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Grand Rounds: Dr. John Vasudevan - Where Sports Medicine Meets Pain Medicine, Why Fitness Helps Everyone Win, Part 2

RUSK Insights on Rehabilitation Medicine

Release Date: 12/20/2023

Kate Parkin, Mary Reilly, Angela Stolfi, and Christina Tafurt: Clinical Practice of Occupational Therapy, Physical Therapy, and Speech-Language Pathology, Part 1 show art Kate Parkin, Mary Reilly, Angela Stolfi, and Christina Tafurt: Clinical Practice of Occupational Therapy, Physical Therapy, and Speech-Language Pathology, Part 1

RUSK Insights on Rehabilitation Medicine

Catherine Parkin serves as Clinical Assistant Professor, , She co-authored the book, Medical aspects of disability for the rehabilitation professionals in 2017 by the Springer Publishing Company. Mary Regina Reilly has served as the Clinical Director of Speech Language Pathology at Rusk Rehabilitation, NYU Langue Health for the last ten years.  Her Master’s Degree is from Columbia University and she did her fellowship at Montefiore Medical Center in the Bronx, New York.  Clinical concentration has focused on pediatric dysphagia with medically complex...

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Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 3 show art Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 3

RUSK Insights on Rehabilitation Medicine

Dr. Heidi Fusco is an assistant professor of Rehabilitation Medicine at NYU LANGONE Health and the Rusk Rehabilitation hospital. She is the Assistant Director of the Traumatic Brain Injury Program at Rusk and the Medical Director of the Brain Injury Unit at Queens Nassau Nursing and Rehabilitation. She completed a fellowship in Brain injury Rehab in 2013 at the Rusk Institute and is board certified in Brain Injury medicine and Physical Medicine and Rehabilitation. Alaina B. Hammond is a board certified rehabilitation psychologist and currently serves as...

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Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 2 show art Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 2

RUSK Insights on Rehabilitation Medicine

Dr. Heidi Fusco is an assistant professor of Rehabilitation Medicine at NYU LANGONE Health and the Rusk Rehabilitation hospital. She is the Assistant Director of the Traumatic Brain Injury Program at Rusk and the Medical Director of the Brain Injury Unit at Queens Nassau Nursing and Rehabilitation. She completed a fellowship in Brain injury Rehab in 2013 at the Rusk Institute and is board certified in Brain Injury medicine and Physical Medicine and Rehabilitation. Alaina B. Hammond is a board certified rehabilitation psychologist and currently serves as...

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Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 1 show art Dr. Heidi Fusco, Alaina B. Hammond, Dr. Jessica Rivetz: Traumatic Brain Injury, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Heidi Fusco is an assistant professor of Rehabilitation Medicine at NYU LANGONE Health and the Rusk Rehabilitation hospital. She is the Assistant Director of the Traumatic Brain Injury Program at Rusk and the Medical Director of the Brain Injury Unit at Queens Nassau Nursing and Rehabilitation. She completed a fellowship in Brain injury Rehab in 2013 at the Rusk Institute and is board certified in Brain Injury medicine and Physical Medicine and Rehabilitation. Alaina B. Hammond is a board certified rehabilitation psychologist and currently serves as...

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Dr. Steven DeKosky: CTE History, Questions and Future Directions, Part 2 show art Dr. Steven DeKosky: CTE History, Questions and Future Directions, Part 2

RUSK Insights on Rehabilitation Medicine

Dr. Steven DeKosky is professor of Alzheimer’s research at the University of Florida College of Medicine and Deputy Director of the McKnight Brain Institute at that institution. He also is a professor of neurology and neuroscience there. Previously, he served as vice president and dean of the University of Virginia School of Medicine and was chairperson of the department of neurology at the University of Pittsburgh. Part 2 For the short-term, with mild to moderate traumatic injury you can have altered synaptic structure and function. For the longer term, chronic inflammation and...

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Dr. Steven DeKosky: CTE History, Questions and Future Directions, Part 1 show art Dr. Steven DeKosky: CTE History, Questions and Future Directions, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Steven DeKosky is professor of Alzheimer’s research at the University of Florida College of Medicine and Deputy Director of the McKnight Brain Institute at that institution. He also is a professor of neurology and neuroscience there. Previously, he served as vice president and dean of the University of Virginia School of Medicine and was chairperson of the department of neurology at the University of Pittsburgh. Part 1 Dr. DeKosky described how CTE has a fascinating history, There still are questions about it. Some questions are old while some are new, but they all are...

