208: “Old Not Weak” How You Should Actually Train Aging Adults With Dustin Jones, PT, DPT, GCS
Release Date: 04/08/2024
218: Advocating for Accessible Healthcare for People with Disabilities With Chanda Hinton
I Love Neuro
Our recent guest on the I Love Neuro podcast, Chanda Hinton, is doing impactful work to improve healthcare access and quality of care for individuals with disabilities. As the Executive Director of the Chanda Center for Health & Wellness in Denver, Colorado, Chanda leads efforts in both direct service provision and systemic advocacy. Chanda shared her personal story of living with a spinal cord injury since 1991. She discussed the secondary conditions that often arise and how the medical model can fall short in long-term support. Chanda's experience with chronic pain and reliance on...
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217: How To Plan A Transformative PD Retreat With Joy Cochran, PT, DPT
I Love Neuro
On this episode of the I Love Neuro podcast, host Erin Gallardo sits down with guest Joy Cochran to discuss her business Joy Explorations and an upcoming Parkinson's disease retreat. Joy started Joy Explorations in 2018 with a goal of empowering older adults and those with neurological conditions through adaptive outdoor activities and movement. She found many of her physical therapy clients were not continuing the activities they enjoyed after discharge. Joy wanted to help people live life to the fullest outside of the clinic setting. Joy Explorations now offers group classes, one-on-one...
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216: How To Shed Your Shoulds So You Can Live And Work Happier With Emily Duval Ledger
I Love Neuro
Ever feel stuck between what you want to do and what you feel like you should do? Uh, yes, all the time! How does it feel when you have these ingrained expectations making decisions for you? Usually not so great. And it happens to everyone. So in this episode we talk about why that happens, how to recognize when you're operating in external “shoulds” instead of internal “shoulds”, what to do about it. Plus we’ll give you permission to be happier AND reach your goals in the way that works best for you. Get resources, examples and experience to draw from and help propel you forward to...
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215: Learn How To Help Clients Fall WELL With Naomi Casiro
I Love Neuro
Okay, so let’s address this head on: No one wants to fall. But falls do happen. Especially for people who have trouble with their balance. So wouldn’t it be great if when someone did fall, they knew how to roll or land in a way that minimized injury? That’s what we’re talking about today with physiotherapist Naomi Casiro of NeuroFit BC. She runs one on one and group therapy sessions for people with PD teaching them the fundamentals of controlling their movement and momentum in order to minimize risk. In the show we’ll address: The actual format and progression of...
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214: What To Know About Being Non-Participating With Medicare With Tyler Horton, PT, DPT, NCS
I Love Neuro
There are a lot of reasons you can go into private practice. Most of which have to do with the desire to provide care in a different way than you’ve seen in your community. But the way you set up your practice can be as unique as you are. One challenging question most neuro clinicians face when setting up their private practice is what to do about Medicare? As policies with Medicare continue to change, many opt to enroll in Medicare as a non-participating provider. This means you work with Medicare beneficiaries to deliver covered services but you bill differently. As a non-participating...
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213: Quick High-Impact, Low-Cost Ideas With Dr. JJ Mowder-Tinney, PT, PhD, NCS
I Love Neuro
Ever feel discouraged about the care you think you can provide without fancy equipment? Not after you listen to this episode! In today’s show you’ll learn easy ideas to make maximum impact no matter what setting you’re in and what you have available to you. We’ll share actual patient stories to give you real examples of strategies to apply in the clinic tomorrow. Making meaningful change doesn’t require a big budget. Sometimes the best ideas come from using what you have around you and from working on the priorities of your patient. Which ideas are your favorites? To attend the...
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212: How To Safely Get To Heart Rate Peak In Order To Modify Parkinson’s With Dr. Daniel Corcos, PhD
I Love Neuro
Have you heard exercise is good for people with Parkinson’s? Duh! As a listener of this podcast you most certainly have! Do you know how much someone should get their heart rate up to make a difference? What about how to test them to ensure you understand their peak HR? The research on exercise and Parkinson’s is booming and we want to give you the best information straight from the source. That’s exactly why we invited prominent researcher Dr. Daniel M Corcos, PhD to the show! He’s been involved in pivotal research that actually shows exercise can modify the disease progression. No...
