256: Overcoming Barriers To Implementing High Intensity Locomotor Training With Dr. Annie Tapp, PT, DPT, PhD, NCS
Release Date: 03/10/2025
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...
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273: How To Price Your Services With Emily Duval Ledger
I Love Neuro
Wait, you mean you have to charge for your amazing services?! How scary!! The pricing conversation is a BIG one! If you’ve ever felt scared to ask for a dollar amount, to raise your prices or even did what most clinicians do and undercharged, this episode is for you! Claire McLean, PT, DPT, NCS, Erin Gallardo, PT, DPT, NCS, and Emily Duval Ledger, CPT dive deep into setting and raising prices for professional services. The key takeaway is clear: healthcare professionals often dramatically undervalue their expertise. Many therapists and wellness professionals struggle with pricing,...
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272: Learn About FALI’s Innovative Weighted Walker Attachments
I Love Neuro
Have you ever put weights on a walker? We’re guessing you have! Likely ankle weights…Did you find those ankle weights slide around and didn’t stay where you wanted? Well there is an actual product designed by a PT/OT duo that makes weighting ANY assistive device easier and more precise. Physical therapist Nicole Fellows, MS, PT, DPT and occupational therapist Sarah Ali, MS, OTR/L, CSRS, AIB-VRT/CON share their story of developing FALI Rehab, a company that offers adjustable weighted attachments that can be easily added to walkers, canes, and other assistive devices. Sarah and Nicole...
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271: Scaling A Mobile Insurance-Based Neuro Practice With Katie Wadland, PT, DPT, GCS
I Love Neuro
Dr. Katie Wadland, PT, DPT, GCS's entrepreneurial journey is a testament to adaptability and patient-centered care. What began as a pandemic-era pivot while homeschooling her children transformed into Healthy Aging Physical Therapy, a robust 20-person mobile practice specializing in geriatric and neurological rehabilitation. Her practice emerged from a critical healthcare need, offering innovative at-home therapy services that prioritize patient accessibility. Unlike traditional clinical models, Wadland created a flexible business approach that allows therapists to manage their own schedules...
info_outlineIn today’s episode Erin Gallardo, PT, DPT, NCS talks with Annie Tapp, PT, DPT, PhD, NCS to discuss her research on the barriers and facilitators to implementing high-intensity gait training for stroke rehabilitation (and beyond). Months ago Annie was recruiting survey respondents for her PhD dissertation study on high intensity gait training in inpatient rehab. NeuroCollaborative allowed her to email and post her survey to our audience and today’s conversation is a follow up to see what she learned.
Annie’s research data revealed common facilitators and barriers to implementing high intensity gait training for clinicians. There were some surprises and she shares what they were as well as future research questions. Does it have to only be done with walking? We discussed the core factors that make high intensity training desirable as well as what to do when you don’t have the equipment or an appropriate candidate for treadmill training. You’ll learn creative ways to implement high intensity training as well as the reason behind it. We also discuss what you’ll also need to add in addition to high intensity training because this impairment does not necessarily improve and needs to be addressed separately. Nervous about taking someone with an acute stroke who may have never worked out before into high levels of intensity? We talk about that too!
Feel free to contact Dr. Annie Tapp, PT, DPT, PhD at [email protected]
Articles mentioned in the episode:
Tapp, A., Griswold, D., Dray, D., Landgraff, N., & Learman, K. (2024). High-intensity locomotor training during inpatient rehabilitation improves the discharge ambulation function of patients with stroke. A systematic review with meta-analysis. Topics in stroke rehabilitation, 31(5), 431–445. https://doi.org/10.1080/10749357.2024.2304960
Tapp, A., Dray, D., Griswold, D., Haybarger, R., & Learman, K. (2024). A retrospective analysis of a clinician-initiated high-intensity locomotor training implementation project in an inpatient rehabilitation facility. Physiotherapy theory and practice, 1–10. Advance online publication. https://doi.org/10.1080/09593985.2024.2424354
Tapp, A. (2024). From Evidence to Practice: Efficacy and Implementation of High-intensity Locomotor Training for Stroke Rehabilitation [Doctoral dissertation, Youngstown State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733749623360122