Occupational Health Physiotherapy (OHP) Practice: A Comparison between Japan and Australia.

OBJECTIVE: This study aimed to adapt a pre-existing cross-country comparison (CCC) model to Occupational Health Physiotherapy (OHP) practice as a basis for locating and examining contextual factors that may influence OHP practice in Japan and Australia. METHOD: A secondary analysis was conducted of existing publicly-available data on OHP and related influential factors, following the five components of the CCC model: work-related legislation; labor market characteristics; culture; physiotherapy practice norms; and organization of OHP practice. RESULTS: Legislation in both countries promotes safe work and rehabilitation of work injured/ill workers. 2019 unemployment was lower in Japan with higher employment protection than Australia. Both countries have an ageing workforce and rising retirement age. Cultural differences relate to higher long-term orientation and uncertainty avoidance in Japan. Australia has higher individualism and physiotherapists are autonomous practitioners with direct access, which differs from Japan. Both countries have a national OHP subgroup, to date only Australia has OHP professional practice standards. DISCUSSION: This study is the first to compare OHP practice in Japan and Australia. Contextual similarities and differences observed may underpin OHP practitioner role and its enhancement in work-related musculoskeletal disorder prevention and management strategies, the return-to-work process, and development of this physiotherapy discipline nationally. CONCLUSION: Adapting the CCC model to OHP practice enabled a structured exploration of resources and data, from which to extract and compare contextual factors that may shape OHP practice in Japan and Australia. This in turn may provide a useful springboard for further discussion about OHP practice internationally.

Motor Learning in the Community-dwelling Elderly during Nordic Backward Walking.

[PURPOSE] THE AIMS OF THIS STUDY WERE: 1) to confirm the motion learning process of Nordic backward walking (NBW) in older adult community-dwelling volunteers and, 2) to check the change in psychological condition resulting from NBW. This study examined whether the learning process and psychological condition become more efficient after repeated sessions of NBW. [Methods] The subjects were 19 community-dwelling elderly individuals between the ages of 64 and 78 years. [Results] Significant differences in walking speed during NBW were only found between the first and second sessions and between the second and third sessions. The walking speed in the sixth session, measured one hour after the fifth session, was decreased in comparison with that in the fifth session. Significant differences in stride length during NBW were only found between the first and second sessions and between the second and third sessions. The stride length in the sixth session, measured one hour after the fifth session, was decreased in comparison with that in the fifth session. Significant differences in VAS score (sense of fear) after NBW were found for each session. VAS score for the sixth session, measured one hour after the fifth session, was decreased in comparison with that for the fifth session. [Conclusions] The findings in the present study suggest that NBW is indeed a novel task and that motor learning occurs as a result of practice, leading to a more efficient recruitment of motor units.