A Functional Understanding of Human Rehabilitation
(HRF-FU)
(HRF-FU)
Course Description
This course provides a broad overview and practical application of contemporary pain science, movement science, manual therapy, communication, and behavior change utilizing a biopsychosocial process-based framework called the Human Framework Rehabilitation (HRF).™ The HRF™ is presented as transdiagnostic alternative to diagnosis classification and protocol for movement and rehabilitation specialists. This course work is a blend of lecture, lab, and case studies to maximize clinical application.
Course Background
The study of movement and pain has undergone significant changes in the last four decades as increased effort to move healthcare from a biomedical to biopsychosocial approach for care. The Human Rehabilitation Framework (HRF™) is the world’s first biopsychosocial process-based approach to rehabilitation, accessible by all disciplines to deliver care in a transdisciplinary manner. It addresses the criticisms of the Biopsychosocial (BPS) Model and is an evolutionary step forward for Evidence-Based Practice (EBP), providing a new perspective that synthesizes scientific evidence, clinical practice, and personalized care. The HRF™ is based on the scientific philosophy of Functional Contextualism and replaces differential diagnosis, Clinical Practice Guidelines (CPGs), Clinical Prediction Rules (CPRs), and Clinical Pathways with a process-based approach for evaluation and intervention. It supports advances in personalized precision medicine and the value-based care model, and is designed to be ready for the future of biomedicine and biopsychosocial research.
Course Target Audience: Physical Therapists, Athletic Trainers, Occupational Therapists, Chiropractors, Physical and Occupational Therapist Assistants, Massage Therapists, Counselors/Social Workers, Nurses/Nurse Practitioners, Osteopaths, Physicians, Rehabilitation Professional Students
Course Objectives
Course Instructor
Leonard Van Gelder is a clinician, coach, researcher, & educator. He is the founder of, and serves in leadership roles for, the Innovative Movement Development Ventures (IMDV) Group, Dynamic Movement & Recovery, Dynamic Principles, Move Better, and Dynamic Movement Frameworks.
He has been involved in the movement and rehabilitation field for over 20 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of movement and pain. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to movement, manual therapy, and education in his practice.
He owns and practices clinically at Dynamic Movement and Recovery (DMR) in Grand Rapids, MI.
Day 1 – 7.5 Contact Hours
Introduction: 0.5 hours
• The Limitations of the Medical Diagnosis Model
• Rise and Fall of Evidence Based Medicine
• Protocols and Processes
• Philosophical Worldviews
Processes of Change: 1.5 hours
• Introduction to Processes of Change
• Functional Contextualism and Behavior Change
• Scope, precision, and depth as it relates to EBP
• Strongest mediators for behavior change
• Processes of Change in Rehab
• Process Based Approach and EEMM
Sociocultural Level 1: 1.5 hours
• Current Opioid Epidemic
• Mental health and Adverse Childhood Events (ACEs)
• Social Determinants of Health
Biophysiological Level: 1.5 hours
• Pain vs Nociception
• Brief note on perception
• Pain Definitions
• NEI relationships
• Respecting Inflammation and Healing Timelines
• Loading Capacity Processes
Movement / Postural Dimensions: 1.5 hour
• Rethinking Posture
• Rethinking Movement
• Biomechanical Considerations
• Motor Variability/Invariability
• Letting Go of Stability
• Movement Boundaries
• Manual Therapy
Breakout groups and practice of movement experiments: 1 hour
Day 2 – 7.5 Contact Hours
Relational Frame Theory (RFT): 1.5 hours
• RFT introduction
• Therapeutic Neuroscience Education (TNE) in the context of RFT
• Educational Considerations
• Review of BPS Model
Cognitive Dimension 0.5 hours
• Discussion of Cognitive Fusion/Defusion
• RFT review
Attention Dimension: 0.5 hours
• Sensory Awareness
• Discussion of Presence/Conceptualized of Past/Future
Emotional Dimension: 0.5 hours
• Reminder of physical implications
• Discussion of Expansion / Acceptance Processes
• RFT review and integration
Self Dimension: 1 hour
• Self as a Perspective
• Self as a Process
• Self as a Story
• Observing self vs conceptualized self-processes
Motivation Dimension: 0.5 hours
• Lack of Values/Clarifying Values
• Values Compass Work
General Behavior Change Dimensions: 1 hour
• Behavior Change Across Disciplines
• Fear Avoidance vs Persistent Behavior
• Sleep
• Pacing
• Physical Activity
• Graded Exposure
• The symptom modification discussion
Putting it All Together: 1.5 hours
• HRF Flexibility
• Where Humans Get Stuck
• How to help them get unstuck
Cases: 1 hour
• Sam & John
• Functional Network Analysis
• Sneak peek to advanced courses – EEMM
• Cases as a group
Closing Remarks
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