Over time, it is becoming increasing evident that a gap in production of new evidence and effective implementation of this evidence into daily clinical practice exists. The purpose of this course is to present a practical and evidence-based step by step framework for patient management in the outpatient orthopedic setting. This 10-step framework reflects contemporary understandings of the patient-therapist relationship, modern understanding of the science of pain, current concepts in pain neuroscience education, person centered application and underlying neurophysiologic mechanisms of manual therapy, relevant models of tissue homeostasis and allostatic load, and concepts of motivational interviewing. This presentation will aim to provide learners with an outlined framework to guide their clinical encounters and bridge the gap between present-day best evidence and current clinical practice.
Upon completion of this session, attendees will:
- Gain a greater understanding of psychological mechanisms of placebo, nocebo, and contextual effects to incorporate them into clinical practice.
- Improve ability to perform a skilled physical therapy examination as it relates to determining psychosocial and biomechanical contributions to the patient’s pain experience.
- Enhance their ability to explain the value of skillful listening and building therapeutic alliance in improving patient outcomes.
- Develop working understanding of useful analogies to explain pain and effective strategies to reconceptualize movement through altering expectation and context to effectively decrease pain.
- Improve their conceptualization of loading principles in rehab