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Part of training the brain series focused on Complex Regional Pain Syndrome (CRPS) but relevant to all types of pain.
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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
Why train the brain?
CRPS as an extreme protective response.
www.bodyinmind.com.au Copyright GL Moseley 2009
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
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
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.
1. Nociception is neither sufficient nor necessary for pain.
www.bodyinmind.com.au Copyright GL Moseley 2009
The same thing applies to pain
www.bodyinmind.com.au Copyright GL Moseley 2009
The same thing applies to painComplex reasoning
mechanisms based on experience, context,
environment…MEANING
www.bodyinmind.com.au Copyright GL Moseley 2009
The same thing applies to painComplex reasoning
mechanisms based on experience, context,
environment…MEANING
pain
www.bodyinmind.com.au Copyright GL Moseley 2009
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
Noxious inputNon-noxious input
www.bodyinmind.com.au Copyright GL Moseley 2009
Noxious inputNon-noxious input
www.bodyinmind.com.au Copyright GL Moseley 2009
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
Neural networks that evoke feelings to assist
protection (ie pain)
www.bodyinmind.com.au Copyright GL Moseley 2009
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
“How dangerous is this really?”
multi-system outputs
www.bodyinmind.com.au Copyright GL Moseley 2009
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
‘Basic’ protective responses
Motor systemImmune system
Autonomic system
Pain
Every represented byte can modulate
www.bodyinmind.com.au Copyright GL Moseley 2009
‘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
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
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