In this episode of Synapse, we welcome back Ron Blehm to continue our discussion on primary care physical therapy. We examine the current landscape of primary care PT, analyzing the supporting research that highlights its effectiveness in improving patient outcomes.
We delve into how this approach aligns with the shift towards value-based care, emphasizing its efficiency and patient-centered focus. Finally, we look ahead, exploring the potential future of primary care PT and the innovations that will shape its evolution.
To sign up for Ron's "Functionally Focused Rehab Masterclass", on April 25th, click this link: https://catalog.pesi.com/sales/rh_s_002170_functionallyfocusedmc_organic-1138044
Episode 19: The Dosage Deficit in Stroke Recovery: A conversation with Dr. John Krakauer
Are stroke patients receiving the optimal care they need to maximize their recovery? On this episode of Synapse, we sit down with Dr. John Krakauer, MD, Professor of Neurology, Neuroscience, and Physical Medicine & Rehabilitation at the Johns Hopkins University School of Medicine, External Professor at the Santa Fe Institute, and Visiting Scientist at the Champalimaud Center for the Unknown in Lisbon, to discuss a critical aspects of stroke rehabilitation: how to achieve neurorecovery with dosage and intensity.
Dr. Krakauer, a leading expert in motor learning and stroke recovery, reveals a startling truth: many stroke patients are simply not receiving enough therapy to truly unlock their recovery potential. We delve into the science behind motor learning and how it applies to regaining lost function after a stroke. Dr. Krakauer explains the complex interplay of negative and positive symptoms post-stroke, shedding light on the challenges patients face and how they can be addressed.
Crucially, this episode focuses on what the research unequivocally demonstrates is necessary for effective neurorecovery. Dr. Krakauer argues passionately that rehabilitation professionals must reclaim their role in patient care and advocate for significantly higher dosage and intensity in enriched and engaging environments. He emphasizes that rehabilitation technology should serve as a supplement to these core principles, not a replacement for them. We discuss how creating fun and motivating environments can be crucial for increasing engagement and adherence to high-intensity therapy. This episode is a call to action for clinicians, researchers, and stroke survivors alike to demand and implement a paradigm shift in stroke rehabilitation.
Key takeaways:
Resources:
In this episode of Synapse, we delve into the fascinating world of blood flow restriction (BFR) training with Dr. Evan Cohen, PT, PhD, NCS, an associate professor at Arcadia University and a leading expert in the treatment of Multiple Sclerosis (MS).
Dr. Cohen shares his expertise on the application of BFR in neurorehabilitation, specifically for individuals with MS. We explore the science behind this innovative technique, discussing how it can lead to significant strength and functional gains even with low-intensity exercise.
Key takeaways from this episode:
The Basics of BFR: Understand how BFR works and its potential benefits for individuals with neurological conditions. BFR and MS: Learn about the latest research on BFR in MS, including Dr. Cohen's own groundbreaking studies. Outcomes and Future Directions: Discover the promising results seen in BFR studies and Dr. Cohen's vision for the future of BFR in neurorehabilitation. Practical Applications: Gain insights into how BFR can be safely and effectively implemented in clinical practice. Dr. Cohen' Faculty & LinkedIn information:
https://www.arcadia.edu/faculty-and-staff/evan-t-cohen/
https://www.linkedin.com/in/ecohenpt/
Dr. Cohen's Studies: "Blood-Flow Restriction Training for a Person With Primary Progressive Multiple Sclerosis: A Case Report"
"Feasibility of Low-Load Resistance Training Using Blood Flow Restriction for People With Advanced Multiple Sclerosis: A Prospective Cohort Study"
"Go With the Flow? Considerations for Blood Flow Restriction Training in People With Neurologic Conditions"
Hope you enjoy this insightful episode of Synapse!
Neuropriming with Rebecca Martin, OTR/L, OTD
Episode Description:
Join us for a fascinating exploration of neuropriming with Rebecca Martin, OTR/L, OTD, from the renowned Kennedy Krieger Institute. Rebecca dives deep into her extensive research and expertise in neuropriming, a cutting-edge technique that's transforming neurorehabilitation.
In this episode, you'll discover:
Whether you're an occupational therapist, physical therapist, speech-language pathologist, or any other healthcare professional interested in optimizing brain recovery and function, this episode is packed with valuable insights and practical applications.
About Rebecca Martin:
Rebecca Martin, OTR/L, OTD, is an occupational therapist and researcher at the Kennedy Krieger Institute. She has extensive experience in neurorehabilitation and is a leading expert in the field of neuropriming. Her research focuses on developing and evaluating innovative interventions to improve outcomes for individuals with neurological conditions, specifically post Spinal Cord Injury (SCI)
Key takeaways:
Unlocking Your Fitness Potential: The Science of Behavior Change with Ginkgo Active
This week, we're joined by Celine Huang, marketing and research assistant from Ginkgo Health, a leading expert in behavior modification and the driving force behind their revolutionary new app, Ginkgo Active.
