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Graston Technique®: Treating the Sensitive Nervous System Part 1 -
Neuroscience Background and Evaluation

Presented by Jacqueline Shakar

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In this two part series, Jackie Shakar, DPT, MS, OCS, LAT, describes a multimodal intervention approach to the sensitive nervous system. The intervention incorporates Graston Technique, pain neuroscience education, and a neurodevelopmental approach to movement re-education. In Part 1 of the series, theories of pain neuroscience in light of the most recent evidence, and the evaluation of patients with chronic pain will be covered. The course begins with a discussion of the concept of pain neuroscience education (PNE) in light of emerging evidence and the pain vs. tissue damage concept. Next, Dr. Shakar describes evidence-based treatment principles in light of the latest pain neuroscience research. The course concludes with a discussion and demonstration of evidence-based evaluation and outcomes measurement.

Meet your instructor

Jacqueline Shakar

Jackie has been a licensed physical therapist and athletic trainer for more than 38 years. She currently works in an outpatient facility, and her clinical focuses include a wide spectrum of patients, including those with pelvic pain, geriatrics, endurance athletes, and those experiencing persistent pain. She received her…

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Chapters & learning objectives

Treating the Sensitive Nervous System

1. Treating the Sensitive Nervous System

The first chapter of this course introduces the concept of pain neuroscience education (PNE) within the context of emerging evidence around concepts of pain vs. tissue damage. This chapter will also introduce participants to the authorities on PNE and discuss the limitations of the biomedical model as a method for explaining pain in patients.

Pain Neuroscience Theory and Treatment Principles

2. Pain Neuroscience Theory and Treatment Principles

The second chapter of this course provides important background for the participant on evidence-based pain neuroscience treatment principles, including central vs peripheral sensitization, the effects of chronic pain on the physiological systems of the body, and the application of pain neuroscience treatment principles in clinical practice.

Evidence-based Evaluation & Outcomes Measures

3. Evidence-based Evaluation & Outcomes Measures

In the final chapter of this course, Dr. Shakar demonstrates evidence-based evaluation and measurement techniques for patients with a sensitive nervous system, and identifies the most accurate self-report and outcomes instruments for this patient population.