Diagnosing pain mechanisms in low back pain: mission possible?   July 14th, 2017
Unravelling low back pain remains a clinical challenge and the ideas about what can count as proper and necessary judgements are still a topic for debate.
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Two PiM members recently obtained their PhD   June 6th, 2017
​Recently, Dorien Goubert and Iris Coppieters obtained their PhD degree at Ghent University, Belgium. Dorien completed her PhD on studies linking peripheral (i.e., muscular) and central aspects of chronic low back pain. The title of her PhD was ‘Peripheral back muscle dysfunctions and central pain mechanisms: an innovative perspective on differences between recurrent and chronic pain’ and you can check out her publications here: https://www.ncbi.nlm.nih.gov/pubmed/?term=Goubert+D%5BAuthor%5D). Iris’ PhD, entitled ‘Relationships between cognitive deficits, central sensitization, and structural brain alterations in patients with chronic idiopathic neck pain, chronic whiplash associated disorders and fibromyalgia. Unravelling differences in underlying mechanisms’ included some of her following publications: https://www.ncbi.nlm.nih.gov/pubmed?term=Coppieters%20I%5BAuthor%5D&cauthor=true&cauthor_uid=24508406 Congratulations to both of them!
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The greatest common divisor of post-cancer, pediatric and sport-related pain: modern pain neuroscience   May 2nd, 2017
Pain has always been a matter of interest to those involved in rehabilitation and medicine. Decades of research has led to the understanding that pain is an extensive and complex mechanism, influenced by thoughts, emotions, context, previous experiences, perceptions, etc.
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A daily dose of pain? A physical therapist deals with it…   May 1st, 2017
Working in a rehabilitation centre means that you have to deal with pain every day. Actually, it is quite frank to notice that someone’s pain is an everyday part of my job.
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What you see, is what you get … but you ain’t seen nothing yet!   March 27th, 2017
Within the biomedical model, pain is considered a consequence of tissue damage. However, we all know now that a precise biomedical diagnosis cannot be given in the majority of the low back pain (LBP) patients. Enter: the biopsychosocial perspective.
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​Sensorimotor incongruence, a true contributor to chronic pain?   March 16th, 2017
Musculoskeletal pain is a highly prevalent disorder. People often seek help from a physiotherapist to relieve their pain and related limitations.
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Context effect in physiotherapy Is it time to potentiate our clinical practice by integration of placebo responses?   March 15th, 2017
Patient’s pain and disability improvement is an everyday challenge for physiotherapists.
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Joint Forces – working transdisciplinary   January 30th, 2017
For centuries chronic pain has been viewed as a solely biomedical issue in the tissues. However, times are changing and we now know that (chronic) pain is a complex construct in which not only physiological factors play a role. In addition, pain is influenced by psychological factors, such as thoughts and feelings, and social factors, for instance judgement and misunderstanding.
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Changing our own (therapeutic) behavior is more difficult than changing our patients’ behaviour   January 11th, 2017
The biomedical model falls short in explaining chronic pain. Although many clinicians have moved on in their thinking and apply a broad biopsychosocial view with regard to chronic pain (patients), the majority of clinicians (including myself) have received a biomedical-focused (undergraduate) training/education.
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Pain attention: an important interaction   January 9th, 2017
It is well established that pain has the function of maintaining the integrity of the body. Pain is an evolutionarily acquired alarm signal of bodily threat and this phylogenetic function is extremely important for survival.
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Are athletes special people?   November 28th, 2016
Of course they are. We all have witnessed them and their exceptional performances during last summers’ Olympic games, the once-every-four-year alibi for sports fanatics to avoid bodily movement while watching their favourites giving the best of themselves.
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WCPT Post-congress course: Osteoarthritis: Balancing Biomechanics with Pain Neuroscience   November 27th, 2016
On the 5th of July, Dr Isabel Baert, Dr Enrique Lluch en Dr Mira Meeus, all Pain in Motion members, will give a post-congress course at the World Congress of Physiotherapy (WCPT), together with Dr Ina Diener, from Stellenbosch University and University of the Western Cape.
