Price: 750 €

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At the end of this training, the professional will be able to have an overview of the neurophysiological mechanisms involved in pain.

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He will be able to set up a therapeutic strategy according to the bio-psycho-social mechanisms involved.

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To do this, he will learn to choose, adapt and master the following manual therapy tools:

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• Neuro-dynamic tests

• Testing and diagnosis of the peripheral nervous system and the different sensory fibers

• Neural mobilization (gliding, sliding)

• Passive and active joint mobilization

• Modification of motor control in a cognitive and functional approach

 

educational goals

 

1. Understand the mechanisms and the different components of pain linked to the evolution of neuroscience

2. Develop patient-centered care, by identifying the patient's bio-psycho-social risk factors

3. Learn to choose, adapt and master neurodynamic tests and techniques

 

List of target audiences

 

Physiotherapists DE or Osteopaths DO

 

Trainees participating in the training are strongly advised to have watched Laurent Fabre's VOD, on the neurosciences of pain. This VOD can be viewed, free of charge, for all validated registrations.

 

Prerequisites

 

There is no other prerequisite to register for this training than to be a professional in one of the targeted professions.

 

 

Duration of training and organizational arrangements

 

The duration of the training: 21 hours,

Over 3 days

Max workforce: 20 people

Accessibility: disabled

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Training content

 

Day 1 :

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1. Presentation:

• Self-quiz and e-learning debrief

• Objectives of pain management.

• How it will unfold: The 4 modules.

 

2. Diagnostic approach (Module 1)

• Revision of the multidimensional framework of clinical understanding (O'Shaugnessy and Jones; O'Sullivan, Walton)

• Yard and red flags

• Radiculopathies

• Fishing with yellow flags during the anamnesis

• Clinical cases and role plays: recognize the mechanisms, questions to ask, the different questionnaires (STartBack, CSI)

 

3. The neurodynamic approach (Module 2)

• Difference Mechanosensitivity- Neuropathic Pain-Neuropathy

• Mechanosensitivity: Palpation and provocation (SLUMP, SLR, PKB, sciatic, tibial, fibular, femoral, saphenous nerves)

• Function test: examinations of all types of fibers, reflection dermatome / sensory territory / central sensitization / myotome / motor territory

 

Day 2:

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The neurodynamic approach (Module 2)

• Clinical prediction rule and test cluster

• Mechanical provocation and cancellation test for nociceptive pain

• Motor control: Posture and Movement

o Analysis of motor control (flexion type, active extension, passive extension)

o Correlation or absence of correlation with the mechanical behavior of pain (Posture sitting, standing, bending, lifting)

o Practical session

 

4. Treatment (Module 3)

• Evidence (various reviews and guidelines)

• Principles of treatment (desensitization, drainage of neural tissue)

• Algorithm for the choice of techniques according to mechanosensitivity / stenosis

• Treatment protocols

 

Day 3:

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5. The neurodynamic diagnostic approach (Module 1 and 2)

• Resumption of the complete clinical examination

• Demonstration and Training

• Resumption of clinical cases

 

6. Module 4: Therapeutic Strategies

• The 3D of the therapeutic approach

• Cognitive and functional management adapted to nociceptive, neuropathic and central pain

• Metaphors and prosody

• What we say and what we do

• Total management (posture, ergonomics, advice, etc.).