Dr. Dana Kahl, PT, DPT, EdD and Dr. Benton Lindaman, PT, DPT answer a question a student submitted to the Stroke SIG regarding spasticity after stroke. They discuss assessment and management of flaccidity and spasticity within this episode. This discussion may be helpful for both students and PTs/PTAs alike!

If you are a student and have a question regarding stroke rehabilitation, we are here to help! Submit questions here: https://www.neuropt.org/special-interest-groups/stroke/resources-for-students

The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Dr. Elizabeth Thompson, PT, PhD, NCS and Dr. Darcy Reisman, PT, PhD, FAPTA to discuss their article “Increasing Activity After Stroke: A Randomized Controlled Trial of High-Intensity Walking and Step Activity Intervention”. This article was published in January 2024 in Stroke. The conversation surrounding capacity vs. performance is continued in this episode.

Article Citation: Thompson ED, Pohlig RT, McCartney KM, et al. Increasing activity after stroke: A randomized controlled trial of high-intensity walking and step activity intervention. Stroke. 2024;55(1):101-109. doi:10.1161/STROKEAHA.123.044596

The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Dr. Carey Holleran, MPT, DHS to discuss her article “Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation.” This article was published within the JNPT in January 2023. Activity capacity is what a person is capable of doing, and activity performance is what a person does in their daily life. Dr. Holleran discusses the implications of assessments of capacity vs. performance, and how these measurements can be used for decision-making for physical therapy plans of care.

Article citation: Lang, Catherine E. PT, PhD, FAPTA; Holleran, Carey L. PT, DPT, DHS; Strube, Michael J PhD; Ellis, Terry D. PT, PhD, FAPTA; Newman, Caitlin A. OTR/L; Fahey, Meghan PT, DPT; DeAngelis, Tamara R. PT, DPT; Nordahl, Timothy J. PT, DPT; Reisman, Darcy S. PT, PhD, FAPTA; Earhart, Gammon M. PT, PhD, FAPTA; Lohse, Keith R. PhD; Bland, Marghuretta D. PT, DPT, MSCI. Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation. Journal of Neurologic Physical Therapy 47(1):p 16-25, January 2023. | DOI: 10.1097/NPT.0000000000000413

The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Ariana Jones, PT, DPT, Board-Certified Clinical Specialist in Women’s Health Physical Therapy, and Gillian McLean, PT, DPT, Board-Certified Clinical Specialist in Neurologic Physical Therapy, to discuss pelvic health therapy across the continuum of care for the neurologic population, particularly those following a stroke. In this podcast, you may expand your knowledge on the pelvic floor and normal urination/bowel movements. Listen to learn how pelvic health and neurologic physical therapists can collaborate to deliver the effective and holistic care to patients, as well as education you can provide to patients regarding pelvic health concerns/when to see a pelvic health specialist to promote optimal well-being.

When to Refer to Pelvic PT: Pelvic Floor Dysfunction Screening Questions (as referenced in the podcast interview):

Reference for the screening questions: Siracusa C, Gray A. Pelvic Floor Considerations in COVID-19. J Womens Health Phys Therap. 2020;44(4):144-151. doi:10.1097/JWH.0000000000000180

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by author (and current Stroke SIG Nominating Committee Member!) Dr. Chitra Balasubramanian, PT, PhD, CEEAA to discuss her research article titled “Walking Adaptability after a Stroke and Its Assessment in Clinical Settings”. Dr. Balasubramanian was awarded the Stroke SIG Research Award in 2022. Dr. Balasubramanian discusses the importance of walking adaptability within the realm of stroke recovery and why assessment of this construct matters.

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by authors Dr. Anjali Sivaramakrishnan and Dr. Sandeep Subramanian to discuss their recent article published in the Neurorehabilitation and Neural Repair titled “A Systematic Review on the Effects of Acute Aerobic Exercise on Neurophysiological, Molecular, and Behavioral Measures in Chronic Stroke”. The authors share their research, which is a systematic review aimed at examining the effects of a single bout of aerobic exercise on neuroplasticity measures. They discuss aerobic priming and considerations for the clinic to promote improved motor learning for individuals with chronic stroke.

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

This is for informational and educational purposes only. It does not
constitute and should not be used as a substitute for medical advice,
diagnosis, rehabilitation, or treatment. Patients and other members of the
general public should always seek the advice of a qualified healthcare
professional regarding personal health and medical conditions. The
Academy of Neurologic Physical Therapy and its collaborators disclaim
any liability to any party for any loss or damage by errors or omissions in
this publication. The views or opinions expressed are those of the
individual creators and do not necessarily represent the position of the
Academy of Neurologic Physical Therapy.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran PT, DPT is joined by Pierce Boyne, PT, DPT, PhD, NCS, Sandra A. Billinger, PT, PhD, and Darcy S. Reisman, PT, PhD to discuss their recent article posted in JAMA Neurology titled “Optimal Intensity and Duration of Walking Rehabilitation in Patients with Chronic Stroke: A Randomized Control Trial.” The authors discuss their research that investigated the gains in walking capacity between two different training parameters (high intensity interval training and moderate intensity aerobic training) after 4, 8, and 12 weeks of training.

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Michelle Sawtelle, PT, PhD. Dr. Sawtelle currently serves on the Stroke SIG leadership board. This interview discusses why the sit to stand task is an important clinical indicator in the stroke population, the findings of Dr. Sawtelle’s research, and how we can translate findings from this article into clinical practice. The article “Gluteus Maximus Muscle Activation During a Chair-Rise in Adults With Chronic Stroke” is featured in the October 2022 issue of the JNPT. The JNPT is a partner on this episode. The article can be found here: https://journals.lww.com/jnpt/Abstract/2022/10000/Gluteus_Maximus_Muscle_Activation_Characteristics.6.aspx.

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Nancy Salbach, PT, PhD to discuss Dr. Salbach’s article, “Assessment of Walking Speed and Distance Post-Stroke Increases after Providing a Theory-Based Toolkit”, published in the JNPT. The JNPT is a partner on this episode.

Resources on the measurement of gait speed and distance can be found here:

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

Host Jackie Loeshelle, PT, DPT is joined by Jennith Bernstein, PT, DPT, ATP/SMS of the Assistive Technology/Seated and Wheeled Mobility SIG to discuss wheelchair prescription for the neurologic population and the important role physical therapists have in this process.

Disclosure: Dr. Bernstein is a Clinical Affairs Manager for Permobil.

Resources on this topic are listed below:

The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and or treatment. Individuals should always consult an appropriate medical practitioner with questions.

Please send comments or questions on this podcast to the Stroke SIG at [email protected]

The Stroke Special Interest Group and Assistive Technology/Seating and Wheeled Mobility Special Interest Group are part of the Academy of
Neurologic Physical Therapy – www.neuropt.org.