The following video is an exchange between Function First Director of Education Kevin Murray and myself on the critical portions of the bio-psycho-social model. These are aspects of the client that we have to respect, acknowledge and consider when working with those in chronic pain. Understanding the interplay between the 3 pieces of the BPS model help you provide the most effective intervention possible.
Posts Tagged ‘pain-free movement specialist’
Understanding the best way to progress your corrective exercise program for the client in chronic pain is the foundation for creating powerful change. Watch how we demonstrate the flow of the exercises.
In this video our hypothetical client has had chronic right sided lumbo-sacral pain and has been diagnosed by several medical providers with sacroiliac joint dysfunction. Our postural and movement assessments allowed us to develop our 80-20 objectives. The summary of the 20% is as follows:
*Right posterior innominate rotation relative to the left
*Asymmetrical weight shift left in squat
*Increased right lumbo-sacral symptoms on right single leg stance
*Limited right hip extension in gait relative to left
From the PFMS perspective, our primary objective is to improve right hip weight acceptance/transfer. Through the appropriate progressions, introducing novelty and reducing the threat-our expectation is that she can comfortably and effectively load that right hip better after the completion of this program.
See if you can identify the sub routines within the program.
Are you ready to be the answer for hundreds of clients in chronic pain? Then join us now while you can. Registration is only open for a few days: https://movementmasterminds.leadpages.co/level-one-enrolment-/
We hope you enjoyed the first 3 part series available to our subscribers. Please enjoy this encore video to further your insight into exercise and chronic pain.
We are grateful to have Reyci Martorell-PFMS Level II Practitioner share with you what going through the PFMS has meant to his professional development.
Reyci gives a great example of how he has used the skills he learned in the PFMS and was even able to apply the principles in a small group setting to clients who were not in pain, but were showing signs of degrading movement with fatigue.
TOP FIVE Frequently Asked Questions:
Level 1 Online Platform
Is there a timeline to complete Level 1?
There is no timeline… you can move as quickly as your heart desires. Or take as long as you’d like, and re-watch as much of the video content as you’d like. It’s been designed to fit multiple learning styles and environments.
Can I receive Continuing Education Units/Credits for Level 1?
Obtaining CEC credits for Level 1 is entirely dependent upon the organization you’re certified through. All organizations have slightly different and unique requirements, and will look at our curriculum differently. Thus far, none of our Level 1 grads have been denied CEU/CEC’s from their respective providers.
Upon completion, can I enroll in the subsequent live events?
The live events all build off the foundational framework received in Level 1, with each level going deeper and deeper into mastering all elements of the Function First Approach and working with people in pain.
Do I need to complete all 4 levels if I enroll in Level 1?
You can stop at any level you wish. Enroll in level 1 only; go all the way to level 4, or stop anywhere in between. It’s your choice.
Are there specific education credentials or requirements to enroll in Level 1?
No post-secondary or continuing education requirements are needed to enroll. If you do have the aforementioned, we have a ‘Bridging Track’ for approved designations.
If you have any inquires that were not answered above, leave your question in the comment box below.
More than 5 years ago I wrote a blog post on Exercise Sequencing vs . Exercise Progressions. Sequencing of exercises is a critical part of how we design our corrective exercise programs and instrumental in what we teach in the Pain Free Movement Specialist.
From the feedback that I’ve received in the 18 years or so that I’ve been teaching principles of the Function First Approach-programming is always the most challenging aspect. Too many fitness pros go down one of two “rabbit holes”:
1. Programs built around giving symptomatic relief which is clearly outside of our scope of practice. For example, the client whose knee is painful is given all “corrective” exercises focused on the knee. The inherent risk in this for fitness pros is that you have indirectly (and possibly unintentionally) made a medical decision because your intervention is based on pathology you have determined existed. Unless you are working in a post rehab capacity (different paradigm) with directives from a licensed professional you are treading on thin ice.
2. Programs that follow a linear progression=”if this than that” or “first this than that” do not address nor acknowledge the diversity of the human body or human experience. Examples might be mobility always before stability or activate than integrate.
If working with the human body was that easy, programming from either of those rabbit holes would work every time. I wish it were that easy. We understand that programming, especially for the chronic pain client is difficult. Biomechanics is a piece of the pie and strategic movement is critical to success. And as movement professionals, that is our tool of the trade. But there is so much to the choice of the tools and the delivery of those tools that make or break a successful program for the chronic pain client.
Movement is more than motion for the pain sufferer. It should be strategic, efficient, non-provocative & confidence building.
The follow up programming is no different. We change our client’s exercise program every two weeks. The major objectives do not change, but the variability of the input via the exercises is a critical piece of the process toward meeting those objectives. The role of variability in the corrective exercise domain cannot be underestimated. When exercises are of limited biomechanical, neurological and physiological demand for the purpose of influencing the quality of motion, variable learning opportunities are necessary. Waiting for completele mastery of any exercise may actually slow the process toward the long term goal.
The real goal is not to get better at exercise “x” or “y” or to strengthen this or lengthen that. No. The real goal is to assist the client to move better and be prepared for as much physical demand to the body that they may encounter.
