The NOGGINS AND NEURONS Podcast
Stroke & Brain Injury
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Stroke and TBI Recovery Simplified
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Jul 9, 2023
Sex & Intimacy With Sujata Martin, MS, OTR/L
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EPISODE TITLE: Sex & Intimacy with Sujata Martin, MS, OTR/L
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Sujata Martin about sex & intimacy. We covered:
* Sex, Sexuality, and Intimacy
* The impact of a neurological diagnosis on the pelvic floor, function and one’s identity
* Where sex and sexuality are addressed in the OT Practice Framework, 4th edition
* How fine motor deficits impact bowel & bladder management, including catheter management
* Sexual expression, psychological & physical aspects of intimacy
* Finding the right practitioner-why properly trained OT practitioners may be able to help & finding a good provider/client fit
* The role of occupational therapy practitioners in addressing sexual needs of clients, including clinician responsibility in receiving client responses; the importance of withholding judgment to avoid damage to the client
* Additional training required to treat pelvic dysfunction & to provide sex counseling
* The importance of client questioning and, sometimes, persistence, when advocating to getting one’s needs met
* Being open to considering other possibilities such as adaptations to enhance connection and intimacy
* Being mindful not to adapt to the caregiver & sick role only - remembering who you are to maintain relationship
* Sexuality as a means of strengthening relationships with one’s partner(s) and oneself
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Mellor, R.M. et. al, (2013). Healthcare professionals’ views on discussing sexual wellbeing with patients who have had a stroke: A qualitative study. PLOS | ONE, 8(10).
Naphtali, K., MacHattie, E., Elliott, S.L. & Krassioukov, A. (2009). Pleasure ABLE: Sexual device manual for persons with disabilities. Disabilities Health Research Network.
O’Shea, A., Frawley, P., Leahy, J. W., & Nguyen, H.D. (2020). A critical appraisal of sexuality and relationships programs for people with acquired brain injury. Sexuality and Disability, 38:57-83. https://doi.org/10.1007/s11195-020-09616-5
Prior, S., Reeves, N., Peterson, G., Jaffray, L., & Campbell, S. (2019). Addressing the gaps in post-stroke sexual activity Rehabilitation: Patient Perspectives. Healthcare 7, 25; doi:10.3390/healthcare7010025
Occupational Performance Inventory of Sexuality & Intimacy
* University of Indianapolis-https://uindy.edu/health-sciences/ot/opisi
* Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One-https://scholarworks.wmich.edu/ojot/vol8/iss2/7/
Find a pelvic therapist: Pelvicrehab.com
Sujata’s website: pelvicsoul.com
Sujata’s book: “Not Just Kegels – The Exhausted Mama’s Guide to Pregnancy & Postnatal Wellness” that ranked #1 on Amazon’s Pregnancy & Childbirth list.
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
* Tri-Fold Mirror (US addresses only)
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – 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
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Jun 15, 2023
Impact of Psychosocial Factors on Stroke Recovery
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with D’Youville University students, Devin Jones, Brittany Sockwell and their professor, Tracy Bentley-Root about the psychosocial aspects stroke survivors experience. We covered:
* Stroke statistics
* Lack of awareness around how stroke impacts survivors' mental health
* Pre and post stroke anxiety and depression
* Clinician and Care Provider self-care to avoid burn out.
* Using the research for interventions, try them...if they work, great. If not, try another one.
* The 3 legs of evidence-based practice:
* What the evidence says
* Practitioner clinical reasoning
* Judgement related to the scenario & the client.
* Advocating for the survivor to get quality care.
* Care Partners advocating for the survivor (they know them best) based on their knowledge of the person. You do not have to accept whatever is happening.
