Treating Chronic Pain with Clinical Hypnosis| Ali Navidi
PT Elevated
EIM’s Dr. Ali Navidi is a licensed clinical psychologist and one of the founders of GI Psychology, a private practice focused on helping patients with GI disorders and chronic pain. He has been helping patients with GI disorders, chronic pain and complex medical issues for over ten years. He has comprehensive training in the use of clinical hypnosis and cognitive behavior therapy. Listen and learn more about clinical hypnosis and how he uses it to treat chronic pain. Helpful research and training: GI Psychology Website - Ad Info: If you want to keep learning beyond what you hear today,...
info_outline
Faculty Development | Angela MacCabe
PT Elevated
EIM’s Angela MacCabe is a physical therapist with over 33 years of experience. Through faculty development, she helps not only new faculty members transition but also clinicians transition from the clinic into academia. She developed the Faculty Certification in Academic Excellence, which is now available at Evidence In Motion. This online 6-month program takes anyone that is interested in academia through step by step increasing their knowledge and skills so that they are ready either to apply for a position or conquer the classroom. Listen to find out more! Helpful research and training: ...
info_outline
Override Health | Jennie Shulkin
PT Elevated
Jennie Shulkin is a lawyer, co-founder and CEO of Override Health, a multi-specialty chronic pain program. She was a division one athlete in college that suffered two traumatic brain injuries. Soon after she developed a complex chronic pain syndrome affecting multiple parts of her body. As best she could, Jennie continued living her life – pushing through Harvard Law School and building a career in law. All the while, she carried the burden of the agonizing, time-consuming, expensive, and both physically and emotionally painful journey of seeking pain relief. When each medication,...
info_outline
Is Residency Right for You? l Stephanie Pascoe
PT Elevated
EIM faculty Stephanie Pascoe talks about her current roles at EIM, her journey as a physical therapist and her current interest. She shares about her different experiences in residency programs, mentorship and gives more information about the Orthopaedic Physical Therapy Residency Program at EIM where she is the program director. Listen and learn more about residency programs and how one may be the right path for you. Helpful research and training: Orthopaedic Physical Therapy Residency Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the...
info_outline
Post-Professional Training Options | Mark Shepherd
PT Elevated
Mark Shepherd the director of the fellowship at Bellin College and faculty in the DPT program joins to discuss fellowship, research, lifestyle medicine and how to become an overall higher level practitioner. Listen and find out why Mark says fellowship changed his world when he started practicing and more. Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website...
info_outline
Integrating Functional Dry Needling | Edo Zylstra
PT Elevated
EIM functional dry needling expert Edo Zylstra joins to share some of his expert FDN knowledge. He gives a history of how his FDN passion and expertise evolved, how FDN application and education has developed over the years, discusses integrating FDN as a clinician and more! Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website and explore your different...
info_outline
Occupational Therapy and Chronic Pain | Megan Doyle
PT Elevated
EIM faculty Megan Doyle a practicing occupational therapist discusses occupational therapy’s role in chronic pain and how occupational therapists can be involved with patients to provide intricate care to help. She talks about when clinics can bring in an occupational therapist to help with a patient. Listen and find out more about occupational therapy and how it works together with physical therapy to help a patient. *Correction from Megan: I state in the interview that Lifestyle Redesign does not require additional training, but I have since confirmed that it actually does. I myself...
info_outline
Building Clinical Reasoning Skills | Zachary Walston
PT Elevated
Dr. Zachary Walston the director of quality and research and the orthopaedic residency coordinator at PT Solutions Physical Therapy discusses their orthopaedic residency program, what they do to build their clinicians clinical reasoning skills and how those things have evolved over time. Listen and find out how he has built his clinical reasoning skills and how PTs can build theirs. Helpful research and training: Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient...
info_outline
Behavioral Health with Rehab Providers | A.J. Steele
PT Elevated
EIM faculty A.J. Steele a licensed psychologist discusses behavioral health and how both the physiological and social factors are impacting functioning clinicians. How does our behavior represent what we are thinking or feeling? How might the behavior be impacted by those things? Behavioral health is a piece of overall health and if looked at that way A.J. says it is easier to keep altogether instead of separated and look at as whole health. Listen to find out more about behavior health in the clinic. A.J.’s Clinical Pearl: Be patient with yourself in learning new things. Once we get a...
