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Division of Physical Medicine & Rehabilitation Annual Report 2014-2015

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19 Faculty Members ۰ 12 Residents ۰ 1 Fellow

Annual Report July 2014 – June 2015

Division of Physical Medicine & Rehabilitation The Division of Physical Medicine and Rehabilitation continues to be the main rehabilitation services provider in the Champlain LHIN, providing specialized world class inpatient, outpatient and outreach care for patients with amputations, brain injuries, spinal cord injuries, stroke, chronic lung disease, respiratory disorders, complex neurologic disorders, multiple sclerosis, complex orthopaedics, chronic pain, and communications disorders. We strive to improve our patients’ quality of life and to foster safe and independent living. In February 2015, the National Research Corporation Canada ranked The Ottawa Hospital Rehabilitation Centre as the # 1 performing rehabilitation centre in Ontario based on patient satisfaction.

Dr Sue Dojeiji, Associate Professor Chief, Division of Physical Medicine & Rehabilitation Physiatrist-in-Chief, The Ottawa Hospital Rehabilitation Centre Chief, Bruyère Continuing Care


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MEMBERS Bruyère Continuing Care Physiatrists

Dr Meena Acharya Assistant Professor Clinician Teacher Undergrad Stroke Rotation Coordinator

Dr Mark Campbell Assistant Professor Clinician Investigator

Dr Hillel Finestone Associate Professor Clinician Investigator Director – Stroke Rehabilitation

Research

Dr Christine Yang Assistant Professor

Clinician Teacher Medical Director – Stroke Rehabilitation

Hospitalist: Dr Andrea Faught Children’s Hospital of Eastern Ontario Physiatrists

Dr Anna McCormick Associate Professor Clinician Teacher Peds Rehab Medical Director

The Ottawa Hospital and Rehabilitation Centre Physiatrists

Dr Jeff Blackmer Associate Professor Clinician Administrator

Dr Usha Buenger Lecturer Clinician Teacher

Dr Sue Dojeiji Associate Professor Clinician Educator Chief and Chair PM&R – TOH and

Bruyere Continuing Care

Dr Nancy Dudek Associate Professor Clinician Educator Medical Director – Amputee

Rehabilitation Dr Anthony Lentini Lecturer Clinician Teacher

Dr Lynne MacGregor Lecturer Clinician Teacher

Dr Shawn Marshall Full Professor Clinician Investigator Medical Director – ABI Rehabilitation

Dr Vidya Sreenivasan Assistant Professor Clinician Teacher Medical Director – SCI Rehabilitation

Dr Guy Trudel Full Professor Clinician Investigator Medical Director – Complex Ortho and Burn Team, TOHRC

Dr Deanna Quon Lecturer Clinician Teacher Undergraduate Program Director

Dr Scott Wiebe Assistant Professor Clinician Teacher

CPD Coordinator Medical Director – PM&R

Electodiagnostics Laboratory

Dr Gerald Wolff Assistant Professor Clinician Teacher

Post Grad Program Director – PM&R Residency Program Medical Consultant – Mobile Rehab Team

Hospitalist: Dr Anthony Lofaro


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The Ottawa Hospital - Partners in PM&R

Dr Ed Lemaire Associate Professor Scientist Clinical Investigator - CRRD

Dr Douglas McKim Full Professor Clinician Teacher Cross Appointed from Respirology Medical Director – CanVENT

Dr Jackie Sandoz Lecturer Clinician Teacher Respirology – PM&R primary appointment

Dr Keith Wilson Associate Professor Scientist Clinical Psychology

Dr Byron Lemmex Lecturer Clinician Teacher Medical Director – Short Term Rehab

Dr Marnia Lozano Lecturer Clinician Teacher Short Term Rehab

Dr Erica Tanner Lecturer Clinician Teacher Short Term Rehab Residents

Dr Katrina Dezeew PGY 1 Dr Jennifer McDonald PGY 4 Dr Marc Monsour PGY 1 Dr Kelsey Crawford PGY 4 Dr Anton Alison PGY 2 Dr Benjamin Ritsma PGY 5 Dr Kate Montgomery PGY 2 Dr Lauren Reid PGY 5 Dr Scott Cook PGY 3 Dr Rachel Reardon PGY 5 Dr Jennifer Shi PGY 3 Dr Jessica Trier PGY 5

Fellows Dr Emilie Croteau - Pediatric Rehabilitation PROMOTIONS NOTEWORTHY Dr Christine Yang was invited to speak at her alma mater –Shanxi Medical College in Taiyuan, China on “Stroke Rehabilitation – The Canadian Experience”. Sept 2014 Ed Lemaire and Dr Vidya Sreenivasan secured a $700,000 Exoskeleton grant.

Dr Dojeiji’s research, development of a validated Family Conference Rating Scale, was published in the Journal of Inter-professional Care. This work was based on research initiated with Dr Meridith Marks. Dr Jeff Blackmer assumed a new role with the Canadian Medical Association as VP Medical Professionalism. The promotion entails oversight of 26 staff. Dr Gerald Wolff, in collaboration with Dr Kirsty Boyd, was involved in Canada’s first nerve transfer procedure in a patient spinal cord injury to help restore specific muscle function. The procedure involves selecting a redundant nerve — one that serves the same function as another nerve in the body — and connect it to a more important but damaged nerve that’s not working. They are also Collaborating with Physicians in St. Louis to determine: ideal patients, timing of surgery and types of surgery for tetraplegics to restore hand function. At present Ottawa and St. Louis are the only North American Centres performing these operations


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CLINICAL ACTIVITY We have over 100 inpatient beds located at Élisabeth Bruyère, The Ottawa Hospital General Campus and The Ottawa Hospital Rehabilitation Centre (TOHRC). The majority of the patients admitted to our inpatient programs gain the skills and confidence needed to return home. In addition to the active inpatient programs which admit and discharge over 1,000 patients each year, we have a busy outpatient program that registers over 50,000 patient visits per year. Dr Gerald Wolff continues his work with the Peripheral Nerve Trauma Clinic he created along with Dr Kirsty Boyd of Plastic Surgery a combined EMG and peripheral nerve surgery clinic that is dedicated to the early assessment and treatment of those with severe peripheral nerve injuries. RESEARCH We are very active in broad areas of research in collaboration with national and international organizations in Canada, The United States, Europe and Australia. Areas of research include interdisciplinary health related research program dedicated to improving the safety of older drivers, genetic and cellular based research on osteoarthritis, uses of virtual reality programs in rehabilitation, respiration, stroke, chronic pain, musculoskeletal and neuromuscular issues, ALS, cerebral palsy, amputation and prosthetics, spinal cord and brain injuries, immobility, and medical education.

