustrating for anyone, but for adults with chronic medical conditions, the frustration can become overwhelming as they juggle multiple providers, medications and treatments. A pain point … READ MORE

Aids to Daily Living program could be outsourced to Alberta Blue Cross: AUPE

The province’s largest public sector union has some concerns about an anticipated move by the government to outsource the Aids to Daily Living program. Alberta Aids to Daily Living, AADL helps Albertans with a long-term disability, … READ MORE

Publicly funding drugs for all Canadians could save over $4 billion a year

Universal public coverage of 117 essential medicines could address the needs of most Canadians for pharmaceutical drugs, and possibly save more than $4 billion a year, according to a new study published in the Canadian Medical … READ MORE

Digital toolkit aims to prevent falls amongst the elderly

The Falls Risk Assessment Toolkit identifies patients at risk of falls and, potentially unplanned hospital admissions, and is available to all UK healthcare professionals to implement a review of patients at risk of potentially … READ MORE

Four ways Canada can shorten wait times for specialists

Vanessa Milne, Joshua Tepper & Sachin Pendharkar, Healthy Debate February 23, 2017 Two weeks ago, we reported on some of the difficulties around referrals to specialists. Shortly after our story ran, the Canadian Institute of … READ MORE

Online intervention reduces knee pain, improves mobility

A suite of online interventions provided substantial pain relief and improved mobility for patients with chronic knee pain, according to a study published online February 21 in the Annals of Internal Medicine. The interventions … READ MORE

Brain-computer interface advance allows fast, accurate typing by people with paralysis

Stanford University School of Medicine Clinical research led by Stanford University investigators has demonstrated that a brain-to-computer hookup can enable people with paralysis to type via direct brain control at the highest speeds … READ MORE

Women had significantly greater involvement in knee OA-related health care before TKA

In the 12 months preceding total knee arthroplasty, women experienced significantly greater utilization of knee osteoarthritis-related health care than men, according to results. Boost your knee health—and help decide whether knee … READ MORE

Quadricep strength and speed of force affects knee osteoarthritis

Quadricep strength and speed of force production (SFP) both affect physical functioning in people with, or at risk for, knee osteoarthritis, according to research presented this week at the Association of Academic Physiatrists Annual … READ MORE

Personal factors linked with increased risk of knee OA in the military population

In an active military population, the incidence of primary and secondary knee osteoarthritis correlated with chronological age, race, rank and branch of service, according to results. Maximalist shoes fail to cushion impact of … READ MORE

Not all meniscal pathology is relevant in patients with knee OA

Some—but not all—characteristics of meniscal damage on magnetic resonance imaging (MRI) scans are associated with knee osteoarthritis (OA) severity and two-year progression, according to research from Tufts Medical Center in … READ MORE

Calgary Flames sign Fionn Daly to one-day contract

The nine-year-old is currently playing for the Calgary Venom of the Calgary Sledge Hockey Association. On Monday, the Calgary Flames, with the help of Make-A-Wish, signed nine-year-old defenceman Fionn Daly to a one-day contract. … READ MORE

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