In this two part series, Jackie Shakar, DPT, MS, OCS, LAT, describes a multimodal intervention approach to the sensitive nervous system. The intervention incorporates Graston Technique, pain neuroscience education, and a neurodevelopmental approach to movement re-education. In Part 1 of the series, theories of pain neuroscience in light of the most recent evidence, and the evaluation of patients with chronic pain will be covered. The course begins with a discussion of the concept of pain neuroscience education (PNE) in light of emerging evidence and the pain vs. tissue damage concept. Next, Dr. Shakar describes evidence-based treatment principles in light of the latest pain neuroscience research. The course concludes with a discussion and demonstration of evidence-based evaluation and outcomes measurement.
Jackie has been a physical therapist for over 25 years and is a true icon in the field. She has presented at many national conferences, colleges and universities. She received her Masters Degree in Physical Therapy from Boston University and completed her Doctor of Physical Therapy program at Mass General Hospital Institute of Health Professions. Jackie is a Board Certified Orthopedic Specialist by the APTA and she is a full time professor in the Physical Therapy Assistant Program at Mount Wachusett Community College. Jackie is a Graston Technique® primary instructor and teaches nationally. She is one of New England’s only certified PRRT providers. Therapists throughout New England refer clients to her for second opinions and consultations. In her spare time, Jackie is a competitive runner who is well known regionally and has won far too many road races to count. She competes annually in the Mount Washington Road Race where she frequently finishes atop her age group. Jackie resides in Sutton.
The first chapter of this course introduces the concept of pain neuroscience education (PNE) within the context of emerging evidence around concepts of pain vs. tissue damage. This chapter will also introduce participants to the authorities on PNE and discuss the limitations of the biomedical model as a method for explaining pain in patients.
The second chapter of this course provides important background for the participant on evidence-based pain neuroscience treatment principles, including central vs peripheral sensitization, the effects of chronic pain on the physiological systems of the body, and the application of pain neuroscience treatment principles in clinical practice.
In the final chapter of this course, Dr. Shakar demonstrates evidence-based evaluation and measurement techniques for patients with a sensitive nervous system, and identifies the most accurate self-report and outcomes instruments for this patient population.