EPISODE TITLE: Stroke Recovery Along the Continuum of Care

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Hannah Waring and Madison Mendofik, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:

• Levels of care and typical expectations for survivors, care partners and clinician

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

Show References

Hartford. W, Lear, S., & Nimmon, L. (2019). Stroke survivors’ experiences of team support along their recovery continuum. BMC Health Services Research, 19(1), 1-12. https://doi.org/10.1186/s12913-019-4533-z Krishnan, S., Hay, C. C., Pappadis, M. R., Duetsch, A., & Reistetter, T. A. (2019). Stroke survivors’ perspectives on post-acute rehabilitation options, goals, satisfaction and transition to home. Journal of Neurologic Physical Therapy, 43(3), 160-167. https://doi.org/10.1097/NPT.0000000000000281

Lien, P., Deluzio, S., Adeyemo, J., Langton-Frost, N., Lavezza, A., Daley, K., Friedel, S., Pruski, A., French, M. A., & Raghavan, P. (2023). Development and implementation of a standard assessment battery across the continuum of care for patients after stroke. American Journal of Physical Medicine and Rehabilitation, 102(2), 51-55. https://doi.org/10.1097/PHM.0000000000002142 Oyake, K., Suzuki, M., Otaka, Y., Momose, K., & Tanaka, S. (2020). Motivational strategies for stroke rehabilitation: A delphi study. American Congress of Rehabilitation Medicine, 101,1929-1936. https://doi.org/10.1016/j.apmr.2020.06.077

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• Blog: blogspot.com

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

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NogginsAndNeurons: The Website

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NEXT LEVEL GERIATRIC CARE SUMMIT: A Certification Training for Rehab Professionals

March 29-31

Deb’s Talk: UE Mirror Therapy for Stroke Survivors: What’s Behind the Reflection

March 29th at 10:20 – 12: 20 Pacific, 12:20-2:20 Central, 1:20-3:20 Eastern

SIGN UP HERE

Questions about the summit: [email protected] or (800) 844-8260

EPISODE TITLE: All About The Brain Part 1

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about the brain regions and their functions. We covered:

• Basic brain anatomy

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

Show References

Barbas, H. (2016). Executive functions: The prefrontal cortex: Structure and anatomy. In Reference module in biomedical sciences. Retrieved from ScienceDirect Central Sulcus    https://www.sciencedirect.com/topics/engineering/central-sulcus  

Borch, M.R., Brodie, S.M., Gray, W.A., Ionta, S., & Boyd, L.A. (2015). Understanding the role of the primary somatosensory cortex: Opportunities for rehabilitation. Neuropsychologia, 79(Pt B): 246-255. doi:10.1016/j.neuropsychologia.2015.07.007

Kozial, L. F., Budding, D. E., & Chidekel, D. (2011). From movement to thought: Executive function, embodied cognition, and the cerebellum. Cerebellum|Review. Springer Science Business Media, LLC. DOI 10.1007/s12311-011-0321-y

Reichenbach, A., Thielscher, A., Peer, A., Bulthoff, H. H., Breschiani, J-P. (2014). A key region in  the human parietal cortex for processing proprioceptive hand feedback during reaching movements. NeuroImage 84; 615-625.  http://dx.doi.org/10.1016/j.neuroimage.2013.09.024

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

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NogginsAndNeurons: The Website

Join the Noggins And Neurons Facebook Group

Sign Up for the Noggins And Neurons Premium Access Pass

EPISODE TITLE: Debrief Sampling: Remedial Vision with Suzanne Briggs

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb give you a sampling of the full debrief we did on Remedial Vision with Suzanne Briggs Parts 1 & 2. We share our thoughts and ideas about what we learned, assessment tools, intervention ideas and more. The full debrief can be found in the Noggins And Neurons Membership site.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

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EPISODE TITLE: REMEDIAL VISION WITH SUZANNE: PART 1

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Suzanne Briggs, MOT, OTR/L about remedial vision.  We learned:

