Paincast

Ep30: Music for Pain with Dr. Amy Clements-Cortés

In this episode, we talked about
What Music Therapy is and how it can immensely benefit patients
The affect of music on the biological, psychological, and social aspects to improve pain and overall health and wellness?
Recent research evidence for Music Therapy in dementia and palliative care populations
Important future developments of Music Therapy
 
Dr. Amy Clements-Cortés PhD, RP, MTA, MT-BC
Dr. Amy Clements-Cortés is an Associate Professor, Faculty of Music, University of Toronto; Credentialed Music Therapist, Registered Psychotherapist and a Fellow in the Bonny Method of Guided Imagery and Music, and Neurologic Music Therapy. Amy has extensive clinical experience working with clients across the life span, with a specialty in mental health, dementia and palliative care. Her research contributions have had a significant impact in the understanding of understudied phenomenon, resulting in excelled treatments provided by professionals in music and medicine. She has authored 70+ peer reviewed journal articles, multiple book chapters, co-edited 2 books, and provided 300 conference and/or invited academic presentations. Her work has been cited by over 1300 scholars. In 2020, she received the World Federation of Music Therapy Clinical Impact Award honoring a music therapist who has had a long-term impact on advancing the knowledge and practice of music therapy within a specific clinical area or population through the publication or presentation of his or her work.
 
Resources:
Xiao, X., Chen, W., & Zhang, X. (2023). The effect and mechanisms of music therapy on the autonomic nervous system and brain networks of patients of minimal conscious states: a randomized controlled trial. Frontiers in Neuroscience, 17, 1182181.
Loewy, J. (2022). Underlying music mechanisms influencing the neurology of pain: an integrative model. Brain Sciences, 12(10), 1317.
Lee, J. H. (2016). The effects of music on pain: a meta-analysis. The Journal of Music Therapy, 53(4), 430-477.
Kulinski, J., Ofori, E. K., Visotcky, A., Smith, A., Sparapani, R., & Fleg, J. L. (2022). Effects of music on the cardiovascular system. Trends in cardiovascular medicine, 32(6), 390-398.
https://www.notesbyamy.com/
 
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep29: It Doesn't Have to Hurt; Better Paediatric Pain Care with Dr. Christine Chambers

In this episode, we talked about
The consequences of poorly managed paediatric pain
Evidence-based practical suggestions for managing acute, transitional, and chronic pain
How we can advocate for better paediatric pain management in our healthcare encounters and in hospitals
 
Dr. Christine Chambers, PhD RPsych FRSC FCAHS is an international leader in children’s pain research and a national voice for children’s health. Named one of Canada’s Top 100 Most Powerful Women, she creates connections and partners with patients to advance research, mobilize knowledge and improve the lives of children, youth and families. She is a Professor and Tier 1 Canada Research Chair in Children’s Pain at Dalhousie University, a faculty member of the Centre for Pediatric Pain Research at IWK Health Centre, Director of The Chambers Lab, and Scientific Director of Solutions for Kids in Pain and the CIHR Institute of Human Development, Child and Youth Health.
 
Resources:
1. Solution for Kids Pain: https://kidsinpain.ca/  A national knowledge mobilization network whose mission is to improve children’s pain  management by mobilizing evidence-based solutions through coordination and collaboration.
2. It Doesn't Have to Hurt: https://itdoesnthavetohurt.ca  A patient-oriented research program in children’s pain management.
3. Paediatric Pain Management Health StandardDownload from: https://store.healthstandards.org/products/pediatric-pain-management-can-hso-13200-2023-e Executive summary at: https://kidsinpain.ca/wp-content/uploads/2023/04/Exec-Summary_Pediatric-Pain-Management-standard.pdf
4. Follow Dr. Chambers on social media @DrCChambers
5. Follow SKIP @kidsinpain
 
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep28: Fireside Chat with the World Physiotherapy President (Part 2): Physiotherapy around the World

In this episode, we talked about:
What World Physiotherapy does
What physiotherapy looks like around the world
How the profession can help each other globally
 
