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304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS

I Love Neuro

Release Date: 02/09/2026

309: Using Dry Needling To Reset The Nervous System With Tyler Niemack, PT, DPT, OCS show art 309: Using Dry Needling To Reset The Nervous System With Tyler Niemack, PT, DPT, OCS

I Love Neuro

This is the episode that will help you understand the opportunities and functionality of dry needling! Host Erin Gallardo, PT, DPT, NCS interviews Tyler Niemack, PT, DPT, OCS, Functional Dry Needling Certified Specialist about how dry needling can be used not just to relax tight muscles, but to “reset” the neuromuscular system and improve function. Tyler, who teaches Dry Needling Certification courses for Evidence In Motion explains how PTs approach dry needling differently from acupuncturists, using their orthopedic and neurological assessment skills to decide whether to target spinal...

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308: How NeuroLab 360 Uses A Nonprofit Model To Deliver High Intensity Neuro Rehab show art 308: How NeuroLab 360 Uses A Nonprofit Model To Deliver High Intensity Neuro Rehab

I Love Neuro

Interested in looking at how a nonprofit clinic operates for neuro rehab? In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS interview co-founder Meagan George, PT, DPT, NCS about how she and her partners built a nonprofit, cash-based neuro clinic in Encinitas, California. After feeling constrained by insurance limitations in hospital systems, the trio incorporated as a 501(c)(3) in 2021 with a mission to deliver intensive, goal-oriented PT, OT, and wellness services regardless of a person’s financial situation. NeuroLab 360 operates using a scholarship...

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307: Research Update: Treadmill VS Overground Walking In Persons With MS With Herb Karpatkin, PT, DSc, NCS, MSCS show art 307: Research Update: Treadmill VS Overground Walking In Persons With MS With Herb Karpatkin, PT, DSc, NCS, MSCS

I Love Neuro

In this episode host Erin Gallardo, PT, DPT, NCS interviews Multiple Sclerosis specialist and researcher Dr. Herb Karpatkin, PT, DSc, NCS, MSCS to discuss how therapy for people with multiple sclerosis must be fundamentally different from approaches used for stroke, spinal cord injury, or TBI. In his research Herb discovered an incidental finding that led to more questions that he and his team wanted to investigate: does treadmill walking carry over to overground walking in persons with MS? In the show he explains the nuances of treadmill walking for persons with MS vs healthy controls and...

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306: Clients Can Maximize Hand Function And Foot Drop At Home With Motus Nova show art 306: Clients Can Maximize Hand Function And Foot Drop At Home With Motus Nova

I Love Neuro

In this episode, host Erin Gallardo, PT, DPT, NCS interviews the Motus Nova clinical team—occupational therapists Jamie Kurtz, MS, OTR/L, Keisha Burrous, OTR/L, CBIS, Amie Canning, MS, OTR/L, and Mirasol Jacobs, PT, DPT — about the Motus Hand and Motus Foot robotic devices for neurorehabilitation. The team explains how these FDA Class I medical devices provide active-assistive, game-based training at home to help patients achieve the high repetition doses (500–600 reps per day) needed for neuroplastic change, without replacing traditional therapy. Built on pneumatic “artificial...

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305: How To Overcome The Fear Of Falls Training With Naomi Casiro show art 305: How To Overcome The Fear Of Falls Training With Naomi Casiro

I Love Neuro

Do you work with people who have falls? Maybe you’ve seen that just training fall prevention isn’t quite doing enough. In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk with physiotherapist Naomi Casiro, founder of NeuroFit BC and creator of the Functional Movement and Falls training paradigm about why adding falls training to an overall balance plan is imperative. We explore why traditional fall prevention—focused mainly on prevention—has not been enough, and why a two-part approach that includes both prevention and explicit “how to fall”...

