October 19th-20th, 2019
Vancouver College of Massage Therapy (VCMT)
300-1050 West Pender St.
RECONCILING BIOMECHANICS WITH PAIN SCIENCE
WITH A BETTER UNDERSTANDING OF BOTH BIOMECHANICS AND PAIN SCIENCE THE TREATMENT OF PAIN AND INJURY CAN BECOME INFINITELY MORE SIMPLE
This course has been taught more than 80 times on 5 continents. It is constantly being updated and we consider it a great course for new grads and seasoned veterans. New grads report that it helps give some direction to their new learning and old pros often find it reinforces much of what they know but gives some additional practical insights into improving what they do. We recognize that some of the material is contestable but many of those who have taken the course with different biases still find there are practical and useful parts. We are allowed to disagree and when we do it often makes everyone in the course that much smarter.
Please find the course outline here.
This is practical course designed to help therapists simplify the mechanical aspects of their treatment and build new communication and clinical reasoning skills. It teaches an alternative to the kinesiopathological model of pain and injury but still tries to answer when biomechanics matters. Therapeutic neuroscience is taught but not with a heavy neuroscience slant. Rather, practical approaches to teaching patients about pain that builds resiliency, optimism and encourages self-control of symptoms are the focus. We focus on cognitive restructuring to address many of the common unhelpful beliefs regarding pain and injury and use our Pain Key Messages to change behaviour. Much of the information is based on the Recovery Strategies Pain Workbook. Exercise prescription and symptom modification is taught with an emphasis on clinical reasoning and less about specific exercise (as those aren’t always necessary).
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 the 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.
Special topics include therapeutic neuroscience education, assessment and exercise prescription, symptom modification techniques, tendinopathy as a model for persistent pain research and a reconceptualization of manual and exercise therapy that is symptom modification based rather than biomechanically driven.