Schedule

7:00am - 8:00am
Pre + Full Conference Registration
8:00am - 11:30am
Pre-Conference

Moving Out of the Fog and into the Light: The Neuroscience of Treating the Patient with Fibromyalgia and Chronic Fatigue Syndrome

Jo Nijs, Stephen Schmidt, Jessie Podolak, Adriaan Louw Pre-Conference Session
Speakers

Jo Nijs

View Bio

Stephen Schmidt

View Bio

Jessie Podolak

View Bio

Adriaan Louw

View Bio
Description

Chronic pain is a problem – for the patient and the healthcare provider. For the patient, there is the suffering, constant pain and numerous concerns, including being believed or not stigmatized by their diagnostic label. This is true for fibromyalgia (FM) and chronic fatigue syndrome (CFS). For the clinician the challenge is less, but real and also impacts the patient’s recovery. This 3h pre-conference session will delve into the clinical challenges of treating patients diagnosed with fibromyalgia and chronic fatigue syndrome, especially from a movement perspective. First attendees will be updated on the latest neuroimmunolgy and neurobiology associated with FM and CFS, ultimately providing a clinical framework for testing and treating. In line with current best-evidence treatment for FM and CFS, this session will showcase the clinical application of pain neuroscience education for FM and CFS. In conjunction with pain neuroscience education, movement and exercise strategies for FM and CFS will be showcased including aerobic exercise, isometric exercise, pacing, graded expsore, etc., as a means to enhance exercise-induced hypoalgesia. In addition to pain neuroscience education and exercise, this session will also further explore other treatments aimed at enhancing non-pharmacological treatments for pain, including sleep hygiene, nutrition, relaxation, meditation and more. This pre-conference session will focus on FM and CFS but in essence pertain to all patients struggling with persistent and widespread pain, cognitive deficits pertaining to focus and concentration, fatigue and hypersensitivity.

12:00pm-1:00pm
Full Conference Registration
1:00pm - 3:30pm
Session 1

Moving Despite Pain

Jo Nijs Breakout Session
Speakers

Jo Nijs

View Bio
Description

In the treatment of chronic pain, improvements in pain and disability during an exercise program are often unrelated to changes in physical function (e.g. range of motion, strength and muscular endurance). In this framework it’s argued that improved psychological status and cognitions (i.e., reduction in fear, anxiety and catastrophization, increased pain selfefficacy), exerciseinduced analgesia, and adaptations in the brain (functional and structural) may influence pain and disability more than physical function. Moving people in pain is complex; highly individualized and needed. It is widely accepted that increased physical activity levels benefit individuals with chronic musculoskeletal pain, but what type of exercises are optimal? What about a starting point or dosing? Is aerobic exercise superior to resistance training? What about entrenched movement patterns/memories associating movement and pain? The list can go on and on. This 2.5 hour lab session will delve into the complexities of moving patients in pain…despite pain, including pacing, graded exposure, pain neuroscience education and more.

 

 

Moving from Strength and Stability

Greg Lehman Breakout Session
Speakers

Greg Lehman

Description

The tailoring exercise prescription to facilitate cognitive restructuring and the key messages of pain biology within a biopsychosocial framework: this workshop is a mix of case studies, lecture and practical components.  A general framework for exercise prescription that is based on the biopsychosocial model of pain and rehabilitation will be presented.  An alternative to the kinesiopathological model is proposed.  Key messages of pain biology will be explored and how those key messages should be delivered based on patient’s beliefs will be taught.  The clinical reasoning behind the exercise prescription for common musculoskeletal complaints will be introduced during the lecture portion and the practical aspects of delivering the exercises will be taught to and performed by the participants.  Topics may include common tendinopathies, running injuries and non-specific back, shoulder and neck pain.  The role of symptom modification, graded exposure, painful exercise and comprehensive capacity building will be illustrated through case studies and participants performing the exercises. 

Moving Mindfully with Calm

Carolyn McManus Breakout Session
Speakers

Carolyn McManus

View Bio
Description

This session introduces you to practical, mindfulness-based treatment principles and practices that promote your patients’ abilities to improve body awareness, self-regulate the stress reaction, self-manage pain and move with calm and confidence. You will practice mindful breathing, body scan and movement and, in addition, experience the therapeutic applications of mindfulness to both pleasant and unpleasant circumstances. The challenges of being mindful and teaching mindfulness will be discussed. These experiential exercises help you personally experience the effort required and transformative power of mindful awareness and serve as an essential foundation for your ability to introduce mindful principles and practices to your patients. The specific applications of mindful awareness to teaching patients breathing, body awareness, movement and the self-regulation of reactions to stress and pain will be explored. You will return to your clinic with the ability to introduce the benefits of mindful awareness to patients and integrate mindful principles into your treatment that can help both prevent and benefit chronic pain conditions. For the practitioner new to mindfulness, you will broaden your understanding and toolbox of biopsychosocial strategies for pain treatment and, for the practitioner with substantial experience in mindfulness, you will glean insights from someone who made mindfulness training a 30+ year career specialty.

