Course RE-SCHEDULED to 2023, date/time TBD.
“Explain Pain focuses on the ‘How’ of Pain, Ponder Pain focuses on the ‘Why’.”
Cost:
APTA Members - $250
Prospective APTA Members - $350
Sorry, this course is not available for students
Schedule:
8am-8:30am: Check-IN
8:30am: Course Start
LUNCH (on your own)
5:30pm: Course End
Educational Level - Intermediate to Advanced
Student to faculty ratio - less than or equal to 15: 1
About the Course:
Nearly 20 years ago, David Butler and Lorimer Moseley educated the world about the neurophysiological mechanisms underlying pain. Since that time, the underlying knowledge surrounding pain has grown significantly. The view of pain as a hardwired neurological system designed to warn of tissue damage is increasingly acknowledging that psychological and social factors strongly influence pain perception.
Pain occurs at the intersection between the body and the mind. The biopsychosocial model of pain is now a standard model used to describe the relationship between the body, the mind, and context. While fully acknowledging this relationship, physical therapy management primarily focuses on the biological aspects of pain and has yet to integrate the other two components. The ability to explain the biological mechanisms involved in pain has been a significant advance in managing pain; the next step forward is considering the factors that influence pain biology.
To tackle the complex task of managing pain, clinicians require tools to bridge the gap. This interactive and hands-on course teaches the clinician how the mind can tame the body and how the body can calm the mind. Explain Pain focuses on the “How” of Pain, Ponder Pain focuses on the “Why.”
Educational Objectives
Appreciate the history of the study of pain from early to current and developing concepts.
Recognize the difference between nociception and pain.
Recognize the new conceptualization of pain as a protective behavioral mechanism associated with actual or perceived threat to body tissue and the scientific evidence underpinning this conceptualization.
Acknowledge the role of learning and pain memory in developing and perpetuating pain as a behavioral response.
Understand the close link between the body and the mind and how pain lives at the intersection of the two.
Recognize the various outcome tools available to assess and predict pain and pain chronification.
Understand how current cognitive pain science can be paired with manual therapy and movement science paradigms in pain management.
Speaker Bio - Derrick Sueki, PT, PhD, DPT, GCPT
Derrick Sueki graduated from the University of Southern California, receiving his Doctorate in Physical Therapy. He completed the Post Graduate Certificate Program in Physical Therapy at the University of South Australia, specializing in Manipulative Therapy and Pain Mechanisms, and received his Ph.D. in Physical Therapy from Nova Southeastern University. His dissertation studied associative learning and the role of memory, trauma, and injury on pain, cardiovagal, and motor responses. He is the Director of and an assistant professor in the Department of Physical Therapy at Azusa Pacific University and a faculty member in the Department of Physical Therapy at Mount Saint Mary’s University. Dr. Sueki is a chief author and editor of two orthopedic textbooks and has authored numerous works in texts and peer-reviewed journals on pain, learning, and manual therapy. Dr. Sueki is a Director for the APTA’s Academy of Orthopaedic Physical Therapy and has also served as Chair for the Orthopedic Specialty Council, on the Leadership Board for the Academy of Orthopaedic Physical Therapy Pain Special Interest Group, and the California State Physical Therapy Association's Research Council. He has been a primary therapist for the Association of Volleyball Professionals and has served as its Southern California Medical Coordinator. He is a Board-Certified Clinical Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopedic Manual Physical Therapists. He has spoken at national, state, and regional levels on the science and management of pain and the mechanisms underlying manual therapy.
Assessment of Competency - Pre and post assessment tools
Teaching Methods - Lecture/lab/discussion: 8 hours
Pending CPTA Approval for 8 contact hours / 0.8 CEUs
Additional Resources - PowerPoint presentations/handouts, Videos
Recommended/Required Readings
Archer, K. R., Coronado, R. A., & Wegener, S. T. (2018). The role of psychologically informed physical therapy for musculoskeletal pain. Current Physical Medicine and Rehabilitation Reports, 6(1), 15-25.
Butera, K. A., Fox, E. J., & George, S. Z. (2016). Toward a transformed understanding: from pain and movement to pain with movement. Physical therapy, 96(10), 1503-1507.
Linton, S. J., Flink, I. K., & Vlaeyen, J. W. (2018). Understanding the etiology of chronic pain from a psychological perspective. Physical Therapy, 98(5), 315-324.
Gilam, G., Gross, J. J., Wager, T. D., Keefe, F. J., & Mackey, S. C. (2020). What is the relationship between pain and emotion? Bridging constructs and communities. Neuron, 107(1), 17-21.
Madden, V. J., Harvie, D. S., Parker, R., Jensen, K. B., Vlaeyen, J. W., Moseley, G. L., & Stanton, T. R. (2016). Can pain or hyperalgesia be a classically conditioned response in humans? A systematic review and meta-analysis. Pain Medicine, 17(6), 1094-1111.
Okur Güney, Z. E., Sattel, H., Witthöft, M., & Henningsen, P. (2019). Emotion regulation in patients with somatic symptom and related disorders: A systematic review. PloS one, 14(6), e0217277.
Payne, P., Levine, P. A., & Crane-Godreau, M. A. (2015). Somatic experiencing: using interoception and proprioception as core elements of trauma therapy. Frontiers in psychology, 6, 93.
Sueki, D. G., Dunleavy, K., Puentedura, E. J., Spielholz, N. I., & Cheng, M. S. (2014). The role of associative learning and fear in the development of chronic pain–a comparison of chronic pain and post-traumatic stress disorder. Physical Therapy Reviews, 19(5), 352-366.
Tousignant-Laflamme, Y., Martel, M. O., Joshi, A. B., & Cook, C. E. (2017). Rehabilitation management of low back pain–it’s time to pull it all together!. Journal of pain research, 10, 2373.
Vachon-Presseau, E., Centeno, M. V., Ren, W., Berger, S. E., Tetreault, P., Ghantous, M., ... & Apkarian, A. V. (2016). The emotional brain as a predictor and amplifier of chronic pain. Journal of dental research, 95(6), 605-612.