Recent evidence for treating both the peripheral and central changes following injury and insult have emerged. While addressing the peripheral and central system is important, understanding the pain mechanisms are essential for improving outcomes for pain reduction and improved movement. Utilizing Mirror therapy, graded motor imagery and the Biopsychosocial approach must be added to the treatment program to retrain the brain by targeting brain processing mechanisms to achieve effective outcomes.
This course covers orthopedic injuries, Neurovascular Injuries and central insults and ways to use neuroplasticity to sequentially train the brain. After injury the peripheral signs and symptoms are easily identified and treatable, but what happens if your patient does not get better because the Central Symptoms were not identified? Entrapment neuropathies, repetitive stress injuries, soft tissue and joint problems, neck and low back pain, complex regional pain syndrome, post surgical pain, phantom limb pain as well as neurovascular injuries do not fit the peripheral pattern and the clinical signs and symptoms are related to central involvement or central sensitization. Pain that moves around and spreads to another limb, abnormal sensations, as well as unusual movement patterns are a few signs of the changes that have occurred in the brain. They must be addressed. Advances in Neuroscience have now identified treatment strategies aimed at correcting the way the Brain processes information and the abnormal brain changes.
This course will emphasize a clinical reasoning approach supported by current evidence in the literature for top down treatment. This is an 8 hour course which consists of lectures, labs and individual case studies. At the completion of this course attendees will have developed skills to take back to the clinic for immediate utilization. (Intermediate Level)
At the conclusion of the course the participant will be able to:
1. Explain the changes that occur both peripherally and centrally following orthopedic and neurovascular injuries.
2. Describe ways to overcome the fear of moving and the fear of increasing range of motion that hinder functional
3. Understand the patients that would benefit from Mirror Therapy and those that would benefit from a sequential
Graded Motor Imagery Program.
4. Recognize patients that have 4 clinical signs of central sensitization .
5. Identify neural compression and entrapments sites by using provocation tests to differentiate them.
6. Describe the common features for pathological problems such as Phantom limb Pain, Repetitive Stress Injuries,Entrapment Neuropathies, Complex Regional Pain Syndrome and Cerebral Vascular Accidents etc.
7. Explain the rationale behind soft tissue injuries that cause movement disorders that slow down the progression
to functional outcomes
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