I Love Neuro

We are a couple of neurologic physical therapists on the quest to keep the passion, commitment, and possibilities alive for those who love neuro rehab and wellness like us, without burnout and overwhelm. This show is great for neuro therapists and trainers looking to stay up to date and make a greater impact. Join us in this important movement to elevate healthcare!

213: Quick High-Impact, Low-Cost Ideas With Dr. JJ Mowder-Tinney, PT, PhD, NCS 05/13/2024

212: How To Safely Get To Heart Rate Peak In Order To Modify Parkinson’s With Dr. Daniel Corcos, PhD 05/06/2024

211: How To Approach Pain Neuroscience Education In Neuro With Dr. Adriaan Louw, PT, PhD 04/29/2024

211: How To Approach Pain Neuroscience Education In Neuro With Dr. Adriaan Louw, PT, PhD Do you work with people who have pain AND neurologic conditions? In our world it would be rare to find someone who doesn’t have at least a few patients or clients who experience pain either as a result of their diagnosis or even pain that is completely unrelated but persists. In this episode we had the privilege of picking the brain of one of the best pain neuroscience educators around, Dr. Adriaan Louw, PT, PhD, senior faculty, pain science director and vice-president of faculty experience for Evidence in Motion. As a leader in the field of pain neuroscience, Adriaan has authored and co-authored over 100 peer-reviewed articles related to spinal disorders and pain science. If you’ve ever seen him teach at a conference his courses are the ones with the overflowing rooms for a reason: He knows his stuff! And clinicians are hungry for the knowledge and skills that will help people with pain feel better and return to function again. We asked Adriaan the best ways to incorporate pain neuroscience education (PNE) into practice when working with people with complex histories. He discussed the importance of both education and an approach to function as well as how to identify who is ready for change regarding their pain. You’ll learn key outcome assessments you should be using for your patients who have pain and how to create a balance of addressing the pain and progressing function in therapy sessions. Assessments like the Central Sensitization Inventory Scale, Fear Avoidance Belief Questionnaire and Pain Catastrophization Survey can help you identify who will benefit the most from PNE. You’ll also learn how language matters and which words to use and which words to avoid when describing pain and other medical conditions as they can impact the pain someone is experiencing. We discuss how to approach a person who feels like their pain is completely physical as well as how much time or effort to dedicate to incorporating PNE in sessions vs other activities and with which patients. You’ll learn this and so much more in the episode! Resources mentioned in the episode (Note, some require permission from authors. Links will give you the information needed to request) free videos for clinicians and patients Join the to be the first to hear when we open again! Dr. Louw will be a presenter inside NeuroSpark in the upcoming quadrimester Summer 2024! /episode/index/show/neurocollaborative/id/30661478

210: Running Intensives For Individuals With Spinal Cord Injury With Empower SCI 04/22/2024

209: How To Close the Gap Between Research And Practice With Dr. Carolee Winstein, PhD, PT, FAPTA 04/15/2024

209: How To Close the Gap Between Research And Practice With Dr. Carolee Winstein, PhD, PT, FAPTA Have you ever felt like there was a disconnect between what the researchers are thinking and what you, as a clinician, are thinking? You’re not the only one! The desire to bridge the gap between research and what really goes on in the clinic has been a topic of discussion for decades. We interviewed Dr. Carolee Winstein, PhD, PT, FAPTA about this very topic and what the possible solutions may be. Dr. Winstein, a pivotal figure in redirecting professional focus towards motor control, motor learning and neuroplasticity, shares her transformational journey. When working with individuals with neurologic conditions in the 1990s (“before neuro rehab was a thing,” as she laughs) she wondered, why do some people get better and some don’t? Her intellectual curiosity propelled her into the sphere of motor learning and control under the tutelage of the esteemed Richard (Dick) Schmidt, PhD, an intellectual leader in motor learning and control and founder and founding editor of the Journal of Motor Behavior. Accumulating over 34,000 citations, Dr. Winstein stands as a luminary in the realm of neuro rehabilitation, boasting an unparalleled expertise in motivation, motor control, and neuroplasticity. She shares why the practice of neuro rehabilitation must be accompanied by an understanding of the behavioral literature. She provides advice and guidance for the clinician struggling to incorporate the research into practice, a warning about Clinical Practice Guidelines (CPGs), and what types of studies you should actually pay attention to in order to implement emerging evidence. Have you ever felt like your patient population doesn’t really match those studied in the research? She addresses that too and provides advice and encouragement about how to shift this disconnect. Articles mentioned in the interview can be found and downloaded here: /episode/index/show/neurocollaborative/id/30660968

