Registration Fee

Tuition: $450

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$425 by February 19, 2018

Central Nervous System (CNS) Pain Mechanisms-Patient Education and Exercise Prescription

Course Objectives

Upon completion of the course, participants will be able to apply the principles directly into their clinical practice:

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

  • Differentiate subjective and objective clinical characteristics in the CNS pain mechanisms: central sensitization, affective and motor/autonomic.
  • Apply CNS pain mechanism classification principles to live, paper and video patient cases.
  • Classify CNS pain mechanism and prescribe individualized patient education and active care interventions.
  • Administer and interpret patient rated psychometric outcome measures, readiness questionnaire for the education and active care.
  • Effectively communicate pain science education for all CNS pain mechanisms.
  • Effectively evaluate and treat motor/autonomic sensorimotor dysfunctions.

Course Description

This two-day course focuses on information critical to the assessment and treatment of patients dominated by Central Nervous System (CNS) Pain Mechanisms. The course teaches how to classify CNS pain mechanisms into Central Sensitivity, Affective and Motor / Autonomic. Incorporating the scientific literature and strategies for when to utilize Cognitive Behavior Therapy (CBT), Acceptance and Commitment Therapy (ACT) and Motivational Interviewing (MI) approaches. This course will highlight specific interventions of patient pain science education approaches, specific gradual exposure functional exercise prescriptions and CNS sensorimotor retraining. Outlining principles from Chapter Six Central Sensitivity, Seven Affective & Eight Motor / Autonomic of “A World of Hurt: A Guide to Classifying Pain”, pain clinicians will learn how to assess and classify CNS pain mechanisms utilizing subjective / objective characteristics, psychometric measures, outcome measures, CNS sensory and motor evaluations. This course will present a patient readiness questionnaire, MI, ACT, and CBT strategies for each CNS pain mechanism. Video, paper cases and live patient demonstrations (when available) will assist the application of pain classification principles by understanding the importance of the “words” and “moves” necessary to reverse CNS pain mechanisms.

Course outline

8:00 am Registration / Continental Breakfast
8:30 Lecture: Risk Assessment for Musculoskeletal Pain: A Collaboration of Classification Systems - Introduce Yellow Flag Risk Form [WoH: pg 258]
9:15 Lecture: You Don’t Get Pain without a Brain
10:00 BREAK
10:15 Lecture: Central Nervous System (CNS) Subgroups Subjective and Objective Characteristics [WoH: pg 222-223]
11:15 Psychometric Testing/Scoring Workshop: FABQ [WoH: pg 198-199], PASS [WoH: pg 257], PHQ-9 [WoH: pg 257], Readiness Questionnaire [WoH: pg 44-49]
12:00 LUNCH
1:00 Words Workshop: Patient Pain Education using the Yellow Flag Risk Form: Individual to Group Model [WoH: pg ix], Documentation Guidelines and Goal Recommendations; Assessing patient motivation and learning.
3:00 BREAK
3:15 Video/Paper Case Studies or Live Patient Demonstration: Central Sensitivity
4:15 Video/Paper Case Studies or Live Patient Demonstration: Affective Pain
5:15 Questions / Answers / Case Discussion
7:30 am Continental Breakfast
8:00 Lecture: Affective Pain Mechanism; [WoH pg. 237 – 282]
9:00 Lecture: Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT)
10:00 BREAK
10:15 Workshop: Set the Scene and Act the Part: Observe and actively participate in live demonstrations of role playing clinician and patient scenarios; how to use your words to motivate, direct treatment, and guide the patient to take the lead in their care.
12:00 LUNCH
1:00 Video/Paper Case studies: CNS Motor/Autonomic
2:00 Lecture: CNS Mechanisms Patient Education and Active Care Intervention [WoH: pg 236]
2:30 Lecture: CNS Sensory and Motor Evaluation Objective Tests [WoH pg 328-335]
3:00 BREAK
3:15 Workshop: CNS Sensory and Motor Patient Video Demonstration: Actively practice sensory and motor tests including CNS left/right discrimination in both the spine and extremities
4:30 Questions / Answers