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The Neck: Clinical Rehabilitation by Chris Worsfold, MSc, PGDipManPhys, MCSP, MMACP (UK)

Manual Physical Therapy Alliance

Objectives

Develop a better understanding of the biopsychosocial context of neck pain.
Develop a greater knowledge of the forces involved and pathologies that follow whiplash injury.
Develop confidence in identifying red flags and what constitutes an evidence-based assessment of neck pain.
Develop an evidence-based, clinically reasoned management plan that includes screening for poor outcome in neck pain.
Develop practical skills in assessing and managing impairments of muscle performance, oculomotor control, proprioception, postural stability and psychological factors that are associated with neck pain.
Develop practical treatment strategies that include exercise based, soft tissue manipulation and joint mobilization techniques to facilitate rehabilitation.

Target Audience

Licensed PT, MD, DO, DC or NMD or a student enrolled in a PT, MD, DO, DC or NMD program in their second year of study or attending with a licensed professional. Please bring proof of licensure or enrollment to class.

Agenda

DAY 1:
9:00-9:30 Introductions: 9:30-10:00 Do No Harm: Red flags, cervical myelopathy, Canadian C-Spine Rule (excluding fracture), Cervical Arterial Dissection (CAD). 10:00-10:30 Whiplash Injury: kinematics, biomechanics & pathology. 10:30-10:45 Break 10:45-12:30 Muscle and Motor Control Dysfunction. This session presents the assessment of the muscle and motor control systems. 12:30-1:15 Lunch 1:15-3:00 Sensorimotor Impairment. This session presents the clinical assessment of proprioception, oculomotor control, and postural stability. 3:00-3:15 Break 3:15-3:45 Towards an Evidence-Based Clinical Examination of the Cervical Spine 3:45-4:30 Predicting Prognosis in Whiplash & Neck Pain: Assessing risk of poor recovery & introducing the role of ‘central sensitization’, stress, fear & catastrophizing.


DAY 2:
9:00 – 9:30 Day 1 review 9:30 – 10:30 Progressing Treatment (Sensorimotor, Muscles & Motor Control): including an introduction to group-based approaches to neck pain. 10:30-10:45 Break 10:45-12:30 Managing Neck Pain. This practical session presents recommendations for the management of neck pain including specific manual therapy and soft tissue manipulation approaches. 12:30-1:15 Lunch 1:15 Physiotherapy & Neck pain: What is the evidence base for effective clinical practice? 1:30-3:00 Managing Neck Pain (continued) Further techniques are presented, as a continuation of the morning session. 3:00-4:00 Case Studies – putting it all together.

Description

This is a time of great change in the management of musculoskeletal pain and injury. Whilst research has shown the limitations of hands-on manipulative approaches, clinicians are also recognizing how psychological factors influence treatment and recovery. But where do you start? How do you put the latest clinical research into practice? How do you decide whether to prioritize physical or psychological approaches in your clinical work?
The main focus of the course is on one-to-one patient self-management, but delegates will also learn:
How to carry out psychological screening to assess prognosis.
Group-based exercise approaches to neck pain (the ‘Neck Gym’).
Novel ‘hands-on’ manipulative approaches.
Sensorimotor assessment and management.

Date And Locations
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