Shoulders Up

Dr. Lauren Ziaks, a doctor of physical therapy, discusses autonomic disorders, dysautonomia, and the Utah Adapt Protocol. She emphasizes the importance of understanding and treating dysautonomia as a secondary condition triggered by an inflammatory event. Dr. Ziaks also highlights the need for a wide lens approach in treating dysautonomia and the challenges of reconditioning patients after treating the condition.

Takeaways

• Dysautonomia is a secondary condition triggered by an inflammatory event, and it's important to treat the underlying cause as well as the dysautonomia itself.
• Reconditioning patients after treating dysautonomia is a lengthy process that requires a wide lens approach and careful consideration of the patient's readiness for physical activity.

Chapters

• 00:00 Understanding Autonomic Disorders and Dysautonomia
• 06:07 Overlap of Vestibular, Vision, and Autonomic Rehab
• 12:14 The Utah Adapt Protocol and Its Impact
• 17:27 Common Mistakes and Patient Success Story
• 26:36 Promotion of Potts and Beyond Conference

instagram.com/lziaks

https://medicine.utah.edu/neurology/conferences/pots-and-beyond

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

The Shoulders Up Podcast discusses status migranosis, the difference between headache and migraine, and the DHE admission process. Annika Ehrlich, a headache specialist, shares insights on the DHE admission protocol and the importance of headache advocacy.

Takeaways

• Status migranosis is a prolonged migraine attack lasting more than 72 hours.
• The DHE admission process involves a hospital stay and multiple infusions to manage severe and chronic migraine symptoms.

Chapters

• 00:00 Introduction to Status Migranosis
• 02:10 Differentiating Headache and Migraine
• 04:37 Understanding Status Migranosis
• 10:10 DHE Admission Process
• 22:11 Pediatric DHE Admissions
• 30:31 Success Stories and Advocacy

https://allianceforheadacheadvocacy.org/

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

In this episode, Dr. Lauren Young joins Jimmy Pang to discuss post-stroke dizziness, neuroanatomy, vestibular disorders, and spasticity management. They explore the brain regions involved in post-stroke dizziness, the complexity of the vestibular system, and the unique challenges of managing post-stroke dizziness compared to traditional vestibular disorders. Additionally, they delve into the misconceptions and therapeutic approaches for spasticity management, highlighting the need for a comprehensive and multi-faceted treatment approach. The conversation covers early positioning and prescription, challenges in spasticity management, a case study on post-stroke dizziness, vestibular evaluation and treatment, patient management and breaks, a complex spasticity case, treatment limitations and patient selection, and professional development and side hustles in healthcare.

Takeaways

• Post-stroke dizziness requires screening and management, even in the absence of overt symptoms.
• Spasticity management involves a multi-faceted approach, including conservative techniques and medical interventions. Early positioning and prescription are crucial in acute care and inpatient rehab.
• Understanding treatment limitations and patient selection is essential for successful outcomes.

Chapters

• 00:00 Introduction and Guest Introduction
• 01:56 Post-Stroke Dizziness and Brain Regions
• 05:17 Neuroanatomy and Vestibular System
• 12:16 Vestibular Disorders and Post-Stroke Dizziness
• 17:44 Spasticity Management and Therapeutic Approaches
• 24:43 Early Positioning and Prescription
• 26:07 Challenges in Spasticity Management
• 27:31 Case Study: Post-Stroke Dizziness
• 28:02 Vestibular Evaluation and Treatment
• 29:14 Patient Management and Breaks
• 34:46 Complex Spasticity Case
• 40:19 Treatment Limitations and Patient Selection
• 43:37 Professional Development and Side Hustles

Dr. Jimmy Pang

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Dr. Lauren Young

https://neuroelitept.com/

The Rehab Remix
instagram.com/neuroelitept

The conversation explores the concept of myofunctional therapy, its history, and its connection to sleep apnea, vertigo, and vestibular disorders. It delves into the differences from speech therapy, the measurement of tongue strength, and the personal journey of a myofunctional therapist. The discussion also highlights the identification of myofunctional therapy candidates and its connection to dizziness and vestibular disorders.

Takeaways

• Myofunctional therapy addresses tongue posture, airway issues, and sleep apnea.
• Early interventions in myofunctional therapy can prevent future dental and health issues.

Chapters

• 00:00 Introduction to Myofunctional Therapy
• 01:25 Defining Myofunctional Therapy
• 03:01 Myofunctional Therapy History and Dental Field Connection
• 04:22 Myofunctional Therapy and Sleep Apnea
• 04:59 Differences from Speech Therapy
• 07:22 Measuring Tongue Strength and Mobility
• 08:41 Becoming a Myofunctional Therapist
• 09:24 Personal Journey into Myofunctional Therapy
• 10:33 Early Interventions and Tongue Tie
• 13:06 Identifying Myofunctional Therapy Candidates
• 19:31 Success Story: Vertigo and Myofunctional Therapy
• 22:33 Connection to Dizziness and Vestibular Disorders
• 26:06 Availability of Myofunctional Therapy
  

  Pang PT:
  www.pangphysicaltherapy.com

  instagram.com/pangphysicaltherapy

Dominique Noble

https://www.myofuntherapy.com/

https://www.instagram.com/myofun.therapy

The podcast episode delves into the complexities of 3PD and the three pillars of its treatment success, including vestibular rehabilitation, cognitive behavioral therapy, and medication. It also highlights the challenges in diagnosis and treatment, as well as the clinical criteria for 3PD diagnosis.

