What's Happening at the RMTAO
RMTAO Board of Directors Nominations Close Next Week
If you're interested in becoming a Director on the RMTAO Board of Directors, you have until next Friday November 1 to submit your nomination.
All Active and Life members of the RMTAO are eligible to become Directors on the RMTAO Board of Directors. There are up to three (3) positions available. If you are interested in becoming a Director, please complete the Nomination and Consent Form below.
Download the 2019 RMTAO Nomination and Consent Form
The Nomination and Consent Forms must be received in the RMTAO office no later than 5:00pm on Friday, November 1, 2019 to be valid. You may email the forms to info@rmtao.com or fax to 416-979-1144.
Review the complete Call for Nominations on the RMTAO website for more details.
RMTACT Update - What HST Exemption Means for Patients
Thank you to everyone who continues to support our campaign to obtain tax exemption for massage therapy services. If you haven't done so already, you can still sign up for updates on the RMT/ACT website.
As this campaign continues, we want to ensure that all RMTs understand the impact that HST/GST exemption will have.
From our recent survey of RMT/ACT supporters, we learned that while most feel they understand the impact of tax exemption for patients well, we’ve still got some work to do to make sure all our supporters fully understand these important benefits.
To help with this, we’ve developed a short video in partnership with the Canadian Massage Therapist Alliance (CMTA) on how HST/GST exemption will benefit patients.

Watch the video here
Reminder - CMTO Renewal Deadline
This is a reminder that if you haven't done so already, you have until next Friday to renew your CMTO registration. All RMTs must renew their registration by November 1, 2019 at 11:59 p.m.
To renew your registration with the CMTO you will be required to provide them with your insurance information.
If you've purchased your professional liability insurance through the RMTAO, you will need to download your insurance coverage certificate if you haven't done so already.
If you purchased insurance directly with the RMTAO, log in to the RMTAO website and click on My Insurance Coverage Certificates on the left side of your screen.
If you purchased your insurance through the Trisura Portal, you can log in to the Trisura Portal and download your certificate.
Member Spotlight
The RMTAO is pleased to announce our October member spotlight, Debbie Wilcox! Debbie has been an instructor in the Centennial College Massage Therapy Program for over 10 years, maintains a practice at LifeMark Physiotherapy, and was on the RMTAO Board of Directors from 2009-2018. Debbie remains an active and engaged member of the RMTAO.
Why did you choose to become an RMT?
Debbie: This is actually a tough question. Sure, there is the usual answer of wanting to help people – that goes without saying. I had always thought that I would be a musician. My dream was to be a member of the Toronto Symphony and a music teacher. I had a very minor low back issue after playing a very long concert and sought out care from a chiropractor and massage therapist. Their combined care really impressed me and sparked an interest in health care. After this, I started questioning my plan of music as a full-time career. Around the same time, a very close friend had just finished a Shiatsu program and was starting in a massage therapy program. I started to think that maybe it was the right direction for me. I have never regretted my decision. I realized in my third year of the program when I was a student clinic tutor that I really enjoyed teaching. I knew then that I wanted to find a balance between clinical practice and teaching.
What do you like best about your job?
Debbie: I have always valued the mix of maintaining a clinical practice and teaching. Although I have cut down on my clinical hours since taking on the role of coordinator of the massage therapy program at Centennial College, I still have a small practice in Scarborough. One of my favourite expressions is ‘love what you do and you’ll never work a day in your life.’ I love that my job has allowed the flexibility to be involved with different aspects of our profession.
What do you do in your spare time?
Debbie: I have a few interests outside of the profession. I am in the reserves as a musician with the 48th Highlanders of Canada. I love being able to continue with my first love, music. I make sure to save enough time to relax with friends, family and fur babies. Lastly, I am a crafty person that likes to work on crochet or knitting projects.
What advice would you give new RMTs?
Debbie: First, stay passionate about what you are doing. You are a valuable member of this profession and only limited by your own imagination. Second, be kind to each other. Third, always check the massage stool for drool BEFORE you sit down. Final thought, don’t carry your morning tea and a fresh batch of clean laundry at the same time. Make two trips.
Why did you choose to join the RMTAO?