Dr Mark Campbell was accepted to the November 2014 Bone and Joint USA Young Investigators Initiative Grant Mentoring Workshop Program: a competitive providing research education, networking and mentorship to improve research study designs and grant proposal writing during which time I will work an experienced mentor Dr Hillel Finestone has concentrated research in the areas of nutrition and stroke, driving and stroke, and virtual reality exercise therapy in the stroke survivor; which complements his clinical involvement as a physiatrist with a special interest in stroke rehabilitation. He has further developed his research in musculoskeletal pain and disability. Dr Ed Lemaire focuses his scientific investigations on technology and its impact on human mobility and the delivery of physical rehabilitation services. His work with the Rehabilitation Intelligent Mobility Systems (RIMS) has advanced the development of intelligent assistive devices and related technologies to improve the lives of people with disabilities. Drs Shawn Marshall and Hillel Finestone received additional funding to continue their international collaboration researching vehicular safety in the elderly. Dr Marshall developed clinical practice guidelines for mild Traumatic Brain Injury/Post-concussion syndrom and continues his work and research in this area. Dr Doug McKim is actively engaged in numerous projects related to airway management in neuromuscular disease, non-invasive mechanical ventilation, programmatic approaches to long term ventilation (LTV), COPD rehabilitation, oxygen therapy, and end-of-life decisions in respiratory disease. Dr Guy Trudel is actively involved with the World Space Organization. His research focuses on the effects of immobilization on the musculoskeletal system; the mechanical and biological changes occurring during contracture development in the various tissues in joints; pannus proliferation in contractures, histomorphometric and biological study; gene

http://usbjd.org/research/research_op.cfm?dirID=197

http://usbjd.org/research/research_op.cfm?dirID=197


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expression in the capsule and cartilage in contractures; supraspinatus tendon insertion in humans and their relation to tensile strength; achilles tendonitis; and hematopoiesis with immobility. Dr Gerald Wolff is actively researching nerve transfers to restore upper extremity function in tetraplegics and evaluating the sensitivity and specificity of a recently proposed physical examination test designed to evaluate those with peripheral nerve compressions. In conjunction with the Department of Critical Care, he is also investigating early mobilization of patients in ICU for prevention of critical illness neuromyopathy. EDUCATION PM&R is a 5-year direct entry RCPSC accredited residency program. The RCPSC accreditors have dubbed the uOttawa PM&R program as the “model for the country”. PM&R successfully matched 2 new PGY-1’s in the 2013 CaRMS match. We welcomed Dr. Katrina Dezeew and Dr. Marc Mansour to our program this year. PM&R is actively involved in the undergraduate curriculum. PM&R residents and faculty have acted as primary MSK and Neuro block lecturers and as Clinical skills tutors throughout the year. PM&R is actively involved in the link block placements at TOHRC and Élisabeth Bruyère and accommodates numerous trainees from across Canada. Dr Sue Dojeiji is a diligent supporter of the educational curriculum. She is the Chief Examiner for the RCPSC PM&R National Fellowship Examination. Dr Dojeiji also works as an education consultant at the RCPSC supporting the mandate of The Office of Education and the CanMEDs initiative. Dr Nancy Dudek works as an assessment consultant in the RCPSC Office of Assessment. COMMUNITY Dr Jeff Blackmer expanded his position with the Canadian Medical Association to Vice President for Medical Professionalism. He is also the Chair, Canadian Expert Working Group, Pharmaceutical Sponsorship of Continuing Medical Education; Chair, Communications Committee, Canadian Association of Physical Medicine and Rehabilitation; a Member of the Board of Directors, Canadian Pharmaceutical Advertising Advisory Board; and Chief Ethics Advisor, World Medical Association Dr Sue Dojeiji is a Paralympic Advisor for the Canadian Centre for Ethics in Sport. Dr Nancy Dudek is an active member of the Advisory Council for the Canadian Paralympic Committee – Changing Minds, Changing Lives and is an active peer reviewer for over a dozen academic journals and publications, and numerous councils and granting agencies. Dr Hillel Finestone is a member of the Stroke Rehabilitation Committee and the Champlain Regional Stroke Steering Committee for the Champlain Local Health Integration Network, Ontario Stroke System/Ontario Ministry of Health and Long-Term Care. Dr Shawn Marshall co-chairs and is member of various committees for the Ontario Neurotrauma Foundation addressing issues of quality of life and treatment for individuals with ABI and mTBI.


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Dr Lynne MacGregor works with the Canadian Paraplegic Association (CPA) and TOHRC staff to develop resources for patients with SCI and is a member of the Champlain Spinal Cord Injury Solutions Alliance. She advocates and collaborates with multidisciplinary partners to setup women's Health Clinic for women with disabilities to have accessible environment for gynaecological assessment, a learning program and educational tools as well as protocol for PEG tube procedures for patients with neuromuscular conditions, and pressure ulcer wound clinic for SCI (spinal cord injury) clients. Dr Doug McKim is the Chair of the Scientific Committee for The Canadian Thoracic Society and a consultant for the Critical Care Secretariat, Ministry of Health and Long Term Care in the development of a clinical tool to standardize and facilitate weaning of mechanically ventilated patients in Critical Care units. Dr Keith Wilson is a member of the Board of Directors for the Canadian Association of Psychosocial Oncology as well as a member of the Peer Review Committee for Canadian Virtual Hospice. GLOBAL HEALTH In addition to his contributions nationally, Dr Jeff Blackmer is also the Chief Ethics Advisor to the World Medical Association; a Member of the International Board of Advisors, World Medical and Health Policy Journal; and working closely as a Consultant on Medical Ethics with the World Health Organization and its affiliates around the globe. Dr Guy Trudel sits on the Scientific Committee of the International Society for Gravitational Physiology.