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Dr. Darryl Kaelin: Traumatic Brain Injury And Its Association With Neurodegenerative Disorders, Part 2 show art Dr. Darryl Kaelin: Traumatic Brain Injury And Its Association With Neurodegenerative Disorders, Part 2

RUSK Insights on Rehabilitation Medicine

The introduction is done by Dr. Steven Flanagan, Chairperson of the Department of Rehabilitation at NYU Langone Health. His remarks ended at the 2 minute: 24 second mark. Dr. Darryl Kaelin is the Endowed Chair of Stroke and Brain Injury Rehabilitation at the University of Louisville. In this Grand Rounds session, he speaks about Traumatic Brain Injury and its Association with Neurodegenerative Disorders. Part 2 Repetitive mild brain injuries also can result in the same kinds of findings. So, it is not just moderate to severe, but repetitive mild injuries that increase the risk. Although...

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Dr. Darryl Kaelin: Traumatic Brain Injury and its Association with Neurodegenerative Disorders, Part 1 show art Dr. Darryl Kaelin: Traumatic Brain Injury and its Association with Neurodegenerative Disorders, Part 1

RUSK Insights on Rehabilitation Medicine

The introduction is done by Dr. Steven Flanagan, Chairperson of the Department of Rehabilitation at NYU Langone Health.  Dr. Darryl Kaelin is the Endowed Chair of Stroke and Brain Injury Rehabilitation at the University of Louisville. In this Grand Rounds session, he speaks about Traumatic Brain Injury and its Association with Neurodegenerative Disorders. Part 1 Dr. Kaelin described the interesting relationship between the University of Louisville Frazier Rehabilitation Institute and NYU Rusk in New York. The Institute has its origins at NYU. His presentation had a focus on cellular level...

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Dr. Julie Silver: Strategies to Address Workforce Diversity, Equity, and Inclusion, Part 2 show art Dr. Julie Silver: Strategies to Address Workforce Diversity, Equity, and Inclusion, Part 2

RUSK Insights on Rehabilitation Medicine

Dr. Julie Silver is an associate professor and associate chairperson in the department of physical medicine and rehabilitation at Harvard Medical School PART 2 In Part 2, Dr. Silver began by indicating that thinking about belonging and social integration are super important. There are two bodies of literature--a retention literature and a belonging literature. Very few studies have looked at them together. One investigation that did so found that women who have fewer belonging components are more likely to leave their workplace and more likely to stay if they have more of these components....

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Dr. Julie Silver: Strategies to Address Workforce Diversity, Equity, and Inclusion, Part 1 show art Dr. Julie Silver: Strategies to Address Workforce Diversity, Equity, and Inclusion, Part 1

RUSK Insights on Rehabilitation Medicine

Dr. Julie Silver is an associate professor and associate chairperson in the department of physical medicine and rehabilitation at Harvard Medical School PART 1 Her presentation is a data-driven lecture for individuals who believe in science.  A big theme in her work is to focus on tipping points that will drive change faster. An important large study reported in the journal Lancet in 2018 attracted widespread attention. Researchers looked at clinical practice guidelines. They found that the representation of female authors was low, but even lower for female physicians. Looking at PM&R...

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We should begin with every patient by validating that their pain is real. He discussed the role played by cognitive behavioral therapy (CBT). It is referenced most often because it has the best evidence, but we do not really know how to break that down for patients. He described three basic stages. It is important to recognize that CBT is not the best and only treatment. Exercise is important in a lot of musculoskeletal conditions, but it should be tailored to benefit that window between benefit and symptom aggravation. Next, is the question of what must be done with all the information he has provided in this presentation thus far. There seems to be evidence of some advantage to participating in athletics or being fit. Also, not everyone who is fit is having a good time and not everyone with a chronic condition can jump into fitness in the right way. So, we need to figure out how to meld that. Patients come to us because they are suffering. We need a team approach to close the performance gap they experience. A psychological battle must be dealt with at the same time as physical problems. He described strategies he would use. Find out what exercise they do now and for how many minutes, and their amount of sleep. Determine what they enjoyed doing in the past. It is important to focus on one of their problems and aim to achieve success in treating it. He described some available resources that are useful.

 

A Question & Answer period followed.