1. Complex Regional Pain
www.bodyinmind.com.au
Copyright GL Moseley 2009
Syndrome
CRPS Rehabilitation
(or training the brain)
Lorimer Moseley
NHMRC Senior Research Fellow
Prince of Wales Medical Research Institute & Faculty of Medicine, University of NSW, Sydney,
Australia

2. www.bodyinmind.com.au
Copyright GL Moseley 2009
Why train the brain?
CRPS as an extreme protective response.

3. www.bodyinmind.com.au
Copyright GL Moseley 2009
Why train the brain?
Our approach to treating CRPS
Cognitive Behavioural Brain changes
Understanding the Function & S1 reorganisation
problem movement
hierarchy Reorganisation
Other threatening elsewhere?
cues are relevant ‘training the brain
part 1’ ‘training the brain
Educate & explain part 2’

4. www.bodyinmind.com.au
Copyright GL Moseley 2009
Why train the brain?
Cognitive Behavioural Brain changes
Understanding the Function & S1 reorganisation
problem movement
heirarchy Reorganisation
Other threatening elsewhere?
cues are relevant
Educate & explain

5. resources
DAVID BUTLER
|
LORIMER MOSELEY
|
ART SUNYATA
www.noigroup.com
www.physiouk.co.uk
www.OPTP.com
www.noigroup.com
www.OPTP.com
www.physiouk.co.uk
www.amazon.com
CA$35 & post.

6. www.bodyinmind.com.au
Copyright GL Moseley 2009
1. Nociception is neither sufficient nor
necessary for pain.

7. www.bodyinmind.com.au
Copyright GL Moseley 2009
The same thing applies to pain

8. www.bodyinmind.com.au
Copyright GL Moseley 2009
The same thing applies to pain
Complex reasoning
mechanisms based on
experience, context,
environment…MEANING

9. www.bodyinmind.com.au
Copyright GL Moseley 2009
The same thing applies to pain
Complex reasoning
a in mechanisms based on
p
experience, context,
environment…MEANING

10. www.bodyinmind.com.au
Copyright GL Moseley 2009
The same thing applies to pain
Complex reasoning
mechanisms based on
experience, context,
environment…MEANING
“How dangerous
is this really?”

11. www.bodyinmind.com.au
Copyright GL Moseley 2009
Non-noxious input
Noxious input

12. www.bodyinmind.com.au
Copyright GL Moseley 2009
Non-noxious input
Noxious input

13. www.bodyinmind.com.au
Copyright GL Moseley 2009
Neurons that represent ou
physical self
Neural networks that
evoke ‘basic’ protective
responses
Non-noxious input
Noxious input

14. www.bodyinmind.com.au
Copyright GL Moseley 2009
Neural networks that
evoke feelings to assist
protection (ie pain)

15. www.bodyinmind.com.au
Copyright GL Moseley 2009
Neural networks that
evoke feelings to assist
protection (ie pain)
Neural networks that
evoke ‘basic’ protective
responses
Motor system
Immune system
Autonomic system

16. www.bodyinmind.com.au
Copyright GL Moseley 2009
multi-system
outputs
“How dangerous
is this really?”

17. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

18. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

19. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

20. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

21. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

22. www.bodyinmind.com.au
Copyright GL Moseley 2009
Every represented byte can modulate
Sum evaluative inputs = Need to protect
Pain
‘Basic’ protective responses
Motor system
Immune system
Autonomic system

23. www.bodyinmind.com.au
Copyright GL Moseley 2009
Why train the brain?
Our approach to treating CRPS
Go to the Behavioural
next set of Function &
movement
slides: hierarchy
‘training the brain
part 1’