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The Low Back is Having Brain Surgery

presented by Adriaan Louw, PT, PhD

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

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"This course will be retired and no longer available as of January 11, 2022. Please complete the course by December 31, 2021 to receive credit.

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Spinal surgery in the US is ever-increasing. Outcome data indicates nearly 40% of patients have persistent pain and disability following lumbar surgery. Postoperative rehabilitation following lumbar surgery has shown little efficacy in decreasing postoperative pain and disability and it has been shown that patients are not readily sent to physical therapy after lumbar surgery. Preoperative education has shown some effect in altering anxiety, stress and fear associated with surgery. Recent research in non-surgical musculoskeletal pain has shown evidence for neuroscience education. Neuroscience education aims to help patients develop a greater understanding of their pain, the biology behind their pain and how pain is processed. A newly designed preoperative neuroscience education program by physical therapists has recently been developed and have not only shown immediate post-education improvements in psychometric measures, beliefs and expectations for surgery and physical movements, but also significant reduction of brain activity associated with painful tasks in patients scheduled for lumbar surgery. Additionally, the preoperative neuroscience education resulted in superior outcomes following surgery compared to patients receiving traditional surgeon-led education in regards to back pain, leg pain, fear, catastrophization, function and postoperative healthcare utilization. This course aims to introduce attendees to the development of the preoperative neuroscience education session, the content, delivery methods and clinical application of such a program for lumbar surgery.

Meet Your Instructor

Adriaan Louw, PT, PhD

Adriaan earned his bachelor's degree, master's degree, and PhD in physiotherapy from the Stellenbosch University in Cape Town, South Africa. He is an adjunct faculty member at St. Ambrose University and the University of Nevada, Las Vegas, teaching pain science. Adriaan has taught postgraduate spinal manual therapy and pain science classes throughout the US and…

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Chapters & Learning Objectives

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1. Lumbar Surgery in the United States

Recognize various social and economic issues with the ever-increasing rates of low back surgery. Describe the outcomes of the most common low back surgeries as it pertains to pain and disability.

2. The Development of a Preoperative Neuroscience Educational Program for Lumbar Surgery

Recognize various issues related to low back surgery that lead to the development of a preoperative neuroscience educational program. Verify that various pain-related issues justify the need to develop a preoperative neuroscience educational program for lumbar surgery.

3. The “How To” of Neuroscience Education for Lumbar Surgery

Master the content and delivery of the preoperative neuroscience educational program for patient undergoing lumbar surgery. Integrate the content and educational material from this section into clinical practice.

4. Does It Work? Preoperative Neuroscience Education for Lumbar Surgery

Recognize the various studies used to validate the results of the preoperative neuroscience educational program. Compare the preliminary results of the newly designed preoperative program to previous outcome studies for similar low back surgeries.

5. Pain, Lumbar Surgery and Physical Therapy

Verify why pain is complex and why surgery has such a relatively poor track record in easing pain. Identify various issues regarding pain that may result in a poor surgical outcome.

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