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
EPISODE REFERENCES:
Show References
Cheng, H. Y., Chair, S. Y., & Chau, J. P. (2012). The effectiveness of caregiver psychosocial interventions on the psychosocial wellbeing, physical health and quality of life of stroke family caregivers and their stroke survivors: A systematic review. JBI Library of Systematic Reviews, 10(12), 679- 797. https://10.11124/jbisrir-2012-66
Cheong, M. J., Kang, Y., & Kang, H. W. (2021). Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea. Healthcare (Basel), 9(9), 1211. https://10.3390/healthcare9091211
Kirkevold, M., Kildal Bragstad, L., Bronken, B. A., Kvigne, K., Martinsen, R., Gabrielsen Hjelle, E., Kitzmüller, G., Mangset, M., Angel, S., Aadal, L., Eriksen, S., Wyller, T. B., & Sveen, U. (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology, 6(1), 12. https://10.1186/s40359-018-0223-6
Minshall, C., Castle, D. J., Thompson, D. R., Pascoe, M., Cameron, J., Mccabe, M., Apputhurai, P., Knowles, S. R., Jenkins, Z. R., & Ski, C. F. (2020). A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial. Informa UK Limited. https://10.1080/10749357.2020.1738677
Panzeri, A., Ferrario, S. R., Vidotto, G. (2019). Interventions for psychological health of stroke caregivers: A systematic review. Frontiers in Psychology, 10(2045). https://doi.org/10.3389/fpsyg.2019.02045
Rochette, A. R., Korner-Bitensky, N., Bishop, D., Teasell, R., White C. L., Bravo, G., Côté, R., Green, T., Lebrun, L.-H., Lanthier, S., Kapral, M., & Bayley, M. (2013). The YOU CALL-WE CALL randomized clinical trial impact of a multimodal support intervention after a mild stroke. Circulation: Cardiovascular Quality and Outcomes, 6(6), 674-679. https://doi.org/10.1161/CIRCOUTCOMES.113.000375
Terrill, A. L., Schwartz, J. K., Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 6187328. https://doi.org/10.1155/2018/6187328
THERAPY PRACTICE RESOURCES:
PODCAST IN EDUCATION INSTRUCTOR GUIDE + MINI LESSON
DEB’S RESOURCES
* Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
* The OT's Guide to Mirror Therapy
* Tri-Fold Mirror (US addresses only)
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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May 3, 2023
Factors Affecting Stroke Recovery
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EPISODE TITLE: Factors Affecting Stroke Recovery
EPISODE SUMMARY: EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Minkshi Kareer and Victoria Purucker, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:
* The effects of age, gender, race, and importance of proper diagnosis on short term/long term recovery and overall survivor outcomes
* How culture & community impacts stroke recovery
* The impact of beliefs on stroke recovery and provider roles
* Pharmacological & Non-pharmacological interventions for treating depression symptoms following stroke and being facilitators for recovery
* “Practice makes progress,” and the practitioner role in helping survivors and their loved ones identify gains when they might otherwise go unnoticed
* Ensuring that survivors and care partners are given appropriate and relevant resources related to the stroke and continued stroke recovery. Practitioners can improve support strategies by reviewing the information after discharge whether at home or in outpatient settings.
* The importance of care partner education on the recovery process for facilitating optimal survivor recovery
* Cognitive reserve defined and the impact on recovery
* Use of the “Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors”
* Addressing quality of life through survivor and care partner trainings that address concerns and planting seeds and providing resources for addressing possible future concerns
* Providing post-discharge services such as respite care and overall care coordination to support better outcomes
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Post Stroke Checklist
Is Sex a Prognostic Factor in Stroke Rehabilitation? A Matched Comparison
Factors Affecting Post-stroke Motor Recovery: Implications on Neurotherapy After Brain Injury
Awareness of Deficits in Stroke Rehab
Cognitive Reserve as an Emerging Concept in Stroke Recovery
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
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
* Podcasts in Education Instructor Guide
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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Apr 5, 2023
Stroke Recovery Along the Continuum of Care
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
* The knowing factor that clinicians use when determining discharge recommendations
* The role of insurance in the US
* Dismantling the subacute rehab stigma
* Including survivors in their care
* The value of the survivors’ lived (subjective) experiences
* How education helps increase client and care partner confidence
* Improving education content and delivery by healthcare providers
* Accepting one’s career learning path being a process of continued growth
* Collaborative care, assessments and interventions along the continuum of care
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
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
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
* Noggins And Neurons Podcast Instructor Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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Feb 15, 2023
All About The Brain Part 1
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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: info@pesi.com 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
* How much a human brain weighs
* The purpose of gyri & sulci
* Electrical connections, chemical reactions and brain function
* The cerebrum