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Pain neuroscience education for patients undergoing lumbar surgery?   November 26th, 2016
On October 3rd 2016 a (Dutch) blog post was published on our website concerning a study comparing ‘back school’ and ‘brain school’ in patients undergoing surgery for lumbar radiculopathy, titled “Rugschool of pijneducatie bij chirurgie voor lage rug- en beenpijn”.
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Pain Treatment in Temporomandibular Disorders and Orofacial Pain: LESS IS MORE   November 25th, 2016
Temporomandibular Disorders (TMD) and orofacial pain are conditions that have been drawing more attention from Physical Therapists (PTs) in the recent years.
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What you see is what you get?   November 24th, 2016
What you see is what you get, no? Not for whiplash patients!
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7 geboden voor mensen met lage rugpijn   October 12th, 2016
Lage rugpijn blijft één van de duurste en meest invaliderende problemen van onze Westerse samenleving. Logisch dus dat voor vele stakeholders (patiënten, paramedici, artsen, firma’s en overheden) de focus hierop ligt.
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What pain education programs can learn from teachers and their class with 6-year olds…   October 11th, 2016
In Belgium nearly every hospital has a specialized pain center to treat patients with chronic and/or debilitating pain. These pain centers developed and evolved over the years and became multidisciplinary teams.
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Netwerk Pijnrevalidatie Limburg (Nederland)   October 9th, 2016
Het Expertisecentrum Pijn en Revalidatie, waarin Adelante en MUMC+ samenwerken op het gebied van chronische pijn, streeft naar toegankelijke revalidatiezorg bij chronische pijn voor zeer complexe en minder complexe problematiek. Hiervoor lanceert zij het Netwerk Pijnrevalidatie Limburg.
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Margot De Kooning, PhD candidate   October 4th, 2016
(August 30, 2016) 7:15 pm: The moment Margot De Kooning got rewarded for five years of hard work, by being promoted to ‘Doctor in Rehabilitation Sciences and Physiotherapy’.
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​Rugschool of pijneducatie bij chirurgie voor lage rug-en beenpijn?   October 3rd, 2016
Jaarlijks worden enkele duizenden patiënten geopereerd voor lage rugpijn met uitstraling naar het been (lumbale radiculopathie). Onderzoek wijst uit dat 23-28% postoperatief chronische pijn zullen ontwikkelen.
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Pneumogastric (Vagus) Nerve Activity Indexed by Heart Rate Variability in Chronic Pain Patients Compared to Healthy Controls: A Systematic Review and Meta-Analysis   October 1st, 2016
In this blogpost, the most important elements of this systematic review and meta-analysis are highlighted.
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Psychosocial factors play an important role in the course of shoulder pain   August 31st, 2016
Shoulder complaints are common in physiotherapy practice and consist of pain and functional limitations.
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Chronic Whiplash-Associated Disorders: Reorganization of the Brain?   August 31st, 2016
A wide range of human brain imaging techniques has provided the opportunity to explore in vivo the neurophysiological processes of the brain. This neuroimaging research has shown neuronal plasticity, which refers to the possibility of the central nervous system including the brain to adapt but also to maladapt structure, function and organization.
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Measuring activity limitations and participation restrictions in patients with chronic fatigue syndrome   August 31st, 2016
Chronic fatigue syndrome (CFS) is a complex syndrome with severe and debilitating fatigue. The experienced fatigue is not sufficiently reduced by resting, causing patients to perform less occupational, educational, social or personal activities and consequently restricting their participation.
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Whiplash, painful stress or stressful pain? Pain modulation in patients with whiplash associated disorders: studies examining the role of the autonomic nervous system and visual feedback   August 17th, 2016
Margot De Kooning will present her PhD in public on Tuesday 30 August 2016 at the Vrije Universiteit Brussel, Brussels Health Campus (Jette).
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