Moderator: Heidi Prather, DO
It is clear that low back pain (LBP) is a problem with multiple dimensions. Although it is well accepted that LBP is best understood using a bio-psycho-social model, these three domains are generally viewed as silos and the complexity of issues not only within but also between the domains is considered only superficially. The overall objective of this session is to consider this complexity from multiple perspectives. Presenters will consider state-of-the-art understanding of the complexity of biological psychological and social issues. This will include new understanding of the role of movement system impairments, immune/inflammatory systems, psychological features and the interactions between them.
The session also presents an innovative method to build a model that presents both the diversity and complexity of all of the different views of the condition of LBP and the factors that affect and interact with the pillars of pain, disability and quality of life. This collaborative modeling approach is drawn from the field of systems science as a method to enhance the understanding of multi-factorial system dynamics. The potential of this method to develop a more comprehensive view of LBP will be presented. The session concludes with discussion of bringing this model together in a clinical context.
Upon completion of this session, participants should gain strategies to:
- Describe movement patterns to evaluate in patients with LBP;
- Evaluate literature that investigates neuromuscular control as it relates to LBP and understand the evolution of translation to the clinical care of patients with LBP;
- Recognize the latest advances in the basic laboratory regarding the role of inflammation on movement and motor control;
- Implement a biopsychosocial risk screening tool in their practice that will help direct care of patients with LBP;
- Identify the basic components and benefit of utilization of Collaborative Modeling as it relates to the study of LBP.
Agenda
The Importance of Movement in Evaluation and Directing Treatment in People with Low Back Pain
Linda Van Dillen PT, PhD
The Importance of Neuromuscular Control in Evaluating People with LBP: What Should a Clinician Know and Assess?
Julie Hides
How Does Inflammation Play a Role in Movement and Neuromuscular Control?
Paul Hodges, PhD
How to Connect Assessment of Biopsychosocial Risk Factors with Treatment Implementation in People with LBP
Frank Keefe
How Might Collaborative Modeling Help Us Answer Research and Clinical Questions Regarding Evaluation and Treatment of LBP?
Jacek Cholewicki, PhD
Pulling It Together as a Clinician: A Surgeon’s and Physiatrist’s Perspectives
Heidi Prather, DO and Jeff Wang, MD