* The lobes: frontal, parietal, temporal & occipital
* The cerebellum
* Importance of rest for recovery
* A little bit about aphasia
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
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
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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Jan 29, 2023
Debrief Sampling: Remedial Vision with Suzanne Briggs, MOT, OTR/L
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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 Nogginsandneurons@gmail.com
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
* Tri-Fold Mirror (US addresses only)
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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Jan 16, 2023
Remedial Vision with Suzanne Briggs, MOT, OTR/L: Part 2
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Dec 31, 2022
Remedial Vision with Suzanne Briggs, MOT, OTR/L: Part 1
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
* Common visual skills/visual skill deficits, the role of cognition and vision hierarchy
* Screening and assessing for vision deficits, including the OculoMotor Assessment Tool (OMAT)
* Schools of thought regarding appropriate time to treat vision deficits post injury
* Use of prisms as intervention and compensatory strategies
* Value of professional collaborations in the client care experience
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
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
* Tri-Fold Mirror (US addresses only)
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
* Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
*
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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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Nov 11, 2022
Empowering Recovery with Survivor, Angela Wingfield, PTA
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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
* Seeing through the symptoms to the person
* Beyond stroke education and connecting through emotion
* Moving from helpless to empowered
* The stroke belt - information about the stroke belt: Twenty Years of Progress Toward Understanding the Stroke Belt
As always, we want to hear your top takeaways! Email Doro & Deb at nogginsandneurons@gmail.com
Connect with Angela: awingfield1106@outlook.com
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
* The OT’s Guide to Mirror Therapy
* Tri-Fold Mirror (US address only)
* Occupational Therapy Intervention 2 pack Scavenger Hunt + Visual Trails
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
Doro’s Website: The Neuro Hub
Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
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
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Oct 11, 2022
A Care Partner’s Perspective with Bridget
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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 Nogginsandneurons@gmail.com
LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:
PETE’S RESOURCES:
* Pete's book
* Pete's blog
DEB’S OT RESOURCES:
* The OT's Guide to Mirror Therapy
* https://creativeconceptsot.gumroad.com/l/rlmirrortherapy
* Tri-Fold Mirror (US addresses only)
* https://creativeconceptsot.gumroad.com/l/trifoldmirror
* Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
* https://creativeconceptsot.gumroad.com/l/scavengerhunt
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
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Sep 24, 2022
Brain Computer Interface with Occupational Therapist Lauren Souders
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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: NogginsAndNeurons@gmail.com.
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:
* Donate to Noggins And Neurons and get an Allstar Pete Trading Card
* Using your PayPal app
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 deter…
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Sep 1, 2022
PT Michelle: Survivor Success Story
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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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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
* Wahl’s Protocol – one example of decreasing inflammation thro…
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Aug 23, 2022
Another Noggin in the mix - Welcome Doro!
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
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Join the Noggins And Neurons Facebook Group
As always, we want to hear your top takeaways! Please email us at: NogginsAndNeurons@gmail.com.
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:
* Donate to Noggins And Neurons and get an Allstar Pete Trading Card
* 2. Using your PayPal app
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 Rec…
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Jul 15, 2022
Strategies for Successful Medication Management: Part 2
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EPISODE TITLE: Strategies for Successful Medication Management: Part 2
OVERVIEW: Occupational Therapy provides the distinct value of being able to look at clients holistically to best collaborate with individuals on THEIR goals and needs, rather than viewing them solely as their diagnosis.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Medication Management: Part II, with Tracy Bentley-Root, Anna Kotansky, and Haleigh Bjorkman, we talked about:
* Utilizing the evaluation process to address physical, cognitive and visual (and so much more!) components of medication management from the START of client care.
* Analyzing the environment and context to determine possible barriers to medication management.
