{"id":8805,"date":"2019-11-16T00:46:38","date_gmt":"2019-11-15T23:46:38","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=8805"},"modified":"2019-11-21T21:22:54","modified_gmt":"2019-11-21T20:22:54","slug":"prioritising-a-biopsychosocial-approach-in-sport-and-exercise-medicine-with-dr-louise-tulloh","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2019\/11\/16\/prioritising-a-biopsychosocial-approach-in-sport-and-exercise-medicine-with-dr-louise-tulloh\/","title":{"rendered":"Prioritising a biopsychosocial approach in sport and exercise medicine with Dr Louise Tulloh"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><strong><em>Start with their story &#8211;\u00a0<\/em>Dr Louise Tulloh<\/strong><\/p>\n<p>In 1977, Dr George Engel introduced the medical world to the biopsychosocial model to better understand disease. Expanding upon the reductionist biomedical model of disease that was popular at the time, Engel argued that psychological and social factors influence biological functioning and play a role in health and illness. In the decades since, we have come to further understand that behaviours, thoughts and feelings influence our physical state.<\/p>\n<p>We sport and exercise medicine clinicians sometimes fall into the trap of solely focusing on a patient\u2019s musculoskeletal problem as a source of their pain. But a patient\u2019s problem will not simply be solved by addressing musculoskeletal pathology alone. In 2019, this seems obvious. So why are we still failing to move beyond this reductionist view of treatment?<\/p>\n<p><iframe loading=\"lazy\" title=\"Prioritising a biopsychosocial approach in SEM with Dr Louise Tulloh. Episode #407 by BMJ talk medicine\" width=\"640\" height=\"400\" scrolling=\"no\" frameborder=\"no\" src=\"https:\/\/w.soundcloud.com\/player\/?visual=true&#038;url=https%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F713242999&#038;show_artwork=true&#038;maxheight=960&#038;maxwidth=640\"><\/iframe><\/p>\n<p><strong>This week&#8217;s podcast: <\/strong><\/p>\n<p>On this week\u2019s podcast, we are excited to be joined again by Dr Louise Tulloh (<span class=\"username u-dir\" dir=\"ltr\"><a class=\"ProfileHeaderCard-screennameLink u-linkComplex js-nav\" href=\"https:\/\/twitter.com\/DrLouiseTulloh\">@<b class=\"u-linkComplex-target\">DrLouiseTulloh<\/b><\/a>)<\/span>&#8211;the President of The Australasian College of Sport and Exercise Physicians (ACSEP). She dives into the biopsychosocial realm of patient management in sport and exercise medicine. Dr Tulloh has been practicing sport and exercise medicine in Sydney for over 20 years. She prioritises a holistic approach to patient management and believes that all clinicians should explore their patients\u2019 psychosocial stressors from every angle.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/11\/21\/of-mice-and-men-and-women\/bps-knee-oa-venn-7\/\" rel=\"attachment wp-att-8825\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8825\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/BPS-knee-oa-venn-2.jpg\" alt=\"\" width=\"1649\" height=\"987\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/BPS-knee-oa-venn-2.jpg 1649w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/BPS-knee-oa-venn-2-300x180.jpg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/BPS-knee-oa-venn-2-768x460.jpg 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/BPS-knee-oa-venn-2-640x383.jpg 640w\" sizes=\"auto, (max-width: 1649px) 100vw, 1649px\" \/><\/a><\/p>\n<p><span lang=\"EN-AU\">Not sure where to start? Dr Tulloh recommends asking patients the following three questions:<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bjsm\/?attachment_id=8829\" rel=\"attachment wp-att-8829\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8829\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/three-BPS-questions.jpg\" alt=\"\" width=\"1599\" height=\"267\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/three-BPS-questions.jpg 1599w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/three-BPS-questions-300x50.jpg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/three-BPS-questions-768x128.jpg 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/three-BPS-questions-640x107.jpg 640w\" sizes=\"auto, (max-width: 1599px) 100vw, 1599px\" \/><\/a><\/p>\n<p>In this 20-minute podcast with Daniel Friedman (<a class=\"ProfileHeaderCard-screennameLink u-linkComplex js-nav\" href=\"https:\/\/twitter.com\/ddfriedman\"><span class=\"username u-dir\" dir=\"ltr\">@<b class=\"u-linkComplex-target\">ddfriedman<\/b><\/span><\/a>), Dr Tulloh discusses:<\/p>\n<ul>\n<li>Why we should all take a more biopsychosocial approach in sport and exercise medicine<\/li>\n<li>How to explore a patient\u2019s individual psychosocial factors contributing to their health<\/li>\n<li>How to ask about a patient\u2019s motivation to get better<\/li>\n<li>Tips for shared decision making<\/li>\n<li>How to discuss weight loss with patients<\/li>\n<li>What makes a patient \u2018<em>complex\u2019<\/em><\/li>\n<\/ul>\n<p><strong>Want more?