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
20% off for Pain Masterminds Network Subscribers.
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.c
Cory also co-hosts, along with Sandy Hilton, of the popular Pain Science and Sensibility Podcast (http://ptpodcast.com/podcasts
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/conte
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.
- 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.
- 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.
- What is the evidence behind these CBT approaches? This section covers several systematic reviews and meta-analyses that have considered this question.
- 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.
- 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.
- Specific cases to highlight the use of these concepts are presented.
- Novel movements and Edge Work are introduced with specific examples and demonstrations provided as lab videos
- Lab 1 – Edgework / Novel Movement – Low Back Hooklying
- Lab 2: Edgework / Novel Movement – Low Back Quadraped
- Lab 3: Edgework / Novel Movement – Neck Sitting
- Lab 4: Edgework / Novel Movement – Shoulder Standing
- Lab 5: Edgework / Novel Movement – Shoulder Standing II
- Lab 6: Edgework / Novel Movement Wrist/Hand Sitting
- Lab 7: Novel Movements – Patient with Difficulty Raising Their Arm
- Lab 8: Edgework / Novel Movement – Neck II
- Lab 9: Edgework / Novel Movement – Knee