• Details about remedial vision

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

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JOIN THE NOGGINS & NEURONS PODCAST MEMBERSHIP

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EPISODE TITLE:  Empowering Recovery with Survivor, Angela Wingfield, PTA

INTRO - ANGELA: So, I try, and what I hope I’ve done with stroke survivors and caregivers and this is what I want for medical professionals who are working with neurological patients to realize...you can...you can, over a period of time set them up to where they’re using neuroplasticity for their physical and mental health; they are...the caregiver is asking for assistance...accepting any assistance that comes along the way...if you’re teaching them this early on...they’re learning how to communicate with each other better, the stroke survivor and their care partners in their life, and you’re teaching them skills to where...I have a lot of survivors they’re still coming to the group seven, eight, ten years later but they’re doing it mainly so they can help other people...they want to help the new ones that are coming in

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Empowering Recovery with Survivor, Angela Wingfield, PTA we talked about:

• Angela’s story – insight, depression, denial, cover-ups and wanting the old self

As always, we want to hear your top takeaways! Email Doro & Deb at [email protected] 

Connect with Angela: [email protected] 

About Angela:

https://www.methodisthealth.org/healthcare-services/rehabilitation/methodist-germantown-outpatient-rehab/meet-our-team.dot 

Stroke Support Group

https://www.methodisthealth.org/healthcare-services/neurology-neurosurgery/Strokes/support-groups/

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Deb's OT Resources:

• Deb's OT resources

Doro’s Website: The Neuro Hub

Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• Blog: blogspot.com

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC:

“Soft Inspiration” by Scott Holmes/ScottHolmesMusic/scotthomesmusic.com 

Join the Noggins And Neurons Membership

Join the Noggins And Neurons FB Group

EPISODE TITLE:  A Care Partners Perspective with Bridget

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Bridget, a care partner to John, shares their story and expresses deep gratitude for the information in Pete’s book, “Stronger After Stroke: Your Roadmap to Recovery.” Bridget describes their experience, including fears, frustrations, obstacles and what they have done and continue to do to heal and thrive along their recovery journey.

As always, we want to hear your top takeaways!

Email us at [email protected] 

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

PETE’S RESOURCES:

• Pete's book

DEB’S OT RESOURCES:

• The OT's Guide to Mirror Therapy
  • https://creativeconceptsot.gumroad.com/l/rlmirrortherapy

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

• https://forms.gle/PsSFqFjUBSUyV6ud9

MUSIC

Music by scottholmesmusic.com

MEMBERSHIP IS HERE!

Join us in the Founders Circle Membership

A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

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Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at:  [email protected].

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

excerpt of the information that was submitted and reviewed by the FDA: "10 Summary of Clinical Performance Testing

The Neurolutions System has been evaluated in 40 subjects across three separate clinical studies (described below), all of which evaluated use of the Neurolutions system in chronic stroke survivors.  All three studies were designed to determine the feasibility of recording electroencephalogram (EEG) signals from the affected and/or unaffected brain hemispheres, and to use the signals to control a computer to facilitate movement of a robotic hand orthosis (Handpiece).  The results of the studies have been analyzed to determine if the Neurolutions System can be used to positively impact rehabilitation. These three studies were open-label studies whereby a literature meta-analysis assessing usual care as well as minimal clinically important difference (MCID) benchmarks were utilized for comparison of device effectiveness in lieu of randomized control data.

Results of testing demonstrate that following 12-weeks of use of the Neurolutions System, chronic stroke survivors showed increases in the mean change from their baseline scores on the primary outcome measure for the three respective studies. Ten of the total 40 subjects were assessed utilizing the Action Research Arm Test (ARAT) as the primary outcome measure and the mean scores exceeded the Minimal Clinically Important Difference (MCID) of 5.7 points.  In the two other studies, 30 of the total 40 subjects were assessed utilizing the Fugl-Meyer Upper Extremity (UEFM) assessment as the primary outcome measure. For 66.7% of these 30 subjects, mean scores exceeded the MCID of 5.25 points.  UEFM data were collected in 30 subjects from studies.

