Chris Worsfold

The Neck: Clinical Rehabilitation by Chris Worsfold, MSc, PGDipManPhys, MCSP, MMACP (UK)

This is a time of great change in the management of musculoskeletal pain and injury. Whilst research has shown the limitations of hands-on manipulative approaches, clinicians are also recognizing how psychological factors influence treatment and recovery.  But where do you start? How do you put the latest clinical research into practice? How do you decide whether to prioritize physical or psychological approaches in your clinical work?

The main focus of the course is on one-to-one patient self-management, but delegates will also learn:

  • How to carry out psychological screening to assess prognosis.
  • Group-based exercise approaches to neck pain (the ‘Neck Gym’).
  • Novel ‘hands-on’ manipulative approaches.
  • Sensorimotor assessment and management.

OBJECTIVES

  • Develop a better understanding of the biopsychosocial context of neck pain.
  • Develop a greater knowledge of the forces involved and pathologies that follow whiplash injury.
  • Develop confidence in identifying red flags and what constitutes an evidence-based assessment of neck pain.
  • Develop an evidence-based, clinically reasoned management plan that includes screening for poor outcome in neck pain.
  • Develop practical skills in assessing and managing impairments of muscle performance, oculomotor control, proprioception, postural stability and psychological factors that are associated with neck pain.
  • Develop practical treatment strategies that include exercise based, soft tissue manipulation and joint mobilization techniques to facilitate rehabilitation.

Who is Chris Worsfold?

Chris is a full-time Musculoskeletal Physiotherapist, specializing in neck pain. He set up Kent Neck Pain Centre in Tonbridge, Kent in 2010.  He is a popular and in-demand public speaker and very regularly presents his work to students, health professionals and lawyers in schools, NHS Hospitals, private clinics and at national conferences. He represented the Chartered Society of Physiotherapy (CSP) in Parliament in 2013 and on the Ministry of Justice Whiplash Reform Working Group (2014) – tasked with reforming the whiplash medico-legal reporting system in England and Wales. He has appeared on BBC1, BBC2, BBC Parliament, BBC Radio 4 and in the national press discussing neck pain.

Learn more about Chris Worsfold here:

Publications:

  • Worsfold C (2017) Predicting prognosis in whiplash injury Spinal Surgery News
  • Worsfold C (2016) Psychological factors in chronic pain PI Focus Association of Personal Injury Lawyers
  • Worsfold C (2015) Explaining chronic pain following soft tissue injury PI Focus Association of Personal Injury Lawyers
  • Worsfold C (2014) When range of motion is not enough: Towards an evidence-based approach to medico-legal reporting in whiplash injury. Journal of Forensic and Legal Medicine. 25, 95-99
  • Worsfold C (2013) Whiplash Rehabilitation: An Evidence-Based Approach. The Journal of The Physiotherapy Private Practitioner’s Association
  • Worsfold C (2012) Higher value whiplash injury claims: can we identify them any earlier? PI Focus Association of Personal Injury Lawyers
  • Worsfold C (2010) Cognitive determinants of pain and disability in patients with chronic whiplash-associated disorder: a cross-sectional observational study. Letters to the Editor. Physiotherapy 96, 4, p350
  • Valentine JD, Simpson J, Worsfold C, Fisher K (2010) A structural equation modelling approach to the complex path from postural stability to morale in elderly people with fear of falling. Disability and Rehabilitation. Jun 9. [Epub ahead of print]
  • Simpson JM, Worsfold C, Fisher KD.(2009) CONFbal: A measure of balance confidence – a key outcome in rehabilitation. Physiotherapy 95 (2):103-109.
  • Worsfold C (2004) Rehabilitation of Sports Injuries: Scientific Basis. Ed. Walter R. Frontera. Book Review. Physiotherapy 90 (3) 170.
  • Saranga J, Green A, Lewis J, Worsfold C (2003) Effect of a cervical lateral glide on the upper limb neurodynamic test 1: a blinded placebo-controlled investigation. Physiotherapy 89(11) 678-84
  • Simpson JM, Worsfold C, Reilly E, Nye N(2002) A standard procedure for using TURN180: testing dynamic postural stability among elderly people. Physiotherapy 88 (6):342-53.
  • Simpson JM, Valentine J, Worsfold C (2002) The Standardized Three-metre Walking Test for elderly people (WALK3m): repeatability and real change. Clinical Rehabilitation 16(8):843-50.
  • Worsfold C, Simpson JM. (2001) Standardisation of a three metre walking test for elderly people. Physiotherapy 87(3) 125-1
  • Simpson JM, Worsfold C (1997) Is fear of falling really fear of the consequences? Age and Ageing 26 (Supl no.3): 12.
  • Simpson JM, Worsfold C (1997) Clinically useful tests of balance and mobility. Physiotherapy; 83:360.
  • Simpson JM, Worsfold C, Fisher K and Hastie I. (1997). Concern about falling among elderly people. Abstract in ‘Aging beyond 2000’ Proceedings of the 16th Congress of the International Association of Gerontology, Adelaide.
  • Simpson JM, Worsfold C, Hunter I (1996) A simple test of balance for frail old people. Clinical Rehabilitation 10:4 354.
  • Worsfold C, Simpson J (1996) The repeatability and acceptability of a timed 3 metre walk among elderly in-patients. Clinical Rehabilitation 10:4 353.
  • Worsfold C, Langridge J, Spalding A, Mullee MA (1996) Comparison between primary care physiotherapy education/advice clinics and traditional hospital based physiotherapy treatment: a randomised trial. British Journal of General Practice. 46:165-168.

