243: Using A Sensory-Based Approach For Treating Functional Neurological Disorders
Release Date: 12/09/2024
283: The Easiest Way To Treat The Pelvic Floor With Your Neuro Clients With Grace Weiland, PT, DPT, CAPP-PH
I Love Neuro
We know that you know your neuro clients have a pelvic floor… but are you doing anything to help it?? You may be surprised how many of your clients have weak, tight, spastic, or flaccid pelvic floors, and the issues arising from this may be preventing them from fully engaging in their lives. If you want to help but don’t know where to start, this episode is for you! We break it down for the non-pelvic floor PT and give you the skinny on how to screen and incorporate an easy, functional progression of activities into what you’re already doing with your neuro clients. Grace Weiland, PT,...
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282: How To Introduce A New Wellness Class
I Love Neuro
In this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss how Claire is introducing a new exercise class at Rogue called "Stretch and Flow." This class was designed to meet members' requests for a gentler, more restorative exercise experience. The class will combine guided meditation, slow power moves, and breath work, offering a unique approach for people with Parkinson's and varying mobility levels. In the show Claire will explain the structure of the class as well as the rationale for offering it in this way. She emphasizes that while the class is...
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281: The Surprising Things Roller Skating Will Teach You About Business With Emily Duval Ledger
I Love Neuro
In this week’s episode, NeuroBiz coach Emily Duval Ledger shares with hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS the lessons she’s learned so far from attempting a hard thing: Learning to roller skate at 48 years old. Emily decided to try something new. Something she wasn’t inherently good at and through her roller skating experience, she’s picked up lessons that overlap with the things business owners need to keep in mind. She describes how her initial skating lessons put her face to face with the biggest thing she wanted to avoid - falling - and why...
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280: Using Blood Flow Restriction Training In Neuro With Chris McElderry, PT, DPT, NCS
I Love Neuro
Neuro rehab / neuro wellness… if you’re listening to this podcast chances are anything you’re doing is skilled! On today’s show you’re going to be inspired by Chris McElderry, PT, DPT, NCS as he shares his journey with host Erin Gallardo, PT, DPT, NCS. Chris went into PT with a sports focus but quickly realized neuro was where it’s at. After completing his neuro residency and working full time in outpatient he was compelled to expand. He wanted to provide inspiration and ideas to other clinicians on social media and also grow his own wellness side gig. Chris, also known as...
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279: Bullet Proof Documentation With Phyllis Goldstein, M.S., CCC-SLP, RAC-CT, CHHI-CP
I Love Neuro
Wonder if your documentation is up to snuff to pass an audit? Tune into this episode where hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS interviewed Phyllis Goldstein, a speech-language pathologist with extensive experience in Medicare audits and appeals! She shares her journey from clinical work to becoming an expert in navigating the complex world of therapy documentation and reimbursement. Phyllis emphasizes the critical importance of detailed, skilled documentation using precise language that explains exactly what makes their intervention unique and necessary. The...
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278: A Naturopathic Take On Treating PD With Dr. Tanya Denne, ND
I Love Neuro
Have you ever been curious how a naturopath approaches medicine for a person with Parkinson’s? Turns out it’s super comprehensive. Spoiler alert - we couldn’t cover it all, but what you’ll learn from Dr. Tanya Denne, ND will blow your mind! Hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS learn about Dr. Denne’s journey into naturopathic medicine and her groundbreaking research on Mucuna pruriens, a botanical treatment for Parkinson's disease. Driven by a personal connection to neurological conditions through her grandmother's Alzheimer's, Dr. Denne discovered...
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277: Finding And Establishing Your Neuro Clinic Space With Emily Duval Ledger
I Love Neuro
Ever dream of having a lively clinic space where all of your neuro dreams come true? In this episode Claire McLean, PT, DPT, NCS and Emily Duval Ledger, NeuroBiz coach dive deep into the challenging journey of finding and establishing a brick-and-mortar space for a neurological therapy and fitness business. They share candid insights about their personal experiences, emphasizing that the process is far more complex than traditional real estate hunting. The conversation highlights the importance of starting small by renting space from others, which allows entrepreneurs to test their business...
