Rehabilitation Research: School of Physical

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Rehabilitation ResearchSchool of Physical
Occupational TherapyMcGill University

• from disability to possibility

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Context of Rehabilitation Research

• Medical and surgical advances?dramatic 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 research

Population 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 toolstechnologic 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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Participantsfetus to frail elderly

• ..Alzheimers 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
  Parkinsons 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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Ontario Queens U., U. Ottawa, U. Toronto, U.
Windsor
Québec U. Laval, U. Montréal, UQÀM, UQO, U.
Sherbrooke
British Columbia UBC
Manitoba Manitoba U.
Alberta U. Alberta
Nova Scotia Dalhousie U.
Québec
U.S.A.
California, Delaware, Florida, Illinois, Massachus
etts, Missouri, New Jersey, Pennsylvania, Texas,
Vermont Washington DC
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Denmark
BC Alberta
Manitoba Ontario
The Netherlands
Belgium
United Kingdom
Germany
Québec
Austria
Nova Scotia
France
Spain
China
Israël
Italy
Greece
Thailand
California, Delaware, Florida, Illinois, Massachus
etts, Missouri, New Jersey, Pennsylvania, Texas,
Vermont Washington DC
Australia
Brazil
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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 ResearchSchool of Physical
Occupational TherapyMcGill University