Stroke SIG: Episode 17

Host Dr. Jackie Loeshelle is joined by Dr. Evan Cohen and Dr. Mark Manago to discuss blood flow restriction training for patients with neurologic deficits. During the interview, Drs. Cohen and Manago discuss how blood flow restriction works physiologically and evidence on using this intervention for individuals with a variety of neurologic diagnoses. They discuss how fatigue is often a limiting factor of exercise (for both strengthening and aerobic training) with patient with neurologic conditions, and that the addition of blood flow restriction may allow patients to be able to work at a higher intensity when fatigue is a barrier. Listen to learn more!

Please send comments or questions on this podcast to strokesig@gmail.com

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

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DD SIG: CSM 2022 Poster Award: Wearable Sensors for Balance and Mobility in Persons with Parkinson’s Disease: A Systematic Review- with Lindsay Fitchett 

In this episode, we highlight one of the winners of our poster awards at CSM 2022. Lindsay Fitchett talks to Chris Burke about her group’s systematic review of wearable sensors assessing balance and mobility in people with PD. They discuss themes from the review including differentiating PIGD and tremor-dominant subtypes, looking at fall risk, assessing movement strategies/transfers, and sensor-based interventions. They also discuss potential future avenues for sensors in rehab. 

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

Podcast: Play in new window | Download (Duration: 18:20 — 14.7MB)

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ANPT Inspirational Conversation with Dr. James Carey – short version

Dr. Carey was the Anne Shumway Cook Lecture Awardee for CSM 2022. His credentials: PT, PhD, FAPTA. In the interview he talks about the use of transcranial magnetic stimulation in patients post-stroke. He also talks about his role as an educator and the impact we can make internationally.

To listen to the full interview with Dr. Carey click here.

To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Podcast: Play in new window | Download (Duration: 19:49 — 18.7MB)

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ANPT Inspirational Conversation with Dr. James Carey – full version

Dr. Carey was the Anne Shumway Cook Lecture Awardee for CSM 2022. His credentials: PT, PhD, FAPTA. In the interview he talks about the use of transcranial magnetic stimulation in patients post-stroke. He also talks about his role as an educator and the impact we can make internationally.

To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Podcast: Play in new window | Download (Duration: 48:32 — 45.8MB)

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ANPT Inspirational Conversation with Dr. Richard Shields – short version

Dr. Shields was the Anne Shumway Cook Lecture Awardee for CSM 2021. His credentials: PT, PhD, FAPTA. In the interview he talks about his research in individuals with spinal cord injury including the management of hyperinsulinemia and neurogenic osteoporosis. He also shares information on epigenetics and the potential impact it could have on the future of physical therapy practice. 

To listen to the full interview with Richard Shields click here.

To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Podcast: Play in new window | Download (Duration: 18:39 — 14.7MB)

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ANPT Inspirational Conversation with Dr. Richard Shields – full version

Dr. Shields was the Anne Shumway Cook Lecture Awardee for CSM 2021. His credentials: PT, PhD, FAPTA. In the interview he talks about his research in individuals with spinal cord injury including the management of hyperinsulinemia and neurogenic osteoporosis. He also shares information on epigenetics and the potential impact it could have on the future of physical therapy practice. 

To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Podcast: Play in new window | Download (Duration: 1:19:28 — 61.2MB)

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DD SIG: CSM 2022 Poster Award: Differences in Spatiotemporal Gait Characteristics between Freezing of Gait Subtypes in Parkinson’s Disease – with Jason Longhurst

In this episode, we highlight one of the winners of our poster awards at CSM 2022. Jason Longhurst talks to Katy McGraw about his research on gait characteristics in people with PD. His research looks at data from people without freezing, people with freezing on initiation, and people with non-initiation-type freezing. He discusses the role of gait variability in clinical presentation and expands on how this research might inform PT intervention and make interventions more specific to patients with different presentations in the future. 

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

Guest information: 

Jason Longhurst Ph.D., PT, DPT, NCS 

Assistant Professor 
St. Louis University 

Related Articles  

Ziegler K, Schroeteler F, Ceballos-Baumann AO, Fietzek UM. A new rating instrument to assess festination and freezing gait in Parkinsonian patients. Mov Disord. 2010 Jun 15;25(8):1012-8. doi: 10.1002/mds.22993. PMID: 20310009. 

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Vestibular SIG: Testing for Vestibular Hypofunction- Episode 64

Host Maureen Clancy PT, DPT, OCS is joined by Dr. Edward Cho an Otolaryngologist at Cedars-Sinai Medical Center in a discussion of testing for vestibular hypofunction.

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

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No Easy Feat: 3 clinicians use evidence to change their practice

In this episode, physical therapist Mina Tialino and occupational therapists Steve Wallenfels and Philip Lamoreaux share stories of how they and their inpatient rehabilitation team have transitioned away from using traditional therapies in the care of their patients with neurologic conditions. Learn how these therapists with different levels of clinical experience have infused evidence-based approaches to promote positive outcomes and empower their patients!

Enjoy this episode and learn more about the Moving Forward Task Force and Evidence Elevates Campaign at https://neuropt.org/practice-resources/best-practice-initiatives-and-resources/moving-forward

Podcast: Play in new window | Download (Duration: 57:17 — 78.7MB)

DD SIG: CSM 2022 Platform Award: Consultative Coaching Model for Long-Term Exercise Engagement in People with Huntington’s Disease- with Lori Quinn

Description: In this episode, we highlight the winners of our platform award at CSM 2022. Lori Quinn talks to Chris Burke about her team’s research on long-term PT follow up to promote exercise in people with HD. They discuss findings related to feasibility, participant engagement, and outcomes related to function, disease progress and physical activity during the year-long study. They also discuss innovative models to provide care for and do research with people with HD, and unique challenges in the HD population. Whether you missed it at CSM or are looking for bonus clinical insights beyond the platform, this is definitely worth a listen! 

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

Guest Information:  

Lori Quinn, PT, EdD 

Associate Professor of Movement Science & Kinesiology 

Teachers College, Columbia University 

Related Information/Links  

Huntington’s Disease Society of America (HDSA): https://hdsa.org/ 

European HD Network: http://www.ehdn.org/  

ENGAGE-HD workbook: http://www.ehdn.org/wp-content/uploads/2020/07/ENGAGE-HD-Physical-Activity-Workbook-v2-UK.pdf  

PT/Exercise Resources: http://www.ehdn.org/physiotherapy-wg/#physioresources  

Enroll-HD: https://www.enroll-hd.org/  

HD PRO-TRIAD: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990832/ (Carlozzi NE, Victorson D, Sung V, et al. HD-PRO-TRIAD™ Validation: A Patient-reported Instrument for the Symptom Triad of Huntington’s Disease. Tremor Other Hyperkinet Mov (N Y). 2014;4:223. Published 2014 Apr 14. doi:10.7916/D8PN93NZ) 

Unified Huntington’s Disease Rating Scale (UHDRS) https://www.sralab.org/rehabilitation-measures/unified-huntingtons-disease-rating-scale-uhdrs-tm 

Podcast: Play in new window | Download (Duration: 38:13 — 30.6MB)

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