Expert Series: An Introduction To The Integrated Systems Model For The Complex Patient
No study to date has demonstrated a direct relationship between pathology and pain for any pain related condition (Clauw, 2015). Neither the presence or absence of pain nor the intensity of pain can be accurately predicted by the presence or absence of pathology (Catley, Moseley, & Jones, 2019).
How do you know when to treat what in any individual with multiple impairments and persistent pain?
Research-supported management efficacy is still lacking for most clinical problems; therefore, skilled reasoning is the clinicians' best tool to minimize the risk of mis-management and over-servicing (Jones & Rivett, 2019). Clinical experience and the evidence suggests that clinical reasoning and individualized assessment and treatment are required for best outcomes.
In this online physiotherapy course, Diane Lee and Nicole Sullivan discussed the models that consider interdependence of body regions. Introducing a synopsis of the current evidence on motor control, posture, movement, and the neuroscience of pain that informs the ISM approach.
Here are a Few Key Highlights from our Conversation:
Topics of Discussion:
- Active Mobility, Active Control, Passive Mobility, Passive Control.
- What are the differences between Active Listening vs Passive Listening?
- Which are the models that consider interdependence of body regions?
- What’s the patient's experience and how does it influence their posture & movement behaviour?
- How does ISM facilitate the identification of the aspects that require correction in individual patients?
- How to assess the whole body/person in tasks that have more meaning?
Learn more on this recorded webinar where about the main models that consider interdependence of body regions.
About the Instructors:
Owner, Co-Director & Registered Physiotherapist at [mend]physio + Therapy Lead at Volleyball Canada Beach National Team
Physiotherapist, strength and conditioning specialist, a lead therapist with Volleyball Canada’s Beach National Team, and co-founder of [mend]physio. An avid learner, she has studied and taught with many teachers in a variety of settings but continues to learn the most from her patients and their stories. She uses an individualized, evidence-informed approach in clinical practice and is passionate about patient empowerment, simplifying complex concepts, and understanding the barriers to knowledge translation in physiotherapy education and practice.
BSR, FCAMPT, CGIMS, RYT200
Diane graduated with distinction from the University of British Columbia with a Bachelor degree in the Science of Rehabilitation in 1976. She has been a member of the Canadian Physiotherapy Association since 1976 and a fellow of the Canadian Academy of Manipulative Therapy since 1981 (FCAMT). She completed certification in Intramuscular Stimulation (IMS) in 2001, Yoga teacher training in 2012, pelvic floor certification in 2013 and was recognized by the Canadian Physiotherapy Association as a clinical specialist in Woman’s Health in 2016.
She was an instructor and a chief examiner for the Orthopaedic Division of CPA’s fellowship examinations (CAMT) for over 20 years and has extensive experience in curriculum development both for the CAMT program and her own series of courses.
She is well published (books, chapters and journal articles) and the innovator of two pelvic support belts for which she holds the patent; The Com-Pressor and the Baby Belly Pelvic Support (www.babybellypelvicsupport.com).
Diane owns, directs and is a practicing physiotherapist at Diane Lee & Associates http://www.dianelee.ca. She has continued to maintain an on-going clinical practice for over 40 years and while she follows the research evidence closely, she draws from this deep clinical experience for her teaching and lecturing in the clinic, in Canada and internationally.
Diane has had the honour of collaborating with local, national and worldwide authorities to further her own education and integrates this knowledge into courses/models she teaches. Her combined clinical and education experience culminated in the co-development of The Integrated Systems Model for Disability & Pain (ISM), (Lee Diane & Lee Linda-Joy 2007 – 2013) the model she continues to teach and now solely evolve under the abbreviated title – the Integrated Systems Model – alongside her senior assistants from Diane Lee & Associates.