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276: Clinical Use Of Spinal Stimulation For Spinal Cord Injury Rehabilitation With Rose Tilton, OTR/L, OTD
I Love Neuro
If you’re anything like us you always want to do everything possible to help your neuro patients recover and improve as much as possible. On today’s show host Erin Gallardo, PT, DPT, NCS interviews Rose Tilton, OTR/L, OTD about an intervention that she took straight from the research to the clinic: spinal cord stimulation with transcutaneous stimulation. After learning about its applicability in the literature Rose was eager to use it with her patients but hit some road blocks. Finally she was in touch with the authors of a study who helped her and her colleagues become trained in using...
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275: Advancing Care For People With Dementia With Rachel Wiley, MS, OTR/L, CDP
I Love Neuro
In this episode of the I Love Neuro podcast, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS sat down with Rachel Wiley, MS, OTR/L, CDP, an innovative occupational therapist who is transforming dementia care through her Dementia Collaborative. With over a decade of experience, Rachel has dedicated her career to supporting individuals living with dementia, their families, and healthcare professionals. Rachel's journey began with a personal connection - her practice, originally named Day by Day Home Therapy, was inspired by her grandmother and aunts who lived with dementia....
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274: OT Fellowships: To Do Or Not To Do?
I Love Neuro
We know our listeners are lifelong learners and there are different ways to gain clinical excellence. On today’s show Erin Gallardo, PT, DPT, NCS talked to 4 occupational therapists who’ve completed an OT fellowship. Briana Elson, MS, OTR/L, BCPR, CBIS, Lindsey Talcott, MOT, OTR/L, Gianna Neutts, MS, OTR/L, and Jocelynn Aguilar, MSOT, OTR/L are here to discuss their experience and provide insights about OT fellowships and specifically the one they completed. OT fellowships are intensive one-year programs that offer more than just additional training; they provide a comprehensive approach...
info_outlineWorking with clients with Functional neurologic disorders (FND) can be confusing and challenging. If you’re stuck and aren’t sure how to help your clients you’ve gotta check out this episode! Occupational therapists and industry leaders in the treatment of FND Julie MacLean and Jessica Ranford discuss their expertise in using a sensory-based approach to treatment. In their work they noticed certain patterns emerging for people experiencing FND.
By conducting detailed sensory profiles and histories, the OTs were able to identify patterns in how these patients processed sensory information. Many exhibited heightened sensory sensitivity, sensory avoidance, and low sensory registration - leading to cognitive, emotional, and motor control issues.
The OTs developed a multi-step treatment approach focused on:
1) Increasing patient self-awareness of their sensory processing and arousal levels
2) Exploring individualized sensory strategies to self-regulate
3) Creating personalized "sensory diets" of activities to maintain balance
This sensory-based framework, combined with motor retraining when needed, has been effective in helping FND patients improve their symptoms and expand their participation in daily life.
Overall, this discussion highlighted the valuable role occupational therapy can play in assessing and treating the complex sensory processing difficulties experienced by many individuals with functional neurological disorders.
FND specific resources:
Overcoming Functional Neurological Disorders Workbook, Reset and Rewire: The FND Workbook
OT and sensory processing specific resources:
Living Sensationally: Understanding Your Senses by Winnie Dunn
Sensory Modulation & Environment: Essential Elements of Occupation by Tina Champagne
The Sensory Connection Program and Workbooks by Karen Moore
Recent OT publications:
McCombs KE, MacLean J, Finkelstein SA, Goedeken S, Perez DL, Ranford J.
Neurol Clin Pract. 2024 Jun;14(3):e200286.
Ranford J, MacLean J. Neurol Clin. 2023 Nov;41(4):695-709. doi: 10.1016/j.ncl.2023.02.008. Epub 2023 Apr 20
Sensory Processing Difficulties in Functional Neurological Disorder: A Possible Predisposing Vulnerability? Ranford J, MacLean J, Alluri PR, Comeau O, Godena E, LaFrance WC Jr, Hunt A, Stephen CD, Perez DL.Psychosomatics. 2020 Jul-Aug;61(4):343-352.
Occupational therapy consensus recommendations for functional neurological disorder.
Nicholson C, Edwards MJ, Carson AJ, Gardiner P, Golder D, Hayward K, Humblestone S, Jinadu H, Lumsden C, MacLean J, Main L, Macgregor L, Nielsen G, Oakley L, Price J, Ranford J, Ranu J, Sum E, Stone J. J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1037-1045.