obtain the perspectives of Filipino PTs about the present state of cancer rehabilitation in the country, particularly: (1) to know if there are existing protocols in cancer care; (2) to identify the role of PTs in rehabilitating patients with cancer and; (3) to determine the preparedness of Filipino PTs in handling these patients. Methods: A descriptive qualitative study was conducted. Two focus group discussion (FGD) were organized and participated by a total of 13 licensed Filipino Physical Therapists (M:7; F:6) who are currently working in tertiary hospitals in Metro Manila where patients with cancer are referred to physical therapy services. The mean length of clinical experience of the participants is 4 years. Results: Filipino PTs expressed that cancer rehabilitation in the country is not well established and that there is no current existing protocol being observed in their respective hospitals. This is compounded by the limited number of referrals due to the lack of awareness among oncologists as well as knowledge of general population about what PTs can do for patients with cancer. The participants conveyed that the major role of PTs in cancer rehabilitation is to improve level of function and quality of life. They also expressed that in terms of readiness to handle patients with cancer, there is lack of knowledge in this area which they consider as a specialized area of practice. Conclusion: Further studies need to be conducted to explore the status of cancer rehabilitation in other areas of the country. Awareness campaign must be done to promote services that PTs can provide specifically for patients with cancer among oncologists and the general population. There is also a need to evaluate the current curriculum used in PT schools to deter- mine the amount of course work devoted in undergraduate or graduate stud- ies about cancer care. http://dx.doi.org/10.1016/j.hkpj.2013.01.015 Rehabilitation goals of the Filipino client from a multi-disciplinary perspective I. N. B. Gomez, B. J. S. Villanueva Clinica Marikina, Marikina City, Philippines Background and purpose: The inception of the World Health Organization’s International Classification of Functioning, Health and Disability has greatly influenced how we view health and wellness in the fields of physical and occupational therapy. This paper seeks to understand whether such shift in perspective is already evident in the rehabilitation goals of the Filipino client. Methods: Fifty-five licensed Filipino physical and occupational therapists were invited to answer an online survey questionnaire that asks them to describe in details the three most common rehabilitation goals of their cli- ents. From these etic accounts, the researchers used WEFT-QDA in organiz- ing the data. WHO’s ICF was the main tool used in generating the themes and sub-themes. Results: There were differences among the various goals encoded and grouped pertaining to the profession of the participants. When further ana- lyzed by using ICF in generating the final themes, it was evident from the data that generally, rehabilitation goals of the Filipino clients were disability specific. Conclusion: Although the ICF has been around for years and have been introduced to students and professionals, much of its effect is to be felt. Filipino clients still view health outcomes from a physiological basis. http://dx.doi.org/10.1016/j.hkpj.2013.01.016 Effectiveness of using Nintendo Wii in rehabilitation of chronic stroke patients with upper limb hemiparesis D. G. Manlapaz, L. A. Silverio, J. A. Navarro, M. F. Ang, M. Regacho, K. A. Canaberal, R. B. Dela Cruz Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Philippines Background: The runaway success of virtual reality is a novel approach in rehabilitation of chronic stroke patients by improving function through pro- vision of multi-sensory feedback as it becomes part of rehabilitation. The use of Nintendo Wii seems to be evolving into a therapeutic tool as wide- spread reports claim that it is now being used benefiting patients in rehabil- itation centers. However, lack of evidences and standard parameters as to its effectiveness. The objective of the study is to determine the effectiveness of Nintendo Wii in upper extremity recovery of patients with chronic stroke. Methods: There were 16 participants in the study (xZ55.69 Æ 9.88 yrs; months post-stroke x Z 38.56 Æ 14.51), 11 males and 5 females were recruited in different rehabilitation centers in Metro Manila using random allocation. Eight out of 16 participants underwent Wii Therapy twice a week for 6 weeks Fugl Meyer (FMS), Motor Assessment Scale (MAS) and Fast Fourier Transform (FFT) analysis of Wii mote acceleration data were used as an outcome measure. Results: FMS scores showed significant difference between the control & experimental groups with the latter yielding higher scores particularly in the flexor synergy component of FMS. MAS scores of UE function (pre- tests of both groupsZ p-value of 0.4295; post-tests of both groupsZ p- value of 0.1031; aZ0.05) of both groups did not reach the significant level, however, the experimental group showed relative improvement as compared to the control group. Preliminary results of FFT analysis showed pronounced magnitude of the dominant frequency and lesser number of residual frequencies in the experimental group compared to control group. Conclusion: The use of Nintendo Wii as a novel approach provided marked improvement in the UE function of chronic stroke patients demonstrated within a short timeframe (6 weeks). The gain in the motor function is highly attributed to the notion that repetitive used of affected limb along thereby enhancing cortical reorganization. Further studies should be conducted to attain a significant level. http://dx.doi.org/10.1016/j.hkpj.2013.01.017 Acute effects of whole body vibration on leg muscle activity, oxygen consumption and heart rate in individuals with chronic stroke L.-R. Liao 1,2 , G. Y. F. Ng 1 , A. Y. M. Jones 1 , M. Y. C. Pang 1 1 Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong 2 Department of Physiotherapy, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, China Background and purpose: Whole-body vibration (WBV) exercise has been shown to augment muscle activation, increase oxygen consumption (VO 2 ) and heart rate (HR) in young adults. Whether WBV can increase leg muscle activity, VO 2 and HR in individuals with chronic stroke is unknown. The objective of this study was to determine the influence of WBV intensity on the magnitude of the vastus lateralis (VL) and gastrocnemius (GS) muscle activity, VO 2 and HR during the performance of different leg exercises among individuals with chronic stroke. Methods: 45 subjects with chronic stroke were tested. Each subject was exposed to three WBV conditions while performing a variety of static/ dynamic exercises (e.g., semi squat, deep squat, etc.): (1) no WBV, (2) low WBV intensity [frequency: 20 Hz, amplitude: 0.6mm, peak acceleration: 0.96 gravitational constant (G)], and (3) high WBV intensity (frequency: 30Hz, amplitude: 0.44mm, peak acceleration: 1.61 G). The level of the VL and GS muscle activity on both sides was recorded with surface electromyog- raphy (EMG), and expressed as percentage maximal voluntary contraction (% MVC). VO 2 and heart rate were measured with the FitMateä metabolic sys- tem. Two-way repeated measures ANOVA [within-subject factors: (1) WBV intensity (No WBV, Low WBV Intensity, and High WBV Intensity), and (2) body posture/movements] was used to compare the SEMG data, VO 2 and HR across the different conditions. When sphericity assumption was vio- lated, the Greenhouse-Geisser epsilon adjustment was used. Contrast anal- ysis using Bonferroni paired t-test was performed for any overall significant results obtained for EMG, VO 2 and HR. Results: During the performance of different exercises, exposure to WBV (low WBV intensity and high WBV intensity) had significantly increased EMG activity (large effect size, partial eta-squared Z 0.135-0.643, p<0.001) in VL and GS bilaterally, VO 2 (large effect size, partial eta-squared Z 0.695, p<0.001) and HR (large effect size, partial eta-squared Z 0.409, p<0.001) compared with no WBV. The high intensity protocol did not induce significantly higher EMG amplitude than the low intensity protocol, except in GS on the paretic side. In general, the increases in VO 2 and HR induced by the low intensity protocol were of a similar magnitude to those induced by the high intensity WBV protocol. Conclusion: This study suggested that leg muscle activity and oxygen con- sumption were increased significantly by adding low- or high-intensity WBV in all exercises studied. The low- and high-intensity WBV protocols induced similar effects, except in paretic GS. WBV therapy may thus be 49