Sandra Zbinden – Physiotherapist | Montréal, QC

Sandra Zbinden is a dedicated Physiothérapeute (Neurological Rehabilitation Focus). Practicing at CHUM (Centre hospitalier de l'Université de Montréal) in Montréal, QC, Sandra is committed to high-quality, patient-centered care aligning with Ordre professionnel de la physiothérapie du Québec (OPPQ) standards. Her role involves assisting individuals in recovering function, improving mobility, managing symptoms, and enhancing quality of life after neurological events or conditions such as stroke, brain injury, spinal cord injury, Multiple Sclerosis, or Parkinson's Disease. Sandra offers specialized assessment and treatment for dizziness, vertigo, and balance disorders caused by inner ear or central vestibular system issues. Her primary aim is to reduce symptoms, improve stability, and diminish fall risk, helping her patients regain confidence and independence.

With a strong foundation in evidence-based practice, Sandra has developed a particular interest and expertise in neurological physiotherapy and vestibular rehabilitation. Her approach emphasizes personalized care tailored to each patient's specific needs and goals. She works closely with adult patients, employing advanced techniques and therapies to optimize recovery and functional performance. Sandra's ongoing professional development ensures she stays current with the latest advancements in neurological rehabilitation, providing her patients with the most effective and innovative treatments available.

Sandra's practice philosophy centers on promoting preventative care and long-term wellness through a proactive, patient-centered approach. She actively involves her patients in treatment planning and goal setting, fostering a collaborative environment. Her commitment to continuous learning and adherence to best practices ensures her patients receive the highest standard of care. Sandra is fluent in German, English, Spanish, and French, facilitating clear and effective communication with a diverse patient population.

Sandra Zbinden provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Concussion

• Concussion / Mild Traumatic Brain Injury (mTBI) & Post-Concussion Syndrome: Physiotherapy management of acute and persistent symptoms of a concussion, including addressing associated neck pain/dysfunction (cervicogenic component), vestibular (balance/dizziness) issues, oculomotor (eye movement) problems, and exertional intolerance.

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): A chronic condition causing joint discomfort, stiffness (especially in the morning or after inactivity), and impacting your ability to perform daily activities, walk, or engage in hobbies.
• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Inflammation (tendinitis) or, more commonly, degeneration (tendinosis/tendinopathy) of tendons, leading to localized pain that typically worsens with activity or loading of the tendon.

Vestibular Balance

• Vestibular Hypofunction (Unilateral or Bilateral): Individualized exercise programs including gaze stabilization exercises (e.g., VORx1, VORx2), habituation exercises (for motion sensitivity), and balance retraining to improve function when the vestibular system is impaired.
• General Balance Deficits and Increased Fall Risk: Physiotherapy aimed at improving your balance, coordination, lower limb strength, reaction time, and confidence to reduce your risk of falling and enhance safe mobility in your home and community.

This list offers examples of conditions commonly addressed. If your specific concern isn't listed, please contact the clinic. Sandra can assess your needs.

• Neurological Rehabilitation (e.g., Stroke, MS, Parkinson's, Acquired Brain Injury, Spinal Cord Injury): Specialized therapeutic interventions provided by a Neuro Physiotherapist to assist individuals in recovering function, improving mobility, balance, coordination, strength, and independence following a neurological event or diagnosis.
• Home-Based Physiotherapy Visits (Mobile Physio): Bringing expert physiotherapy services to you when clinic visits are challenging, ensuring continuity of care and personalized attention in your familiar surroundings.
• Comprehensive Musculoskeletal Assessment: A thorough evaluation by your Physiotherapist to accurately diagnose movement dysfunctions, injuries, and the underlying sources of your pain.
• Tele-Rehabilitation / Virtual Physiotherapy Consultations: Receiving personalized physiotherapy care online through secure and interactive video sessions with your qualified Physiotherapist, including real-time exercise correction and tailored advice.
• Functional Movement Screening (FMS™/SFMA™ if certified): Evaluation of your body's basic movements (like squatting, lunging, reaching) to highlight areas for improvement in stability, mobility, and motor control.
• Patient Education & Self-Management Strategies: Providing clear guidance on self-care techniques, activity modifications, and beneficial lifestyle adjustments for long-term well-being and injury prevention.