208: “Old Not Weak” How You Should Actually Train Aging Adults With Dustin Jones, PT, DPT, GCS 04/08/2024

208: “Old Not Weak” How You Should Actually Train Aging Adults With Dustin Jones, PT, DPT, GCS How much are you challenging the older adults you work with What biases do you have about someone when you see their age or comorbidities? Are they limiting how much you push them? Have you ever thought about the consequences of not pushing someone enough?? On today’s show we interviewed Dr. Dustin Jones, PT, DPT, GCS about his approach to working with aging adults and how it challenges the norm. He was working in skilled nursing facilities and seeing nearly everyone with the same exercises and plans of care despite varying abilities. This led to a desire to change the approach to care to be about determining what is really possible for aging adults and questioning why we only reserve more challenging work for those who are younger. In the episode Dustin explores how many therapists make assumptions (often ageist) about what someone is able or not able to do that isn’t backed up by research. He discusses the fear that something could go wrong when you challenge an older adult and challenges you to consider what could go right. If you approach it the right way, honoring their system and giving time to adapt, older adults have so much to gain by doing heavy lifting and strength training. The bigger risk for this population is actually to underdose them. People who are stronger and more fit have an ability to overcome more illnesses and stay independent longer. We discuss how to have conversations and set expectations for hard work outs that could lead to soreness or even orthopedic flare ups and how this is actually less risky as a consequence of pushing someone than the alternative outcomes that can happen is they aren’t as strong as possible, such as illnesses and chronic conditions from being sedentary. Keys to success with a fitness forward approach include ensuring the exercises are aligned with the patient’s primary goal. If they have pain, address that first but still have the conversation about where you’re going. Keep tying the exercise approach back to their independence and functional goals, and help them see the connection. Make sure they know the worst thing they can do is stop. Assure them to keep coming back so you can help them through it. Dustin runs StrongerLife, a gym for people over 55 and teaches Modern Management of the Older Adult as part of the Institute of Clinical Excellence, or PT on ICE. Learn more about Dustin and StrongerLIfe at - PTonICE.com /episode/index/show/neurocollaborative/id/30660728

207: Intensity Isn’t Just For Therapy Sessions With Han Nguyen, PT, DPT, NCS 04/01/2024

206: What To Do When You’re Overwhelmed In Your Business 03/25/2024

205: What You Must Know About Medicare Maintenance Therapy And What Can Happen If You Don’t With Robbie Leonard, PT, DPT, CHC 03/18/2024