Michel D. Landry is a Professor in the Departments of Physiotherapy and Global Health at the Western Norway University of Applied Sciences (Bergen, Norway).  He was the Chair of the Department of Physical Therapy and Associate Dean for Global Health in the College of Health Professions at Virginia Commonwealth University (VCU) in Richmond, Virginia, from 2021-23, and was a Professor and Division Chief of Duke University’s Doctor of Physical Therapy Division in Durham, North Carolina from 2011-2021.  At Duke, he successfully led an essential rebuild of the program that is now one of the top physical therapy programs in the United States.  Before arriving at Duke University, he was a tenure-track Assistant Professor at the University of Toronto (2007-2011), where he was also a Career Scientist at the Ontario Ministry of Health and Long-Term Care.  He has held senior clinical management positions within the private rehabilitation sector in Ontario (Canada) and leadership positions within international humanitarian aid and development agencies in conflict, emergency, and disaster settings.  Dr. Landry is a past president of the Canadian Physiotherapy Association and the current President of World Physiotherapy, the global body that represents 700,000 physiotherapists around the world.  He delivered the 2020 Enid Graham Memorial Lecture, and in 2023, he received the Dean’s Award of Excellence from the University of Ottawa’s Alumni of the Faculty of Health Sciences for his commitment to global health and physiotherapy. 
 
Connect with Dr. Mike Landry
X: @drmikelandry                                                                 
www.drmikelandry.ca
insta: mikelandryphysio
 
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep27: Fireside Chat with the World Physiotherapy President (Part 1): Necessary Innovations in Physiotherapy

In this episode, we talked about:
The value of hard work for physiotherapists
The necessity of innovating the future of physiotherapy
Important mindset changes for physiotherapists
 
Michel D. Landry is a Professor in the Departments of Physiotherapy and Global Health at the Western Norway University of Applied Sciences (Bergen, Norway).  He was the Chair of the Department of Physical Therapy and Associate Dean for Global Health in the College of Health Professions at Virginia Commonwealth University (VCU) in Richmond, Virginia, from 2021-23, and was a Professor and Division Chief of Duke University’s Doctor of Physical Therapy Division in Durham, North Carolina from 2011-2021.  At Duke, he successfully led an essential rebuild of the program that is now one of the top physical therapy programs in the United States.  Before arriving at Duke University, he was a tenure-track Assistant Professor at the University of Toronto (2007-2011), where he was also a Career Scientist at the Ontario Ministry of Health and Long-Term Care.  He has held senior clinical management positions within the private rehabilitation sector in Ontario (Canada) and leadership positions within international humanitarian aid and development agencies in conflict, emergency, and disaster settings.  Dr. Landry is a past president of the Canadian Physiotherapy Association and the current President of World Physiotherapy, the global body that represents 700,000 physiotherapists around the world.  He delivered the 2020 Enid Graham Memorial Lecture, and in 2023, he received the Dean’s Award of Excellence from the University of Ottawa’s Alumni of the Faculty of Health Sciences for his commitment to global health and physiotherapy. 
 
Connect with Dr. Mike Landry
X: @drmikelandry                                                                 
www.drmikelandry.ca
insta: mikelandryphysio
 
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep26: What You Need to Know About Preventing Knee Post-Traumatic Osteoarthritis with Dr. Jackie Whittaker

