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

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