In this episode of Synapse, we welcome back Ron Blehm to continue our discussion on primary care physical therapy. We examine the current landscape of primary care PT, analyzing the supporting research that highlights its effectiveness in improving patient outcomes.

We delve into how this approach aligns with the shift towards value-based care, emphasizing its efficiency and patient-centered focus. Finally, we look ahead, exploring the potential future of primary care PT and the innovations that will shape its evolution.

To sign up for Ron's "Functionally Focused Rehab Masterclass", on April 25th, click this link: https://catalog.pesi.com/sales/rh_s_002170_functionallyfocusedmc_organic-1138044

Episode 19: The Dosage Deficit in Stroke Recovery: A conversation with Dr. John Krakauer

Are stroke patients receiving the optimal care they need to maximize their recovery? On this episode of Synapse, we sit down with Dr. John Krakauer, MD, Professor of Neurology, Neuroscience, and Physical Medicine & Rehabilitation at the Johns Hopkins University School of Medicine, External Professor at the Santa Fe Institute, and Visiting Scientist at the Champalimaud Center for the Unknown in Lisbon, to discuss a critical aspects of stroke rehabilitation: how to achieve neurorecovery with dosage and intensity.

Dr. Krakauer, a leading expert in motor learning and stroke recovery, reveals a startling truth: many stroke patients are simply not receiving enough therapy to truly unlock their recovery potential. We delve into the science behind motor learning and how it applies to regaining lost function after a stroke. Dr. Krakauer explains the complex interplay of negative and positive symptoms post-stroke, shedding light on the challenges patients face and how they can be addressed.

Crucially, this episode focuses on what the research unequivocally demonstrates is necessary for effective neurorecovery. Dr. Krakauer argues passionately that rehabilitation professionals must reclaim their role in patient care and advocate for significantly higher dosage and intensity in enriched and engaging environments. He emphasizes that rehabilitation technology should serve as a supplement to these core principles, not a replacement for them. We discuss how creating fun and motivating environments can be crucial for increasing engagement and adherence to high-intensity therapy. This episode is a call to action for clinicians, researchers, and stroke survivors alike to demand and implement a paradigm shift in stroke rehabilitation.

Key takeaways:

• The critical importance of dosage and intensity in stroke recovery.
• Understanding the complexities of motor learning and its application to rehabilitation.
• The role of negative and positive symptoms post-stroke.
• Why current rehabilitation protocols often fall short.
• How to create enriched and engaging environments for therapy.
• The proper role of technology in stroke rehabilitation.
• A call to action for rehabilitation professionals to advocate for better dosage.
• Stay tuned for his upcoming article in the "Stroke" Journal

Resources:

• Results of Nick Ward's High Dosage Research: https://jnnp.bmj.com/content/90/5/498
• Dr. Krakauer & Dr. Putrino's Article on Neurotechnology Prospects : https://pubmed.ncbi.nlm.nih.gov/36384334/
• Link Janis Daly's High Dosage/Intensity Research : https://www.researchgate.net/profile/Janis-Daly

In this episode of Synapse, we delve into the fascinating world of blood flow restriction (BFR) training with Dr. Evan Cohen, PT, PhD, NCS, an associate professor at Arcadia University and a leading expert in the treatment of Multiple Sclerosis (MS).

Dr. Cohen shares his expertise on the application of BFR in neurorehabilitation, specifically for individuals with MS. We explore the science behind this innovative technique, discussing how it can lead to significant strength and functional gains even with low-intensity exercise.

Key takeaways from this episode:

https://www.arcadia.edu/faculty-and-staff/evan-t-cohen/

https://www.linkedin.com/in/ecohenpt/

Dr. Cohen's Studies:

Hope you enjoy this insightful episode of Synapse!

Neuropriming with Rebecca Martin, OTR/L, OTD

Episode Description:

Join us for a fascinating exploration of neuropriming with Rebecca Martin, OTR/L, OTD, from the renowned Kennedy Krieger Institute. Rebecca dives deep into her extensive research and expertise in neuropriming, a cutting-edge technique that's transforming neurorehabilitation.

In this episode, you'll discover:

Whether you're an occupational therapist, physical therapist, speech-language pathologist, or any other healthcare professional interested in optimizing brain recovery and function, this episode is packed with valuable insights and practical applications.

About Rebecca Martin:

Rebecca Martin, OTR/L, OTD, is an occupational therapist and researcher at the Kennedy Krieger Institute. She has extensive experience in neurorehabilitation and is a leading expert in the field of neuropriming. Her research focuses on developing and evaluating innovative interventions to improve outcomes for individuals with neurological conditions, specifically post Spinal Cord Injury (SCI)

Key takeaways:

Unlocking Your Fitness Potential: The Science of Behavior Change with Ginkgo Active

This week, we're joined by Celine Huang, marketing and research assistant from Ginkgo Health, a leading expert in behavior modification and the driving force behind their revolutionary new app, Ginkgo Active.

