Sunday 8th June 2003

09:00 – 10:00 Key Presenter
Steven Lewis (Canada)

Title: Globalisation – What Does It Mean For Health?
Venue: Palau de Congressos, Hall 5, Room 7
Chair: Sandra Mercer Moore (Australia), President WCPT

Steven Lewis is a Canadian health policy consultant who is well known internationally for his critical thinking on complex health system issues. He has worked in the area of evidence based practice including projects on evaluation of clinical practice guidelines to the study of the impact of closure of rural hospitals on population health. His link to physical therapy issues in the world comes not only from his career in health policy but his participation at national and international conferences and committee work with a wide range of health organizations. As can be seen from the title of one of his recent publications "Dancing with the porcupines: rules for governing the university-industry relationship", Steven tackles tough issues that are facing health researchers, professionals, and administrators. Always entertaining, provocative and insightful, Steven challenges health professionals to think beyond discipline specific scope of practices as they work towards enhancing the health of society. He will draw on his extensive expertise and experience to provide an insight into considerations for the future direction of physical therapy.

09:00 – 10:30 Focused Symposium
Balance and Falls

Venue: Fira Palace Hotel, Verdi
Chair: Pertti Era (Finland)
Contributors: Katherine Berg (Canada): Fall prevention among the elderly – state of art and needs for further research
Jorunn Helbostad (Norway): Effects of home exercises and group exercises on functional abilities in frail community-dwelling elderly: a randomised study
Sanna Sihvonen (Finland): Effects of individualised visual feedback based training on postural balance and fall incidence in frail elderly women: A randomized controlled trial

Description: The symposium gives a short, up-dated overview of the current understanding about the risk factors for fall accidents among elderly subjects and possibilities for prevention. It is supplemented by presentations analysing the effectiveness / efficacy of two approaches in improving / training of balance: group exercise training programmes and individualised biofeedback balance training in two populations: community-dwelling frail elderly subjects and in frail elderly subjects living in institutional care.

15:00 – 16:00 Discussion Panel
Evidence Based Practice – Is it a Panacea for all Ills?

Venue: Fira Palace Hotel, Verdi
Chair: Antonio Lopes (Portugal)
Panellists: Rob Herbert (Australia), Kari Bø (Norway), Steven Lewis (Canada), Joyce Mothabeng (South Africa)
Moderator: Tracy Bury (UK)

15:00 – 16:20 Focused Symposium
The Biopsychosocial Approach to Spinal Pain: What does it Really Mean?

Venue: Palau de Congressos, Hall 5, Room 7
Chair: Gwendolen Jull (Australia)
Contributors: Paul Hodges (Australia): "BIO" Progress in the motor control of spinal stability
Lorimer Moseley (Australia): "PSYCHO" psychophysiology of pain and motor control
Michele Sterling (Australia): "What does it really mean?" Lessons from a longitudinal study of whiplash
Paul Watson (UK): "Social" Psychological factors as intervening variables between Society and pain related disability
Description: A biopsychosocial model of spinal pain has been popularised in the last decade to reflect the multi-dimensions of spinal pain and to guide treatment approaches. Although widely accepted, what does it 'really' mean? This symposium presents research in the 'bio', 'psycho' and 'social' fields of back pain and whiplash being undertaken by four leading physiotherapy researchers to explore the elements of the model and how they may inter-relate.

Monday 9th June 2003

11:30 – 12:30 Discussion Panel
Ethics of Humanitarian Response: What, if any, are the Physiotherapist's Ethical Limits of Professional Duty in Extreme Circumstances?

Venue: Palau de Congressos, Hall 5, Room 5
Chair: Ruth Purtilo (USA)
Panellists: Mary Faure (South Africa), Josepha Danziger (Israel), Christina Bohm (Australia), Daulat Dastoor (India)
Moderator: Elizabeth Ellis (Australia)

15:00-16:00 Key Presenter
Tevfik Bedirhan Üstün (WHO, Switzerland)

Title: ICF: A New Paradigm for Physical Therapy
Venue: Palau de Congressos, Hall 5, Room 7
Chair: Liz Harrison (Canada), Member International Scientific Committee

Tevfik Bedirhan Üstün is the Coordinator of the Classification Assessment Surveys and Terminology Team in the Global Programme on Evidence /EIP in the World Health Organization. He has worked in the WHO since 1990 first in Mental Health, then in Evidence Cluster. As an international health officer, Dr Bedirhan has formed multiple international networks on Classification and Assessment of Health and Disability; Mental Health Epidemiology, and Primary Care applications. He is currently the Team Coordinator for the Classification Assessment Surveys and Terminology in the Global Programme on Evidence. He is responsible for the WHO's Family of International Classifications (ICD, ICF and other health classifications); development of health assessment strategies and WHO's World Health Surveys. His many publications in psychiatry, primary care, and health assessment can be found in English as well as some in Turkish, French, Spanish and Italian. He will provide the rationale for the review of the International Classification of Function (ICF) and the implications of this classification for health professionals, research and policy.

15:00 – 16:00 Discussion Panel – WCPT and WHO
Community Based Rehabilitation – A Fashion or Our Future?

