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Speakers

IPSM will count with the presence of four international experts in the neuromusculoskeletal domain, find out more about each one them and their lectures !

Dr Nikki Petty

​(ENG)

Nikki Petty qualified as a Chartered Physiotherapist from Newcastle Polytechnic in 1979. She completed a Graduate Diploma in Manipulative Therapy in Melbourne Australia which was later upgraded up to an MSc from Coventry University. She is currently Principal Lecturer at the School of Health Professions, University of Brighton. Her main roles are Programme Leader of the Professional Doctorate in Health and Social Care and Course Leader of the MRes (Clinical Research). She also teaches research methods and neuromusculoskeletal physiotherapy at postgraduate level.
She is on the international advisory board and a reviewer for Manual Therapy, an international journal of musculoskeletal therapy and has served on the advisory board of the Journal of Manual and Manipulative Therapy. She is a Fellow of the Higher Education Academy and the Manipulation Association of Chartered Physiotherapists. She is Hub leader for Sussex and Surrey Allied Health Professions Research Network (AHPRN).
She has written two successful textbooks on neuromusculoskeletal examination and assessment, and neuromusculoskeletal treatment and management which have been translated into 5 languages. She has presented widely at conferences in the UK and abroad, with several as an invited speaker. She was course leader of the MSc in Neuromusculoskeletal Physiotherapy at the University of Brighton from 1998 to 2009. She completed a professional doctorate in physiotherapy in 2009; her thesis was entitled ‘towards clinical expertise: learning transitions of neuromusculoskeletal physiotherapists’.





About the Lecture:





Practice Knowledge Lecture (30 minutes)

What type of knowledge is used in clinical practice and how might pre-registration students and qualified physiotherapists enhance their knowledge and clinical expertise?  Types of knowledge used in clinical practice will be identified and explored. The relationship between clinical reasoning and evidence based practice in managing patients with low back pain will be explored.





Clinical reasoning workshop (2 hours)

This workshop provides an opportunity for student physiotherapists to explore together their clinical reasoning in relation to musculoskeletal physiotherapy. A paper case study for a person with low back pain will be used to facilitate the learning process. Participants will work together in small groups to share their interpretation of the subjective and physical examination findings and their deliberations will be facilitated by the tutor. Once participants have the complete examination findings, they will be asked to consider and share their clinical diagnosis. This workshop aims to use peer learning to facilitate and enhance the clinical reasoning and decision making of student physiotherapists.

Tiago Freitas

(PT)​​

Paul Beenen

(NL)

I am a Dutch trained physiotherapist and Health scientist and currently working on my PhD on the Lisbon University.  I have been working in private clinics in the Netherlands  and just opened a  new clinic close to my home in Estoril in Portugal.
Currently I am working as a teacher on different master studies in Portugal (ESSA and ESTESL) , and I am an international coordinator on the Red cross schools in Portugal (CVP).
Besides practice and education I do a lot of international courses and workshops.  Work in the European Sports Physiotherapy as a teacher in Swiss, Austria and Holland and Iam happy to be back on my old school in Nijmegen (HAN) to develop a minor in sports physiotherapy next to the manual therapy minor of Joost van Wijchen.
My main interest is to foresee the enormous challenges we are facing with our beautiful profession and what the practical consequence are for daily practice.  The overload on information, mesmerizing new evidence and the central role physiotherapists should play in the necessary change towards a more personalized health system are all in my focus. In content you get me interested very quickly, Iam a generalist with a hang towards the fields of pain, motor learning, active rehabilitation and neurology.
I just build a house in Estoril where I live with the three most beautiful ladies (no dispute): my wife, her13 year old , “ of course I should textmessage, facebook and watch Disney channel for 15 hrs a day” daughter and our two year old, “ I say no, but I love you all” daughter.
I love to climb, hike, kayak, ski and get lost in the wildest and prettiest places. Iam fortunate enough to live in one of the prettiest  and Iam building my own wilderness in our garden.
See you in the Algarve, see at IPSM.



About the Lecture:





The progression of pain treatment has been hindered by the dominating view that pain is a purely nociceptive phenomenon.  During the last 10 years this interpretation has been seriously challenged. Neuro imaging techniques demonstrated the involvement of the brain concerning pain. A view favoring the involvement of the brain in the explanation of pain, and by doing so creating the neuromatrix is now the leading school of thought. This neuromatrix shows some important clinical features. It can become so much sensitized, that  pain  awareness can exist without visible peripheral nocisepsis.  The latest research shows that pain can really re-shape the brain structurally.  As it looks now, this unfavorable architecture can be reversed.  Could this be a role for the physiotherapist? How? With new interventions aiming a retraining the brain? Or could classic physiotherapy interventions be explained in another way and are we even heading for the celebration of the come back of massage by aspecific low back pain?

