Supported in part by Arkansas Blue Cross and Blue Shieldand the Office of the Arkansas Drug Director and in partnership with the Arkansas Academy of

Family Physicians (AAFP), the Arkansas Medical Society (AMS), the Arkansas State Medical Board (ASMB), the Arkansas Department of Health (ADH) and its Division of Substance Misuse and Injury

Prevention (Prescription Drug Monitoring ProgramPDMP)

Continuing Education Credit: TEXT: 501-406-0076Event ID: 24646-23985

AR-IMPACT Team Members

Michael Cucciare, PhD

Johnathan Goree, MD

Corey Hayes, PharmD

Teresa Hudson, PharmD, PhD

Shona Ray-Griffith, MD

Leah Tobey, PT, DPT

Graduate Student: Andrea Melgar-Castillo

Flow of the Case Conferences

General Information: 5 minutes

Topic Presentation: 20 minutes

Case Conference: 25 minutes

Feedback and Thoughts on Future Sessions: 5 minutes

AR-IMPACT website: arimpact.uams.edu

AR-IMPACT email address: AR-IMPACT@uams.edu

Twitter: @ArkansasImpact

Joining the Conference:

Click to join: https://join.uams.edu/invited.sf?secret=YtVKQkHsoWTgJaguonymZw&id=415081971

Or call in: 1-844-885-1319, then enter 415081971

http://arimpact.uams.edu/mailto:AR-IMACT@uams.eduhttps://join.uams.edu/invited.sf?secret=YtVKQkHsoWTgJaguonymZw&id=415081971

Faculty Disclosure of Financial Relationships:The planners of this RSS, Corey Hayes, Michael Cucciare, Johnathan Goree, Leah Tobey, Teresa Hudson, Marti Morrison and Cathy Buzbee have no financial relationships with commercial interests to disclose.

A planner of this RSS, Shona Ray-Griffith, MD, has a financial relationship with a commercial interest to disclose: Neuronetics, Inc. Contracted Research.

The speaker of this RSS has no financial relationships with commercial interests to disclose. The accreditation compliance reviewers of this RSS, Karen Fleming and Courtney Bryant, have no financial relationships with commercial interests to disclose.

Continuing Education

Accreditation: In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.Credit Designation: The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1 AMA PRA Category 1 Creditcredit commensurate with the extent of their participation in the activity. The University of Arkansas for Medical Sciences designates this live activity for a maximum of 1 ANCC contact hour. Nurses must attend the entire session in order to receive credit. This knowledge-based activity will provide pharmacists up to 1.0 contact hours or 0.1 CEU. ACPE# JA0000298-0000-18-040-L01-PAAFP Credit: Submit your AMA creditPharmacists: Please email us your NABP number and month and day of birth

Other General Information

CISCO IPhone App CISCO Meeting Information

Please mute your microphone in CISCO

Able to ask questions through CISCO Chat

Objectives:

1. Describe the role of physical therapy for non-pharmacologic pain management.

2. Identify commonly seen orthopedic problems.Case Study Discussions, Q&A

3. Identify how to refer a patient to physical therapy.

What is Physical Therapy?

AKA physiotherapy-an allied health profession that, by using mechanical force and movements (or kinesiology), manual therapy, exercise therapy, and electrotherapy.

World Confederation for Physical Therapy (WCPT) defines PT as the practice of evaluation and treatment that remediates impairments and promotes mobility, function, and quality of life through examination, diagnosis, and physical intervention (exercise, manual therapies, and modalities). It is carried out by physical therapists and PT assistants.

Address activities in their daily lives. Reduce pain

Often reducing the need for long-term use of Rx meds

Partner with patients to improve or maintain their mobility and quality of lifeDevelop fitness and wellness-oriented programs for healthier and more active lifestyles

Physical Therapy Rehabilitation

-epidemic: greater demand than ever before.

Broad categories of PT:Orthopedics, neurology, sports, wound care, cardiopulmonary, pelvic

pediatrics & school-based.

Variety of PT settings: Hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes.

Healthcare administration, policy & insurance

From then to now

Opioid management vs

https://youtu.be/zAaf_wqeDck

The American Physical Therapy Association (APTA) launched a national campaign to raise awareness about the risks of long-term use of prescription opioids for pain and physical therapy as a safe nondrug alternative to manage pain. #ChoosePT

https://youtu.be/zAaf_wqeDck

Commonly treated conditions:

Back & neck pain Post-operative rehabSprains and strainsSports injuriesArthritisJoint problems Musculoskeletal painGeneralized weaknessIssues with balance Pelvic health conditions-pain, POP, UI conditions

The Evolution of Physical Therapy

CDC Recommendations

Physical therapy: safe & effective alternative to opioids

Evidence suggests opioids mask the pain whereas physical therapists can treat pain through movement, hands-on care, manual therapy, exercise & patient education.

Four ways PT help patients manage pain

1. Education- A large study conducted with military personneldemonstrated that those with back pain who received a 45 minute educational session about pain, were less likely to seek treatment than their peers who didn't receive education about pain.

Understand your pain history and help set realistic expectations about your treatment.

Know Pain, Know Gain.Understanding how our pain systems work is an excellent strategy in managing it. Simply knowing the basics of how our brain and nerves work, and their role in pain, can help reduce the chance for developing chronic symptoms.