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Digital Seminar

Unlock Healing Pathways: The Polyvagal Theory’s Role in Chronic Pain Rehabilitation


Speakers:
Stephen Porges, PhD |  Perry Nickelston, DC, NKT, FMS, SFMA
Duration:
1 Hour 01 Minutes
Format:
Audio and Video
Copyright:
Apr 25, 2024
Product Code:
POS065477
Media Type:
Digital Seminar


Description

Dive into the transformative world of the Polyvagal Theory, a groundbreaking exploration of the intricate relationship between the vagus nerve, our physiological state, and resultant behaviors.

Understanding the autonomic nervous system’s role is paramount in tailoring treatments for those in chronic pain.

  • Unravel the concept of ‘neuroception’, our body’s subconscious radar for environmental safety or threat, guiding our physiological and behavioral responses
  • Delve deeper into the ‘Social Engagement System’, a cornerstone of the Polyvagal Theory, and discover how cues like voice tone or facial expressions can either foster or hinder therapeutic rapport and patient outcomes
  • Unpack the “Freeze Response’, a primal survival mechanism, and learn to discern its manifestations in patients
  • Equip yourself with knowledge on therapeutic models designed to harness cranial nerve feedback for relaxation and threat mitigation
  • Recognize and leverage cues of safety, a pivotal skill in enhancing patient well-being and recovery

You’ll gain insights into the nexus between chronic pain and autonomic regulation, empowering you to discern when pain transcends its initial cause and becomes a neural imprint. Join us in this enlightening journey, bridging the chasm between theory and clinical practice, and revolutionize your therapeutic approach.

Credit

Planning Committee Disclosure - Relevant relationships

Mike Studer receives a speaking honorarium from SMARTFit. His relevant financial relationship with an ineligible company has been mitigated.
 
Mitch Hauschildt receives a speaking honorarium from RockTape USA, Trigger Point, and TRX. He is a content contributor for Titan Nutrition. All relevant financial relationships with an ineligible company have been mitigated.
 
Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 1.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 1.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.0 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Occupational Therapists - Occupational Therapists & Occupational Therapy Assistants

 

PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 09334. This Distance Learning-Independent is offered at .1  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

 


Occupational Therapists - Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 1.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).


Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 1.0 self-study continuing education credits.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 1.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 1.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 1.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 1.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 1.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 1.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 1.2 contact hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 1.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 1.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 1.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 1.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 1.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Massage Therapists - Florida Massage Therapists

PESI, Inc. is approved by the Florida Board of Massage Therapy as a continuing education Approved Provider. Provider #50-399. This course is offered for 1.0 self-study CE hours.

*Please note: this course was not designed to meet requirements for the "relevant to and focused on massage therapy techniques, skills or protocols" category by distance learning. 


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This activity consists of 1.0 CE hours of instruction in the following subjects: Anatomy, (0.25 hours);  History and Exam (.25 hours);  Neurology (.25 hours);  Pain Management (.25 hours) . Approval #065477/042524. No more than 1.0 total CE hours may be earned for this activity.

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation within two weeks of attending the live event if they would like their participation submitted to PACE. Participation cannot be reported without a completed post-test and evaluation.


Athletic Trainers - Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 1.0 hours of Category A continuing education.


Other Professions

This self-study activity qualifies for 1.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Stephen Porges, PhD's Profile

Stephen Porges, PhD Related seminars and products

Kinsey Institute, Indiana University and Department of Psychiatry at the University of North Carolina- Chapel Hill


Stephen W. Porges, PhD, is a distinguished University Scientist at Indiana University, where he is the founding director of the Traumatic Stress Research Consortium within the Kinsey Institute. He holds the position of Professor of Psychiatry at the University of North Carolina and Professor Emeritus at the University of Illinois at Chicago and the University of Maryland, and is a founder of the Polyvagal Institute. Dr. Porges served as president of both the Society for Psychophysiological Research and the Federation of Associations in Behavioral & Brain Sciences and is a former recipient of a National Institute of Mental Health Research Scientist Development Award. He has published approximately 400 peer-reviewed scientific papers across several disciplines including anesthesiology, biomedical engineering, critical care medicine, ergonomics, exercise physiology, gerontology, neurology, neuroscience, obstetrics, pediatrics, psychiatry, psychology, psychometrics, space medicine, and substance abuse. His research has been cited in more than 50,000 peer-review publications. In 1994, Dr. Porges proposed the Polyvagal Theory, a theory that links the evolution of the mammalian autonomic nervous system to social behavior and emphasizes the importance of physiological state in the expression of behavioral problems and psychiatric disorders. The theory is leading to innovative treatments based on insights into the mechanisms mediating symptoms observed in several behavioral, psychiatric, and physical disorders.

