I Love Neuro podcast

46:10

We’ve heard from our audience a lot that working with people with dementia can be very challenging for a number of reasons. In this episode Erin Gallardo, PT, DPT, NCS interviewed Dr. Natalie Douglas, a speech-language pathologist and dementia expert on her insights for rehabilitation professionals working with individuals living with dementia. Learn key tools that will help individuals follow through with tasks more independently while breaking down the barriers to application of the tools, practical strategies, do’s and don’ts of working with individuals with dementia and how to approach the topic of ongoing maintenance vs when it’s time to discharge to wellness. Upcoming Resource: Dr. Douglas will be teaching a comprehensive dementia care masterclass in NeuroSpark this summer, offering practical case studies and intervention techniques for PTs, OTs and assistants. Go to www.joinneurospark.com to learn more about NeuroSpark. Professionals can download her free communication training manual to enhance their dementia care approach. Communication strategies download: https://practicalimplementation.org/download-materials/ new bluesky: @natfdouglas.bsky.social…

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263: Every Vestibular System Has A Person With Marc Broberg, PT, DPT, NCS 45:14

10 days ago45:14

45:14

Today’s episode compares persistent dizziness with persistent pain. There are patterns and insights from the literature that can help clinicians improve their approach to treating people with dizziness. Erin Gallardo, PT, DPT, NCS interviews Marc Broberg, PT, DPT, NCS on his theories after diving into the literature and treating people with dizziness for 15 plus years. Marc explains how approximately 25% of people with dizziness develop persistent symptoms. He shares the one key factor in determining how well they will recover. He believes successful treatment isn't about eliminating symptoms, but empowering patients to reconnect with their lives and rebuild their sense of self. Clinicians and patients alike can learn that recovery is a collaborative journey, not just a medical intervention.…

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262: Delivering Intensive Virtual Rehabilitation Through Neurofenix With Amy Rohe, MS, OTR/L, CSRS, ATP 35:59

17 days ago35:59

35:59

We all know rehab is not accessible to everyone who needs it after a neurologic injury. There are a number of reasons why, and, fortunately, there are also people looking to solve that problem. On today’s show we interviewed Amy Rohe, MS, OTR/L, CSRS, ATP who works for Neurofenix, a company that is transforming neurological rehabilitation with its innovative virtual therapy platform. The primary tool used by the OTs of Neurofenix is the NeuroBall, an FDA-approved device, that offers patients engaging, data-driven occupational therapy from the comfort of their homes. This model of delivery is really unique and interesting for clinicians and innovators in the healthcare space! The approach addresses critical gaps in traditional rehabilitation by providing accessible, consistent therapy for patients with neurological conditions, particularly stroke survivors. With over 90% patient adherence and plans for expansion, Neurofenix represents the future of technology-driven rehabilitation. Learn more about Neurofenix at https://www.neurofenix.com/ www.linkedin.com/company/neurofenix IG @neurofenix Reach out at: therapists@neurofenix.com…

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261: Emerging Research In Neuro Rehab With Dr. Tim Faw, PT, DPT, PhD 41:25

24 days ago41:25

41:25

Staying up on the latest evidence in neuro rehab? This interview is for you! Erin Gallardo, PT, DPT, NCS interviewed Dr. Timothy Faw, a neuroscientist and physical therapist about his research path - where he’s been and where it’s going. Tim discusses the work his labs have done in a few areas including the plasticity of gray matter and myelin and the implications on motor learning and movement in spinal cord injury. He also discusses tactics on eccentric gait training - that are basically the opposite of what we think of as high intensity - and how they are impacting outcomes. More recently his work has led him to study genetic factors in neurologic recovery including the markers for better or worse outcomes and drug trials. And to ensure listeners leave the conversation with action items, he’ll provide his takeaways and clinical pearls that you can start incorporating immediately. Tim emphasizes that rehabilitation is about more than just intensity—it's about creating meaningful, challenging, and novel movement experiences that engage the brain's adaptive capabilities. Clinicians and students interested in cutting-edge neuro rehab approaches can contact Dr. Faw at tfaw@som.umaryland.edu for more information. X - @timothy_faw Faculty Website - https://www.medschool.umaryland.edu/profiles/faw-timothy/…

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260: Improving Parkinson's Care In Rural Areas: Insights From A Physical Therapy Monitoring Program With Jamie Haines, PT, DScPT, NCS 52:44

4 weeks ago52:44

52:44

When people live in a rural area it can be very challenging for them to get access to specialty care. What are they missing? What could be different? How can we help? In this episode, Erin Gallardo, PT, DPT, NCS sits down with Jamie Haines, PT, DScPT, NCS to discuss her work on a Parkinson's disease monitoring program in rural Michigan. People with Parkinson's in rural areas face significant barriers to accessing specialized care, with only 9% seeing a movement disorder specialist. Jamie's program involved visiting participants 3 times over a year, providing individualized assessments, recommendations, and education. This hands-on approach helped participants improve their fall risk factors, though self-efficacy was slower to change. She shares insights on why that could be and what can be done. Jamie shares key findings from her project and provides advice to those living in rural areas. This work highlights the critical need to address the disparities in Parkinson's care for those living in underserved communities. Jamie's dedication to finding solutions is inspiring, and her insights can help guide future efforts to improve access and outcomes. To learn more about how the program got started and other details listen to this episode: 173: Improving access to care in rural areas and ramping up creative dual tasking https://www.parkinson.org/library/fact-sheets/exercise-recommendations To get mentorship from Jamie inside NeuroSpark and Parkinson Focus Track visit www.joinneurospark.com today!…

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259: Why Goggles Are Essential And How They Became Accessible In Vestibular Care With Patrick Esmonde 57:05

5 weeks ago57:05

57:05

Vestibular nerds this one is for you! Even if you’re just a regular neuro nerd, you’ll love this episode. Erin Gallardo interviews Patrick Esmonde of Vestibular First. Patrick shares the inspiring story behind the creation of Vestibular First and the company's mission to develop affordable, accessible tools to support clinicians in providing better vestibular care. Since necessity is the mother of invention, Patrick details the process of building the first prototype of Vestibular First goggles in a single night, leveraging his diverse technical skills and material purchased on Amazon. Goggles are essential in vestibular care for a number of reasons, which Patrick discusses as well as how inaccessible they have been until Vestibular First came to be. In addition to having goggles, educational tools that help clinicians explain to patients why they are experiencing dizziness and what is actually going on in their inner ear were lacking. Vestibular First has a strong desire for accuracy and accessibility in their education tools and realistic models so you don’t need to use your imagination to understand what is actually going on. Throughout the conversation, Patrick's passion for the vestibular community shines through. He speaks of the dedication and unique challenges faced by clinicians in this field, and the immense satisfaction of knowing their work is helping patients regain their quality of life. Vestibular First's story is a testament to the power of innovation driven by real-world needs. By prioritizing affordability, ease of use, and educational resources, the company is making a significant impact in the vestibular rehabilitation space, empowering clinicians and improving patient outcomes. You are sure to be inspired! Learn more about Vestibular First and all of their resources at https://vestibularfirst.com Follow them on IG @vestibularfirst Get in touch with Patrick on LinkedIn https://www.linkedin.com/in/patrickesmonde/ 174: Mastering the vestibular system with Helena Esmonde, PT, DPT, NCS…

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258: The Best Marketing Strategies For Your Neuro Clinic With Sarah King, PT, DPT 53:57

6 weeks ago53:57

53:57

Join this conversation where Erin Gallardo, PT, DPT, NCS dives into Sarah King, PT, DPT’s winding career as a mobile practice owner turned online entrepreneur turned Director of Marketing for 5 rehab clinics in TX. Sarah goes way back with NeuroCollaborative to the literal beginnings. We discussed how it came to be and why she decided to step aside when it became official. Sarah then discusses her journey with Invigorate, her own physical therapy and wellness practice specializing in Parkinson's disease. She describes the challenges of providing care within insurance limitations and the decision to become a mobile, cash-based practice then eventually serving in the online space for people with PD. Sarah openly shares the thought process that ultimately led her to shutting down Invigorate physical therapy and wellness. Following her intuition Sarah landed in a position at Spero Rehab, a multi-location practice in TX that offers a mix of neuro and orthopedic services. She highlights Spero's key marketing strategies and provides insights to anyone looking to grow their practice with more reliable tactics than word of mouth. Sarah also discusses Spero's partnerships with nonprofits like the Lone Star Paralysis Foundation, which have provided equipment and resources to better serve their neuro patients. She emphasizes the importance of collaboration and connection in the neurotherapy community and what that looks like as well as the key ingredients responsible for the growth of Spero.. Learn more about Spero Rehab at www.sperorehab.com Connect on IG: @sperorehab @sperorehabcentral @drsarahkingpt @gratefulpt Episode 226: How to start and scale an outpatient neuro practice with Katie Bouchillon, OTR, CBIST, MCMT…

