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
339: Accessible Intensity: Applying The Best Exercises To Slow Parkinson’s At Home With Christoph Dressel
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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
I Love Neuro
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_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
joneil@uottawa.ca
@oneil_jenn
@alanleedpt (X)
https://www.linkedin.com/in/alan-lee-21211314/ (Linkedin)
allee@msmu.edu (email)