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CU Sports Medicine  

CU Follow Up Inservice Presentation
3/5/25

Dr. Doug Jowdy 

Recommended Reading

  • Alrwaily, M., Timko, M., Schneider, M. Stevans, J., Bise, C., Hariharan, K. & Delitto, A. (2016). Treatment-Based Classification System for Low Back Pain: Revision and Update. Physical Therapy, 96, 1057-1066. 

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  • Ballengee, L.S., Zullig, L.L., George, S.Z. (2021). Implementation of psychologically informed physical therapy for low back pain: where do we stand, where do we go? Journal of Pain Research, 3747-3757.

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  • Ballengee, L.A., Covington, J.K. & George, S.Z. (2020). Introduction of a psychologically informed educational intervention for pre-licensure physical therapists in a classroom setting. BMC Medical Education, 20, 382. 

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  • Brock, S.C. & Kleiber, D.A. (1994). Narrative in medicine: The stories of elite college athletes’ career-ending injuries. Qualitative Health Research, 4, 411-430.

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  • Cowell, I., McGregor, A., O’Sullivan, P., O’Sullivan, K., Poyton, R. Schoeb, V., & Murtagh, G. (2021). Physiotherapists’ approaches to patients’ concerns in back pain consultations following a psychologically informed training program. Qualitative Health Research, 31, 2486-2501. 

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  • Evans, L. & Brewer, B.W. (2022). Applied psychology of sport injury: Getting to-and moving across-The Valley of death. Journal of Applied Sport Psychology, 34, 1011, 1028.

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  • Frank, A.W. (2013). The wounded storyteller: Body, illness, and ethics. University of Chicago Press.​

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  • Frankl, V. (1946). Man’s Search for Meaning. (The antidote to despair and a way to work through “emotional scar tissue.”)

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  • Garces, E.J., Recio, J.L., Rios, V.D., Sadiz, J., & Sanchez, A.N. (2024). Current practices of physiotherapists in implementing psychologically informed physical therapy in chronic pain management: A scoping review. Philippine Journal of Physical Therapy, 3, 26-73. (The section: Theme 5: Barriers to PIPT Practice, on page 33 is quite interesting. In spite of the robust findings using PIPT the barriers are significant. This section provides information that can lead to a fruitful discussion in a meeting focused on professional development.) 

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  • Gledhill, A. (2021). The downside of sports injury: Poor mental health in injured athletes. In the psychology of sports injury (pp. 63-75). Routledge.

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  • Hess, C.W., Gnacinski, S.L., & Meyer, B.B. (2019). A review of the sport-injury and rehabilitation literature: From abstraction to application. The Sport Psychology, 33, 232-243. â€‹

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  • Hughes, L.S., Clark, J., Colclough, J.A., Dale, E., & McMillan, D. (2017). Acceptance and commitment therapy (ACT) for chronic pain. The Clinical Journal of Pain, 33, 552-568.

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  • Ingwersen, K.G., Vobbe, J.W., Pedersen, L.L., Sorensen, L., & Wedderkopp, N. (2019). Effect of psychomotricity in combination with 3 months of active shoulder exercises in individuals with chronic shoulder pain: Primary results of an investigator-blinded, randomized, controlled trial. Archives of Physical Medicine and Rehabilitation, 100, 2136-2143. 

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  • Keefe, F.J., Main, C.J., & George, S.Z. (2018). Advancing Psychologically Informed Practice for Patients With Persistent Musculoskeletal Pain: Promise, Pitfalls, and Solutions. Physical Therapy, 98, 398-407. 

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  • Kinney, M., Seider, J., Beaty, A.F., Coughlin, K., Dyal, M., & Clewley, D. (2018). The impact of therapeutic alliance in physical therapy for chronic musculoskeletal pain: A systematic review of the literature. Physiotherapy Theory and Practice, 36, 886-898. (This is the article I had cited in the video about the fact the therapeutic alliance group (TA) accounted for the variance when a placebo e-stim was used in the decrease in pain by more than 10% compared to the group that used e-stim without the physical therapist being trained in TA. And when TA was combined with e-stim pain reduction was 77%.)

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  • Lane E, Magel JS, Thackeray A, Greene T, Fino NF, Puentedura EJ, Louw A, Maddox D, Fritz JM. Effectiveness of training physical therapists in pain neuroscience education for patients with chronic spine pain: a cluster-randomized trial. Pain. 2022 May 1;163, 852-860. 

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  • Main, C.J, Simon, C.B., Beneciuk, J.M., Greco, C.M., George, S.Z., & Ballengee, L.A. (2023). The psychologically informed practice consultation roadmap: A clinical implementation strategy. Physical Therapy, 103, 1-8. (Contrary to what I had stated in the video, I believe this metaphor, the seven stages, and what you will find on page 3 in this article informative, and worthy of discussion with your colleagues.)

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  • May, R. (1953). Man’s Search for Himself. (Foundational in developing a therapeutic alliance as May will help you understand human nature and the human condition. This is the basis of TA and fundamental to understand emotional struggles your patients experience. This is for those interested in PIPT.)

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  • Párraga, J. P., & Castellanos, A. (2023). A Manifesto in Defense of Pain Complexity: A Critical Review of Essential Insights in Pain Neuroscience. Journal of Clinical Medicine, 12(22), 7080.

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  • Rogers, C.R. (1961). On Becoming a Person. Boston: Houghton Mifflin Company. (One of the gold standard texts in counseling that is essential in learning PIPT. The focus is on CBT and ACT, but what Rogers discusses underlies the other modalities having maximal therapeutic benefit.)

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  • Sandor, R.S. (2009). Thinking Simply About Addiction: A Handbook for Recovery. NY: Jeremy P. Tarcher. (An easy book to help start to discern fact from fiction in one of the most widely misunderstood medical conditions – addiction/substance use disorders. That a certain percentage of patients will experience or be vulnerable to medicating in some way that will be addictive in nature. Some patients were medicating with exercise/sport prior to his/her injury and now is in withdrawal. Understanding addiction can help with this type of patient with the “cravings to drink.” Many of the patients will have a family member who is struggling with an addiction. The impact of injury can bring to the surface the reality that the family member uses alcohol/THC in a problematic way.)​​​​

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​This is an example of a certification program for physical therapists to gain proficiency in working with mental health conditions:

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https://members.integrativepainscienceinstitute.com/courses/MHPTC#:~:text=The%20Mental%20Health%20Physical%20Therapist,within%20the%20physical%20therapy%20setting.

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​Provo colleges description of the inner section of physical therapy and mental health, what is useful are many of the links in this article:

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https://www.provocollege.edu/blog/the-intersection-of-physical-therapy-and-mental-health/#:~:text=In%20the%20case%20of%20physical,models%2C%20they%20saved%20about%20$1.70.

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Alexa Hindmarch

Clinical Assistant

Maddie Ullom

Clinical Assistant 

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