I Love Neuro

What if the key to helping a patient with Parkinson's find their voice again isn't more repetition, but movement? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with Jessica Ackerman, MS, CCC-SLP, RYT, speech-language pathologist and founder of Speak Steady, about why the classic Parkinson's presentation so often goes untreated, and how a technique born out of a pandemic-era Zoom yoga class became a clinically validated, self-paced communication program. Jessica walks through the neuroplasticity and motor-learning principles behind pairing each spoken word with a movement, how posture and breath mechanics directly power vocal loudness, where Speak Steady differs from voice-isolated approaches like LSVT LOUD, and why so few people with Parkinson's ever make it into speech therapy in the first place given long wait times and a national shortage of SLPs. The conversation also touches on early, easy-to-miss signs of swallowing difficulty and how PTs and OTs can use Speak Steady as a low-lift referral option for patients who may never see a speech therapist otherwise.

Speak Steady: www.jessicaackerman.com

Link to Speak Steady: The Parkinson's Voice Reset : www.jessicaackerman.com

Info flyer Speak Steady: https://drive.google.com/open?id=1bigUtWvw6taGpgc2d2jglYQfVHkI-pVz

Instagram: https://www.instagram.com/breathespeakmove/

Have you ever worked with a stroke survivor or patient with spinal cord injury who had swollen limbs and not been sure what to actually do about it? Maybe you tried something, maybe you didn't because you didn't realize you should. In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Rachel Walker, PT, DPT, GCS, CLWT, CBIS about why edema is so common — and so consequential — in the neuro population. Rachel walks through why unmanaged edema leads to pain, joint contracture, and long-term functional loss; how to run a full assessment (girth measurements, skin and lymphedema staging, and a bedside ABI to rule out arterial insufficiency before compressing); and what actually gets patients to stick with their compression, from donning aids to garment length and brand selection. Whether edema management has felt like an afterthought in your practice or you're looking to sharpen your clinical reasoning around it, this conversation gives you a clear, practical framework to start using right away.

Why do two patients with what looks like the same stroke on paper walk out of rehab so differently — and why does a home exercise program built on ankle pumps and heel slides so often fail the people who need it most? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Dr. Jennifaye V. Brown, PT, MSPT, PhD, NCS, CAPS, a four-time ten-year board-certified neurologic clinical specialist and author of Brace Yourself: Everything You Need to Know About AFOs After Stroke, about why going back to foundational neuroanatomy — knowing exactly where a lesion sits, how large it is, and how edema and brain shift distort the initial picture — is the difference between generic protocols and precision rehab. Dr. Brown walks through how she uses movement observation and cranial nerve testing to localize lesions when imaging isn't available, why upper versus lower motor neuron signs (and even mixed presentations) change her clinical reasoning, and how she builds five-exercise home programs tailored to a specific synergy pattern, flexion contracture, or cerebellar presentation rather than handing out the same generic list to every client. The conversation also digs into intensity: why so many stroke survivors aren't actually reaching the high-intensity thresholds the neuroplasticity research calls for, how Dr. Brown uses culturally relevant, music-paced activities and a color-coded RPE scale to get clients there, and why she separates muscle strengthening from muscle endurance in her programming. She previews a case study she'll present in an upcoming NeuroSpark webinar and makes the case for how clinicians can build self-efficacy rather than aim to see patients forever by using neuroanatomy.

Order ebook (Flipbook or PDF): jvbneuropt.com/book

Website: jvbneuropt.com

LinkedIn: https://www.linkedin.com/in/jennifaye-brown-pt-mspt-phd-ncs-caps/

YouTube: https://www.youtube.com/channel/UC-0M-apffkZl4vqjAqomd8g

Email: [email protected]

Get Dr. Jennifaye Brown's 90 minute AFO FITT-CORRECT: A Plan to Improve Foot Drop Webinar Just $29.99