Ginkgo Health isn't just launching a fitness app; but a whole new approach to achieving your health goals. In this episode, Celine shares her fascinating research journey in behavior modification and how it directly shaped the development of Ginkgo Active.

Discover how Ginkgo Active:

Plus, as a special offer for our listeners, Celine has an exclusive early bird discount!

Find out more about Ginkgo Active and claim your discount here:

Tune in and discover how Ginkgo Active can transform your fitness journey - it's more than just an app; it's a science-backed path to a healthier you!

Join us for a fascinating conversation with Ron Blehm, PT, CEEAA, CSFI, CFPS, a leading expert in fall prevention. Ron has dedicated his 30-year career to helping patients achieve optimal function. He is currently a Primary Care PT and he's here to share his eye-opening insights on a critical issue often overlooked in physical therapy.

In this episode, Ron delves into his extensive research on fall prevention, revealing simple yet powerful screening tools and treatment protocols that every PT can implement, regardless of their specialization. He emphasizes the urgency of addressing fall risk as our population ages, empowering therapists to make a real difference in the lives of their patients.

Key takeaways:

Don't miss this opportunity to gain a fresh perspective on fall prevention and elevate your practice to new heights!

Additional Info:

Because the population is aging, it is imperative that all Physical Therapists (regardless of their area of expertise) be aware of these screening tools to identify those who are at most risk.

References:

Gait Speed was recommended as a Vital Sign (every visit) in the Guide to PT Practice, 2001

Synapse Ep. 13: Ignite Your Neuro PT Passion with J.J. Mowder-Tinney! 🔥

Join us for an electrifying episode of Synapse as we sit down with the incredibly passionate Neuro PT educator, J.J. Mowder-Tinney! 🧠⚡️

Before viewing the episode, please visit J.J.'s courses: https://www.medbridgeeducation.com/jj-mowder-tinney-2

To receive discounts on her courses, use the following promo code: "JJMOWDER".

In this episode, you'll discover:

Articles mentioned during our conversation:

#NeuroPT #MotorLearning #Rehabilitation #SynapsePodcast #JJMowderTinney #PhysicalTherapy #Balance #Cerebellum

Episode 13: Elena's Journey - Inspiration Through Rehabilitation

In this special episode of Synapse, we shift our focus from the clinician's perspective to the patient's. Join us as we welcome Elena Brandner from Florida, an incredible individual who shares her inspiring rehabilitation journey with us after she suffered a spinal cord injury (SCI) in 2022. Elena opens up about the challenges she has faced, the triumphs she has celebrated, and the unwavering determination that fuels her desire to inspire others.

Get ready to be moved by Elena's story as she delves into the depths of her experience, offering a unique and powerful perspective on the rehabilitation process. This episode is a must-listen for anyone seeking motivation and a reminder of the strength of the human spirit.

Find Elena on Instagram at: https://www.instagram.com/stories/flostate_recovery/

Learn more about Elena:

https://linktr.ee/flostate_recovery?fbclid=PAZXh0bgNhZW0CMTEAAabbnreyPn0_1Q_F2dw0CdaG02VuI8xi1RWq_V84mT6UoNy_tE4fWNmoqcw_aem_PYgnbK-yJtq6t_WltcNemQ

Synapse Podcast: Episode 12

Guest: Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CSRP, CBFP, FAPTA

Links to Mike's Content:

Description: Buckle up for an enlightening conversation with the one and only Mike Studer! You know him from countless CEU courses and groundbreaking neuro research. In this episode, we dive deep into Mike's journey, his passion for neuro PT, and his invaluable advice for clinicians navigating the complexities of neurological rehabilitation - even if they don't consider themselves "Neuro Therapists"

We cover in-depth topics like dual-task training, high intensity training, flaccidity, external cues, and gathering post-task feedback from the patient. Towards the end of the podcast, Mike unveils his new book: "The Brain That Chooses Itself". Get ready to be inspired and informed!

Timestamped Show Notes:

Key takeaways:

Call to action:

Remember:

#SynapsePodcast #MikeStuder #Neurorehab

Another very brief episode before we jump back to long-form in future episodes. This episode is to briefly explain what graded assistance robotics is, and how it is used in the field of neurorehab. Also connecting graded assistance to how it relates to my journey with my recent career change. As always, thank you for listening!