He is the author of The Polyvagal Theory: Neurophysiological foundations of Emotions, Attachment, Communication, and Self-Regulation (Norton, 2011), The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe (Norton, 2017), Polyvagal Safety (Norton, 2021), co-author with Seth Porges of Our Body Polyvagal World (Norton, 2023), and co-editor with Deb Dana of Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal-Informed Therapies (Norton, 2018). Dr. Porges is also the creator of a music-based intervention, the Safe and Sound Protocol™, which currently is used by approximately 3,000 therapists to improve spontaneous social engagement, to reduce hearing sensitivities, and to improve language processing, state regulation, and spontaneous social engagement.

 

Speaker Disclosures:
Financial: Dr. Stephen Porges has employment relationships with Indiana University Bloomington and the University of North Carolina. He receives royalties as a published author. Dr. Porges receives a speaking honorarium, book royalties, and recording royalties from PESI, Inc. He receives royalties from Integrated Learning Systems/Unyte. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Dr. Stephen Porges is a member of the American Psychological Association, the Association for Psychological Science, and the Society for Psychophysiological Research. He holds a patent on Televagal equipment. Dr. Porges is co-owner of Polyvagal Music, LLC launching in 2024.


Perry Nickelston, DC, NKT, FMS, SFMA's Profile

Perry Nickelston, DC, NKT, FMS, SFMA Related seminars and products

Stop Chasing Pain, LLC


Perry Nickelston, DC, NKT, FMS, SFMA, is a chiropractor with primary focus on Performance Enhancement, Corrective Exercise, and Metabolic Fitness Nutrition and trained with The American College of Addictionology and Compulsive Disorders. He is an expert in myofascial, orthopedic, medical and trigger point soft tissue therapy. He is a member of the Board of Directors and Medical Staff Advisor for AIMLA (American Institute of Medical Laser Application). Dr. Perry also serves as the director of clinical protocols and training for LiteCure Medical Lasers specializing in Myofascial Laser treatments. He is an expert in movement assessment and diagnosis. He is certified and trained as a columnist for Dynamic Chiropractic, Practice Insights, Chiropractic Economics, To Your Health magazine, Advance Physical Therapy, PT on the Net, LiveStrong, StrengthCoach, and other industry publications for health and fitness. Nickelston graduated from Palmer Chiropractic University and is a master fitness trainer with over 25 years' experience in the health industry. Suffering from obesity as a teenager and overcoming all of the emotional strife that accompanies being overweight, Dr. Perry dedicated himself to teaching others how to get in shape and lead a healthy lifestyle. He is currently publishing several books on health, fitness, laser therapy, business success, and self-treatment programs from his website.
 

Speaker Disclosures:
Financial: Dr. Perry Nickelston is the owner of Stop Chaising Pain, Pain Laser Center, LLC, and Functional Health Solutions, LLP. He receives royalties and a speaking honorarium from Therasage, Aspen Laser, Fringeheals, and Proneurolight. He is the Chief Medical Officer and Consultant for LiteCure Therapy Lasers. Dr. Nickelston receives a speaking honorarium from PESI, Inc.
Non-financial: Dr. Perry Nickelston is a member of the Association of New Jersey Chiropractors.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. List and define the key components of the Polyvagal Theory, including neuroception, the social engagement system, and the freeze response.
  2. Describe the relationship between chronic pain and autonomic regulation, explain how pain can become chronic when wired into the nervous system and how cues of safety can alleviate such symptoms.
  3. Implement therapeutic models, such as Alexander and Feldenkrais, to promote relaxation, reduce threat responses, and enhance the patient’s ability to recognize and respond to cues of safety.

Outline

Introduction to the Polyvagal Theory
  • Overview of the vagus nerve’s influence on physiological state and behaviors
  • Importance of the autonomic nervous system in shaping human reactions
Neuroception: The Body’s Safety Radar
  • Definition and significance of neuroception
  • How the nervous system subconsciously detects environmental safety or threats
  • Physiological and behavioral responses stemming from neuroception
The Social Engagement System
  • Introduction to this cornerstone of the Polyvagal Theory
  • Role of voice tone, facial expressions, and body language in conveying safety or threat signals
  • Physiological and behavioral responses stemming from neuroception
The Freeze Response: A Survival Mechanism
  • Understanding the freeze response and its manifestations
  • The body’s immobilization strategy during perceived threats
  • Differentiate between freeze response in humans and animals
Physical Responses to Perceived Threats
  • Recognizing the body’s physical reactions, such as increased muscle tone or skin coloration changes
  • Insights into an individual’s state of defense or threat
Therapeutic Approaches for Relaxation and Threat Mitigation
  • Introduction to therapeutic models like Alexander and Feldenkrais
  • Harnessing cranial nerve feedback for relaxation
  • Strategies to reduce threat responses in patients
Neural Stimulation Models
  • Overview of commercial devices aiming to change the autonomic state
  • Potential of vagal nerve stimulators and their effects on cranial nerves
Chronic Pain and Autonomic Regulation
  • Exploring the relationship between chronic pain and autonomic regulation
  • Understanding how pain can become a neural imprint, separate from its initial cause
  • The role of safety cues in alleviating chronic pain symptoms

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapist Assistants
  • Licensed Massage Therapists
  • Chiropractors
  • Athletic Trainers
  • Nurses
  • Nurse Practitioners

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