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GRANTS - (26 Grants; Total Funding $6,672,341; 2014-2015 Annual Funding $2,544,228)

Member Name Title Funding Source Amount Start End Date Date

Boivin, Antoine; Blackmer, Jeffrey; (Co-Investigator) Marcoux, Isabelle

Effects of public policies on medical end-of-life practices: a systematic review

Canadian Institute of Health Research

100,000 2013 2015

Crawford K, Dudek N, (Co-Principal Investigator) Wood T, Lalonde K.

Assessing clinical supervisors’ assessments– what makes them better?

Academy for Innovation in Medical Education Grant

9,271 2014 2014

Yepes-Rios M, Duboyce R, Curtis J, Allard R, Dudek N, (Co-Investigator) Varpio L

Failure to fail underperforming trainees in health professions

A BEME scoping review of the barriers inhibiting educators. SDRME Research Review/Synthesis Paper Grant –

4,000 2014 2014

Cheung W, Dudek N, (Co-Principal Investigator) Wood T, Frank J.

The impact of repeated rater- trainee encounters on the quality of clinical performance assessments.

Academy for Innovation in Medical Education Grant –

14,710 2015 2015

Gofton W, Rekman J, Dudek N, (Co-Investigator) Seth S, Wood T.

The Ottawa Clinic Assessment Tool – How much rater training is necessary?

University of Ottawa Postgraduate Medical Education – Educational

17,925 2015 2015

Hillel Finestone, H. (P.I.) Sveistrup, M. Bilodeau, D. Levac, D. Fergusson

Does virtual reality exercise improve sitting balance ability and function after stroke?

Heart and Stroke Foundation of Canada, grant G-14-0005830

229,497 2014 2017


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Dr. Ed Lemaire (P.I.) el al (incl Dr Vidya Sreenivasan) (Co-Investigator)

Development and evaluation of the ARKE exoskeleton

Ontario Centres of Excellence - VIP II grant in partnership with Bionik Laborotories Inc.

670,000

S.C. Marshall, (P.I.) M. Bédard,I. Gélinas, G. Naglie, M.M. Porter, H.A. Tuokko, B.H. Vrkljan, S. Gagnon, L. Li, B. Mazer, A. Myers, M. Rapoport, I. Stiell, Hillel Finestone

Candrive Prospective Older Driver Study Canadian Institutes of Health Research

1,894,446 Jul-2014 Jun-2016

M. Thornton, M. MacKay-Lyons, S. Bercovitch, K. Breithaupt, T. Dyks, Hillel Finestone, (Co-Investigator) J. Harris, L. Joseph, C. MacDonald, G. Stotts, D. Timpson

Closing the gap between evidence and clinical practice regarding aerobic exercise in stroke rehabilitation: an educational strategy to improve knowledge and self-efficacy of physiotherapists

Heart and Stroke Foundation Canadian Partnership for Stroke Recovery

70,000 May-2014 May-2015

M. Bédard, S. Classen, S. Dubois, Hillel Finestone, L. Hunt, S. Gagnon, C. Gibbons, S. Marshall, R. Middleton, N. Mullen, G. Naglie, J. Polgar, B. Weaver

Development of a three-tiered, standardized process to assess senior drivers

Canadian Institutes of Health Research

557,479 Oct-2013 Sep-2018


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Hillel Finestone, (P.I) J. Jutai

Can Use of a Washlet Improve Cleanliness and Reduce the Burden of Care for Geriatric and Stroke Rehabilitation Patients? A Pilot Study

TOTO USA 34,290 Sep-2013 Dec-2014

M. Levin, D. Barthelémy, A. Feldman, H. Sveistrup, M. Bilodeau, Hillel Finestone

Elucidating the underlying mechanisms of disordered upper limb function in stroke: the relationship between deficits in trunk control and upper limb coordination

Heart and Stroke Foundation Centre for Stroke Recovery

156,650 Apr-2013 Mar-2015

Dowlatshahi D, Stotts G, Shamy M, Lumsden J, Mallet K, Finestone H, (Co-Investigator) Yang C, Momoli F, Corbett D.

Bringing Stroke Rehabilitation to the Acute Care Patient.

Academic Health Centre AFP Innovation Fund

100,000 2015 2015

Hillel Finestone, (Co-Principal Investigator) J. Jutai, A. Chin

Can Technology-Assisted Toilets Be Used as Assistive Devices in Geriatric Medicine? A Cohort Study

Bruyère Academic Medical Organization Incentive Fund

19,675 2015 2015

M. Bayley, B. Swaine, M.-E. Lamontagne, Shawn Marshall

Development of Guidelines for Treatment of Moderate and Severe Traumatic Brain Injury

Ontario Neurotrauma Foundation

250,000 Sept.- 2013 Aug.-2016


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M. Bédard, S. Classen, S. Dubois, H. Finestone, L. Hunt, S. Gagnon, C. Gibbons, Shawn Marshall, (Co-Investigator) R. Middleton, N. Mullen, G. Naglie, J. Polgar, B. Weaver

Development of a three-tiered, standardized process to assess senior drivers


557,479 Oct.-2013 Sept.-2018

R. Teasell, Shawn Marshall, (Co-Investigator) N. Cullen, M. Bayley, J. Jutai, L. Rees, A. McCormick, M. Speechley

Evidence Based Review of Acquired Brain Injury Rehabilitation

Ontario Neurotrauma Foundation

143,160 Nov.-2013 Oct.-2015

Shawn Marshall, (P.I.) M. Bédard, G. Naglie, M. Porter, H. Tuokko, B. Vrkljan, I. Gélinas, B. Mazer, S. Gagnon, A. Myers, L. Li, M. Rapoport, I. Stiell, G. Wells

