Treating the Whole Person — The Integrated Systems Model for Pain & Disability

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Treating the Whole Person — The Integrated Systems Model for Pain & Disability
April 5, 2013 8:30 am
April 6, 2013 4:30 pm
March 8, 2013
Museum of Vancouver
1100 Chestnut Street, Vancouver , British Columbia, Canada

View course flyer

Instructors:  Linda-Joy (LJ) Lee & Diane Lee

Dates:  Friday, April 5 – Saturday, April 6, 2013

Times:  8:30 am – 4:30 pm

To register:   Download Registration Form
This course is open to all health care professionals including physicians, physiotherapists, kinesiologists, RMTs, chiropractors, fitness professionals and occupational therapists.
The Integrated Systems Model (ISM) (Lee & Lee) and The Thoracic Ring Approach (LJ Lee) are used by physiotherapists worldwide who have been trained by Diane Lee and LJ Lee. These innovative models combine scientific evidence with innovative clinical expertise and provide a framework to assess and treat the whole person. The models are functionally driven, with the assessment process designed around what is called “Meaningful Task Analysis” rather than focused solely on pain generators. This way, the true underlying “primary driver” for the patient’s problem can be determined, resulting in more efficient treatment to facilitate lasting changes in the way patients live and move in their bodies.Course Description

This course is designed to introduce all health professionals to the ISM and the Thoracic Ring Approach, to foster inter-disciplinary communication in the multi-disciplinary care of patients. It is open to physicians, physiotherapists, kinesiologists, RMTs, fitness professionals, chiropractors, and occupational therapists.

In the evidence-based era of medicine, health care professionals are exhorted to consume an ever-growing amount of information and scientific studies. Rivett& Jones (2004) have noted 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?

The Integrated Systems Model (ISM) for Pain & Disability (Lee & Lee) is a framework to understand and interpret the unique picture of each patient to facilitate wise clinical decision-making and treatment planning. The model provides a context to organize all the different types of knowledge needed (scientific, theoretical, professional craft, experiential, procedural, and personal) and provides for the development and testing of multiple hypotheses as the multidimensional picture of the patient emerges.

This course provides the foundation to understand The Integrated Systems Model (Lee & Lee) and The Thoracic Ring Approach (LJ Lee) and will illustrate how these approaches help you Find the Primary Driver for the patient’s problem. Identifying the underlying driver allows targeted multimodal treatment that considers the whole person, their presenting problem and pain experience, and their goals. New developments in neuroplasticity are applied to facilitate use of optimal strategies for function and performance during meaningful tasks.

Course Format

The course will be presented as an interactive two-day lecture/discussion/demonstration format. Specific lectures will present the key scientific and clinical information necessary to understand The ISM and The Thoracic Ring Approach, which will then be applied and demonstrated through videos and clinical case examples. A live case study will be presented over the two days to illustrate the key learning points.

Key Learning Points

  1. Illustrate how The Integrated Systems Model (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.
  2. Illustrate “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.
  3. Introduce the anatomical, biomechanical, neurophysiological and clinical evidence behind the development of The Thoracic Ring Approach and how the thorax affects whole body function (LJ Lee), as well as how it relates to the ISM (Lee & Lee).
  4. Demonstrate key clinical tests and clinical reasoning to determine whether or not a patient is using an optimal strategy for function & performance for their meaningful task and how to determine the “primary driver” and underlying impairment to treat – for example, is this thoracic ring driven hip impingement, or hip driven pelvic girdle pain?
  5. Illustrate with video & live demo some of the innovative clinical techniques developed by Linda-Joy (LJ) Lee and Diane Lee used in the Thoracic Ring Approach and the ISM.
  6. Discuss how the new developments in the sciences of neuroplasticity, pain, motor control and manual therapy influence treatment decisions to develop prescriptive programs that Treat the Whole Person and facilitate optimal strategies for total-body function and performance that ultimately reduce pain and disability.
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