NUOVE DATE Shoulder Pain - Clinical Reasoning and Management in Manual Therapy: An Evidence-Based Approach
17 e 18 maggio 20191 giorno e mezzovia Pracchiuso 19, 33100 Udine
Course Description This hands-on 2-day (15 hr) course will provide participants with an Evidence and Clinical Based Approach to the evaluation and treatment of patients with shoulder pain. It will include a comprehensive presentation on the most updated findings related to sensory and motor impairments presenting in patients with shoulder pain focusing on a proper clinical reasoning for determining the therapeutic plan for these patients. Pain models including neurophysiological changes in nociceptive and descending inhibitory systems will be covered. Evidence showing the presence of motor control disorders will be also discussed for proper targeting therapeutic exercise programs. The efficacy of a multimodal therapeutic programs including manual therapy and therapeutic exercises is phenomenal when combined with pain neuroscience education, if properly orientated. Come and find out why “shoulder muscles and joints” integrate their motor inputs into the brainstem and are involved in motor control strategies which has set the stage for a multisystem approach to the evaluation, treatment and management of shoulder pain. This course will bring all clinical elements together in a way that will make anatomical, biomechanical, neurophysiological, and hence clinically applicable sense. Learn how to assess for manual therapy and exercise, pain inhibition, and motor control impairments with repercussion on the “pain neuromatrix” of the brainstem. Course Objectives· Track and critically appraise best evidence currently available on the clinical treatment of shoulder pain problems: clinical prediction rules, sub-classification systems.· Perform clear and concise subjective evaluations of patients with shoulder pain: the problem of structural differentiation.· Generate working hypotheses of patient’s problem related to the structures potentially involved, the presentation and the behavior of the pain condition, and the functional repercussion on subject lifestyle.· Plan and conduct objective examinations of the structures implicated by the working hypothesis.· Plan optimal courses of treatment using orthopedic manual therapies combined with exercise programs, with special emphasis on the “pain neuromatrix”.· Demonstrate clinical application of muscle and joint approaches combined with motor control strategies and therapeutic exercise with emphasis into adaptation into the “pain neuromatrix” of the brainstem. César Fernández-de-las-Peñas PT, MSc, PhD
Dr. Fernández-de-las-Peñas received his Degree in Physical Therapy from Universidad Rey Juan Carlos, Spain in 2000. He received a Post-Graduate Diploma in Spinal Manipulative Therapy (6 years) and Osteopathy (DO) from the Scientific European Osteopathic Society in 2005-06. He also received a Post-Graduate Diploma in Myofascial Pain Syndrome from the Universidad Castilla-La-Mancha in 2003. He reached his first PhD degree in Biomedical Sciences in 2007 at the Sensory-Motor Interaction Centre (SMI) in Aalborg University (Denmark) under the supervision of Prof. Lars Arendt-Nielsen. He also finished a second PhD degree in 2008 at the Universidad Rey Juan Carlos. Dr. Fernández-de-las-Peñas currently works as clinical researcher and teacher at the Universidad Rey Juan Carlos since 2001 and he is the Head Division of the Pain Laboratory and the Department of Physical Therapy of the same University. He also works in private practice specialized in chronic pain from 2000 in Madrid, Spain. He began his physical therapy career in sport elite and rheumatology rehabilitation. In 2001 he began in an outpatient clinic focused on pain, particularly in fibromyalgia syndrome, shoulder, neck and low back pain. He has published around 400 publications and he is the first author of approximately 150 of them. The most relevant topics of his research are focused on neck and low back pain, shoulder and elbow pain, carpal tunnel syndrome, fibromyalgia syndrome and physiological effects of manual therapy. His clinical research is mainly concentrated on biomedical sciences and pain neurosciences. The specific research areas have been assessment and treatment of chronic pain patients. He has participated in 60 conferences with related published proceedings and has given several lectures at national and international meetings/workshops /seminars.