Julie D. Ries, PT, PhD, a professor of physical therapy and an international educator on dementia care, joins host J.J. Mowder-Tinney for an honest conversation about elevating therapy for older adults living with dementia. Together we dive into the biases that often shape clinical decisions and explore how shifting your approach can enhance engagement, occupational participation, and outcomes. You’ll walk away with practical strategies that can help boost your confidence and make every interaction count through relationship building, positive communication, environmental awareness, and leveraging motor learning strategies. Whether you’re new to dementia care or looking to refine your skills, this episode offers a fresh lens—and a few simple mindset shifts—to maximize your impact.

Learning Objectives

• Analyze the evidence around therapists’ perceptions of working with older adults with dementia and strategies to maximize therapeutic engagement and occupational participation of these individuals
• Apply evidence-based, practical strategies to actionably address therapists’ confidence and competence in working with individuals with dementia
• Examine pragmatic suggestions for engagement and best therapeutic outcome in working with individuals with dementia

Timestamps

• (00:00:00) Welcome
• (00:01:19) Julie Ries, PT, PhD, shares her background and what drew her to dementia care
• (00:03:11) Therapeutic nihilism and shifting clinician mindsets
• (00:06:45) Introducing Ries’s framework and its use in educational settings
• (00:08:45) Origins and evidence for the four-part framework
• (00:10:14) Component 1: Relationship building—personalization, respecting reality, and reminiscence
• (00:14:40) The value of validation and emotional safety in dementia care
• (00:18:45) Component 2: Communication strategies—tone, simplicity, elderspeak, and nonverbal cues
• (00:23:58) Intentional smiling and reading body language
• (00:25:07) Behavior as communication and decoding “inappropriate” actions
• (00:28:53) Ensuring basic needs are met before sessions
• (00:29:15) Component 3: Environmental awareness—consistency, routine, and visual cues
• (00:33:32) Environmental enrichment with music and personalization
• (00:34:54) Component 4: Motor learning optimization—functional salience, errorless learning, and blocked practice
• (00:42:58) Applying errorless learning in clinical scenarios
• (00:46:29) Repetition and safe intensity in therapeutic interventions
• (00:48:35) Adjusting approaches for various levels of dementia
• (00:50:32) Fostering self-efficacy and honoring cognitive capabilities
• (00:52:54) Educating families to prevent “excess disability”
• (00:57:08) Top three actionable takeaways
• (00:58:15) Episode close and Medbridge resources reminder

Resources Mentioned in Episode

• Be Light Care (Resource for education and practical tips from a rehabilitation provider)
• Alzheimer’s Association (Resource for information related to dementia)
• Alzheimers.gov (Resource for information related to dementia)

Neuro Naviagators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Naviagators, visit ⁠https://www.medbridge.com/neuro-navigators⁠

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Jeff Walter, DPT, NCS, returns to Neuro Navigators to share even more clinical practice tips for clinicians who are both new and experienced with vestibular rehab. Host JJ Mowder-Tinney and Jeff dive into the vestibular management hidden gems that could be the strategies to transform your clinical practice. From alternative benign paroxysmal positional vertigo (BPPV) assessment techniques to under-recognized treatments for Meniere’s disease to emerging treatments for vestibular-related imbalance and falls, you’ll walk away with practical tools you can apply immediately. Whether you are a physical or occupational therapy practitioner, this episode is for you. Don’t miss this engaging discussion filled with actionable takeaways to enhance your confidence in treating dizziness and balance disorders.

Learning Objectives

• Analyze the evidence regarding optimal management of vestibular disorders
• Apply evidence-based, practical strategies to actionably address the efficient evaluation and treatment of vestibular-related dizziness
• Solve patient case scenarios involving frequent falls and disabling vertigo to support participation in instrumental activities of daily living (IADLs), such as community mobility and home management

Timestamps

• (00:00:00) Welcome
• (00:00:15) Welcome back, guest Jeff Walter, DPT, NCS
• (00:00:55) Jeff’s background and work at Geisinger Medical Center
• (00:02:11) Evolution of Jeff’s vestibular specialization
• (00:03:12) Overview: tips for clinicians with foundational vestibular knowledge
• (00:04:42) Sidelying test: what it is and why to use it
• (00:06:54) How to perform the sidelying test with exact head positioning cues
• (00:08:21) Embedding the sidelying test into functional mobility assessments
• (00:11:55) Splinting the patient’s head: comfort and compliance tips
• (00:13:21) Half Dix-Hallpike: identifying short-arm posterior canal BPPV
• (00:16:40) Flashlight fixation-blocking: a goggle-free nystagmus test
• (00:18:11) When to use it and how to prep the patient
• (00:25:10) Mastoid vibration test: screening for vestibular hypofunction
• (00:26:00) Interpretation: direction-fixed nystagmus and its implications
• (00:26:40) When and why to use mastoid vibration (TBI, falls, etc.)
• (00:34:04) Gentamicin injections: managing Meniere’s-related vertigo
• (00:40:00) Vestibular drop attacks (Tumarkin events): signs and screening tips
• (00:42:30) Real-life example and how to follow up when falls are unexplained
• (00:46:00) Vibrotactile belt: a future-forward sensory substitution device
• (00:47:00) Who it’s for, how it works, and early user feedback
• (00:52:50) Wrapping up: Jeff’s top takeaways for novice and experienced physical and occupational therapy practitioners
• (00:56:25) Superpower time: Jeff’s vestibular-themed wishes
• (00:58:00) Closing remarks and where to listen to Episode 1

