TNE II: Focus on Function - Changing Pain Related Behavior
In recent years, pain neuroscience from a therapeutic perspective, has gained considerable evidence, especially teaching people more about the biological and physiological aspects of their pain experience. Current best-evidence supports that therapeutic neuroscience education improves pain ratings, function, pain catastrophization, physical movement and cost of healthcare utilization. Clinically there is a shift whereby more and more clinicians are gaining experience in teaching people more about pain. This, however, is a good starting point, but not the end-point. The ultimate expression of recovery is behavior change, or return to physical confidence.
Following the initial pain education, clinicians now need to embrace and impart additional strategies such as goal setting, pacing, graded exposure, motivational interviewing and behavioral change leading to a functional, empowered patient being able to resume a fulfilled meaningful life. The mantra of “despite pain…” should become the cornerstone of recovery, indicating an understanding of the pain experience, decreased fear and measurable, visible improvement in function. This highly interactive advanced course bridges the gap from initial pain education to independence. Through lectures, case studies, small and large group sessions, clinical application and motivational interviewing; clinicians will develop skills aimed at true behavioral change.
Physicians, nurses, physical therapists, and other healthcare professionals.
- Strengthen and expand their knowledge and clinical application of pain metaphors.
- Develop a clinical understanding of the factors associated with success and failure of pain neuroscience education.
- Be updated on behavioral change concepts including stages of change, addiction, motivational interviewing and green flags.
- Problem solve and develop pain science solutions to various psychosocial risk factors preventing recovery.
- Apply all treatments, principles and techniques into clinical practice.
TNE Pain Metaphors- A Quick Review
|8:30 am||New Pain Metaphors|
|9 am||Small Groups: Discuss and Share Pain Metaphors|
|9:30 am||Large Group: Share Small Group Pain Metaphors|
|10:15 am||Assessing Case Studies Using TNE - Success Stories|
|10:45 am||Small Groups: Share Successes of TNE|
|11:30 am||Large Group: Share Small Group Success Stories of TNE|
|1 pm||Assessing Case Studies of TNE - Failures|
|1:30 pm||Small Groups: Share Failure of TNE|
|2 pm||Problem Solving Failures - Why and What to do About It?|
|3:15 pm||Factors Predicting Success in Clinical Application of TNE - Research Update|
|3:45 pm||Listing Barriers to Improvement|
|4:15 pm||Solutions for Clinical Barriers of TNE|
|8 am||Motivational Interviewing|
|9 am||Assessing Yellow Flags - Barriers to Behavioral Change|
|10:15 am||Assessing Green Flags|
|10:45 am||Goal Setting|
|11:30 am||Assessment and Treatment of Pacing and Graded Exposure|
|1 pm||Creating Independence|
|1:45 pm||Changing Behavior|
|2:30 pm||Small Groups: Identifying Patient Placement in Behavior Change|
|3:30 pm||Large Group: Patient Placement|
|4 pm||Shifting Patients to Independence|
Kory Zimney, PT, DPT, CSMT
Kory received a Masters in Physical Therapy from the University of North Dakota in 1994. He completed his transitional DPT from Des Moines University in 2010. Currently he works as an Assistant Professor with the University of South Dakota Physical Therapy Department and maintains clinical practice one day per week with Mercy Business Health Services in Sioux City, IA working with outpatient work related injuries and providing on-site loss prevention services for local businesses. His primary teaching and treatment focus is with evidence-based practice for orthopedic injuries along with client and community health education and therapeutic neuroscience education. Along with patient care he has advanced training in work injury management and ergonomics. Past work experiences have been with various community-based hospitals working in multiple patient care areas of inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening and outpatient. He also was department manager of rehabilitation services at St. Luke’s Health System in Sioux City for eight years. He is an Advanced Credentialed Clinical Instructor through the APTA, Certified Spinal Manual Therapist (CSMT) through International Spine and Pain Institute and has completed Certification in Applied Functional Science (CAFS) through the Gray Institute.
Relevant to the content of this CME activity, Dr. Zimney indicated he has no financial relationships with commercial interest companies to disclose.
Continuing Education Credit
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the International Spine and Pain Institute. DMU is accredited by the IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 15.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 15.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
- Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 15.0 continuing education contact hour(s). No partial credit awarded.
- Other: This live activity is designated for 15.0 AMA PRA Category 1 Credits™.
No commercial interest company provided financial support for this continuing education activity.
Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.
- 15.00 AMA PRA Category 1 Credits™
- 15.00 AOA Category 2A
- 15.00 CE Contact Hour(s)
- 15.00 IBON