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257: How VR Replaced Sensory Organization Testing With Dr. Geoff Wright, PhD 49:51

7 weeks ago49:51

49:51

In this episode, host Erin Gallardo, PT, DPT, NCS interviews Dr. W. Geoffrey Wright, a professor and director of the neuro motor sciences program at Temple University. Dr. Wright is also the co-founder and principal scientist at UprightVR, a company dedicated to developing virtual reality-based solutions for assessing and improving balance. While some clinicians may have been lucky enough to have the NeuroCom Balance Master, others have been using simple foam to conduct an “objective” measure of sensory organization. Thanks to VR and specifically UprightVR, sensory organization testing is portable, accurate, and full of data. Dr. Wright's journey into VR began in the mid-to-late 90s, when his PhD mentors at Brandeis University introduced him to the technology. Despite the prohibitive cost of VR headsets at the time, Dr. Wright recognized its potential for clinical and research applications. Over the years, the affordability and capabilities of VR have significantly improved, with Oculus's affordable headset in 2010 further democratizing the technology. In addition to his academic research, Dr. Wright has focused on studying conditions such as traumatic brain injury and Parkinson's disease. He explains the two-pronged aspect of his work - understanding the neuro control system and improving outcomes for patients. Upright VR initially focused on reducing fall risk in older adults, but has since expanded to address a wider range of balance disorders, including concussion treatment. The device is designed to be used by physical therapists for pre and post-treatment measurements, providing objective outcomes. The Upright VR test involves visual vestibular mismatch and sensory reweighting conditions, aiming to identify specific sensory integration problems. Dr. Wright explains the importance of these conditions in assessing balance and the rationale behind the space capsule-like environment. Beyond assessment, Upright VR offers targeted rehab modules in the form of games designed to address specific deficits, such as vestibular or ocular reflex problems. The device also provides recommendations based on test results to guide clinicians in their treatment plans. Contact Dr. Wright at: Geoff.wright@uprightvr.com UprightVR: www.uprightvr.com VeDA ISVR Find UprightVR at RehabWeek2025…

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256: Overcoming Barriers To Implementing High Intensity Locomotor Training With Dr. Annie Tapp, PT, DPT, PhD, NCS 41:51

8 weeks ago41:51

41:51

In today’s episode Erin Gallardo, PT, DPT, NCS talks with Annie Tapp, PT, DPT, PhD, NCS to discuss her research on the barriers and facilitators to implementing high-intensity gait training for stroke rehabilitation (and beyond). Months ago Annie was recruiting survey respondents for her PhD dissertation study on high intensity gait training in inpatient rehab. NeuroCollaborative allowed her to email and post her survey to our audience and today’s conversation is a follow up to see what she learned. Annie’s research data revealed common facilitators and barriers to implementing high intensity gait training for clinicians. There were some surprises and she shares what they were as well as future research questions. Does it have to only be done with walking? We discussed the core factors that make high intensity training desirable as well as what to do when you don’t have the equipment or an appropriate candidate for treadmill training. You’ll learn creative ways to implement high intensity training as well as the reason behind it. We also discuss what you’ll also need to add in addition to high intensity training because this impairment does not necessarily improve and needs to be addressed separately. Nervous about taking someone with an acute stroke who may have never worked out before into high levels of intensity? We talk about that too! Feel free to contact Dr. Annie Tapp, PT, DPT, PhD at aqtapp@ysu.edu Articles mentioned in the episode: Tapp, A., Griswold, D., Dray, D., Landgraff, N., & Learman, K. (2024). High-intensity locomotor training during inpatient rehabilitation improves the discharge ambulation function of patients with stroke. A systematic review with meta-analysis. Topics in stroke rehabilitation, 31(5), 431–445. https://doi.org/10.1080/10749357.2024.2304960 Tapp, A., Dray, D., Griswold, D., Haybarger, R., & Learman, K. (2024). A retrospective analysis of a clinician-initiated high-intensity locomotor training implementation project in an inpatient rehabilitation facility. Physiotherapy theory and practice, 1–10. Advance online publication. https://doi.org/10.1080/09593985.2024.2424354 Tapp, A. (2024). From Evidence to Practice: Efficacy and Implementation of High-intensity Locomotor Training for Stroke Rehabilitation [Doctoral dissertation, Youngstown State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733749623360122…

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255: How We’re Going To Expand Access to Neuro Expertise 37:30

9 weeks ago37:30

37:30

On today’s show Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS, recap their experience at the recent APTA’s CSM conference and what stood out. Neuro Collaborative was founded with the mission of helping people start neuro-focused practices and programs in their communities, to increase access to specialized neurological care and services. We grew into providing mentorship and continuing education, and part of the mission continues to be helping people start and sustain practices. We’ll explore the challenges of running a neuro-only clinic, including the need for supplementary revenue streams. We’ll discuss various solutions to creating a sustainable practice in neuro because it looks very different than an ortho practice. Be sure to follow us on IG and send us a DM if you have questions about your neuro biz! @neurocollaborative Listen to our previous episode with Adriaan Louw, Episode 211 Request to join the NeuroBiz Besties free Slack channel…

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254: How And Why BlazePod + Neuro Rehab = A Power Combo With Michael Cummings 48:04

10 weeks ago48:04

48:04

In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS sit down with Michael Cummings, the Director of Education for BlazePod USA. Michael shares his personal connection to neurotherapy through his experiences with family members affected by Alzheimer's and epilepsy. Michael explains how his background as a strength and conditioning coach led him to discover BlazePod and collaborate with the company. He highlights the seamless integration of BlazePod's "reactive intelligence" platform with his training methods focused on enhancing cognitive abilities with elite athletes. The discussion delves into the different ways BlazePod goes beyond the fitness world and into function, how to do that and the open ended question of why it matters to increase reaction time in the neuro population. We also address the challenges physical therapists face in adopting new technologies like BlazePod, such as time constraints and lack of creativity in busy schedules. Looking ahead, the BlazePod team is launching a new "Training Hub" feature to provide easier access to exercises and drills. Currently NeuroCollaborative has a webpage with free activities clinicians can upload to their app and run for free. Find the link to that page below! Follow Michael @michaelthetrainer // www.michaelthetrainer.com Find great free exercises to use with your BlazePods here: www.neurocollaborative.com/blazepod Don’t have BlazePod yet? Get a 20% discount with our affiliate code by going here: www.blazepod.com/neurocollaborative…

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253: Mastering No-Cost Marketing Strategies With Emily Duval Ledger 55:03

11 weeks ago55:03

55:03

In this episode, neuro business coach Emily Duval Ledger joins Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS for a discussion about marketing and no-cost strategies. Recently Emily challenged her coaching clients to a "no money marketing quarter" - an exercise to hone their skills at effective, low-cost marketing tactics. The discussion highlighted several important strategies for neuro practices: Setting Specific Goals: Rather than vague aims like "grow my business," Emily stressed the importance of defining measurable goals, like increasing your client base by a certain number each month. This allows you to track progress and determine marketing ROI. Nurturing Referral Relationships: Building authentic connections with referral sources, like other healthcare providers, was emphasized as a powerful long-term strategy. Keeping these partners informed and making them feel like heroes for sending you clients is key. Pricing for Value: Offering packages that deliver the best results for clients, rather than just having multiple price points, was recommended. This ensures you attract the right clients and get paid for the true value you provide. The discussion provided practical, low-cost tips neuro businesses can implement to effectively market themselves and grow their practices. The key is focusing on strategies that align with your unique clientele and services. If you have a neuro business and want to join our NeuroBiz Besties free Slack group, fill out this form so we can learn more about you and see if it’s a good fit!…

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252: Science Made Me Do It: Chosen VS Forced Behavior Change With Mike Studer, PT, DPT, MHS, NCS 1:00:29

