The modern neuroscience approach to chronic spinal pain: combining pain neuroscience aducation with managing stress intolerance & sleep problems

Physiotherapists combine the unique skills for targeting the chronic spinal pain patient’s mind, body and brain concomitantly. Yet physiotherapists are often unaware of their ability to do much more than treating the muscles and joints of patients with chronic spinal pain (i.e. neck or low back pain patients). Therefore, the course aims at learning physiotherapists to apply evidence-based guidelines for chronic spinal pain management.

Over the past decades, scientific understanding of chronic spinal pain has increased substantially, shifting treatment approaches away from pure biomedical treatments, such as lumbar fusion surgery, to multimodal approaches acknowledging the complex biopsychosocial nature of chronic spinal pain. The latter includes addressing lifestyle factors like physical (in)activity, exercise, stress and diet. Indeed, lifestyle factors such as severe and long-term stress are of utmost importance to maintain chronic spinal. Hence, stress management should also be incorporated in a multimodal approach for people having chronic spinal pain and difficulties coping with everyday stressors, a notion that is supported by available evidence. In addition, other lifestyle factors such as sleep are often neglected by clinicians working with people with chronic spinal pain. This course will teach you the basic skills to assess and treat stress and sleep problems in clinical practice.

To facilitate active involvement of the audience, the course will emphasize skills training for clinicians rather than lecturing. Hence, the course focus will be on teaching the follow skills that clinicians can directly apply in daily clinical practice:

  • clinical reasoning skills in people with chronic spinal pain;
  • communication skills to explain pain to people with chronic spinal pain;
  • communication skills applied when providing exercise interventions for people with chronic spinal pain;
  • designing a comprehensive treatment plan for people with chronic spinal pain;
  • providing cognition-targeted exercise therapy for people with chronic spinal pain;
  • providing stress management to people having chronic spinal pain;
  • providing sleep management to people chronic spinal pain.

                                                                                             http://www.paininmotion.be/

Impartido en inglés con traducción simultánea.

Datos del curso
  • DIRIGIDO A: Fisioterapeutas y estudiantes de último curso
  • TITULACIÓN OBTENIDA: Certificado otorgado por Pain and Motion
  • BARCELONA: Centro Univers: Calle Comte de Salvatierra 5-15, 08006 Barcelona

FECHAS:

  • 13, 14 y 15 de marzo de 2020

HORARIO:

  • Viernes de 09:00 a 13:00 y de 14:00 a 17:00  
  • Sábado de 09:00 a 13:00 y de 14:00 a 17:00    
  • Domingo de 9:00 a 13:00
Precios y matrícula del curso

Precio: 380 €

Descuentos: 

  • FTP: Desde 0€ Formación Bonificada GRATUITA para el trabajador. Recupera el importe del curso bonificándolo por la Fundación Tripartita

Matrícula abierta hasta fin de plazas

COMO MATRICULARSE

1.- Cumplimentar Ficha inscripción

2.- Enviar email a inscripciones@kenzenformacion.com indicando datos de contacto. (nombre + resguardo del ingreso + fotocopia título o del carnet de colegiado).

Contenido del curso

The course content will be delivered through a mixture of methods to optimize multi-faceted knowledge transfer, designed to address local barriers to knowledge translation, in line with current best-evidence approach in improving evidence-based practice / clinical practice guideline uptake among physiotherapists, including:

– interactive lectures

– demonstrations

– didactic sessions

– practical skills training

– illustrations

– discussion and feedback sessions addressing clinical reasoning skills

– case studies

    Programa del curso

    Day 1:

    Understanding persistent spinal pain: modern pain neuroscience applied to chronic low back pain and chronic neck pain

    Biopsychosocial assessment of patients having persistent spinal pain, including clinical reasoning to develop individually tailored treatment plans

    Explaining pain to patients having chronic spinal pain in clinical practice: combining pain neuroscience education with motivational interviewing

     

    Day 2:

    Shared decision making with patients having chronic spinal pain in clinical practice

    Exercise therapy for changing pain cognitions and beliefs in patients with chronic spinalpain: The modern neuroscience approach

    Addressing comorbidities: stress management for patients with chronic spinal pain

     

    Day 3 (half-day):

    Addressing comorbidities: sleep management for patients with chronic spinal pain

    Referencias bibliográficas
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    2. Nijs J, Meeus M, Cagnie B, et al. A modern neuroscience approach to chronic spinal pain: combining pain neuroscience education with cognition-targeted motor control training. Physical therapy 2014; 94(5): 730-8.
    3. Zusman M. Forebrain-mediated sensitization of central pain pathways: ‘non-specific’ pain and a new image for MT. Manual therapy 2002; 7(2): 80-8.
    4. Zusman M. Mechanisms of musculoskeletal physiotherapy. Physical Therapy Reviews 2004; 9: 39-49.
    5. Zusman M. Associative memory for movement-evoked chronic back pain and its extinction with musculoskeletal physiotherapy. Physical Therapy Reviews 2008; 13(1): 57-68.
    6. Wang JC, Dailey AT, Mummaneni PV, et al. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: lumbar fusion for disc herniation and radiculopathy. J Neurosurg Spine 2014; 21(1): 48-53.
    7. Macedo LG, Smeets RJ, Maher CG, Latimer J, McAuley JH. Graded activity and graded exposure for persistent nonspecific low back pain: a systematic review. Physical therapy 2010; 90(6): 860-79.
    8. van Weering M, Vollenbroek-Hutten MM, Kotte EM, Hermens HJ. Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clinical rehabilitation 2007; 21(11): 1007-23.
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    13. Bradesi S, Lao L, McLean PG, et al. Dual role of 5-HT3 receptors in a rat model of delayed stress-induced visceral hyperalgesia. Pain 2007; 130(1-2): 56-65.
    14. De Couck M, Nijs J, Gidron Y. You may need a nerve to treat pain: the neurobiological rationale for vagal nerve activation in pain management. The Clinical journal of pain 2014; 30(12): 1099-105.
    15. Bell RF, Borzan J, Kalso E, Simonnet G. Food, pain, and drugs: does it matter what pain patients eat? Pain 2012; 153(10): 1993-6.
    16. Dunne RL, Kenardy J, Sterling M. A Randomized Controlled Trial of Cognitive-behavioral Therapy for the Treatment of PTSD in the Context of Chronic Whiplash. The Clinical journal of pain 2011.
    17. Varatharajan S, Ferguson B, Chrobak K, et al. Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society 2016; 25(7): 1971-99.
    18. Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. The journal of pain : official journal of the American Pain Society 2013; 14(12): 1539-52.
    19. Doufas AG, Panagiotou OA, Ioannidis JP. Concordance of sleep and pain outcomes of diverse interventions: an umbrella review. PloS one 2012; 7(7): e40891.
    20. Nijs J, Loggia ML, Polli A, et al. Sleep disturbances and severe stress as glial activators: key targets for treating central sensitization in chronic pain patients? Expert opinion on therapeutic targets 2017; 21(8): 817-26.
    21. Stander J, Grimmer K, Brink Y. Training programmes to improve evidence uptake and utilisation by physiotherapists: a systematic scoping review. BMC medical education 2018; 18(1): 14.

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