Ginkgo Health isn't just launching a fitness app; but a whole new approach to achieving your health goals. In this episode, Celine shares her fascinating research journey in behavior modification and how it directly shaped the development of Ginkgo Active.
Discover how Ginkgo Active:
Plus, as a special offer for our listeners, Celine has an exclusive early bird discount!
Find out more about Ginkgo Active and claim your discount here:
Tune in and discover how Ginkgo Active can transform your fitness journey - it's more than just an app; it's a science-backed path to a healthier you!
Join us for a fascinating conversation with Ron Blehm, PT, CEEAA, CSFI, CFPS, a leading expert in fall prevention. Ron has dedicated his 30-year career to helping patients achieve optimal function. He is currently a Primary Care PT and he's here to share his eye-opening insights on a critical issue often overlooked in physical therapy.
In this episode, Ron delves into his extensive research on fall prevention, revealing simple yet powerful screening tools and treatment protocols that every PT can implement, regardless of their specialization. He emphasizes the urgency of addressing fall risk as our population ages, empowering therapists to make a real difference in the lives of their patients.
Key takeaways:
Don't miss this opportunity to gain a fresh perspective on fall prevention and elevate your practice to new heights!
Additional Info:
Because the population is aging, it is imperative that all Physical Therapists (regardless of their area of expertise) be aware of these screening tools to identify those who are at most risk.
References:
Gait Speed was recommended as a Vital Sign (every visit) in the Guide to PT Practice, 2001
Synapse Ep. 13: Ignite Your Neuro PT Passion with J.J. Mowder-Tinney! 🔥
Join us for an electrifying episode of Synapse as we sit down with the incredibly passionate Neuro PT educator, J.J. Mowder-Tinney! 🧠⚡️
Before viewing the episode, please visit J.J.'s courses: https://www.medbridgeeducation.com/jj-mowder-tinney-2
To receive discounts on her courses, use the following promo code: "JJMOWDER".
In this episode, you'll discover:
Articles mentioned during our conversation:
Johnson L, Burridge J, et al. (2023). Principles into practice: An observational study of physiotherapists' use of motor learning principles in stroke rehabilitation. Physiotherapy.
Wulf, G., & Lewthwaite, R. (2016). Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychonomic Bulletin & Review.
Leech, K. A., Roemmich, R. T., et al. (2022). Updates in motor learning: Implications for physical therapist practice and education. Physical Therapy.
#NeuroPT #MotorLearning #Rehabilitation #SynapsePodcast #JJMowderTinney #PhysicalTherapy #Balance #Cerebellum
Episode 13: Elena's Journey - Inspiration Through Rehabilitation
In this special episode of Synapse, we shift our focus from the clinician's perspective to the patient's. Join us as we welcome Elena Brandner from Florida, an incredible individual who shares her inspiring rehabilitation journey with us after she suffered a spinal cord injury (SCI) in 2022. Elena opens up about the challenges she has faced, the triumphs she has celebrated, and the unwavering determination that fuels her desire to inspire others.
Get ready to be moved by Elena's story as she delves into the depths of her experience, offering a unique and powerful perspective on the rehabilitation process. This episode is a must-listen for anyone seeking motivation and a reminder of the strength of the human spirit.
Find Elena on Instagram at: https://www.instagram.com/stories/flostate_recovery/
Learn more about Elena:
https://linktr.ee/flostate_recovery?fbclid=PAZXh0bgNhZW0CMTEAAabbnreyPn0_1Q_F2dw0CdaG02VuI8xi1RWq_V84mT6UoNy_tE4fWNmoqcw_aem_PYgnbK-yJtq6t_WltcNemQ
Synapse Podcast: Episode 12
Guest: Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CSRP, CBFP, FAPTA
Links to Mike's Content:
Description: Buckle up for an enlightening conversation with the one and only Mike Studer! You know him from countless CEU courses and groundbreaking neuro research. In this episode, we dive deep into Mike's journey, his passion for neuro PT, and his invaluable advice for clinicians navigating the complexities of neurological rehabilitation - even if they don't consider themselves "Neuro Therapists"
We cover in-depth topics like dual-task training, high intensity training, flaccidity, external cues, and gathering post-task feedback from the patient. Towards the end of the podcast, Mike unveils his new book: "The Brain That Chooses Itself". Get ready to be inspired and informed!