12 weeks ago1:00:29

1:00:29

Interested in the best habits for you and your clients to improve healthspan not just lifespan? Join as Erin and Claire talk with Dr. Mike Studer PT, DPT, MHS, NCS, CEEAA, CWT, CSST, FAPTA, a renowned physical therapist and author, to discuss his new book "The Brain That Chooses Itself." We asked Mike our burning questions from the concepts in the book to help demystify information around exercise vs physical activity, sleep, nutrition and more. Some of the questions we addressed were how to provide choice to clients in a way that doesn’t overwhelm them, how to understand when the activities we’re doing or choices we’re making are releasing neurochemicals like dopamine, serotonin, and oxytocin, why Mike says “exercise is medicine” is dead and more! Get your opportunity to learn more and ask Mike your questions live by registering for a free webinar! Register here: http://www.neurocollaborative.com/studer Follow Mike on IG @mikestuderdpt www.mikestuder.com Get your copy of the Brain That Chooses Itself Here…

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251: How To Make Life Better For People With PD TODAY With Russell Meyerowitz 55:00

13 weeks ago55:00

55:00

In this episode, hosts Erin Gallardo and Claire McLean interviewed Russell Meyerowitz, the founder of the Parkinson Wellness Fund, a nonprofit with a mission to help PWP (people with Parkinson’s) by providing funds for services and equipment that will make life better right now. The Parkinson Wellness Fund was born out of Russell's desire to provide immediate relief and support to families affected by Parkinson's, in contrast to the heavy focus on research and finding a "cure" in the other nonprofits in the Parkinson's community. Russell emphasized the need to address the realities of living with Parkinson's today, including the significant financial and emotional toll on people and their loved ones. The Parkinson Wellness Fund provides grants averaging $350-$400 to cover a wide range of needs, from fitness classes and home modifications to assistive devices. The organization is committed to removing barriers and making their services accessible to all PWP, regardless of their financial situation or location. Russell shared his perspective on the challenges of the current healthcare system and research landscape around Parkinson's. He questioned the focus on finding a "cure" when the costs of living with Parkinson's are already so high for many families. Instead, he advocated for a greater emphasis on improving quality of life through exercise, nutrition, and accessible support services. Russell shared stories of how the Parkinson Wellness Fund has helped families connect with resources and find hope in the midst of their struggles. Learn more about the Parkinson’s Wellness Fund at www.parkinsonswellnessfund.org - Please support it and share it with anyone who could benefit from a grant! Follow them in IG @parkinsonswellnessfund…

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250: Uncovering The Role Of Speech Therapy In FND With Jenn Freeburn, MS, CCC-SLP 50:32

14 weeks ago50:32

50:32

In this episode of the I Love Neuro podcast, host Erin Gallardo interviews speech-language pathologist Jenn Freeburn about her work treating patients with functional neurological disorders (FND). Freeburn, a specialist in acquired motor speech and cognitive communication disorders, provides a fascinating overview of the often overlooked role of speech therapy in this complex condition. Freeburn explains that 30-50% of patients with functional motor symptoms may also experience speech-related issues, ranging from stuttering and functional dysarthria to changes in prosody and vocal quality. SLPs can also work with patients with functional cognitive disorder, a lesser-known aspect of FND that can involve memory problems, word-finding difficulties, and other cognitive challenges. As well as functional swallowing disorders, which often overlap with vocal symptoms and can lead to significant weight loss and deconditioning. In terms of treatment, Freeburn emphasizes the importance of a thorough assessment and a patient-centered, collaborative approach. She shares examples of creative techniques, such as using external cues, distractions, and even mimicry, to help patients regain natural speech patterns. Freeburn also highlights the potential for significant improvement, noting that some patients can achieve near-complete recovery of their symptoms. Throughout the conversation, Freeburn advocates for increased awareness and understanding of the role of speech therapy in FND and a collaborative approach. Check out the resources shared: https://pubmed.ncbi.nlm.nih.gov/34210802/ and https://pubmed.ncbi.nlm.nih.gov/37775195/ FND Resources we’ve gathered…

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249: Navigating The PhD Journey And Advancing Vestibular Expertise With Christina Garrity, PT, DPT, NCS 51:16

15 weeks ago51:16

51:16

In this episode of the I Love Neuro podcast, host Erin Gallardo sits down with Christina Garrity, PT, DPT, NCS who is currently pursuing her PhD at the University of Cincinnati. Christina took an unconventional path into her PhD and has gotten a new appreciation for our profession in the process. She provides insights into the time commitment and coursework involved, highlighting the focus on research ethics, study design, and statistical analysis while also being a clinic owner. While Christina’s outpatient clinic focuses on vestibular patients, her PhD research focuses on stroke and why she likes this. In the show we discuss how to be a responsible consumer of research literature because there are things you may not be seeing unless you think more critically. Christina also shares her perspectives on the practical application of clinical practice guidelines and the necessity of individualized care. Christina is also the lead mentor in the collaborative group VestiBesties. In VestiBesties, she appreciates the ability to provide real-time feedback and guidance to participants, addressing advanced vestibular assessments, concussion interventions, and other complex topics. Follow Christina in IG @vestibular_neuro_pt Click here to learn more about VestiBesties…

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248: Tackling the Challenges of Treating Ataxia With JJ Mowder-Tinney, PT, PhD, NCS 39:42

16 weeks ago39:42

39:42

As rehab professionals, we often face unique challenges when working with patients who have ataxia. In today’s episode Claire McLean, PT, DPT, NCS, J.J. Mowder-Tinney, PT, PhD, NCS and Erin Gallardo, PT, DPT, NCS have a group discussion about working with people with it. One of the primary challenges is that often there can be slow progress. This can be exacerbated by the diverse underlying causes and presentations of ataxia, making it difficult to develop standardized treatment approaches. In today’s show we’ll discuss a couple of main points the research emphasizes to incorporate in your treatments for people with ataxia. We’ll discuss the question of how to divide up your time in the session, how to uncover what their true capabilities are, and how to balance care partner training into sessions. Some treatment examples include incorporating sensory input, start-stop techniques, resistance training, whole task versus part task training, ocular motor training and visual tracking exercises to address the challenges patients face with balance and stability. Join us for a free webinar on working with patients with Ataxia on Jan 28, 2025! Register here: Navigating Ataxia Treatment: Practical Tools for PTs and OTs…

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247: Follow These 5 Neuroplastic Principles To Improve Patient Outcomes (With Examples!) With Briana Elson, MS, OTR/L 46:50

17 weeks ago46:50

46:50

In this episode occupational therapist Briana Elson, MS, OTR/L, BCPR, CBIS joined host Erin Gallardo, PT, DPT, NCS to discuss 5 principles of neuroplasticity and how they can be applied in neurorehabilitation. Note: In a previous episode a different 5 were discussed (see the link to that episode below). No need to listen to the previous episode to get what you need out of this one though! In this episode, we discuss what the principles are and how to apply them to your neuro caseload: 1. Time Matters - Yes we know this, but what does that look like and what if time isn’t on your side? Learn what to do! 2. Salience Matters - This one is so important, but what if your patient MUST learn a novel task?? (For example, someone with vision impairment who must learn to use equipment or new strategies to navigate the environment). Is there any hope? Turns out there is! 3. Age Matters - Younger brains demonstrate more plasticity, but we work with so many people with aging brains. What should you know? 4. Transference - Skills learned in one area can transfer to similar tasks, which is especially useful in cognitive rehabilitation when teaching strategies. How can you harness this? 5. Interference - Do previous compensatory behaviors interfere with retraining proper movement patterns? What about the argument that kinematics don’t matter, just get someone moving? Why context matters and how and when to use error augmentation vs error-less learning. Listen to episode 197 for our first conversation on the principles of neuroplasticity Listen to our interview on using the Vivistim episode 196 www.joinneurospark.com to learn more about NeuroSpark and get access to Bri’s lecture on Central Vision mentioned in the episode!…

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246: Tips For Running An Effective Strength Circuit Class For People With Parkinson’s 45:18

18 weeks ago45:18

45:18

If you’re looking to develop a strength circuit class for people with neurologic diagnosis this episode is for you! Running a circuit class for people with physical and/or cognitive deficits can have challenges. You need to be mindful in order to ensure safety while also challenging your clients enough to promote change. This episode Erin Gallardo and Claire McLean will break down the method and approach that Claire uses at Rogue PT and Wellness running her 40 weekly exercise classes for people with PD. In the show we’ll break down the types of exercises to include in your circuit, short cuts to reduce confusion, the flow and structure of a comprehensive class, how to approach the conversation about which class is right for your client, and when to split into different levels of classes. Check out a related past episode: Episode 219: Hi-Fi exercise class episode…

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245: Unlocking The Potential Of Virtual Reality In Neurorehabilitation With Ramiro Maldonado, PT, DPT 48:55