Debbie: To be honest, I never really thought about it as being optional. At Centennial College, we had amazing faculty role models. Wendy Hunter, Anne Longman, Trish Dryden, Wray Barraclough, Sabine von Boetticher, Lori Copeland, Mark Fox, Dennis Giesbrecht, Lorea McBride, Cynthia Lilley, Jette Henrikson, Chris Godi, and Andrew Clapperton were all very passionate about the association. Having such role models really shaped my outlook of being an active participant in my profession.
Clinical Tidbit - Shoulder Mobilizations
Sleeper Stretch
One of the most effective stretches for the posterior capsule of the shoulder is called the “Sleeper Stretch”. It is a combined movement of horizontal adduction and internal rotation of the shoulder while in 90 degrees of flexion. It effectively stabilizes the scapula forcing the glenohumeral joint to do the movement. I usually ask the client to continue the stretch until their fingers touch the floor (70 degrees of internal rotation). An exception to this is clients with retroversion of the humerus (common in overhead throwing athletes).
 Learn more about Shoulder Mobilizations with Physiotherapist Aaron Rutter in Peterborough on November 24th.
Adventures from Karen's Clinic

Business Tip of the Week
Building Your Career While You Wait for Your Dream Job
When you’re starting your career, should you hold out for your dream job or take anything you can get? Trick question — the answer is “a little of each.” There is value to be had from almost any role, so while you search for that ideal match, pay the bills with jobs that give you one (or more) of three things: experience, credibility, or income. You’ll need the right skills and background to land your dream job, so in the meantime, look for roles that will let you build relevant experience. And consider jobs at companies with great reputations, even if the job in question isn’t your exact goal. Having a top company on your résumé will make you stand out both now and in the future. Of course, sometimes you just need a paycheck. When all else fails, do what it takes to duct-tape an income together.
Adapted from “Should New Grads Take Any Job or Wait for the Right One?,” by Jodi Glickman
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Research Article of the Week
Is there a relationship between self-efficacy, disability, pain and sociodemographic characteristics in chronic low back pain? A multicenter retrospective analysis.
Background: Pain-related self-efficacy is defined as the beliefs held by people with chronic pain that certain activities can be carried out despite the pain. Poor self-efficacy is an obstacle to the recovery and predicts long-term disability. The aims of this study are to investigate the prevalence of poor pain self-efficacy in Italian subjects with chronic low back pain (LBP), and to inquire the relationships between self-efficacy, disability, pain, and main demographic and clinical characteristics.
Methods: A secondary multicenter retrospective analysis was done on 310 outpatients with chronic non-specific LBP. The pain self-efficacy measured with the Pain Self-Efficacy Questionnaire (PSEQ), the disability measured with the Roland & Morris Disability Questionnaire, and the pain intensity measured with the Numerical Rating Scale were considered variables to investigate, whereas demographic and clinical variables were considered predictors or potential confounders. A 40/60 PSEQ score was adopted as cut-off to distinguish between good and poor self-efficacy.
Results: 199 subjects (64.2% of the sample) showed poor self-efficacy. The odds of having poor self-efficacy appeared significantly related to female gender (OR = 1.80, 95%CI [1.12;2.90]; p = 0.015) and drugs use (OR = 1.68, 95%CI [1.06;2.70]; p = 0.029). Significant relationships also emerged between disability and higher age (β = 0.07, 95%CI [0.01; 0.12]; p = 0.02), being female (β = 1.80, 95%CI [0.32;3.29]; p = 0.018), low educational level (β = - 1.68, 95%CI [- 2.59;-3.29]; p < 0.001), higher height (β = - 0.08, 95%CI [- 0.158;-0.002]; p = 0.045), pain duration [mos] (β = 0.01, 95%CI [0.001;0.021]; p = 0.041), and drugs use (β = 2.86, 95%CI [1.44;4.27]; p < 0.001). The amount of pain appeared significantly related to educational level (β = - 0.47, 95%CI [- 0.76;-0.182]; p < 0.001), smoking (β = 0.56, 95%CI [0.09; 1.03]; p = 0.021), height (β = - 0.03, 95%CI [- 0.05; - 0.002]; p = 0.036), and drugs use (β = 0.81, 95%CI [0.399;1.22]; p < 0.001). No significant correlation appeared among weight, body mass index, and referred pain neither in relation to self-efficacy, nor in relation to pain/disability.
