Building “best practice” in neurorehabilitation. Seeking to increase collaboration and sharing of information among clinicians regarding treatment approaches, cutting edge research, and technology/devices
Episode 20 - Expert Insights: Ron Blehm on Primary Care PT
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 (https://catalog.pesi.com/sales/rh_s_002170_functionallyfocusedmc_organic-1138044)
17 Feb 2025
Episode 19 - The Dosage Deficit in Stroke Recovery: A Conversation with Dr. John Krakauer
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 (https://jnnp.bmj.com/content/90/5/498)
Dr. Krakauer & Dr. Putrino's Article on Neurotechnology Prospects (https://pubmed.ncbi.nlm.nih.gov/36384334/) : https://pubmed.ncbi.nlm.nih.gov/36384334/
Link Janis Daly's High Dosage/Intensity Research (https://www.researchgate.net/profile/Janis-Daly) : https://www.researchgate.net/profile/Janis-Daly
24 Jan 2025
Episode 18 - BFR for Neuro with Dr. Evan Cohen
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:
The Basics of BFR: Understand how BFR works and its potential benefits for individuals with neurological conditions.
BFR and MS: Learn about the latest research on BFR in MS, including Dr. Cohen's own groundbreaking studies.
Outcomes and Future Directions: Discover the promising results seen in BFR studies and Dr. Cohen's vision for the future of BFR in neurorehabilitation.
Practical Applications: Gain insights into how BFR can be safely and effectively implemented in clinical practice.
Dr. Cohen's Studies:
"Blood-Flow Restriction Training for a Person With Primary Progressive Multiple Sclerosis: A Case Report" https://pubmed.ncbi.nlm.nih.gov/33351952/ (https://pubmed.ncbi.nlm.nih.gov/33351952/)
"Feasibility of Low-Load Resistance Training Using Blood Flow Restriction for People With Advanced Multiple Sclerosis: A Prospective Cohort Study" https://pubmed.ncbi.nlm.nih.gov/37815934/ (https://pubmed.ncbi.nlm.nih.gov/37815934/)
"Go With the Flow? Considerations for Blood Flow Restriction Training in People With Neurologic Conditions" https://www.researchgate.net/publication/385683007_Go_with_the_Flow_Considerations_for_Blood_Flow_Restriction_Training_in_People_with_Neurologic_Conditions (https://www.researchgate.net/publication/385683007_Go_with_the_Flow_Considerations_for_Blood_Flow_Restriction_Training_in_People_with_Neurologic_Conditions)
Hope you enjoy this insightful episode of Synapse!
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Apple Podcasts (US)
5.0 / 5
4 ratings
Spotify
5.0 / 5
3 ratings
Podcast Authority Score: 28 / 100
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Quality
44
Social presence
0
YouTube
0
Engagement
32
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