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233: Optimizing Outcomes For Patients with Multiple Sclerosis With Researcher And Clinician, Herb Karpatkin, PT, DSc, NCS, MSCS

I Love Neuro

Release Date: 09/30/2024

294: Myoelectric Functional Orthosis: Myomo And Upper Extremity Rehabilitation  show art 294: Myoelectric Functional Orthosis: Myomo And Upper Extremity Rehabilitation

I Love Neuro

In this episode of the I Love Neuro podcast host Erin Gallardo, PT, DPT, NCS talks to Christian Leonakis, PT, DPT, Alanna Wathen, PT, DPT, and Danielle Parmenter, MOT, OTR/L, SCLV about Myomo and the MyoPro upper extremity myoelectric orthosis.  The world of neurological rehabilitation, innovation continues to push the boundaries of what's possible for patients recovering from stroke, traumatic brain injury, and other neurological conditions. Enter Myomo, a groundbreaking myoelectric orthosis that's changing lives one arm movement at a time. This isn't just another medical device—it's a...

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293: Navigating Dystonia With Leann Vitale, MS, OTR/L show art 293: Navigating Dystonia With Leann Vitale, MS, OTR/L

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Is treating dystonia making you stuck? Dystonia remains one of the most challenging neurological conditions for clinicians to understand and treat. In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk to occupational therapist Leanne Vitale, MS, OTR/L about her holistic approach that goes far beyond traditional treatment methods. Dystonia isn't just a movement disorder; it's a complex interplay of neurological, psychological, and sensory experiences. Leanne emphasizes that understanding dystonia requires looking beneath the surface—much like an iceberg,...

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292: Balance Reimagined Using The Gibbon SlackBoard With Derek Mikulski show art 292: Balance Reimagined Using The Gibbon SlackBoard With Derek Mikulski

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Are you looking for tools to challenge dynamic balance? Duh! Check out what makes the Gibbon SlackBoard different and how it can transform balance outcomes. In the episode, host Erin Gallardo, PT, DPT, NCS interviews Derek Mikulski, BS, CSCS, CPT, National Director of Commercial Sales for Gibbon about what makes the SlackBoard different from other balance tools clinicians use, like foam pads and BOSU balls. Derek described his entrepreneurial journey that led him to Gibbon. The SlackBoard was born from a passion for fitness and personal transformation, and brings slack lining technology into...

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291: Let’s Have A Chat About Your Biz Finances With Emily Duval Ledger show art 291: Let’s Have A Chat About Your Biz Finances With Emily Duval Ledger

I Love Neuro

On today’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk with NeuroBiz coach Emily Duval Ledger about a topic many clinicians and business owners find intimidating: Money. This is exactly why we need to talk about it!  Are you investing, saving, or putting systems into place in your business for money management and your future? If not, we understand. And we also want to help make this less overwhelming. Learn how to break down your financial goals and understand your true needs so you can create a business that supports both your professional passion...

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290: Brace Yourself: AFOs After Stroke With Dr. Jennifaye Brown, PT, MSPT, PhD, NCS, CAPS show art 290: Brace Yourself: AFOs After Stroke With Dr. Jennifaye Brown, PT, MSPT, PhD, NCS, CAPS

I Love Neuro

Ankle Foot Orthoses (AFOs) are essential in neuro rehab yet can be an area clinicians feel a lack of knowledge. This episode is for the clinician who is both - super knowledgeable about AFOs, AND the clinician who could use more education. Hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS interview Dr. Jennifaye Brown, PT, MSPT, PhD, NCS, CAPS about her work transforming the way we think about ankle-foot orthoses (AFOs) for stroke survivors. Her approach goes far beyond traditional medical practice, focusing on personalization, functionality, and patient empowerment. Her level...

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289: How Not To Abandon The Hemiplegic Arm In Every Treatment Session With Dr. Melissa Kimmerling, EdD, MOT, OTR/L show art 289: How Not To Abandon The Hemiplegic Arm In Every Treatment Session With Dr. Melissa Kimmerling, EdD, MOT, OTR/L

I Love Neuro

How well are you incorporating the hemiparetic arm of your client into every treatment technique? Do you know when to use remediation vs compensation techniques? Let’s talk about it! On today’s episode host Erin Gallardo, PT, DPT, NCS and Dr. Melissa Kimmerling, EdD, MOT, OTR/L dive into strategies for upper extremity recovery, focusing on patients with limited arm function after neurological injuries. Dr. Kimmerling, an occupational therapy expert, shares invaluable insights into helping patients maximize their arm's potential, even when movement is minimal. The discussion centers on the...