Multidisciplinary Session: Moving as a Team

Rebecca Vogsland, Lindsay Marth, Kelly Weiss-Kreps, Melissa Cady Breakout Session
Speakers

Rebecca Vogsland

View Bio

Lindsay Marth

View Bio

Kelly Weiss-Kreps

View Bio

Melissa Cady

Description

Chronic pain is complex, individualized and expands beyond the skills of one approach and one profession. It is argued the more complex pain gets, the more help is needed, hence the push towards multi- and interdisciplinary care. In this lab session, four different disciplines – physical therapy, occupational therapy, mental health and medicine combine to show how each approach a patient with chronic pain. First, attendees will be introduced to multidisciplinary, interdisciplinary and transdisciplinary care, in order to develop a working knowledge of these approaches. Apart from large hospital and federal system vantage points, this presentation will also showcase how a free standing practice can build such relationships and teams in their community to better serve patients with chronic pain. With the use of a single case study each speaker will showcase how their profession (PT, OT, mental health and physician) will approach, evaluate and treat the patient. Additionally, all panelists will discuss how they use other members of this panel as well as other members of the multidisciplinary team. This panel-driven lab session will allow attendees to develop a working knowledge of a team approach with practical applications on building such a network of healthcare providers.

Moving Forward Financially

Brian J Freund & Steve Goldrick Breakout Session
Speakers

Brian J Freund

View Bio

Steve Goldrick

View Bio
Description

A financial talk? Really? Surely we should not care about the money aspects of pain – focus on our patients and “let the business people figure it out.” Wrong. This session combines two worlds – pain science and business. Emerging research into neurophysiology and neurobiology of pain clearly shows that movement and biopsychosocial professions such as physical and occupational therapy are ideal to treat these patients. The increase in chronic pain and general dissatisfaction by patients with care provided creates a unique business opportunity for therapists. Additionally, advanced therapeutic treatments for pain, such as pain neuroscience education, graded motor imagery, pacing, graded exposure, exercise and more will become increasingly desirable due to its low cost and it’s empowerment of the patient. It is argued that a thriving, progressive and financially strong clinic or department can devote more time and resources to their patients, if they also focus on the “business of chronic pain.” Apart from the vast number of people suffering from pain, there is a financial cost. This not only affects countries and healthcare systems, but works its way down to each and every clinician attending this conference. In the lab session, the speakers will showcase how various business strategies around pain and especially chronic pain can hugely benefit patients and clinicians alike. Topics include billing, documentation, building relationships with referral sources, marketing, staff retention and well-being, return-on-investment, investing in staff, etc. A key aspect of this session will show how the current pain epidemic can be used to build a thriving department/clinic, which in turn provides the highest quality of care for patients. Come learn how very successful practices/departments have developed cutting-edge and highly successful pain programs in therapy.

Moving Without Moving

Stephen Schmidt Breakout Session
Speakers

Stephen Schmidt

View Bio
Description

Rehabilitation, neuroscience and brain imaging advances have shown that decreased movement of body parts lead to functional and structural changes in the brain. These neuronal representations of body parts are dynamically maintained and changes in shape and size of body maps correlate to increased pain and disability. Neglect, increased fear-avoidance and decreased use of body parts increases pain and disability, along with sensitization of the nervous system, resulting in some patients becoming “too hot to handle.” Neuroplasticity also provides hope. Body maps can be retrained within minutes. One strategy used in normalizing cortical maps is graded motor imagery (GMI), including normalizing laterality, motor imagery, mirror therapy, sensory discrimination, sensory integration and more. The growing evidence shows the GMI program as a whole or parts of it can be used clinically to help desensitize a hypersensitive nervous system. This 2.5 hour lab session will showcase how brief GMI interventions can be readily applied in real-life clinics and results in immediate shifts in pain, thus accelerating recovery in people struggling with persistent pain.

Moving Our Language

Kory Zimney & Jessie Podolak Breakout Session
Speakers

Kory Zimney

View Bio

Jessie Podolak

View Bio
Description

Words matter. While the age-old childhood rhyme regarding “sticks and stones” suggests words cannot harm you, we now know words can hurt and increase sensitivity with our patients. During this lab session, we will explore the science behind how our language can shape our thoughts and emotions and thus affect our pain experiences. We will look at common phrases and images used in health care, see how they might add to the pain experience, and then look at ways to improve upon them. Learning to change language and thoughts is not easy, but through this interactive lab session, attendees will gain a greater appreciation of how to become architects of their language and environment to help nudge patients into a direction that is less threatening regarding their health and wellbeing. We will explore various insights from behavioral economics and motivational interviewing on how to use our language to create a more optimal healing environment for patients when they come under our care. Through the changes in our language and the patients’ own language, we can help reframe their pain experience into a less sinister situation and provide hope for recovery.

