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Persistent Pain in the Pediatric Athlete

presented by Jeffrey Fernandez, PT, DPT, OCS

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Disclosure Statement:

Financial: Jeffrey Fernandez is an adjunct professor at Florida International University. He receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Jeffrey Fernandez has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 42 Minutes; Learning Assessment Time: 40 Minutes

Persistent pain, or pain that exceeds typical tissue healing time, is said to be prevalent in the pediatric population and may be underreported. There is limited knowledge of conservative management in the treatment of pediatric patients with persistent pain. This course will review nonmechanical factors that may affect a child's expression of pain. Additionally, this course will review how to appropriately assess pain in a pediatric patient and will discuss different treatment approaches, including graded motor imagery, graded exposure, and graded exercises. This course intends to increase the practitioner's clinical reasoning when working with a pediatric patient with persistent pain.

Meet Your Instructor

Jeffrey Fernandez, PT, DPT, OCS

Jeffrey Fernandez is a board-certified clinical specialist in orthopedic physical therapy at Nicklaus Children's Hospital in Miami, Florida. Following graduation from Florida International University with a doctorate in physical therapy in 2013, Jeffrey completed an orthopedic residency at the University of Florida. In addition to treating patients with orthopedic conditions, Jeffrey has lectured in physical…

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Chapters & Learning Objectives

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1. Considerations for the Pediatric Patient With Pain

Differences exist in the understanding and assessment of pain in the pediatric population. This chapter will discuss potential barriers to pediatric research, administration of age-appropriate pain scales, and application of modern pain models in the understanding of a pediatric patient’s pain.

2. Promoting an Optimal Environment to Ensure Success

Psychosocial factors may affect one’s recovery. Additionally, changes in the central nervous system may influence the efficacy of activities performed in the rehabilitation setting. This chapter will review some of these psychosocial factors, their role in recovery, and interventions to improve outcomes associated with therapeutic exercises.

3. Graded Exposure and Graded Exercise

The prescription of exercises for patients with persistent pain requires special considerations. Two common approaches in the prescription of exercises are graded exposure and graded exercises. This chapter will describe the differences between the two approaches and provide examples of each.

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