GP045: Physiotherapy Beyond the Biopsychosocial Model with Karime Mescouto

The biopsychosocial model has been touted as an effective approach towards addressing physiotherapy-related health conditions for its ability to guide clinicians to think beyond biomedical factors. The shift to integrate subjective experiences, psychological and social aspects to understand a patient’s lived experiences is a step forward beyond purely patho-anatomical explanations of pain and disability. However, this model is not immune to critique and challenges.

Today, our guest is Karime Mescouto (she/her/ela/dela), a Brazilian physiotherapist and a Postdoctoral researcher at RECOVER at The University of Queensland, Australia. Her research examines the assumptions and the application of the biopsychosocial model within clinical settings. Furthermore, drawing on social theories, she aims to provide insight on how power structures, cultural and sociopolitical dimensions intersect with clinical care. She argues a clinical approach that integrates ethical multiplicity and critical reflexivity can help account for the interconnectedness between bodies, objects and the environment towards more equitable and just practices.

Her doctoral research examines how to enhance low back pain healthcare delivery by critically looking at the biopsychosocial model of health. She uses a variety of critical qualitative methodologies and collaborated with clinicians and people with lived experience of back pain to explore the social, cultural and interpersonal aspects of clinical and research practices.

Resources:
– Karime’s Thesis: “Enhancing low back pain care: thinking and practising critically beyond the biopsychosocial model” available at: https://espace.library.uq.edu.au/view/UQ:fb040ca
– Karime’s Twitter: @KarimeMescouto

GP044: Mindfulness and Environmental Justice with Elizabeth Houlding & Susan Czyzo

Environmental physiotherapy is an emerging practice area. There are physiotherapists all over the world calling for more sustainable physiotherapy practices. Moreover, there is a growing consciousness within physiotherapy globally around the environmental injustices experienced by equity deserving groups. A lot of people, including physiotherapists, may experience stagnation when confronted by the enormity of the climate crisis. This is where mindfulness comes in. Mindfulness can help us process and move through difficult emotions and engage in environmental justice. Today’s guests will help us journey deeper into mindfulness and environmental justice.

Susan Czyzo (she/her) is a Canadian physiotherapist, Pilates instructor and mindfulness teacher.  She is passionate about helping adults live life actively and mindfully, so that they can find ease in mind and body, and live meaningful lives. Susan is currently living in Toronto, on the traditional territory of many nations, including the Mississaugas of the Credit, the Anishnabeg, the Chippewa, the Haudenosaunee and the Wendat peoples and is now home to many diverse First Nations, Inuit and Métis peoples. Outside of her virtual and private practice work, Susan loves getting outdoors to hike, paddleboard, surf and run.

Elizabeth Houlding is a physiotherapy resident who graduated from the University of Toronto in 2022 and is now working in school-based pediatric rehabilitation. During her masters degree, Elizabeth co-created and chaired Justice Rehab, a student group whose purpose is to increase awareness and action around systems of oppression in rehabilitation. Her masters thesis investigated creating transformational change to make physiotherapy clinics Queer and Trans inclusive. In her free time, Elizabeth enjoys biking, rollerskating, and climate and labour organizing.

Resources:

