The Student Corner of the Stroke SIG (Ben Lindaman, Pam Bosch, and Dana Kohl) took a question from a student regarding the role of neurotechnology in stroke rehabilitation. This podcast discusses the evidence behind some of the neurotechnology you may (or may not have!) heard of to support the recovery of those with neurologic impairments.



Article Referenced: Putrino D, Krakauer JW. Neurotechnology's prospects for bringing about meaningful reductions in neurological impairment. Neurorehabil Neural Repair. 2023;37(6):356-366. doi:10.1177/15459683221137341



Note: This podcast used Artificial Intelligence (AI) for its creation! Source: Notebook LM



If you are a student and have a question regarding stroke rehabilitation, we are here to help! Submit questions here: https://www.neuropt.org/special-interest-groups/stroke/resources-for-students



The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

Dr. Dana Kahl, PT, DPT, EdD and Dr. Benton Lindaman, PT, DPT answer a question a student submitted to the Stroke SIG regarding spasticity after stroke. They discuss assessment and management of flaccidity and spasticity within this episode. This discussion may be helpful for both students and PTs/PTAs alike!



Note: This podcast used Artificial Intelligence (AI) for its creation! Source: Notebook LM



Article referenced: Suputtitada A, Chatromyen S, Chen CPC, Simpson DM. Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review. Toxins (Basel). 2024 Feb 10;16(2):98. doi: 10.3390/toxins16020098. PMID: 38393176; PMCID: PMC10892074.



If you are a student and have a question regarding stroke rehabilitation, we are here to help! Submit questions here: https://www.neuropt.org/special-interest-groups/stroke/resources-for-students



The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Dr. Elizabeth Thompson, PT, PhD, NCS and Dr. Darcy Reisman, PT, PhD, FAPTA to discuss their article "Increasing Activity After Stroke: A Randomized Controlled Trial of High-Intensity Walking and Step Activity Intervention". This article was published in January 2024 in Stroke. The conversation surrounding capacity vs. performance is continued in this episode.



Article Citation: Thompson ED, Pohlig RT, McCartney KM, et al. Increasing activity after stroke: A randomized controlled trial of high-intensity walking and step activity intervention. Stroke. 2024;55(1):101-109. doi:10.1161/STROKEAHA.123.044596



The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Dr. Carey Holleran, MPT, DHS to discuss her article "Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation." This article was published within the JNPT in January 2023. Activity capacity is what a person is capable of doing, and activity performance is what a person does in their daily life. Dr. Holleran discusses the implications of assessments of capacity vs. performance, and how these measurements can be used for decision-making for physical therapy plans of care.



Article citation: Lang, Catherine E. PT, PhD, FAPTA; Holleran, Carey L. PT, DPT, DHS; Strube, Michael J PhD; Ellis, Terry D. PT, PhD, FAPTA; Newman, Caitlin A. OTR/L; Fahey, Meghan PT, DPT; DeAngelis, Tamara R. PT, DPT; Nordahl, Timothy J. PT, DPT; Reisman, Darcy S. PT, PhD, FAPTA; Earhart, Gammon M. PT, PhD, FAPTA; Lohse, Keith R. PhD; Bland, Marghuretta D. PT, DPT, MSCI. Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation. Journal of Neurologic Physical Therapy 47(1):p 16-25, January 2023. | DOI: 10.1097/NPT.0000000000000413



The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Ariana Jones, PT, DPT, Board-Certified Clinical Specialist in Women's Health Physical Therapy, and Gillian McLean, PT, DPT, Board-Certified Clinical Specialist in Neurologic Physical Therapy, to discuss pelvic health therapy across the continuum of care for the neurologic population, particularly those following a stroke. In this podcast, you may expand your knowledge on the pelvic floor and normal urination/bowel movements. Listen to learn how pelvic health and neurologic physical therapists can collaborate to deliver the effective and holistic care to patients, as well as education you can provide to patients regarding pelvic health concerns/when to see a pelvic health specialist to promote optimal well-being.