Venue: Fira Palace Hotel, Verdi
Chair: Dorcas Madzivire (Zimbabwe)
Panellists: Gubela Mji (South Africa), Eva Sandborg (WHO – Switzerland), Lorenzo Carraro (Italy), Barbara Gibson (Canada), Mary Martin (Nepal)
Moderator: Elizabeth Carrington (UK)

Tuesday 10th June 2003

11:30-12:30 Key Presenter
Ann-Marit Sæbønes (Norway)

Title: A Disabling Society: The Role of Physiotherapists in Strengthening the Human Rights for People with Disabilities
Venue: Fira Palace Hotel, Verdi
Chair: Brenda Myers (UK), Secretary General WCPT

Ann-Marit Sæbønes worked in Norway and Kenya as a physical therapist from 1968 to 1979 while she was also training as a sociologist. Her extensive political background and leadership roles have also been carried out locally and internationally. From 1992 to 1995 she was mayor of the City Council of Oslo where she continues to be a member and leader of the Labour Party for the City Council. Improving the situation for individuals with disabilities has been a life long commitment involving activities such as: Secretary General in the Norwegian Federation of Organizations of Disabled People, Chair of the Norwegian State Council on Disability and chair or participant on a number of expert-meetings on disability in the United Nations and World Health Organization. Ann-Marit has a long history of work in the areas of political organisation and democracy, as well as human rights issues, especially for people with disability.

11:30 – 13:00 Focused Symposium
Motor Learning

Venue: Palau de Congressos, Hall 5, Room 7
Chair: Roberta Shepherd (Australia)
Contributors: Gabriele Wulf (USA ): Attentional focus and motor skill learning
Nancy McNevin (USA): Benefits of dyad training and self control in physical rehabilitation
Paulette van Vliet (UK): Effect of contextual information on performance of reach to grasp
Description: Effective performance of an action, that is, achieving a specific goal or intention, requires motor skill. This applies to everyday actions such as walking and standing up from a seat, as well as to recreational, sporting or work-related actions. Skill in motor performance is therefore a major aim of movement rehabilitation, whatever the individual's disability. The gaining of skill is a manifestation of the process called motor learning and depends on the active participation of the learner. For several decades, scientists have investigated this process, usually by measuring some aspect of behaviour, such as motor performance. More recently, brain imaging techniques have shown patterns of brain reorganisation that may be reflective of the complex but hidden process of motor learning.

The speakers, a physiotherapist and two motor behaviourists, all of whom are involved in scholarly work in conjunction with clinical practice, will focus on some recent research evidence related to motor learning. The studies outlined are of such factors as the learner's attentional focus and perceived locus of control, the effects of training with another learner and in groups, and the goal-dependence of movement organisation during performance of voluntary actions.

Wednesday 11th June 2003

11:30 – 12:50 Focused Symposium
Qualitative Research

Venue: Palau de Congressos, Hall 5, Room 7
Chair: Barbara Richardson (UK)
Contributors: Gail Jensen (USA): Scanning the landscape: the future of qualitative research in physiotherapy
Susan Madden (UK): Fibromyalgia syndrome: a qualitative study of the diagnostic process and daily life
Susanne Heiwe (Sweden): Living with chronic renal failure: patients' experiences of their physical and functional capacity
Ian Edwards (Australia): Clinical reasoning in three different fields of physiotherapy: a qualitative case study
Description: Qualitative research is increasingly used to explore issues of health in client-focussed approaches to acute, community, primary care and health promotion. For a profession such as physiotherapy, which has traditionally embraced a positivist ethos it is timely to review the benefits of using naturalistic interpretative research methods to investigate the patient perspective and develop the theory and practice of physiotherapy.

15:00 – 16:00 Discussion Panel
Is the Globalisation of Education Necessarily a Good Thing?

Venue: Fira Palace Hotel, Verdi
Chair: Nancy Farina (USA)
Panellists: Ramón Fernández Cervantes (Spain), Saleh Oraibi (Jordan), Alice Jones (Hong Kong), Carina Eksteen (South Africa)
Moderator: Lesley Dawson (UK)

Thursday 12th June 2003

09:00-10:00 Discussion Panel
Are Environmental Influences after Brain Injury more Important than Therapy?

Venue: Fira Palace Hotel, Verdi
Chair: Gert Kwakkel (The Netherlands)
Panellists: Francine Malouin (Canada), Hilde Feys (Belgium), Birgitta Langhammer (Norway), Luci Fuscaldi Teixeira-Salmela (Brazil)
Moderator: Louise Ada (Australia)

09:00 – 11:00 Focused Symposium
Pain

Venue: Palau de Congressos, Hall 5, Room 7
Chair: Margareta Nordin (USA)
Contributors: Ann Barr (USA): Evidence of painful conditions of musculoskeletal and neurological tissues in highly repetitive movements of the upper limb
Marco Campello (USA): Applying the biopsychosocial model of low back pain to the practice of physical therapy
Christine Cedraschi (Switzerland): Cultural influences on pain
Description: Pain as a symptom can be caused and influenced by several factors. This symposium presents three models of pain particularly interesting for physical therapists and the treatment of patients' with musculoskeletal painful conditions. The models intend to present new findings related to causation and/or influence on pain, pain perception and pain behaviour. The three models are a cumulative trauma model, the bio-psycho social model and cultural models and influence on pain. Following the presentations there is a discussion focusing on the models and their use in physical therapy, interaction of the models, the evidence and application in clinical care.