Contemporary management of headaches in physiotherapy

Training for liberal and salaried physiotherapists

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The understanding of headaches and the pathophysiology of the chronicization of its symptoms has evolved in the light of the literature and therefore conditions the use of valid and reliable evaluation to guide the patient towards the most suitable treatment. Knowledge of pain modulation, the evaluation of headache chronicization factors and the triage of patients using a multidisciplinary approach (physiotherapy and drug treatment) must be mastered to enable patients with headaches to receive treatment. the most suitable for improving their symptoms, function and quality of life.

Price: 546 €

Headache is a clinical symptom and is one of the most common nervous system conditions in the population. It is a painful and disabling manifestation that can be triggered by a primary cause (migraine, tension headache, cluster headache, etc.) or secondary (vascular, infectious, traumatic, medicated, etc.). This symptom is a frequent reason for consultation in general medicine and is also a frequent reason for going to the emergency room. Globally, the estimated prevalence of headache in adults is around 70% (painful episode experienced at least once a year). Varying considerably from one region of the world to another, headaches are however considered a public health issue in terms of disability and financial cost to society. The main financial impact is the loss of working hours and the drop in productivity. The global study of the burden of disease, in 2016 classified headaches as a whole as the 2nd cause responsible for years living with the symptom. Headaches impact all aspects of the patient's life (personal and professional) and contribute to strongly modifying behaviors such as the constant apprehension of the next painful episode.

Primary headaches (migraine and tension headache among others) are the most prevalent in the population and their diagnoses are based on precise interrogation criteria of the International Classification of Headaches with a normal clinical examination not justifying additional examinations.

Secondary headaches have multiple etiologies and require diagnostic confirmation based on a clinical examination and depending on the case of additional investigations (such as cerebral and cervical CT scan, cerebral magnetic resonance imaging, etc.). The so-called cervicogenic secondary headaches, according to international criteria, are to be related to a cervical musculoskeletal disorder whose identification by a neurologist may be difficult. Indeed, this type of headache is presented by a hemicrânia +/- associated with neck pain and sometimes dizziness.

The understanding of headaches and the pathophysiology of the chronicization of its symptoms has evolved in the light of the literature and therefore conditions the use of valid and reliable evaluation to guide the patient towards the most suitable treatment. Knowledge of pain modulation, the evaluation of headache chronicization factors and the triage of patients using a multidisciplinary approach (physiotherapy and drug treatment) must be mastered to enable patients with headaches to receive treatment. the most suitable for improving their symptoms, function and quality of life.

 

educational goals

 

  1. To be able to carry out an in-depth examination of the patient presenting a headache and / or facial pain with regard to the criteria of the International Classification of Headaches

  2. Be able to sort patients based on the differential diagnosis and their clinical picture and recognize situations when specialist advice is needed

  3. Define the mechanisms of action and the interest of pharmacological treatment according to the clinical picture of the patient treated in physiotherapy

  4. Knowing how to recognize clinical situations involving the use of a doctor to request a complementary examination (imaging, lumbar puncture, etc.)

  5. To know how to carry out a clinical examination adapted to formulate clinical hypotheses with a view to planning treatment

  6. Apply the therapeutic strategies most suited to the patient according to the type of headache and facial pain he presents

  7. Be able to reassess patients to define the appropriateness of the proposed treatment

 

List of target audiences

 

Training aimed at liberal and salaried physiotherapists.

 

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

 

Duration of training: 14 hours

Over 2 days

Max workforce: 20 people

Accessibility: disabled

Training content

 

Day 1 :

9:00-9:15: Welcome and pre-training questionnaire

9:15-10:45: Introduction and pathophysiology of headache and facial pain

15 minutes break

11am-12pm : Pharmacology applied to physical therapy

12h-12h30 : Organization and care pathway for headache management

12h30-14h : Lunch break

14h-15h45 : Interrogatory and differential diagnosis of headache and facial pain - 1st part

15 minutes break

16h-17h15 : Interrogatory and differential diagnosis of headache and facial pain - 2nd part

17h15-18h : Clinical examination and physiotherapy diagnosis - 1st part

End of the first day 18h

Day 2 :

8:30-11:15am: Clinical examination and kinesitherapy diagnosis - Part 2

15 minutes break

11h30-12h30 : Case resolution workshop based on pathological patient files

12h30-14h : Lunch break

2-4:30 pm : Treatment planning and therapeutic strategies

15 minute break

16h45-17h45 : Physiotherapy treatment

17h45-18h : End of course Q&A and post-training questionnaire

End of the second day 18h

Anthony Demont is a part-time freelance physiotherapist in Paris with specific care for chronic painful pathologies, particularly headaches, in collaboration with several hospital services specializing in headache management. He is currently a PhD student at the Faculty of Medicine of the University of Paris with the subject of evaluating direct access to physiotherapy for patients with musculoskeletal pathologies. He is also a contractual teacher at the University of Orleans on the management of cervical pathologies and headaches and associated and the use of assessment tools in musculoskeletal rehabilitation such as ultrasound.

He has participated in the writing of several articles for scientific journals on the management of headaches in physiotherapy. He has frequently presented oral communications on this topic for learned medical and physiotherapy societies.

He is a member of the Société Française d'Etudes des Migraines et Céphalées and Deputy Treasurer of the Hôpital-Ville Fight against Pain Network in Ile-de-France.

 

Financement

DPC : Validé (Kinésithérapeute, médecin)  -  N° Action de DPC 2022 : 99MJ2200010

FIFPL : En attente de validation (Formation susceptible d'être prise en charge, sous réserve des budgets annuels) pour les kinésithérapeutes, les ostéopathes.

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Informations générales

 

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