Moving Passively with Manual Therapy

Terry Cox Breakout Session
Speakers

Terry Cox

View Bio
Description

With the increasing interest in pain neuroscience education (PNE) there has developed a potential clinical crossroad. PNE is a cognitive intervention, purposefully shifted away from the biomedical and anatomical model. In fact, current PNE research deliberately avoids biomedical education as means to “undo” traditional pain models. With this purposeful shift, many clinicians are left with the question: Is pain science hands-on or hands-off? This 2.5 hour session will delve into the cohabitation of PNE and various passive treatments such as mobilization and manipulation. This session will showcase how PNE and physical treatments, especially manual therapy, can and should co-exist. Advances in the understanding of functional and structural changes in the brain shows manual treatments should cohabit with PNE as means to remap cortical maps, alter nociceptive input into the central nervous system, facilitating descending inhibitory mechanisms, etc. Furthermore, emerging PNE research has shown that a combination of physical treatment and PNE is superior to PNE-only approaches and furthermore, PNE can in essence decrease sensitization, thus providing a window of opportunity to introduce physical treatments. This session will additional showcase the emerging models for choosing PNE and/or manual therapy in patients presenting to physical therapy. In the lab components, manual techniques will be demonstrated, taught and practiced from a graded motor imagery and PNE perspective.

3:30pm-4:00pm
Break
4:00pm - 6:30pm
Session 2

Moving Despite Pain

Jo Nijs Breakout Session
Speakers

Jo Nijs

View Bio
Description

In the treatment of chronic pain, improvements in pain and disability during an exercise program are often unrelated to changes in physical function (e.g. range of motion, strength and muscular endurance). In this framework it’s argued that improved psychological status and cognitions (i.e., reduction in fear, anxiety and catastrophization, increased pain selfefficacy), exerciseinduced analgesia, and adaptations in the brain (functional and structural) may influence pain and disability more than physical function. Moving people in pain is complex; highly individualized and needed. It is widely accepted that increased physical activity levels benefit individuals with chronic musculoskeletal pain, but what type of exercises are optimal? What about a starting point or dosing? Is aerobic exercise superior to resistance training? What about entrenched movement patterns/memories associating movement and pain? The list can go on and on. This 2.5 hour lab session will delve into the complexities of moving patients in pain…despite pain, including pacing, graded exposure, pain neuroscience education and more.

Moving from Strength and Stability

Greg Lehman Breakout Session
Speakers

Greg Lehman

Description

The tailoring exercise prescription to facilitate cognitive restructuring and the key messages of pain biology within a biopsychosocial framework: this workshop is a mix of case studies, lecture and practical components.  A general framework for exercise prescription that is based on the biopsychosocial model of pain and rehabilitation will be presented.  An alternative to the kinesiopathological model is proposed.  Key messages of pain biology will be explored and how those key messages should be delivered based on patient’s beliefs will be taught.  The clinical reasoning behind the exercise prescription for common musculoskeletal complaints will be introduced during the lecture portion and the practical aspects of delivering the exercises will be taught to and performed by the participants.  Topics may include common tendinopathies, running injuries and non-specific back, shoulder and neck pain.  The role of symptom modification, graded exposure, painful exercise and comprehensive capacity building will be illustrated through case studies and participants performing the exercises. 

Moving Mindfully with Calm

Carolyn McManus Breakout Session
Speakers

Carolyn McManus

View Bio
Description

This session introduces you to practical, mindfulness-based treatment principles and practices that promote your patients’ abilities to improve body awareness, self-regulate the stress reaction, self-manage pain and move with calm and confidence. You will practice mindful breathing, body scan and movement and, in addition, experience the therapeutic applications of mindfulness to both pleasant and unpleasant circumstances. The challenges of being mindful and teaching mindfulness will be discussed. These experiential exercises help you personally experience the effort required and transformative power of mindful awareness and serve as an essential foundation for your ability to introduce mindful principles and practices to your patients. The specific applications of mindful awareness to teaching patients breathing, body awareness, movement and the self-regulation of reactions to stress and pain will be explored. You will return to your clinic with the ability to introduce the benefits of mindful awareness to patients and integrate mindful principles into your treatment that can help both prevent and benefit chronic pain conditions. For the practitioner new to mindfulness, you will broaden your understanding and toolbox of biopsychosocial strategies for pain treatment and, for the practitioner with substantial experience in mindfulness, you will glean insights from someone who made mindfulness training a 30+ year career specialty.