* Empo…
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Jun 21, 2022
Strategies for Successful Medication Management: Part 1
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EPISODE TITLE: Medication Management Part 1
OVERVIEW:
Haleigh: “I think it is important too, to see what patients actually value doing within medication management and then starting from there.” This episode is a conversation between two OTRs and two soon-to-be new grad OTs. The topic of conversation is about medication management and how to adapt this occupation for patients.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Medication Management Part 1 with Tracy Bentley Root, Haleigh Bjorkman, and Anna Kotansky, we talked about:
* What is Medication Management?
* What are common burdens related to medication management?
* How are caregivers affected by the burdens of medication management?
* What is Occupational Therapy’s role in medication management?
Summation statement:
The job of medication management can be extremely stressful for both the patient and the caregivers. H…
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Jun 1, 2022
Beyond Tired: Post Stroke Fatigue Part 2
OVERVIEW
Alyssa: Finding that purpose, that meaning as to why… And I think once together we figure out why it’s almost motivation to better that aspect…
Tracy: So many things have changed now that they’ve had their neurological event.. Meet the new routine as opposed to going back the old way because the old way isn’t working any longer.. Increasing their awareness of what their body needs now could be very beneficial…
Debra: And their [caregivers] lives are different now too… we can’t just keep adding things onto a caregiver but making something more meaningful.. And so when is everyone functioning their best
Sarah: The whole chemical makeup of the brain is changing constantly.. What is actually happening and there are a few different reasons why post stroke fatigue is happening…
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified: Post-Stroke Fatigue, with occupational therapist and educator Tracy Bentley-Root, and occupation…
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May 17, 2022
Beyond Tired: Post Stroke Fatigue Part 1
OVERVIEW:
Tracy: My understanding is that not a lot of people understand post-stroke fatigue. Are we mislabeling it? Are we saying it’s more of a cognitive problem? Are we saying it’s more of a muscle strength problem? I’m just wondering if we’re mislabeling it…especially when we’re talking about it down the road. I’m really hung up on these individuals who are functioning well…so these are the individuals who no longer qualify for home care services, and have really graduated beyond outpatient, but they’re still not able to get back to their role as an employee…back to those desired occupations they want to get to…because of the post-stroke fatigue.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified: Post-Stroke Fatigue, with occupational therapist and educator Tracy Bentley-Root, and occupational therapy students Alyssa Brockmann and Sarah Battaglia, we talked about:
* Post-stroke fatigue (PSF) - General symptoms, occupa…
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May 4, 2022
Perspectives on Neuroplasticity: Part 2
EPISODE TITLE: Perspectives on Neuroplasticity Part 2
INTRO: This episode is the continued conversation between two OTRs and two soon-to-be new grad OTs. During this episode we will wrap up virtual reality and move into other methods of traditional and non-traditional therapy with a focus on safety and interprofessional communication. The conversation rounds out with caretaker, friends, and family roles and the importance of support in rehabilitation and neuroplasticity.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Perspectives on Neuroplasticity Part 2, with Tracy Bentley Root, Morgan Wellenzohn, and Sarah DiMayo we talked about:
* Virtual reality and the contraindications associated
* Mirror therapy and what are appropriate activities
* Action observation opportunities in the hospital with caretakers
* Weightbearing as a rehabilitation technique and safety
* Constraint Induced Movement Therapy
* Including caregivers/friends/co…
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Apr 22, 2022
Perspectives on Neuroplasticity: Part 1
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EPISODE TITLE: Perspectives on Neuroplasticity Part 1
INTRO: This episode is a conversation between two OTRs and two soon-to-be new grad OTs. The topic of conversation is neuroplasticity, but this discussion dives deep into more specific topics on stroke rehabilitation.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Perspectives on Neuroplasticity Part 1 with Tracy Bentley Root, Morgan Wellenzohn, and Sarah DiMayo, we talked about:
* What is neuroplasticity?
* What does the phrase “practice makes progress” mean to each of us?
* What happens in the brain when changes occur? Building bridges!!
