Functional restoration for people with non-physical barriers to recovery (ie psychosocial and neurophysiological)

Functional Restoration (FR) is a structured exercise program in conjunction with a behavioural approach addressing non-physical barriers to recovery typically provided for patients with persistent pain non-responsive to standard treatment. Functional Restoration is typically provided by physiotherapists, but is not in the exclusive domain of this discipline. This learning module aims to develop the basic theoretical understanding and practical skills of the practitioner in providing FR for patients with a primary non-physical (psychosocial and/or neurophysiological) problem through achieving the following learning objectives:

• Understand and be able to apply basic behavioural and educational methods within an FR program for patients with primary non-physical barriers to recovery
• Understand the principles of documentation and communication in providing FR

It is very important that the basic principles of Functional Restoration as outlined in the module “Functional Restoration in a primary pathoanatomical problem” are understood before commencing this module.

After achieving the objectives of this module the practitioner should consistently apply the principles learnt in the clinical setting (± supervision from an experienced practitioner as required) to ensure clinical competency is attained.

An assumption is made that all practitioners engaged in this module will have at least a Bachelor level understanding of human anatomy, biomechanics, physiology and pathology. This module relies on sound basic science knowledge to allow an application to clinical practice. In addition, the practitioner is strongly recommended to complete the learning modules Lumbar Spine Assessment I and II before commencing this module. Knowledge of the content of these modules will be assumed.

The principles of FR presented in this module are applicable to all body parts, however for ease of presentation, the module is written with a focus on low back disorders (LBD).