In this episode, we talked about:1. What preventing post-traumatic knee osteoarthritis (PTOA) means;2. Risk factors for developing PTOA and how to mitigate/manage;3. Practical tips in clinical care around preventing PTOA.
Dr. Whittaker is an Associate Professor in the Faculty of Medicine at the University of British Columbia (UBC), Senior Research Scientist at Arthritis Research Canada, and recognized as a Clinical Specialist in Musculoskeletal Physiotherapy by the Canadian Physiotherapy Association. Dr. Whittaker’s research focuses on long-term athlete welfare with a specific focus on musculoskeletal health after sport-related injuries. This includes research to improve injury care pathways, understand the consequences of injuries, and develop approaches to optimize function and healthy behaviours after injury. Two themes that cross cut Jackie’s research are exposing and overcoming gendered environments that disadvantage female athletes, and partnering with people on the front lines including athletes, family members, coaches, trainers, and health care providers to ensure her research produces solutions that are acceptable, relevant, and empowering.
Resources: OPTIKNEE: https://msklab.med.ubc.ca/optiknee/SOAR clinical trial information: https://www.arthritisresearch.ca/research/soar-clinicial-trial/Dashboard for ACL Reconstruction Testing (DART): https://acldashboard.com/Anyone interested in doing a PhD with Jackie: https://bit.ly/3rtmGQbTwitter handles: @jwhittak_physio and @OPTIKNEE
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 

Ep25: Interviewing Physiotherapists about Pain at the CPA Congress 2024

I had the pleasure and privilege of attending the annual Canadian Physiotherapy Association Congress in Beautiful Vancouver in April. This episode compiles 8 interviews I conducted during the congress with clinicians. I think this is one of the best ways to involve more clinicians in the discussion of pain and physiotherapy. Last year, I asked about their views on and approaches to pain. This year, I asked them about their feelings about treating pain, what they wish to learn more about, and a memorable experience as a clinician. I also have a student interview at the end.
Timestamp(00:01:31) Lawrence - MSK PT (00:09:20) Emilee - MSK PT, clinic owner @emiwhitt(00:18:35) Cheng, MSK PT, clinic owner @OTPerformanceRehab(00:27:14) Onkar, MSK PT, clinic owner @pfp_physio(00:34:03) Florence, MSK PT, clinic owner @northburnabyphysio(00:45:05) Patrick, MSK PT, clinic owner @thrivenowphysio(00:52:20) Amy, Ontario Physiotherapy Association staff, former primary care chronic pain group provider @chroniclesofhondronicols(01:03:28) Iris, first year PT student @irisw_pt
 
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8 

Ep24: Utilizing Virtual Reality to Transform Pain Education, Management, and Research

This episode showcases how Virtual Reality, VR in short, can be used to facilitate, advance, and even transform pain education, management, and research. You'll hear about a few different applications of VR in physiotherapy, including using VR as a tool for pain neuroscience education, VR for phantom limb pain, and VR for research. We also highlight the current literature related to these applications. Note that this episode is a limited demonstration of how VR can be used in different aspects of pain care and there are a lot more out there. Interested listeners can refer to the review papers I have cited in the episode description.
Timestamps:(00:01:14) Reality Health: VR as a tool for Pain Neuroscience Education (00:27:48) VR as a tool to prevent or manage Phantom Limb Pain (00:43:52) SilicoLabs: VR as a versatile research and clinical tool 
Relevant resources:
VR for pain overview:
Ahmadpour, N., et al. (2019). Virtual Reality interventions for acute and chronic pain management. The international journal of biochemistry & cell biology, 114, 105568.
Trost, Z., et al. (2021). Virtual reality approaches to pain: toward a state of the science. Pain, 162(2), 325-331.
VR for phantom limb pain:
Limakatso, K., et al. (2020). The effectiveness of graded motor imagery for reducing phantom limb pain in amputees: a randomised controlled trial. Physiotherapy, 109, 65-74.
Purushothaman, S., et al. (2023). Assessment of efficiency of mirror therapy in preventing phantom limb pain in patients undergoing below-knee amputation surgery—a randomized clinical trial. Journal of Anesthesia, 1-7.
Cheung, J. C. W., et al. (2023). X-reality for phantom limb management for amputees: a systematic review and meta-analysis. Engineered Regeneration, 4(2), 134-151.
SilicoLabs: www.silicolabs.ca
Reality Health: https://reality.health/home/
Skidmore, N., et al. (2024). Acceptability and Feasibility of Virtual Reality to Promote Health Literacy in Primary Care from the Health Professional’s view: A Qualitative Study. Patient Education and Counseling, 108179.
Making pain education better: historical underpinnings & recent innovations – a discussion paper: https://www.petalcollaboration.org/uploads/1/4/4/1/144169171/moseley__ryan_petal_discussion_paper_making_pain_education_better_120923.pdf
Video introduction to the platform:  https://vimeo.com/915832727/e6572e2a5c?share=copy
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep23: Pain-Informed Movement: Helping Pain Patients Move More with More Ease with Neil Pearson