Note: This list highlights some key services offered by Sandra. For a full list or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

At CHUM (Centre hospitalier de l'Université de Montréal), physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Sandra frequently helps patients work towards goals such as:

• Physiotherapy with Sandra can be a transformative turning point for those affected by recovering from a concussion and dealing with lingering symptoms like dizziness or headaches. The shared goal is achieving the ability to sit for longer periods (e.g., at a desk, in a car) without significant discomfort, paving the way for you to enjoy taking energetic, long walks with your dog every day and a more active, vibrant life.
• With Sandra's help, managing wrist pain and tingling, possibly from carpal tunnel syndrome, especially at night to achieve feeling more like their 'old self' before their injury or condition began becomes a clear journey, allowing patients to confidently re-engage with life and activities like using garden tools effectively and without pain.
• If my child complaining of 'growing pains' that keep them up at night is preventing you from fully enjoying walking up and down several flights of stairs without issue or breathlessness, Sandra offers expert guidance and tailored treatment. Physiotherapy focuses on attaining greater ease in performing overhead activities or reaching, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.

Your personalized physiotherapy plan, developed with Sandra, will be designed to help you reach your specific functional and wellness objectives.

Sandra practices at the CHUM (Centre hospitalier de l'Université de Montréal), located in a central Montréal neighborhood. The clinic is situated within a well-equipped healthcare facility that provides easy access for patients. The location is conveniently near local community services and pharmacies, making it straightforward for patients to combine their physiotherapy appointments with other errands or healthcare needs. Public transit routes serve the area extensively, ensuring accessible transportation options for most patients. Our clinic is wheelchair accessible. Ample parking is generally accessible close to the clinic entrance.

What should I expect during my first physiotherapy appointment?

The first physiotherapy session is primarily an in-depth assessment. Expect to spend time talking with your Physiothérapeute about your specific issue, its history, and your overall health background. your therapist will then perform various physical tests to assess your movement, strength, and any areas of concern. The main goal of this first visit is to understand your condition fully so that a tailored and effective treatment plan can be developed collaboratively with you. You might also receive your first set of home exercises or some initial hands-on care to start the healing process.

Is physiotherapy covered by the Régie de l'assurance maladie du Québec (RAMQ) in QC?

[State that in Quebec, physiotherapy services in private clinics are generally not covered by RAMQ. Patients typically pay out-of-pocket or utilize private insurance. Some public services may be covered in specific situations, such as hospital or CLSC care, but private outpatient physiotherapy is usually not included. Patients should verify their coverage with RAMQ and check their private insurance plans for reimbursement options.]

What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?

In Quebec, a Physiothérapeute (Physiotherapist) holds a university master's degree in physiotherapy. They are autonomous healthcare professionals authorized to perform patient assessments, establish a physiotherapy diagnosis, create and modify treatment plans, and apply a wide range of therapeutic interventions. A Technologue en physiothérapie (Physiotherapy Technologist) holds a college-level (CEGEP) diploma and works under the supervision of a physiotherapist or physician. They apply prescribed treatment modalities, guide exercises, and monitor progress but do not diagnose or independently develop treatment plans. Both are regulated by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

What is manual therapy in physiotherapy?

Manual therapy involves hands-on techniques used by Physiothérapeutes to reduce pain, increase joint mobility, relax muscles, and improve nerve mobility. Techniques include joint glides, soft tissue massage, sustained pressures, and joint manipulations when appropriate. It is a key component of improving movement and alleviating discomfort.

How long do physiotherapy appointments typically last?

Your initial appointment generally lasts about 60 minutes, including assessment and treatment planning. Follow-up sessions usually range from 30 to 45 minutes, depending on your treatment needs and goals.

Do I need a doctor's referral to see a Physiothérapeute in QC?

In Quebec, patients can typically access a Physiothérapeute directly without a referral, a process known as direct access. However, some private insurance plans may require a physician's referral for reimbursement purposes. It is advisable to check your insurance policy before scheduling your first appointment.

CHUM (Centre hospitalier de l'Université de Montréal)
1000, Rue Saint-Denis
Montréal, QC H2X 0C1

Phone: (514) 890-8000

Sandra Zbinden is regulated by the Code des professions and Professional Integration Arrangement for physiotherapists in QC and is a member of the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Registration can be verified with the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Always consult with your primary healthcare provider before starting any new treatment program.