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The Orthopaedic Division Executive wishes to extend our condolences to the family and friends of Dr. Peter Huijbregts who suddenly passed away Saturday November 6, 2010. The physiotherapy world has lost a tremendous man, advocate, and leader. We are deeply saddened for the loss. Please refer to the obituary below sent on behalf of CAMPT that highlights some of the outstanding professional and personal life accomplishments that Peter experienced. We wish his family and friends all of the best through this very trying time.


Geoff Schneider
on behalf of the Orthopaedic Division Executive


It is with great sadness that we announce the passing of Dr. Peter Huijbregts. Peter originally trained as a Physiotherapist in The Netherlands before emigrating to the USA and eventually settling in Victoria BC with his wife Rapinder (Rap to all) and their two children. He completed not one but two separate research Masters as well as achieving a Doctor of Physical Therapy from the University of St. Augustine. Peter acted as the Chief Editor of the Journal of Manual and Manipulative Therapy, wrote numerous articles forwarding the principles of evidence-based manual therapy as well as co-authoring numerous texts in the field.

I was privileged to have met and worked with Peter on several projects.

Peter was one of the most generous individuals this profession has ever produced - always willing to share his great depth of knowledge but consistently hiding it behind a wall of true humility.

We are all truly poorer for this loss. Our thoughts go out to Rap and their children.

Jack Miller VP CAMPT on behalf of CAMPT Executive


The physiotherapy community recently lost a much beloved and talented manual therapist. Margaret “Dale” Charles passed away on January 22, 2004 at the age of 49 after a battle with breast cancer.

Dale grew up in Summerland in the Okanagan Valley and graduated from the University of British Columbia with a Bachelor of Science in Rehabilitation (PT and OT) in 1976. She practiced in acute care hospitals in the Lower Mainland and Penticton initially. She opened her own clinic in 1981 in Penticton and continued to practice there until just before her death.

She was keenly interested in orthopedics and manual therapy early on in her career. She obtained her Diploma of Advanced Orthopedic Manual and Manipulative Therapy in 1987. She seemed to have an almost innate sense of human movement, which may have developed as part of her considerable talent as a ballet and modern dancer. These talents helped make her a very adept manual therapist with superb assessment and treatment skills. These skills combined with her kindness and enthusiasm made her a wonderful therapist who was loved and respected by clients and colleagues alike.

She would not give up on her patients, especially those with chronic, seemingly insurmountable problems. She was constantly searching for a way to help them. She was particularly interested in the effective pain management strategies and in the past few years studied and utilized intramuscular stimulation and active release techniques very effectively for the relief of stubborn cases of myofascial pain.

She embraced the life long learning concept and was always updating her own clinical skills as well as launching new and progressive programs in the clinic. She inspired her clinic colleagues to do the same. She had an infectious laugh and welcoming smile that set the tone for a workplace that was full of fun. Clients often marveled that the clinic staff seemed to be having so much fun at work because of all of the laughter they heard.

Dale was also a devoted wife and mom, with a loving husband and 3 teenage sons. She is missed by her family and many friends and loyal patients in the South Okanagan. She leaves a legacy of her work and influence in her clinic which continues to function as a memorial to her dedication and talents as a therapist.

- Submitted by Joan Russell, BScPT


Level 1 - Editor Scott Whitmore
The Level 1 manual is now in third draft and should be used with all new courses. The Level 1 subcommittee has completed the third draft in a formatted version. Congratulations on a job well done! For copies of the manuals all organizing groups must contact their PODCR's for disbursement.

If you have not taken a " formal" Level 1 course but challenged the Level 1 examination, the information referred to in the Level 2 manuals ("reference Level 1 manual") is basic information that is covered in the 13 programs University programs in Canada. We have tried not to repeat information from manual to manual but develop content as student's progress through the system.

Level 2 - Editors - Lower - Lenerdene Levesque, Upper - Beverley Padfield

Level 3 - Editor - Lower and Upper - Kate Stebbings
The Manual Review Committee has decided to combine the Level 2 manuals with the Level 3's. The editors have found it very difficult to consolidate all the necessary information and to avoid duplication from manual to manual. It is felt one manual for the lower quadrant and one for the upper quadrant will be more efficient. We hope to have these completed in 2005.