Neil Pearson is a physical therapist, yoga therapist, author, researcher, Clinical Associate Professor at the University of British Columbia, faculty in three IAYT-accredited yoga therapy programs, board member for International Association of Yoga Therapists and pain care advocate. He is the founding chair of the Canadian Physiotherapy Association’s Pain Science Division, and the recipient of awards honouring his work in pain care, patient education and physiotherapy by Queen’s University, the Canadian Pain Society, and Physiotherapy Associations of BC and Canada, including the Canadian 2021 Medal of Distinction. Neil is involved in research studying the effects of yoga and pain-informed movement practices on people with knee osteoarthritis, and has written numerous peer-reviewed papers on yoga, yoga therapy and pain, including a white paper describing the position of yoga therapy within comprehensive integrated pain management. He is a consultant to Partners in Canadian Veterans Rehabilitation Services, and to Lifemark’s 300+ clinics in Canada. Neil is a past board member for Pain BC, Canada’s premier non-profit transforming the way pain is understood and treated. He co-authored – Yoga and Science in Pain Care 2019, authored the patient education ebook, Understand Pain Live Well Again in 2008, and is lead contributor to many free patient resources offered by Pain BC. Neil provides physiotherapy and yoga therapy to veterans at the Broken Squirrel Clinic in Courtenay, BC.
In this episode, we talked about what pain-informed movement is, its underlying cognitive and neurophysiological mechanisms to help chronic patients move more with more ease, and practical considerations on implementing pain-informed movement. Enjoy!
Relevant resources:
www.paincareaware.com
https://lifeisnow.ca/
Blickenstaff, C., & Pearson, N. (2016). Reconciling movement and exercise with pain neuroscience education: A case for consistent education. Physiotherapy Theory and Practice, 32(5), 396-407.
Nijs, J., & Meeus, M. (2016). Five requirements for effective pain neuroscience education in physiotherapy practice. https://paininmotion.be/blog/detail/five-requirements-effective-pain-neuroscience-education-physiotherapy-practice
Modarresi, S., et al. (2023). Pain Informed Movement for people with knee osteoarthritis: Protocol for a pilot randomized controlled trial. Osteoarthritis and Cartilage Open, 5(4), 100402.
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep22: Beyond Pain: A Deep Dive into Suffering, Whole-Person Approach, and Metaphors with Dr. Peter Stilwell and Dr. Timothy Wideman

Dr. Peter Stilwell is a Postdoctoral Researcher at McGill University in the School of Physical and Occupational Therapy, where he holds a Fellowship from the Canadian Institutes of Health Research (CIHR). His research is focused on the topics of pain, suffering, and person-centered care. For the past two years, he was the Ronald Melzack Fellow in Chronic Pain Research at the Alan Edwards Centre for Research on Pain (AECRP) at McGill. He was recently awarded the MSCA Fellowship from the European Union, which he will start later this year at the University of Southern Denmark. He has a Doctor of Chiropractic degree from the Canadian Memorial Chiropractic College (CMCC) and has worked mostly with people living with persistent spinal pain and he placed an emphasis on patient education, exercise, and supported self-management. In addition to his research and clinical background, he has been heavily involved in teaching, student supervision, and community-based initiatives, including co-creating and facilitating a highly successful free health education and walking program that attracted over 1700 members.
Dr. Timothy Wideman is an associate professor at the School of Physical and Occupational Therapy, at McGill University. The overarching goal of his research program is to improve the lives of people living with pain. His lab works toward this goal by focusing on three streams of research including understanding and targeting biopsychosocial risk factors for prolonged pain and disability, improving entry-level pain education for health professionals through large-scale knowledge translation initiatives, and understanding and addressing pain-related suffering.
In this episode, we talked about an alternative framework to the biopsychosocial model for a whole-person approach to pain care, how metaphors are commonly used languages to describe pain, and the emerging theoretical research to better understand pain-related suffering.
Resources:
Twitter: @Peter_Stilwell
Website: www.drpeterstilwell.com 
Open access paper on pain-related suffering: https://pubmed.ncbi.nlm.nih.gov/34852304/
Painful metaphors: https://mh.bmj.com/content/47/2/235
Dr. Timothy H Wideman website: https://www.mcgill.ca/spot/timothy-h-wideman
Tim’s twitter: @TH_Wideman
Paper published in 2023 on inclusive definition of pain-related suffering and targeted care: https://www.jpain.org/article/S1526-5900(22)00459-X/fulltext
Barker KL, et. al. Divided by a lack of common language? A qualitative study exploring the use of language by health professionals treating back pain. BMC Musculoskelet Disord. 2009; 10(123): 1-10.
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to listen critically. While there is an effort to incorporate research evidence, and the topics are always researched by the host, we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8

