211: How To Approach Pain Neuroscience Education In Neuro With Dr. Adriaan Louw, PT, PhD
Release Date: 04/29/2024
339: Accessible Intensity: Applying The Best Exercises To Slow Parkinson’s At Home With Christoph Dressel
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What does it take to get a piece of high-performance sports tech out of the soccer world and into the living rooms of people with Parkinson's? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with Christoph Dressel, founder and CEO of Mimofit about the reaction-based light-pod system his team built after clinical trials in Spain showed real gains in dual-task performance, gait speed, and reaction time for people with Parkinson's. Christoph walks through the surprising finding that reaction-speed improvements only showed up once a timeout was added to...
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338: Speak Steady: Jessica Ackerman, MS, CCC-SLP, RYT, On Movement-Based Voice Therapy For Parkinson's
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What if the key to helping a patient with Parkinson's find their voice again isn't more repetition, but movement? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with Jessica Ackerman, MS, CCC-SLP, RYT, speech-language pathologist and founder of Speak Steady, about why the classic Parkinson's presentation so often goes untreated, and how a technique born out of a pandemic-era Zoom yoga class became a clinically validated, self-paced communication program. Jessica walks through the neuroplasticity and motor-learning principles behind pairing each spoken...
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337: Why Edema Management Belongs In Every Neuro Clinician’s Toolbox: A Conversation With Rachel Walker, PT, DPT, GCS, CLWT, CBIS
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Have you ever worked with a stroke survivor or patient with spinal cord injury who had swollen limbs and not been sure what to actually do about it? Maybe you tried something, maybe you didn’t because you didn’t realize you should. In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Rachel Walker, PT, DPT, GCS, CLWT, CBIS about why edema is so common — and so consequential — in the neuro population. Rachel walks through why unmanaged edema leads to pain, joint contracture, and long-term functional loss; how to run a full assessment (girth measurements, skin and...
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336: Stop Guessing, Start Localizing: Dr. Jennifaye V. Brown, PT, MSPT, PhD, NCS, CAPS, on Neuroanatomy-Driven Treatment
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Why do two patients with what looks like the same stroke on paper walk out of rehab so differently — and why does a home exercise program built on ankle pumps and heel slides so often fail the people who need it most? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Dr. Jennifaye V. Brown, PT, MSPT, PhD, NCS, CAPS, a four-time ten-year board-certified neurologic clinical specialist and author of Brace Yourself: Everything You Need to Know About AFOs After Stroke, about why going back to foundational neuroanatomy — knowing exactly where a lesion sits, how large...
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335: Fire Yourself From These Tasks: A Business Reset With NeuroBiz Coach Emily Duval Ledger
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What tasks do you keep doing in your business that you secretly hate? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with returning guest and favorite NeuroBiz coach Emily Duval Ledger about the reflective milestones of her 20-year entrepreneurial journey — from leaving her full-time job, to closing her brick-and-mortar gym during COVID, to running a leaner, more sustainable solo practice today. The conversation moves through the martyrdom trap so many clinician-business-owners fall into, how to actually trust a virtual assistant or new hire with...
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334: Aerobic Priming, RAS, OPTIMAL, And Overground Training: Small Shifts, Big Outcomes With Jamie Haines, PT, DScPT, NCS
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What if the biggest gains in your patients' outcomes came from four small, free shifts you could start using tomorrow? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Jamie Haines, PT, DScPT, NCS, who recently left a long career as an associate professor at Central Michigan University for mobile concierge PT in Florida, where she treats patients with a wide range of neurologic conditions in their own environments. Jamie and Erin preview the "amplify your practice" framework, covering aerobic priming to get the nervous system ready to learn, rhythmic auditory stimulation and...
