training the brain 1 cognitive
DESCRIPTION
Part of training the brain series focused on Complex Regional Pain Syndrome (CRPS) but relevant to all types of pain.TRANSCRIPT
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Lorimer MoseleyNHMRC Senior Research FellowPrince of Wales Medical Research Institute & Faculty of Medicine, University of NSW, Sydney, Australia
CRPS Rehabilitation (or training the brain)
www.bodyinmind.com.au Copyright GL Moseley 2009 Complex Regional Pain
Syndrome
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Why train the brain?
CRPS as an extreme protective response.
www.bodyinmind.com.au Copyright GL Moseley 2009
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Why train the brain?
Our approach to treating CRPS
Cognitive
Understanding the problem
Other threatening cues are relevant
Educate & explain
Behavioural
Function & movement hierarchy
‘training the brain part 1’
Brain changes
S1 reorganisation
Reorganisation elsewhere?
‘training the brain part 2’
www.bodyinmind.com.au Copyright GL Moseley 2009
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Why train the brain?
Cognitive
Understanding the problem
Other threatening cues are relevant
Educate & explain
Behavioural
Function & movement heirarchy
Brain changes
S1 reorganisation
Reorganisation elsewhere?
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 5: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/5.jpg)
DAVID
BUTLER | LO
RIMER M
OSELEY | ART SU
NYATA
www.noigroup.comwww.OPTP.comwww.physiouk.co.uk
www.noigroup.comwww.physiouk.co.uk
www.OPTP.com
resources
www.amazon.comCA$35 & post.
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1. Nociception is neither sufficient nor necessary for pain.
www.bodyinmind.com.au Copyright GL Moseley 2009
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The same thing applies to pain
www.bodyinmind.com.au Copyright GL Moseley 2009
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The same thing applies to painComplex reasoning
mechanisms based on experience, context,
environment…MEANING
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 9: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/9.jpg)
The same thing applies to painComplex reasoning
mechanisms based on experience, context,
environment…MEANING
pain
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 10: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/10.jpg)
The same thing applies to painComplex reasoning
mechanisms based on experience, context,
environment…MEANING
“How dangerous is this really?”
www.bodyinmind.com.au Copyright GL Moseley 2009
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Noxious inputNon-noxious input
www.bodyinmind.com.au Copyright GL Moseley 2009
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Noxious inputNon-noxious input
www.bodyinmind.com.au Copyright GL Moseley 2009
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Noxious inputNon-noxious input
Neurons that represent our physical self
Neural networks that evoke ‘basic’ protective
responses
www.bodyinmind.com.au Copyright GL Moseley 2009
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Neural networks that evoke feelings to assist
protection (ie pain)
www.bodyinmind.com.au Copyright GL Moseley 2009
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Neural networks that evoke ‘basic’ protective
responses
Motor systemImmune system
Autonomic system
Neural networks that evoke feelings to assist
protection (ie pain)
www.bodyinmind.com.au Copyright GL Moseley 2009
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“How dangerous is this really?”
multi-system outputs
www.bodyinmind.com.au Copyright GL Moseley 2009
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‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 18: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/18.jpg)
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 19: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/19.jpg)
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 20: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/20.jpg)
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 21: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/21.jpg)
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 22: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/22.jpg)
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
Sum evaluative inputs = Need to protect
www.bodyinmind.com.au Copyright GL Moseley 2009
![Page 23: Training The Brain 1 Cognitive](https://reader034.vdocuments.site/reader034/viewer/2022042813/546358c6b4af9f5d1c8b4bb1/html5/thumbnails/23.jpg)
Why train the brain?
Our approach to treating CRPS
Go to the next set of slides:
Behavioural
Function & movement hierarchy
‘training the brain part 1’
www.bodyinmind.com.au Copyright GL Moseley 2009