When to Refer to Pelvic PT: Pelvic Floor Dysfunction Screening Questions (as referenced in the podcast interview):



* Are you experiencing any urinary incontinence?* Are you able to delay urination if you have the urge? If so, for how long?* Are you experiencing any constipation?* Are you experiencing any fecal incontinence?* Are you experiencing any pain in the pelvic or abdominal region?



Reference for the screening questions: Siracusa C, Gray A. Pelvic Floor Considerations in COVID-19. J Womens Health Phys Therap. 2020;44(4):144-151. doi:10.1097/JWH.0000000000000180



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by author (and current Stroke SIG Nominating Committee Member!) Dr. Chitra Balasubramanian, PT, PhD, CEEAA to discuss her research article titled "Walking Adaptability after a Stroke and Its Assessment in Clinical Settings". Dr. Balasubramanian was awarded the Stroke SIG Research Award in 2022. Dr. Balasubramanian discusses the importance of walking adaptability within the realm of stroke recovery and why assessment of this construct matters.



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by authors Dr. Anjali Sivaramakrishnan and Dr. Sandeep Subramanian to discuss their recent article published in the Neurorehabilitation and Neural Repair titled "A Systematic Review on the Effects of Acute Aerobic Exercise on Neurophysiological, Molecular, and Behavioral Measures in Chronic Stroke". The authors share their research, which is a systematic review aimed at examining the effects of a single bout of aerobic exercise on neuroplasticity measures. They discuss aerobic priming and considerations for the clinic to promote improved motor learning for individuals with chronic stroke.



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



This is for informational and educational purposes only. It does notconstitute and should not be used as a substitute for medical advice,diagnosis, rehabilitation, or treatment. Patients and other members of thegeneral public should always seek the advice of a qualified healthcareprofessional regarding personal health and medical conditions. TheAcademy of Neurologic Physical Therapy and its collaborators disclaimany liability to any party for any loss or damage by errors or omissions inthis publication. The views or opinions expressed are those of theindividual creators and do not necessarily represent the position of theAcademy of Neurologic Physical Therapy.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Marissa Moran PT, DPT is joined by Pierce Boyne, PT, DPT, PhD, NCS, Sandra A. Billinger, PT, PhD, and Darcy S. Reisman, PT, PhD to discuss their recent article posted in JAMA Neurology titled "Optimal Intensity and Duration of Walking Rehabilitation in Patients with Chronic Stroke: A Randomized Control Trial." The authors discuss their research that investigated the gains in walking capacity between two different training parameters (high intensity interval training and moderate intensity aerobic training) after 4, 8, and 12 weeks of training.



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Michelle Sawtelle, PT, PhD. Dr. Sawtelle currently serves on the Stroke SIG leadership board. This interview discusses why the sit to stand task is an important clinical indicator in the stroke population, the findings of Dr. Sawtelle's research, and how we can translate findings from this article into clinical practice. The article "Gluteus Maximus Muscle Activation During a Chair-Rise in Adults With Chronic Stroke" is featured in the October 2022 issue of the JNPT. The JNPT is a partner on this episode. The article can be found here: https://journals.lww.com/jnpt/Abstract/2022/10000/Gluteus_Maximus_Muscle_Activation_Characteristics.6.aspx.



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.com.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Nancy Salbach, PT, PhD to discuss Dr. Salbach's article, "Assessment of Walking Speed and Distance Post-Stroke Increases after Providing a Theory-Based Toolkit", published in the JNPT. The JNPT is a partner on this episode.



