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

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