Resources Mentioned in Episode

• Alonso, S. M., & Caletrío, Á. B. (2024). Clinical Advancements in Skull Vibration-Induced Nystagmus (SVIN) over the Last Two Years: A Literature Review. Journal of Clinical Medicine, 13(23), 7236.

Neuro Naviagators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Naviagators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

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Dr. Mary Warren, a leading expert in visual impairments and hemianopia in adults with acquired brain injury, joins host J.J. Mowder-Tinney to shed light on this common and often-overlooked condition. Together, we explore why hemianopia is so critical for rehabilitation professionals to understand and look for, how it can permanently impact daily life and participation, and what clinicians like you can do to assess and address it effectively. You’ll gain clarity on how to differentiate between hemianopia and neglect, as well as evidence-based insights into treatment techniques and compensatory strategies. Tune in for a conversation packed with practical takeaways to enhance your approach to vision-related challenges in neuro rehab.

Learning Objectives

• Interpret the evidence around characteristics of HH that limit participation in occupations
• Apply evidence-based, practical strategies to actionably address the client’s limitations in mobility and reading and participation within indoor and community environments
• Solve patient case scenarios involving characteristics of HH that limit performance and participation

Timestamps

• (00:00:00) Welcome
• (00:00:03) Introduction to Neuro Navigators and guest introduction
• (00:00:49) Dr. Mary Warren’s background and expertise
• (00:05:59) The importance of understanding hemianopia
• (00:11:00) Challenges faced by individuals with hemianopia
• (00:13:23) Distinguishing hemianopia from neglect
• (00:16:47) Observational strategies for clinicians
• (00:21:00) Interventions and current research on hemianopia
• (00:27:01) Understanding hemianopia and environmental impact
• (00:28:14) Compensatory visual scanning techniques
• (00:32:24) Assessment strategies for hemianopia
• (00:36:25) Creating supportive environments
• (00:37:36) Addressing fear and anxiety in patients
• (00:42:00) Communicating with caregivers
• (00:46:42) Actionable takeaways for clinicians
• (00:49:40) Empowering patients through practical strategies

Neuro Navigators brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

On this episode of Neuro Navigators,⁠ Kristen Keech⁠ and⁠ Jessica Asiello⁠ join host ⁠J. J. Mowder-Tinney ⁠to tackle a vital and often misunderstood topic: disorders of consciousness (DoC). Together, we bust myths, consider ethical challenges, and offer actionable insights grounded in cutting-edge research, including recent clinical practice guidelines. How can we ensure equitable access to treatment and avoid strikingly common pitfalls like misdiagnosis or premature withdrawal of care? Tune in to explore evidence-based practices, practical strategies, and inspiring examples that challenge us to rethink what’s possible for these patients.

Learning Objectives

• Interpret the evidence around rehab professionals’ role in assessment and recovery of consciousness
• Apply evidence-based, practical strategies to actionably address gaps in knowledge translation to ensure implementation of best practices when managing individuals with disorders of consciousness
• Solve patient case scenarios involving individuals at various levels of consciousness

Timestamps

• (00:00:00) Welcome
• (00:00:50) Introduction to guests and disorders of consciousness (DoC)
• (00:02:20) Personal journeys and passion for DoC
• (00:06:05) Misconceptions and clinical questions
• (00:09:23) Assessment techniques and team collaboration
• (00:13:29) Recent research and evidence-based practice
• (00:23:10) Understanding disorders of consciousness
• (00:25:33) Multimodal approaches in rehabilitation
• (00:27:45) Assessment tools and techniques
• (00:29:13) Importance of documentation
• (00:31:45) Individualizing patient care
• (00:33:15) Engaging families in therapy
• (00:36:25) Overcoming barriers in treatment
• (00:39:58) Empowering clinicians
• (00:41:14) Actionable takeaways for clinicians
• (00:43:17) Case studies in practice
• (00:49:11) Final thoughts and inspiration