Ep21: Movement-based Strategies for Low Back Disorders Management with Dr. Tyson Beach

Dr. Tyson Beach is currently a teaching professor at the University of Waterloo, teaching courses on the biomechanics and assessment of human movement, exercise prescription, and low-back disorders. His previous research focused on quantitative motion analyses, prevention of work-related musculoskeletal disorders, and advancing fundamental knowledge of spinal mechanics, control, and injury causation. He also collaborates with other knowledge producers (researchers) and users (practitioners) to design, implement, and evaluate physical activity and exercise programs for workers and athletes.
In this episode, we discussed the literature on exercise interventions for low back disorders. Continuing the discussion from previous episodes (Ep19-20), we talked about factors affecting how people lift, movement-related strategies to manage low back disorders, and how we can encourage people to participate in physical activity.
Note that this episode presents perspectives in movement-based strategies for low back disorders through the lens of biomechanics and exercise. It is not an attempt to address the topic exhaustively, nor does it attempt to address all of low back disorders. 
Relevant articles
Carnegie, D. R., et al. (2023). Can we enable individuals to reach further down without rounding their backs before beginning a lift? Examining the influence of starting foot and trunk position on reach depth. Ergonomics, 1-30.
Beach, T. A., et al. (2014). Unilateral ankle immobilization alters the kinematics and kinetics of lifting. Work, 47(2), 221-234.
Hayden, J. A., et al. (2021). Some types of exercise are more effective than others in people with chronic low back pain: a network meta-analysis. J Physiotherapy, 67(4), 252-262.
Owen, P. J., er al. (2019). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. British journal of sports medicine.
https://uwaterloo.ca/centre-of-research-expertise-for-the-prevention-of-musculoskeletal-disorders/resources/position-papers/there-no-such-thing-non-specific-back-pain
Discussion flow(00:01:19) How different task and personal constraints affect reaching or lifting abilities(00:05:32) Movement variability in the population(00:12:43) Non-specific low back pain and strategies for movement prescription(00:21:58) Are there specific exercise modalities that are more effective for low back pain? (00:25:20) Exercise helps no matter what and the psychosocial considerations(00:27:50) Thoughts on encouraging more movement and physical activity(00:31:22) Physical activity paradox(00:34:57) All types of physical activities are movement that stresses all systems(00:41:55) Concluding
Paincast is dedicated to bringing together researchers, clinicians, and students to discuss topics related to pain and physiotherapy. The primary purpose is to facilitate knowledge translation and critical thinking. Some episodes posit themselves as more educational than others, and some more opinionated than others. The listener is encouraged to critically reflect on the content. While there is an effort to incorporate research evidence, and the topics are researched by the host (Tiffany), we recognize there is room for improvement and there is expertise in the community. As such, we invite constructive critique and that you inform us of any inadvertent errors, so that we may correct them. You may submit your feedback through this form: https://forms.gle/UFfbUHBh8uKwSKgS8