Candrive Prospective Older Driver Study Canadian Institutes of Health Research

1,386,732 April 2014 March 2017

Dr. Mark Jeffrey RAPOPORT Dr. Judith CHARLTON Dr. Jamie DOW Dr. Shawn Calder MARSHALL Dr. Frank Joseph MOLNAR

A Collaborative International Knowledge Synthesis to Update Guidelines for Determining Medical Fitness to Operate Motor Vehicles


100,000 May 1, 2015 April 30, 2016


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M Bayley, A Colantonio, J Eng, S Jaglal, C O’Connell et al. (S. Marshall)

Neurotrauma to Neurorecovery (NtoN) Network- SPOR Network Chronic Disease LOI


50,000 April 1, 2015 March 31, 2016

Nonoyama M, Rose L, Road J, McKim D, Guerriere D, Coyte P. Home

Long-Term Mechanical Ventilation in British Columbia: Healthcare Costs and Utilization. Role in development of proposal and questionnaires.

The Canadian Lung Association, Canadian Respiratory Health Professionals

26,748 2014 2014

Nonoyama M, Rose L, Road J McKim D, Guerriere D, Coyte P.

Home Long-Term Mechanical Ventilation in British Columbia: Healthcare Costs and Utilization

The ALS Society of British Columbia.

7,600 2014 2014

N. Adhikari, R. Amin, D. Fergusson. I. Fraser, S. Katz, D. Leasa, Ms. C. LeBlanc, C. O’Connell (D. McKim)

Cough augmentation techniques to optimize weaning success and prevent reintubation for critically ill patients

Canadian Institute of Health Research (CIHR), Co-Applicant with Louise Rose

80,000 2014 2014

King J (PI), LeBlanc C, McKim D. A

A respiratory focused e-learning resource for people living with neuromuscular disease and their families

Muscular Dystrophy Canada

47,303 2014 2014

Rose L, McKim D (Co-PIs)

Health Service Utilization for Assessment, Monitoring and Management of Respiratory Complications for Individuals with Neuromuscular Disease

Muscular Dystrophy Canada

46,690 2014 2014


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G. Trudel, (P.I.) I. Cameron, O. Laneuville, P. Sebastiani, A. Stintzi, A. Sheikh

MARROW (Marrow Adipose Reaction: Red or White?) Extension to the Definition Phase.

International Life Science Research Announcement (ILSRA) 2009 for Life Science Research on the International Space Station. Canadian Space Agency

66 851 2014 2015

G. Trudel, (P.I.) O Laneuville

The biological measure of rehabilitation potential for hospitalized patients with deconditioning

TOHAMO research fund.

98,686 2015 2016


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PUBLICATIONS (Total 38) Book & Chapters (5) Blackmer J. The Implementation of the Declaration of Helsinki. In: Weising U, Parsa-Parsi R, Kloiber O. The World Medical Association Declaration of Helsinki, 2014. Campbell TM, Dudek N, Trudel G. Joint Contractures. In: Frontera WR, Silver JK, Rizzo TD. Essentials of Physical Medicine and Rehabilitation: musculoskeletal disorders, pain, and rehabilitation, 3rd Ed. Philadelphia: Saunders. 2015; Chapter 126: 648-52. Finestone HM, Foley N, Greene-Finestone LS. Malnutrition and stroke. In: Stein J, Harvey RI, Macko RF, Winstein CJ, Zorowitz RD, Wittenberg G, editors. Stroke Recovery and Rehabilitation. 2nd ed. New York, NY, Demos Medical Publishing, 2015.

Finestone HM, Gershkoff A. Driving and stroke. In: Stein J, Harvey RI, Macko RF, Winstein CJ, Zorowitz RD, Wittenberg G, editors. Stroke Recovery and Rehabilitation. 2nd ed. New York, NY, Demos Medical Publishing, 2015 Barry A, Trudel G. Bone and joint diseases following critical illness. In: Textbook of post-ICU medicine: The legacy of critical care. RD. Stevens, N. Hart and MS. Herridge Eds. Oxford University Press, Oxford. 2014: Chapter 25: 269-288. Peer Reviewed Publications (32) Campbell TM, Trudel G, Wong KK, Laneuville O. Genome-wide gene-expression analysis of the posterior capsule in patients with osteoarthritis and knee flexion contracture. J Rheumatol. 2014;41(11):2232-9. Campbell TM, Trudel G, Laneuville O. Knee flexion contractures in patients with osteoarthritis: - clinical features and histologic characterization of the posterior capsule. PM R. 2014;S1934-1482(14)01527-5. doi: 10.1016/j.pmrj.2014.12.001. [Epub ahead of print] Jodi Warman Chardon, Amanda C. Smith, John Woulfe, Elena Pena, Kawan Rakhra, Carole Dennie, Chandree Beaulieu, Jeremy Schwartzentruber, Cynthia Hawkins, Matthew B. Harms, Suzan Dojeiji, Mei Zhang, FORGE Canada Consortium, Jacek Majewski, Dennis E. Bulman, Kym M. Boycott, David A. Dyment. LIMS2 mutations associated with a novel muscular dystrophy with triangular tongues. Clinical Genetics 2015 January doi:10.1111/cge.12561 Dudek NL, Dojeiji S. Twelve tips for completing quality in-training evaluation reports. Medical Teacher 2014:36(12):1038-1042. Sinitski EH, Lemaire ED, Baddour N, Besemann M, Dudek NL, Hebert JS. Fixed and self-paced treadmill walking for able-bodied and transtibial amputees in a multi-terrain virtual environment. Gait & Posture. Accepted December 2014. Kendall C, Lemaire E, Kofman J, Dudek NL. Gait adaptions of transfemoral prosthesis users across multiple walking tasks. Prosthetics & Orthotics International. Available online 2015. Dudek NL, Papp S, Gofton W. Going paperless? Issues in converting a surgical assessment tool to an electronic version. Teaching and Learning in Medicine – Accepted for publication October 2014.

