Applying Pain Science To Practice: Exposure Based Therapies


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Course Discussion

by cblickenstaff
Price: $175.00
19 Lessons

Time: 4 hours 15 minutes

Audience:  PTs, PTAs, MDs, DOs, PT/PTA Students, OTs, COTAs, Chiropractors, Massage Therapists

CEUs for PTs/PTAs pending through ProCert – requires 80% or better on course quiz

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Upon completion of this course the participant will be able to:

1)Accurately describe two differences between graded activity and graded exposure approaches

2)Given a specific fear-based movement limitation, integrate three interventions into an exercise program that utilize expectancy violation

3) Accurately define what a safety signal is in the context of physical therapy treatment of the patient in pain

4) Correctly define the three conceptual spaces of the clinician-patient interaction

5) Given a specific fear-related movement loss, be able to successfully integrate an edge work treatment into a treatment session of a patient with fear-related movement loss

About the instructor

Cory owns and operates Forward Motion Physical Therapy (http://blog.forwardmotionpt.com), which provides on the job site physical therapy clinics in the Vancouver, WA area utilizing various movement and manual therapy approaches to empower people toward an autonomous state of health as it relates to movement.

Cory also co-hosts, along with Sandy Hilton, of the popular Pain Science and Sensibility Podcast (http://ptpodcast.com/podcasts/pain-science-and-sensibility/) on the PTPodcast Network (http://ptpodcast.com).

Cory works with individuals who are dealing with movement related problems such as pain or orthopedic injury as well as employers who are struggling with the consequences of pain and injury on their workforce.  Services are also provided to individuals hoping to improve performance at work/play/fitness and who are looking for guidance on maintaining healthy movement through the life span.

He has presented nationally on topics including application of graded exposure, graded activity, novel movements, movement variability, as well as application of care to the work place. He also authored a mono-graph on prevention strategies in the workplace through American Physical Therapy Association (https://www.orthopt.org/content/c/24_1_the_injured_worker).

Lecture 1:  A Brief History of Modern Pain Theories

  • Pain theories have developed over time in relation to the particular problems being considered at the time they are developed. In this section we take a brief look at some of the major pain theories in the context in which they were developed.
Lecture 2: Contemporary Approaches to Pain
  • Theory tends to guide practice patterns and this section discusses how the various theories have led to models and methods of practice. Problems and implications with each model are considered.
Lecture 3: Exposure Based Therapies
  • This section covers some specific therapy approaches within the cognitive behavioral therapy umbrella. Specifically, graded exposure, graded activity, behavioral experiments, expectancy violation, and pain education are introduced.
Lecture 4: Evidence
  • What is the evidence behind these CBT approaches? This section covers several systematic reviews and meta-analyses that have considered this question.
Lecture 5: Context Architecture
  • This section discusses 3 spaces of interaction, narrative indicators of change, and presents a framework within which to consider these concepts clinically. Additionally, obstacles to change such as cognitive biases are introduced.
Lecture 6: Constructing the Interaction
  • This section considers the role of behavioral experiments within the context of “Expectation Violation.” Strategies for optimizing exposure based care, such as limiting safety signals, are presented.
Lecture 7: Case Examples
  • Specific cases to highlight the use of these concepts are presented.
Lecture 8: Clinical Movement Experiments
  • Novel movements and Edge Work are introduced with specific examples and demonstrations provided as lab videos
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Course Discussion

In this online course, exposure based therapeutic models such as graded exposure, graded activity, acceptance and behavioral experiments, and inhibitory learning will be introduced, covering specific applications of each. Additionally, the application of edge work and novel movement approaches within these models will be introduced. The role and timing of use of pain science education as an intervention will be clarified in the context of these models. Focus will be on creating consistency in the therapeutic encounter throughout an episode of care and across various presentations of pain.
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