APTA Idaho 2024 Spring Conference

Five Evidence In Motion (EIM)
Pain Science Courses

College of Western Idaho – Nampa Campus

April 20 & 21, 2024
In-person or Virtually

Thank you to our APTA Idaho 2024
Spring Conference Gold Sponsor

Complex Regional Pain Syndrome

COURSE DESCRIPTION:

With the advent of neuroscience exploring issues associated with neuroplasticity, it has become increasingly clear that in a certain patient population, physical touch and movement, essential for recovery, could actually pose a threat. It has been suggested that the pinnacle of this clinical scenario occur in complex regional syndrome (CRPS), or the previously named reflex sympathetic dystrophy (RSD). With persistent input to the central nervous system and brain, various long-lasting changes occur including cell death, change in brain maps of the body, neurotransmitters, receptors and various pathways associated with pain. These changes manifest themselves with clinical issues such as neglect, allodynia, hyperalgesia, mirror pains, spreading pain, widespread sensitization and problems with laterality recognition. Physical testing of patients with pathological changes in their mapping will include two-point discrimination, pressure-pain threshold testing, nerve palpation, localization, graphesthesia, neurodynamics, laterality and mapping of body parts. The same neuroplastic events associated with pain, however, produce unique avenues to treat patients often too sensitive for physical movement. The brain’s perception of threat can be altered with cognitions (pain neuroscience education), but also via other senses, directly aiming at the faulty mapping of the brain in pain. Treatments discussed will include graded motor imagery, sensory discrimination, mirror therapy, graphesthesia and neuroscience education.

CONTINUING EDUCATION HOURS:

2.1 contact hours / 2.1 educational hours / .21 CEU / 2.1 CCU

OPEN TO:

All Licensed Healthcare Providers

COURSE LEARNING GOAL:

Upon completion of this course a successful learner, will be able to apply concepts, treatments, and examples from the presentation into immediate clinical application.

COURSE OBJECTIVES:

At the conclusion of this course, participants should be able to:

• Understand the pathobiology behind increased pain states such as allodynia and hyperalgesia
• Recognize patients with clinical signs and symptoms associated with central sensitization
• Identify various sensorimotor and graded motor imagery tests to establish to what extent various pathological neuroplastic processes are present in people suffering from pain in CRPS
• Outline uses of the latest evidence and clinical application for graded motor imagery treatments to help desensitize the hypersensitive patient
• Articulate application and adaptation of the graded motor imagery sequence in patients struggling with pain
• Convert the information from the educational session into clinical practice.
• Outline techniques to improve sensory discrimination and proprioception to restore sensory and motor mapping.

Different Pain – Different Treatments: Pain Mechanisms 101

COURSE DESCRIPTION:

Ever wonder why the same treatment does not work for a seemingly “same” patient? Pain is a unique, individualized pain experience and it’s well established that treatments should be tailored to patient individual needs. But what about patients at scale? Where to start? Pain is obviously complex and multi-dimensional. This lecture will showcase how a clinical model, developed 25 years ago, has not only stood the test of time and scrutiny of science, but provide an easy place to start for all healthcare providers: pain mechanisms. This model divides pain into three clinical categories – nociceptive, peripheral neuropathic and central sensitization (nociplastic pain). By dividing a patient’s pain experience into one of these fundamental mechanisms, it helps clinicians to clearly define relevant next steps when it comes to evaluation tools and tests. The examination – subjective and objective must be different between these 3 types of pain. Ultimately, it drives treatment choices, ensuring optimal treatment tools for each pain mechanism. Treatments that favor nociceptive-based pain states are very limited for patients with central sensitization and vice versa. What about neuropathic pain. This session is a cornerstone in the evaluation and treatment of pain in the 21st century.

CONTINUING EDUCATION HOURS:

2.1 contact hours / 2.1 educational hours / .21 CEU / 2.1 CCU

OPEN TO:

All Licensed Healthcare Providers

COURSE LEARNING GOAL:

Upon completion of this course a successful learner, will be able to apply concepts, treatments, and examples from the presentation into immediate clinical application.

COURSE OBJECTIVES:

At the conclusion of this course, participants should be able to:

• Differentiate the 3 pain mechanisms in a human pain experience
• Recognize how the pain mechanisms impact and drive choices related to assessing people in pain
• Detail the use of pain mechanisms to drive treatment choices in clinical care
• Translate the information from the educational session into clinical practice

The Frozen Shoulder Has a Brain

COURSE DESCRIPTION:

Frozen shoulders are amongst the most challenging musculoskeletal disorders in physical therapy. Traditional teaching has focused on a true adhesive capsulitis implicating an inflammatory mechanism behind frozen shoulder and treatment targeted the various phases of the debilitating pain and limited range of motion. Emerging pain science research has implicated various other factors in the etiology, clinical presentation and treatments of the frozen shoulder including sensitive nervous system, adjacent cervical and thoracic spine, diabetes, genetic, sympathetic and more. This presentation will delve into the clinical presentation of, and treatment of a frozen shoulder taking into consideration central sensitization and neuroplastic changes in the brain. It is now well established that a percentage of frozen shoulder patients present with a significant contribution in their pain and limited range of motion due to these central processes. The clinical components that will help attendees recognize these types of frozen shoulders based on a cluster of symptoms. Tests described in this session will go way beyond traditional orthopedic assessment and include two-point discrimination, laterality, localization, graphesthesia and more. Treatment will feature various graded motor and sensory integration strategies to help ease pain, limited range and disability associated with frozen shoulder.