Resources on the measurement of gait speed and distance can be found here:



* 10 Meter Walk Test: https://www.neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-measure-10-meter-walk-test-(10mwt)_final.pdf?sfvrsn=c5585243_2&sfvrsn=c5585243_2* 6 Minute Walk Test: https://neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-outcome-measures-documents-july-2018/6mwt_protocol.pdf?sfvrsn=fc325343_2&sfvrsn=fc325343_2



The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Jackie Loeshelle, PT, DPT is joined by Jennith Bernstein, PT, DPT, ATP/SMS of the Assistive Technology/Seated and Wheeled Mobility SIG to discuss wheelchair prescription for the neurologic population and the important role physical therapists have in this process.



Disclosure: Dr. Bernstein is a Clinical Affairs Manager for Permobil.



Resources on this topic are listed below:



* Sample seating and mobility evaluation: Seating/Mobility Evaluation (methodistonline.org)



* Permobil LMN generator: LMN Login (permobillmn.com)



* RESNA position papers: RESNA > Resources > Position Papers and Service Provision Guidelines



* Textbook: Seating and Wheeled Mobility textbook by Lange & Minkel: Seating and Wheeled Mobility: A Clinical Resource Guide (healio.com)



* Continuing education, CEUs:  Through APTA 10-course series for beginners, free for members and non-members, provided through Clinician Task Force and APTA AT/SWM SIG  Academy of Neurologic Physical Therapy Education Center: Interactive Courses (anpteducationcenter.org)



* Continuing education previously recorded webinars from International Seating Symposium: RSTCE: On-Demand Webinars (pitt.edu)



The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and or treatment. Individuals should always consult an appropriate medical practitioner with questions.



Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com



The Stroke Special Interest Group and Assistive Technology/Seating and Wheeled Mobility Special Interest Group are part of the Academy ofNeurologic Physical Therapy - www.neuropt.org.

Host Dr. Jackie Loeshelle is joined by Dr. Evan Cohen and Dr. Mark Manago to discuss blood flow restriction training for patients with neurologic deficits. During the interview, Drs. Cohen and Manago discuss how blood flow restriction works physiologically and evidence on using this intervention for individuals with a variety of neurologic diagnoses. They discuss how fatigue is often a limiting factor of exercise (for both strengthening and aerobic training) with patient with neurologic conditions, and that the addition of blood flow restriction may allow patients to be able to work at a higher intensity when fatigue is a barrier. Listen to learn more!



Please send comments or questions on this podcast to strokesig@gmail.com



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, host Jackie Loeshelle is joined by Dr. Catherine Siengsukon, PT, PhD to discuss her article "Association Between Sleep Duration and Functional Disability in Inpatient Rehabilitation: A Pilot Observational Study". This interview highlights the important role of sleep in stroke recovery and how physical therapists should aim to assist patients in optimizing sleep. Listen to this episode to



Read the article.



Please send comments or questions this podcast to strokesig@gmail.com



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, the Journal of Neurologic Physical Therapy (JNPT) partners with the ANPT Stroke Special Interest Group for an interview with Amanda DeMartino conducted by host Jackie Loeshelle. Dr. DeMartino is an author of a recently published article examining manual dexterity measures and their relationship to use of the paretic upper extremity in individuals with stroke. This article is included in the October 2021 issue of JNPT.



Find more about this article here:  https://journals.lww.com/jnpt/Abstract/2021/10000/Manual_Dexterity_Is_Associated_With_Use_of_the.7.aspx



Link for podcast transcript: https://www.neuropt.org/docs/default-source/stroke-sig/podcast_ep15.docx



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org

In this episode, the Journal of Neurologic Physical Therapy (JNPT) partners with the ANPT Stroke Special Interest Group for an interview with Dr. Therese Johnston and Dr. Lisa Brown conducted by host Jackie Loeshelle. Drs. Johnston and Brown are authors of a recently released clinical practice guideline examining the use of ankle foot orthoses and functional electrical stimulation for individuals post-stroke. Their article is included in the April 2021 issue of JNPT.







