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Chronic Musculoskeletal Pain
September 16-17, 2011
PT, PTAs, OTs, COTAs, SLPs, Nurses
Pain is a common complaint for almost all patients with musculoskeletal disorders. The practicing clinician can grow frustrated with pain complaints because they are often troubling to the patient and reports of pain can be elusive and inconsistent. This evidence-based education session will provide the practicing clinician with an update on current understanding of pain perception, with an emphasis on musculoskeletal pain disorders. This course will emphasize selected studies reported in the pain and rehabilitation literature.
Learning Objectives Upon completion of this course, the participant will:
Upon completion of this course, the participant will:
The first session (Friday) will start with a historical perspective of pain and physical therapy. This will be followed by an update on the neurobiology of pain perception, including a review of classic and updated models and a contrasting of normal and diseased states. Measurement of pain will follow the neurobiology topic and include assessment of different domains as well as procedures for measuring the output of the nociceptive system. The measurement portion will include demonstration for scoring of pain questionnaires and lab for use of standardized stimuli. Variability of pain perception and its potential to explain individual differences will then be reviewed. Topics covered will include the influence of age, sex, ethnicity, genetics, and psychology on pain reports. The first session will conclude with a summary and question and answer session.
The second session (Saturday) will begin with a brief review of the epidemiology of musculoskeletal pain conditions to set the stage for the focus on clinical management. This session will include discussion and review of chronic pain models that adequately account for the variation in pain perception. Next, treatment models will be introduced in the context of primary, secondary, and tertiary prevention. Potential physical therapy strategies for each stage of treatment will be discussed, as well as the evidence for the treatments. The second session will conclude with a summary and question and answer session.
Outline of Friday Session (7 – 8 hours)
- Historical perspectives of pain and physical therapy – SG
- Introduction and reflection
- Brief history of pain
- Neurobiology of pain perception – MB
- Theories of pain perception
- Key anatomical players
- Normal transmission pathways
- Abnormal transmission pathways
- The plasticity of pain
- Application of plasticity of pain – SG
- Measurement of pain (includes demonstration and lab) – SG and MB
- Domains of pain – MB
- Affective assessment (self report) – SG
- Quantitative sensory testing
- Putting it all together – MB
- Variability in pain perception (individual differences) – SG
- Summary of first day –SG
- Reflection again
- Questions and answers
Outline of Saturday Session (3 – 4 hours)
- Brief review of epidemiology of pain – SG
- Musculoskeletal pain prevalence
- Musculoskeletal pain impact
- Treatment delivery models – SG
- Primary prevention (before pain onset) – MB
- Secondary prevention (in acute pain) – SG
i. Manual therapy
ii. Behavioral interventions
- Tertiary prevention (reducing chronic pain) – VW
i. Multi-disciplinary approach
- Overall summary
- Wrapping it up
- Questions and answers
When & Where
Brooks Institute of Higher Learning
Brooks Post-professional Education Programs
Brooks Rehabilitation is a leader in post-professional clinical education for healthcare practitioners focused in the area of rehabilitation. This is demonstrated by its active involvement in providing residency and fellowship level training as well as through providing world class continuing education courses for all clinicians in the field of rehabilitation practice. Currently Brooks has four post-professional education programs including a multidisciplinary Geriatric Residency (includes residents from OT, Nursing, SLP, and PT), a PT Neurologic Residency, a PT Orthopaedic Residency, and an Orthopaedic Manual Physical Therapy Fellowship. Brooks Rehabilitation offers over 25 post-professional continuing courses each year that includes a wide variety of course offerings for multiple disciplines and a variety of specialty practice areas. The speakers include both nationally renowned experts from around the country as well as nationally recognized clinical experts that currently practice within Brooks.