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
Release Date: 08/19/2024
I Love Neuro
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...
info_outline 237: Let’s Discuss! PD Research ReviewI Love Neuro
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 . 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...
info_outline 236: Can Business Be Fun? What If It Could?!I Love Neuro
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...
info_outline 235: Your Neuro Practice Questions Answered By APTA President Roger Herr, PT, MPAI Love Neuro
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,...
info_outline 234: Advancing the Understanding and Treatment of Functional Neurological Disorders With Heather Salon, PT, DPT, NCS and Julie Maggio, PT, DPT, NCSI Love Neuro
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....
info_outline 233: Optimizing Outcomes For Patients with Multiple Sclerosis With Researcher And Clinician, Herb Karpatkin, PT, DSc, NCS, MSCSI Love Neuro
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...
info_outline 232: Bridging The Gap: Becoming A Clinician, A Researcher, And A Storyteller With Ryan Lovell, PT, DPT, NCS, ATPI Love Neuro
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...
info_outline 231: Navigating Concussion In Aging Adults With Jennifer Lazaro, PT, DPT, NCSI Love Neuro
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...
info_outline 230: Mastering Floor Transfers and Exercises in Neuro Without the Fear With Dr. JJ Mowder-Tinney, PT, PhD, NCSI Love Neuro
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'...
info_outline 229: Creating A Neuro Practice That Works For You AND Your Patients With Vanessa Kaczmarek, PT, DPT, NCSI Love Neuro
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...
info_outlineHave 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://www.uottawa.ca/faculty-health-sciences/rehabilitation/our-professors/jennifer-o-neil
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