Maximalist approach: osteopathy applied to the chronic patient


Many patients arrive at the osteopath with chronic and complex clinical situations that represent real challenges. In these cases, there is usually no single cause for the problem, but rather a sum of the stress factors to which the patient is exposed (allostatic load). 

Therefore the osteopathic approach aims to support physiological processes, reducing the allostatic load, and increasing the individual's ability to respond and adapt to various internal and external stress factors. To achieve these results, we use the biomechanical, postural, neurological, respiratory, and circulatory models as treatment forms. 
The aim is to improve the distribution of forces through the continuity of connective tissue, reduce energy expenditure during daily life activities, improve breathing and circulatory dynamics, enhance the functional integration of the somatomotor and the neuroimmunoendocrine system.


The course will deal with the principles of evaluation and treatment according to the so-called maximalist approach. We will work on the patient through biomechanical, fascial, venous, lymphatic, respiratory, and nervous systems. These systems will be linked to the four diaphragmatic regions in an integrated way.
 This approach can suit a wide range of patients. That is why the course involves many practical sessions to cover Still techniques, exaggeration of dysfunction, articulatory techniques, facilitated position release techniques, HVLA techniques, fascial techniques, and soft tissue techniques.

Also, we will see how to use these techniques in an integrated treatment sequence. The theoretical part will describe this approach's principles with the anatomical and physiological rationale for the different types of patients.
 The course aims to enable students to apply what they have learned immediately. The teaching material includes the course's subjects and the articles that support the discussed topics. 

Programme

• We will introduce and discuss the different osteopathic models for patient evaluation, clinical problem-solving, and patient management in the first two days. Then we will review the concepts of the minimalist approach, maximalist approach, symptom-based approach, and empirical approach in the management of acute, sub-acute, chronic, and complex patients. We will focus on the maximalist approach and the biomechanical-postural, neurological, and respiratory - circulatory models in the practical sessions.
We will observe demonstrations, practice evaluation and treatment techniques, and discuss applied anatomy and physiology. The manipulative approaches will include structural techniques (HVLA, articulatory, soft tissue, still techniques, and lesion exaggeration), as well as venolymphatic, fascial, and visceral techniques.

• 
The third day will begin with a discussion on the minimalist approach in the context of the total osteopathic lesion, the importance of establishing hierarchies between the dysfunctions, and adopting the appropriate sequence during treatment. Attention will focus on the relevant anatomy, physiology, and pathophysiology of clinical conditions such as headache and neck pain, upper limb problems, lumbar pain, visceral dysfunction, fascial dysfunction, and systemic dysfunctions (respiratory, cardiovascular, and gastrointestinal). We will analyse the "tips and tricks" of osteopathic practice to efficiently manage these patients using a minimalist and maximalist approach.

Date

FIRST DAY - 28th May 2023

From 9 a.m. to 1 p.m. and from 2 p.m. to 6 p.m.

SECOND DAY - 29th May 2023

From 9 a.m. to 1 p.m. and from 2 p.m. to 6 p.m.

THIRD DAY - 30th May 2023

From 9 a.m. to 1 p.m. and from 2 p.m. to 4 p.m.

Cost

The cost of the course is €650.Those who will also enrol in the course “OSCE: Objective Structured Clinical Exam” will benefit from a special price for both courses, which is €1.150.
 The discount is applied directly to the cart.