This course provides a broad overview and practical application of contemporary pain science, movement science, manual therapy, communication, and behavior change utilizing a biopsychosocial process-based framework called the Human Framework Rehabilitation (HRF). The HRF is presented as transdiagnostic alternative to diagnosis classification and protocol for movement and rehabilitation specialists. This course work is a blend of lecture, lab, and case studies to maximize clinical application.
The study of movement and pain has undergone significant changes in the last four decades as increased effort to move healthcare from a biomedical to biopsychosocial approach for care. The Human Rehabilitation Framework (HRF) is the world’s first biopsychosocial process-based approach to rehabilitation, accessible by all disciplines to deliver care in a transdisciplinary manner. It addresses the criticisms of the Biopsychosocial (BPS) Model and is an evolutionary step forward for Evidence-Based Practice (EBP), providing a new perspective that synthesizes scientific evidence, clinical practice, and personalized care. The HRF is based on the scientific philosophy of Functional Contextualism and replaces differential diagnosis, Clinical Practice Guidelines (CPGs), Clinical Prediction Rules (CPRs), and Clinical Pathways with a process-based approach for evaluation and intervention. It supports advances in personalized precision medicine and the value-based care model and is designed to be ready for the future of biomedicine and biopsychosocial research.
Course Target Audience: Physical Therapists, Athletic Trainers, Occupational Therapists, Chiropractors, Physical and Occupational Therapist Assistants, Massage Therapists, Counselors/Social Workers, Nurses/Nurse Practitioners, Osteopaths, Physicians, Rehabilitation Professional Students
This course is only offered online for the time being. If you are interested in hosting a live course, please contact us!
Dr. Leonard Van Gelder is a clinician, coach, researcher, & educator. He is a co-founder of, and serves in leadership roles for, the Institute of Contextual Health. He has been involved in the movement and rehabilitation field for over 20 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of movement and pain. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to movement, manual therapy, and education in his practice. Leonard is the creator and lead developer of the Human Rehabilitation Framework (HRF).
We believe in making our educational resources accessible to everyone. Instead of charging a set price for our online course, we invite you to make a donation that reflects your ability to contribute. Your generosity helps us continue our mission and provide valuable resources to more individuals.
All the Same Benefits
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Support for Patients Struggling with Pain:
Your additional donation will contribute to a fund that provides free in-depth patient education and resources. This includes equipment not typically covered by insurance, such as pedal bikes, durable medical equipment (DME), and adaptive equipment, enhancing the support and care for those in need.
Every contribution, no matter the size, makes a difference. By donating, you’re not just enrolling in a course; you’re investing in a community dedicated to improving chronic pain management and education.
This initiative is dedicated to ensuring that the most vulnerable populations, including Medicaid recipients and individuals in rural communities, have access to high-quality clinical services, resources, and equipment. By bolstering community clinical services, this effort supports the infrastructure needed to deliver effective treatments, ensures continuity of care, and addresses the disparities in healthcare access and outcomes for these populations. Enhancing the availability of essential resources and modern equipment further empowers these communities, enabling more comprehensive and effective healthcare solutions
This effort involves developing publicly available comprehensive educational materials targeted at both healthcare providers and the general public. For clinicians, this could include detailed guides on the latest research and best practices in pain management and movement disorders. For the public, the focus would be on providing understandable and actionable information that helps individuals make informed decisions about their health, enhances their understanding of pain management, and reduces stigma associated with chronic conditions.
This initiative focuses on enhancing the tools and resources available for personalized pain management. The CPEN technology platform will integrate cutting-edge technology to provide tailored solutions that adapt to individual needs, improving patient outcomes and empowering individuals to manage their chronic pain more effectively
This research aims to advance innovative approaches in the treatment of movement and pain challenges. By focusing on individualized treatments, the research seeks to uncover more effective methodologies that can lead to better therapeutic outcomes.
Introduction: 0.5 hours
• The Limitations of the Medical Diagnosis Model
• Rise and Fall of Evidence Based Medicine
• Protocols and Processes
• Philosophical Worldviews
Processes of Change: 1.5 hours
• Introduction to Processes of Change
• Functional Contextualism and Behavior Change
• Scope, precision, and depth as it relates to EBP
• Strongest mediators for behavior change
• Processes of Change in Rehab
• Process Based Approach and EEMM
Sociocultural Level 1: 1.5 hours
• Current Opioid Epidemic
• Mental health and Adverse Childhood Events (ACEs)
• Social Determinants of Health
Biophysiological Level: 1.5 hours
• Pain vs Nociception
• Brief note on perception
• Pain Definitions
• NEI relationships
• Respecting Inflammation and Healing Timelines
• Loading Capacity Processes
Movement / Postural Dimensions: 1.5 hour
• Rethinking Posture
• Rethinking Movement
• Biomechanical Considerations
• Motor Variability/Invariability
• Letting Go of Stability
• Movement Boundaries
• Manual Therapy
Breakout groups and practice of movement experiments: 1 hour
Relational Frame Theory (RFT): 1.5 hours
• RFT introduction
• Therapeutic Neuroscience Education (TNE) in the context of RFT
• Educational Considerations
• Review of BPS Model
Cognitive Dimension 0.5 hours
• Discussion of Cognitive Fusion/Defusion
• RFT review
Attention Dimension: 0.5 hours
• Sensory Awareness
• Discussion of Presence/Conceptualized of Past/Future
Emotional Dimension: 0.5 hours
• Reminder of physical implications
• Discussion of Expansion / Acceptance Processes
• RFT review and integration
Self Dimension: 1 hour
• Self as a Perspective
• Self as a Process
• Self as a Story
• Observing self vs conceptualized self-processes
Motivation Dimension: 0.5 hours
• Lack of Values/Clarifying Values
• Values Compass Work
General Behavior Change Dimensions: 1 hour
• Behavior Change Across Disciplines
• Fear Avoidance vs Persistent Behavior
• Sleep
• Pacing
• Physical Activity
• Graded Exposure
• The symptom modification discussion
Putting it All Together: 1.5 hours
• HRF Flexibility
• Where Humans Get Stuck
• How to help them get unstuck
Cases: 1 hour
• Sam & John
• Functional Network Analysis
• Sneak peek to advanced courses – EEMM
• Cases as a group
Closing Remarks
This course has been approved by The American Physical Therapy Association, Michigan Chapter for Physical Therapists and Physical Therapy Assistants for 15 CEUs and is eligible for PDR credit in the area of pain and symptom management for Michigan Physical Therapy Licensure.
Contact us below for information on hosting a course at your facility!
The Institute of Contextual Health (IOCH) is a 501(c)(3) science and technology research and development organization. IOCH envisions a world where personalized, scientific care transcends traditional healthcare boundaries, driven by innovation, equity, and compassion. We aim to transform health and well-being, setting new benchmarks in personalized care and ensuring accessible, world-class services for all.
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