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National Physiotherapy Month – Members on Scope of Practice – Pamela Houghton

May 6, 2024 

For National Physiotherapy Month 2024, Ontario Physiotherapy Association members shared the impact of physiotherapists’ scope of practice on their communities. 

Pamela Houghton, Physiotherapist:  

“I am a retired physiotherapist as of 2022. I was registered with the College in Ontario (CPO) for 29 years. I worked as a full professor teaching and doing research that supported the important role of physical therapists in wound care in Canada. 

For many years physiotherapists in Ontario have been able to “work below the dermis” which includes many of the skills needed to provide wound care. Skin health and wound care is an emerging field of practice aimed at improving the outcomes of people who are at risk of, or those who are living with chronic wounds. This includes a huge number of Canadians since chronic wounds are a common complication of many health conditions including diabetes, cardiovascular disease, and neurological conditions such as MS, SCI, stroke. Problems with skin integrity and delayed healing also affect a significant proportion of elderly people with limited mobility and people with critical illnesses such as acute trauma, complex surgery, and cancer. 

Throughout my career I provided evidence based physical therapy treatments that are known to speed healing of many types of chronic wounds including rehabilitation programs that “take the pressure off” the skin and leg exercises that improve peripheral circulation. Additionally, many of the therapeutic modalities used in physiotherapy are known to promote faster and stronger wound closure including electrical stimulation therapy (E-Stim), ultrasound, and light therapies. I have had the opportunity to help many people living with spinal cord injuries (SCI) who have developed terrible sitting acquired pressure injuries. Pressure injuries (PrIs) or skin breakdown is known to be the second most common complication after SCI and the one that has the greatest impact on quality of life. 

The implementation of self-management programs has allowed 100s of people with SCI and PrIs  to treat their own wounds with E-Stim, to close long standing open PrIs, and to ultimately regain their mobility and independence. Not many PTs in Canada appreciate that wound care is part of their scope of practice. However, so many of our current practices can help this growing population of people affected by chronic non healing skin wounds.” 

National Physiotherapy Month – Members on Scope of Practice – Jennifer Howey

May 28, 2024

National Physiotherapy Month 2024, Ontario Physiotherapy Association members share the impact of physiotherapists’ scope of practice on their communities. 

Jennifer Howey, PT: 

“Movement is life and life is movement.” As physiotherapists, we are movement specialists, with the ability to diagnose and treat movement disorders and injury. Our scope of practice goes beyond the treatment room. It includes public education, injury prevention and promoting healthy activity throughout the spectrum of life. In today’s sedentary world, it is more important than ever to encourage movement with every generation. 

At InsideOut Physiotherapy and Wellness Group, we found that Nordic Pole Walking (NPW) – walking with Nordic walking sticks- is fun, inexpensive, and people of any age or exercise ability can benefit. It can get us moving and keep us moving! NPW has been shown to help people rehabilitate post surgery, those with chronic conditions, diabetes, osteoporosis, Parkinson’s Disease and many more. 

As a clinic, we have developed a significant NPW program with a great deal of community outreach. InsideOut has had a 6-year collaboration with the Hong Kong Physiotherapy Association and University of Hong Kong Physiotherapy program. Two InsideOut physiotherapists went to Hong Kong and trained 25 physiotherapists to be instructors and started to support research within the University on NPW and its benefits with patients with Parkinson’s Disease. In Hong Kong, physiotherapists now get funding for NPW programs within their rehabilitation and community settings. We are currently advocating to get similar approval in Ontario. 

As a physiotherapist, one of my proudest moments was when we had a group of clients enter as Nordic Pole walkers in the Scotiabank 5km walk. These clients would not have thought they were capable of doing an event like this! One of the participants had come to us using a scooter for full-time ambulation seven months earlier. She was completely deconditioned, having suffered years of low back pain and multiple chronic problems. We worked with her, using our physiotherapy treatment and home program that included NPW.  Seven months later she was one of the participants completing in this 5 km walk, using the poles. She was so proud of her accomplishment she signed up for two more that year. 