<\/strong><\/p>\n<p>To find out more about Dr Tulloh or ACSEP:<\/p>\n<p>Twitter <a href=\"https:\/\/twitter.com\/DrLouiseTulloh\">@DrLouiseTulloh<\/a> \/ <a href=\"https:\/\/twitter.com\/ACSEPpresident\">@ACSEPpresident<\/a> \/ <a href=\"https:\/\/twitter.com\/ACSEP_\">@ACSEP_<\/a><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/11\/16\/prioritising-a-biopsychosocial-approach-in-sport-and-exercise-medicine-with-dr-louise-tulloh\/acsep2\/\" rel=\"attachment wp-att-8830\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8830\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/acsep2.png\" alt=\"\" width=\"380\" height=\"234\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/acsep2.png 908w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/acsep2-300x185.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/acsep2-768x474.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2019\/11\/acsep2-640x395.png 640w\" sizes=\"auto, (max-width: 380px) 100vw, 380px\" \/><\/a><\/p>\n<p>Website: <a href=\"https:\/\/www.acsep.org.au\/\">https:\/\/www.acsep.org.au\/<\/a><\/p>\n<p>ACSEP\u2019s 2020 Annual Conference 2020 (Feb 7-9) in Canberra, Australia is a great opportunity for further career development. Register now! <a href=\"https:\/\/www.acsep.org.au\/page\/events\/conference-2020\">https:\/\/www.acsep.org.au\/page\/events\/conference-2020<\/a><\/p>\n<p><a href=\"https:\/\/twitter.com\/MtnezCalderonJ\/status\/1186597285360209920\">https:\/\/twitter.com\/MtnezCalderonJ\/status\/1186597285360209920<\/a><\/p>\n<p><strong>Resources<\/strong><\/p>\n<p><strong><em>Pain<\/em><\/strong><\/p>\n<p><a href=\"https:\/\/www.noigroup.com\/\">Noigroup<\/a>\u00a0 &#8211; multimedia, books, courses. Here is a link to Lorimer Moseley&#8217;s BJSM podcast:<\/p>\n<p><iframe loading=\"lazy\" title=\"Am I safe to move? Professor Lorimer Moseley: New understanding of pain and focusing on the patient by BMJ talk medicine\" width=\"640\" height=\"400\" scrolling=\"no\" frameborder=\"no\" src=\"https:\/\/w.soundcloud.com\/player\/?visual=true&#038;url=https%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F350625664&#038;show_artwork=true&#038;maxheight=960&#038;maxwidth=640\"><\/iframe><\/p>\n<p><a href=\"https:\/\/www.curablehealth.com\/\">Curable<\/a> \u2013 app, online community, podcasts<\/p>\n<p><a href=\"https:\/\/www.aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0004\/212908\/Orebro_musculoskeletal_pain_questionnaire_Final.pdf\">Orebro Musculoskeletal Screening Questionnaire<\/a> \u2013 identifying \u2018yellow\u2019 flags\\<\/p>\n<p><strong><em>Mindfulness meditation<\/em><\/strong><\/p>\n<p><a href=\"https:\/\/www.smilingmind.com.au\/\">Smiling Mind<\/a> &#8211; App<\/p>\n<p><a href=\"https:\/\/www.headspace.com\/headspace-meditation-app\">Headspace<\/a> &#8211; App<\/p>\n<p><a href=\"https:\/\/www.calm.com\/\">Calm<\/a> &#8211; App<\/p>\n<p><strong><em>Breathing<\/em><\/strong><\/p>\n<p><a href=\"https:\/\/au.reachout.com\/tools-and-apps\/reachout-breathe\">ReachOut Breathe<\/a> &#8211; App<\/p>\n<p><em>Upskilling for clinicians<\/em><\/p>\n<p>Motivational interviewing<\/p>\n<ul>\n<li>Rollnick Stephen, Butler Christopher C, Kinnersley Paul, Gregory John, Mash Bob. Motivational interviewing BMJ 2010; 340 :c1900 <a href=\"https:\/\/www.bmj.com\/content\/340\/bmj.c1900\">https:\/\/www.bmj.com\/content\/340\/bmj.c1900<\/a><\/li>\n<li>Motivational interviewing in brief consultations (BMJ online learning module) <a href=\"https:\/\/learning.bmj.com\/learning\/module-intro\/motivational-interviewing.html?moduleId=10051582\">https:\/\/learning.bmj.com\/learning\/module-intro\/motivational-interviewing.html?moduleId=10051582<\/a><\/li>\n<\/ul>\n<p>Mindfulness-based Stress Reduction (MSBR)<\/p>\n<p>Acceptance and Commitment Therapy (ACT)<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Start with their story &#8211;\u00a0Dr Louise Tulloh In 1977, Dr George Engel introduced the medical world to the biopsychosocial model to better understand disease. Expanding upon the reductionist biomedical model of disease that was popular at the time, Engel argued that psychological and social factors influence biological functioning and play a role in health [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2019\/11\/16\/prioritising-a-biopsychosocial-approach-in-sport-and-exercise-medicine-with-dr-louise-tulloh\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":8825,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16107,1710,8262],"class_list":["post-8805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-bjsmfridaypodcast","tag-pain","tag-podcast"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Prioritising a biopsychosocial approach in sport and exercise medicine with Dr Louise Tulloh - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"description\" content=\"Consider the patient&#039;s whole life, the role of the whole world and also the specific injury complaint. 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