19 weeks ago48:55

48:55

Curious about how using Virtual reality (VR) could help you with prevention, assessment and treatment of your neuro patients? VR and AR (augmented reality) is emerging as a powerful tool in the world of neurorehabilitation, and Ramiro Maldonado, PT, DPT, a physical therapist with UprightVR, shares the research on the transformative capabilities of this technology. Ramiro highlights how the true power of a good VR system lies in its ability to drive neuroplasticity by creating immersive environments that challenge and retrain sensory systems. By manipulating visual inputs and leveraging principles of motor learning, VR tools can tap into the key principles of neuroplasticity, such as repetition, context specificity, and multimodal sensory integration. One particularly intriguing aspect is the concept of "avatar representation," where VR creates a digital clone of the patient, allowing them to witness and experience their own healthy movement patterns. This innovative approach can significantly enhance motor learning and functional recovery. Ramiro also discusses the potential of VR in balance assessment and training. By expanding on traditional sensory organization testing, VR-based assessments can provide highly accurate and standardized data, enabling clinicians to identify deficits earlier and tailor interventions accordingly. As the field of neurorehabilitation continues to evolve, the integration of virtual reality holds immense promise. By harnessing the power of this technology, clinicians can unlock new avenues for neuroplasticity-driven recovery, ultimately improving outcomes and quality of life for their patients. UprightVR UprightVR LinkedIn…

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244: When Pediatric Clients Grow Up With Cameron Brown, PT, DPT, PCS 46:59

20 weeks ago46:59

46:59

Are you used to working with adults with neurologic conditions and get intimidated by young adults or those with “pediatric” diagnoses? Many neuro therapists feel like they’re not the best person to help an adult with cerebral palsy, autism, spina bifida or other typical diagnoses made in childhood… but they’re wrong! In this episode hosts Erin Gallardo and Claire McLean talk to Cameron Brown, PT, DPT, PCS about care across the lifespan and give you the confidence you need to help these clients. In the show we discuss why neuro therapists are well-equipped to work with younger populations and how to adapt what you do for this population. Working with autistic adults is something many neuro therapists may not be accustomed to. Learn which strategies will work best to help these clients succeed. If you’ve ever felt like you weren’t “cool” enough to get along with younger adult patients we’ve also got tips for that! Regardless of how you’ve felt in the past, this episode will allow you to have the confidence you need to help the clients who really need you! Resources shared: https://www.autisticphysicaltherapist.com/about Follow Cameron Brown on IG @dr_mama_brown National Association of Black Physical Therapists Follow NABPT @nabpt_…

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243: Using A Sensory-Based Approach For Treating Functional Neurological Disorders 52:32

21 weeks ago52:32

52:32

Working with clients with Functional neurologic disorders (FND) can be confusing and challenging. If you’re stuck and aren’t sure how to help your clients you’ve gotta check out this episode! Occupational therapists and industry leaders in the treatment of FND Julie MacLean and Jessica Ranford discuss their expertise in using a sensory-based approach to treatment. In their work they noticed certain patterns emerging for people experiencing FND. By conducting detailed sensory profiles and histories, the OTs were able to identify patterns in how these patients processed sensory information. Many exhibited heightened sensory sensitivity, sensory avoidance, and low sensory registration - leading to cognitive, emotional, and motor control issues. The OTs developed a multi-step treatment approach focused on: 1) Increasing patient self-awareness of their sensory processing and arousal levels 2) Exploring individualized sensory strategies to self-regulate 3) Creating personalized "sensory diets" of activities to maintain balance This sensory-based framework, combined with motor retraining when needed, has been effective in helping FND patients improve their symptoms and expand their participation in daily life. Overall, this discussion highlighted the valuable role occupational therapy can play in assessing and treating the complex sensory processing difficulties experienced by many individuals with functional neurological disorders. FND specific resources: www.neurosymptoms.org www.FNDhope.org Overcoming Functional Neurological Disorders Workbook, Reset and Rewire: The FND Workbook OT and sensory processing specific resources: Living Sensationally: Understanding Your Senses by Winnie Dunn The Spiral Foundation Sensory Modulation & Environment: Essential Elements of Occupation by Tina Champagne The Sensory Connection Program and Workbooks by Karen Moore Recent OT publications: Sensory Processing Difficulties and Occupational Therapy Outcomes for Functional Neurological Disorder: A Retrospective Cohort Study. McCombs KE, MacLean J, Finkelstein SA, Goedeken S, Perez DL, Ranford J. Neurol Clin Pract. 2024 Jun;14(3):e200286. Outpatient Approach to Occupational Therapy for Paroxysmal Functional Neurologic Symptoms: Sensory Modulation Training as an Emerging Treatment. Ranford J, MacLean J. Neurol Clin. 2023 Nov;41(4):695-709. doi: 10.1016/j.ncl.2023.02.008. Epub 2023 Apr 20 Sensory Processing Difficulties in Functional Neurological Disorder: A Possible Predisposing Vulnerability? Ranford J, MacLean J, Alluri PR, Comeau O, Godena E, LaFrance WC Jr, Hunt A, Stephen CD, Perez DL.Psychosomatics. 2020 Jul-Aug;61(4):343-352. Occupational therapy consensus recommendations for functional neurological disorder. Nicholson C, Edwards MJ, Carson AJ, Gardiner P, Golder D, Hayward K, Humblestone S, Jinadu H, Lumsden C, MacLean J, Main L, Macgregor L, Nielsen G, Oakley L, Price J, Ranford J, Ranu J, Sum E, Stone J. J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1037-1045.…

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242: Revolutionizing Gait With Variable Friction Shoes With Dr. Tyler Susko Of Cadense 53:19

22 weeks ago53:19

53:19

Do you work with any clients who have trouble clearing their foot in swing phase of gait? If you said yes, this episode is for you! Dr. Tyler Susko, the founder and CTO of Cadense, Inc. is here to share the fascinating origin story behind Cadense's flagship product - the world's first variable friction shoes. The concept stemmed from Dr. Susko's PhD research at MIT, where he developed the "MIT Skywalker" - a robotic system that allowed patients to walk by dropping the floor during the swing phase. A comment from a research participant led Dr. Susko to create a passive, material-based shoe design that can dynamically adjust its coefficient of friction. Through extensive prototyping and user testing, the Cadense shoes have shown promising results for patients with a variety of neurological conditions, including stroke, cerebral palsy, Parkinson’s and multiple sclerosis. The shoes help facilitate foot clearance and improve gait symmetry and rhythmicity. If you want to see these for yourself and try them out Cadense offers a free pair to clinicians who sign up for the Cadense Coaches program. The program provides free shoes and support to clinicians interested in incorporating the technology into their practice. He also shares exciting plans for future research and development, including projects on AFO-compatible shoes and variable friction on different sides of the shoe. Learn more about Cadense and the Cadense Coaching Program at https://cadense.com Follow them on IG @cadenseadaptive…

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241:Unlocking The Secrets Of Facial Rehabilitation With Sheri Donaldson, PT, DPT, NCS 1:00:25

23 weeks ago1:00:25

1:00:25

Ever wonder what to do with a patient with facial palsy? Can they recover? What should you NOT do that can actually make it much worse? Tune in and find out! In this episode, Erin Gallardo, PT, DPT, NCS had the pleasure of speaking with Dr. Sheri Donaldson, PT, DPT, NCS. Dr. Donaldson shared her extensive expertise in the niche field of facial rehabilitation and the specialized techniques she employs to help patients with facial paralysis recover. Sheri emphasized the importance of the face in human expression and communication. She discussed the challenges faced by patients with facial paralysis, including the emotional impact and the difficulties with everyday tasks like eating and drinking. A key focus of the discussion was the delicate nature of facial retraining and the need for a customized, precision-based approach. Sheri shared her insights on the do's and don'ts of facial rehabilitation, cautioning against a couple of things that are controversial like electrical stimulation, mirrors, acupuncture, and botox. Sheri emphasized the importance of early intervention, the use of outcome measures like the Sunnybrook Facial Grading System, and the value of seeking mentorship and continuing education in this specialized field. Email: face.first.phoenix@gmail.com Website: https://facefirstphoenix.wixsite.com/face-first-physical Sunnybrook Facial Grading System Facial Palsy.UK https://facialtherapyspecialists.com…

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240: Who Made Me The Leader? How To Lead (Not Manage) A Team 42:18

