This episode of 4D highlights results and implications from an article in the July 2025 Journal of Neurologic Physical Therapy special issue on walking in people with neurological health conditions. Host Parm Padgett interviews two authors, Michael (Mike) VanNostrand and Patrick (Paddy) Monaghan, about their recent study examining the role of proprioception in backward walking in people with multiple sclerosis, as well as previous work related to backward walking. If you're curious about how to interpret backwards walking and incorporate it into your clinical practice, this episode is for you!

Show notes available: https://app.box.com/s/0om94igfagb23nzm8v7ck18gx3mkj5l7

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org

In this episode, Katy talks with Dr. Andrew Guccione and Dr. Andrew Pechstein about their article published in the April 2023 issue of JNPT entitled "Walking Endurance and Oxygen Uptake on Kinetics in Individuals with Parkinson Disease Following Overground Locomotor Training." "Dr. G" and Dr. Pechstein discuss cardiorespiratory aspects of locomotor training and how bioenergetic factors play a role in walking endurance. Tune in to hear more, including how they designed their exercise protocol, selected outcomes, and clinical implications of considering cardiorespiratory endurance when evaluating patients.

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic

Physical Therapy – www.neuroPT.org

In this episode, host Jackie Loeshelle, PT, DPT is joined by Nancy Salbach, PT, PhD to discuss Dr. Salbach's article, "Assessment of Walking Speed and Distance Post-Stroke Increases after Providing a Theory-Based Toolkit", published in the JNPT. The JNPT is a partner on this episode.

Resources on the measurement of gait speed and distance can be found here:

• 10 Meter Walk Test: https://www.neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-measure-10-meter-walk-test-(10mwt)_final.pdf?sfvrsn=c5585243_2&sfvrsn=c5585243_2
• 6 Minute Walk Test: https://neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-outcome-measures-documents-july-2018/6mwt_protocol.pdf?sfvrsn=fc325343_2&sfvrsn=fc325343_2

The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions.

Please send comments or questions on this podcast to the Stroke SIG at [email protected].

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

In this episode, we talk with Dr. Catherine Lang and Dr. Carey Holleran from Washington University in St. Louis about their article scheduled for publication in the January 2023 issue of JNPT titled "Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation." Dr. Lang and Dr. Holleran discuss the difference between patients' capacity in the clinic and their functional performance outside of the clinical setting. In this multi-site trial, they compared performance and capacity measures for patients with Parkinson disease and stroke, measuring upper limb and lower limb function. Tune in to hear more about their statistical analysis, selection of outcomes, and clinical implications of considering performance when evaluating patients, setting goals, and measuring progress.

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org

Show notes available at: https://www.neuropt.org/docs/default-source/degenerative-diseases-sig/ddsig-episode-32.pdf

Host Puja Agarwal PT, DPT, MHA is joined by Michael Schubert PT, PhD, FAPTA and Bela Buki MD, PhD to discuss their upcoming article "Prevalence of and Theoretical Explanation for Type 2 Benign Paroxysmal Positional Vertigo. This will be published in the April edition of the Journal of Neurologic Physical Therapy. The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy – neuropt.org.

In this episode, the Journal of Neurologic Physical Therapy (JNPT) partners with the ANPT Stroke Special Interest Group for an interview with Amanda DeMartino conducted by host Jackie Loeshelle. Dr. DeMartino is an author of a recently published article examining manual dexterity measures and their relationship to use of the paretic upper extremity in individuals with stroke. This article is included in the October 2021 issue of JNPT.

Find more about this article here: https://journals.lww.com/jnpt/Abstract/2021/10000/Manual_Dexterity_Is_Associated_With_Use_of_the.7.aspx

The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org

In this episode, Parm talks to Dr. Zajac and Dr. Ellis about their paper in the October 2021 issue of JNPT "Are Mobile Persons With Parkinson Disease Necessarily More Active?" Parm dives into the methods and results with Dr. Zajac. Then, she zooms out to talk about big picture implications including measuring and defining performance and participation with Dr. Ellis.

The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

In this episode, Rebecca Martin interviews Graham Cochrane about his recent JNPT article related to vestibular dysfunction in people with MS. We hope you enjoy this lively and in depth conversation!

Host Puneet Dhaliwal PT, DPT, NCS is joined by Dr. Michael Popovich, MD, Neurologist, and Clinical Assistant Professor of Neurology at the University of Michigan and Wendy Carender, PT, NCS in a discussion of the role of supervised exercise challenges prior to Vestibular and Ocular Screening (VOMS) in people with sports related concussion. This is based from the article they recently published in the Journal of Neurologic Physical Therapy entitled "Does Exercise Increase Vestibular and Ocular Motor Symptom Detection After Sport-Related Concussion?"

In this episode, we talk to Emily Fox, PT, DPT, PhD and Kate Cavka, PT, DPT NCS about respiratory rehabilitation and diaphragm pacing after spinal cord injury and their recent paper in the Journal of Neurologic Physical Therapy titled "Diaphragm Pacing and a Model for Respiratory Rehabilitation After Spinal Cord Injury."