It is the impact we can have on the lives of others that motivate me as a physiotherapist and clinic owner. Happy National Physiotherapy Month!” 

2025 Provincial Election – OPA’s Key Priorities

January 30, 2025 

With the call for a provincial election and a date set for February 27, 2025, OPA recognizes the importance of the next four weeks in engaging candidates and prospective MPPs on the issues that matter. Watch Courtney Bean, OPA President, speak about the upcoming provincial election. 

Polling data reinforces that health care and the state of our health system remains a priority for Ontarians. We know that this is a critical time to communicate the priorities of the physiotherapy profession with candidates so that we can continue to make progress and positive change.  Ontarians face extraordinary barriers to needed care. This election we believe important issues must be tackled and responded to so that Ontarians have equitable, timely access to the essential services provided by physiotherapists, physiotherapy residents, and physiotherapist assistants.  

Here are our four priorities that will contribute to building an effective Health Care system in Ontario: 

1. INCREASE THE NUMBER OF PHYSIOTHERAPISTS IN ONTARIO 

Growing the number of physiotherapists in Ontario is critical to meet the increasing demands on our system for rehabilitation care in private practice, primary care, hospital care, long-term care and home and community care 

2. ADD PHYSIOTHERAPISTS TO MORE INTERPROFESSIONAL CARE TEAMS 

Expanding the investment in primary health care organizations by adding physiotherapists is necessary to ensure that all Ontarians have access to primary health care with integrated physiotherapy services. All Ontarians should have the essential healthcare they need, including care by physiotherapists to promote well-being and injury prevention, recover from surgery or injury, and live optimally with chronic conditions in their homes and communities 

3. FINALIZE IMPLEMENTATION OF SCOPE OF PRACTICE 

It has taken too long! We call on candidates to increase health system capacity and efficiency by finalizing the regulations needed for physiotherapists to practise to their full competencies, including ordering diagnostic imaging and laboratory tests. These include changes that were enabled by the Ontario Legislature in 2009 but have not been implemented by the Ministry of Health.  Get it done.   

4. RESOLVE PROGRAM AND COMPENSATION RELATED CHALLENGES 

There is a need to implement policies and funding increases that support fair, equitable compensation and are comparable to increases in other disciplines of the healthcare workforce (e.g., nurses, mid-wives, physicians). Underfunding physiotherapy leads to service scarcity, long wait times, and poorer health outcomes for Ontarians in publicly funded and insurance-based programs. The inconsistent funding of physiotherapy services severely impacts recruitment and retention with many physiotherapists withdrawing services because of the lack financial viability to deliver.  

It is essential that physiotherapists are accessible to Ontarians of all ages and abilities. To support the wellbeing and prosperity of the province, the sustainability of the physiotherapy profession is critical, and to reduce professional attrition, it is imperative that underfunded physiotherapy programs are improved administratively and fiscally, including (1) Community Physiotherapy Program (CPC) (2) Auto Insurance Programs including the Minor Injury Guideline (MIG) and Professional Services Guideline (PSG) and (3) Workplace Safety Insurance Board (WSIB) Programs of Care. 

Join us in any way you can! 

At OPA, we will continue to advocate for the priorities of our members and profession overall and have prepared a candidate brief that we hope will be of value in your discussions. 

Scope of Practice Submission to the Ministry of Health

December 18, 2024 

OPA, in collaboration with the College of Physiotherapists of Ontario (CPO), provided an update to our long-standing Scope of Practice submission to the Ministry of Health. It was important to incorporate the voice of the profession through the Scope Survey and the almost 1100 responses received.  

The Ministry team has received the update with a few minor questions in follow up and we look forward to our next meeting early in 2025. OPA took the opportunity to update Dr. Karima Velji, Chief of Nursing & Professional Practice and Assistant Deputy Minister for the Province of Ontario, with this information as well.  

OPA’s Submission to CPO on Recently Proposed Standards

November 24, 2024 

OPA submitted comments to the College of Physiotherapists of Ontario on the most recently proposed standards: 

  • Advertising and Marketing 
  • Documentation (would replace Record Keeping) 
  • Funding, Fees and Billing 

OPA provided suggested ways to enhance clarity and comprehensiveness in each of the standards. There is also an opportunity in the Documentation Standard to include how the use of AI may impact record keeping, and any important considerations. 