CONTINUING EDUCATION HOURS:

2.1 contact hours / 2.1 educational hours / .21 CEU / 2.1 CCU

OPEN TO:

All Licensed Healthcare Providers

COURSE LEARNING GOAL:

Upon completion of this course a successful learner, will be able to apply concepts, treatments, and examples from the presentation into immediate clinical application.

COURSE OBJECTIVES:

At the conclusion of this course, participants should be able to:

• Recognize the heterogeneous nature of frozen shoulders presenting to physical therapy
• Articulate the various neuroplastic and sensitization issues associated with a frozen shoulder as part of a hypervigilant nervous system
• Recognize the clinical signs and symptoms associated with a neurogenic frozen shoulder
• Distinguish sensory testing and treatments associated with a neurogenic frozen shoulder
• Translate the information from the educational session into clinical practice

Pain Neuroscience Education: Teaching People About Pain

COURSE DESCRIPTION:

Pain is complex and new paradigms of pain, i.e., neuromatrix, nerve sensitivity, endocrine and immune responses to pain and neuroplasticity, has opened various exciting non-pharmacological options in the treatment of pain. One such approach is altering what patients think and believe about their pain. It is well established that patients often have faulty beliefs regarding pain, which in turn may increase fear, catastrophization, pain and disability. The paradox is that patients are interested in pain; especially how pain works. Growing evidence supports that teaching patients more about the neurophysiology and biology of pain allows for decreased pain, increased movement and function, various decreased psychometric measurements, and higher compliance with therapy. This lecture, based on the latest neuroscience view of pain, aims to help healthcare providers update their knowledge of pain. Furthermore, the lecture will expose healthcare providers to a newly designed pain neuroscience education language used in various research projects and clinical practice with the aim to help patients achieve success. This session is a must for all healthcare providers dealing with people….in pain.

CONTINUING EDUCATION HOURS:

4.1 contact hours / 4.1 educational hours / .41 CEU / 4.1 CCU

OPEN TO:

All Licensed Healthcare Providers

COURSE LEARNING GOAL:

Upon completion of this course a successful learner, will be able to apply concepts, treatments, and examples from the presentation into immediate clinical application.

COURSE OBJECTIVES:

At the conclusion of this course, participants should be able to:

• Describe how common faulty cognitions impact pain and disability in people with pain
• Articulate the need to carefully reanalyze the use of biomedical information to educate patients about pain
• Recognize the evidence supporting pain neuroscience education for people in pain
• Factor in the latest neuroscience of pain into clinical reasoning in people with persistent pain
• Demonstrate how neuroscience education uses metaphors, examples and pictures in an easy-to-understand format for people in pain
• Explain to a patient how the body’s alarm system, the nervous system, becomes increasingly sensitive; how it impacts function and how therapy can help.
• Translate concepts, treatments and examples from the presentation into immediate clinical application

The Neuroscience of pain, the brain, athletes and sports performance

COURSE DESCRIPTION:

Pain is common in athletes. Most therapeutic interventions focus on structural tissue-based issues in terms of tests and treatment. Pain, however, is far more complex. It is now well understood that the brain is extremely busy during a pain experience – the same brain that controls…sports performance. This lecture will update attendees on the latest neuroscience of pain, with an emphasis on structural and functional changes in the brain during a pain experience. Then, taking the knowledge of brain activation during a pain experience into consideration, various aspects of sports performance will be analyzed based on compelling new research: The brain activation between a novice and professional athlete is vastly different and how does pain impact this? Can the brain multitask? A brain processing pain puts increase demand on the energy supply of the brain; motor learning is strengthened during sleep; modulating vision enhances sports performance; what is optimal arousal for the brain? This session is a MUST for anyone interested in the advances in sports performance and the brain. This session will also provide attendees evidence-based strategies to influence the brain in immediate take-home tests and treatments including laterality training, sensory discrimination, neuroscience education, graded motor imagery, mirror therapy, etc.

CONTINUING EDUCATION HOURS:

2.1 contact hours / 2.1 educational hours / .21 CEU / 2.1 CCU

OPEN TO:

All Licensed Healthcare Providers

COURSE LEARNING GOAL:

Upon completion of this course a successful learner, will be able to apply concepts, treatments, and examples from the presentation into immediate clinical application.