– Elizabeth Houlding: https://www.linkedin.com/in/elizabeth-houlding-8908b2111
– Elizabeth Houlding Twitter: https://twitter.com/lizhoulding?lang=en
– Justice Rehab: https://www.instagram.com/justice.rehab/
– Susan Czyzo: https://ca.linkedin.com/in/susan-czyzo
– Susan Czyzo Instagram: https://www.instagram.com/groundedphysiotherapy/?hl=en
– Grounded Physiotherapy (Susan’s website): https://groundedphysiotherapy.ca/
– Grounded Course: https://www.instagram.com/p/CdguyAgOMTj/
– The Environment and Canadian Physiotherapists: https://embodiaapp.com/courses/1300-the-environment-and-canadian-physiotherapists-canadian-physiotherapy-association-global-health-division
– Accreditation Standards for Canadian Entry-to-Practice Physiotherapy Education Programs: https://peac-aepc.ca/pdfs/Accreditation/Accreditation%20Standards/Accreditation-Standards-for-Canadian-Entry-to-Practice-Physiotherapy-Education-Programs-(2020).pdf
– Competency Profile or Physiotherapists in Canada: https://peac-aepc.ca/pdfs/Resources/Competency%20Profiles/Competency%20Profile%20for%20PTs%202017%20EN.pdf
– Environmental Physiotherapy Association: http://environmentalphysio.com/
– Critical Physiotherapy Network (CPN) Herald: https://criticalphysio.net/
– 350 Toronto: https://350.org/
– Climate Justice Toronto: https://climatejusticeto.com/
– Decent Work and Health Network: https://www.decentworkandhealth.org/
– Justice for Workers: https://www.facebook.com/fairwagesnow
– Spring Magazine: https://www.facebook.com/springmagca
– Migrant Rights Network: https://www.instagram.com/migrantrightsca/?hl=en
– Canadian Association of Physicians for the Environment: https://cape.ca/
– Global Health Division: https://physiotherapy.ca/divisions/global-health/
– Global Considerations of Disability for Rehabilitation Providers (May 23-25 2023): https://www.mcgill.ca/summerinstitute-globalhealth/courses/institute-global-health-rehabilitation/global-considerations-disability-rehabilitation-providers

Contact Us:

– Website: globalphysio.ca
– E-mail: globalphysiopodcast@gmail.com
– Instagram: https://www.instagram.com/globalphysiopodcast/
– Facebook: https://www.facebook.com/globalphysiopodcast
– Twitter: https://twitter.com/globalptpodcast

GP043: Defining Global Health with Derek Lai & Allana Beavis

Global health is really difficult to pin down definitionally. Perhaps an even more important question than “what is global health” would be: “what are the core values of global health?” In today’s episode, Derek Lai and Allana Beavis will share their understanding of the values that underpin this field. Additionally, they will discuss their experiences completing Master-level Global Health programs and how that has influenced their careers as physiotherapists.

Resources:

– Salm M, Ali M, Minihane M, Conrad P. Defining global health: findings from a systematic review and thematic analysis of the literature. BMJ Glob Health. 2021 Jun;6(6):e005292. https://gh.bmj.com/content/6/6/e005292

– Gichane MW, Wallace DD. Dismantling and reimagining global health education. Glob Health Action. 2022 Dec 31;15(1):2131967. https://www.tandfonline.com/doi/full/10.1080/16549716.2022.2131967

– Abimbola S, Pai M. Will global health survive its own decolonisation? The Lancet, 2020 Nov. https://doi.org/10.1016/S0140-6736(20)32417-X

– PaRx (A Prescription for Nature): https://www.parkprescriptions.ca/

– Canadian Conference on Global Health: https://cagh-acsm.org/en/2023-canadian-conference-global-health

– Shaun Cleaver In Beta: #20: Decolonising physiotherapy education: http://inbetaphysio.com/2020/09/13/20-decolonising-physiotherapy-education-unconference-2020/

– Books by Dr. Paul Farmer: https://www.pih.org/article/top-10-books-written-by-dr.-paul-farmer

– Inflamed by Rupa Marya and Raj Patel: https://blogs.bmj.com/medical-humanities/2021/09/28/inflamed-deep-medicine-and-the-anatomy-of-injustice-2/

– Global Health Division: https://physiotherapy.ca/divisions/global-health/

Contact Us:

– Website: globalphysio.ca

– E-mail: globalphysiopodcast@gmail.com

– Instagram: https://www.instagram.com/globalphysiopodcast/

– Facebook: https://www.facebook.com/globalphysiopodcast

– Twitter: https://twitter.com/globalptpodcast

GP042: The Physiotherapy Paradox with Dr. Dave Nicholls (Part 2)

This episode is part 2 of a two-part series where we discuss how our profession’s lack of engagement with social theory has resulted in physiotherapy having some massive blindspots regarding who we are, what we do and what our future holds.

