Melbourne 9 ~ 11 October 2015

The Chiropractic & Osteopathic

College of Australia

A weekend of research, clinical education & workshops

Chronic Pain

11th Biennial Conference 2015

The Science, The Researchand

A Practical Approach for Chiropractors & Osteopaths

telephone (03) 9412 3154 and quote the Block Booking ID reference number 52451 and the name of the event at the time of booking.

COCA Research Fund Raising DinnerOn the Saturday evening of the conference weekend, COCA will host a 3 course dinner and fund raising auction at the venue. If past dinner evenings are anything to go by this promises to be a fun night for all and for a very worthwhile cause with all monies raised going to the COCA Research Fund. The night will commence with pre-dinner drinks @ 7.30pm and include a special guest as our after dinner speaker. One change only. Cost: $165.00 including beer and wine.

We all have patients with chronic pain and it is often frustrating finding an effective treatment for this difficult and complex condition. We now know that for many of these patients physical therapies are ineffective and the latest research suggests that a multimodal approach, including some form of psychological therapy provides the best results.

COCA’s 11th Biennial Conference will officially begin in the afternoon of Friday, 9th October, with the very popular session “Research Presentations” where Australian and overseas researchers present their current research studies.

Saturday 10th October will be devoted to plenary style lectures delivered by a variety of experts in chronic pain and conditions associated with chronic pain. Our Keynote Speakers will be world renowned chiropractic researchers Professors Gert Bronfort and Roni Evans from the University of Minnesota and Dr Craig Hassed from the Mindfulness Program at Monash University. Other experts include Associate Professor Geoffrey Littlejohn, Dr Zhen Zheng, Dr Anne Daly, Dr James McAuley, Professor Charlotte Leboeuf-Yde, and Dr Stan Innes.

On Sunday 11th October the conference program will change to consist of multiple workshops aimed at providing you with the added skills necessary to effectively treat chronic pain.

If you want to know more about chronic pain and how to treat it then this conference is a must attend event.

Best wishesDr Stanley InnesPresident

Chronic Pain The Science, Research & A Practical Approach for Chiropractors & Osteopaths

About the VenueThe venue for COCA’s 11th Biennial Conference is the Pullman Melbourne On The Park,192 Wellington Parade, East Melbourne. The hotel is conveniently located adjacent to the Fitzroy Gardens and within easy walking distance of Melbourne’s CBD and the MCG. There is also a city bound tram stop directly opposite the hotel entrance.

AccommodationIf you intend to stay at the hotel and want to take advantage of a special groupbooking rate (based on room availability) you should contact the reservations team directly via email on H9875@accor.com or

Secure registration is available online at https://www.coca.com.au/event-forms/national-conference-enrolment-form/

or use the attached registration form.

biopsychosocial aspects of rehabilitation. Stan has experience working in a multidisciplinary pain management centre. He has published reviews on psychosocial aspects of persistent pain and burnout in chiropractors in peer review journals.

Dr Richard Chambers DPsych (clinical), MAPS, MACPA

Dr Chambers is a clinical psychologist in private practice specialising in mindfulness-based therapies. He consults to a growing number of educational institutions interested in implementing mindfulness in the curriculum. Richard has been teaching and researching mindfulness for over 10 years and regularly provides lectures and workshops He is co-author of Mindful Learning on the role of mindfulness in

education and the soon-to-be-released Mindful Relationships..

Associate Professor Geoffrey Littlejohn

Associate Professor Littlejohn is Clinical Professor of Medicine, Monash University, and Emeritus Director of Monash Health Rheumatology, Melbourne. He is a clinician with academic interests. He has published over 220 articles on a variety of rheumatologic disorders and has a longstanding interest in chronic musculoskeletal pain about which he has written extensively and lectured on both

nationally and internationally.

Dr Zhen Zheng BMed (NJTCM), PhD (Melb),

Dr Zheng, is a senior lecturer at RMIT University and a registered Chinese medicine practitioner. The focus of her research is the use of acupuncture for pain management. Her research has been funded by NHMRC, industry grants and philanthropic funds. She was a member of the Primary Care Working Group for the development of National Pain Strategy. She was a Board member of the Australian

Acupuncture and Chinese Medicine Association, and the founding editor-in-chief of the Australian Journal of Acupuncture and Chinese Medicine.