* Visual feedback and imagery
Neuroplasticity is a never ending phenomenon that has many avenues to explore. In a therapeutic mindset, one of the most important lessons to learn when recovering from a stroke is that practice makes progress! There are so many different ways to treat an i…
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Apr 1, 2022
Remembering Pete Part 2: Practice Gems with Doro & Lynette
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* Allstar Pete trading card
In this episode, I chat with Doro & Lynette from the Neuro Hub. Before he left, Pete told me he wanted them to step in where he left off…for sure those are some pretty big shoes to fill. Our conversation is all over the place, like old friends sitting around the table reminiscing about a loved friend and colleague. We discussed neuro gems we learned from Pete and implications for practice, carrying on his legacy and some of our fears. We had moments of laughter and somber pauses as well. We wound the conversation down with wisdom, trial and error and thinking outside the box…all within clinical reasoning, of course. Topics that came up:
* Lynette as a fan girl & why Pete was such a great teacher
* How Neuro Hub puts learning into practice
* Noggins And Neurons, kindred spirits and instant connections
* Brainstorming around honoring Pete’s legacy and bringing all the cool people together
* Don…
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Mar 24, 2022
Remembering Pete: PART 1
In this episode of Noggins And Neurons, we remember Pete. Here’s what you’ll hear. It’s a long one…
* How we got started and what Deb: Episode link
* The gift of connection – a gift that keeps on giving
* Podcast goal: Episode link
* The healing power of telling our stories. Check out this article , “The Healing Power of Telling Your Story,” by Lissa Rankin, MD
* Jennica Colvin from Trio Rehab & Wellness Solutions
* Episode link (Jennica & Suzanne Part 1)
* Episode link (Learned Non-Use)
* Pete’s friend, Todd
* Pete’s student, Alec
* Sarah, a Noggins & Neurons listener
* Episode link (Neuroplastic Beats Spastic)
* Episode link (Measuring Spasticity)
* Pete’s exit from this world
* Pete’s friend, Matt
* Pete’s friend Tom
* Gina, a Noggins & Neurons listener
* Official Noggins & Neurons Trading Cards: how it got started and how to get Pete’s Allstar card
* Episode link
* Pete’s Allstar Card link
* Ric Hudgens
* Ste…
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Mar 7, 2022
Healthcare Through a Legal Lens
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with attorneys Kelly Barret Sarama and Rachel Baldassaro from the Center for Elder Law and Justice. This rich conversation covers:
* Medical legal partnerships and the benefits of having lawyers on healthcare teams
* Getting help while in the hospital or other care facilities through patient advocate and ombudsman services
* How the legal system can help in the areas of quantity and quality of care, getting providers paid and more.
* Navigating Medicare coverage and getting ambulance bills paid.
* Plateaus and baselines as they relate to person-centered care and service provision
* The importance of self-advocacy and the role of healthcare providers in this process, including good, solid documentation as part of advocacy
* Patient bill of rights and what to do if a person thinks their rights are violated while in a healthcare facility.
* Planning for the future: Unpacking…
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Feb 12, 2022
Clinical Confidence Through Clinical Competence Part 2
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with occupational therapist, Andrea Reed about gaining clinical confidence through clinical competence. We discuss:
* Mentorship, learning environments and trying new things
* Overcoming negative cultures, self-confidence, doing your best and resiliency
* Reflective practice and the importance of inquisitiveness for optimal learning
* The pause…Andrea’s strategy for coping when receiving mixed signals, self-regulating and showing up with confidence
* Accountability, self-compassion and grace throughout the learning curve
* Taking our practice to the next level: using small groups for study, learning, and mastery (simple, accountability through own note taking)
* How small groups can be helpful when starting new practice ideas…To decrease feelings of fear and intimidation, getting encouragement while seeking feedback and moving forward
* Andrea’s adaptive equipment…
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Feb 6, 2022
Clinical Confidence Through Clinical Competence Part 1
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with occupational therapist, Andrea Reed about gaining clinical confidence through clinical competence. We discuss:
* Learning by hosting a clinical student – what the experience is like from a clinician’s and FW Coordinator’s viewpoint - finding a good fit for site and student
* Role of the environment and workplace culture in facilitating or hindering growth
* How the Covid -19 pandemic changed clinical learning opportunities and experiences
* Selecting appropriate interventions with confidence
* The effects of time “management” on recovery, clinical performance, and outcomes
* Moving away from “shiny object syndrome” to focus on one thing and learning it well for clinical competence and client carryover
* Plateau thinking, breaking out of a rigid mindset, and bringing “home programs” to rehab for wise use of the other hours in rehab to set clients up fo…
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Jan 17, 2022
NOGGINS & NEURONS: How Lucky Am I?