http://www.ncbi.nlm.nih.gov/pubmed/?term=Genome-wide+gene-expression+analysis+of+the+posterior+capsule+in+patients+with+osteoarthritis+and+knee+flexion+contracture


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Reid L, Thomson P, Besemann M, Dudek N. Going places – does the two minute walk test predict the six minute walk test in lower extremity amputees. Journal of Rehabilitation Medicine 2015:47(3):256-261. Finestone HM, Foley N, Greene-Finestone LS. Malnutrition and stroke. In: Stein J, Harvey RI, Macko RF, Winstein CJ, Zorowitz RD, Wittenberg G, editors. Stroke Recovery and Rehabilitation. 2nd ed. New York, NY, Demos Medical Publishing, 2014. Finestone HM, Gershkoff A. Driving and stroke. In: Stein J, Harvey RI, Macko RF, Winstein CJ, Zorowitz RD, Wittenberg G, editors. Stroke Recovery and Rehabilitation. 2nd ed. New York, NY, Demos Medical Publishing, 2014. McEwen D, Taillon-Hobson A, Bilodeau M, Sveistrup H, Finestone H. Two-week virtual reality training for dementia: single-case feasibility study. J Rehabil Res Dev 2014;51(7):1069-1076. McEwen D, Taillon-Hobson A, Bilodeau M, Sveistrup H, Finestone H. Virtual reality exercise improves mobility after stroke: an inpatient randomized controlled trial. Stroke 2014;45(6):1853-1855. Mah J, Jutai JW, Finestone H, McKee H, Carter M. Usability of a low-cost head tracking computer access method following stroke. Assist Technol [in press].

Finestone HM, Yanni MM, Dalzell CJ. Patients’ recall of diagnostic and treatment information improves with use of the Pain Explanation and Treatment Diagram in an outpatient chronic pain clinic. Pain Res Manag 2015 Apr 1. pii: 16658 [Epub ahead of print].

Porter MM, Smith GA, AW Cull, AM Myers, Bedard M, Gelinas I, Mazer BL, Marshall SC, Naglie G, Rapoport M, Tuokko H, Vrkljan B. Older Driver Estimates of Driving Exposure Compared to In-Vehicle Data in the Candrive II Study. Traffic Injury Prevention. 2015. 16(1);24-27. Post A, Hoshizaki TB, Gilchrist MD, Brien SE, Cusimano MD, Marshall S. The dynamic response characteristics of traumatic brain injury. Accident Analysis and Prevention. 2015. 79: 33-40. Ouer AR, Karton C, Post A, Rousseau P, Hoshizaki TB, Marshall S, Brien SE, Smith A, Cusimano MD, Gilchrist MD. Practices Used by Occupational Therapists and Others in Driving Assessment Centers for Determining Fitness-to-Drive: A Case-Based Approach. Journal of Neurosurgery. 2015 In Press Vrkljan BH, Myers AM, Blanchard RA, Crizzle AM, Marshall S. Practices Used by Occupational Therapists and Others in Driving Assessment Centers for Determining Fitness-to-Drive: A Case-Based Approach. Physical and Occupational Therapy in Geriatrics. 2015. In Press. Klein R, Dubois S, Gibbons C, Ozen LJ, Marshall S, Cullen N, Bedard M. The Toronto and Philadelphia Mindfulness Scales: Associations with Satisfaction with Life and Health-Related Symptoms. International Journal of Psychology and Psychological Therapy. 2015;15(1): 133-142. Marshall SC, Bayley M, McCullagh S, Velikonja D, Berrigan L, Ouchterloney D, Weegar K. Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms. Brain Injury 2015; Early on-line: 1-13. Post A, Hoshizaki TB, Gilchrist MD, Brien S, Cusimano M, Marshall S. Traumatic brain injuries: the influence of the direction of impact. Neurosurgery 2015;76(1):81-91. Rapoport MJ, Weegar K, Kadulina Y, Bédard M, Carr D, Charlton J, Dow J, Gillespie I, Hawley C, Koppel S, McCullagh S, Molnar F, Murie-Fernández M, Naglie G, O’Neill D, Shortt S, Simpson C, Tuokko H, Vrkljan B, Marshall S. An international study of the quality of national-level guidelines


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on driving with medical illness. Quarterly Journal of Medicine 2015 Feb 5. pii: hcv038. [Epub ahead of print] Tuokko H, Jouk A, Myers A, Marshall S, Man-Son-Hing M, Porter MM, Bédard M, Gélinas I, Korner-Bitenskym N, Mazer B, Naglie G, Rapoport M, Vrkljan B. A re-examination of driving-related attitudes and readiness to change driving behavior in older adults. Physical & Occupational Therapy in Geriatrics 2014;32(3):210-227. McKim DA, Rose L. Efficacy of Mechanical Insufflation-Exsufflation in Extubating Unweanable Subjects With Restrictive Pulmonary Disorders. Respir Care, April 2015 60:4 621-622 (Invited Editorial)

Brahm Solomon Co-Authors: Keith G Wilson, Ph.D.; Peter R Henderson, Ph.D.; Patricia A Poulin, Ph.D.; John Kowal, Ph.D.; Douglas A McKim, M.D. Title: Loss of Dignity in Severe Chronic Obstructive Pulmonary Disease

Rose L, McKim D . Katz SL, Leasa D, Nonoyama M, Pedersen C, Goldstein RS, Road JD on behalf of the CANuVENT Group. Home Mechanical Ventilation in Canada; A national survey. Respir Care. 2015 Jan 13. Solomon BK , Wilson KG , Peter R. Henderson , Poulin PA , Kowal J , McKim DA. A Breathlessness Catastrophizing Scale for chronic obstructive pulmonary disease. (in press) Journal of Psychosomatic Research 2014

