logo
episode-header-image
Jan 2024
54m 58s

Ep. 060 | Pain and Disability Drivers Ma...

Physiotutors
About this episode

In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.

By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.

Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.

 

Guest

Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.

 

Content

00:00 Intro 00:40 What is the PDDM? 03:19 The 5 Drivers of Pain & Disability 07:56 The struggle with interdisciplinary care 11:15 Lifestyle within the PDDM 13:28 Why is PDDM more than a classification system? 17:23 Patient History within the PDDM 30:57 Why so many PROMs? 32:45 NSLBP - is it a helpful diagnosis? 39:37 Can Physiotherapists cover all 5 domains? 43:18 Is it all talking? 45:42 What has changed since 2017 49:28 How can we apply the PDDM? 3 Tips 51:26 Yannicks closing thoughts 53:15 Outro

 

Bonus Material

To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.

All episodes and bonus content can be found here

 

Follow our Podcast on:

Spotify | Apple Podcasts

 

Up next
Aug 4
Hamstrings under the Microscope with Jack Hickey
Description In this episode, Dr. Jack Hickey, a leading researcher in hamstring injuries, shares valuable insights into the complexities of hamstring rehabilitation and injury prevention. He discusses the common misconceptions surrounding hamstring rehab, emphasizing the importan ... Show More
1h 1m
Jun 30
Runeasi in Practice: AI Gait & Jump Analysis for Clinicians with Kurt Schütte
Summary In this episode, we explore the innovative world of Runeasi, a company co-founded by Dr. Kurt Schütte, which is revolutionizing the assessment of running and jumping in both clinical and athletic settings. Dr. Schütte shares how Runeasi bridges the gap between lab-based b ... Show More
1h 4m
Jun 3
Breaking Taboos About Pelvic Health With Hedwig Neels
In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic he ... Show More
56m 2s
Recommended Episodes
Jan 2016
177. Introduction to Surgical Pathology
In this episode Pathologist, Dr. Tyler Rouse, gives an overview of what Pathology is and how is related to surgery and many other specialties. The objectives include: Who are pathologists? What do they do? How are pathologists involved in patient care? 
9m 50s
Jul 2024
Ep. 179 Decision Fatigue in Medicine: Insights from Dr. Steven Goudy
Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University ( ... Show More
40m 44s
Jun 25
[Case Studies] Achilles repair recovery: the rehab roadmap with Scott Greenberg
In this episode with Scott Greenberg, we explore an interesting case study on a real patient of his - a gymnast who had an Achilles rupture and went down the surgical path. We discuss: How to determine surgical vs conservative managementThe key indicators of success for surgical ... Show More
15m 35s
Apr 2025
Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm
How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider cath ... Show More
1h 35m
Apr 2024
#3: Dr. Jervis Yau, MD | PRP and Stem Cell Injections, ACL Surgery, Rotator Cuff Tears and More
In this episode, I talk with orthopedic surgeon and sports medicine specialist, Dr. Jervis Yau, MD. We discuss a wide range of topics including hip impingement, rotator cuff tears, PRP and stell cell injections and ACL recontructions. Dr. Yau has a particular interest in minimall ... Show More
1h 7m
Mar 2025
Behind the Knife Rural Surgery Series: Ep. 1 - Rural Surgery Practice 1
Introducing a new series on rural surgery - In this episode, BTK fellow Dr. Cody Mullens sits down with Dr. Bret Autrey, a general surgery attending at Ludington Hospital in Ludington, MI.  Dr. Autrey is a career rural surgeon who discusses, in detail, rural surgery practice, how ... Show More
34m 27s
May 21
[Case Studies] From the pitch to the clinic: a groin injury case study with Dr Stacey Hardin
In this episode with Dr Stacey Hardin, we explore an interesting case study of a 25 year old soccer player who sustained a groin injury during match play. We cover:Subjective historyOn-field examination Differential diagnosis within this body areaObjective historySurgical vs cons ... Show More
20 m
Oct 2024
102: Why Did I Tear My ACL? (Reboot)
Welcome to another episode of Game Plan!  As you might remember from our episode on ACL graft choices, these Game Plan episodes are specifically designed for patients – to hopefully answer some of the questions you have about the most common sports medicine conditions and surgica ... Show More
32m 35s
May 2023
Ep. 110 Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh
In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smi ... Show More
39m 29s