There is a process to this and understanding the pain experience for the client is a necessity. Marrying the role of biomechanics with the neuroscience and psychology of pain are pillars of the Pain Free Movement Specialist curriculum. We can teach you this if you have the desire to help those that have not gotten help before. Would you like to take the journey with us and become a resource to people from around the world-not just your neighborhood?
This journey is not for everyone and we understand this. Because this is not just a curriculum that teaches you how to write an exercise program, it is a curriculum that moves you through stages of in-depth understanding of how to best serve this incredibly diverse yet underserved population. Everyone should be given the chance to realize a life void of pain and you can help facilitate that for them.
Contact us to see if you are right for this curriculum. Email email@example.com or firstname.lastname@example.org or call 619.285.9218.
Cheers for the PFMS
My corrective exercise abilities as a trainer are profoundly different after learning the Function First approach to Corrective Exercise. The Pain Free Movement Specialist Certification Program takes you on in-depth journey into the field of Corrective Exercise and Pain Science utilizing sound biomechanics, principles and strategies to address your clients needs. The real-world tangible benefits from this program were evident immediately as I not only became confident but also proficient and successful at working with my clients suffering from various forms of pain.
What I particularly enjoyed about this program was the immediate benefit I experienced as a result of the curriculum. Not only was I able and had the confidence to work with and assess my clients, I was also armed with effective and proven exercise strategies and protocols. I have seen the benefit of these skills and my clients have too!
I highly recommend the Pain Free Movement Specialist Certification for anyone looking to set themselves apart from the rest, who has a desire to learn proven and successful strategies and who wants to master the intricate in’s and out’s of both Corrective Exercise and Pain Science!
Below we will take comments and questions on the webinar.
By Kevin Murray BSc, CPT, CES
Director of Education
#1 – Education By Way Of Principles
The Pain Free Movement Specialist curriculum is a principle-based outlook on movement and function. Principles are nature’s laws that forever endure, and cannot be broken. Principles are fundamental truths that have universal relevance.
Without principles, there is tremendous temptation to use methods, or other modalities that are not supported by, or based around correct principles.
Foam rolling, tennis balls, thera canes are just some of the modalities that come to mind. Make no mistake, a foam roller can be an excellent tool to guide the process towards creating positive change, but foam rolling itself is not corrective exercise.
When guided by correct principles, we can begin the corrective journey with any client, and be fully competent in guiding them down the direction best suited for their unique needs. It is during this process that we can then create an empowering environment where Pain-Free living is truly possible.
#2 – Understanding The Neuro-Matrix
When working with the client in pain – the nervous system is king. At Function First, we are guided by biomechanics, not ruled by them. Low back pain is much more than “tight hip flexors” or “excessive lumbar lordosis” or “over pronated feet”.
Pain is complex, and we cannot help the chronic pain population with just one simple solution. Understanding that pain is a complex system, we need to remember this principle; the longer an individual has been in pain, the less of a relationship the pain has to tissue damage. What does this mean?
Simply put, your clients’ pain could be related to fear avoidance, biopsychosocial stressors, motor control complications, low irritability thresholds, and the list goes on-and-on.
Pain neuroscience is a critical component behind Function First Mastery, which is why it’s part of both the online curriculum, and the subsequent live events that follow in levels two, three and four.
#3 – 1.5 Billion People Need Our Help
The numbers don’t lie… Heart disease, cancer and diabetes combined does not total the number of folks currently suffering from chronic pain. It’s clear the Health Care system in North America and other industrialized nations are on life support themselves, and cannot keep up with the number of chronic pain patients with the current blueprint.
There is good news however… A consciousness uprising has begun. Individuals are becoming more proactive and taking the initiative to act, rather than be acted upon. People are becoming more response-able (responsible) and are looking for alternatives, a different approach to solving their pain troubles. They want to be empowered and in control of their pain.
The Pain Free Movement Specialist curriculum is built around meeting this objective. At its base, it’s been created for those professionals who demand the most out of themselves; those whose purpose is to inspire and empower through the implementation of crystal clear corrective exercise principles, insights, objectives and outcomes.
#4 – 20 Years & Counting
Since 1994, Function First has been on the cutting edge of corrective exercise innovation and intellect, educating thousands of professionals at conferences, workshops, seminars and mentorships on how to create Pain-Free living through movement.
The Pain-Free Movement Specialist curriculum is the first of its kind, and is the culmination of all that Anthony has learned and assimilated in over 20 years of working with the chronic pain population. A frequent question that inevitably arises at live events is “how can I learn more?” We are so proud to provide this deep and immersive curriculum relating solely to working with the chronic pain population.
From day one of its inception, the purpose behind creating such a comprehensive online curriculum was to provide a backstage pass so we could reveal everything that makes the Function First Approach so powerful, and to make it available on a digital platform. With over 14 hours of content, we have left no stone un-turned.
You – the agents of change who are leading the Pain Free movement have spoken. The Pain-Free Movement Specialist curriculum is now available and we invite you to join us as we break from old traditions, old ways of thinking, and challenge the status quo to better serve this under serviced demographic that desperately needs our help.
You asked for it so we put together a backstage peak for you to get a glimpse of more of the content of the Pain-Free Movement Specialist. Many thanks to all who have signed up and inquired about this one-of-a-kind educational program.
If you have not gotten started and plan on attending Level II in San Diego on September 13-14, don’t delay. You’ll want plenty of time to get proficient with the material.
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