Reappraising entrapment neuropathies: Pathomechanisms, diagnosis and management- A/Prof Annina B Schmid
|Duur 2 dagen/12 lesuuren||Start 11/06/2021||Uiterste inschrijvingsdatum 02/05/2021|
|Prijs € 500||Artikelnummer IC_REN21|
|Adres IGENT Toren -Technologiepark-Zwijnaarde 15, 9052 Gent , Vergaderzaal 1.1 Hermann von Helmholtz|
Cursusdata: vrijdag 11 en zaterdag 12 juni 2021
Onze cursussen gaan standaard door van 09.00 tot 17.00 uur, tenzij anders vermeld.
Koffiepauzes, broodjesmaaltijd en cursusmateriaal zijn inbegrepen.
Betalen via kmo-portefeuille: 30% korting. IPVK - DV.O103194
Accreditatie: aangevraagd bij Pro-Q-Kine
Opgelet: Deze opleiding wordt in het engels gedoceerd.
Entrapment neuropathies are the most common peripheral nerve disorders and a condition that is frequently seen by Physiotherapists. They are caused by pressure and/or irritation of peripheral nerves and nerve roots as they travel through narrow anatomical spaces. Common conditions include cervical or lumbar radiculopathies, carpal tunnel syndrome or cubital tunnel syndrome. Diagnosis and treatment of entrapment neuropathies are often challenging. This can in part be attributed to a limited understanding of the pathophysiology of the diverse symptoms and signs (e.g., numbness, pain, allodynia, motor deficits, paraesthesia etc) as well as the conflicting (and often confusing) evidence regarding treatment of these patients. This course aims to provide a detailed insight into recent scientific advances in regards to the pathophysiology, assessment and conservative management of patients with entrapment neuropathies.
In the first part of the course, participants will be updated on recent advances in the understanding of pathophysiological mechanisms underlying entrapment neuropathies. I will discuss the scientific evidence for mechanisms such as neuro-inflammation in the peripheral and central nervous system, myelin and axon degeneration or cortical changes and put them in relation to common symptoms and signs in patients with entrapment neuropathies. An improved understanding of underlying pathomechanisms will not only facilitate a targeted assessment of these patients, but will also have implications for the management and prognosis.
In a second part of the course, we will use the example of spinally referred pain to introduce a clinical framework of classifying different types of neural pain. I will discuss how clinical tests may assist in identifying and differentiating the underlying pathomechanisms if interpreted in the context of loss or gain of function. In practical sequences, participants will learn skills that will go well beyond bedside neurological testing and neurodynamic testing. A focus will be placed on quantitative sensory testing and how it can help diagnosis as well as treatment planning in a therapeutic setting. We will also highlight how these methods and other screening tools (e.g. questionnaires) can help to differentiate neuropathic from non-neuropathic pain in patients with suspected entrapment neuropathies.
The third part of this course concerns the management of patients with entrapment neuropathies. This part will include an update on the scientific evidence for the efficacy and benefit (or lack thereof) of physiotherapeutic interventions in the management of patients with these pain disorders. We will also touch on pharmacological options as well as the decision on when surgical intervention may be indicated.
Upon completion of the course, participants will have a deep understanding of potential pathomechanisms at play in patients with entrapment neuropathies. They will know how to differentiate the dominant mechanisms in individual patients using methods beyond the commonly used neural integrity and neurodynamic tests. Participants will also be competent in designing a targeted intervention for different subgroups of patients with spinally referred pain and can confidently interpret changes associated with the delivered intervention.
- To enable the participants to understand the basic principles of pain physiology associated with entrapment neuropathies and to incorporate this knowledge into their reasoning framework
- To be familiar with the practical performance and interpretation of bedside neurological testing and quantitative sensory testing methods in the context of entrapment neuropathies
- To understand the clinical framework for subgrouping different types of spinally referred pain
- To be competent in designing a targeted intervention for patients with entrapment neuropathies and to interpret changes associated with the delivered intervention.
A/Prof Annina Schmid
A/Prof Annina Schmid is a Consultant Musculoskeletal Physiotherapist and a Neuroscientist affiliated with the Nuffield Department of Clinical Neurosciences at Oxford University in the UK. She qualified as a Physiotherapist in Switzerland in 2001 and obtained a Master in Manipulative Physiotherapy from Curtin University of Technology in Perth, Australia before completing a PhD in Neuroscience at The University of Queensland in Brisbane in 2011.
Annina’s research is an exciting and unique combination of preclinical and clinical science which is aimed to improve our understanding of the mechanisms of neuropathic pain and entrapment neuropathies to ultimately improve management of these patients. Annina has presented her work at leading international and has published her work widely including publications in leading clinical (e.g., Brain, Nature Communication, Eur J Pain) and basic science journals (e.g., eLife, Nature Genetics). Dr Schmid’s research contribution is recognised by the award of several grants, awards and competitive fellowships including the prestigious Neil Hamilton Fairley Fellowship from the NHMRC Australia.
In addition to her research activities, Dr Schmid teaches postgraduate courses related to pain and neuroscience internationally. She also maintains a weekly caseload as a specialist musculoskeletal Physiotherapist. Further information can be found at www.neuro-research.ch