205: What You Must Know About Medicare Maintenance Therapy And What Can Happen If You Don’t With Robbie Leonard, PT, DPT, CHC Who wants to talk about a fun topic?! What if learning about Medicare Maintenance Therapy actually was fun and didn’t make you fall asleep? Well, that’s what you’re going to get on today’s episode! We sat down with our favorite Medicare Utilization Reviewer, Dr. Robbie Leonard, PT, DPT, CHC to discuss the hot and sticky points about Medicare skilled therapy. We know a LOT of US-based therapists have questions and we’re here to help! In today’s show we discuss some common misconceptions about using Medicare for therapy so we can help you pass an audit and stay out of trouble! Some of the topics covered today include: Medicare’s definition of medical necessity and when it does and does not cover services The only 2 standards under which you can treat - restorative and maintenance and what they each mean When do to restorative and when to do maintenance and why you should NOT mix the two The questions you should ask yourself every time you see a patient: Could what I’m doing be provided by a caregiver or technical person that I train? If yes, it should not be billed at all. Unfortunately it doesn’t matter whether there is a qualified caregiver available or not. How you get audited: You can be flagged to be audited because your data profile looks different. If you always use or never use KX you can be audited for being an outlier. You should never stop seeing people just because they’ve reached the threshold. This can be a red flag! What you should NEVER say to a patient about their Medicare dollar usage When it is and is not appropriate to stop providing skilled therapy (hint: it doesn’t have to do with where the patient is in their threshold spend!) How to know if you can provide more therapy to a person who’s reached their threshold for the year: evaluations will always be covered! Why you should not be concerned (or turn away) a patient who has used up to their Medicare threshold or beyond Initial threshold What about Medicare and cash? If you’re providing a covered service you cannot opt out of Medicare as a therapist. You are legally obligated to file a claim. What does wellness look like then? What does a reasonable time frame actually look like? Medicare regulations all US therapists should read: NeuroSpark members find the Parkinson Focus Track call recording with Robbie with additional information covered Find Robbie at: **Please note, the contents in this episode are for educational purposes and should not be considered legal advice /episode/index/show/neurocollaborative/id/30417413

204: The Most Effective Way To Incorporate The Evidence With EVERY Patient With Oscar Gallardo, PT, DPT, NCS 03/11/2024

204: The Most Effective Way To Incorporate The Evidence With EVERY Patient With Oscar Gallardo, PT, DPT, NCS Do you feel like you’re as great a clinician as you could be? Do you know how to apply the evidence in an individualized way? Are you missing anything in your therapy toolbox, if so, do you know what it is? In today’s show we were so excited to interview Dr. Oscar Gallardo, PT, DPT, NCS after he won the from the Academy of Neurologic Physical Therapy component of the American Physical Therapy Association. Oscar is dedicated to the advancement of physical therapy through many advocacy efforts. He spends countless hours treating patients, mentoring students, residents and other clinicians, and focuses on community wellness. He has transformed many lives in his 20+ years in the field and is definitely someone who will take the profession (and healthcare) further as he continues to devote time, effort and energy to these passions. Any clinician or student will benefit from this in depth discussion of what makes a person a really great clinician so they can overcome barriers, empower patients to overcome their real and perceived barriers, and ultimately find perhaps a lost sense of agency. The insights shared will enlighten clinicians at any stage in their career. Some of the discussion points touched upon in this interview include how to determine what to use in your practice from the evidence when you’re stuck between following best practice guidelines and the restrictions faced like resources, patient functional level, other patient/family priorities, and clinical appropriateness for the interventions being suggested. Additionally, we discuss an essential communication tool that can shift power dynamics ultimately leading to better outcomes, understanding of expectations, and satisfaction for patient and clinician alike. Helpful adages like “our discharge plan starts at the evaluation” and “think out loud” will strengthen patient/clinician relationships. Becoming an expert in neurologic therapy goes beyond your clinical skills and the bullet points in the research. Listen to hear how you can elevate your practice right now. If you’re inspired by anything you heard, you can reach out to Oscar in the following ways: @dr_o.g._theneuropt /episode/index/show/neurocollaborative/id/30219183

203: Vestibular Private Practice, Mentorship And The Real Balancing Act With Christina Garrity, PT, DPT, NCS 03/04/2024

202: How To Prevent Falls From Retropulsion in PD 02/26/2024

201: Opportunities and Challenges Are Really A Matter Of Perspective 02/19/2024

200: What We’ve Learned In 200 Episodes And Our Top Episodes Revealed! 02/12/2024

199: The Must-Know Documentation Guidelines From A Utilization Reviewer 02/05/2024

198: Creative Strategies For Using Resistance Bands To Improve Function With Dr. JJ Mowder-Tinney, PT, PhD 01/29/2024

197: How To Apply The Principles of Neuroplasticity To OT With Briana Elson, MS, OTR/L 01/22/2024

196: Rapidly Improving Outcomes For Chronic Stroke Survivors With Vivistim 01/15/2024

