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Reconciling Biomechanics with Pain Science

De koppeling tussen de nieuwste kennis over pijn en biomechanica

 
Deze cursus helpt de therapeut om de nieuwste kennis over pijn te integreren in combinatie met de traditionele biomechanische technieken binnen het biopsychosociale model. 
 
Todd Hargrove: ''this is one of the best workshops I have attended and I think every movement therapist should go''.
 
Ruime aandacht wordt gelegd op het voorschrijven van oefeningen, symptoom modificatie en graded exposure voor blessuremanagement. Men leert gebruik maken van simpele effectieve technieken om psychosociale aspecten te beïnvloeden die negatief effect kunnen hebben op pijn en performance.

Leer hoe ‘’pain science’’ kan worden toegepast bij patiënten zodat ze meer weerbaarheid, veerkracht en optimisme krijgen en waarbij tevens gezond en onafhankelijk gedrag wordt gepromoot.

Belangrijke research binnen de pijn neuroscience en biomechanica laat vaak zien dat dit de ‘reasoning’ en toepassing ondermijnt voor vele therapeutische benaderingen binnen ons vak. Door zowel naar de zwakke als de goede elementen van de biomechanische benadering te kijken wordt het duidelijk dat behandelen veel simpeler kan en dan meer overeenkomt met de cognitieve, neuroscience benadering en ‘best evidenced based practice’.

In deze cursus leert men om pijnwetenschap in een behandelframework te plaatsen waarbij nog steeds gebruik wordt gemaakt van (specifieke) corrective exercise’, revalidatie therapie en manuele therapie. De therapeut leert echter ook een behandelmodel dat het onderzoek- en behandelproces versimpelt.
 
Een deel van deze cursus is gebaseerd op het Recovery Strategies Guidebook for Pain and Treatment. Deze is te downloaden als u geïnteresseerd bent via de website van Greg Lehman.
 
Accreditatie KNGF: 13 punten voor algemeen practicus, sport fysiotherapie en manuele therapie
Deze cursus is geschikt voor (sport)fysiotherapeuten, manueel therapeuten, chiropractoren en athletic trainers.
Wat kan men verwachten van deze cursus?
  1. Up-to-date onderzoektechnieken om onderscheid te kunnen maken tussen de rol van biomechanica en therapeutische neuroscience bij de behandeling van pijn en blessures.
  2. Interview technieken voor het begeleiden van de multifactoriële oorsprong van pijn.
  3. Oefeningen adviseren op basis van biomechanica en therapeutische neuroscience.
  4. Simpele manuele therapie technieken die in lijn zijn met de therapeutische neuroscience en de biomechanica van manuele therapie.
  5. De betekenis van het toepassen van therapeutische neuroscience binnen een traditionele biomedische gebaseerde praktijk.
  6. Goed kunnen toepassen en integreren van de nieuwe skills in de praktijk en daarmee ook de achterhaalde onderdelen binnen het biomechanische model meer los kunnen laten.
  7. Toegang tot op patiënt gebaseerde hand-outs/werkboeken die de therapeut helpen bij de beste benadering en begeleiding van de patiënt.
 
Cursus inhoud:
Er komt voor de deelnemers een Google drive folder beschikbaar voor alle gevolgde cursussen. Dit materiaal wordt regelmatig geüpdatet en u blijft hiertoe toegang houden.

LECTURES:

Day 1:

1)Treatment Fundamentals Lecture (60 minute practical) 9am to 11 am

● An alternative to the kinesiopathological model of treatment is produced
● A case for simplicity is made
● Clinical reasoning for safety, potential red flags and contraindications to a biopsychosocial approach
● A simplified framework to incorporate both biomechanical treatments with psychosocial treatments is outlined
● a four 15 minute practical exercise break to introduce the concept of comprehensive capacity and graded exposure to:
            ■ Achilles tendinopathy
                ■ Comprehensive shoulder exercise prescription
                ■ Painful hip adduction
                ■ Painful lumbar spine flexion

2)When Biomechanics Matters (11am - 1pm)