In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb updates listeners about current happenings and future plans. She:
* Shares upsetting news impacting all of us. Pete passed away on January 8, 2022 after a brief illness.
* Sends love and well wishes from Noggins & Neurons to Pete’s family, friends and colleagues
* Tell’s everyone that Pete wishes for the podcast to continue, that she assured him she will do all she can to move things forward and notifies the audience that plans for upcoming episodes are in in place
* Acknowledges the need for the Noggins & Neurons community to process and heal our own grief. Speaks to the healing power of stories and provides avenues for listeners to share their Pete stories with each other:
* Share Pete Stories with voice message here
* Email: NogginsAndNeurons@gmail.com
* Thanks the Noggins & Neurons community for bringing themselves to the world.
I send all of you much love and appreciation for supportin…
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Jan 7, 2022
Tech Talk with Doro & Lynette from The Neuro Hub
Learn more about low, medium and high tech OT interventions used by The Neuro Hub in stroke recovery.
OVERVIEW
Doro: That was the neat thing. This one client that had this really big change did nothing else. She just did her little exercises at home…
Lynette: Right
Doro: But no therapy with us or in other facilities. Nothing.
Lynette: She did her basic home program, just to maintain what she already had what she had already been doing…umm…but yeah, it really made a huge impact for her.
Deb: Was this a home program that she already had received prior to coming to you?
Lynette: Yes. She had been doing this home program for a while. Even with us, when we doing OT with her prior to doing BCI, she was doing this home program.
Deb: Hmmm
Doro (Dorothee) Zuleger, OTR/L, CBIS, CSRS, DRS and Lynette Diaz, COTA/L, CSRS, from The Neuro Hub, Orlando/Altamonte Springs, FL join Noggins And Neurons for another enlightening conversation. In this episode we talk about:
* The Low Tech I…
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Dec 23, 2021
New Grad Q’s & Seasoned Practitioner Insights
Pete and Deb share their insights and opinions on new OT grad, Adrian's, questions and other topics.
Neurodevelopmental Treatment Association
Neuro-Ifrah Organization
PNF & Virtual Reality
Effect of Proprioceptive Neuromuscular Facilitation in Functional Recovery of Patient’s with Stroke – A Review
Effect of task specific training with proprioceptive neuromuscular facilitation on stroke survivors
Join the Noggins And Neurons Facebook Group
As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.
Questions and Comments about the podcast?
*
* NogginsAndNeurons: The Website
* Noggins And Neurons Facebook Group
Donate to The Noggins & Neurons Podcast with your PayPal app
RESOURCES:
* Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
* Blog: blogspot.com
* Book: Stronger After Stroke, 3rd edition
Deb's OT Resources:
* Deb's OT resources
* The OT’s Guide to M…
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Dec 11, 2021
Update: Noggins & Neurons Happenings
UPDATE TOPICS: Deb, Pete, the FACES App & what's next
Access the FACES Intervention App:
Google
Apple - Search for FACES Intervention in the app store
Join the Noggins And Neurons Facebook Group
As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.
Questions and Comments about the podcast?
*
* NogginsAndNeurons: The Website
* Noggins And Neurons Facebook Group
Donate to The Noggins & Neurons Podcast with Venmo or PayPal:
* Venmo @neurons
* Use the PayPal app (appears as Creative Concepts OT - add the note NEURONS under donation amount)
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Dec 11, 2021
Bradford C. Berk, MD, PhD: Surviving & Recovering p̄ SCI, CVA, TBI
Bradford C. Berk, MD, PhD: Surviving & Recovering p̄ SCI, CVA, TBI
Noggins & Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW:
Dr. Berk: So, I think devices offer a really improved approach to neurologic problems and they don’t need to be taken every day like a pill, so compliance is 100% and up until now we really haven’t had many devices in the field. But I think going forward we will…
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete talks with Bradford C. Berk, MD, PhD. About his experience professional and personal experiences. They cover many topics, including:
* Dr. Berk’s book, “Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury,” enlightenment and sins that writers commit.