Dr James McAuley PhD

Dr McAuley is a psychologist and Research Fellow at Neuroscience Research Australia in Sydney where he leads a clinical pain research group of 10 post docs and 8 PhD students. His research is targeted towards reducing the burden of low back pain by developing, testing and translating new cost-effective treatment approaches. He has 90 scientific publications including in The Lancet, BMJ

and JAMA Internal Medicine. His work has over 3500 citations and has contributed to international and Australian clinical guidelines. James holds over $3million in competitive funding including 4 NHMRC project grants. He regularly presents his research at international and national conferences. He is contributing editor for Evidence-based Complimentary and Alternative Health (eCAM) and the British Journal of Pain.

Mr Ian Skinner BPhty (Hons I), BM, MAPA

Ian is a physiotherapist currently completing his PhD at Neuroscience Research Australia in Sydney. Ian is one of two specially trained physiotherapists on a large NHMRC trial investigating the effect of pain biology education for acute back pain patients. He is also examining the role of brain function and altered cognitive processing in maladaptive pain processing. Ian is a member of the Body

in Mind team. Working as a physiotherapist, Ian implements current best evidence for acute and chronic pain management into real word practice.

Mr. Adrian Traeger BSc MPhty MAPA

Adrian is a clinical physiotherapist and researcher at Neuroscience Research Australia in Sydney. His research focuses on the predictors of poor outcome in low back pain and on the positive and negative effects of the clinical consultation. Adrian’s most recent research paper, on education and reassurance in low back pain, is ranked in the top 5% of all research articles ever published for online

attention. Adrian is part of the Body in Mind team, a research group dedicated to performing and discussing clinical research into the pain experience.

Professor Gert Bronfort DC, PhD

Professor Bronfort his currently a Professor in the Integrative Health & Wellbeing Research Program at the University of Minnesota. Professor Bronfort has been a leader in research investigating conservative and integrative care for disabling and costly musculoskeletal pain conditions for over 25 years. Professor Bronfort is a member of the Cochrane Collaboration’s Low Back Pain

Editorial Group, as well as the Cervical Overview Group. He has served on several national and international committees including the U.S. Advisory Council for the National Center for Complementary and Alternative Medicine, the World Health Organization and the U.S. Health Resources and Services Administrations’ Advisory Committee on Interdisciplinary, Community-Based Linkages.

Associate Professor Roni Evans DC, MS, PhD

Associate Professor Evans is a clinical research scientist with nearly 20 years of clinical research experience. Her main focus has been on investigating conservative treatments for individuals struggling with chronic spine pain, including manual therapies, exercise, self-management and complementary and integrative health approaches. Associate Professor Evans has been very active

in promoting the dissemination and implementation of research in the CAM professions. This has included developing educational resources and strategies to influence practitioners’ research uptake and develop their skills in efficiently finding, appraising and applying scientific evidence in clinical practice.

Dr Craig Hassed MBBS, FRACGP

Dr Hassed is a Senior Lecturer at the Department of General Practice and coordinator of mindfulness programs at Monash University. His teaching, research and clinical interests include mindfulness-based stress management, mind-body medicine, meditation, health promotion, integrative medicine and medical ethics. He writes regularly for medical journals and has published nine books Craig’s

next book on epigenetics, “Playing the genetic hand life dealt you”, is due for release in 2015.

Dr Anne Daly D Clin Physio, M Manip Physio, B App Sc (Physio), APAM Dr Daly has more than 20 years of experience as a

musculoskeletal physiotherapist and has had an interest in persistent pain and more particularly in complex regional pain syndrome (CRPS). She is a senior clinician within the Austin Health Pain Service and also works as a physiotherapy and pain management advisor to the TAC and WorkSafe Health and Disability Strategy Group. In

2011, Anne completed her Doctorate at the University of Melbourne and has published 3 systematic reviews on CRPS and presented her work at international and national conferences.

Professor Charlotte Leboeuf-Yde DC, PhD, MPH

Professor Leboeuf-Yde is a chiropractor, who has extensive research experience in various fields and parts of the world. She is presently employed at the University of Southern Denmark as Professor in Clinical Biomechanics. She is also the Research Director at l’Institut Franco-Européen de Chiropratique in Paris, France. After spending 10 years in chiropractic practice France and Demark and lecturing in

chiropractic in Australia, Professor Leboeuf-Yde concentrated on a research career holding various senior positions such as Research Director of a medical research unit and Senior Researcher at the Nordic Institute for Chiropractic and Clinical Biomechanics, in Denmark.