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288: Should You Add Exercise Coaching To Your Practice? show art 288: Should You Add Exercise Coaching To Your Practice?

I Love Neuro

In this episode, hosts Claire McLean, PT, DPT, NCS and Erin Gallardo, PT, DPT, NCS discuss a new service Claire added for members of Rogue, her Parkinson’s wellness gym in southern California. She added weekly, open exercise coaching sessions for all members. She decided to add these sessions because after sharing research articles with members there were a lot of questions about how to actually implement the advice into their lives. Claire shares the research articles that prompted the idea of adding exercise coaching, an article from Frazzitta (see link below). The researchers performed a...

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287:  How To Get More Engagement In Your Social Media With Katie Nathan, PT, DPT, NCS show art 287: How To Get More Engagement In Your Social Media With Katie Nathan, PT, DPT, NCS

I Love Neuro

If you’re a business owner you’re probably doing (or trying to do) social media in order to get more clients. How’s that going? Don’t worry - we know it can be a challenge! In this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talked to Katie Nathan, PT, DPT, NCS owner of Move by Movement in Reno, Nevada, and NeuroBiz coach Emily Duval Ledger about Katie’s recent change in her social media approach. She shifted from teaching to something more vulnerable yet professional in order to connect better with her prospective ideal clients. She shared how...

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286: From Pain Points To Progress: Tools To Help Clinic Owners With Dharma Leggat show art 286: From Pain Points To Progress: Tools To Help Clinic Owners With Dharma Leggat

I Love Neuro

In this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk to Dharma Leggat from Superior Medical Equipment (SME) about some of the challenges and opportunities facing rehabilitation clinics. The discussion centered on how technology and strategic partnerships can help clinicians overcome industry hurdles. They discussed the potential of artificial intelligence to transform clinical practice. From streamlining documentation to providing remote patient monitoring, AI offers potential solutions to reduce administrative burden and improve patient care. Leggat...

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285: Amplifying Your Perturbation Balance Training With The Balance Tutor Treadmill show art 285: Amplifying Your Perturbation Balance Training With The Balance Tutor Treadmill

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This week’s episode of the I Love Neuro podcast explored an innovative rehabilitation technology that's allowing rehab professionals to incorporate multidimensional balance training in the safest, most objective way possible right now. Host Erin Gallardo, PT, DPT, NCS is joined by Todd Gilbertson from MediTouch USA and Chris McElderry, PT, DPT, NCS to discuss the BalancedTutor treadmill.  Derived out of posturography technology this treadmill expands beyond assessment and actually allows clinicians to treat balance disorders to the whole spectrum of patients in a safe, effective and...

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More Episodes

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 complex neurological condition so they improve.

A key focus of Herb's research has been exploring ways to help MS patients overcome debilitating fatigue, which often limits their ability to participate in rehabilitation. He has found great success with intermittent training protocols, where patients alternate short bursts of activity with rest periods. Herb shares specific parameters from the research so you can use it now.

Next you must recognize that a significant portion of disability in MS patients may be due to deconditioning, rather than the neurological disease process itself. By implementing targeted reconditioning programs, physical therapists can make a substantial impact on improving functional mobility, even in those with advanced disease.

Herb's research has also demonstrated the benefits of high-intensity interval training for individuals with MS. Contrary to outdated beliefs, many MS patients are able to tolerate and thrive with aggressive exercise programs when implemented thoughtfully. Herb emphasizes the importance of gradually progressing patients to higher intensities, while closely monitoring for signs of fatigue.

To further support the MS community, Herb is actively involved with the Degenerative Disease Special Interest Group of the American Physical Therapy Association. This group has created a Clinician Locator Map to help patients find physical therapists with expertise in treating degenerative conditions like MS.

For your patients and clients with MS: MS Cooling Products Application 

Sign up for the clinician locator map:

https://www.neuropt.org/special-interest-groups/degenerative-diseases/ddsig-clinician-locator-map

Register for the free webinar on MS interventions you can apply immediately here! https://www.neurocollaborative.com/ms-webinar