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211: How To Approach Pain Neuroscience Education In Neuro With Dr. Adriaan Louw, PT, PhD
I Love Neuro
Do you work with people who have pain AND neurologic conditions? In our world it would be rare to find someone who doesn’t have at least a few patients or clients who experience pain either as a result of their diagnosis or even pain that is completely unrelated but persists. In this episode we had the privilege of picking the brain of one of the best pain neuroscience educators around, Dr. Adriaan Louw, PT, PhD, senior faculty, pain science director and vice-president of faculty experience for Evidence in Motion. As a leader in the field of pain neuroscience, Adriaan has authored and...
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210: Running Intensives For Individuals With Spinal Cord Injury With Empower SCI
I Love Neuro
Do you see a gap in the care of individuals that you work with? Sometimes the work isn’t done after discharge, am I right? The desire to fill a gap for individuals with spinal cord injury (SCI) is what led 2 PTs and an OT to establish Empower SCI in 2012. Empower SCI is a non-profit dedicated to providing intensive rehabilitation experiences for people with SCI by creating immersive, residential experiences with clinical experts, peer mentors, recreational opportunities, and around the clock support. Empower SCI has a unique and innovative model that is volunteer driven and loved by all who...
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209: How To Close the Gap Between Research And Practice With Dr. Carolee Winstein, PhD, PT, FAPTA
I Love Neuro
Have you ever felt like there was a disconnect between what the researchers are thinking and what you, as a clinician, are thinking? You’re not the only one! The desire to bridge the gap between research and what really goes on in the clinic has been a topic of discussion for decades. We interviewed Dr. Carolee Winstein, PhD, PT, FAPTA about this very topic and what the possible solutions may be. Dr. Winstein, a pivotal figure in redirecting professional focus towards motor control, motor learning and neuroplasticity, shares her transformational journey. When working with individuals with...
info_outlineHow much are you challenging the older adults you work with What biases do you have about someone when you see their age or comorbidities? Are they limiting how much you push them? Have you ever thought about the consequences of not pushing someone enough?? On today’s show we interviewed Dr. Dustin Jones, PT, DPT, GCS about his approach to working with aging adults and how it challenges the norm. He was working in skilled nursing facilities and seeing nearly everyone with the same exercises and plans of care despite varying abilities. This led to a desire to change the approach to care to be about determining what is really possible for aging adults and questioning why we only reserve more challenging work for those who are younger.
In the episode Dustin explores how many therapists make assumptions (often ageist) about what someone is able or not able to do that isn’t backed up by research. He discusses the fear that something could go wrong when you challenge an older adult and challenges you to consider what could go right. If you approach it the right way, honoring their system and giving time to adapt, older adults have so much to gain by doing heavy lifting and strength training. The bigger risk for this population is actually to underdose them. People who are stronger and more fit have an ability to overcome more illnesses and stay independent longer. We discuss how to have conversations and set expectations for hard work outs that could lead to soreness or even orthopedic flare ups and how this is actually less risky as a consequence of pushing someone than the alternative outcomes that can happen is they aren’t as strong as possible, such as illnesses and chronic conditions from being sedentary.
Keys to success with a fitness forward approach include ensuring the exercises are aligned with the patient’s primary goal. If they have pain, address that first but still have the conversation about where you’re going. Keep tying the exercise approach back to their independence and functional goals, and help them see the connection. Make sure they know the worst thing they can do is stop. Assure them to keep coming back so you can help them through it.
Dustin runs StrongerLife, a gym for people over 55 and teaches Modern Management of the Older Adult as part of the Institute of Clinical Excellence, or PT on ICE.
Learn more about Dustin and StrongerLIfe at www.StrongerLifeHQ.com
Modern Management of the Older Adult - PTonICE.com