A World of Hurt: Central Nervous System Pain Mechanisms Patient Education & Exercise Prescriptions

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A World of Hurt: Central Nervous System Pain Mechanisms Patient Education & Exercise Prescriptions


April 27-28, 2019

Instructor: Annie O'Connor

Course Description:

This two-day course focuses information critical to the assessment and treatment of patients dominated by Central Nervous System (CNS) Pain Mechanisms.  The course will aid the sub grouping of CNS mechanisms into Central Sensitivity, Affective and Motor / Autonomic mechanisms. Incorporating the scientific literature and strategies for Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Motivational Interviewing (MI) approaches promoting when best utilized for each pain sub group.  This course will present specific patient motivational pain science education approaches, specific functional exercise prescriptions and CNS sensorimotor retraining. Outlining Chapter Six, Seven & Eight of “A World of Hurt:  A Guide to Classifying Pain”, pain clinicians will learn how to assess and classify CNS pain mechanisms including, Central Sensitivity, Affective and Motor / Autonomic utilizing psychometric measures, outcome measures, CNS sensory and motor evaluations. This course will focus on specific interventions of pain science patient education topics; patient readiness questionnaire, motivational interviewing strategies, graded exposure functional return and sensorimotor retraining for each CNS dominated pain mechanism. Video, paper cases and live patient demonstrations (when available) will aid application to each clinician’s practice by understanding the importance of the “words” and “moves” necessary to reverse CNS pain mechanisms.


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Course Objectives:
At the conclusion of this course, participants should be able to:

1)  Differentiate subjective and objective clinical characteristics for the CNS pain mechanisms: central sensitization, affective and motor/autonomic.

2)  Apply pain mechanism classification principles to CNS live, paper and video patient cases.

3)  Classify CNS pain mechanisms utilizing Yellow Flag Risk Form and prescribe individualized patient education and active care interventions.

4)  Administer and interpret patient rated psychometric outcome measures, readiness questionnaire for patient education.

5)  Communicate pain science education for all CNS pain mechanisms.

6)  Perform evaluation tests for motor/autonomic sensorimotor dysfunctions.

Who should attend:
Physical and Occupational Therapists, Chiropractors, Osteopaths, Physical Therapist Assistants, Occupational Therapy Assistants, Medical Doctors, Psychologists, Athletic Trainers, Personal Trainers and any other practitioners who are involved in treating musculoskeletal pain

This course has been approved by the Illinois Physical Therapy Association for 14.5CE hours. Approval #647-7406

This content is not intended for use by participants outside the scope of their license or regulation.