Brendon Haslam, a PhD holder in chronic UL pain post stroke and faculty member at NOI group, discusses pain recognition in neuro populations, pain beliefs of stroke survivors, somatosensory deficits, intervention principles, and his career pathway. Topics include educating stroke survivors about pain, intervention for neuro pain, pain neuroscience education, somatosensation clinics, and empowering patients to question therapists.
Effective pain management in neuro populations requires early somatosensory retraining post-stroke.
Educating and empowering stroke survivors about pain beliefs and treatment options is crucial for positive outcomes.
Deep dives
Brendan's Neurological Physiotherapy Journey and Expertise
Brendan Haslam, a neurological physiotherapist with a Master's and a PhD underway, shares his career path from training in Adelaide to pivotal experiences in UK neuro rehab. His work at the Neuro-Orthopedic Institute focuses on pain, motor imagery, and nervous system mobilization courses. Brendan discusses pain adaptation in neurological populations, emphasizing the importance of sensory training early on.
Sensory Training and Pain Post-Stroke
In the podcast, Brendan delves into the potential risk of somatosensory deficits contributing to pain post-stroke. He advocates prioritizing sensory training interventions and underscores the need to address language and beliefs instilled in patients regarding issues like hemiplegic shoulders. Brendan's research and teaching aim to empower clinicians in managing patient pain effectively.
Beliefs and Perceptions of Pain in Stroke Patients
Brendan's survey of stroke survivors with chronic pain reveals their belief attributions to the stroke itself rather than musculoskeletal injuries. Despite high engagement in treatments, over 90% doubt the effectiveness of physiotherapy and medications. These findings underscore the importance of educating and challenging fundamental beliefs to enhance treatment outcomes.
Empowering Patients and Therapists in Pain Management
Brendan highlights the significance of empowering stroke patients by fostering an understanding of pain mechanisms and engaging them in treatment decisions. He emphasizes the need for therapists to challenge conventional pain management barriers, such as CRPS labels, and focus on individualized, sensory-based approaches to enhance patient outcomes.
If you're interested in pain in neurological pathologies then this episode will fill up your CPD bucket. Brendon Haslam is soon to complete his PhD in chronic UL pain post stroke, is part of the faculty of educators at the renowned NOI group, and works clinically in private neuro practice. Topics in this podcast cover recognition of pain in the neuro population, pain beliefs of stroke survivors, role of somatosensory deficits, principles of intervention, and of course, Brendon's career pathway. 1.55 - Intro 2.20 - Career pathway 8.20 - Is pain under recognised in the neuro population 11.43 - Prevalence & beliefs about pain in stroke population & PhD 15.59 - Educating stroke survivors about pain 17.29 - Should we be so cautious of hemiplegic shoulders? 19.00 - Principles of intervention for pain in the neuro population 21.02 - Somatosensory retraining early post stroke 22.43 - Risk profiling chronic pain post stroke 24.30 - Redefine pain2 6.15 - Pain neuroscience education 27.03 - Resources for clinicians to educate themselves & patients 28.24 - Somatosensation, body schema & pain 31.49 - Concept of negative neuroplastic adaptation 33.30 - NOI workshops 35.49 - Empowering patients to question their therapists 37.26 - Reward based learning & positive neuroplastic change 40.12 - Upcoming NOI courses 40.51 - Complex regional pain syndrome 46.12 - Somatosensation clinics in Australia
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