Find more about the CPG here: https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/AFO_FES-post-stroke







Link for podcast transcript: https://www.neuropt.org/docs/default-source/stroke-sig/podcast_ep14.docx

For this episode, host Jackie Loeshelle is joined by Dr. Dileep Yavagal, MD to discuss mechanical thrombectomy as a medical intervention for acute onset ischemic stroke. Dr. Yavagal discusses mechanical thrombectomy and its outcomes to allow us as therapists to better understand how it may impact our patients' progress in rehabilitation.



Please send comments or questions on this podcast to strokesig@gmail.com.



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy.

This podcast is the fourth installation in the ANPT Stroke SIG's podcast series about locomotor training.  In this episode, we talk with Dr. Jenni Moore, Dr. Chris Henderson, Dr. Lauren Lenca, and Dr. Elisabeth Bø and examine their project conducted called FIRST (Focused Intensity Repetitive Step Training). This project implemented the evidence-based, as per the recent locomotor CPG, and laboratory tested intervention of high intensity gait training in inpatient stroke rehabilitation facilities and compared its outcomes with traditional care interventions. At all the sites during this project, high intensity gait training was performed for the majority of the sessions as opposed to the traditional PT approach which involves performing multiple different interventions during sessions.  As researchers are aware of and as clinicians can imagine, there may be unforeseeable circumstances and variability in sessions that may affect the degree to which a research-based protocol can be followed with integrity in a clinic. The aim of this podcast will be to discuss the successes, facilitators, barriers, and challenges that different clinical sites had in implementing this evidence based intervention.



Please see the following link for the clinical prediction rule paper that provides the evidence for the calculator on the Institute of Knowledge Translation's website: https://authors.elsevier.com/c/1cDf9wCg4Gdk



Please send comments or questions on this podcast to strokesig@gmail.com



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Jackie Loeshelle is joined by members of the Locomotion - Chronic CPG Knowledge Translation Task Force for a Part III discussion on the Locomotor CPG. In this episode, Dr. Carey Holleran and Dr. Maghan Bretz discuss the Intensity Matters Campaign, which provides clinicians with guidance on how to focus on intensity when providing intervention for improving locomotor function in individuals with chronic neurologic conditions (CVA, iSCI, and TBI). The Task Force has created guidelines that can be found on the ANPT website. This podcast episode will provide clinically applicable knowledge to implement intense and task-specific gait training into your practice. Please send questions or comments to strokesig@gmail.com.



Supporting links:



* Locomotor CPG Full Text: https://journals.lww.com/jnpt/fulltext/2020/01000/clinical_practice_guideline_to_improve_locomotor.8.aspx* "Intensity Matters" webpage by the Locomotor CPG Knowledge Translation Task Force that includes helpful clinical resources/tools and supporting articles: https://www.neuropt.org/practice-resources/locomotor



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Jackie Loeshelle is joined by Dr. George Hornby for a Part II discussion on the Locomotor CPG. The Locomotor CPG identifies the most optimal interventions for gait recovery based on current evidence for individuals with chronic stroke, incomplete spinal cord injury, and traumatic brain injury. This episode delves deeper into the background and design of the CPG, how the literature search occurred, and how the authors interpreted results to develop recommendations. Dr. Hornby also discusses implementation and audit strategies for high intensity gait training in the clinical setting.



Read the full-text CPG here: https://journals.lww.com/jnpt/Fulltext/2020/01000/Clinical_Practice_Guideline_to_Improve_Locomotor.8.aspx



Additional resources from the Locomotor Knowledge Translation Task Force: https://www.neuropt.org/practice-resources/locomotor/resourses



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, Cory Hall has a conversation with Dr. George Hornby, Professor of Physical Medicine & Rehabilitation at Indiana University. He is the primary author of the 2020 Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury. In this engaging conversation you will learn direct clinical tips and tricks to help you in your clinical practice to improve locomotor function. The full article can be found on the Journal of Neurologic Physical Therapy. Find additional resources at this website: http://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/locomotor-training-cpg



The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.