Dr Stan Innes B App Sc (Chiro), M Psych

Dr Innes graduated from RMIT in 1983 and completed his training as a clinical psychologist in 2002. After more than 30 years in clinical practice Stan was recently appointed as Senior Lecturer at Murdoch University in the area of rehabilitation, he has a special interest in the

About the Presenters

About the Presentations Understanding Complex Regional Pain Syndrome: one clinician’s perspective Dr Anne DalyCRPS is an enigmatic pain and this presentation will briefly review the pathophysiology behind this challenging condition, debunk some common myths about CRPS, present the latest diagnostic algorithm and provide an outline of an evidence informed approach to both the acute and longer term management of CRPS.

The importance of models in clinical practice Professor Charlotte Leboeuf-YdeSpinal pain is an expression of a systemic disorder not a separate condition. The models we have in our minds of illness and health will determine how we behave in our clinical practice. In the light of new evidence in this field this presentation will discuss the consequences of these models in clinical practice and a number of simple illness models.

Mind-body medicine and mindfulness and chronic pain Dr Craig HassedThe experience and perception of pain is affected significantly by the mental and emotional state which may result in the development and aggravation of chronic pain syndromes. Mind-body interventions that improve stress and mental health therefore have a preventive or therapeutic effect on chronic pain syndromes. These back-to-back keynote addresses will explore the role of the mind-body relationship in the evolution and management of chronic pain and look at the use of mind-body techniques therapeutically.

Revisiting the Biopsychosocial Model for Chronic Spine Pain Professor Gert BronfortIt has been a little over 25 years since the biopsychosocial (BPS) model was introduced to the back pain field and it is clear the field is still struggling to embrace and truly implement the model. This presentation will summarize new and promising research from the model’s biological, psychological and social domains. It will also address recommendations for the spine related healthcare professions, in implementing the BPS model to lessen the burden of chronic spine pain.

Spinal Manipulation for Chronic Low Back and Neck Pain: Best Evidence Update Associate Professor Roni EvansWith growing recognition that many of the current spine pain management strategies are costly, potentially harmful, and largely ineffective, the search for safe and cost-effective treatment options has become an important public health priority. This presentation will summarize the best available research regarding the clinical and cost-effectiveness of spinal manipulation for chronic low back and neck pain.

Self-Management for Chronic Low Back and Neck Pain: Best Evidence Update and Implications for Practice Associate Professor Roni EvansInvasive interventions including epidural injections, opioid prescriptions, and spinal surgeries are applied early and often, with little attention paid to more conservative strategies including self-management approaches. This presentation will summarize current research regarding self-management interventions for chronic low back and neck pain conditions. It will also highlight evidence-based strategies clinicians can implement in practice.

CBT –A trip down memory lane Dr Stan InnesCognitive behavioural therapy (CBT) has been the focal point for extensive research as an intervention in the management of chronic / persistent pain. This lecture will give a brief review of its theoretical underpinnings, evidence for and against and finish with some “take home” strategies for Monday morning.

Fibromyalgia - Current Concepts in Diagnosis & ManagementAssociate Professor Geoffrey LittlejohnFibromyalgia is a common chronic pain syndrome and has a high impact on the individual and society. Apart from widespread tenderness patients often experience fatigue, poor sleep, cognitive dysfunction and a variety of other complaints as well as many co-morbidities. This lecture will discuss the current research and treatment strategies of this complex and difficult to treat condition.

Acupuncture for Chronic Pain – Mechanism, Evidence and Clinical Applications Dr Zhen ZhengAcupuncture has been consistently used for pain relief in China for over 3000 years, and since 1990 nearly 4000 peer reviewed journal articles have published. In this presentation, I will examine the current evidence about the use of acupuncture for chronic pain and will integrate clinical experience with evidence to propose how acupuncture might be used alongside chiropractic or osteopathic practice, and the direction for future research.

Targeting sensorimotor function to prevent and treat chronic low back pain Dr James McAuley Our research suggests that central processing of nociceptive and non-nociceptive signals play a major role in the development and maintenance of chronic low back pain. Therapy targeting central processing of sensory information appears to prevent patients from developing chronic low back pain and research suggests that normalising sensorimotor dysfunction might be a promising new approach to reduce the pain and disability associated with chronic low back pain.

The neurobiology of pain – A primer for manual therapists Mr Ian SkinnerInteraction between physiological, psychological and social factors and recent technological advances, including neuroimaging and molecular modelling, have provided new insights into the pain experience, which can be used to inform practice. In this lecture the pathophysiology of pain and its relationship to psychological states and the social environment will be discussed.

About the WorkshopsMindfulness (Workshop) Dr Richard ChambersThis experiential workshop will explore ways of using mindfulness with patients to reduce stress and manage chronic pain, depression and sleep problems. It will also explore ways mindfulness can be applied by chiropractors and osteopaths to enhance their own wellbeing, as well as their communication and therapeutic engagement skills.”

