Transformational Chronic Back Pain Progrpm: PNE Multidisciplinary Approach
Section: The Academy of Orthopaedic PT
Session Code: OR-2B-2464
Date: Friday, February 23, 2018
Time: 11:00 AM - 1:00 PM
Location: Hilton Riverside
Room: Grand Ballroom A

Speaker(s):   Lauren Davis, PT, DPT
  Jill Dubbs, PT, DPT
  Christine Schulte, PT, MBA
  Ian Stephens, PT, DPT, OCS
  Mary Stilphen, PT/DPT

Session Type: Educational Sessions
Session Level: Intermediate

The opioid epidemic has challenged the way clinicians provide care to patients with chronic pain in a safe, effective manner. Back on TREK, a multidisciplinary pilot program involving spine specialists, physical therapists, and behavioral medicine specialists, identified an opportunity to reform the way they manage patients at medium and high risk for prolonged disability due to chronic low back pain at the Cleveland Clinic. The program provides a well-rounded approach to the complex physical and mental-psychological aspects of chronic low back pain and uses standard outcome tools and the STarT Back Screening Tool to assist in determining enrollment in the 12-week program. By educating patients on pain neuroscience and by using motivational interviewing techniques, realistic functional goals are set with the patient. Individualized therapeutic techniques, paced aerobic exercises, and peer motivation in group sessions are designed to inspire patients to achieve their goals and acquire greater independence and autonomy during physical activity.

In this session, the presenters will discuss the development and implementation of Back on TREK specific to the management of chronic back pain in a large health care environment.

Topics covered will include: organizational stakeholder recognition of the opioid epidemic, collaboration to address the current delivery of care, and design of a program to transform our current medical practice. The speakers also will address operational considerations, outcome tools, and hurdles to achieve and measure success, including program integration on the staff level. They will share lessons learned and provide case studies to highlight physical therapist practice and value of pain neuroscience education and psychologically informed physical therapist services.

Learning Objectives: Upon completion of this course, you will be able to:

1. Navigate the challenges our profession currently faces with treating the patient with chronic low back pain.

2. Articulate the mission of Back on TREK and its current role in the treatment of chronic low back pain.

3. Identify if their organizational policies and practices are conducive to the design and implementation of the Back on TREK progrpm in their practice setting.

4. Describe the patient experience in Back on TREK via case-based learning and differentiate the experience of a multidisciplinary progrpm from traditional physical therapy treatment for chronic low back pain.

5. Evaluate the various screening and outcome tools used in the design and implementation of the Back on TREK progrpms and why outcome metrics are valuable to patient and progrpm success.

CEU: 0.2

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