Is the Cochlear Implant a Cure or a Cultural Cleansing?

The market of assistive technologies has expanded dramatically in recent years. More and more researchers, engineers, and rehabilitation experts collaborate to build technologies that help enable people with disabilities. However, when we look at the statistics, 70% of all assistive technologies are not being used at all, or being used for a very short time. Why is that? Would disabled people not want to use devices that supposedly help them to overcome their disabilities? The answer to these questions is more complex than one might think, as the case of the ongoing debate over the use of cochlear implant demonstrates.

The Controversy

The cochlear implant is a small electronic device that is surgically implanted into the skull and inner ear,  substituting for the damaged parts of the inner ear, with an external piece worn behind the ear. In contrast to hearing aids that amplify sounds in the environment, the cochlear implant functions as an integral part of the inner ear, by sending signals to the brain (see picture).

For the enabled person, it is easy to see the advantages of a cochlear implant. This device can help deaf people to communicate with others, which eventually may lead to a better and easier integration into society. However, many people in the deaf community reject this product for several reasons. First, the Deaf community believes that there is nothing wrong with being deaf, so we should not try to “fix something that isn’t broken.” Second, some deaf people consider their hearing disability to be an integral and important part of their identity, so taking away their deafness will take away an important part of who they are. Third, some deaf people see themselves as a subculture in society, with their own language (sign language), and set of beliefs and values. Many people in the deaf community believe that implementing the device, especially in the younger generation, will eventually cause their unique culture to disappear, as young people will not learn or use sign language as a means of communication. Watch and learn more about the different sides of the Cochlear Implant Debate.

What I have learned

When I first heard about the cochlear implant, I thought that it was a great idea and that every deaf person would love to have this device, but I was wrong. (more…)

Giving a Voice to Children Who Don’t Have One

What follows is Vi Ma’s perspective about the 8th Edition of the Edith Aston-McCrimmon Lecture Series 2017 with guest speaker Dr. Tom Chau, PhD, PEng

As a future health care professional, I often think to myself,  How will I help patients as best as possible?  It never occurred to me that our contribution as physiotherapists can be more than simply providing one-on-one or hands-on assessment, education and treatment. I have recently learned that we can go further, and help, by working with other disciplines such as engineering. Together, we can create assistive devices to meet the needs of the patients we treat.

I first learned of our greater role with disability through technology when Dr. Stefanie Blain-Moraes presented the topic in one of my undergraduate classes. She spoke of the rewards and barriers of working on assistive devices. I was captivated by how she spoke of challenging our perception of disability and encouraging us to think outside the box. I was hooked. In our classes, we got to design our own assistive design in collaboration with a client.

Vi Ma, Physical Therapy Student, and Dr. Tom Chau, PEng Edith Aston-McCrimmon Lecture 2017

This year, Dr. Tom Chau was the School’s Edith Aston-McCrimmon Lecturer. He presented his innovative research on designing devices for children who are unable to communicate in conventional ways. The children, trapped in their bodies have no means of expressing themselves. Needless to say this affects their socialization and overall development.

Dr. Chau’s team has developed many communication devices that detect muscle activation, brain activity or vibrations of the vocal cords. His presentation incorporated clips of children overjoyed when they communicated for the first time with these devices and of the parents’ emotional response. I was deeply moved and may or may not have had tears at the corner of my eyes. I hope to have such an impact on my future patients and their families.

One of the main challenges that Dr. Chau underlines while designing technology is the wide range of the children’s diseases and conditions. With so many individual situations, each with their own unique conditions and experiences, no one device can solve all problems; there is always room to imagine and create new devices.

So, what can we do going forward? (more…)

Keeping up with Anthony Teoli at Infophysiotherapy.com

I graduated from McGill University with a Professional Master’s in Physical Therapy in October 2016. I now work at a private clinic in Montreal and recently developed InfoPhysiotherapy.com, a free information resource for both patients and health professionals. All the content on this website is written by myself. Physiotherapy is an evidence-based profession, and knowledge translation is a crucial part of the advancement of the physiotherapy profession. It is something I have always been keen on.

Read recently posted article “What Is Patellofemoral Pain Syndrome & How Do I Manage It?”

Google allows patients to have access to all the information they could possibly want. However, it may not always be the “right” information. I wanted to provide them with legitimate and valid information that can be backed up by the scientific literature.

The mission of InfoPhysiotherapy.com is to promote evidence-based practice among health care professionals, and to inform the general population regarding injury prevention and management, exercise prescription and healthy living. As well, physiotherapists and patients can discuss any evidence I have presented, or even suggest a topic they would like to know more about. The website also features an online library with the latest publications from the scientific literature.

Infophysiotherapy.com has greatly evolved since it was launched last December. It now features 25 articles covering a large variety of topics and content is added weekly.  In March alone, the website has already received more than 6500 views!

Anthony Teoli, PT

My next step would be to begin collaborating with other physiotherapists, particularly those who specialize in different fields such as pelvic floor or paediatrics, among others. InfoPhysiotherapy.com is continuously in expansion. I look forward to what the future has to offer and please do not hesitate to get in touch with me if you are interested in helping me make a difference!