Takeaways

• 3PD is a complex disorder
• Vestibular rehabilitation, cognitive behavioral therapy, and medication are the three pillars of 3PD treatment success

Chapters

• 00:00 Understanding 3PD
• 01:05 Vestibular Rehabilitation
• 02:34 Challenges in Diagnosis and Treatment
• 02:59 Cognitive Behavioral Therapy
• 04:29 Medication Consideration
• 06:19 Clinical Criteria for 3PD Diagnosis

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Blog Post

Dr. Jennifer Braswell Christy is leading researcher and contributor to the field of pediatric vestibular rehabilitation.

The conversation delves into the prevalence, diagnosis, and unique challenges faced by pediatric vestibular patients. It explores the impact of vestibular dysfunction on children's behavior, developmental challenges, and educational support. Additionally, it presents a case study on a home-based vestibular rehabilitation program and discusses clinical tests, intervention outcomes, and the future of pediatric vestibular rehab.

Takeaways

• Prevalence of vestibular dysfunction in children is significant
• Unique challenges faced by pediatric vestibular patients
• The impact of vestibular dysfunction on children's behavior and development

Chapters

• 00:00 Introduction to Pediatric Vestibular Rehab
• 07:54 Vestibular Rehab for Children
• 20:21 Case Study: Home-Based Vestibular Rehabilitation Program
• 34:14 Resources and Future of Pediatric Vestibular Rehab

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Pediatric Vestibular Rehab Course:
https://www.uab.edu/shp/pt/programs/continuing-education/pediatric-vestibular-rehabilitation

Dr. Jennifer Braswell Christy is leading researcher and contributor to the field of pediatric vestibular rehabilitation.

The conversation delves into the prevalence, diagnosis, and unique challenges faced by pediatric vestibular patients. It explores the impact of vestibular dysfunction on children's behavior, developmental challenges, and educational support. Additionally, it presents a case study on a home-based vestibular rehabilitation program and discusses clinical tests, intervention outcomes, and the future of pediatric vestibular rehab.

Takeaways

• Prevalence of vestibular dysfunction in children is significant
• Unique challenges faced by pediatric vestibular patients
• The impact of vestibular dysfunction on children's behavior and development

Chapters

• 00:00 Introduction to Pediatric Vestibular Rehab
• 07:54 Vestibular Rehab for Children
• 20:21 Case Study: Home-Based Vestibular Rehabilitation Program
• 34:14 Resources and Future of Pediatric Vestibular Rehab
  

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Pediatric Vestibular Rehab Course:
https://www.uab.edu/shp/pt/programs/continuing-education/pediatric-vestibular-rehabilitation

Dr. Jennifer Braswell Christie discusses the prevalence of vestibular dysfunction in children, unique challenges faced by pediatric vestibular patients, differences in vestibular preferences between children and adults, a case study on a home-based vestibular rehabilitation program, and resources for pediatric vestibular rehabilitation.

Takeaways

• Prevalence of vestibular dysfunction in children is higher than expected, with a wide range of diagnoses and challenges faced by pediatric patients.
• Understanding the unique challenges and differences in vestibular preferences between children and adults is crucial for effective pediatric vestibular rehabilitation.

Chapters

• 00:00 Introduction to Dr. Jennifer Braswell Christie
• 05:35 Differences in Vestibular Preferences Between Children and Adults
• 20:21 Case Study: Home-Based Vestibular Rehabilitation Program
• 32:13 Resources for Pediatric Vestibular Rehabilitation

Catherine Dykes, CEO of Chronic Migraine Awareness Inc., shares her journey with chronic migraine and the founding of CMA. She discusses the impact of migraine on her life, the challenges she faced, and the mission of CMA. The conversation also highlights the need for advocacy, support, and awareness for migraine sufferers.

Takeaways

• Chronic migraine can have a profound impact on a person's identity, relationships, and daily life.
• Advocacy, support, and awareness are crucial for improving the lives of migraine sufferers.

Chapters

• 00:00 Community Support and Involvement

CMA Inc Resources:

https://chronicmigraineawareness.com/

https://www.instagram.com/chronicmigraineawareness

https://www.facebook.com/groups/cmaware/

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

The conversation between Jimmy and Melissa Baumbick covers the topic of facial pain disorders, their impact, and the advocacy work of the Facial Pain Association. Melissa provides insights into the nature of facial pain disorders, their prevalence, challenges in diagnosis, and the mission of the Facial Pain Association.

Takeaways

• Facial pain disorders are often misdiagnosed and underreported, leading to a lack of awareness and access to appropriate care.
• The Facial Pain Association is dedicated to serving individuals affected by neuropathic facial pain, providing educational resources, support, and advocacy for better care and access to treatment.

Chapters

• 00:00 Understanding Facial Pain Disorders
• 06:10 Mission of the Facial Pain Association
• 11:30 Challenges and Impact of Facial Pain Disorders
• 22:05 Hope and Support for Facial Pain Disorders

www.pangphysicaltherapy.com

instagram.com/pangphysicaltherapy

Facial Pain Association:
https://www.facepain.org/
https://www.instagram.com/facialpainassoc/