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333: Gadgets, Grasp, and Goals: Jenna Barber, MOT, OTR/L, BCPR, Talks Hand Recovery
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How much hand function can come back after a neurologic injury, and how do you know whether to remediate or compensate? On this episode, host Erin Gallardo, PT, DPT, NCS, talks with Jenna Barber, MOT, OTR/L, BCPR, an occupational therapist who specializes in neurorehabilitation across acute care, inpatient, and outpatient settings. In the show you’ll learn how to assess fine motor deficits through activity analysis and standardized testing, the difference between remediation and compensation and when to use either. We’ll also discuss favorite tools like FES, focal vibration, and rocker...
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332: Can Transcutaneous Stimulation (TSS) Help Patients With Spinal Cord Injuries Improve? With Dr. Yi-Kai Lo, PhD and Rose Tilton, OTR/L, OTD
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In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Rose Tilton, OTR/L, OTD, an occupational therapist at Marquette University's Neuro Recovery Clinic, and new guest Dr. Yi-Kai Lo, PhD, CEO and co-founder of ANEUVO, about transcutaneous spinal stimulation (TSS) for people with spinal cord injury. Rose shares how she discovered TSS through her own research, became a clinical trial site investigator at Marquette, and now uses ANEUVO's ExaStim® device — a multi-channel electrode array system that can be individually programmed and timed to match specific functional...
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331: The First 30 Seconds: Winning Patient Trust On The Phone With Danny Bobrow, MBA
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What if the biggest threat to your practice's growth isn't your marketing budget, but the way your team handles the very first phone call? Getting the phone to ring is necessary, but never sufficient. In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Daniel A. "Danny" Bobrow, MBA — creator of The Art of First Impressions™ and The Persuasion Blueprint, and President of AIM Dental Marketing — about the three pillars of persuasive communication: caring, connection, and collaboration. Danny reframes the moments clinicians tend to fumble, like the "do you take my insurance?"...
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330: Working With The "Excluded" Patient: A Case Study Using Modified CIMT After Stroke With Briana Elson, MS, OTR/L, BCPR, CBIS
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What do you do when the most evidence-based intervention you have is also the one your patient is "not allowed" to receive? Constraint-induced movement therapy has decades of research behind it, yet its exclusion criteria — especially around cognitive impairment — rule out a huge share of the stroke survivors clinicians actually see. In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with neuro OT Briana Elson, MS, OTR/L, BCPR, CBIS, about her decision to try modified CIMT with an 86-year-old stroke patient who had significant cognitive impairment and...
info_outlineDo 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 co-authored over 100 peer-reviewed articles related to spinal disorders and pain science. If you’ve ever seen him teach at a conference his courses are the ones with the overflowing rooms for a reason: He knows his stuff! And clinicians are hungry for the knowledge and skills that will help people with pain feel better and return to function again. We asked Adriaan the best ways to incorporate pain neuroscience education (PNE) into practice when working with people with complex histories. He discussed the importance of both education and an approach to function as well as how to identify who is ready for change regarding their pain. You’ll learn key outcome assessments you should be using for your patients who have pain and how to create a balance of addressing the pain and progressing function in therapy sessions. Assessments like the Central Sensitization Inventory Scale, Fear Avoidance Belief Questionnaire and Pain Catastrophization Survey can help you identify who will benefit the most from PNE. You’ll also learn how language matters and which words to use and which words to avoid when describing pain and other medical conditions as they can impact the pain someone is experiencing. We discuss how to approach a person who feels like their pain is completely physical as well as how much time or effort to dedicate to incorporating PNE in sessions vs other activities and with which patients. You’ll learn this and so much more in the episode!
Resources mentioned in the episode (Note, some require permission from authors. Links will give you the information needed to request)
Central Sensitization Inventory
Fear Avoidance Belief Questionnaire
Sticks and Stones: The Impact of Language on Musculoskeletal Rehabilitation
Medbridge courses with Adriaan Louw
whyyouhurt.com free videos for clinicians and patients
OPTP books and resources by Addriaan Louw
Join the NeuroSpark waitlist to be the first to hear when we open again! Dr. Louw will be a presenter inside NeuroSpark in the upcoming quadrimester Summer 2024!