Pain Science and Orthopedic Manual Therapy are both intervention methods that are designed to reduce pain and improve global outcomes of patients. Both interventions involve pain modulatory principles and both have been well studied in the literature. Recent social media chatter, clinical opinion, and an occasional publication, have pitted these two intervention methods as opposing constructs. This webinar discusses the key principles of each approach and compares and contrasts. Certainly, the methods are not the same, but interestingly, they have similar genetics that are worth discussion.Webinar 2: Emeritus Prof Gwendolen Jull - Non-Specific Neck Pain: The Case for Specific Treatment
Headache is a common and debilitating condition, which can be difficult to diagnose and manage as it is both a symptom and a disease. The International Headache Society lists more than 300 different forms of headache, many arising from serious pathology, and clearly not all can be managed through physical intervention such as manual therapy and exercise. However, physical treatments have been shown to be effective in the long-term management of specific headache forms, including cervicogenic and tension-type headache. This seminar clarified evidence-based classification and management of headache suitable for physical treatment including exercise to improve clinical management.
Webinar 4: Dr Annina Schmid - Getting on your Nerves: Clues and Pitfalls when Assessing and Managing Patients with Entrapment Neuropathies
1. understand the heterogeneity of patients with entrapment neuropathies
2. know how to (or not to) interpret commonly used tests
3. understand why a one-size-fits-all management for these patients has failed.
Understanding the relationship between, and within, body regions and the consequences of impaired function of one region on another is complex. Many health practitioners specialize in body regions (low back, neck, knee) and treatment is often based on the practitioner’s training and experience. However, this reductionist approach may not be optimal in that each body region is also integrated, and interdependent, as part of the whole body/person. No studies have correlated persistent pain anywhere in the body to a consistent impairment. Therefore, in persistent pain conditions such as low back pain, pelvic girdle, pain, plantar fasciitis, headache etc., understanding what body region, and system within that region, should be treated requires an individual clinical reasoning approach. This 45-minute lecture will introduce tests to determine when the thorax is playing a critical role for an individual with impaired function of the pelvic girdle (loss of mobility and/or control) with or without associated pelvic girdle pain. The role of manual therapy for articular, neural, myofascial and/or visceral system impairments impacting the various thoracic rings will be outlined as part of the individualized multi-modal treatment approach.
Webinar 6: Prof Jaap van Dieen - Motor Control cnanges on low-back pain
Pain and especially movement-related pain is a strong stimulus to change the way we move. Consequently, differences in motor control between patients with low-back pain and healthy controls can be expected. However, studies show that these changes are not very inconsistent; large variance exists in findings on motor control between studies and between patients within studies. The theoretical approach I take in my research is to consider changes in motor control in low-back pain as outcomes of a learning process under the influence of pain and pain-related cognitions. This theory yields quite specific predictions that are largely in line with empirical observations, but that require further testing. In this webinar, I will outline this theory, describe motor control changes that we and others have observed in patients with low-back pain and finally I will discuss clinical implications.