Breaking Waves of Pain: Incorporating Pain Neuroscience Education w/ Aquatics (2.5 hrs)

Pain is the most common reason for patient referral to aquatic therapy. The unique properties of the water provide benefits for the relief of pain unachievable on land. Yet the physical treatment of the patient is only one small aspect in the vast toolbox of available strategies to reduce symptoms. Dive into this webinar to explore options for incorporating Pain Neuroscience Education (PNE) into your aquatic therapy sessions. You will receive evidence-based rationale and treatment techniques to enable you to use PNE strategies that can be immediately implemented into your aquatic therapy treatment plans today.

Learning Objectives

Identify 3 physiological or thermodynamic properties of water that are beneficial in the treatment of patients with pain.
Describe the 3 clinical classifications of pain and the effectiveness of Pain Neuroscience Education and aquatic therapy for each.
Identify 4 Pain Neuroscience Education strategies that can incorporated into aquatic therapy sessions.
Compare and contrast the “bottom-up” vs “top-down” approach to the treatment of pain.
Discuss the role of the Homunculus (brain’s body map) with pain and how sensory discrimination can be used to “retrain the brain” to reduce pain.

Sample of Evidence Supporting Webinar

Louw A, Puentedura E, Schmidt S, Zimney K. Pain Neuroscience Education. Vol 2. Minneapolis, MN: OPTP; 2018
Pires D, Cruz EB, Caeiro C. Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic low back pain: A randomized controlled trial. Clinical Rehabilitation. 2015;29(6):538-547. doi:10.1177/0269215514549033

Target Audience Statement

This course is designed primarily for professionals with a basic understanding of physical medicine and rehabilitation. Those likely to benefit most are: Physical therapist & assistants, Occupational therapists & assistants, Recreational therapist & assistants, Speech & language pathologist & assistants.

Students who are at the basic level of skill acquisition and those who are at a higher level of skill, but who are looking for a course that provides "best practice" ideas for techniques currently practiced are also welcome.

This course can be applied toward 3 elective hours for individuals who are seeking their ATU Aquaticist.

This course does not focus on evaluation or examination of the patient and the content is within the scope of practice for the Assistant working under the supervision of the PT or OT or RT or SLP. While the primary audience for the course is the PT/OT/RT/SLP provider, other rehabilitation providers will find it beneficial.

CEU/CCU Information

CEU/CCU Information:

This course/training is offered under the name ATU Aquatic Therapy Seminars.
Note that state regulations are subject to change and each state has differing standards for approval of CE.
It is the responsibility of the attendee to verify approval and compliance with their state’s licensing board.

PT/PTA:

General Information: ATU reports CE credit through CEbroker.com when applicable. Licensees are responsible for confirming acceptance of this course with their individual licensing boards. Sponsor approval has been granted for continuing competence unit(s) (CCUs) by the Texas chapter of the APTA. This activity has been approved by the Texas Board of Physical Therapy Examiners for PTs and PTAs. State PT boards which accept CE approved by a state component of the APTA or state PT licensing boards may likewise accept these credits.
See below for known exceptions:

Licensees in New York: CEUs/CCUs NOT available.
Licensees in California, DC, Louisiana, Maryland, Minnesota, Nevada, New Jersey, New Mexico, Ohio, West Virginia - Pre-approval was not obtained in these states, but individuals are permitted to submit a self-application through their state licensing board. Comply with any deadline for self-applications.
Always check with your licensing agency for continuing education credit eligibility.

OT/OTA:

General Information: ATU reports CE credit through CEbroker.com when applicable. The Indiana Occupational Therapy Committee hereby certifies that the following continuing education provider has been approved to offer continuing education credits for license renewal for Occupational Therapists and Occupational Therapy Assistants (Certificate # 98001187A). Other state licensing boards which accept CE approved by a state component of the AOTA or state OT licensing boards may likewise accept these credits.
See below for known exceptions:

Licensees in Montana & New York: CEUs/CCUs NOT available.
Licensees in DC, Delaware, Florida, Illinois, Maryland, New Mexico, Ohio, Vermont - Pre-approval was not obtained in these states, but individuals are permitted to submit a self-application through their state licensing board. Comply with any deadline for self-applications.
Always check with your licensing agency for continuing education credit eligibility.

Self Application links and fees:

: $125

DC:

LA:

$20

: $25

NV:

$50

NJ:

$100

: $0

OH:

$25-40

WV:

$15

VT:

Cathy Maloney-Hills

Cathy Maloney-Hills is the lead aquatic therapist for Courage Kenny Rehabilitation Institute/Allina Health, Minneapolis; has developed community, fitness and therapy programs; presented national and international courses and training for physical therapists, students and fitness professionals. She has completed the Kaiser Vallejo PNF 6-month training program, the Folsom Physical Therapy Year-long Orthopedic Manual Therapy Course, is a Therapeutic Pain Specialist and an Instructor for the Academy of Aquatic Physical Therapy Certification in Clinical Competency (CCC) program

Patrick Jones - Course author

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