277: Finding And Establishing Your Neuro Clinic Space With Emily Duval Ledger
Release Date: 08/04/2025
I Love Neuro
In this episode, Erin Gallardo, PT, DPT, NCS interviews physical therapist Mariah King, PT, DPT from RISE Healthcare Group and Hiroki (Hiro) Kimura from Cyberdyne about the HAL (Hybrid Assistive Limb) robotic exoskeleton and its role in neurologic rehabilitation. They discuss how the HAL system reads patients’ intent to move via surface EMG signals and converts those signals into assisted movement to drive neuroplasticity and functional recovery for people with spinal cord injury, stroke, TBI, Parkinson’s disease, and progressive neuromuscular disorders such as MS, SMA, and muscular...
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In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss a new research article, “Refining maximal heart rate estimation to enhance exercise recommendations for persons with Parkinson’s disease.” Parkinson’s is a multi-system condition and changes to the function of the autonomic nervous system are common. At times this can present as a person with PD having trouble reaching aerobic heart rate zones calculated based on age while they’re performing high intensity exercise. Claire explains the challenges they’ve faced using standard heart rate...
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In this episode of the I Love Neuro podcast, host Erin Gallardo, PT, DPT, NCS interviews physical therapist and neuro rehab residency coordinator Jennifer Lazaro, PT, DPT, NCS about evaluating and treating people with long COVID and dysautonomia. Jennifer notes the similarities in presentation for individuals who have post-COVID those with other conditions affecting the autonomic nervous system, like concussion with cognitive fog, severe fatigue, post‑exertional malaise, dizziness, and orthostatic intolerance. She walks through practical assessment strategies such as active stand testing,...
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In this 300th episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS invited long-time collaborator JJ Mowder-Tinney, PT, PhD, NCS to join so we could recap the best takeaways from Dendrite Expansion Days (DED), NeuroSpark’s three-day, fully experiential education event for OTs and PTs. We share how Naomi Castro’s “falling well” course progressed clients from floor work to standing falls in one session, describe hands-on equipment stations featuring frictionless sheets, BlazePod, Rifton, Saebo, UprightVR, and more, and highlight real client stories—especially...
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Do you feel ready for that next big step? A transition in your career like leaving your job to start your own business, or transitioning your side gig to full time, or hiring your first employee. Neither did any of us! In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS have a discussion with NeuroBiz coach Emily Duval Ledger about what it really means to be “ready” for big transitions like starting a business, leaving a job, or hiring your first team member. We share our stories like Claire and Emily opening brick-and-mortar gyms, Erin and Claire starting and...
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In this episode of the I Love Neuro podcast, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss a major Lancet Public Health systematic review and meta-analysis on daily steps and health outcomes in adults, shared from a post by movement disorders neurologist Dr. Michael Okun. Claire explains that the study, which pooled data from multiple cohorts using device-measured steps, found the number of steps per day that is associated with substantial health benefits, including about a 47% lower risk of all-cause mortality compared to less steps. This amount also demonstrated...
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In this week’s episode, host Erin Gallardo, PT, DPT, NCS is joined by OT mentor Briana Elson, MS, OTR/L, BCPR, CBIS to dive into one of the most essential topics in spinal cord injury rehab: bowel and bladder care. We unpack why every rehab professional (not just nursing) plays a role, how unmanaged bowel and bladder can lead to serious health issues, and practical strategies to support independence, dignity, and community reintegration. Brianna shares equipment ideas, education tips, and real-world problem-solving for both bladder and bowel programs, plus how this all connects to intimacy,...
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We’re getting techy!! On this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS share a new tool that’s changing everything at Rogue, Claire’s wellness gym for people with PD. Claire confesses to using paper documentation until recently and is now entering the 21st century. What’s propelling her into the “now” is a new tool she’s been trying for a couple of weeks called the Plaud NotePin. It’s a small, wearable, and HIPAA-compliant AI device designed for healthcare professionals that helps with documentation either in-session or via dictation...
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This week’s episode is a little different. We wanted to give you a full view inside a VestiBesties mentorship call where Christina Garrity, PT, DPT, NCS interviewed a neuro-otologist she works with in Ohio, Dr. Jimmy Prueter. Dr. Prueter was invited to the conversation to help clinicians better understand when, why and which tests people with vestibular conditions should be getting. The conversation-style interview is between Christina and Dr. Preuter, taken straight from a VestiBestie webinar so you can have exclusive access! In the discussion they outlined the challenges associated with...
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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...
info_outlineEver 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 model and understand their specific spatial needs without significant financial risk. Both Claire and Emily describe their initial steps of teaching classes in shared spaces like gyms, physical therapy clinics, and even parks before committing to a long-term lease.
Their discussion reveals the intricate negotiations involved in commercial leasing, including understanding different lease types, build-out costs, and landlord expectations. They stress the value of creativity in lease negotiations, such as reduced rent periods, longer lease terms with incremental increases, and finding landlords who genuinely want long-term tenants.
The podcast also delves into the practical challenges of renovations, with Claire sharing her experience of a $70,000 build-out that transformed a dated gym space into a perfect neurological wellness center. They candidly discuss unexpected costs, the importance of doing renovations comprehensively, and the need for spaces that can accommodate specialized equipment and exercise programs.
Tell your clients about Parkinson’s Wellness Fund grants!