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Reconciling Biomechanics with Pain Science

A percentage of this course is based on the Recovery Strategies Guidebook.  Please download if you are interested.
The biopsychosocial model of pain and injury has been argued as superior to the traditional biomedical approach for more than two decades. However, traditional therapy typically relies on explanations and a clinical reasoning model that is predominantly biomechanics based.  Significant research in the pain neurosciences and biomechanics field often appears to undermine the reasoning and justifications for many of the therapeutic approaches and techniques of the physical therapy profession. By addressing both the weaknesses and strengths of the biomechanical approach we can see that treatment can be much simpler, congruent with the cognitive, neuroscience approach and best evidenced based practice.
This course teaches the therapist how to teach patients about pain science in a treatment framework that still utilizes specific/corrective exercise, general exercises and manual therapy. Therapists are taught a model of treatment that simplifies the assessment process and the treatment.
 
Special topics include:
1) therapeutic neuroscience education;
2) cognition targeted interviewing;
3) assessment and exercise prescription;
4) symptom modification techniques;
5) tendinopathy as a model for persistent pain research;
6) reconceptualization of manual and exercise therapy that is symptom modification based rather than biomechanically driven.
What can the student expect to come away with from this course?
  • up to date assessment techniques for partitioning the role of biomechanics and therapeutic neuroscience in the treatment of pain and injury
  • interviewing techniques to address the multifactorial nature of pain
  • exercise prescription informed by biomechanics and therapeutic neuroscience
  • simplified manual therapy techniques that are consistent with therapeutic neuroscience and the biomechanics of manual therapy
  • immediate means of applying therapeutic neuroscience to a traditional biomedically based practice
  • confidence in the leaving behind the traditional and outdated biomechanical model of care while learning how to integrate previously learned skills
  • access to patient centred handouts/workbooks (electronic) that reinforce the teachings and approach of the therapist to their patient
 
Course Content
The course attempts to address a series of a clinical questions that both patients and practitioners pose. By addressing clinical questions in an interactive lecture format the student will learn practical means of addressing these questions with their patients as well as the thought process and literature used to arrive at a defensible answer. This is primarily done through rapid case scenarios and examples. Hands on and practical components are mixed with interactive discussion based lectures.
All students are provided with courses notes. Note taking is not required
A google drive folder is created for all courses – this material is updated regularly and once you take a course you will have access to all future iterations of the material.
 
 
Clinical Questions and Topics
Clearing the Way for a different approach
  • a detailed critique outlining the limitations of the traditional biomechanical model of therapy. Topics included:
    • the lack of scientifically plausible manual therapy mechanisms and assessment techniques an alternative view will be provided
    • discussions on ideal posture and form. Reconciling current beliefs with the evidence
  • The importance of clinical explanations in pain resolution: how the traditional biomechanical model can be adapted to help our patients

 

PhysioFundamentals: Salvaging best practice

  • The antidote is the anecdote: how to teach pain neuroscience to patients
  • How to explain common clinical diagnoses and aches and pains to your patients consistent with best practice and therapeutic neuroscience. Explain the mechanisms of pain helps support and rationalize that therapeutic solution that we offer.
  • Comprehensive Capacity: why traditional “corrective exercise” and kinematic ideals fall short in pain resolution and injury management. An simpler alternative is supplied
  • The Tendon Loading Model of Rehabilitation and its application to common clinical disorders an evidence based approach to understanding pain and rehabilitating common conditions
  • Graded Motor Exposure and resuming life roles:  how exercise dosage is the key to building robust, confident patients
  • Reconceptualizing Manual Therapy: Using imagery, touch, guided movements, novelty and 3D movement exploration to fine tune existing manual therapy techniques. This section will also simplify manual therapy based on the current research.
  • Resolution through confrontation: how simple exercise and manual therapy techniques help resolve pain and reap the benefits of mechanotransduction

Case Study Applications
A series of case studies will be used throughout the course to illustrate all concepts

Hotel de Witte Bergen in Eemnes

Hotel de Witte Bergen in Eemnes is the venue for multiple courses HumanMotion does in the Netherlands.
www.hoteldewittebergen.nl

Amsterdam, is only 35 kilometres from the hotel. Amersfoort and Utrecht are only 20 kilometres away. The airport is 48 kilometers from the hotel.


How to travel:

From the Airport
We advise to travel by train from Schiphol airport to Hilversum and get a taxi from the trainstation Hilversum to hotel de Witte bergen. Total cost would be around: (1 way) € 10,00 for the train from Schiphol to Hilversum and € 22,50 for the taxi from  train station Hilversum to hotel de Witte Bergen (all prices are estimated prices)

the phone number to make a taxi reservation is: +31 35 531 8080 (taxi Eemnes) Mostly there are also taxi’s on the station as well you can ask them for their rates.

You can by your train ticket at the train stations

From Amsterdam
We advise to travel by train from Amsterdam to Hilversum and get a taxi from the trainstation Hilversum to Hotel de Witte bergen. Total cost would be around: :…(1 way) € 10,00 train € 22,50 taxi (all prices are estimated prices)

The phone number to make a taxi reservation is: +31 35 531 8080 (Taxi Eemnes) Mostly there are also taxi’s on the station as well you can ask them for their rates.

You can buy your tickets at the train stations.

 

By Car

 

From Amsterdam  A1
Direction Amersfoort by A1
Exit Utrecht / Almere (A27)
Exit Hotel de Witte Bergen sign
 
From Amersfoort  A1
Direction Amsterdam by A1
Exit Utrecht / Almere (A27)
Exit Amsterdam / Hilversum Noord (A1)
Exit Hotel de Witte Bergen sign
From Utrecht A27
Direction Hilversum / Almere A27
Exit Amsterdam / Hilversum Noord (A1)
Exit Hotel de Witte Bergen sign
From Almere A27
Direction Hilversum / Utrecht by A27
Exit Amsterdam / Hilversum Noord (A1)
Exit Hotel de Witte Bergen sign

 

Dr Greg Lehman

Dr Greg Lehman BKin, MSc, DC, MScPT

I am both a physiotherapist and chiropractor treating musculoskeletal disorders within a biopsychosocial model.

Prior to my ... 

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Dr Greg Lehman BKin, MSc, DC, MScPT

I am both a physiotherapist and chiropractor treating musculoskeletal disorders within a biopsychosocial model.

Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. My clinical musings can be seen on Medbridge Health CE and various web based podcasts. I am currently an instructor with therunningclinic.ca and with Reconciling Biomechanics with Pain Science.  Both are continuing education platforms that provide clinically relevant research that helps shape and refine clinical practice.

While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and  dissemination of knowledge an important component of responsible practice.


Price€ 495,00
Including syllabus. Lunch not included.
Reception Date(s)09-11-2018 at 08:30
10-11-2018 at 08:30
Start time(s)09-11-2018 at 09:00
10-11-2018 at 09:00
Ending time(s)09-11-2018 at 17:00
10-11-2018 at 16:30
LocationEemnes (NLD)
Speaker(s)Dr Greg Lehman
Terms and conditionsTerms and conditions
LeadJasper Smeenge
Contact Hours14
Min-max participants15-40
Accreditation13 punten voor algemeen-/manueel-/sportfysiotherapeut
Duration2 day(s)