● an exploration of the utility and limitations of the biomechanical model in pain and injury Management
● introduction to how the current biomedical model can be simplified and modified to be consistent with the best evidence of both pain science and biomechanical science
● Exploration of spine stability theory, scapular dyskinesis and common kinesiopathology models of pain and dysfunction
● A framework for when movement quality is important for pain and injury
● The importance of habit interruption as a rationale for changing movement quality

3)Expose or Protect: the role of spinal flexion in low back pain and injury (2pm - 3pm)

4)Symptom Modification Model of Injury/Pain Management (3:00 to 5pm - Practical 45 minutes)

● the comprehensive capacity and graded exposure approach to injury and pain treatment will be detailed
● Techniques from various schools of thought (Mulligan, ART, myofascial release, Sahrmann, CFT, tendinopathy research) are demonstrated and reconceptualized to fit into a simpler clinical decision making framework
● We’ve distilled common biomechanical treatments to justify those treatments within an alternative model
● students will learn a framework and simplified clinical reasoning tool to help guide therapy
● Symptom modification as clinical reasoning to guide interventions as demonstrated through case studies
● simplifying both manual therapy, movement based interventions and exercise therapy via understanding the commonalities amongst our most popular interventions
● traditional manual therapy techniques will be reframed to be maximize a biopysychosocial intervention approach
● active and passive approaches to the symptom modification interventions and how these manual therapy approaches are supported by exercise interventions will be taught.

Day 2:

1)The comprehensive capacity model of exercise prescription. (9:00-12 am - practical 30 minutes)

● A simplified approach to exercise prescription is shown
● The importance of comprehensive capacity and movement options is highlighted and illustrated when it is necessary
● an evidence based approach to understanding pain and rehabilitating common conditions
● an approach to understand the assessment of sensitivity in exercise prescription
● demonstrations of the exercise interventions
● case study autopsies are performed illustration common themes behind various treatment approaches and how a simplified intervention can be effective
● A review of common themes in tendinopathy and how that research can guide much clinical practice

2)The Point of Pain Science and Key Messages Workshop (1-4 pm)

● Pain science primer
● Identifying potential false beliefs that might influence pain and disability
● How to deliver Key Messages that are chosen by false beliefs
● Interviewing techniques are illustrated to help change opinions and ultimately change behavior
● case studies are presented by the class and solved with facilitation from the instructor and the group
● a reconceptualization of common clinical tests is demonstrated to show that much of our current testing can be modified to still be useful
● Specific examples demonstrating how to begin meaningful treatment “when everything hurts” and all manual therapy and exercise therapy has failed

 

Location of the course: HumanMotion BV

Klaaskampen 19C
1251KN Laren
020-7162741
 

 

Recommendations to stay during the course:

 

  • BED & BREAKFAST HET HOF VAN LAREN 

Less than 300 meters from our office we have a nice Bed&Breakfast called: Het Hof van Laren.
For more information go to: www.hethofvanlaren.nl 
 
 
  • HOTEL DE WITTE BERGEN IN EEMNES

Hotel de Witte Bergen in Eemnes is for some courses HumanMotion does in the Netherlands; it is 5 minutes away (by car) from our office.
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 / Amsterdam city center.
We advise to travel by train from Schiphol airport to Hilversum and get a taxi from the trainstation Hilversum to Klaaskampen 19C. Total cost would be around: (1 way) € 10,00 for the train from Schiphol to Hilversum and approximately € 22,50 for the taxi from train station Hilversum to our location (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

 

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.


Prijs€ 495,00
Inclusief syllabus. Een lunch wordt geserveerd.
Ontvangsttijd30-11-2018 om 08:30
01-12-2018 om 08:30
Start30-11-2018 om 09:00
01-12-2018 om 09:00
Eindtijd30-11-2018 om 17:00
01-12-2018 om 16:30
LocatieLaren (Nh)
Expert(s)Dr Greg Lehman
ToetsingGeen
Didactische werkwijzeTheorie en praktijk
Algemene voorwaardenAlgemene voorwaarden
LeidingJasper Smeenge
Contacturen14
Min-max deelnemers15-40
Accreditatie13 punten voor algemeen-/manueel-/sportfysiotherapeut
Duur2 dag(en)