info_outline
Topics in The PT Profession Today | Tom Denninger
PT Elevated
EIM faculty Tom Denninger discusses topics that are top of mind for many physical therapists today like, patient choice, good physical therapy, burnout, and clinical decision making. Why are these topics relevant with PTs today? Listen and learn more. Helpful research and training: update Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the type of clinician who is always learning. One great way to learn more and earn CEUs is Evidence In Motion’s huge selection of courses. Choose from topics ranging from MSK management and pelvic health, to dry...
info_outlineWelcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers join us as guests that will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas.
On our seventh episode of season 3, Lori Michener, PT, PhD, ATC, FAPTA, joins to discuss the high-value treatment she has conducted for shoulder pain. Lori has been a professor at the University of Southern California in the Division of Biokinesiology & Physical Therapy for 7 years and is also a director at the University of Southern California Clinical Biomechanics Orthopedic and Sports Outcomes Research. At the beginning of her career, Lori trained as an athletic trainer and a physical therapist then went into college athletics and taught for six years in a typical undergraduate institution. She taught athletic training and pre-med, pre-physical therapy, and pre-occupational therapy students. She says it was a great opportunity for her to learn how to be a teacher. She then went back and got her PhD in biomechanics and orthopaedics at Hahnemann now Drexel University and taught for 15 years at Virginia Commonwealth University. Now she has been in Southern California for the last 7 years at the University of Southern California.
In this episode, they focus on why she chose to focus on the shoulder for her speciality area of study. They also discuss the decision of pursuing a Ph.D. and how she came to the conclusion to do so and more!
Here are some of the highlights:
Lori says no matter what area you are interested in if you have questions about pursuing a Ph.D. reach out to her and she is happy to talk about it. She says it took her about 2 years to come to the decision that she wanted to get her Ph.D. The advice she gives to anyone looking to pursue their Ph.D. program is to explore a lot of different programs because they are all different.
Paul asks Lori what outcome measures she thinks we should be using to measure our patients with shoulder pain?
Lori lists several tests she has used and for what over the years:
- The Penn Shoulder Score (PPS) – a condition-specific self-report measure. It is a 100-point scale that consists of 3 subscales, including pain, satisfaction, and function
- The American Shoulder and Elbow Surgeons Shoulder Score (ASES) which is a mixed outcome reporting measure. It has 10 questions but some of the questions can be limited depending upon the patient's abilities.
- Shoulder Pain and Disability Index (SPADI), which is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain consists of five questions regarding the severity of an individual’s pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use.
- The DASH outcome measure – the disabilities of the arm, shoulder, and hand questionnaire is a 30-item questionnaire that looks at the ability of a patient to perform certain upper extremity activities. The questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5-point Likert scale.
Patient Satisfaction Score– a direct question, how satisfied are you with the use of your shoulder presently? 100 is full, 0 is not satisfied.
Some of these outcome measures use legacy measure, some are specific questionnaires if your legacy measure does not capture that and then some anchor patient acceptable symptom state or patient satisfaction with the use of your body part that is injured.
Lori’s Clinical Pearl –
“I wish I would have known that connecting with the patient is more important than what you’re doing with the patient. I don’t think there is a magical set of exercises or manual therapy you can do, how you connect with the patient and deliver care is more important. I try to remember that when I walk in the door, I am in patient mode and the shield is up and I am present with the patient. Your behavior and how you are doing it can change how the patient responds.”
Helpful research and training:
University of Southern California in the Division of Biokinesiology & Physical Therapy.
University of Southern California Clinical Biomechanics Orthopedic and Sports Outcomes Research
Management of the Shoulder and Elbow
Surgery versus Physical Therapy for Shoulder Impingement
Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout. You can find the promo code and a link to the website in the show notes. We can’t wait to see you!
Connect with us on socials:
@ZimneyKJ on Twitter
@PMintkenDPT on Twitter
@LoriMichener on Twitter
@lorimw7 on Instagram
Align Conference 2022, Website