COURSE OBJECTIVES:

At the conclusion of this course, participants should be able to:

• Describe how the brain processes pain
• Explain how an athlete dealing with pain, ultimately utilizes areas of the brain associated with sports performance, thus impacting their recovery
• Identify bio-psycho-social factors associated with the development of pain in athletes
• Consider, based on the neuromatrix, graded motor imagery and pain neuroscience, how to optimally treat athletes in pain
• Execute the information from the educational session into clinical practice

SPEAKER BIOGRAPHY:

Megan Doyle, MS, OTR/L, TPS, FPS, Cert-APHPT graduated from Marquette University with a BS in Exercise Science and a Psychology Minor in 2010, then obtained a MS in Occupational Therapy from Indiana University in 2012. In her initial years as an occupational therapist, she worked in a multitude of settings focused on adult populations, including acute care, long term care, work site injury prevention, and outpatient ortho/neuro/post-concussion, but always felt drawn to mental and behavioral health, wellness, and pain management. She also has extensive experience working with the geriatric population. In 2017, Megan completed certification as a Therapeutic Pain Specialist, then in 2020 achieving her Fellowship in Pain Sciences, both through Evidence in Motion. In addition, she has certification as an Applied Prevention Health Promotion Therapist. She practices at St. Luke’s Health System in Boise, ID and used these skills initially to provide holistic pain treatment in an inpatient therapist role, also providing routine training in pain related topics to both nursing and therapy staff. In 2023, she transitioned to the role of Rehabilitation Clinical Program Manager for St. Luke’s new multidisciplinary outpatient chronic pain program, of which she also provides the occupational therapy services. Megan thrives on being a mentor and educator to others, hosting level II fieldwork students every chance she gets, and routinely presents locally and nationally on pain and wellness topics within the scope of both occupational therapy and a broader healthcare audience. She is also INCREDIBLY passionate and truly in love with the scope of practice that occupational therapy provides, and this is exactly why she became involved with IOTA, first via the Tech Committee to support the creation of the first multi-state virtual conference IOTA has ever put on in 2020, then President-Elect from 2020 to 2022, and now President from 2022 to 2024. Her passion is fueled each and every day by her husband, Joe who works full time as a Major in the National Guard, and her two children, 8 year old James and 5 year old Morgan.

CONFERENCE DATES AND TIMES:

Saturday, April 20
8:00 a.m. – 5:00 p.m.

Sunday, April 21
8:00 a.m. to 3:45 p.m.

COURSE LOCATION:

College of Western Idaho
Nampa Campus – NCAB
Room 106
5500 E. Opportunity Dr.
Nampa, ID 83653

Google Map Directions

MEMBER RATES:
All APTA members are eligible for discounted member rates, regardless of chapter membership. You must be a member in good standing as of the date of the conference to be eligible for all member rates. Registrants who have a membership expiration date prior to the conference must provide proof of membership before the conference begins or they will be subject to paying the nonmember rate.

CANCELLATIONS & SUBSTITUTIONS:
To cancel, email chapter staff at info@aptaidaho.org or call (800) 554-5569 x110. Cancellations received by April 1, 2024 will receive a full refund minus a $25 cancellation fee. Cancellations received between April 2 and April 10, 2023 will receive a 50% refund. There will be no refunds after APRIL 15, 2024. Unless there is a waiting list for the course, substitutions will be accepted at no charge until April 15, 2024. All substitutions must be for the same member type and rate and are at the discretion of chapter staff. No substitutions will be accepted after May 15, 2024 or if the course has a waiting list.

COURSE CANCELLATION:
In the unlikely event that the chapter must cancel the course/conference, APTA Idaho will provide a refund of registration fees. APTA Idaho will not be responsible for additional costs, such as travel, incurred by registrants.

CONTINUING COMPETENCY APPROVAL:
The 2024 APTA Idaho Spring Conference course is sponsored by the Idaho Chapter of the American Physical Therapy Association. Courses of study relevant to physical therapy and sponsored or provided by the American Physical Therapy Association (APTA) or any of its sections or local chapters are approved by the Idaho Board of Physical Therapy. The APTA Idaho Chapter board also believes this course is “integrally related and germane” to the practice of physical therapy per Rule 250 in the Idaho Administrative Code governing the Physical Therapy Licensure Board (24.13.01) at the Idaho Division of Occupational and Professional Licenses (Idaho DOPL).

PTs and PTAs from other states who wish to attend this course must contact their licensing board (if necessary) to determine if the course meets the continuing competence rules and guidelines for their state and/or licensing board.

QUESTIONS:
If you have any questions about this conference, please contact chapter staff at info@aptaidaho.org or (800) 554-5569 x110.