Joost Van Wijchen
(NL)

I am a Portuguese Physiotherapist mostly enthusiastic about pain topics and cognitive-behavior approaches in health sciences. I have been working mainly in private practice with musculoskeletal patients suffering from chronic central pain since 2006 and I have been teaching since 2007 at the Health School of Alcoitão. I have developed research towards biomechanics and stability related with the cervical spine and the shoulder region in which I recently finished my Master dissertation. I have been teaching pain in the brain postgraduate courses and clinical reasoning and practice in peripheral nervous system dysfunctions in musculoskeletal conditions. Thinking about the future, I will most definitely develop my studies and investigation on behavioral and psychological matters. But for now, I love to hike a few times a year, in many directions, which gives me opportunity to be with myself and focus on my priorities. I advise the “Camino de Santiago” for those interested. My favorite thing in the world is to travel without any major plan or any booked accommodation and just wait for what life has to offer me. I have had some great experiences, meeting some great people, eating some great food, swimming in some great waters, watching some great sunrises and some great starry skies. Throughout my long rides, I have experienced pain in my back, in my legs and feet, but have never stopped so far… and that has made all the difference. In conclusion, here’s what everybody knows but only a few understand: the challenge shapes the brain.

 





 

About the lecture:





 

Why do we feel pain? How does a neurosignature work in the neuromatrix? How do we manage pain? What’s the belief behind the technique? And how much do we really know?
It’s been well recognized in the last few decades the role of the brain in the production of pain as a complex, multifactorial phenomenon. Despite this neurocentric perspective, the relevance of other key systems present in the nervous system seem to be somehow unappreciated. One of this is the immune system which has been studied to be involved in the generation and maintainance of pain, interacting with high central functions. Starting at the immunulogical homunculus by Cohen, passing through the lymbic system and peripheral glands, and ending in the tip of your finger, the so called psyconeuroimmunology is responsible for turning on the lights of the show. If all this makes sense, can we hypothesize about the biological effect of Physiotherapy in the management of pain?

My goal for this talk is to let you think out of the box and a bit more into it, at the same time. Let’s now biologize...

 

Most of the formal resume is available on linkedin (http://nl.linkedin.com/pub/joost-van-wijchen/25/aba/12a),  so here I present a  brief introduction of myself, just to give you an idea how you are going to meet.

I am a physiotherapist and educated in Nijmegen the Netherlands. Graduation  was 1995, in that same year I moved to Norway (Fredrikstad) to work there, together with my wife, who is also a physiotherapist, in a hospital and private practice. After 2 years we were looking for a new adventure, which turned out to be  a private practice in the Netherlands.  Moving from one country to another and comparing the practice of physiotherapy between countries, raised my interest even more in development of my profession.  While working  in private practice I finished education in manual therapy and sport physiotherapy, and continued working as extended scope physiotherapist in the musculoskeletal domain. During that time my interests in the background of musculoskeletal physiotherapy grew as were my interests with education, or more precise the development of ‘becoming a physiotherapist’.

In 2005 I started as lecturer at the HAN University and in got the opportunity to start collaboration with Paul Beenen. Together we developed courses both at our University and international. For us education is not a one way system, though a mutual encounter were both students and teachers are learners. Not only formal but also informal during leisure and sports.  Learning starts with being curious,  in which an important aspect is inspiration and fun. So teaching is not the pure exchange of information, though inspiration, raising curiosity, enjoyment

As the ideas and experience concerning physiotherapy and education  grew, I felt the urge to feel inspired and challenged again, that’s why I started at the University of Brighton with MSc Physiothery & Education. There I worked with Nikki Petty who inspired, challenged and coached me in my ongoing developmental journey.

At the moment I am working as senior lecturer and  I develop, coordinate and teach in the musculoskeletal physiotherapy courses at our department. Next to those courses, I collaborate in internationalization projects, by means of teaching at international Universities, International Programs and being an active member of Enphe (www.enphe.eu) together with Patricia Almeida. Within our University, together with a colleague, we run a small pro-Deo physiotherapy consultancy practice in which we combine education and physiotherapy.

Next to all that I am married and have 3 children. Physiotherapy is definitely part of everyday life,  because  my wife is a lecturer and physiotherapist as well . As a pediatric physiotherapist she challenged and influenced my thoughts by pointing out the necessity of motor learning, development, emotions, functional tasks and the role of environment.  Even so the whole family keeps curiosity high by staying amazed and wondered about the world we live in.
What else to say, I love chaos as way to stay challenged. I Like swimming, sailing, hiking, cycling, skating and running.
Looking forward to meet you at the IPSM 2013



About the Lecture:



The Neck; balancing between mobility & stability, an intertwined duo

Mobility and stability concepts have been used within physiotherapy for decades. The concepts in one way or another have been used in practice parallel to each other. Even so both concepts influence each other constantly. Bio-mechanical, physiological and sensorimotor principles are one part of the balancing act. The other part is the individual who needs to use this balance in order to function adequately within society. The adequacy of this balance differs between joints, persons, tasks, environments, a lot of variation exists although the some principles are in place. How does an individual use the bio-mechanical, physiological and sensorimotor principles to balance stability and mobility within function? How can he focus and be stable at one time, and alter to flexibility, and back  the next? Why exists so much variation between people?
Off course simple questions with simple answers, each person is unique and  person and function adepts towards each other, which leads to the question how could this adaptation process be influenced for each individual person? And what are pitfalls or maladaptation’s people develop?
A physiotherapist has to transform the theoretic knowledge into something applicable, ‘practice knowledge’ when helping clients with complaints in the neck. How can we help a client to balance stability and mobility, overcome or anticipate on possible pitfalls. How to help the client towards his functional goals, so a functional balance will exist, instead of treating a complaint.

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