Multidisciplinary Session: Moving as a Team

Rebecca Vogsland, Lindsay Marth, Kelly Weiss-Kreps, Melissa Cady Breakout Session
Speakers

Rebecca Vogsland

View Bio

Lindsay Marth

View Bio

Kelly Weiss-Kreps

View Bio

Melissa Cady

Description

Chronic pain is complex, individualized and expands beyond the skills of one approach and one profession. It is argued the more complex pain gets, the more help is needed, hence the push towards multi- and interdisciplinary care. In this lab session, four different disciplines – physical therapy, occupational therapy, mental health and medicine combine to show how each approach a patient with chronic pain. First, attendees will be introduced to multidisciplinary, interdisciplinary and transdisciplinary care, in order to develop a working knowledge of these approaches. Apart from large hospital and federal system vantage points, this presentation will also showcase how a free standing practice can build such relationships and teams in their community to better serve patients with chronic pain. With the use of a single case study each speaker will showcase how their profession (PT, OT, mental health and physician) will approach, evaluate and treat the patient. Additionally, all panelists will discuss how they use other members of this panel as well as other members of the multidisciplinary team. This panel-driven lab session will allow attendees to develop a working knowledge of a team approach with practical applications on building such a network of healthcare providers.

Moving Forward Financially

Steve Goldrick & Brian J Freund Breakout Session
Speakers

Steve Goldrick

View Bio

Brian J Freund

View Bio
Description

A financial talk? Really? Surely we should not care about the money aspects of pain – focus on our patients and “let the business people figure it out.” Wrong. This session combines two worlds – pain science and business. Emerging research into neurophysiology and neurobiology of pain clearly shows that movement and biopsychosocial professions such as physical and occupational therapy are ideal to treat these patients. The increase in chronic pain and general dissatisfaction by patients with care provided creates a unique business opportunity for therapists. Additionally, advanced therapeutic treatments for pain, such as pain neuroscience education, graded motor imagery, pacing, graded exposure, exercise and more will become increasingly desirable due to its low cost and it’s empowerment of the patient. It is argued that a thriving, progressive and financially strong clinic or department can devote more time and resources to their patients, if they also focus on the “business of chronic pain.” Apart from the vast number of people suffering from pain, there is a financial cost. This not only affects countries and healthcare systems, but works its way down to each and every clinician attending this conference. In the lab session, the speakers will showcase how various business strategies around pain and especially chronic pain can hugely benefit patients and clinicians alike. Topics include billing, documentation, building relationships with referral sources, marketing, staff retention and well-being, return-on-investment, investing in staff, etc. A key aspect of this session will show how the current pain epidemic can be used to build a thriving department/clinic, which in turn provides the highest quality of care for patients. Come learn how very successful practices/departments have developed cutting-edge and highly successful pain programs in therapy.

Moving Without Moving

Stephen Schmidt Breakout Session
Speakers

Stephen Schmidt

View Bio
Description

Rehabilitation, neuroscience and brain imaging advances have shown that decreased movement of body parts lead to functional and structural changes in the brain. These neuronal representations of body parts are dynamically maintained and changes in shape and size of body maps correlate to increased pain and disability. Neglect, increased fear-avoidance and decreased use of body parts increases pain and disability, along with sensitization of the nervous system, resulting in some patients becoming “too hot to handle.” Neuroplasticity also provides hope. Body maps can be retrained within minutes. One strategy used in normalizing cortical maps is graded motor imagery (GMI), including normalizing laterality, motor imagery, mirror therapy, sensory discrimination, sensory integration and more. The growing evidence shows the GMI program as a whole or parts of it can be used clinically to help desensitize a hypersensitive nervous system. This 2.5 hour lab session will showcase how brief GMI interventions can be readily applied in real-life clinics and results in immediate shifts in pain, thus accelerating recovery in people struggling with persistent pain.

Moving Our Language

Jessie Podolak & Kory Zimney Breakout Session
Speakers

Jessie Podolak

View Bio

Kory Zimney

View Bio
Description

Words matter. While the age-old childhood rhyme regarding “sticks and stones” suggests words cannot harm you, we now know words can hurt and increase sensitivity with our patients. During this lab session, we will explore the science behind how our language can shape our thoughts and emotions and thus affect our pain experiences. We will look at common phrases and images used in health care, see how they might add to the pain experience, and then look at ways to improve upon them. Learning to change language and thoughts is not easy, but through this interactive lab session, attendees will gain a greater appreciation of how to become architects of their language and environment to help nudge patients into a direction that is less threatening regarding their health and wellbeing. We will explore various insights from behavioral economics and motivational interviewing on how to use our language to create a more optimal healing environment for patients when they come under our care. Through the changes in our language and the patients’ own language, we can help reframe their pain experience into a less sinister situation and provide hope for recovery.