Results of Pooled Analysis: The results from 30 subjects across two studies may be validly pooled because the studies have the same primary endpoint and were conducted under nearly identical protocols (including inclusion/exclusion criteria and treatment regimen) and investigated the same version of the device in a very similar patient population (as evidenced by a comparison of the demographic data).  Moreover, the primary endpoint, change in UEFM, was compared at the same timepoint, and the studies were weighted relative to their size.  Based on the foregoing, a pooled analysis for UEFM, including all 30 subjects from the two studies, resulted in a mean change at 12-weeks of 7.77 points (SD of 5.041, two-sided, one-sample t-test, p-value < .0001), which exceeds the Minimal Clinically Important difference (MCID) of +5.25 points reported in the literature. 

Across the two pooled clinical studies, 100% (30/30) of the subjects demonstrated improvement on the primary outcome measure, UEFM. A total of 66.7% of these subjects exceeded the minimal clinical important difference (MCID). The MCID is the change in a treatment outcome as measured by a trained clinician and regarded as important and clinically meaningful to health professionals and patients.[1],[2],[3],[4]  The remaining 33.3% of the subjects, although demonstrating improvement, did not achieve the MCID.

For a cohort of 12 patients who participated in, durability data was assessed at 6-months following completion of their 12-week study visit. Durability assessment of the primary and secondary outcome measures revealed these subjects maintained their level of improved functional and motor performance. This demonstrates that the motor improvements achieved with the Neurolutions System therapy were maintained at 6-months following the last device use. However, as durability testing has not been completed beyond 6-months, persistence of benefits beyond 6-months post device use are currently unknown.

The results of these clinical studies support the feasibility of recording EEG signals from the affected and unaffected hemisphere and demonstrate that a computer can use these signals to control the motor output of a robotic handpiece (orthosis). Results of testing demonstrate that movement of the affected fingers, through the use of the Neurolutions System, can positively impact rehabilitation of the affected arm in individuals who suffer from chronic (≥ 6 months post-stroke) upper extremity hemiparesis resulting from stroke."

Website Items: 

Link to FDA Approval Announcement: FDA Approval Announcement

Link to DeNovo Announcement: IpsiHand_DeNovo

Publications of Interest: 

Contralesional Brain–Computer Interface Control of a Powered Exoskeleton for Motor Recovery in Chronic Stroke Survivors (on cover of STROKE)

Theta–gamma coupling as a cortical biomarker of brain–computer interface-mediated motor recovery in chronic stroke

Motor Network Reorganization Induced in Chronic Stroke Patients with the Use of a Contralesionally-Controlled Brain Computer Interface

IpsiHand in the Media:

Podcast: Giving Stroke Patients a Hand (patient testimonial)

Life Changing Technology (Bloomberg Report Special on BCI (Minute Time Mark: 7): 

Engaging the Mind and the Brain with Neurotechnology (YouTube, Dr. Eric Leuthart)

RESOURCES:

• Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com

• Deb's OT Resources:
  • Deb's OT resources

• Doro's website - the neuro hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

MEMBERSHIP IS HERE!

Join us in the Founders Circle Membership A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, "PT Michelle: Survivor Success Story," with Michelle Sawtelle, we talked about: Deb and Michelle chat about Michelle’s experience around having a stroke. She shares details around the evolution of the stroke, her recovery journey and returning to family and work life. Other topics that came up include:

• Inflammation, nutrition and overall health

As always, we want to hear your top takeaways!

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

• Wahl’s Protocol (links provided for convenience)

• Book

• Deb's OT Resources:

• Deb's OT resources

• Doro's website - the neuro hub

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

The title says it all! Noggins And Neurons has a plan and it feels so good...Thanks for sticking with us 😊

MEMBERSHIP IS HERE!

Join us in the Founders Circle Membership

A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at:  [email protected].

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card

RESOURCES:

• Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com

• Deb's OT resources

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com