Rose L, McKim D, Katz S, Leasa D, Nonoyama M, Pedersen C, Avendano M, Goldstein R Institutional care for long-term mechanical ventilation in Canada: A national survey. Can Respir J 2014 [epub ahead of print] Roberts MM, Cho JG, Sandoz JS, Wheatley JR. Oxygen desaturation and adverse events during 6-min walk testing in patients with COPD. (2014). Respirology. 2015 Apr;20(3):419-25. Wong Kayleigh, Fangui Sun, Guy Trudel, Paola Sebastiani, Odette Laneuville. Temporal gene expression profiling of the rat knee joint capsule during immobilization-induced joint contracture” (Submitted) Campbell Mark, Laneuville Odette, Guy Trudel. Knee flexion contractures in patients with osteoarthritis: clinical features and histologic characterization of the posterior capsule. PM&R (2015) Guy Trudel, Hans K. Uhthoff, Odette Laneuville, Louis Goudreau. Quantitative analysis of the reversibility of knee flexion contractures with time. An experimental study using the rat model. BMC Musculoskeletal Disorders, 15: 338-44, 2014. Non-Peer Reviewed Publications (1) Blackmer J. The Canadian Medical Association: An update. World Medical Journal 2014; 60 (3): 103.

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ABSTRACTS, PRESENTATIONS & WORKSHOPS (Total 82) PEER REVIEWED

INTERNATIONAL (12) Rich P, Blackmer J. Physician health and end of life care. Proceedings of the international physician health conference, London, September 2014. Campbell TM, Ponchel F, Gomez A, Hodgson R, McGonagle D, Conaghan PG, Jones E. Markedly increased mesenchymal stem cell activity in MRI bone marrow lesions compared with non-involved bone in osteoarthritic hips. American College of Rheumatology Conference. November 2014. Poster. Dojeiji, S 2014 International Conference on Residency Education (ICRE) The ins and outs of the B standards (program directors workshop), October 2014. Rekman J, Hamstra SJ, Dudek NL, Seabrook C, Wood TJ, Balaa F, Brandys T, Gofton W. Development of the Ottawa Clinic Assessment Tool (OCAT). Association for Surgical Education Annual Meeting, Seattle, WA, April 23, 2015. MacEwan M, Gofton WT, Dudek NL, Wood TJ. Continued validation of the O-SCORE (Ottawa surgical competency operating room evaluation: use in the simulated environment. AAMC Medical Education Meeting, Chicago, IL, November 7, 2014. Halman S, Humphrey-Murto S, Dudek NL, Wood TJ, Pugh D, Touchie C. DOCS (Direct Observation of Clinical Skills) feedback scale: validation. AAMC Medical Education Meeting, Chicago, IL, November 6, 2014. Glegg SMN, Levac DE, Sveistrup H, Colquhoun H, Finestone H, DePaul V, Miller P, Wishart L, Harris J, Brien M. Integrating motor learning and virtual reality into practice: a knowledge translation challenge. In: Sharkey PM, Pareto L, Broeren J, Rydmark M (eds). Proceedings of the 10th International Conference on Disability, Virtual Reality and Associated Technologies, Gothenburg, Sweden, September 2–4, 2014. pp. 317–320.

Acute changes in respiratory mechanics following lung volume recruitment in individuals with Duchenne muscular dystrophy. Yannick Molgat-Seon, Liam M. Hannan, Renee J. Fougere, Husam Bahaudden, Douglas A. McKim, A. William Sheel, Jeremy D. Road. American Thoracic Society meeting,2014http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2014.189.1_Meeting Abstracts.A3552 McKim, D. 14th International Conference on Home Mechanical Ventilation, Mouthpiece ventilation. Lyon, France. Mar 2015* McKim, D. Singapore Ministry of Health, HMDP Visiting Expert (Jan 26 to 30). 17 presentations on Home mechanical ventilation (SCI, Emergency Presentation, Transition Home, Airway Clearance, Initiation and Monitoring of NIV, Organization of LTV, 24 hour NIV, End-of-life Care, COPD and NIV, COPD Rehab and NIV). Ministry of Health, Multiple Hospitals, Hospice, Muscular Dystrophy Society. Jan 2015.*


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Trudel G. Interpreting changes in blood cell concentrations during coexisting changes in blood volumes during bedrest. 36th Annual Meeting of the International Society for Gravitational Physiology. (Submitted) Ljubljana, Slovenia, June 6-12, 2015. Trudel G. Bone marrow changes with long duration bedrest: impact on target organ and personalized rehabilitation medicine. IWG AO-BR-13 ESA /CNES / CSA. MEDES, Toulouse, France, November 3 2014.

NATIONAL (20) Dudek NL, Dojeiji S, Day K, Varpio L. Feedback to supervisors – is anonymity really so important? CCME, Vancouver, BC, May 3, 2015 Dudek NL, Dojeiji S, Day K, Varpio L. Feedback to supervisors – is anonymity really so important? AIME Medical Education Day, Ottawa, ON, April 10, 2015. Dojeiji, S, Byszewski, A, Wood T. The Family Conference Rating Scale. Canadian Association of Physical Medicine and Rehabilitation Annual General Meeting, June 2014, St Johns, Newfoundland, Canada. Rekman J, Hamstra SJ, Dudek NL, Seabrook C, Wood TJ, Gofton W. Development of the Ottawa Clinic Assessment Tool (OCAT). AIME Medical Education Day, Ottawa, ON, April 10, 2015. Voduc N, Dudek NL, Wood TJ. Validation of a new bronchoscopy assessment tool in a clinical setting. AIME Medical Education Day, Ottawa, ON, April 10, 2015.

Dudek N. Writing effective workplace assessment reports: authenticity and impact. The International Conference on Residency Education, Toronto, ON, October 25, 2014*

Finestone HM Can technology-assisted toilets improve independence for stroke rehabilitation patients? A pilot cohort study. 63rd Canadian Association of Physical Medicine and Rehabilitation Scientific meeting, Vancouver, May 20–23, 2015 [accepted].