Resources Mentioned in Episode

• ⁠Practice guideline update recommendations summary: Disorders of consciousness⁠

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navaigators, visit

⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to Medbridge, visit⁠https://www.medbridge.com/pricing/⁠

In this episode we welcome Dr. Candace (Candy) Tefertiller, an expert in spinal cord injury (SCI) rehabilitation, to explore the exciting potential of transcutaneous spinal stimulation (TSS) in augmenting motor recovery. Candy breaks down the mechanisms behind TSS, offers insights into the latest research, and shares the current and emerging clinical applications of this noninvasive technique. Together with host J.J. Mowder-Tinney, we dig into key considerations for therapists, including patient outcomes, and strategies for keeping a pulse on relevant research. Listen in to learn how TSS might be the next innovative intervention to augment SCI recovery.

Learning Objectives

• Interpret the evidence around the underlying mechanism associated with noninvasive spinal stimulation to facilitate sensory and motor recovery after SCI
• Apply evidence-based, practical strategies to actionably address motor recovery and activation after SCI, with a focus on enhancing functional outcomes in daily activities
• Solve patient case scenarios involving individuals with limited voluntary motor activation after SCI

Timestamps:

• (00:00:00) Welcome
• (00:0049) Introduction to guest
• (00:03:05) Background and research focus
• (00:06:14) The impact of noninvasive spinal stimulation
• (00:10:04) Understanding transcutaneous spinal stimulation mechanisms
• (00:14:03) Comparing noninvasive and invasive spinal stimulation
• (00:15:54) Patient tolerance and individual variability in stimulation
• (00:18:01) Distinguishing between spinal and peripheral nerve stimulation
• (00:20:57) Current research status and future directions
• (00:25:38) Understanding noninvasive spinal stimulation
• (00:27:48) Research insights and case studies
• (00:30:55) Impact on spasticity and functional improvements
• (00:37:16) Key considerations for therapists
• (00:45:30) Real-world applications and patient engagement
• (00:48:51) The future of physical therapy and research

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

Dr. Herbert Karpatkin, PT, DSc, NCS, GCS, MSCS, joins J.J. Mowder-Tinney to share his expertise on improving mobility in patients with multiple sclerosis (MS). Herb discusses the common misconceptions about MS in physical therapy and offers practical strategies, including interval training and task-specific exercises, to enhance patient outcomes.

Learning Objectives

Timestamps

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

⁠Dr. Darcy Reisman⁠, professor and chairperson of the department of physical therapy at the University of Delaware, joins host ⁠J.J. Mowder-Tinney⁠ for an engaging discussion on poststroke rehabilitation, with a focus on walking recovery. A true knowledge translator, Dr. Reisman shares her extensive research and outlines practical strategies for improving both clinical walking capacity and real-world walking performance. Tune in to discover how bridging the gap between research, therapy, and real life can help your patients achieve their walking goals both in and beyond the clinic.

Learning Objectives

Timestamps

Resources Mentioned in Episode

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit ⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to Medbridge, visit ⁠https://www.medbridge.com/pricing/⁠

Dr. Carole Lewis, an esteemed expert in geriatric rehabilitation, joins host J.J. Mowder-Tinney to discuss practical pearls for managing frailty, deconditioning, and sarcopenia in older adults. Drawing on Dr. Lewis’s extensive clinical experience and research, this episode is jam-packed with key outcome measures, targeted interventions, and strategies to empower your patients toward greater independence. Listen and learn from a conversation centered around bringing hope and skill to a population that too many people overlook and underestimate.

Learning Objectives

Timestamps

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit ⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠

If you’d like to subscribe to Medbridge, visit ⁠⁠https://www.medbridge.com/pricing/⁠

Join host ⁠J.J. Mowder-Tinney⁠ as she welcomes occupational therapist ⁠Melissa Kimmerling⁠, an expert in neurorehabilitation. In this episode, J.J. and Melissa dive deep into the intricacies of cueing strategies, exploring recent research and practical applications for clinicians. Discover actionable insights and innovative approaches to enhance your clinical practice.

Learning Objectives

Timestamps

Neuro Navigators is brought to you by MedBridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit ⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to MedBridge, visit ⁠https://www.medbridge.com/pricing/⁠

Join us for an enlightening conversation with Rebecca Bliss, an expert in concussion management across the lifespan. J.J. Mowder-Tinney engages Becky in a deep dive into recent research and practical tips, including the importance of incorporating functional assessment of symptomatology, principles of neuroplasticity, and early active rehabilitation into patient care. Discover key insights and techniques to enhance your concussion management practices, whether working with tactical athletes or older adults.

Timestamps

Learning Objectives

Resources Mentioned in Episode

Neuro Navigators is brought to you by MedBridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/