Treating the Whole Person with The Integrated Systems Model for Pain & Disability - An Evidence-Based Approach to Optimize Function & Performance, Diane Lee BSR, FCAMT, CGIMS
12.75 CE Hours/1.275 CEUs
April 20-21, 2013Program:
Best Western GranTree
Board Meeting, April 19, 6-8pm
April 20, 2013
7-8:00 NEW** Jay Shaver will present a program on PQRS and Functional Documentation ** NEW
8-5 Continuing Education Program, Diane Lee (course info soon to be added), with lunch break
12-1:40pm Membership Business Meeting
6:00pm Dinner at Ale Works (no-host, sponsored apps, RSVP)
April 21, 2013
- This course is HALF of the cost of other Diane Lee Courses, sign up today!
- Listen to her podcast about Intergrated Systems Model:
Rooms can be reserved at the Best Western/GranTree Hotel, Bozeman, MT. Please call (800) 624-5965. Please reference MAPTA Block Number 806330 when making reservations. Room Block rate begin at $99 and expire on March 30, 2013.
Following the education, we are having a Montana Physical Therapy dinner at Montana Ale Works, 6pm.
This is a no host dinner - we just want to have dinner together! MAPTA will spring for appetizers and a group of Bozeman PTs are contributing towards the first beverages. Join us!
Business meeting and elections will be held at noon on Saturday, April 20, 2013, at the hotel. Lunch is included for those registered for Saturday courses. Please RSVP for just the lunch www.mapta.com (register on this event’s page).
MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.
Registration Cancellation by Participant:
• Cancellations will be accepted in writing via fax, email, or mail.
• A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.
15% Discount for 3 or more APTA Member PTs/PTAs from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date.
Treating the Whole Person with The Integrated Systems Model for Pain & Disability - An Evidence-Based Approach to Optimize Function & Performance
Instructor: Diane Lee BSR, FCAMT, CGIMS
Physiotherapists spend a considerable number of years gaining the knowledge necessary for their chosen career, and most continue to take post-graduate courses and attend conferences to increase their theoretical knowledge base and technical skill-set available in their ‘toolbox’. In the evidence-based era of medicine, physiotherapists are also exhorted to consume an ever-growing amount of information and scientific studies. The challenge in the midst of all this information is to incorporate and integrate the newly learned science and clinical skills into a framework that facilitates wise clinical decisions in day-to-day practice.
Rivett & Jones (2004) have noted that there is a tendency in both courses and conferences to neglect an essential component of daily clinical practice – clinical reasoning. How does the clinician organize both old and new knowledge, clinical experiences and the emerging scientific findings? Without a framework to organize knowledge, clinical decision-making becomes increasingly difficult.
The Integrated Systems Model (ISM) for Pain & Disability (Lee & Lee) is a framework to understand and interpret the unique picture of each individual patient in the clinical context to facilitate decision-making and treatment planning. The model provides a context to organize all the different types of knowledge needed (scientific, theoretical, professional craft, procedural, and personal) and provides for the development and testing of multiple hypotheses as the multidimensional picture of the patient emerges. It also facilitates clinical reasoning ‘on the fly’ as the patient’s story unfolds and the clinician begins to understand the significant pieces of their tapestry. A multimodal treatment plan can then be designed based on the complete picture of the person and their presenting problem(s), tailored around their meaningful task(s).
The ultimate goal of The Integrated Systems Model approach is to facilitate better strategies for function and performance; that is, to help patients change the way they live, move and experience their bodies. Teaching new strategies for function and performance relies heavily on the capacity of the nervous system for change - the art and science of neuroplasticity - which gives human beings amazing potential for transformation in both physical and emotional realms. But how do we help our patients change how they perform habitual, automatic, and well established postural and movement strategies?
Any functional task, whether it be sustained postural positions or dynamic activities, requires integration of all regions of the body. When a patient presents with pain, along with functional limitations, the clinician must determine whether the driving cause for the pain experience and loss of function is intrinsic or extrinsic to the painful region. In order to make this decision, it is often not sufficient to only assess function of the painful region during functional tasks. The therapist must also determine if painfree dysfunction exists in other parts of the body and then assess the interactions between both painful and painfree areas of dysfunction. This is an essential clinical reasoning process that enables the therapist to determine how all areas of the body are linking and interacting with each other during total body function. By considering the connections between all parts of the body, the patient’s injury history and pain experience can be better reasoned and explained.
This course, The Integrated Systems Model for Pain & Disability - An Evidence-Based Approach to Optimize Strategies for Function & Performance, highlights the key features of this model as it applies to treating impairments of the trunk (from the thorax to the pelvis) and lower extremity to optimize total body function & performance. It lays the foundation for understanding how to restore movement and control within and between the thorax, pelvis and lower extremity and how the interaction between these regions impact the rest of the body.