CBT –A trip down memory lane. (Workshop) Dr Stan InnesEvidence suggests that psychosocial factors can have a significant impact in day-to-day practice. This workshop will cover its assessment and some basic strategies for forming a therapeutic alliance and using this to implement basic C.B.T. protocols.

Fibromyalgia – Current Concepts in Diagnosis & Management (Workshop) Associate Professor Geoffrey LittlejohnFibromyalgia is often misdiagnosed or underdiagnosed. In this workshop the physical diagnosis of fibromyalgia will be demonstrated and explored. The identification of conditions mimicking fibromyalgia will be discussed as well treatment strategies for chiropractors and osteopaths.

Pain biology education– a promising technique for preventing chronic low back pain? (Workshop) Dr James McAuley & Mr Adrian TraegerDoes what you say to patients really matter? In this workshop, using stories and examples, Adrian will discuss how it is possible to: educate patients about the biology behind acute low back pain in an accessible way; avoid the implication that the pain is all in their heads; inspire patients to recover actively and without fear. Teaching patients about how pain works might not just be a useful clinical skill, it might be the answer to preventing chronic pain.

The Conference Program

Research Presentations ~ Friday 9th October

12.30pm Registration Opens

1.00pm Research presentations

3.00pm Afternoon Tea

3.30pm Research presentations

5.00pm Close

Plenary & Workshop Sessions ~ Sunday 11th October

9.00am The Importance of models in clinical practice - Professor Charlotte Leboeuf-Yde

9.45am Self-management strategies for chiropractors & osteopaths in the treatment of chronic pain - Professor Roni Evans

10.30am Questions

10.45am Morning Tea

11.00am Workshops - Session 1

12.00pm Lunch

1.00pm Workshops - Session 2

2.15pm Workshops - Session 3

3.15pm Afternoon Tea

3.45pm Workshops - Session 4

4.45pm Close

COCA is a professional organisation that advocates quality, safe and ethical chiropractic and osteopathic practice.

Note: There are 4 different workshops and each will be presented 4 times allowing all delegates equal opportunity to attend each one.

Plenary Sessions ~ Saturday 10th October

8.15am Registration Opens

8.45am Introduction & Housekeeping

9.00am FG Roberts Address - Professor Bruce Walker

9.20am Pathophysiology of pain - Mr Ian Skinner

9.50am Pain and the Brain Concepts of Chronic Pain - Dr James McAuley

10.20am Questions

10.30am Morning Tea

10.50am Mind body medicine and mindfulness and chronic pain - Dr Craig Hassed

11.35am A summary of research evidence to date on manual therapy for chronic low back and neck pain - Professor Roni Evans

12.10pm Questions

12.20pm Lunch

1.20pm Research Presentations & Prizes

1.50pm Cognitive behaviour therapy – A trip down memory lane - Dr Stan Innes

2.20pm Acupuncture for chronic pain - Dr Zhen Zheng

2.50pm Fibromyalgia – Current concepts and treatment strategies - Associate Professor Geoffrey Littlejohn

3.20pm Questions

3.30pm Afternoon Tea

3.50pm Revisiting the biopsychosocial model for chronic low back and neck pain; current thinking and implications for chiropractors & osteopaths - Professor Gert Bronfort

4.35pm Understanding Complex Regional Pain Syndrome: one clinician’s perspective - Dr Anne Daly

5.20pm Questions

5.30pm Close

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Note: All rates quoted include gst. All morning/afternoon teas and lunch on Saturday and Sunday are included.

Note: Student places are limited and must be booked prior to early bird cut-off date.

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Friday and Saturday $675 $575 $650 $550 $175 $725 $655

Fund Raising Dinner $165 $165 $165 $165

Payment detailsPlease forward all registration forms and payment to: COCA Suite 2, 1 Rooks Road, Nunawading VIC 3131 Registrations can also be made via fax on 1300 88 66 90

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The majority of the Sunday program of the conference is devoted to workshops. There are 4 different workshops and each will be presented 4 times allowing all delegates equal opportunity to attend each one.

Early Bird Offer:Early Bird rates apply until 5.00pm Friday 25th September 2015. The Early Bird rates will apply to all conference registrations received prior to this time.

CPD Hours (Formal Learning Activity):Whole of conference: 15.5 hours*

Friday & Saturday: 10.5 hours* Saturday only: 7.0 hours*

*Depending on selected content