* Depression and anxiety following acute neurological injury, behavior, and insight.
* Rehab and recovery and what the literature tells us about best treatments…
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Nov 7, 2021
Heim, Drake, & Millar: Cerebellar Ataxia, PART 2
Heim, Drake, & Millar: Cerebellar Ataxia, PART 2
Noggins & Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW:
Stephen: Even as simple as cracking an egg, I cannot do it one handed, I can’t do it 2-handed any more…so, I got on Amazon and if you put in 1-handed, a whole list of items comes up and I got an egg cracker that I can put the egg in and crack it with one hand. It’s a device, a lot of people, including some very close to me have said, ‘Oh that’s just lazy.’ Like I just say, google home so I can control my lights and or set an alarm with just using my voice and you know, I hear ‘Oh get up and turn your lights off or turn your light off…’ Well that is not easy for me to do and I’m not being lazy, I’m being efficient and that is how I have structured everything from the bathroom, from driving…efficiency.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb continue our conversation with physical t…
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Nov 4, 2021
Heim, Drake, & Millar: Cerebellar Ataxia, PART 1
Heim, Drake, & Millar: Cerebellar Ataxia, PART 1
Noggins & Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW:
Meredith: The brain stimulation program that we’re doing at Hopkins is we’re applying transcranial direct current stimulation to people who’ve had multiple types of brain injuries. The most common population that we see are strokes. The concept of this non-invasive brain stimulation is that it promotes neuroplasticity and so we combine it with intensive therapies. You come every day for 3 weeks and we’re trying to do this really intensive therapy plus the non-invasive brain stimulation so we’re hoping it’s like a double whammy of neuroplasticity and that we’re really trying to get the brain to get excited…excite those cortical tissues and get them to start re-organizing and healing themselves.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with physical therapists Jennifer Millar and Meredi…
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Oct 30, 2021
Jennica & Suzanne from Trio Rehab: PART III
Jennica & Suzanne from Trio Rehab: PART III
Noggins & Neurons Facebook Group: CLICK HERE or scan below!
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with Jennica Colvin and Suzanne McCrum from Trio Rehabilitation in Texas. We learned about private clinic ownership and more. Topics we covered include:
* Jennica encourages listeners to follow their dreams
* Brain primers, intervention, affordable interventions and getting started with home programs to facilitate success
* Re-establishing brain control over the flexors, stress balls and stretching
* Using the right questions and proper education to clients and caregivers
* Slings, cost, subluxation, learned non-use, pain and balance
* Subluxation, e-stim, markers and videos
* Sleep after stroke, home assessments and intervention
* Paying attention to prevent falls and learning floor transfers
* Using video recording to facilitate physical & cognitive rehab…
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Oct 29, 2021
Jennica & Suzanne from Trio Rehab: PART II
Jennica & Suzanne from Trio Rehab: PART II
Noggins & Neurons Facebook Group: CLICK HERE or scan below!