Moving Passively with Manual Therapy

Terry Cox Breakout Session
Speakers

Terry Cox

View Bio
Description

With the increasing interest in pain neuroscience education (PNE) there has developed a potential clinical crossroad. PNE is a cognitive intervention, purposefully shifted away from the biomedical and anatomical model. In fact, current PNE research deliberately avoids biomedical education as means to “undo” traditional pain models. With this purposeful shift, many clinicians are left with the question: Is pain science hands-on or hands-off? This 2.5 hour session will delve into the cohabitation of PNE and various passive treatments such as mobilization and manipulation. This session will showcase how PNE and physical treatments, especially manual therapy, can and should co-exist. Advances in the understanding of functional and structural changes in the brain shows manual treatments should cohabit with PNE as means to remap cortical maps, alter nociceptive input into the central nervous system, facilitating descending inhibitory mechanisms, etc. Furthermore, emerging PNE research has shown that a combination of physical treatment and PNE is superior to PNE-only approaches and furthermore, PNE can in essence decrease sensitization, thus providing a window of opportunity to introduce physical treatments. This session will additional showcase the emerging models for choosing PNE and/or manual therapy in patients presenting to physical therapy. In the lab components, manual techniques will be demonstrated, taught and practiced from a graded motor imagery and PNE perspective.

6:45pm - 8:00pm
Keynote Session

Welcome by Adriaan Louw

Adriaan Louw 6:45pm-7:00pm
Speakers

Adriaan Louw

View Bio
Description

Welcome and introduction to Align Conference 2019 hosted by Adriaan Louw!

Keynote: Moving Whiplash

Pierre Côté 7:00pm-8:00pm
Speakers

Pierre Côté

Description

This presentation will review the evolution of the epidemiologic evidence on the management of whiplash injuries.  Evidence from three related reports will be discussed: 1) the Quebec Task Force on Whiplash-associated Disorders; 2) the 2000-2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders; and 3) the recently published Clinical Practice Guideline on the Management of Neck Pain and Associated Disorders from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. The presentation will also, from an epidemiological perspective, the impact of ineffective treatments, harmful interventions and inappropriate programs of care on the recovery of patients with whiplash associated disorders.

8:00pm-10:00pm
Welcome Reception Sponsored by OPTP
7:00am - 8:00am
CEU Sign In
8:00am - 10:20am
Saturday Session 1 in Main Room

Keynote: Everything is Moving…from Practitioner to Patient

Karen Litzy 8:00am - 8:50am
Speakers

Karen Litzy

View Bio
Description

Pain research has multiplied considerably over the past three decades. As a result, more and more physical therapists have moved from a biomedical model of care to a biopsychosocial model of care. Some therapists made this shift after extensive reading, some after taking continuing education classes (either online or in person) and some have had the experience of living with persisting pain and found the biopsychosocial approach saved their life.

Panelist: Moving Despite Pain

Jo Nijs 8:50am - 9:20am
Speakers

Jo Nijs

View Bio
Description

Motion is lotion. It sounds simple, benign and non-threatening. In clinical practice, however, moving people in pain is complex and a key part of the recovery process. The evidence overwhelmingly supports movement as a means to recovery, but the modern clinician faces numerous questions: What type of exercise? Who needs it? Who needs what? How much? Where do I start? How do I progress? The list goes on. This lecture will delve into the complexity of moving people in pain, despite having…pain.

Panelist: Moving Towards the Patient

Kory Zimney 9:20am - 9:50am
Speakers

Kory Zimney

View Bio
Description

Creating a therapeutic alliance is key towards gaining an optimal outcome for patients in pain. Creating a warm, safe healing environment through engagement and connection with our patients has been shown to be a significant contextual factor in improving care and outcomes. This platform talk will explore the foundational conditions and components needed to foster connection and build a therapeutic bond with your patients. It will help health care providers gain a deeper understanding and become intentional about these components during patient care.

9:50am-10:30am
Break
10:30am - 12:20am
Saturday Session 2 in Main Room

Keynote: Moving Beyond the Kinesiopathological Model for Exercise Prescription

Greg Lehman 10:30am - 11:20am
Speakers

Greg Lehman

Description

Exercise, movement and physical activity can help with rehabilitation.  Exercise has commonly been promoted to correct presumed impairments in biomotor abilities or in specific movement patterns.  This keynote will present different targets of exercise prescription with a specific emphasis on the building of tolerance and resiliency.  An alternative to the kinesiopathological model will be discussed and how and when the kinesiopathological model is still relevant in the treatment of injuries and pain will be highlighted by current clinical research.