What tasks do you keep doing in your business that you secretly hate? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with returning guest and favorite NeuroBiz coach Emily Duval Ledger about the reflective milestones of her 20-year entrepreneurial journey — from leaving her full-time job, to closing her brick-and-mortar gym during COVID, to running a leaner, more sustainable solo practice today. The conversation moves through the martyrdom trap so many clinician-business-owners fall into, how to actually trust a virtual assistant or new hire with work you've always done yourself, and the emotional nuance of transitioning long-term one-on-one clients to other team members without them feeling abandoned. Emily closes with a challenge born out of a personal practice of pausing before volunteering for anything: identify at least two things you can fire yourself from, and notice how much better you get at the few things you keep. Listeners will feel seen and inspired to take a new path toward freedom in your business rather than working a job you'd never sign up for if it weren't your own business.

What if the biggest gains in your patients' outcomes came from four small, free shifts you could start using tomorrow? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Jamie Haines, PT, DScPT, NCS, who recently left a long career as an associate professor at Central Michigan University for mobile concierge PT in Florida, where she treats patients with a wide range of neurologic conditions in their own environments. Jamie and Erin preview the "amplify your practice" framework, covering aerobic priming to get the nervous system ready to learn, rhythmic auditory stimulation and music-based cueing, the OPTIMAL theory of motor learning (autonomy, enhanced expectancies, and external focus), overground training. Learn how tapping into a patient's identity can be the difference-maker in adherence. You'll also hear that overground training is NOT simply walking overground. You'll take away specific examples of how to incorporate these evidence-based boosts to enhance recovery in your patient sessions.

Register for the free webinar live on September 10 HERE

Join NeuroSpark during our next opening September 14–17 at www.joinneurospark.com

How much hand function can come back after a neurologic injury, and how do you know whether to remediate or compensate? On this episode, host Erin Gallardo, PT, DPT, NCS, talks with Jenna Barber, MOT, OTR/L, BCPR, an occupational therapist who specializes in neurorehabilitation across acute care, inpatient, and outpatient settings. In the show you'll learn how to assess fine motor deficits through activity analysis and standardized testing, the difference between remediation and compensation and when to use either. We'll also discuss favorite tools like FES, focal vibration, and rocker knives, how to keep the non-dominant hand and shoulder involved even when it's not the primary focus, and discuss emerging tech including MusicGlove, Vivistim, Bioxtreme, VR, and other devices and their place in rehab.

Follow Jenna for tips, tricks and giveaways at @Neuro_OTPT_Nerds on Instagram

In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Rose Tilton, OTR/L, OTD, an occupational therapist at Marquette University's Neuro Recovery Clinic, and new guest Dr. Yi-Kai Lo, PhD, CEO and co-founder of ANEUVO, about transcutaneous spinal stimulation (TSS) for people with spinal cord injury. Rose shares how she discovered TSS through her own research, became a clinical trial site investigator at Marquette, and now uses ANEUVO's ExaStim® device — a multi-channel electrode array system that can be individually programmed and timed to match specific functional movements — alongside other TSS devices on the market, including ONWARD Medical's ARC-EX. Dr. Lo walks through the engineering behind ExaStim, how the device is positioned and calibrated for each patient, and the proposed mechanism of amplifying descending brain signals to the spinal cord. Together they cover who's actually a good candidate (spoiler: it's hard to predict), what a typical treatment session looks like from aerobic priming through hand-strengthening work, and real patient outcomes ranging from improved grip and transfers to unexpected anecdotal gains, like bowel and bladder function for some. Dr. Lo also shares results from ANEUVO's ASPIRE clinical trial and home-use study, including a newly designated CPT code that will make TSS billing possible starting January 2027. Whether you're new to TSS or already using it in your practice, this conversation is full of practical, clinically grounded insight into where this intervention is headed.