What others have said about Chris Worsfold:

  • “He was probably one of the best speakers I have heard. Professional, informative, relaxed, well paced, fun, pertinent, clinically-based, practical, conceptual.”

  • “Very thorough research presented in a very understandable way. Passionate, accomplished & comfortable with his subject.”

  • “Excellent course, it has totally changed my approach”

  • “He’s a fabulous speaker to listen to and just seemed to clarify and bring together some of those more difficult clients.”

  • “Very practical techniques”

REGULAR REGISTRATION: $575.00 (Limited numbers to facilitate learning and lower student to instructor ratios.)
CURRENT DISCOUNT: $495.00 (limited discounted seats available)

Course Dates:
*Nov. 3-4, Portsmouth, NH
*Nov. 10-11, Phoenix, AZ

 COURSE LOCATION AZ:

  • One Accord Physical Therapy
  • 2020 N. Central Ave. Suite L100
  • Phoenix, AZ 85004

 COURSE LOCATION NH:

  • TBD – Portsmouth, NH

Class Schedule DAY 1:

  • 9:00-9:30 Introductions:

  • 9:30-10:00 Do No Harm: Red flags, cervical myelopathy, Canadian C-Spine Rule (excluding fracture), Cervical Arterial Dissection (CAD).

  • 10:00-10:30 Whiplash Injury: kinematics, biomechanics & pathology.

  • 10:30-10:45 Break

  • 10:45-12:30 Muscle and Motor Control Dysfunction. This session presents the assessment of the muscle and motor control systems.

  • 12:30-1:15 Lunch

  • 1:15-3:00 Sensorimotor Impairment. This session presents the clinical assessment of proprioception, oculomotor control, and postural stability.

  • 3:00-3:15 Break

  • 3:15-3:45 Towards an Evidence-Based Clinical Examination of the Cervical Spine

  • 3:45-4:30 Predicting Prognosis in Whiplash & Neck Pain: Assessing risk of poor recovery & introducing the role of ‘central sensitization’, stress, fear & catastrophizing.

Class Schedule DAY 2:

  • 9:00 – 9:30 Day 1 review

  • 9:30 – 10:30 Progressing Treatment (Sensorimotor, Muscles & Motor Control): including an introduction to group-based approaches to neck pain.

  • 10:30-10:45 Break

  • 10:45-12:30 Managing Neck Pain. This practical session presents recommendations for the management of neck pain including specific manual therapy and soft tissue manipulation approaches.

  • 12:30-1:15 Lunch

  • 1:15 Physiotherapy & Neck pain: What is the evidence base for effective clinical practice?

  • 1:30-3:00 Managing Neck Pain (continued) Further techniques are presented, as a continuation of the morning session.

  • 3:00-4:00 Case Studies – putting it all together.

PREREQUISITES: Licensed PT, MD, DO, DC or NMD or a student enrolled in a PT, MD, DO, DC or NMD program in their second year of study or attending with a licensed professional. Please bring proof of licensure or enrollment to class.