Gregory Lehman – Reconciling Biomechanics with Pain Science
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What is about Reconciling Biomechanics with Pain Science?
Integrating the standard biomechanical practice with the biopsychosocial perspective.
More than eighty students from five different continents have taken this class so far. It is regularly updated, and both fresh grads and seasoned veterans can benefit from it. Recent graduates say it provides them with a sense of purpose as they continue their education, and seasoned professionals say it serves to reinforce much of what they already know while providing some new, useful insights. We acknowledge that some of the content is debatable; however, many students who have taken the course from a variety of perspectives have found that much of it is still applicable and helpful. Disagreement is welcome and encouraged, and it often leads to greater learning for all students.
Brief Overview
Reconciling Biomechanics is geared toward helping therapists improve their communication and clinical reasoning skills while also streamlining the procedural aspects of their work. It aims to provide an alternate explanation for pain and injury beyond the kinesiopathological model while still addressing the question of why biomechanics is important. The therapeutic neuroscience curriculum is taught, but not from a particularly scientific perspective. The focus instead shifts to more pragmatic methods of teaching patients about pain in a way that fosters resilience, optimism, and self-control of symptoms. Using our Pain Key Messages, we employ cognitive restructuring to combat numerous harmful misconceptions about pain and injury. The Recovery Strategies for Pain Workbook is the primary source for much of the content. Clinical reasoning is emphasized over instruction in specific exercises for symptom management and exercise prescription because the latter is often unnecessary.
Course Background
For over twenty years, experts have argued that the biopsychosocial model of pain and injury is superior to the more common biomedical approach. However, conventional treatment typically makes use of biomechanically based explanations and a clinical reasoning model. Some of physical therapy’s most widely used methods have been called into question by recent findings in the fields of pain neurosciences and biomechanics. We can see that treatment can be much more straightforward, consistent with the cognitive, neuroscience approach, and best evidence-based practice, if we take into account both the biomechanical approach’s flaws and its strengths.
The use of tendinopathy as a research model for chronic pain, as well as a rethinking of manual and exercise therapy that is symptom modification based rather than biomechanically driven, are among the featured topics.
What will this course teach students?
- Assessing the relative importance of biomechanics and therapeutic neuroscience in the context of pain and injury using streamlined assessment techniques
- Assistance in conducting interviews and providing explanations of the complex nature of pain in individual cases
- Therapy through exercise based on biomechanical and neurotherapeutic understanding
- Concise manual therapy methods in line with biomechanics and therapeutic neuroscience
- Quick ways to integrate neuroscience-based therapy into conventional biomedical care
- Trust in moving away from the antiquated biomechanical model of care and toward one that better integrates prior knowledge and training.
- There should be electronic patient-centered handouts/workbooks available to help reinforce the therapist’s approach and teachings.
Course Content
The course is an effort to provide answers to a variety of clinical questions that have been raised by both patients and medical professionals. Clinical questions will be discussed in an interactive lecture format, allowing students to gain both theoretical and practical knowledge about how to approach these issues with patients. Examples and hypothetical situations are used extensively to achieve this goal. Lectures are supplemented with group discussions and hands-on activities.
Topics included:
- Discusions of the kinesiopathological theory of dysfunction. Bringing together the evidence and the beliefs that have been held so far
- Reasons why movement quality and ideals are subordinate to capacity, load tolerance, and pre-movement preparation
- An improved model for rehabilitation based on gradual exposure and taking advantage of people’s flexibility
- Clinical explanations’ role in pain relief: modifying the classic biomechanical model to better serve our patients.
Salvaging best practice
- Anecdotes as a means of imparting knowledge about pain neuroscience to patients
- Learn the best practices and therapeutic neuroscience behind explaining common clinical diagnoses and aches and pains to your patients. The therapeutic solution we offer is strengthened and made more understandable when we explain the mechanisms of pain.
- What can be learned from current methods for modifying symptoms and sensitivities, and how these methods have developed. We condense the core components of various methods into a single, streamlined treatment strategy.
- Put it in and go! The relevance of gradual exposure to all types of pain and injuries
- Instances Where Biomechanics Are Crucial Biomechanics is still crucial but must be considered in the context of the biopsychosocial model.
- Why Conventional “Corrective Exercise” and Kinematic Ideals Are Insufficient for Pain Relief and Injury Management Complete Capacity Based on the individual’s adaptability, a more straightforward solution is proposed.
- An evidence-based method for comprehending pain and rehabilitating common conditions is presented in this article in the form of the Tendon Loading Model of Rehabilitation and its application to common clinical disorders.
- Graded The key to developing resilient, self-confident patients is exposure, which includes the right amount of movement, the right kind of movement behavior modifications, the right kind of explanation of pain, and the right kind of return to daily life.
- Reconceptualizing Manual Therapy: refining conventional approaches through the use of touch, guided motion, novel stimulus, contraction, and exploration of movement in three dimensions. In light of the latest findings, this section will also clarify manual therapy.
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