Harris J, Sveistrup H, Glegg SMN, Colquhoun H, Finestone H, Miller P, DePaul V, Wishart L, Brien M. The reality of virtual reality in stroke rehabilitation. 91st Annual Conference of the American Congress of Rehabilitation Medicine, Toronto, Ont., October 7–11, 2014. Arch Phys Med Rehabil 2014;95(10):e17. Yachnin D, Finestone H, Jutai J. Toileting: a neglected topic in adult rehabilitation populations. A clinical review [poster]. 62nd Annual Scientific Meeting of the Canadian Association of Physical Medicine & Rehabilitation, St. John’s, Nfld., June 18–21, 2014. J Rehabil Med 2014;46:1065-1066.

Marshall, SC. Concussion/mild traumatic brain injury and persistent symptoms. See the Line: Maximizing Safety and Reducing Risk, Western University, London, Ontario, August 13, 2014.* Wallace B, Goubran R, Knoefel F, Marshall SC, Porter M. Data analytics – measuring habit variations to identify drivers. Carleton IBM Big Data Symposium 2014. * Award: Bronze Medal Conference Poster.

Dale, C., King, J., Katz, S., Amin, R., Nonoyama, M., McKim, D., Road, J., Rose, L. (2015). Mind


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the gap: Paediatric to adult health service transition experiences of young adults requiring domiciliary long-term mechanical ventilation (LTMV) and their family caregivers. Canadian Respiratory Conference (CRC), Ottawa, Canada; April 24, 2015 McKim, D. 24 Hour Non-invasive Ventilation. Respiratory Therapy Society of Ontario, Ottawa, Oct 2014.* McKim, D. Mouthpiece Ventilation in NMD. Canadian Respiratory Conference. Ottawa, April 2015.*

Quon D. Acquired Brain Injury Rehabilitation. BrainTalks medical student conference, University of Ottawa, Ottawa, Ontario. March 2015

Trudel, G. ‘Fat in the bone marrow - a marker of aging? International Society of Gravitational Physiology, Life in Space for Life on Earth, Aging in Space Symposium. Waterloo, Canada. 17 June 2014.*

Melkus G, Cron GO, Larson PE, Sheikh A, Cameron I, Louati H, Lapner P, Laneuville O, Ramsay T, Read T, Nie W and Trudel G. UTE T2* decay analysis of the rabbit supraspinatus tendon at 7T. Abstract 4026; ISMRM 2015, Toronto 3 June 2015. Yang C, Clarke A, Sohmer J. Rehabilitation for mild strokes: Establishment of a Fast Track Program. 63rd Canadian Association of Physical Medicine and Rehabilitation Scientific meeting, Vancouver, May 2015. Yang C. Is post stroke fatigue an independent factor in younger patients <60 years associated with return to driving? 63rd Canadian Association of Physical Medicine and Rehabilitation Scientific meeting, Vancouver, May 2015. Yang C. Post stroke Fatigue and Working. Physiatry Research Day, Ottawa, January 2015


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NON-PEER REVIEWED PRESENTATIONS (50) Blackmer J. End of life care: A rapidly evolving Canadian landscape. Presentation to the Palliative and End of Life Care National Network Meeting. Saint John, NB. June 2015.*

Blackmer J. End of life care: A rapidly evolving Canadian landscape. Presentation to the Sarnia Medical Society. Sarnia, Ontario. June 2015. *

Blackmer J. End of life care: A rapidly evolving Canadian landscape. Presentation and panel discussion at the University of Toronto. June 2015.*

Blackmer J. End of life care: A rapidly evolving Canadian landscape. Presentation to the Medico-legal society of Toronto. June 2015.*

Blackmer J. End of life care: A rapidly evolving Canadian landscape. Webinar presentation for Provincial Medical Association Board members from Eastern Canada. April 2015.

Blackmer J. End of life care: A rapidly evolving Canadian landscape. Webinar presentation for Provincial Medical Association Board members from Western Canada. April 2015.

Blackmer J. End of life care: An update for medical students. University of Ottawa undergraduate medical students’ bioethics special interest group. Ottawa, April 2015.*

Blackmer J. End of life care in Canada: An update on the political considerations. Canadian Medical Association Political Action Committee. Ottawa, April 2015.*

Blackmer J. End of life care in Canada: Technology meets ethics. Canadian Physician Health Leadership Conference. Vancouver, April 2015.* (presented twice)

Blackmer J. An update on assisted dying in Canada. University of Toronto Joint Centre for Bioethics. Toronto, April 2015.*

Blackmer J. End of life in Canada: An evolving landscape. Presentation to The Ottawa Hospital Community Advisory Committee. March 2015.*

Blackmer J. Introduction to medical ethics. Half day presentation to all PGY1 residents. University of Ottawa. March 2015.*

Blackmer J. Organ donation and transplantation: CMA’s policy perspective. Canadian Blood Services National Stakeholder meeting on Organ and Tissue Donation and Transplantation. Whistler, February 2015.*


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Blackmer J. Ethics: A Collaborative Approach. Rx&D Annual Meeting. Toronto, November 2014.* Blackmer J. Implementation of the Declaration of Helsinki in the Americas: Challenges and Successes. World Medical Association 50th Anniversary Symposium. Helsinki, Finland, November 2014.* Blackmer J. Care at the end of life: An evolving Canadian landscape. Ontario Long Term Care Physicians (OLTCP) and Long Term Care Medical Directors Association of Canada (LTCMDAC) annual meeting (Keynote lecture). Toronto, November 2014.* Blackmer J. Current issues in medical ethics in Canada. Lecture to first year medical students, University of Ottawa, October 2014.*