Panelist: Moving with a Purpose

Lindsay Marth 11:20am - 11:50am
Speakers

Lindsay Marth

View Bio
Description

Pain treatment is shifting in many settings to include an emphasis on function focused treatment, self-management, and biopsychosocial models. While many clinicians are eager to implement these approaches, real world execution can be more challenging than it first seems. This talk will provide insights and tools to help clinicians facilitate meaningful change in their patients’ lives while working to improve function and decrease pain. Many of these themes and strategies are core to occupational therapy, and information will also be provided on how the unique perspective of OT and their use of purposeful engagement can be beneficial in improving outcomes.

Panelist: Moving Kids and Pain

Jessie Podolak & Patty Benz 11:50am - 12:20pm
Speakers

Jessie Podolak

View Bio

Patty Benz

View Bio
Description

Contrary to what one might think from looking at most scientific papers, chronic pain does not only apply to people aged 18-65. Pain is a global epidemic and does not discriminate in regards to gender, ethnicity, nationality or…age. Kids also struggle with pain and various studies have shown that early exposure to pain (good and bad) influences a child’s future vantage point pertaining to pain. This lecture will share the development and implementation of a newly designed pain neuroscience education program for middle school students as potential means to inoculate kids early against chronicity and disability.

12:20pm - 2:00pm
Lunch On Your Own
2:00pm - 4:00pm
Session 3 in Main Room

Keynote: Moving Mindfully with Calm

Carolyn McManus 2:00pm - 2:50pm
Speakers

Carolyn McManus

View Bio
Description

A substantial body of medical literature suggests mindfulness training can improve the lives of patients with pain conditions. Mindfulness training has been shown to reduce pain intensity and unpleasantness, decrease depression and anxiety and improve function and quality of life in patients with persistent pain. These gains may occur through increases in body awareness, stress and emotional regulation, attention control and shifts in perspective and neuroplastic brain changes that accompany these improvements. This presentation introduces you to the science of mindfulness and its ability to convert a patient’s experience of movement from one characterized by fear and insecurity to one embodying calm and confidence.

Panelist: Moving Mental Health in the US

Kelly Weiss-Kreps 2:50pm - 3:20pm
Speakers

Kelly Weiss-Kreps

View Bio
Description

Given the interplay between various psychological issues (depression, anxiety, etc.) and pain it’s not unreasonable to ask: Who needs a referral to a mental health provider? When do they need it? What do they do? With the emergence of pain science in rehabilitation, these questions need answers. In this panel session, psychiatrist Dr. Kelly Weiss Krepps will delve into the state of mental health in the US, with a specific focus on pain and how rehabilitation specialists can and should work alongside mental health providers.

Panelist: Moving Without Moving

Stephen Schmidt 3:20pm - 3:50pm
Speakers

Stephen Schmidt

View Bio
Description

Why do you yawn when others yawn? Why does running water initiate urination? In 1996 scientists discovered mirror neurons, opening a new and exciting frontier in pain – the ability to move, without moving. In this panel session, Steve Schmidt will showcase how aspects of graded motor imagery can in fact assist, enhance and facilitate movement in people with pain, even without actually moving.

3:50pm-4:30pm
Break
4:30pm - 5:30pm
Session 4 in Main Room

Panelist: Moving Away From Opioids

Debra Rico 4:30pm - 5:00pm
Speakers

Debra Rico

View Bio
Description

This talk will focus on the different aspects of prescription opioids. This includes the current prescription guidelines, how to recognize opioid tolerance, hyperalgesia, and dependence and opioid use disorder (OUD).  This lecture will also cover how to recognize and monitor symptoms of weaning from an opioid, the use of opioid antagonists for treatment of OUD and the guidelines for chronic opioid therapy.

Panelist: Everything is Moving…Including Social Media

Karen Litzy 5:00pm - 5:30pm
Speakers

Karen Litzy

View Bio
Description

As a healthcare professional, the translation of evidence-based knowledge is vitally important to both support what we do on a daily basis and to properly educate various stakeholders in the care of the patient with pain. There are many platforms available to disseminate that information that may include but are not limited to Facebook, Twitter, Instagram, SnapChat, podcasts, blogs and more. Each platform has a unique set of users, algorithms, “rules” and etiquette that if used precisely can impact millions. The question is: Are we using these robust platforms to our best advantage? Are we providing high quality evidence-based information about pain to our peers and to the general public?

 

7:00am-8:00am
CEU Sign In
8:00am - 9:00am
Optional Session

Yoga Session

Optional Event
Description

Ok with sitting all weekend at a conference? Not if you’re a physical or occupational therapist. The 2019 Align conference is designed around movement – moving patients forward; moving pain in America; movement-based strategies in pain; moving your ideas about pain and moving you spiritually and emotionally on various levels. All that’s left – move you physically. On the final morning of the Align conference we are offering you a free yoga session!