OPA Submission on 4 CPO Proposed Standards

August 13, 2024 

OPA submitted comments to the College of Physiotherapists of Ontario on the open consultation on four Standards: 

  • Collaborative Care Standard 
  • Conflict of Interest Standard 
  • Dual Practice Standard (NEW) 
  • Infection Prevention and Control Standard 

This is the third set of consultations in the CPO’s process of adapting the revised Core Standards of Practice for Canadian Physiotherapists, developed in 2023 by the Canadian Alliance of Physiotherapy Regulators. 

OPA Provides Feedback to Pelvic Floor Muscle Training Submission

June 4, 2024 

OPA provided feedback to the Ontario Health’s draft recommendation on Pelvic Floor Muscle Training for Stress Urinary Incontinence, Fecal Incontinence, and Pelvic Organ Prolapse

OPA supports the recommendation for publicly funding pelvic floor muscle training for stress urinary incontinence and pelvic organ prolapse. We commend Ontario Health for recognizing the evidence for this intervention, and how public access will help ensure that Ontarians have the rehabilitative care needed to improve their function, health, and quality of life. 

In this submission, OPA highlights the following areas with further comments: 

  1. The role of physiotherapists 
  1. Equitable patient care: reducing stigma and increasing access 
  1. Additional considerations to support cost-effectiveness 
  1. Feasibility: how physiotherapists are currently prepared and equipped to act on 
    this recommendation 
  1. Need for consultation 

OPA is committed to supporting any outcomes from this recommendation through consultation with experts in pelvic health, research and system planning. 

OPA Submission on CPO Standards: Evidence-Informed Practice & Titles, Credentials & Specialty Designations  

May 28, 2024 

OPA submitted comments to the College of Physiotherapists of Ontario on the open consultation on two standards: 

  • New standard, Evidence-Informed Practice 
  • Revision to, Titles, Credentials, and Specialty Designations 

This is the second set of consultations in the CPO’s process of adapting the revised Core Standards of Practice for Canadian Physiotherapists, developed in 2023 by the Canadian Alliance of Physiotherapy Regulators. 

OPA Meets with MPs & Sends Letter to the Minister of Health

May 28, 2024 

During National Physiotherapy Month in May, OPA joined CPA and physiotherapists to meet with federal MPs from Ontario ridings. These meetings have highlighted the benefits of full implementation of physiotherapy scope of practice, and how enabling physiotherapists to order diagnostic imaging and lab tests will improve care for the people of Ontario while reducing costs. 

Some of the meetings to date: 

  • Pam Damoff, MP Oakville-North Burlington 
  • Peter Fragiskatos, MP London North Centre 
  • Lindsay Mathyssen, MP London-Fanshawe 
  • Anthony Rota, MP Nipissing-Timiskaming 
  • Valerie Bradford, MP Kitchener South-Hespeler 

OPA President, Courtney Bean, and OPA CEO, Sarah Hutchison, have followed up with Ontario’s Minister of Health, Sylvia Jones, and requested a meeting with her and the Deputy Minister, to discuss the outstanding regulations needed. 

OPA Sends Letter to the Minister of Health & Meets with MPP France Gélinas, PT

April 30, 2024 

On Tuesday, April 23, 2024, OPA had the privilege of meeting virtually with MPP France Gélinas, PT, to discuss a letter OPA sent a few days prior to the Minister of Health, Sylvia Jones. Many thanks to Ms. Gélinas, who delivered the letter to Minister Jones that day, for her support for physiotherapists and her work to improve healthcare for Ontarians. 

The letter calls for action by the provincial government to fully implement the scope of practice of physiotherapists already passed in legislation in Bill 179. The regulation changes needed for physiotherapists to order diagnostic imaging and lab tests have been outstanding for too long. With scope of practice as the focus for National Physiotherapy Month, it is a timely reminder of how full scope implementation will improve access to health care, cost-effectiveness, and health outcomes for the people of Ontario. 


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