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Graston Technique®: Treating the Sensitive Nervous System Part 1 - Neuroscience Background and Evaluation

presented by Jacqueline Shakar

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Disclosure Statement:

Jackie Shakar is employed as a Clinical Advisor and Lead Instructor for Graston Technique, LLC. As such, she has permission to use trademark protected Graston Technique® therapy in the demonstrations in this course. Jackie Shakar receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships.

Nonfinancial— Jackie Shakar has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
In this two part series, Jackie Shakar, DPT, MS, OCS, LAT, describes a multimodal intervention approach to the sensitive nervous system. The intervention incorporates Graston Technique, pain neuroscience education, and a neurodevelopmental approach to movement re-education. In Part 1 of the series, theories of pain neuroscience in light of the most recent evidence, and the evaluation of patients with chronic pain will be covered. The course begins with a discussion of the concept of pain neuroscience education (PNE) in light of emerging evidence and the pain vs. tissue damage concept. Next, Dr. Shakar describes evidence-based treatment principles in light of the latest pain neuroscience research. The course concludes with a discussion and demonstration of evidence-based evaluation and outcomes measurement.

Meet Your Instructor

Jacqueline Shakar, DPT, MS, PT, OCS, LAT, GTS

Jackie has been a licensed physical therapist and athletic trainer for more than 36 years. She currently works in an outpatient facility and her clinical focuses include a wide spectrum of patients including those experiencing persistent pain, geriatrics and endurance athletes. She received her master's degree in physical therapy from Boston University in 1983 and…

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Chapters & Learning Objectives

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1. Treating the Sensitive Nervous System

The first chapter of this course introduces the concept of pain neuroscience education (PNE) within the context of emerging evidence around concepts of pain vs. tissue damage. This chapter will also introduce participants to the authorities on PNE and discuss the limitations of the biomedical model as a method for explaining pain in patients.

2. Pain Neuroscience Theory and Treatment Principles

The second chapter of this course provides important background for the participant on evidence-based pain neuroscience treatment principles, including central vs peripheral sensitization, the effects of chronic pain on the physiological systems of the body, and the application of pain neuroscience treatment principles in clinical practice.

3. Evidence-based Evaluation & Outcomes Measures

In the final chapter of this course, Dr. Shakar demonstrates evidence-based evaluation and measurement techniques for patients with a sensitive nervous system, and identifies the most accurate self-report and outcomes instruments for this patient population.

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