Timestamped Show Notes:
Introduction: (00:42)
His Roles in the Field: (8:40)
His Time on a Ted Talk: (13:15)
Mike's Mentors: (17:08)
His Advice to PT's Uncomfortable with Neuro: (22:21)
Dual Task Deep Dive: (33:42)
Targeting Basal Ganglia & Cerebellum: (41:27)
Encouraging Post-Task Feedback from Your Patient: (44:06)
Treating Flaccidity: (49:13)
Gamification: (54:23)
How all PT's can treat Neuro: (59:53)
Mike's Book: "The Brain That Chooses Itself": (01:05:23)
Other Ways to View Mike's Content: (01:17:47)
Key takeaways:
Call to action:
Remember:
#SynapsePodcast #MikeStuder #Neurorehab
Another very brief episode before we jump back to long-form in future episodes. This episode is to briefly explain what graded assistance robotics is, and how it is used in the field of neurorehab. Also connecting graded assistance to how it relates to my journey with my recent career change. As always, thank you for listening!
1-minute update: I have made a career change, but still in the neurorehab space. Excited to continue to discuss best practice with you all!
You all are in for some great content with this episode. Joining the podcast is Isha Vora, OT & PhD candidate at MGH Institute of Health Professions, along with Heidi Brewer, regional therapy development manager at Vivistim. On this episode we discuss the science of Vagus Nerve Stimulation (VNS), while paired with therapy (Paired VNS). The podcast guests discuss the excellent research behind this technology, how it is integrated in to practice, and what the future holds for Paired VNS!
Liam Carroll is back for a deeper dive discussion in to Vestibular rehab. This time he is joined by his friend and colleague, Josh Campanella. They are both practicing at the Gloria Drummond Rehabilitation Institute in Boca Raton, FL, as part of the Baptist Health system. You will enjoy their discussion of their passion for vestibular research, as well as their approach to evaluation, technology, and VRT in this patient population.
Han Nguyen, PT, DPT, is back with us, and this time with NCS behind her name! She joins the podcast for Part 2 of a discussion on High Intensity Gait Training (HIGT). This time with focus on her recent case study, acute vs. chronic HIGT research, and error augmentation.
References below:
· Hornby, T. G., Reisman, D. S., Ward, I. G., Scheets, P. L., Miller, A., Haddad, D., Fox, E. J., Fritz, N. E., Hawkins, K., Henderson, C. E., Hendron, K. L., Holleran, C. L., Lynskey, J. E., & Walter, A. (2020). Clinical practice guideline to improve locomotor function following chronic stroke, incomplete spinal cord injury, and Brain Injury. Journal of Neurologic Physical Therapy, 44(1), 49–100. https://doi.org/10.1097/npt.0000000000000303
· https://neuropt.org/practice-resources/anpt-clinical-practice-guidelines/locomotion
· https://www.knowledgetranslation.org/videoblog
· Moore, J. L., Bø, E., Erichsen, A., Rosseland, I., Halvorsen, J., Bratlie, H., Hornby, T. G., & Nordvik, J. E. (2021). Development and results of an implementation plan for high-intensity gait training. Journal of Neurologic Physical Therapy, 45(4), 282–291. https://doi.org/10.1097/npt.0000000000000364
· Prediction rule calculator download: https://www.knowledgetranslation.org/prediction-in-inpatient-stroke-rehabilitation
• Holleran, C. L., Straube, D. D., Kinnaird, C. R., Leddy, A. L., & Hornby, T.G. (2014). Feasibility and potential efficacy of high-intensity stepping training in variable contexts in subacute and chronic stroke. Neurorehabilitation and neural repair, 28(7), 643-651.
• Hornby TG, Holleran CL, Hennessy PW, Leddy AL, Connolly M, Camardo J, Woodward J, Mahtani G, Lovell L, Roth EJ. Variable Intensive Early Walking Poststroke (VIEWS): A Randomized Controlled Trial. Neurorehabil Neural Repair. 2015 Sep 3.
• Hornby, T. G. et al. Feasibility of Focused Stepping Practice during Inpatient Rehabilitation Poststroke and Potential Contributions to Mobility Outcomes. Neurorehabil. Neural Repair 29, 923–932 (2015)
For episode 4, William (Liam) Carroll joins us. Liam is a PT and vestibular expert in the outpatient field. He shares a wealth of knowledge regarding vestibular science, differential diagnosis, and treatment.
This episode we welcome Han Nguyen, PT, DPT. She is an expert in High Intensity Gait Training (HIGT), and joins us to give an overview of HIGT and how it can be integrated in multiple settings. This episode touches on the what & how of HIGT, with a future episode to concentrate on more specifics.