24 weeks ago42:18

42:18

Have you ever thought, “I’m really not good at managing people”? Or felt overwhelmed by the idea of being responsible for someone else? As business owners, the success of our ventures often hinges on the strength of our teams. In this episode of the I Love Neuro Podcast, Emily Duval Ledger, Erin Gallardo, and Claire McLean share their experiences and lessons learned about leading a team. Emily reflects on her early struggles as a new business owner, admitting that she initially tried to overcompensate for her insecurities by being overly decisive and not listening to her team. Claire and Erin echo the challenges of transitioning from skilled practitioners to effective managers. The conversation delves into the nuances of hiring the right people, creating a positive team culture, and having difficult conversations when necessary. The panelists stress the importance of understanding your own leadership style, being transparent with potential hires, and evolving job roles to align with individual strengths. This insightful discussion offers a roadmap for aspiring and seasoned entrepreneurs alike, highlighting the challenges and rewards of building a thriving team. As you navigate the journey of business ownership, remember to embrace the opportunity for continuous improvement and the joy of watching your team members flourish.…

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239: UPDATE: Create Your Own Harness Set Up Like Rogue’s 28:00

25 weeks ago28:00

28:00

On today’s episode Claire McLean and Erin Gallardo offer an update to a previous episode on setting up overhead harness systems for your neuro rehab gym the way Claire has it set up at Rogue. Rogue has a DIY, relatively inexpensive setup using things like anchors, rope ratchets, and construction-style harnesses. The big update to share was finding some new products that have really improved the comfort and usability of their system. The addition of "quick links,” which are essentially two carabiners connected by a nylon spacer helps keep the bulky pulleys and hardware away from people's heads. They also talked about using a spreader bar, which helps position the support points even further away when doing single-point balance training. Claire was really excited about these little upgrades, saying they were "game changers" that made a big difference in how comfortable and safe the system is for their clients. Additionally they also discussed other helpful aspects of the treadmill set up like Swiss balls and chalk lines on the treadmills, to help people with conditions like Parkinson's take bigger steps. Lots of little tricks to make the training environment as supportive as possible. The updates in this episode will help you create an even better set up and system! Please reach out with any questions or shares at info@neurocollaborative.com Episode 139: How To Create Your Own Harness Set Up Like Rogue’s Claire’s equipment mentioned (not affiliate links) Anchor Rope Ratchet QuickLinks Harness Mass Rehab Inc…

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238: Optimizing Resistance Training for Older Adults and Neurological Conditions With Dr. Amy Ashmore, PhD 49:51

26 weeks ago49:51

49:51

In this episode, hosts Erin Gallardo and Claire McLean interviewed Dr. Amy Ashmore, an expert in resistance training programming. Dr. Ashmore shared her extensive experience and passion for resistance training. Some of the key points she shares are that timing is critical. Dr. Ashmore emphasized the importance of precisely controlling the timing of concentric and eccentric contractions to target specific training adaptations, such as muscle power, strength, or hypertrophy. She also notes the importance of adjusting volume for aging muscle citing that recent research suggests older adults may require higher training volumes, up to 36 repetitions per set, to stimulate muscle growth and maintain lean mass as they age. There is also a need to prioritize motor skill development for older or neurologically impaired clients new to resistance training and what the focus should be. Learn these insights and more by listening to the episode so you can get stronger clients starting today! Learn more about Dr. Ashmore’s courses here: https://physicaltherapy.education https://amyashmore.com/ https://www.linkedin.com/in/amyashmorephd/…

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237: Let’s Discuss! PD Research Review 36:20

27 weeks ago36:20

36:20

In this episode of the I Love Neuro podcast, hosts Erin Gallardo and Claire McLean discuss important updates and research related to Parkinson's disease. They used neurologist Dr. Michael Okun’s Instagram account as inspiration for the recent research to discuss. The first article discussed is titled End-of-life Health Care Service Use and Cost Among Medicare Decendents With Neurodegerative Diseases . The discussion highlights the high healthcare costs and lack of planning for end-of-life care in neurodegenerative diseases like Parkinson's. The article emphasizes the importance of involving neurologists and having a comprehensive care plan to improve outcomes, and we discuss what that might look like. The second article discussed is titled Pain Fluctuation in Parkinson’s Disease and their Association with Motor and Non-Motor Fluctuations with an interesting finding about the type of pain people with PD typically experience, when they experience and our theories about why. Pain management is an expensive and often frustrating industry, so this is an important topic! Find the article here: End-of-life Health Care Service Use and Cost Among Medicare Decendents With Neurodegerative Diseases Find the article here: Pain Fluctuation in Parkinson’s Disease and their Association with Motor and Non-Motor Fluctuations Follow Dr. Michael Okun here for PD research updates!…

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236: Can Business Be Fun? What If It Could?! 32:29

28 weeks ago32:29

32:29

Does your energy get sucked when you do certain administrative tasks in your business? Do you love some tasks and dread others? What if it could be fun? Do you believe it could? Well, after listening to this episode you just might! And what would you gain? You’ll feel more energized, you’ll be more creative, and you’ll end up being more productive while also attracting more ideal people to your business. In this episode of the I Love Neuro podcast, hosts Erin Gallardo and Claire McLean chat with business coach Emily Duval Ledger about the transformative power of infusing fun into your business operations. The discussion begins with Emily sharing how a simple suggestion from Erin - to make administrative tasks more fun - completely changed her perspective. Erin explains how she learned the importance of fun in business, even though it wasn't a priority growing up. The trio then dive into specific examples of how they've incorporated fun into their own businesses. Emily shares how she revamped her book writing process by recording audio notes while exercising, rather than the tedious typing that drained her creativity. The group also explores the potential of AI to automate mundane tasks in an engaging way, like using chatbots customized to a company's unique voice. Claire and Erin emphasize that they built NeuroCollaborative and Claire built Rogue around the principle of fun from the start, whether that's through themed events, spontaneous dance parties, or flexible scheduling. They explain how aligning your business model with your personal interests and passions is key to maintaining that sense of enjoyment. The conversation touches on the physiological benefits of incorporating play and fun and ideas for how clinicians can encourage patients to make mobility transitions more fun. By making work more enjoyable, you can reduce stress, boost productivity, and find greater fulfillment in your entrepreneurial journey, so why not try it yourself?.…

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235: Your Neuro Practice Questions Answered By APTA President Roger Herr, PT, MPA 58:52

29 weeks ago58:52

58:52

In today’s episode Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS had the pleasure of interviewing APTA President Roger Herr and asking all of the burning questions about what it’s like to run a neuro practice with Medicare as it is and where we’re going. Roger shared his journey into physical therapy and his extensive experience in key roles that gave him a wide angle perspective of the profession he advocates for now. Alternative Payment Models for PT Practices - Herr emphasized the importance of finding local, regional payment models that best fit each practice's needs, whether that's working with employers, payers, or patient groups. - He discussed strategies like opting out of Medicare, negotiating contracts, and exploring cash-based services to create sustainable business models. Challenges for Micro Practices - Smaller PT practices often struggle with billing, communicating with payers, and navigating the complexities of Medicare coverage. - Could clearer guidelines around medical necessity and skilled care be a helpful short-term goal? Advocacy Efforts for the PT Profession - Herr highlighted the need to shift from volume-based to value-based care, and to advocate for recognizing the downstream costs and impact on patients. - He discussed opportunities in Medicaid, annual wellness visits, and partnering with patient advocacy groups to drive change. Modernizing Medicare Access - Herr explained efforts to update Medicare legislation and allow beneficiaries to directly contract with physical therapists. - This could provide more flexibility and options for patients, though the details around rules and limitations are still being worked out. Leveraging Technology and AI - Herr shared insights on how technology and AI can support population health management, documentation, and reducing administrative burdens for PT practices. APTA Infographic of Prior Authorization ChoosePT How Medicare Determines Payment HH and SNF Download the APTA Advocacy App ChoosePT Directory - Sign up by logging into APTA account, then go to Online Profile, then Find a PT Instagram rogeraherr X @RAHPT Facebook Roger Herr…

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234: Advancing the Understanding and Treatment of Functional Neurological Disorders With Heather Salon, PT, DPT, NCS and Julie Maggio, PT, DPT, NCS 54:27

