Episode 18 - BFR for Neuro with Dr. Evan Cohen

Episode 19: The Dosage Deficit in Stroke Recovery: A conversation with Dr. John KrakauerAre 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: The critical importance of dosage and intensity in stroke recovery. Understanding the complexities of motor learning and its application to rehabilitation. The role of negative and positive symptoms post-stroke. Why current rehabilitation protocols often fall short. How to create enriched and engaging environments for therapy. The proper role of technology in stroke rehabilitation. A call to action for rehabilitation professionals to advocate for better dosage. Stay tuned for his upcoming article in the "Stroke" JournalResources: Results of Nick Ward's High Dosage Research: https://jnnp.bmj.com/content/90/5/498 Dr. Krakauer & Dr. Putrino's Article on Neurotechnology Prospects : https://pubmed.ncbi.nlm.nih.gov/36384334/ Link Janis Daly's High Dosage/Intensity Research : https://www.researchgate.net/profile/Janis-Daly

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: What is neuropriming? Rebecca breaks down the science behind this innovative approach and how it leverages neuroplasticity to enhance brain function. Modalities of priming: Explore the various methods used in neuropriming, especially in transcutaneous spinal cord stimulation Priming protocols: Learn about the different protocols and parameters used in neuropriming, and how they can be tailored to specific patient needs and goals. Neuropriming research: Rebecca shares the latest research findings on the effectiveness of neuropriming in various neurorehabilitation settings. Practical applications: Discover how neuropriming can be integrated into clinical practice across a wide range of settings, from hospitals and rehabilitation centers to outpatient clinics and private practices. 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: Neuropriming is a promising technique for enhancing brain function and promoting recovery in neurorehabilitation. Various modalities and protocols can be used in neuropriming, allowing for personalized treatment approaches. Research supports the effectiveness of neuropriming in a range of neurological conditions. Neuropriming can be integrated into various clinical settings to optimize patient outcomes.

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: Goes beyond generic workout plans: Celine explains how AI, combined with her research insights, creates truly personalized exercise routines. Empowers lasting change: Learn how the app helps you build healthy habits and stay motivated for the long haul. Unlocks your true potential: Understand the science behind behavior change and how Ginkgo Active leverages it to help you achieve real, meaningful results. 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: Ginkgo Active intro: https://www.youtube.com/watch?v=XG0eLUq-94Y&ab_channel=GinkgoHealth Ginkgo Active Early Bird "Synapse" Discount: https://ginkgo.health/product/joe-banach-special/ Ginkgo Health website: https://ginkgo.health/ 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: The surprising impact of fall risk on future general health outcomes Easy-to-use screening tools that can be integrated into any PT practice. Effective treatment strategies to mitigate fall risk and improve patient outcomes. Why gait speed is a vital sign and how to use it to assess fall risk. His incredible past research efforts on this topic 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: Guccione in Geriatric Physical Therapy, 2013 Elrod in Elsevier, Oct. 2020 APTA Geriatric Section Guidelines 2020 Horak, 2006 PMID: 16926210 Horak, 2009 PMID: 19329772 King, 2015 PMID: 26308937 King, 2014 PMID: 25102383 Izquidero, 2021  PMID: 36098146 Wei, 2024 PMID: 39074909 Bartosch, 2021 PMID: 33661308 Lee, 2015 PMID: 25767167 Kojima, 2018  PMID: 29040347 Wilson, 2004  PMID: 15381535 Parry, 2016  PMID: 27676247 Lucas, 2014 PMID: 24481484 Gordon, 2020  PMID: 32143634 Clemson, 2004  PMID: 15341550 Goldman, 2016  PMID: 27434271 Stevens and Lee, Sep. 2018  PMID: 30122212 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: J.J.'s inspiring journey: Learn how her unique background led her to become a leading voice in Neuro PT education. Navigating the PT landscape: Gain valuable advice on overcoming current challenges and thriving in today's PT environment. Intensity matters: Uncover practical secrets for delivering the right level of intensity to maximize your patients' progress. Reactive balance secrets: Explore J.J.'s love for reactive balance interventions and how to implement them effectively. The cerebellum's role: Understand the crucial function of the cerebellum in movement and motor learning. Motor learning mastery: Unlock J.J.'s practical secrets for applying motor learning strategies with your patients. 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: ⁠⁠Mike's Ted Talk⁠⁠ Mike's website/blog: ⁠mikestuder.com⁠ ⁠Preview of Mike's New Book⁠ ⁠MedBridge Mike Studer Courses⁠ ⁠Mike's Instagram⁠ 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: Remember the key principles of effective rehabilitation, and *any* PT can treat neuro The power of mentorship and seeking guidance from experienced professionals The transformative potential of neuro PT and the impact it can have on patients' lives Strategies for building confidence and overcoming discomfort in the neuro rehab setting Practical tips for implementing evidence-based interventions and incorporating innovative approaches like dual-task training and gamification Call to action: Share this episode with colleagues and fellow PTs who are passionate about neuro rehab! Connect with Mike Studer on social media (especially Instagram) and continue the conversation. Leave a review and let us know your biggest takeaways from this inspiring episode. **Check out Mike's future book** Remember: Subscribe to our channel and never miss an update. Thank you for listening and being part of the Synapse community! #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!