Contemporary management of headaches in physiotherapy
Training for liberal and salaried physiotherapists
The understanding of headaches and the pathophysiology of the chronicization of its symptoms has evolved in light of the literature and therefore conditions the use of valid and reliable assessment to direct the patient towards the most appropriate treatment. Knowledge of pain modulation, assessment of headache chronicity factors and patient triage using a multidisciplinary approach (physiotherapy and drug treatments) must be mastered to enable patients with headaches to receive treatment. the most suitable one allowing the improvement of their symptoms, their function and their 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
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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
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Be able to sort patients based on the differential diagnosis and their clinical picture and recognize situations when specialist advice is needed
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Define the mechanisms of action and the interest of pharmacological treatment according to the clinical picture of the patient treated in physiotherapy
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Knowing how to recognize clinical situations involving the use of a doctor to request a complementary examination (imaging, lumbar puncture, etc.)
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To know how to carry out a clinical examination adapted to formulate clinical hypotheses with a view to planning treatment
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Apply the therapeutic strategies most suited to the patient according to the type of headache and facial pain he presents
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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
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.
The training will take place at the Holiday Inn de Mérignac, 5 impasse Amélia Earhart, 33700 Mérignac