Coffee with the Experts

Optional Event
Description

How many times do you attend a conference; hear from some amazing speakers and experts, and wish you could just sit down; grab a coffee and ask them any questions? Then Align 2019 is your place! For Align 2019 we will gather various experts – keynote speakers, panelists and faculty and give you the ability to do just that: Grab a coffee; ask some questions and have the ability to interact with speakers in a relaxed, fun environment. Coffee not your thing? We have tea, water and will even take the non-drinkers!

9:30am-12:00pm
Session 3

Moving Despite Pain

Jo Nijs Breakout Session
Speakers

Jo Nijs

View Bio
Description

In the treatment of chronic pain, improvements in pain and disability during an exercise program are often unrelated to changes in physical function (e.g. range of motion, strength and muscular endurance). In this framework it’s argued that improved psychological status and cognitions (i.e., reduction in fear, anxiety and catastrophization, increased pain selfefficacy), exerciseinduced analgesia, and adaptations in the brain (functional and structural) may influence pain and disability more than physical function. Moving people in pain is complex; highly individualized and needed. It is widely accepted that increased physical activity levels benefit individuals with chronic musculoskeletal pain, but what type of exercises are optimal? What about a starting point or dosing? Is aerobic exercise superior to resistance training? What about entrenched movement patterns/memories associating movement and pain? The list can go on and on. This 2.5 hour lab session will delve into the complexities of moving patients in pain…despite pain, including pacing, graded exposure, pain neuroscience education and more.

Moving Away From Opioids

Debra Rico Breakout Session
Speakers

Debra Rico

View Bio
Description

Since the discovery of opium from the poppy in 3400BC, people have battled with its addictive properties. But the history of the so-called medicinal value of opium repeats itself in a fatal way.  From heroin being the non-addictive replacement of morphine in the 1800’s. To the 5 sentence letter-to-the-editor in the New England Journal of Medicine in 1980 stating there is no evidence that prescription opioids are addictive. The medical community has fueled the consumption of opium as a treatment of pain. In this 2.5 hour session, we will review some of the most common medications our patients use for pain.  From acetaminophen to opioids to marijuana, we will review the various drug’s therapeutic properties, side effects and the latest evidence for the treatment of pain. Most of this session will examine the symptoms of opioid use disorder (OUD), recognizing and monitoring the side effects of withdrawal and the latest treatments of OUD. Lastly, we will learn about the evidence of marijuana for the treatment of pain, its potential and pitfalls. By the end of this session, you should be able to recognize if a patient is potentially addicted to an opioid, how to help monitor their symptoms and effectively communicate with other members of the health care team.

Moving Mindfully with Calm

Carolyn McManus Breakout Session
Speakers

Carolyn McManus

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Description

This session introduces you to practical, mindfulness-based treatment principles and practices that promote your patients’ abilities to improve body awareness, self-regulate the stress reaction, self-manage pain and move with calm and confidence. You will practice mindful breathing, body scan and movement and, in addition, experience the therapeutic applications of mindfulness to both pleasant and unpleasant circumstances. The challenges of being mindful and teaching mindfulness will be discussed. These experiential exercises help you personally experience the effort required and transformative power of mindful awareness and serve as an essential foundation for your ability to introduce mindful principles and practices to your patients. The specific applications of mindful awareness to teaching patients breathing, body awareness, movement and the self-regulation of reactions to stress and pain will be explored. You will return to your clinic with the ability to introduce the benefits of mindful awareness to patients and integrate mindful principles into your treatment that can help both prevent and benefit chronic pain conditions. For the practitioner new to mindfulness, you will broaden your understanding and toolbox of biopsychosocial strategies for pain treatment and, for the practitioner with substantial experience in mindfulness, you will glean insights from someone who made mindfulness training a 30+ year career specialty.

Multidisciplinary Session: Moving as a Team

Rebecca Vogsland, Lindsay Marth, Kelly Weiss-Kreps, Melissa Cady Breakout Session
Speakers

Rebecca Vogsland

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Lindsay Marth

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Kelly Weiss-Kreps

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Melissa Cady

Description

Chronic pain is complex, individualized and expands beyond the skills of one approach and one profession. It is argued the more complex pain gets, the more help is needed, hence the push towards multi- and interdisciplinary care. In this lab session, four different disciplines – physical therapy, occupational therapy, mental health and medicine combine to show how each approach a patient with chronic pain. First, attendees will be introduced to multidisciplinary, interdisciplinary and transdisciplinary care, in order to develop a working knowledge of these approaches. Apart from large hospital and federal system vantage points, this presentation will also showcase how a free standing practice can build such relationships and teams in their community to better serve patients with chronic pain. With the use of a single case study each speaker will showcase how their profession (PT, OT, mental health and physician) will approach, evaluate and treat the patient. Additionally, all panelists will discuss how they use other members of this panel as well as other members of the multidisciplinary team. This panel-driven lab session will allow attendees to develop a working knowledge of a team approach with practical applications on building such a network of healthcare providers.