The following FCAMT's have agreed to edit the sections in the Level 2/3 manuals. Lumbar - Lenerdene Levesque, Pelvis -Rollie Lavallee, Hip - Martin Payne, Knee - Martin Chisholm, and Foot and ankle - Danielle Cousineau. Upper Level 2 - C-V - Carol Kennedy BC, Cervical - Diane Racette, Thoracic - Evelyn Lightly, Shoulder Heather Gillis, Elbow - Mark Hubbard , Wrist and Hand - Brent Thompson and David MacDonald , Tempormandibular - Anita Gross

The present Level 2 and 3 manuals will be used for courses taught in 2004.
Instructors please forward suggestions to your PODCR if you feel changes need to be made in the next draft.

Techniques have been listed but not explained in many sections of the manuals to allow the Canadian system to remain an eclectic approach. The Division recommends several texts with specific written outlines as study guides. It is the responsibility of each instructor to familiarize themselves with the techniques listed in the curriculum. If instructors wish to print specific techniques for students that is their prerogative but may not be necessary in all courses.

Level 4/5 Manual
The third edition is now completed and can be obtained from Jennifer Mac Millan or the PODCR's. Thanks for contributions from Doreen Killens, Lorrie Maffey, Laurie Mc Laughlin, Lenerdene Levesque, Elaine Maheu, Carol Kennedy and Janet Lowcock.

Because of the cost, quality and concern for copyright, the use of diagrams in all manuals has been kept to a minimum.

The Level 1 manual is in the process of being translated. Elaine Maheu has formed a committee in Quebec. Please contact Elaine at e.maheu@videotron.ca .

Thank-you to all the instructors and students who have provided the positive feedback concerning the manuals. We appreciate your support and continued contributions. The Standardized Manuals will continue to be "LIVING" documents and will require continuous feedback from the Orthopaedic membership including students, undergraduates and post graduates, instructors, examiners and outside reviewers.

Copyright Permission
At this time the course manuals are only available to those persons who are registered in that particular course as part of the course package and to the instructors who are teaching that course. They are not available for sale to anyone at this time as all the course manuals are still in draft format. Until the manuals are in final format form we are not seeking copyright permission for text and pictures from other sources that are being used in the manuals. Only when we have requested, attained and paid for copyright permission will we be selling the manuals to the Orthopaedic Division membership.

Beverley Padfield (Chair and editor Level 2 upper, Level 4/5) bev.padfield@sympatico.ca Lenerdene Levesque (Editor Level 2 lower) lelevesque@sympatico.ca Scott Whitmore (Editor Level1) swhitmore@cogeco.ca Kate Stebbings ( Editor Level 2+3's) katemark@mail.ocis.net


Gregory Grieve, and internationally respected clinician, teacher and textbook author in the field of manipulative physiotherapy, has died, aged 82.

Described as a 'dynamo, a charismatic lecturer' and someone with a considerable personality and a reputation that 'went before him', he was one of the founders of the Manipulative Association of Charted Physiotherapists (MACP).

Continually striving to raise standards of physiotherapy practice, Greg had an instatiable appetite for knowledge throughout his life.

Born in Yorkshire on December 11, 1918, he spent his early years abroad. His father had come to the UK from Rhodesia (now Zimbabwe) to help with the war effort but in 1921, he moved the family to Rhodesia. Greg returned to England in 1934, when he joined the Royal Navy, serving in many campaigns during the second world war. He left the navy in 1948 as a petty officer PT instructor.

Greg studied physiotherapy at the Field and Morris Physiotherapy School in London, qualifying in 1952 and winning the Manely Memorial Prize for gaining the highest marks. He worked in London at the West Middlesex, St. Thomas' and the Royal National Orthopaedic hospital's, doing his physiotherapy teacher training at St. Thomas' between 1961 and 1963.

He was a frequent contributor to the Physiotherapy journal, and went on to write a number of highly influential text books- Mobilisation of the Spine, Common Vertebral Joint Problems- which was short listed for the Abbott Prize for medical writing- and Modern Manual Therapy.

Gregory was a man of many talents. Outstanding clinical skills, and a razor-sharp intellect, combined with a thirst for knowledge and the ability to effectively communicate it to others, made him a formidable force.

A memorial service was held May 18 in Suffolk, England.

- excerpt from the tribute in Frontline magazine May 16, 2001 issue.


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