Blackmer J. Advocacy and ethics. World Medical Association annual scientific meeting. Durban, South Africa, October 2014.* Blackmer J. Quality of life and spinal cord injury: An ethical perspective. Keynote lecture. 11th Biennial South African Spinal Cord Injury Association Conference, Pretoria, South Africa, October 2014.* Blackmer J. Advance care planning for patients with spinal cord injury. 11th Biennial South African Spinal Cord Injury Association Conference, Pretoria, South Africa, October 2014.* Blackmer J. Advocacy: Ethical imperative or optional activity? 11th Biennial South African Spinal Cord Injury Association Conference, Pretoria, South Africa, October 2014.* Blackmer J. Ethics and SCI: An overview. 11th Biennial South African Spinal Cord Injury Association Conference, Pretoria, South Africa, October 2014.* Blackmer J. Post-trial access and the Declaration of Helsinki. Harvard Law School conference on post-trial access to treatment, Boston, September 2014.* Blackmer J. Introduction to medical ethics and professionalism. Half day course for all first year medical students, University of Ottawa, September 2014.* Blackmer J. End of life and the Canadian Medical Association. Canadian Medical Association General Council meeting, Ottawa, August 2014. Blackmer J. End of life care in Canada: An update. Academy of Medicine of Ottawa Town Hall, Ottawa, June 2014.*

Blackmer J. Ethical Obligations and Social Conscience. University of Dalhousie Office of International Affairs Grand Rounds, Halifax, January 2015.* N Dudek. Am I making a difference? Outcome measures in prosthetics & orthotics. Canadian Association for Prosthetics & Orthotics Conference, Halifax, NS, August 7, 2014.* N Dudek & MA Paquin. Amputation – What happens after surgery? Vascular Surgery Education Day – The Ottawa Hospital, Ottawa, ON, October 1, 2014* N Dudek. Feedback – how to say what you really mean without being mean. Internal Medicine Residency Program – University of Ottawa, Ottawa, ON, September 24, 2014*


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Finestone HM Chronic pain management and use of the Pain Explanation and Treatment Diagram. 10th Scientific Meeting of the Japanese Board-certificated Physiatrist Association, Tokyo; to be delivered November 28, 2015.

Finestone HM Driving and stroke. 10th Scientific Meeting of the Japanese Board-certificated Physiatrist Association, Tokyo; to be delivered November 28, 2015.

Finestone HM Use of virtual reality exercise therapy in stroke rehabilitation. Showa University, Tokyo; to be delivered November 27, 2015.

Finestone HM Chronic pain assessment and management: teaching our patients to be their own “pain detectives.” Section on Physical Medicine and Rehabilitation, Ontario Medical Association 2015 Annual General Meeting and Scientific Session, Toronto, Ont., May 1, 2015.

Finestone HM Driving after stroke: How to integrate science, law and the art of reporting. Heart and Stroke Foundation and Ontario Stroke Network Stroke Collaborative 2014: Connecting Experiences, Achieving Best Practices, Toronto, Ont., October 27, 2014.

Finestone HM Virtual reality technology in stroke rehabilitation: ready for prime time, Ontario Hospital Association Third Annual Senior Friendly Hospital Care Conference, Toronto, Ont., June 12, 2014.

Finestone HM Chronic pain assessment and management: teaching family medicine patients to be their own “pain detectives.” Bruyère Academic Family Health Team, Élisabeth Bruyère Hospital, Ottawa, Ont., April 8, 2015.

Finestone HM Health care communication, Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont., November 24, 2014.

Finestone HM Virtual reality exercise improves postural sway in rehabilitating stroke inpatients [poster presentation], Interprofessional Stroke Education Day, “Together We Make a Difference: Smooth Transitions,” Champlain Regional Stroke Network, Ottawa, Ont., September 25, 2014. Awarded Scientific Poster Participants’ Choice Award.

Finestone HM Toileting: a neglected topic in adult rehabilitation populations. A clinical review [poster presentation], 62nd Annual Scientific Meeting of the Canadian Association of Physical Medicine & Rehabilitation, St. John’s, Nfld., June 18–21, 2014.

Finestone HM Invited workshop presenter, Heart and Stroke Foundation and Ontario Stroke Network Stroke Collaborative 2014: Connecting Experiences: Achieving Best Practices. Topic: Driving after stroke: how to integrate science, law and the art of reporting. Toronto, Ont., October 27, 2014.

Wolff, G. Brachial Plexopathies: Diagnosis and management. Neurology Academic Half Day Presentation. Ottawa, ON. February 2015.

Wolff, G. Nerve Transfers to Restore Upper Extremity Function in Tetraplegics. Neurology Neuromuscular Rounds. Ottawa, ON. February 2015

Wolff, G. Critical Illness Neuromyopathy. Neurology Neuromuscular Rounds. Ottawa, ON. November 2014. Yang C. Stroke rehabilitation and governance in the Canadian health care system. Keynote speaker. First Rehabilitation Forum, Shanxi Medical University, Taiyuan, China, August 2014. Yang C. Multidisciplinary management of spasticity post stroke. Workshop, First Rehabilitation Forum, Shanxi Medical University, Taiyuan, China, August 2014.


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Yang C. Ontario Stroke Network Improving & Driving Excellence Across Sectors, Stroke Quality Based Procedure Implementation project, “Reducing Stroke Door-to-Transfer Times: The Ottawa Hospital and Bruyère Continuing Care”. Ontario Stroke Network Forum, Toronto. Ontario, January 2015. Yang C. A pilot project on Triaging and Acceptance of Stroke Referrals to a High Intensity Rehabilitation Program: The experience from the Champlain Regional Stroke Network. South East Local Health Integration Network, Kingston, Ontario, March 2015. Yang C. Champlain Stroke Network Rehabilitation System: Development and implementation. Rehabilitation Education Day, Champlain Regional Stroke Network, Ottawa, February 4, 2015. Yang C. Management of high tone post stroke. Interprofessional Stroke Education Day, Champlain Regional Stroke Network, Ottawa, September 25, 2014.

annual report july 2010 – june 2011 - faculty of medicine · division of physical medicine &...

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