Conclusions: The majority of our sample, composed of Italian people complained of chronic LBP, shows poor self-efficacy. Female gender and drugs use are significantly related to poor self-efficacy, low educational level negatively influences the amount of perceived pain and disability, and older age and smoking are related to disability and pain intensity, respectively. The knowledge of these sociodemographic and clinical characteristics potentially influencing chronic LBP may be useful to address more efforts towards the most negatively impacted subjects, among the entire population complained of chronic LBP.
Ferrari, S., Vanti, C., Pellizzer, M., Dozza, L., Monticone, M., & Pillastrini, P. (Oct. 2019). Is there a relationship between self-efficacy, disability, pain and sociodemographic characteristics in chronic low back pain? A multicenter retrospective analysis. Archives of physiotherapy, 9, 9.
Read the full article...
The Learning Curve - The RMTAO Education Series
The Learning Curve - The RMTAO Education Series
The Learning Curve provides education to massage therapists in a variety of hands-on workshops and lecture-based seminars across Ontario focused on three main areas-Competency, Business, and Modality. The Continuing Education Program is designed to help massage therapists increase their knowledge base to continuously improve for both their own personal success and that of the client.
Click here for more information about the courses that are offered by the RMTAO.
Upper Cervical Mobilizations November 10, 2019 - Ottawa
Shoulder Mobilizations November 24, 2019 - Peterborough
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Upcoming Community Networks and Related Activities
The RMTAO has created a new feature on RMTAO.com for Community Networks. Members and non-members, once logged on, can access information about the latest upcoming network activities right on their home page! Don't see a Community Based Network near you? You can contact Laura Fixman at laura@rmtao.com to learn more about starting one!
Barrie Community Based Network Date: Friday, October 25, 2019 Time: 12:00 p.m. - 2:00 p.m. Location: Urban Dish, 367 Yonge Street, Barrie, Ontario. Topic: Discussion will focus on STRiVE, any CMTO and RMTAO available opportunities, and any other relevant discussion brought up. Contact: Jocelyn Buitenhuis, jbuits.rmt@gmail.com Read more about the event
London Community Based Network Date: Monday, November 4, 2019 Time: 9:00 a.m. to 11:00 a.m. Location: Edgar and Joe's Cafe, 255 Horton St. London Topic: London Area RMTs Community Business Network (CBN) is launching "Mentor Mondays". The first Monday of each month will be a casual meeting for ALL RMTs, RMTAO members or not, to get together with peers, update and discuss latest CMTO and RMTAO news, talk over practice issues, keep track of HST initiatives, and share knowledge. Newer RMT? Tap into some experience! An old hand? Find some fresh perspective, get a boost and pass on your hard-won know-how. Contact: Dani Faucher, danifaucher.rmt@gmail.com Read more about the event Future Dates: December 2
Peel-Halton Community Based Network Date: Tuesday, November 5, 2019 Time: 8:00 a.m. - 10:00 a.m. Location: Fiftie's Diner, 649 Fourth Line, Oakville Ontario. Topic: Pre Holiday Season - so come get/give your inspiration, motivation and whatever else you need from your peers! A few topics we will address: the new QAP/ Strive - at this point some of us have not even opened the email so by November hopefully everyone has had a chance to get started and we can discuss, likes/dislikes...strategy. Once everyone is completed we can work together to tackle our goals through some of our meetings. CMTO has a few bits of updates we can run through as well. Contact: Lily Meyer, hprmts@outlook.com Read more about the event Future dates: November 18
Guelph Community Based Network Date: Monday, November 18, 2019 Time: 1:00 p.m. Location: Fionn Macool's, 494 Edinburgh Rd. S. Guelph Topic: General Discussion Contact: Renata Deforest, renatarmt@bell.net Read more about the event
Read more about Community Based Networks
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THE MORE YOU KNOW
A network of Canadian scientists is trying to make up for lost time in their search for a standard diagnostic test and treatment for myalgic encephalomyelitis/chronic fatigue syndrome. About 580,000 Canadians live with the disease, yet there has been little research into ME/CFS until recently.
Read more...
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