Novel Movement & Edgework
Live Course

Novel movements describe a process of altering the context and manner in which painful movements are performed in order to change the result from one of pain and limitation. Edgework describes a specific process of attending to movement during the interventions that are used in the clinic such that self-efficacy and expansion of movement are facilitated. In this 2 day workshop a framework for the interactive process of care will be presented with specific applications of current pain science and theory to the clinic. The approach of moving within specific novel contexts, allowing for new outputs to previously painful movements, will be presented as well as a specific process that can overlay existing models of care. Specific applications will be presented for the upper and lower quarter.
Audience: PTs, PTAs, PT Students, OTs, COTAs, MDs, DOs, PAs, NPs, RNs, Chiropractors, Psychologists
Prerequisities: none
CEU/CCUs through ProCert : 
Disclosures/Conflicts of Interest: none
Cancellation Policy

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Course Objectives

  1. Describe the foundation principles for the Edgework approach.
  2. Delineate screening tests from findings that indicate an opportunity for
    alteration of movement.
  3. Delineate a dysfunctional finding from a finding that indicates an
    opportunity for change.
  4. Describe the concept of a “neurotag” in relation to a “novel movement.”
  5. Define the 3 categories of “Edgework.”
  6. Define interoception and its relation to identifying an “edge” of protective
    behavior.
  7. Justify fostering a narrative of self efficacy
  8. Describe the 3 conceptual spaces of interaction.
  9. Define and describe the “Edge markers.”
  10. Discuss the potential for negative influence on Self-Efficacy.
  11. Demonstrate specific examples of the use of Edgework for the upper and
    lower quarter.
  12. Practice specific applications of Edgework and Novel Movements for the
    upper and lower quarter.


Course Schedule

Day 1

9am Application of Current Pain Science: a Bridge to the Clinic

In this section we’ll discuss current models and uses of pain science, define some terms that will set the stage for other portions of the class, and applying this information into a clinically useful framework.

10am Building the Interaction: Context Architecture

The 3 spaces of interaction will be introduced as will the role of context in our therapeutic interactions.  We’ll also discuss practical approaches for establishing a therapeutic context.

11am Novel Movement: Concepts and Lab

Novel movement will be introduced as a concept for use in the clinic. Categories of novel movement will be introduced and then time will be spent practicing some specific examples of these concepts as a group.

1230-2 lunch
2pm Assessment: What are we Looking For?

Lecture and Lab: The role of assessment will be examined as a way to guide application of the interventions, set baselines, and continue building the therapeutic context.  Time will be spent practicing assessment in this manner.

330pm Novel Movement: Practical Applications

Lecture and Lab: Discussion of focused use of novel movements based upon assessment findings will be discussed and then time will be spent practicing specific applications based upon common assessment findings of the upper and lower quarter.

Day 2

830 Q&A
9am: Building the Progression

The role of narrative in the presentation of the person in pain will be examined as will the impact of self efficacy and internal locus of control. We will discuss progressions in narrative as the patient improves and how to foster specific progression in narrative while connecting to movement.

10am: Finding the Edge: Edge Markers

Lecture and Lab: The concept of the “Edge” will be introduced as will the markers used in identifying it. We will practice 2 specific examples, one upper body and one lower body, of identifying the edge as a group.

11am: Edgework: Lower Quarter Applications

Lecture and Lab: The 3 categories of Edgework will be introduced and application to Lower quarter findings will be demonstrated and practiced as a group.

Lunch 1230-2
2pm: Edgework: Upper Quarter Applications

Lecture and Lab: Applications of Edgework to the upper quarter will be demonstrated and then practiced as a group.

330: Putting it all together

Lecture and Lab: A guideline for order to introduce both novel movement and Edgework into the clinical encounter will be discussed, demonstrated, and then practiced as a group. Using these concepts as a way to kinesthetically reinforce and teach about pain will be reviewed and summarized.

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Cory Blickenstaff, PT, MS, OCS

About the Instructor

Cory owns and operates Forward Motion Physical Therapy (http://blog.forwardmotionpt.com), which provides on the job site physical therapy clinics in the Vancouver, WA area utilizing various movement and manual therapy approaches to empower people toward an autonomous state of health as it relates to movement.
Cory also co-hosts, along with Sandy Hilton, of the popular Pain Science and Sensibility Podcast (http://ptpodcast.com/podcasts/pain-science-and-sensibility/) on the PTPodcast Network (http://ptpodcast.com).
Cory works with individuals who are dealing with movement related problems such as pain or orthopedic injury as well as employers who are struggling with the consequences of pain and injury on their workforce.  Services are also provided to individuals hoping to improve performance at work/play/fitness and who are looking for guidance on maintaining healthy movement through the life span.
He has presented nationally on topics including application of graded exposure, graded activity, novel movements, movement variability, as well as application of care to the work place. He also authored a mono-graph on prevention strategies in the workplace through American Physical Therapy Association (https://www.orthopt.org/content/c/24_1_the_injured_worker).
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