30 weeks ago54:27

54:27

Feel confused about how to assess and treat someone with Functional Neurological Disorder (FND)? We got your back! In this episode host Erin Gallardo interviews FND experts Heather Salon, PT, DPT, NCS and Julie Maggio, PT, DPT, NCS on this range of neurological symptoms that includes functional movement disorders, seizures, and speech/communication issues. FND is characterized by abnormal brain connectivity and network dysfunction, often presenting with mixed symptoms. A key shift in recent years has been the recognition of FND as a "rule-in" diagnosis, rather than a diagnosis of exclusion. Learn what to expect during the subjective evaluation and how to approach it with best practice. Heather and Julie highlight the importance of identifying specific "rule-in" signs, such as Hoover sign, give-way weakness, and symptom variability, to confidently diagnose FND. They also emphasize the need for a comprehensive assessment, including evaluations of the motor, sensory, and autonomic systems. Also discussed are differential diagnoses like dystonia. The conversation underscored the multidisciplinary nature of FND care, with physical therapists, occupational therapists, psychologists, and neurologists working collaboratively to provide optimal treatment. Sensory-based interventions, such as the use of Kinesio tape, abdominal binders, and visual feedback, were discussed as valuable tools in the PT's toolbox. Importantly, Heather and Julie stress the need to manage patient expectations and set realistic goals, focusing on improving function and reducing symptoms rather than aiming for complete symptom resolution. They also highlighted the importance of ongoing education and resources for clinicians interested in advancing their knowledge and skills in the FND field. Check out these resources mentioned in the episode: https://www.fndsociety.org/fnd-education FND society education resources 26.08.2023-Information-guideance-sheet-for-medical-professionals.pdf (fndaction.org.uk) Inform the doctor fact sheet Diagnosis and Management of FND A framework for understanding the pathophysiology of functional neurological disorders A practical review of FN for the general physician…

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233: Optimizing Outcomes For Patients with Multiple Sclerosis With Researcher And Clinician, Herb Karpatkin, PT, DSc, NCS, MSCS 52:57

31 weeks ago52:57

52:57

Have you heard some things about working with people with MS that make you question how to approach their care? Are they old school thoughts or based on science? Who can tell?! You’ll know after listening to this episode! Hosts Erin Gallardo and Claire McLean had the privilege of speaking with Herb Karpatkin, PT, DSc, NCS, MSCS, a leading expert in physical therapy for individuals with multiple sclerosis (MS). Herb shared invaluable insights from his decades of clinical experience and research, providing guidance for physical therapists on how to actually support patients with this complex neurological condition so they improve. A key focus of Herb's research has been exploring ways to help MS patients overcome debilitating fatigue, which often limits their ability to participate in rehabilitation. He has found great success with intermittent training protocols, where patients alternate short bursts of activity with rest periods. Herb shares specific parameters from the research so you can use it now. Next you must recognize that a significant portion of disability in MS patients may be due to deconditioning, rather than the neurological disease process itself. By implementing targeted reconditioning programs, physical therapists can make a substantial impact on improving functional mobility, even in those with advanced disease. Herb's research has also demonstrated the benefits of high-intensity interval training for individuals with MS. Contrary to outdated beliefs, many MS patients are able to tolerate and thrive with aggressive exercise programs when implemented thoughtfully. Herb emphasizes the importance of gradually progressing patients to higher intensities, while closely monitoring for signs of fatigue. To further support the MS community, Herb is actively involved with the Degenerative Disease Special Interest Group of the American Physical Therapy Association. This group has created a Clinician Locator Map to help patients find physical therapists with expertise in treating degenerative conditions like MS. For your patients and clients with MS: MS Cooling Products Application Sign up for the clinician locator map: https://www.neuropt.org/special-interest-groups/degenerative-diseases/ddsig-clinician-locator-map Register for the free webinar on MS interventions you can apply immediately here! https://www.neurocollaborative.com/ms-webinar…

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232: Bridging The Gap: Becoming A Clinician, A Researcher, And A Storyteller With Ryan Lovell, PT, DPT, NCS, ATP 55:09

32 weeks ago55:09

55:09

In the ever-evolving world of neurorehabilitation, Dr. Ryan Lovell, PT, DPT, NCS, ATP has carved out a unique path that blends his clinical expertise with a passion for research and storytelling simply through curiosity and exploration. As a physical therapist, doctoral student, and podcast host, Ryan's multifaceted career serves as an inspiring example of the diverse opportunities available within the neuro field. Ryan's journey began with a strong foundation in the medical field, influenced by his mother's work as a registered nurse. Drawn to the intersection of sports medicine and neurology, Ryan found his calling in physical therapy, particularly after a fortuitous opportunity to intern at Casa Colina Hospital. This experience ignited his interest in neurorehabilitation and set him on a course to pursue a neuro residency, specialized certifications, and eventually, PhD candidacy in Rehabilitation and Movement Science. As a researcher, Ryan has tackled intriguing questions, from exploring the use of transcranial stimulation devices for stroke and spinal cord injury rehabilitation to investigating clinical biomarkers in post-concussion syndrome. His work has highlighted the importance of bridging the gap between clinicians and product companies, ensuring that new technologies are not only safe but also truly beneficial for patients. Ryan's passion for storytelling has also found expression through his podcast, The Parallax Effect. Recognizing the power of narrative in making complex scientific concepts accessible, Ryan has used this platform to share diverse perspectives and foster meaningful dialogue within the neuro community. His ability to seamlessly blend his scientific expertise with creative flair serves as a testament to the value of interdisciplinary thinking. As Ryan continues to navigate the realms of research, teaching, and podcasting, his story serves as a reminder of the boundless opportunities that await those willing to embrace the intersection of science, technology, and storytelling. By bridging the gap between clinicians, researchers, and the broader community, Ryan Lovell's work exemplifies the transformative power of a multidimensional approach to neurorehabilitation. Episode 189 of the I Love Neuro Podcast with Lynne Becker YouTube: The Parallax Effect Podcast Instagram: @parallaxeffectmedia X: @parallaxeffects TikTok: RyloKen27 Facebook: The Parallax Effect Podcast…

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231: Navigating Concussion In Aging Adults With Jennifer Lazaro, PT, DPT, NCS 40:24

33 weeks ago40:24

40:24

Did you know there are some unique differences when working with aging adults who experience concussions? In fact, patients may come to your clinic after a fall and not have the diagnosis of concussion but they may actually have one. How would you know? What would you do to screen for it? What would you treat first? Tune in to answer all of these questions and more! - Concussions in the elderly population often result from falls at standing height, rather than high-velocity impacts. - Symptoms like imbalance and dizziness may be overlooked or attributed to other conditions, making diagnosis difficult. Comprehensive Assessment and Treatment - Evaluating neck pain, vestibular function, balance, and autonomic dysfunction is crucial for managing geriatric concussion. - Strengthening neck muscles, improving cervical proprioception, and incorporating vestibular rehabilitation exercises can aid recovery. - Screening for BPPV and addressing visual motion sensitivity are also important treatment considerations. Monitoring Exertion and Symptom Management - Graded exercise testing, such as the Buffalo Concussion Treadmill Test, can help determine safe activity levels. - Educating patients on pacing activities and using the "gas tank" method can prevent overexertion and prolonged symptoms. - Incorporating breathing exercises can help regulate the autonomic system and promote calming. Interdisciplinary Collaboration and Ongoing Support - Referring patients to the appropriate specialists, such as neurologists or physiatrists, is key for comprehensive care. - Participating in mentorship opportunities, like the NeuroSpark office hours, can provide valuable guidance for clinicians. - Continuous monitoring and adjustments to the treatment plan are essential for successful geriatric concussion management. Check out this episode for more information! 182: Assessing and treating dysautonomia in neuro clients with Jennifer Lazaro, PT, DPT, NCS Learn more about NeuroSpark here!…

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230: Mastering Floor Transfers and Exercises in Neuro Without the Fear With Dr. JJ Mowder-Tinney, PT, PhD, NCS 41:52

34 weeks ago41:52

41:52

In this episode, hosts Erin Gallardo and Claire McLean are joined by guest Dr. JJ Mowder-Tinney, PT, PhD, NCS, a highly experienced physical therapist specializing in neurological conditions. Are you afraid to get your patients on the floor? Are you nervous it will be too painful for them (or you)? Join us for this engaging discussion on the importance of getting patients down on the floor and practicing floor transfers, as well as strategies to overcome the common fear and hesitation clinicians may have around this. Some of the key takeaways include: - The significance of building patients' self-efficacy and confidence in getting up from the floor, as fear of falling is closely linked to increased fall risk. - The value of strong movement analysis skills that allow therapists to tailor floor activities to each patient's unique presentation and abilities. - Practical tips for breaking down the task into smaller, more manageable parts and adjusting the environment (e.g. using padded mats) to facilitate success. - The collaborative approach of problem-solving with patients to find the best methods for them, rather than prescribing a one-size-fits-all technique. - The importance of regularly assessing floor skills and incorporating floor exercises into treatment, even for higher-functioning patients. - Encouragement for clinicians to reflect on their own comfort level with floor transfers, seek support from colleagues, and continuously expand their skills in this area. We are also excited to announce a free webinar on September 24th titled "Gettin’ Down and Dirty: Mastering Floor Transfers and Exercises in Neuro Without the Fear," which will give you the opportunity to brainstorm live with hundreds of neuro colleagues from around the world, see some helpful videos, and give you specific takeaways you can use the next day. Here is the floor mat Claire uses at her clinic (not an affiliate link) https://www.neurocollaborative.com/floor-transfers Follow @jjmowderpt…