Moving Forward Financially

Brian J Freund & Steve Goldrick Breakout Session
Speakers

Brian J Freund

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Steve Goldrick

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Description

A financial talk? Really? Surely we should not care about the money aspects of pain – focus on our patients and “let the business people figure it out.” Wrong. This session combines two worlds – pain science and business. Emerging research into neurophysiology and neurobiology of pain clearly shows that movement and biopsychosocial professions such as physical and occupational therapy are ideal to treat these patients. The increase in chronic pain and general dissatisfaction by patients with care provided creates a unique business opportunity for therapists. Additionally, advanced therapeutic treatments for pain, such as pain neuroscience education, graded motor imagery, pacing, graded exposure, exercise and more will become increasingly desirable due to its low cost and it’s empowerment of the patient. It is argued that a thriving, progressive and financially strong clinic or department can devote more time and resources to their patients, if they also focus on the “business of chronic pain.” Apart from the vast number of people suffering from pain, there is a financial cost. This not only affects countries and healthcare systems, but works its way down to each and every clinician attending this conference. In the lab session, the speakers will showcase how various business strategies around pain and especially chronic pain can hugely benefit patients and clinicians alike. Topics include billing, documentation, building relationships with referral sources, marketing, staff retention and well-being, return-on-investment, investing in staff, etc. A key aspect of this session will show how the current pain epidemic can be used to build a thriving department/clinic, which in turn provides the highest quality of care for patients. Come learn how very successful practices/departments have developed cutting-edge and highly successful pain programs in therapy.

Moving Without Moving

Stephen Schmidt Breakout Session
Speakers

Stephen Schmidt

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Description

Rehabilitation, neuroscience and brain imaging advances have shown that decreased movement of body parts lead to functional and structural changes in the brain. These neuronal representations of body parts are dynamically maintained and changes in shape and size of body maps correlate to increased pain and disability. Neglect, increased fear-avoidance and decreased use of body parts increases pain and disability, along with sensitization of the nervous system, resulting in some patients becoming “too hot to handle.” Neuroplasticity also provides hope. Body maps can be retrained within minutes. One strategy used in normalizing cortical maps is graded motor imagery (GMI), including normalizing laterality, motor imagery, mirror therapy, sensory discrimination, sensory integration and more. The growing evidence shows the GMI program as a whole or parts of it can be used clinically to help desensitize a hypersensitive nervous system. This 2.5 hour lab session will showcase how brief GMI interventions can be readily applied in real-life clinics and results in immediate shifts in pain, thus accelerating recovery in people struggling with persistent pain.

Moving Our Language

Jessie Podolak & Kory Zimney Breakout Session
Speakers

Jessie Podolak

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Kory Zimney

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Description

Words matter. While the age-old childhood rhyme regarding “sticks and stones” suggests words cannot harm you, we now know words can hurt and increase sensitivity with our patients. During this lab session, we will explore the science behind how our language can shape our thoughts and emotions and thus affect our pain experiences. We will look at common phrases and images used in health care, see how they might add to the pain experience, and then look at ways to improve upon them. Learning to change language and thoughts is not easy, but through this interactive lab session, attendees will gain a greater appreciation of how to become architects of their language and environment to help nudge patients into a direction that is less threatening regarding their health and wellbeing. We will explore various insights from behavioral economics and motivational interviewing on how to use our language to create a more optimal healing environment for patients when they come under our care. Through the changes in our language and the patients’ own language, we can help reframe their pain experience into a less sinister situation and provide hope for recovery.

Moving Passively with Manual Therapy

Terry Cox Breakout Session
Speakers

Terry Cox

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Description

With the increasing interest in pain neuroscience education (PNE) there has developed a potential clinical crossroad. PNE is a cognitive intervention, purposefully shifted away from the biomedical and anatomical model. In fact, current PNE research deliberately avoids biomedical education as means to “undo” traditional pain models. With this purposeful shift, many clinicians are left with the question: Is pain science hands-on or hands-off? This 2.5 hour session will delve into the cohabitation of PNE and various passive treatments such as mobilization and manipulation. This session will showcase how PNE and physical treatments, especially manual therapy, can and should co-exist. Advances in the understanding of functional and structural changes in the brain shows manual treatments should cohabit with PNE as means to remap cortical maps, alter nociceptive input into the central nervous system, facilitating descending inhibitory mechanisms, etc. Furthermore, emerging PNE research has shown that a combination of physical treatment and PNE is superior to PNE-only approaches and furthermore, PNE can in essence decrease sensitization, thus providing a window of opportunity to introduce physical treatments. This session will additional showcase the emerging models for choosing PNE and/or manual therapy in patients presenting to physical therapy. In the lab components, manual techniques will be demonstrated, taught and practiced from a graded motor imagery and PNE perspective.

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