Novel Movement & Edgework
Novel Movement & Edgework
Novel movements describe a process of altering the context and manner in which painful movements are performed in order to change the result from one of pain and limitation. Edgework describes a specific process of attending to movement during the interventions that are used in the clinic such that self-efficacy and expansion of movement are facilitated.
In this 2 day workshop a framework for the interactive process of care will be presented with specific applications of current pain science and theory to the clinic. The approach of moving within specific novel contexts, allowing for new outputs to previously painful movements, will be presented as well as a specific process that can overlay existing models of care. Specific applications will be presented for the upper and lower quarter.
About the speaker Cory Blickenstaff runs a private practice in Vancouver, wa using manual and movement based interventions for employees in their work setting. His focus is on fostering self efficacy in successfully self managing mechanical pain issues and eliminating the iatrogenic influence of care. To this end he has developed a movement approach called Edgework.
1) Describe the foundation principles for the Edgework approach.
2) Delineate screening tests from findings that indicate an opportunity for alteration of movement.
3) Delineate a dysfunctional finding from a finding that indicates an opportunity for change.
4) Describe the concept of a "neurotag" in relation to a "novel movement."
5) Define the 3 categories of "Edgework."
6) Define interoception and its relation to identifying an "edge" of protective behavior.
7) Justify fostering a narrative of self efficacy.
8) Describe the 3 conceptual spaces of interaction.
9) Define and describe the “Edge markers.”
10) Discuss the potential for negative influence on Self-Efficacy.
11) Demonstrate specific examples of the use of Edgework for the upper and lower quarter.
12) Practice specific applications of Edgework and Novel Movements for the upper and lower quarter.
Syllabus - Novel Movement and the Edgework Approach
9am Application of Current Pain Science: a bridge to the clinic:
In this section we’ll discuss current models and uses of pain science, define some terms that will set the stage for other portions of the class, and applying this information into a clinically useful framework.
10am Building the Interaction: Context Architecture
The 3 spaces of interaction will be introduced as will the role of context in our therapeutic interactions. We’ll also discuss practical approaches for establishing a therapeutic context.
11am Novel Movement: Concepts and Lab
Novel movement will be introduced as a concept for use in the clinic. Categories of novel movement will be introduced and then time will be spent practicing some specific examples of these concepts as a group.
2pm Assessment: What are we looking for?
Lecture and Lab: The role of assessment will be examined as a way to guide application of the interventions, set baselines, and continue building the therapeutic context. Time will be spent practicing assessment in this manner.
330pm Novel Movement: Practical Applications
Lecture and Lab: Discussion of focused use of novel movements based upon assessment findings will be discussed and then time will be spent practicing specific applications based upon common assessment findings of the upper and lower quarter.
9am: Building the Progression
The role of narrative in the presentation of the person in pain will be examined as will the impact of self efficacy and internal locus of control. We will discuss progressions in narrative as the patient improves and how to foster specific progression in narrative while connecting to movement.
10am: Finding the Edge: Edge Markers
Lecture and Lab: The concept of the “Edge” will be introduced as will the markers used in identifying it. We will practice 2 specific examples, one upper body and one lower body, of identifying the edge as a group.
11am: Edgework: Lower Quarter Applications
Lecture and Lab: The 3 categories of Edgework will be introduced and application to Lower quarter findings will be demonstrated and practiced as a group.
2pm: Edgework: Upper Quarter Applications
Lecture and Lab: Applications of Edgework to the upper quarter will be demonstrated and then practiced as a group.
330: Putting it all together
Lecture and Lab: A guideline for order to introduce both novel movement and Edgework into the clinical encounter will be discussed, demonstrated, and then practiced as a group. Using these concepts as a way to kinesthetically reinforce and teach about pain will be reviewed and summarized
This course has been approved for 13 CE hours by the Illinois Physical Therapy Association - Approval 647-6678
This course content is not intended for use by any participants outside the scope of their license or regulation.