Our guest is Dr. Dave Nicholls, a Professor of Critical Physiotherapy in the School of Clinical Sciences at Auckland University of Technology in Aotearoa/New Zealand. Dave has authored two books: “The End of Physiotherapy” (2017, Routledge) and “Physiotherapy Otherwise” (2022, Tuwhera Open Access). He founded the Critical Physiotherapy Network and the International Physiotherapy History Association, and more recently ParaDoxa, which is a site for people interested in studying the many ‘posts’ now disrupting orthodox healthcare. Dave is an Executive Member of the Environmental Physiotherapy Association and will be the 2024 Conference Chair for the “In Sickness & In Health” Conference.

Resources:

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GP041: The Physiotherapy Paradox with Dr. Dave Nicholls (Part 1)

This episode is part 1 of a two-part series where we discuss how our profession’s lack of engagement with social theory has resulted in physiotherapy having some massive blindspots regarding who we are, what we do and what our future holds.

Our guest is Dr. Dave Nicholls, a Professor of Critical Physiotherapy in the School of Clinical Sciences at Auckland University of Technology in Aotearoa/New Zealand. Dave has authored two books: “The End of Physiotherapy” (2017, Routledge) and “Physiotherapy Otherwise” (2022, Tuwhera Open Access). He founded the Critical Physiotherapy Network and the International Physiotherapy History Association, and more recently ParaDoxa, which is a site for people interested in studying the many ‘posts’ now disrupting orthodox healthcare. Dave is an Executive Member of the Environmental Physiotherapy Association and will be the 2024 Conference Chair for the “In Sickness & In Health” Conference.

Resources:

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GP040: Global Physio Podcast Relaunch with Krysta Norwick

Welcome to the Global Physio Podcast! This episode features an introduction to the podcast and new host (Allana Beavis), as well as an interview with the former host and creator (Krysta Norwick).

We hope you enjoy the podcast!

In this episode we talk about:

    • What the mission of the Global Physio Podcast is
    • What’s in store for the Global Physio Podcast audience
    • What inspired Krysta to create the Global Physio Podcast
    • What Krysta is working on now

Resources:

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GP039: Telehealth with Krysta Wark and Phil Sheppard

The regular host of the podcast, Krysta, is the guest on this episode. Listen to her explain how she thinks Telehealth will be used in physiotherapy practice going forward AND how our more virtual world will impact global health work in general. Phil Sheppard is our guest host for this episode and he shares some insights from his perspectives as a global health professional. We hope you enjoy!

Contact us: globalphysiopodcast@gmail.com
Website: globalphysio.ca
GHD: https://physiotherapy.ca/divisions/global-health-division
Facebook: @globalptpodcast

COVID-19 UPDATE 5: Considerations for re-opening with Phil Sheppard and Dr. Mike Landry

With whisperings of some communities, provinces and states in North America re-opening certain services, we thought it was timely to discuss what this might look like. We hear insights from both Mike and Phil regarding what we should consider as health care professionals when transitioning back to in-person care. What will our new business models look like? What should we be mindful of?

Contact me: globalphysiopodcast@gmail.com
Follow me on Instagram: @krystawark
Follow us on Facebook: @globalphysiopodcast

GP038: Global Health from Home with Emily Eglitis

In response to a need for wheelchairs identified by a physiotherapy school in Nepal, Emily initiated a project to help them acquire more wheelchairs. She elicited the help of physiotherapists at an Australian physiotherapy school near her and they are currently in the needs analysis stage of the project. Emily has found a creative way to participate in global health work while still being able to stay at home and be with her family. Not only is she helping address a lack of resources in Nepal, but she is also spreading global health knowledge through her work with physiotherapy students. I loved discussing this project with her and it got my mind buzzing with ideas for my own projects. I hope it does the same for you!

Emily’s blog: https://emilyeglitis.com.au/blog/
Krysta’s e-mail: globalphysiopodcast@gmail.com
Global Health Division website: https://physiotherapy.ca/divisions/global-health-division

COVID-19 UPDATE 4: with Phil Sheppard and Mike Landry

Phil and Mike are back for another COVID-19 Update. We discuss current status of the COVID-19 pandemic, where some countries are at in terms of their response, how we can be better advocates for our role as physiotherapists, what research is being produced, and more! You don’t want to miss this excellent update!

Contact Krysta: globalphysiopodcast@gmail.com
Follow Krysta on Instagram: @krystawark
Follow us on Facebook: @globalphysiopodcast