Reconciling biomechanics with pain science - Warszawa 23-24.11.2024

Dostępność

: 		Są wolne miejsca

Cena:

2400,00zł

Where:

Golden Floor Centrum, Al. Jerozolimskie 65/79, Warsaw

Timetable:

First day: 09:00 - 17:00,
Second day: 09:00 - 15:00

Instructor:

Greg Lehman BKin, MSc, DC, MScPT

Attention: course in English.

For participants not from Poland: please don't sign up through our website.  To sign up for the course, send an e-mail to: biuro@movuto.pl. Please provide us with the following information:

  • The training you want to attend
  • First name and last name
  • Phone number
  • Your address

The course price is 540 euro

Brief Course Description:
Significant research in the pain neurosciences and biomechanics field often appears to undermine the reasoning and justifications for many of the traditional therapeutic approaches and techniques of the many rehabilitation professions. By addressing both the weaknesses and strengths of the biomechanical approach we can see that treatment can be much simpler, congruent with the cognitive, neuroscience approach and best evidenced based practice.

This course provides a framework to utilize an alternative biomechanical approach that blends neuroscience pain education. This course teaches the therapist how to teach patients about pain science in a treatment framework that still utilizes specific/corrective exercise and manual therapy. Therapists are taught a model of treatment that simplifies the assessment process and the treatment.
Learning style:
This course is a mix of a discussion based lecture, case studies and practical components. The practical components are used with the case studies to “feel” the interventions. However, there no “specific” techniques. Rather, the point is to show that the framework helps the therapist use their own techniques but in a different way. Further, we can then share “techniques” from all participants in the class. Exercises are demonstrated and time is given to practice these exercises. When exploring how Key Messages relate to pain and changing behaviour the practical component helps the therapist use their own experiences and “stories” to fit with the Key Messages of pain and behaviour change.
Objectives:
  • Provide assessment techniques to aid in diagnosis and management common musculoskeletal complaints
  • Demonstrate how biomechanical treatments and explanations can address the multidimensional nature of pain
  • Demonstrate how cognitive restructuring and goal setting of meaningful activities can be used alongside mechanical treatments to address the multidimensional nature of pain
  • Provide and teach exercise prescription that is informed by biomechanics and therapeutic neuroscience
  • Explain the “pain science” behind common clinical problems and learn methods of applying therapeutic neuroscience education
  • Identify and use their current movement based skills within a graded exposure and graded activity paradigm

Day 1:

LECTURES
Module 1: Reframing the Kinesiopathological Model-introduction to Movement Optimism (9am to 1pm)

  • an exploration of the utility and limitations of the kinesiopathological model in pain and injury management
  • introduction to how the current biomedical model can be simplified and modified to be consistent with the best evidence of both pain science and biomechanical science
  • Case Study: Using expose vs. protect principles to demonstrate how movement preparation is more important than movement quality.
  • Strategies to build holistic, patient centred rehab programs
  • Clinical questions and themes are posed to help find common threads for rehabilitation
  • Clinical reasoning for safety, potential red flags and contraindications to a
    biopsychosocial approach
  • A simplified framework to incorporate both biomechanical treatments with psychosocial
    treatments is outlined to develop holistical, patient centred care

Lunch (1pm to 2pm)

Module 2: Key Messages of Recovery and Pain Science (2pm to 5pm)

  • Fundamentals of human function, adaptability and sensitivity are found through research dissection
  • Basics of “Pain Science”
  • Identifying potential false beliefs that might influence pain and disability
  • How to deliver Key Messages that are chosen by false beliefs
  • Interviewing techniques are illustrated to help change opinions and ultimately change
    behaviour
  • Clinical decision making and group discussion will help answer the following questions
    • ○ When to expose or protect
    • ○ How and when must treatment be specific
    • ○ How a general health approach be used to help the multifactorial nature of pain
    • ○ How we can address potentially unhelpful beliefs about pain and injury

Day 2:

Module 3: The comprehensive capacity model and the targets of exercise prescription. (9am to 12pm)

  • A simplified approach to exercise prescription is shown
  • The importance of comprehensive capacity and movement options is highlighted and
    illustrated when it is necessary
  • an evidence based approach to understanding pain and rehabilitating common
    conditions
  • an approach to understand the assessment of sensitivity in exercise prescription
  • demonstrations of the exercise interventions
  • case study autopsies are performed illustration common themes behind various
    treatment approaches and how a simplified intervention can be effective
  • A review of common themes in tendinopathy and how that research can guide much
    clinical practice

Lunch (12pm to 1pm)

Module 4: Symptom Modification Model of Injury/Pain Management (1pm to 3pm)

  • graded exposure approach to injury and pain treatment will be detailed
  • students will learn a framework and simplified clinical reasoning tool to help guide
    therapy
  • Symptom modification as clinical reasoning to guide interventions as demonstrated
    through case studies
  • Special topics include Graded Exposure, working with painful exercises, movement
    modifications and graded activity.
  • active and passive approaches to symptom modification interventions and how these
    manual/movement therapy approaches are supported by exercise interventions will be taught.

Recommended Reading
Moseley GL, Butler DS. Fifteen Years of Explaining Pain: The Past, Present,and Future. J Pain. 2015 Sep;16(9):807-13. doi: 10.1016/j.jpain.2015.05.005. Epub 2015 Jun 5. Review. PubMed PMID: 26051220.
Nijs J, Lluch Girbés E, Lundberg M, Malfliet A, Sterling M. Exercise therapy for chronic musculoskeletal pain: Innovation by altering pain memories. Man Ther.2015 Feb;20(1):216-20. doi: 10.1016/j.math.2014.07.004. Epub 2014 Jul 18.
Ng L, Campbell A, Burnett A, Smith A, O'Sullivan P. Spinal Kinematics of
Adolescent Male Rowers With Back Pain in Comparison to Matched Controls During Ergometer Rowing. J Appl Biomech. 2015 Aug 6. [Epub ahead of print] PubMed PMID: 26252195.
O'Keeffe M, Purtill H, Kennedy N, O'Sullivan P, Dankaerts W, Tighe A,
Allworthy L, Dolan L, Bargary N, O'Sullivan K. Individualised cognitive
functional therapy compared with a combined exercise and pain education class for patients with non-specific chronic low back pain: study protocol for a
multicentre randomised controlled trial. BMJ Open. 2015 Jun 1;5(6):e007156. doi: 10.1136/bmjopen-2014-007156. PubMed PMID: 26033941; PubMed Central PMCID:PMC4458611.
Sanchis M, Lluch E, Nijs J, Struyf F, Kangasperko M. The role of central
sensitization in shoulder pain: A systematic literature review. Semin Arthritis
Rheum. 2015 Jun;44(6):710-6. doi: 10.1016/j.semarthrit.2014.11.002. Epub 2014 Nov 13. Review. PubMed PMID: 25523242.
Struyf F, Lluch E, Falla D, Meeus M, Noten S, Nijs J. Influence of shoulder
pain on muscle function: implications for the assessment and therapy of shoulder disorders. Eur J Appl Physiol. 2015 Feb;115(2):225-34. doi: 10.1007/s00421-014-3059-7. Epub 2014 Nov 28. PubMed PMID: 25431129.

Instructor

Dr. Greg Lehman BKin, MSc, DC, MScPT
I am a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model.

I currently teach two 2-day continuing education courses to health and fitness professionals through out the world.  Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 100 times in more than 40 countries and 5 continents world wide.

Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train in the Occupational Biomechanics Laboratory at the University of Waterloo, subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. 

While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications.