Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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PMSIG-Sponsored CSM 2018 Pre-conference Course

Keep Calm and Treat Pain — From Research to Clinical Practice

Tuesday, February 20 & Wednesday, February 21, 2018


It is time to bring the education of pain to the American Physical Therapy Association. In early 2018, The Journal of the American Physical Therapy Association is dedicating an entire issue to pain management. Let’s begin the discussion.

This evidence based course is designed to integrate research directly to the skills needed by physical therapists who work with patients in pain.

Understanding key pain issues — science, psychology, pharmacology, assessment and management — is crucial to achieve effective, compassionate patient-centered-care. Many providers and regulatory agencies are also requiring health care providers to be more accurate with their pain assessment skills and more effective in their pain management strategies. Participants will take away practical information to improve practice and provide the most effective, value-based, patient care. Participants will be introduced to mindfulness and have the opportunity to practice objective pain measurement and relaxation techniques using yoga with mindful attitudes. The importance of pain education, sleep and nutrition will be discussed as it relates to our patients in pain. Cases will be presented giving the participants clinical reasoning practice. And lastly, there will be a look at the possibility of pain telerehabilitation.

  • Kathleen Sluka, PhD, PT, FAPTA
  • Alexandra Szabova, MD
  • Kristin Archer, PhD, DPT, PhD
  • Janet R. Bezner, PT, DPT, PhD, PT, DPT, PhD
  • Michelle Finnegan, DPT
  • Dana Dailey, PT, PhD
  • Carolyn A. McManus, PT, MS, MA
  • Catherine Siengsukon, PT, PhD
  • Stephanie C. Kelley, PhD
  • Megan M. Pribyl, MSPT, B.S. Foods and Nutrition
  • Nancy R. Durban, PT, MS, DPT


Welcome and Introductions
The science of pain central mechanisms; Review of Neuro Anatomy and Neurophysiology; Pain and the Brain
Speaker: Kathleen Sluka, PT, PhD
9:00- 9:45
Peripheral mechanisms and risk factors; Sex and gender differences; Age; Obesity
Speaker: Kathleen Sluka, PT, PhD
9:45-10:00 Break
10:00- 11:00
Pharmacology and Pain; How medication works; Common Pain medications; Medical Marijuana across the age span
Speaker: Alexandra Szabova, MD
Psychology of Pain; Emotional component of pain; Memory, depression, anxiety, predisposition; training tools/screening tools; CBT; Navigating Resources for referrals
Speaker: Kristin Archer, PT, DPT, PhD
12:00-1:00 Lunch
Physical Therapy Evaluation Take Home Template; Subjective: Motivational Interviewing
Speaker: Janet Bezner, PT, DPT, PhD
2:30-2:45 Break
Pain Inventories and Objective Measurements of Pain; Pain inventories including reliability and validity
Speaker: Michelle Finnegan, PT, DPT
Orthopaedic Clinic Specialist

Lab: Objective Measurements for Defensible Documentation
Speaker: Michelle Finnegan, PT, DPT
Orthopaedic Clinic Specialist

TED TALK style of 3 case pain patient
Pediatric Case: Nancy Robnett Durban, PT, MS, DPT
Women’s Health Case: TBA
Orthopedic Case: Stephanie Carter Kelley, PT PhD, OCS, CYT
Questions and Adjournment


Welcome and Questions
Pain Education and Self-Management; Patient Education; Resources: YouTube and Apps
Speaker: Kathleen Sluka, PT, PhD
Introduction to Mindfulness and its role in pain management; Definition and proposed mechanisms; Neuroimaging and clinical research highlights; Mindful breathing exercise
Speaker: Carolyn McManus, PT, MS, MA
10:15-10:30 Break
Lab: Mindfulness training individual practice and partner practice; Mindful bodyscan
Speaker: Carolyn McManus, PT, MS, MA
Sleep and Pain; Biodirectional relationship between sleep and pain; Practical information to promote sleep health
Speaker: Catherine Siengsukon, PT, PhD
12:00-1:00 Lunch
Mindful movement, physical activity, and exercise.; Lecture and lab together; Practice of mindfulness includes paying attention to physical stressors as a source of pain.; Explain how to take patients beyond the physical aspects of their pain in order to understand the influence of emotional stress.
Speaker: Stephanie Carter Kelley, PT, PhD
Orthopaedic Clinic Specialist
Certified Yoga Teacher

Pain and Nutrition; Describe the gut-brain-microbiota axis and how this relates to pain; Identify evidence-based nutritional recommendations for management of pain; Discuss APTA motion RC 12-15 as it relates to the physical therapist as a provider of information regarding; diet and nutrition.
Speaker: Megan Pribyl, PT
Certified Manual Physical Therapist
3:30-3:45 Break
3:45- 4:30
Clinical Decision Making; Case discussion and integration
Speaker: Nancy Robnett Durban, PT, MS, DPT
The Future of Pain Management; Telerehabilitation; APPs
Speaker: Dana Dailey, PT, PhD
Wrap up; Panel Discussion with all speakers; Questions; Adjournment


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