Anthony Teoli, MScPT

Website link : infophysiotherapy.com

 

Influence of Exercise on Patients with Guillain-Barré Syndrome: A Systematic Review

Two of the group members: N. Simatos Arsenault and P-O. Vincent. Photo: S.C. Marshall

Sometimes, a school assignment can become more than just an assignment.

While in our physiotherapy (PHTH 440) course, our group completed a literature review on the effects of exercise on patients with Guillain-Barré Syndrome as a class assignment.

Our professor, Dr. Marc Roig encouraged us to expand our horizons and attempt to have the assignment become a published article. After about a year and a half of constructive peer reviews from journal editors and having made various modifications, our article was finally published!

Our continued efforts throughout the entire writing and reviewing process paid off and we feel honored to now view our endeavor next to the work of distinguished writers, including some of our current and past professors.

We all appreciate that the SPOT faculty encourages its students to grow beyond conventional paths through diverse opportunities that enable the development of better clinicians.

We have learned a lot through this experience and  hope to continue to develop and grow our professional networks through such opportunities.

In September 2016, we received our final confirmation that our article would be published as part of Volume 68 Issue 4 of the Physiotherapy Canada journal. We were proud and thrilled to hear the news! Read the article here.

Our team,

Pierre-Olivier Vincent, Nicholas Simatos Arsenault, Bai He Shen Yu, Robin Bastien, Aaron Sweeney, and Sylvia Zhu
SPOT Physiotherapy Students

Link to article: https://www.ncbi.nlm.nih.gov/pubmed/27904236

 

New Global Health Coordinator at McGill SPOT

AnikGHRIblogAnik Goulet, PT

My journey to the School of Physical & Occupational Therapy (SPOT) has not been a simple one but one that I’d like to share with you.

My story starts with the University of Ottawa, where I graduated with a BSc in Physiotherapy- was yet to be a Masters at that point!.  I returned to work in my hometown of Hamilton, Ontario, where I grounded my clinical skills working with an adult population in acute care hospitals, home care and a private clinic. Having enjoyed being a clinical preceptor for over 5 years, I chose to  return to school and complete a Master’s in Education at the University of Ottawa.

It was on January 10th, 2010, while I was teaching at la Cite Collegiale, that I was very emotionally affected by my Haitian students who were devastated  by an earthquake that was happening in their native country. That was the day I told myself that if I could do something to help, I would. And, I did. (more…)

Keeping up with Olivier at myphysiothinks

After graduating from McGill University in 2013 with a master’s in physical therapy, Olivier continued to improve and broaden his practice skills by taking several continuing education courses. As a recent graduate, he quickly became aware of the dilemma some newly graduated therapists have when it comes to choosing their continuing education. This led him to create a blog summarizing his thought processes and giving his personal opinion on each continuing education opportunity he has completed. His goal was to help other therapists better their own skills and treatment approaches through an evidence-based approach to physiotherapy.

Physiotherapist, Olivier Lam

Olivier Lam, PT

His most popular blogpost, explaining in simple terms why some pain can be persistent and what can be done to manage it has been translated into  French and Danish by several therapists around the world and reached about 15 000 people across the globe. Read the pain post here.

Today, Olivier is working part time at a clinic in Montreal  and part time private practice while pursuing a master’s in research in health sciences with direct access to a PhD program in research at the University of Sherbrooke. His research at the Universiy of Sherbrooke focuses on neck pain (acute and chronic) and he continues to be involved in research on the efficacy of the McKenzie approach to treat low back pain at McGill University.

To read more about Olivier and his experiences, visit his blog, myphysiothinks, here.

More than a Master’s Group Project in Haiti

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Evans Juste, Physiotherapist

As part of the School’s Global Health Initiative, physiotherapy Master’s student, Evans Juste recently had the opportunity to represent his Master’s Group Project in Haiti, which also included the unique opportunity to visit his parents’ home country. “We found that the future needs would be to advocate to stakeholders and increase available opportunities to those graduating from these programs that are realistic to meet the needs in a third world country” explains Evans.  On a personal level, “It was a true cultural experience for me that I really appreciated, to hear stories from my grandparents, to be welcomed by the people, and to see and experience the country and culture that I had only imagined when I was younger, this was an opportunity for which I am grateful for on both a personal and professional level.”

The project examined professional practice contexts of graduates from three rehabilitation technician programs in Haiti, and explored the graduates’ work profiles and perceptions regarding their readiness to work, difficulties encountered at work, and their vision for professional development. The group produced an informal observation report on the rehabilitation technician program and overall job satisfaction as well as two policy briefs for physiotherapy rehabilitation in patients affected by stroke and traumatic brain injury in this population.

This project was funded by the McBurney Advanced Training Program, through the McGill Institute for Health and Social Policy.

Evans Juste has graduated and is now working at Action Sport, Physio Rivière-des-Prairies!

(more…)

Blog authors are solely responsible for the content of the blogs listed in the directory. Neither the content of these blogs, nor the links to other web sites, are screened, approved, reviewed or endorsed by McGill University. The text and other material on these blogs are the opinion of the specific author and are not statements of advice, opinion, or information of McGill.