At the conclusion of this course, participants will have new skills in assessing load transfer through the trunk (from the 4th thoracic ring to the pelvic floor) and lower extremity as well as performing segmental thoracic and pelvic ring analysis for mobility and control. Moreover, participants will understand how to design a multimodal treatment program (including education, manual therapy, neuromuscular release, and movement training) to restore function and performance for any patient (from postpartum moms to elite level athletes) since the principles are applicable to all groups of patients. The participants will learn novel concepts and skills developed Diane Lee & Linda-Joy (LJ) Lee unique to Discover Physio courses and taught completely in the Discover Physio Series (www.discoverphysio.ca).
Key learning points – objectives:
- Illustrate how The Integrated Systems Model (ISM) (Lee & Lee) provides a framework to organize knowledge gained from scientific evidence, clinical expertise and personal experience to find the underlying driver for the patient's problem - whether this is pain, loss of stability, loss of performance, or other disability.
- Define “Meaningful Assessment” a key feature of the ISM approach, and why it is essential in creating an environment to enhance neuroplastic change – the route to changing the patient’s experience of their body.
- Demonstrate key clinical tests for the thorax, lumbar spine, pelvis/hip and the clinical reasoning necessary to determine whether or not a patient is using an optimal strategy for function & performance for their chosen task and when there are multiple sites of impairment, how to determine the ‘primary driver’ or impairment to be addressed first – a key feature of the ISM approach.
- Demonstrate techniques developed by Linda-Joy (LJ) Lee and Diane Lee for the analysis of segmental thoracic and pelvic ring mobility and control.
- Discuss how the new developments in the sciences of neuroplasticity, pain, motor control and manual/manipulative therapy have influenced treatment decisions for the development of prescriptive programs that ultimately Treat the Whole Person and facilitate optimal strategies for total-body function and performance that ultimately reduce pain and disability.
Discover Physio is an educational company founded in 2007 as a result of several years of individual effort and collaboration between Linda-Joy (LJ) Lee and Diane Lee. Their joint passion in Discover Physio is to help people – both patients and therapists – to explore the possibilities and reach their potential through innovative, high-quality educational experiences. The 4th edition of The Pelvic Girdle (newly released December 2010) is testimony to the fruit of this collaboration.
The intent is to present this course in an interactive two day lecture/discussion/demonstration format. Specific lectures will present the key scientific and clinical information necessary to understand The Integrated Systems Model approach, which will then be applied/demonstrated through brief clinical cases. Time will be allocated for group interactive discussion and clinical reasoning problem solving. A live case will be presented over the two days to illustrate the key learning points of this course. To facilitate a larger audience, minimal lab/practical time will be allotted.
Day 1 8-5
8 – 10 Introduction to the Integrated Systems Model (Lee & Lee) – overview of this approach
10 – 10:15 coffee break
10:15 – 12 Interview and assess our live case
12 – 1:30 lunch (Business/Membership meeting)
1:30-3 Introduction to The Thoracic Ring Approach (LJ Lee)
3-3:15 coffee break
3:15 - 4 The Thoracic Ring Approach (LJ Lee continued)
4-5 Principles of treatment according to the Integrated systems Model
Day 2 8-3
8-10 More on Treatment and treat our case
10 – 10:15 coffee break
10:15 – 11:30 The Pelvic Girdle story 1989 - 2012 – A look at how time, experience and evidence change paradigms
11:30 – 12:30 lunch
12:30 – 2:30 The Pelvis continued
2:30 - 3 Knowledge and our profession – best ways to make wise clinical decisions and inform your clinical practice
About the Instructor:
Diane graduated from UBC with a BSR degree in 1976. She has been a fellow of the Canadian Academy of Manipulative Therapy since 1981 and completed her certification in Intramuscular Stimulation (IMS) in 2001. Diane is a co-founder of Discover Physio (www.discoverphysio.ca) and owner, director and physiotherapist at Diane Lee & Associates (www.dianelee.ca) in White Rock, BC, Canada.
Diane is well known for her clinical work on thoracic, lumbar and pelvic disability and pain. She has been a keynote and conference speaker at many conferences including The World Congress on Low Back and Pelvic Pain (has presented at every congress (7) since the inaugural one in 1992 and is a scientific committee member for the same congress), has contributed chapters to several books, produced DVD’s, and self-published the book The Thorax – An Integrated Approach. The Pelvic Girdle, was first published in 1989 and the latest edition (2011, 4th edn.) presents a new model, The Integrated Systems Model for Pain & Disability, co-developed with Linda-Joy Lee, and is the foundation of the series of courses offered by Discover Physio. She holds the North American patent for an innovative sacroiliac belt – The Com-pressor. With respect to research, she is currently investigating the behaviour of the abdominal wall in women with diastasis rectus abdominis and has received a grant from the Clinical Center of Research Excellence from the University of Queensland to further these studies.