ANEUVO website: aneuvo.com

Contact ANEUVO here: [email protected]

Dr. Lo LinkedIn: https://www.linkedin.com/in/yi-kai-lo-53531977/

Dr. Lo Google Scholar: https://scholar.google.com/citations?user=cqiyyYgAAAAJ&hl=en

ANEUVO LinkedIn: https://www.linkedin.com/company/aneuvo

276: Clinical Use of Spinal Stimulation for SCI Rehab with Rose Tilton, OTR/L, OTD

What if the biggest threat to your practice's growth isn't your marketing budget, but the way your team handles the very first phone call? Getting the phone to ring is necessary, but never sufficient. In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Daniel A. "Danny" Bobrow, MBA — creator of The Art of First Impressions™ and The Persuasion Blueprint, and President of AIM Dental Marketing — about the three pillars of persuasive communication: caring, connection, and collaboration. Danny reframes the moments clinicians tend to fumble, like the "do you take my insurance?" question that quietly hands control of the call to the caller, and "expert override," the well-meaning habit of finishing a patient's sentence that costs you the connection you were trying to build. For neuro clinicians, the throughline lands close to home: therapeutic alliance measurably improves outcomes, and small shifts keep the nervous system out of threat mode so real behavior change can happen. Whether you're fielding first calls in a cash-based practice or trying to get a patient to actually do their home program, it's a practical masterclass in influence as an act of caring rather than coercion. Learn more about Danny's work at dannybobrow.com.

Support Danny's foundation at: https://www.climbforacause.org

Www.Facebook.com/danielabobrow

Www.Linkedin.com/In/Danny Bobrow

What do you do when the most evidence-based intervention you have is also the one your patient is "not allowed" to receive? Constraint-induced movement therapy has decades of research behind it, yet its exclusion criteria — especially around cognitive impairment — rule out a huge share of the stroke survivors clinicians actually see. In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with neuro OT Briana Elson, MS, OTR/L, BCPR, CBIS, about her decision to try modified CIMT with an 86-year-old stroke patient who had significant cognitive impairment and underlying dementia — a textbook exclusion — and why his profile, a left-handed man whose affected side was his dominant hand, made forced use feel natural and salient rather than confusing. Briana walks through how she built the protocol around safety and supervision in inpatient rehab: getting a physician order for the constraint mitt, educating and enlisting his wife, keeping a consistent daily schedule, breaking the three-to-six hours into non-consecutive blocks, and removing the mitt before late-day sundowning. She shares the outcomes that surprised even her skeptics — meeting the minimal detectable change on the Box and Block Test and a standardized motor scale within roughly thirteen days, plus real gains in grooming and feeding independence — alongside the honest caveats, including that his cognition never improved and that real-world delivery never looks as clean as the published article. It's a practical, encouraging conversation about reading the research, respecting its limits, and giving more patients a shot at an intervention they're usually told they can't have.

What happens to your neuro patients after they leave your care, and who's in their corner when the discharge falls apart? In this episode, host Erin Gallardo, PT, DPT, NCS, sits down with Kimberlie Williams-Feth, BSW, founder of Healthcare Survival Kit and a former hospital social work discharge planner who became an independent patient advocate after living the system's failures firsthand. When her husband's routine spinal fusion led to unexpected paralysis, Kimberlie navigated unsafe discharges, a "ghost network" of providers who didn't actually offer neuro care, and the months it took to find neuro PT and OT all while working full time and holding her family together. She shares the green/yellow/red scripting framework she teaches families, why a rushed discharge can leave patients financially liable the moment they say "no," and the three deceptively simple questions every clinician should ask: what did life look like before, what can you do now, and what are your goals. For neuro PTs, OTs, assistants, and students, this is a candid look at the holes in the system clinicians can't fill alone and the advocates who exist to fill them. Find an advocate by state or diagnosis at GNAnow.org (Greater National Advocates).

www.healthcaresurvivalkit.com

https://www.linkedin.com/in/kimberlie-williams-feth/

https://www.tiktok.com/@healthcaresurvival

https://www.facebook.com/healthcaresurvivalkit/

https://www.instagram.com/healthcaresurvivalkit/

Greater National Advocates: https://gnanow.org