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229: Creating A Neuro Practice That Works For You AND Your Patients With Vanessa Kaczmarek, PT, DPT, NCS 49:46

35 weeks ago49:46

49:46

In this episode Erin, Claire and Emily Duval Ledger interview Vanessa Kaczmarek, PT, DPT, NCS about her experience starting a private practice focused on neurologic physical therapy. Some of the key takeaways include: Starting a Niche Private Practice - Vanessa saw gaps in care for patients transitioning from inpatient rehab to outpatient, so she launched Neuroactive Therapy to provide high-intensity, research-based therapy. - Her practice is primarily cash-pay, allowing her to offer more frequent, customized treatment sessions. Growing a New Business - Vanessa initially struggled to build her caseload, but has since gained momentum through networking with other therapists and reaching out to referral sources. - Marketing and business tasks don't come naturally, but she's embraced them as necessary to sustain her passion for patient care. Balancing Work and Life - As a mobile PT, Vanessa has had to get creative with scheduling to maintain a healthy work-life balance, especially as a mom of young kids. - She's learned to prioritize patient treatment time while streamlining administrative tasks like documentation. Leveraging Technology - The group discussed using AI and dictation tools to improve the efficiency of documentation, though Vanessa prefers a more hands-on approach for now. - They agreed that finding ways to reduce the administrative burden could be game-changing for private practice PTs. Throughout the conversation, Vanessa's authenticity and dedication to her patients shone through. Her story provides inspiration and practical insights for other therapists considering the leap into private practice. Learn more about Vanessa and her practice here! https://neuroactivetherapywellness.com/ Instagram @neuroactivetherapy…

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228: How To Use Neuroscience To Help Your Clients (Or Yourself) Improve Intimacy and Pleasure With Dr. Rose Schlaff, PT, DPT 54:35

36 weeks ago54:35

54:35

As rehab professionals, we're often hyper-focused on helping our clients improve their physical function and manage pain. But what about the equally important aspects of emotional and sexual wellbeing? In this episode Erin had the chance to sit down with Dr. Rose Schlaff, a pelvic PT and sex counselor, to discuss how neuroscience-based techniques can unlock greater intimacy, desire, and pleasure. Dr. Rose shared her "Reclaim the Flame" method, which combines neuroscience, somatics, and sex counseling to help clients overcome societal pressures and unrealistic standards around sex and relationships. One key component is working with the cranial nerves through simple 30-second exercises. She explained that by grounding into the nervous system and using cranial nerve exercises and an understanding of polyvagal theory, we can help clients shift out of stuck states like anxiety, lack of focus, or low libido. These quick movements that stimulate the eyes, face, and other cranial nerves can create rapid shifts in our physiology and emotional state. You will learn how eye movements actually release dopamine and how to use these to reset your nervous system or your clients. You will also have the opportunity to follow along with an exercise to make a shift yourself during the episode. Additionally, if you’re nervous or don’t know where to start having these conversations with clients we’ll give you the steps you need to help them without the embarrassment. As we discussed, our relationships, stress levels, and feelings of desire (or lack thereof) can have a profound impact on our nervous system and overall wellbeing. Dr. Rose emphasized the importance of clinicians feeling safe and comfortable to talk about any topic with clients, and using self-regulation techniques, in order to facilitate better co-regulation. She encouraged clinicians to normalize conversations around sex and intimacy, even if it feels outside of our typical scope. By tapping into the power of the nervous system through techniques like eye exercises and visualization, we can help our clients (and ourselves) experience greater ease, excitement, and connection in all areas of life - not just the bedroom. It's an empowering reminder that holistic health encompasses so much more than just the physical body. To learn more from Dr. Rose and explore her free resources use the links below.. And keep an eye out for her upcoming trainings on trauma-informed pelvic and sexual health coaching. www.bewellwithrose.com https://www.instagram.com/bewellwithrose/ Free 15 min call: https://www.bewellwithrose.com/schedule-now Free guide: www.bewellwithrose.com/sds ^ FREE GUIDE: Playing with Power Dynamics: Scripts to Get You Confident and Comfortable Asking For What You Want in Any Setting! This guide will take you through examples of my 3-step strategy to feel more comfortable, confident, and cozy communicating in any setting so you can: ✅ Decrease pain or discomfort during intimacy so you can have more fun and feel more care-free, confident, and connected in and out of the bedroom ✅ Feel calm and confident communicating your wants and needs ✅ Take the pressure off so you can feel energized and excited by intimacy BONUS: navigate medical appointments with more comfort and confidence…

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227: What You Should Know About Telerehab To Improve Access And Equity With Dr. Jennifer O’Neil, PT, PhD and Dr. Alan Lee, PT, DPT, PhD 58:22

37 weeks ago58:22

58:22

Have you ever wondered how to effectively use telehealth to provide care? Maybe you’re already using it and want to know how to improve. In this episode of the I Love Neuro Podcast, host Erin Gallardo sat down with two leading experts in the field - Dr. Jennifer O'Neil and Dr. Alan Lee - to learn the latest research about telehealth. Dr. O'Neil, a physiotherapist and professor at the University of Ottawa, shared her passion for using telehealth to improve access to rehabilitation services. She became interested in this area after seeing how much time she spent traveling to see her patients in Canada's vast countryside. Her doctoral research focused on implementing intensive home-based telerehabilitation programs for people living with traumatic brain injuries. She also discussed her work on a telehealth falls prevention program tailored for Francophone communities, highlighting the importance of addressing health equity. Dr. Lee, a physical therapist and professor at Mount Saint Mary's University, provided historical context on the development of telehealth in physical therapy. He talked about the contributions of the international physical therapy community, including the recent publication of a clinical practice guideline (CPG) on telehealth from the American Physical Therapy Association (APTA). This guideline covers everything from video conferencing to remote monitoring and asynchronous visits. The experts shared their insights on key considerations for implementing telehealth, such as safety, patient satisfaction, and the importance of shared decision-making with patients. They emphasized the need for standardized terminology and the inclusion of qualitative research to better understand the nuances of telehealth delivery. Erin asked about the barriers and best practices for clinicians using telehealth, how to use telehealth with people with cognitive difficulties, tips for using telehealth with groups vs individuals and how to overcome some of the common barriers that clinicians face when using telerehab. The speakers highlighted the importance of preparation, digital literacy, and adapting clinical skills for the virtual environment. They also discussed the latest changes in billing and reimbursement, as well as their opinions on whether telehealth visits should cost the same as in-person visits. Download the CPG here: https://pubmed.ncbi.nlm.nih.gov/38513257/ https://x.com/oneil_jenn https://www.uottawa.ca/faculty-health-sciences/rehabilitation/our-professors/jennifer-o-neil joneil@uottawa.ca @oneil_jenn @alanleedpt (X) https://www.linkedin.com/in/alan-lee-21211314/ (Linkedin) allee@msmu.edu (email)…

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226: How To Start And Scale An Outpatient Neuro Practice With Katie Bouchillon, OTR, CBIST, MCMT 52:35

38 weeks ago52:35

52:35

In this episode of the I Love Neuro podcast, hosts Erin Gallardo and Claire McLean sat down with Katie Bouchillon, OTR, CBIST, MCMT, owner and CEO of Spero Rehab, a multidisciplinary outpatient clinic with 6 locations across Houston and Austin, Texas. Katie shared her journey into neuro rehabilitation and entrepreneurship, offering valuable insights for other clinicians looking to start or grow their own practices including what NOT to do based on the big mistakes she made along the way. - Katie was motivated to start her own clinic after becoming frustrated with the decreasing length of stays for neuro rehab patients at her previous employer. She saw a need in the community for more effective and sustainable rehabilitation options. - Starting a brick-and-mortar clinic from scratch came with its challenges, including taking out a large loan and making mistakes in the early years. Katies emphasizes the importance of establishing core values and a clear vision before opening a practice. She explains what this looks like in practice. - Building a strong network and community involvement are crucial to Katie’s success. She leveraged relationships with former colleagues, participated in local events, and used social media to attract patients and employees. - Running a neuro-focused practice comes with unique financial and operational challenges. Katie discusses strategies like outsourcing services, partnering with nonprofits, and diversifying service offerings to maintain financial stability. - Hiring the right team and delegating responsibilities were key to Katie’s ability to scale her business. She prioritizes finding passionate, adaptable employees who share her core values. She explains where to find “A players” and how long it could take to find the right people. Overall, Katie’s story highlights the rewards and difficulties of entrepreneurship in the neurorehabilitation field. Her insights offer valuable lessons for clinicians looking to take the leap into private practice. https://sperorehab.com @sperorehab @sperorehabcentral @speromeanshope…

