Saturday 27 October 2012

NOI Group - Pain, Plasticity, and Rehabilitation

The latest NOIgroup (Neuro Orthopedic Group) newsletter includes some great clinical reviews of Graded Motor Imagery work out in the clinics.

http://noinotes.wordpress.com/2012/10/24/learning-from-the-shadows/

Also, have a look at this 2-day seminar/workshop being hosted by NOI (Brendan Haslam, David Butler) in Melbourne this November.

http://www.noigroup.com/documents/noi_ppr_course_flyer_bh_2012.pdf


This lecture, practical and interactive course is about developing management strategies for the neurological patient with pain. It will help you to understand how the pain system works, the notion of pain as an output, and how this fits with neurological diagnoses/conditions. The relationship of pain to other homeostatic and response systems such as the immune and endocrine systems, cognitions and language will be introduced.

We know from research that neurological populations (such as Stroke, Spinal Cord Injury, Parkinson’s Disease and Multiple Sclerosis) experience higher incidences of chronic pain than that of the neurologically intact population. The addition of pain compounds the already disabling effects of the neurological condition, 

causing greater functional difficulties in task performance. Despite this, clinical guidelines remain consistently vague with regards to recommendations as to how to address this significant problem, and it is too often neglected in patient care.

This course will cover assessment and management strategies for this population, utilising strategies such as graded motor imagery, sensory retraining, neuroscience education and neurodynamics. You will learn how to utilise these strategies to influence pain and other outputs as appropriate, develop ideas of progression, and, importantly, learn how these fit within the rehabilitation model utilised in neurological rehabilitation, in both the acute and long-term setting.


Course aims

1. To introduce the concept of pain as one of many output systems that may be perturbed in neurological patients.
2. To expand the clinical framework of neurological rehabilitation to incorporate pain rehabilitation, via the paradigms of neuromatrix and pain mechanisms.
3. To reconceptualise pain in terms of modern neuroscience and philosophy.
4. To introduce an array of established and novel treatment strategies targeting the neurological patient with pain, based on clinical reasoning and evidence from clinical trials and neurobiology.
5. To introduce the role of education in effective pain treatment, based on current research.

Course Programme – Day 1

Pain in the Neurological Population: incidence, classification and impact
Biopsychosocialism and use of paradigms
The output and homeostatic pain mechanisms
Nociceptive, Neuropathic and Neuroplastic Pain: What does it all mean?
Making sense of Peripheral and Central Sensitization

Course Programme – Day 2

Graded Motor Imagery: “Sliding under the radar”
Therapeutic Neuroscience Education: “Taking the threat out of pain”
Facilitating Representational Change 1: Utilisation of Sensory Retraining in treating pain 
Facilitating Representational Change 2: Incorporating Neurodynamics into Sensory Retraining to influence outputs

All I can say is that I want to be at the next one of these that is run, and I hope someone else reading this might want to go too.  


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