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304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS show art 304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS

I Love Neuro

In this episode host, Erin Gallardo, PT, DPT, NCS speaks with Chris McElderry, PT, DPT, NCS about how dry needling can be used in neuro rehab, particularly for people post-stroke. Chris explains why he pursued dry needling, how using it in PT differs from acupuncture, and walks through what a typical session looks like, including safety, side effects, and billing considerations. He shares clinical examples of using dry needling to address spasticity, hypertonicity, pain, and range of motion limitations, and discusses current research on short-term effects for spasticity and pain reduction....

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303: Hybrid Assistive Limb (HAL) + Neuroplasticity = Improved Outcomes For Individuals With Neurologic Conditions show art 303: Hybrid Assistive Limb (HAL) + Neuroplasticity = Improved Outcomes For Individuals With Neurologic Conditions

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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302: Applying A New Calculation For Max Heart Rate In PD  show art 302: Applying A New Calculation For Max Heart Rate In PD

I Love Neuro

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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301: Multi-System Approach To Treating Individuals With Long COVID Currently With Jennifer Lazaro, PT, DPT, NCS show art 301: Multi-System Approach To Treating Individuals With Long COVID Currently With Jennifer Lazaro, PT, DPT, NCS

I Love Neuro

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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300: Clinical Takeaways From Dendrite Expansion Days You Can Apply Today show art 300: Clinical Takeaways From Dendrite Expansion Days You Can Apply Today

I Love Neuro

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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In this episode host, Erin Gallardo, PT, DPT, NCS speaks with Chris McElderry, PT, DPT, NCS about how dry needling can be used in neuro rehab, particularly for people post-stroke. Chris explains why he pursued dry needling, how using it in PT differs from acupuncture, and walks through what a typical session looks like, including safety, side effects, and billing considerations. He shares clinical examples of using dry needling to address spasticity, hypertonicity, pain, and range of motion limitations, and discusses current research on short-term effects for spasticity and pain reduction. Erin and Chris also clarify the differences between spasticity and hypertonicity, touch on contracture management, and highlight where dry needling can be a useful adjunct—not a standalone cure—in helping neuro clients move and feel better.

Follow Chris McElderry, PT, DPT, NCS @theneuroguy_dpt 

Ebrahimzadeh M, Nakhostin Ansari N, Abdollahi I, Akhbari B, Dommerholt J. Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient. Case Rep Neurol Med. 2024 Sep 14;2024:5115313. doi: 10.1155/2024/5115313. PMID: 39309410; PMCID: PMC11416164.

Fakhari Z, Ansari NN, Naghdi S, Mansouri K, Radinmehr H. A single group, pretest-posttest clinical trial for the effects of dry needling on wrist flexors spasticity after stroke. NeuroRehabilitation. 2017;40(3):325-336. doi: 10.3233/NRE-161420. PMID: 28222554.

Fernández-de-Las-Peñas C, Pérez-Bellmunt A, Llurda-Almuzara L, Plaza-Manzano G, De-la-Llave-Rincón AI, Navarro-Santana MJ. Is Dry Needling Effective for the Management of Spasticity, Pain, and Motor Function in Post-Stroke Patients? A Systematic Review and Meta-Analysis. Pain Med. 2021 Feb 4;22(1):131-141. doi: 10.1093/pm/pnaa392. PMID: 33338222.

Núñez-Cortés R, Cruz-Montecinos C, Vásquez-Rosales P, et al.
Effectiveness of dry needling in the treatment of spasticity in stroke patients: A systematic review. J Body Mov Ther. 2020;24(3):113-122.

Suputtitada A, et al. Emerging theory of sensitization in post-stroke muscle spasticity: Implications for dry needling and other interventions. Front Rehabil Sci. 2023;4:1169087.

Valencia-Chulián R, Heredia-Rizo AM, Moral-Munoz JA, Lucena-Anton D, Luque-Moreno C. Dry needling for the management of spasticity, pain, and range of movement in adults after stroke: A systematic review. Complement Ther Med. 2020 Aug;52:102515. doi: 10.1016/j.ctim.2020.102515. Epub 2020 Jul 16. PMID: 32951759.