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225: How To Integrate Nutrition, Regenerative Therapy, and Fitness into a Specialized Geriatric and Parkinson's Physical Therapy Practice With Beth Templin, PT, DPT, GCS 1:00:05

39 weeks ago1:00:05

1:00:05

In this episode of the I Love Neuro Podcast, hosts Erin Gallardo and Claire McLean sat down with Dr. Beth Templin, PT, DPT, GCS, the founder of House Fit Physical Therapy, to discuss her innovative approach to serving the aging population and those living with Parkinson's disease. Beth shared her journey into geriatric physical therapy, starting a mobile practice and then expanding to a 5,000 square foot facility that offers a range of services beyond one-on-one therapy. Some key highlights from the conversation include: - Navigating Medicare billing as a non-participating provider initially, then transitioning to a participating provider to remove barriers for clients - Offering a diverse range of fitness classes tailored to different ability levels, with physical therapists leading the classes. Classes are with mixed populations of people, which is unique. - Incorporating non-invasive regenerative therapies like electromagnetic transduction therapy and shockwave to provide pain relief - Launching a comprehensive nutrition education and coaching program, including monthly plant-based potlucks - Emphasizing the importance of integrating nutrition, exercise, and lifestyle changes to achieve the best outcomes for their aging adult and Parkinson's clients The discussion provides valuable insights for physical therapists and other healthcare providers looking to expand their services and take a more holistic approach to patient care. By blending traditional therapy, innovative treatments, and lifestyle interventions, House Fit Physical Therapy is setting a new standard for supporting the aging population and those living with neurological conditions. https://www.housefitstl.com/ https://www.facebook.com/housefitstl https://www.instagram.com/housefitstl https://www.youtube.com/@housefitstl…

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224: The Best Approach To Vision Therapy With Dr. Melissa Zarn Urankar, OD, Katy Coleman, OTR/L, and Xenia Andrzejewski, PT 53:07

40 weeks ago53:07

53:07

In today’s episode we hosted three experts in vision rehabilitation, optometrist Dr. Melissa Zarn Urankar, occupational therapist Katy Coleman, and physical therapist Xenia Andrzejewski to discuss the importance of optimizing care for people with neurologic conditions who have vision dysfunction. The episode will address who sees patients for vision impairment - an optometrist, ophthalmologist, or neuro-ophthalmologist? Plus what are the differences in their roles for clinicians and optometrists. What are some of the things clinicians should look for that would prompt them to assess a patient's vision more closely? What are some key assessments or techniques they can use? What resources and training are available for physical therapists and occupational therapists who want to improve their skills in visual rehabilitation? Are there any certification programs? The guests will share their key insights into having a collaborative relationship with other disciplines and where you can find your team. Key takeaways: - Building relationships with your "weirdos" or like-minded clinicians who are open to sharing perspectives is crucial for problem-solving complex patient cases. - Optometrists, occupational therapists, and physical therapists each bring unique expertise, but must be willing to listen and learn from each other to provide the best care. - Clear communication and avoiding jargon is key when working across disciplines. Clinicians should focus on describing functional observations rather than making assumptions. - Attending continuing education courses like the NORA annual conference can help build interdisciplinary knowledge and networks. - Reaching out to local vision therapy specialists and being open to learning from their perspective can greatly benefit OTs and PTs working with neuro patients. By embracing an interdisciplinary approach and putting the patient's needs first, clinicians can provide more comprehensive and effective neuro vision rehabilitation. Collaboration is key to unlocking the best outcomes for those recovering from neurological injuries or conditions. Helpful links: https://noravisionrehab.org/about-nora/annual-conferences/2024-annual-conference https://www.facebook.com/www.noravisionrehab.org/ https://www.youtube.com/c/NeuroOptometricRehabilitationAssociation…

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223: Spasticity Management From A Physician With Dr. Cassandra List, MD 46:34

41 weeks ago46:34

46:34

On this week’s episode we hosted a specialist in Physical Medicine and Rehabilitation, Dr. List and occupational therapist Briana Elson, MS, OTR/L, BCPR, CBIS to share insights on spasticity management, focusing on the use of neurotoxin injections and collaboration between physicians and therapists. Key discussion points included: When do you recommend medication versus injection for spasticity management? What do you consider when deciding on a treatment plan for someone with spasticity? What does botulinum toxin do versus what does it not do? When is it too early or too late for neurotoxin injections? Is there research showing that earlier treatment with neurotoxins can prevent symptoms from worsening? Are neurotoxins typically covered by insurance for people? How do you differentiate between spasticity and hypertonicity? What's the best way to get a good outcome when injecting for contractures? Do people need neurotoxin injections continuously to manage spasticity, or do some only need it temporarily? When do you decide that intrathecal baclofen might be necessary instead of injections? How do you respond to concerns about weakness from neurotoxin injections? Does neurotoxin treatment help with pain associated with spasticity? What's the best way for therapists to communicate with physicians about patient needs for spasticity management? Who can perform neurotoxin injections, and how can patients find a provider? This session highlighted the complexity of spasticity management and the need for a multidisciplinary approach. By combining medical interventions with therapy and ongoing assessment, we can help our patients achieve their functional goals and improve their quality of life.…

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222: How You Can Be Tenaciously Optimistic In Business To Be Successful 36:44

42 weeks ago36:44

36:44

In this episode Emily Duval Ledger, Erin Gallardo, and Claire McLean explore how maintaining an optimistic mindset can drive success in both clinical practice and business operations. Often it’s not as easy to do this in business, but we’ve got some strategies to share with you today. Key points included: - The power of positive language and beliefs in shaping business outcomes - Viewing challenges as opportunities for growth and innovation - Applying clinical confidence and problem-solving skills to business situations - The importance of perseverance and maintaining perspective during difficult times - Building a supportive community of like-minded professionals The hosts emphasized that while running a business can be challenging, especially in healthcare, maintaining a tenaciously optimistic outlook can lead to creative solutions and ultimate success. They encouraged listeners to reframe obstacles, stay committed to their goals, and remember that "success is inevitable" with persistence.…

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221: How To Start A Wellness Program For People With Neurologic Conditions: All Your Questions Answered! 1:02:32

43 weeks ago1:02:32

1:02:32

In this enlightening discussion, we have an open conversation with physical therapist Lauren Young, PT, DPT, CSRS, NCS, who reached out to Claire with a number of questions. She was willing to come on the podcast so everyone can benefit from the information. Lauren started a mobile neuro practice in February 2024 and is looking to develop group wellness classes to increase access to specialty services. Claire answers the following questions: 1. How do you make exercise classes accessible for all levels of abilities in a group setting? 2. How did you start your wellness program, particularly regarding staffing and class structure? 3. How do you structure her membership model and pricing? 4. Looking back, is there anything Claire wishes she had done differently when first starting? Key takeaways include: 1. Renting space from existing gyms or studios is a smart way to start without heavy upfront costs. 2. Structuring classes for different ability levels is crucial for safety and effectiveness. 3. A monthly membership model provides consistent revenue and commitment from clients. 4. Pricing should reflect the premium nature of specialized services, even if it feels uncomfortable at first. 5. Slow, steady growth allows for learning and adaptation as the business evolves. This conversation offers a wealth of practical advice for PTs looking to expand into wellness programming for neurological patients, emphasizing the importance of adaptability, client-focused services, and sustainable business practices. Find out more about Lauren Young here: NeuroElite Physical Therapy www.NeuroElitePT.com @NeuroElitePT (Instagram) Have a neuro biz and want a place to ask questions of other biz owners? Request to join the NeuroBiz Besties free Slack group here…

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220: Building A Biz Model Mix Of Online And In-Person With Katie Nathan, PT, DPT, NCS 55:22

44 weeks ago55:22