195: What To Know About Post-Stroke Dizziness With Nidhi Seth, PT, DPT 01/08/2024

195: What To Know About Post-Stroke Dizziness With Nidhi Seth, PT, DPT On today’s show we interviewed Dr. Nidhi Seth, PT, DPT, CCVT, CSRS. She is a Doctor of Physical Therapy with specialization in concussion, neurological and vestibular disorders. After earning her undergraduate degree in Physiotherapy from India, she then went on to pursue her Post-Professional Doctor of Physical Therapy (PP-DPT) at Loma Linda University in Southern California. Dr. Seth further completed extensive training and clinical certifications in neurologic and vestibular disorders as well as management of concussion. Her clinical experience spans 15+ years from academic centers to community hospitals, across both Asia and the United States. She’s a licensed Physical Therapist in the states of California, Colorado and North Carolina. She's the CEO & Founder of NeuroBloom Physical Therapy & Wellness; started in the Bay Area, California and has now expanded to Raleigh, North Carolina. She has sought to teach DPT students across the country about the importance of Neuro-Vestibular Rehabilitation as an APTA Credentialed Clinical Instructor and adjunct faculty member with several prominent universities. She is also a faculty innovator & program coordinator at 360 NeuroGO where she teaches on multiple vestibular competencies. In the show today we’ll discuss why Nidhi decided to start her own business, why she chose to create a concierge model, how she expanded into 2 states, and what her schedule looks like as a business owner with 2 clinics plus teaching. Additionally we’ll discuss the ways you can screen for post-stroke dizziness to determine whether the dizziness is central or peripheral. Nidhi will share the tests she performs, the questions you can ask your patients, and what to look out for depending on the location of the stroke. You can learn more about Nidhi and find her course here: Contact details: [email protected] +1 315-447-4590 9360 Falls of Neuse Rd., Ste. 105, Raleigh, NC 27615 Facebook: Instagram: LinkedIn: X (Twitter): /episode/index/show/neurocollaborative/id/28985883

194: Health Coaching And PT: A Match Made In Heaven With Kathleen Olsen, PT, MS, PCES 01/01/2024

193: Sowing The Love: Harvesting Wins, Weeding Woes, And Business Shenanigans With NeuroBiz Besties 12/25/2023

193: Sowing The Love: Harvesting Wins, Weeding Woes, And Business Shenanigans With NeuroBiz Besties As we approach the end of year / new year it’s a great time to think about where you’re going and where you’ve been. Follow along as we discuss what seeds we’ve sown over the past months, what we are celebrating, and what we are removing from our hypothetical gardens with Emily Duval Ledger, Neuro Biz coach. Erin is working to implement the Profit First formula into business and found a company that works as a fractional CFO (aka part time for different companies) for cash based medical companies owned by PTs, OTs, MDs, NDs, etc. Claire is working to implement support groups at Rogue and shares the disappointment of not being selected for a Parkinson Foundation grant. Emily is pausing on her goal of writing the business book she always wanted to have and shares her process for that. Celebrating the fruits of your labor is always a MUST, so we also share our wins. How are you celebrating your harvest? Erin is celebrating the work put into building collaborative partnerships and how it is a win-win for all of us. Claire is celebrating a new funding collaboration, which may end up being even more abundant. She has partnered with a local non-profit so she can offer scholarships to Rogue members. Emily is celebrating the accomplishments of her coaching clients. Many initially came with specific issues and problems and now have crossed those bridges and are finding more stability and happiness in their businesses. What are you removing from your life in the next year? Erin is a constant gardener who is always in weeding mode. Claire is building better boundaries around her time and energy. Emily is challenging and removing the limiting beliefs that keep her from growing the way she knows she’s capable. We’d love to hear your own reflections! We want to celebrate with you as well and hope you take the time to think about the past year and year ahead. If you have a neuro business and want to join our NeuroBiz Besties free Slack group, fill out this form so we can learn more about you and see if it’s a good fit! Links mentioned in today’s episode: /episode/index/show/neurocollaborative/id/28985468