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1. Evaluate chronic pain as an emotional experience and assess the implications for behavior in our patients.
2. Investigate the impacts of placebo and nocebo effects on physiology and mindset.
3. Conduct effective assessments by utilizing specific questions to better guide treatment strategies.
4. Implement mind-body practices into current rehabilitation to improve functional outcomes with patients.
5. Utilize progression and regression exercise strategies to meet patients where they are while still achieving objective goals.
6. Determine optimal exercise and behavior dosing strategies to achieve your goals in improving strength, endurance, and mobility in patients.

Challenging the Definition of Pain

• The concept of “wellness”
• Mind-body approach
• Evaluating pain as an emotion
• Are emotions in our conscious control?

Moving Pain Out of the Forefront

• Impacts of placebo and nocebo
• Effects on physiology and mindset
• Therapeutic bias - rituals and meanings in medicine

Reframing Pain as an Emotion

• Interoception and re-framing pain
• Theory of constructed emotion
• Top-down and bottom-up processing
• Behavioral implications
• Importance of the internal self

Building Therapeutic Alliance: Better Communication, Better Results

• Guide to assessment and treatment strategies
• Questions you need to ask
• 30-90 seconds to better inform your treatment plan
• Empathy vs compassion
• 7 body wisdom principles

The Key to Change: Valence and Exercise Prescription

• Keywords analysis – red flags
• Impact of word choice on patient outcomes
• Body budgets
• Reinforce positive behavior

Improve Strength, Endurance and Mobility

• Exercise selection and prescription
• Flexibility vs mobility vs stability
• Interactive slow charts for exercise selection
• Breathwork
• Simplicity for progression and regression strategies

Joseph LaVacca, PT, DPT, OCS, has been practicing physical therapy in New York City since 2010. He is the owner and founder of Strength in Motion Physical Therapy, where his passion lies in helping individuals with chronic pain rediscover themselves and their joy in both movement and life. Joe also holds advanced certifications in Orthopedics and movement screen utilization for the FMS/SFMA and functional range systems. Joe also prides himself on being a functional strength and mobility coach, while also having the opportunity to educate clinicians throughout the country and the world on topics such as building therapeutic alliance through the art of communication, understanding pain, treatment of lower extremity dysfunction and gait assessment, the clinical applications of CBD and breathwork interventions, as well as kinesiology taping and instrument assisted soft tissue mobilization. Speaker Disclosures:
Financial: Joseph LaVacca is the owner and physical therapist of Strength in Motion Physical Therapy. He has employment relationships with Fringe, Inc, RockTape, and Force Couple LLC. Joseph LaVacca receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Joseph LaVacca has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

All 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 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.

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Occupational Therapists & Occupational Therapy Assistants


Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 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).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 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.

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 6.0 continuing competency hours.

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 6.0 CE credit hours.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

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 7.2 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

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 6.0 clock hours of instruction that is applicable for 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 6.0 clock hours of continuing education instruction.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.0 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.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.0 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.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Chiropractors
• Strength and Conditioning Specialists
• Exercise Physiologists
• Massage Therapists