How will you benefit from SMARTERehab courses

You will:

Be an informed and efficient clinician. The SMARTERehab advanced clinical reasoning process can allow you diagnose and rehab so efficiently you can reduce the overall number of treatments needed for many clients.

The SMARTERehab System enables you to do this with:
  • Sub-classification and clinical prediction rules for treatment
    • Treatments are not wasted.  Once someone is correctly sub-classified, treatment can be streamlined.  The decisions of the sub-classification process are enhanced by using validated questionnaires and evidence based assessment strategies.
  • Functional Performance Evaluation ©
    • This clinical reasoning tool allows you to focus on the problem and provide appropriate, functional, evidence based rehabilitation.  If you follow this strategy, treatments are not wasted with trial and error problem solving or inappropriate exercise progressions. 
Overall you will:

Gain expanded clinical reasoning skills including appropriate subjective questioning and the new way of designing a functional exercise program

The clinician has numerous decisions to make during the course of effective management of a client. The SMARTERehab 4-Stage System will help you to:
  • Assess:
    • Extract relevant subjective information from the client to formulate an opinion on your assessment, and identify red, yellow, orange or green flags. 
    • We have developed Symptom Aggravating – Easing Questionnaires for all body regions to help you understand what to ask, and we’ll explain how to interpret them.
    • Perform an appropriate physical assessment: Following this subjective questioning you will be able to formulate an idea as to how the physical assessment should be undertaken.   You will be able to predict that some aspects of the physical assessment will need to be performed very carefully e.g. when central sensitization is suspected.
  • Sub-classify into five diagnostic categories
    • There are a number of differences between people who have chronic pain and those who have not had significant pain.  These include cognitive (learning and psychological), sensorimotor, CNS (central sensitivity, spinal cord and brain stem reflexes), and numerous motor coordination function changes. 
      Following the subjective and physical components of the assessment you can subclassify the client’s problems into five diagnostic categories. There are clear clinical prediction rules for the sub-classification categories and an easy to follow decision making process to prioritize each sub-classification for client management.
    • The Individual Factors will help you understand particular characteristics the client may exhibit that may influence your management of them.
  • Rehab: Decide on appropriate rehabilitation strategies from a vast array of Therapeutic Options
    • We provide evidence based clinical prediction rules (rehab guidelines) for each sub-classification to help in your management
    • The Functional Performance Evaluation© provides an easy to use clinical problem solving strategy to allow you to identify the client’s functional requirements and design a program specific to match their goals and needs
  • Re-evaluate
  • Choose suitable outcome measures 
  • Identify any barriers to rehabilitation
  • Decide if any other health care professionals need to be involved
We will give you clear guidelines on how to make many of these decisions and provide you with a flow chart to help you in your clinical reasoning. 
Understand the causative mechanisms behind psychosocial factors, psychological reactions and motor function deficits
  •  A large proportion of the rehabilitation field considers psychosocial factors, psychological factors and motor function.  Do you actually know why people chose to think negatively about an event or why they experience psychological reactions? Or why they move in abnormal movement patterns? We teach you to understand the causation behind these problems, we can design more effective interventions and produce better outcomes that will be longer lasting.
Overcome clinical frustration of teaching specific exercises from a detailed understanding of learning dysfunctions and CNS coordination
  • Rehabilitation can be difficult for clinicians.  Common problems encountered by clinicians include clients who are unable to learn specific exercises, and chronic pain patients who have problems that are difficult to understand.  One new area that helps synthesize many of these problems with chronic pain patients is the fifth SMARTERehab sub-classification, CNS coordination.
  • This sub-classification identifies people who have a combination of cognitive problems and sensory motor deficits. They also have retained primitive reflexes, which can significantly influence their coordination.  This is an important sub-classification to make since these clients do not do well with specific muscle recruitment exercises.  They are more likely to experience anxiety, fear of movement and catastrophization.  Do you know what symptoms occur with a sensory mismatch? We can show you how to identify these people, teach you how to deal with these issues and give alternative treatment options.  The Motor Control Abilities Questionnaire is a validated instrument to screen these individuals early in treatment so other rehab can be started.
Implement ways to influence neurophysiological changes and neuroplasticity in retraining the CNS
  • Research shows that chronic pain and movement disorders demonstrate changes within in the CNS.  You will understand the physiology behind the rehabilitation you are doing and understand how to positively change the CNS.  This will enable you to better apply the rehabilitation strategies you already have and the new ones you will learn.
Identify positive and negative outcome indicators to help direct treatment
  • It is very important to identify poor outcome indicators so that the right treatment can be directed without delay and to avoid the secondary consequences that occur while waiting for treatment.  This also helps relieve some clinical frustration.
  • Positive outcome indicators, or ‘Green Flags’, are less commonly mentioned.  It is useful to identify who will respond quickly so that treatment can be fast tracked and time isn’t wasted on inappropriate management.
  • Understanding outcome indicators and normal timescales helps you communicate with your clients and give them the information they want, which also helps improve the outcome.

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