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with Jennica Colvin and Suzanne McCrum from Trio Rehabilitation in Texas. We learned about private clinic ownership and more. Topics we covered include:
* How Suzanne uses treadmill training following stroke
* Practitioner opinions on using the terms good limb and bad limb
* Addressing depression following stroke, awareness, and rapport as part of a recovery plan
* Expectations, goal setting, programs that support client success and outcomes
* Hiring good people, gut instincts and getting out of their way
* Constraint Induced Therapy for the lower extremity and equipment cost
* Guns, guitars and valued activities into motor practice and vision recovery
* Efficiency for successful practice
* Making the switch from paper to electronics for record keeping
Trio…
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Oct 25, 2021
Jennica & Suzanne from Trio Rehab: PART I
Jennica & Suzanne from Trio Rehab: PART I
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW: Pete, Deb, Jennica and Suzanne get to know each other
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with Jennica Colvin and Suzanne McCrum from Trio Rehabilitation in Texas. We learned about private clinic ownership and more. Topics we covered include:
* The evolution of Trio Rehab
* Reasons for starting a private practice and why people want to work in a private practice clinic
* 1:1 treatment model, meeting people where they are, eclectic interventions and recovery
* Seasoned therapists, learning and mentorship for practitioner growth
* How having children promotes practitioner development
* Trial and error and willingness to try for client success
* Learning, motor learning and practice to make progress
* Stroke, cognition, client & family interviews, assessments, fatigue and intervention
T…
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Oct 22, 2021
Jus‘ a lil‘ bit o‘ Everything
Jus' a lil' bit o' Everything
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW: Pete and Deb chat about Pete’s Blog, music and brain recovery
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk about Pete’s Blog, Facebook groups, and
* Listening to music can help with aphasia
* The challenges of the unknown for survivors, families and care providers immediately following traumatic brain injury
* Facebook groups that clinicians, survivors and caregivers might find helpful
* Unlearning as part of practitioner growth to create space updated practice evidence and tapping into students for learning, creating and setting up new programs
* Explicit communication from family and friends and the challenges that come along with learning better ways to communicate
As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.
As always, we want to hear your top takeaway…
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Oct 20, 2021
Emotions After Brain Injury: The Recap
Emotions After Brain Injury: The Recap
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW: Pete and Deb chit chat
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk about what we learned about from Drs. Zupan and Neumann. We covered:
* The new FACES app release information and understanding who should use the app, which is recommended for academic & clinical use. This bothers Pete and Deb sheds a little light on the need for some training. All is not lost!
* Several quotes from the podcast:
* Dr. Zupan talking about initial recovery experiences following brain injury, missing the opportunity to notice and address deficits in emotions, subsequent problems that appear and the need for a better discharge plan
* Cognition, emotions, prioritizing intervention, lack of physician knowledge around TBI symptoms, and the need for a better system in the U. S. at least
* Inability or difficulty identifying e…
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Oct 11, 2021
Emotion Perception After TBI/Stroke w/ Drs. Zupan & Neumann PART 2
Emotion Perception After TBI/Stroke w/ Drs. Zupan & Neumann PART 2
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW
* ZUPAN: I think as therapists if you’re really looking for something tangible to use just grab a movie or a tv show and, you know, stop and pause at various scenes. I think that would be a really useful task that you could get that more, I always say ecologically valid, but that more everyday way, I mean, it’s still acting but it’s a better example of how we use and express emotion and the way we need to use all of the cues that are around us to interpret not just one thing. So I think that’s a really good thing that therapists could look to do.
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified continues the conversation with Dawn and Barb. Here’s some of what we covered…
* What we did during our recording break – yes! We take a break, even when we have guests on the show…
* Speech therap…
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Oct 10, 2021
Emotion Perception After TBI/Stroke w/ Drs. Zupan & Neumann
Emotion Perception After TBI/Stroke w/ Drs. Zupan & Neumann
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
* NEUMANN: And every time something was brought up, you know, we would show them this picture, his face would be as flat as can be but his physiological responses, his arousal of responses were really strong every time he saw one of these emotion stimuli. And it was amazing because just looking at his face there was nothing there. And he doesn’t think anything is there. You know I had asked him, “What would you do if your wife divorced you?” And he said as flat as he, you know, just straight faced as he could possibly be, “Well she’s got to do what she has to do.” Yet, this massive spike so you could tell he had this emotional response. And so it made me think that like these people who have this blunted affect, I think that it’s just unlocking something. There’s something there that we have to get through. We have, it’s a barrier that we have…
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Oct 4, 2021
Brain Injury Vision Recovery Recap
Brain Injury Vision Recovery Recap
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
OVERVIEW - Conversation: Pete and Deb joke about Pete’s microphone being on the floor and his pre-podcast snacking. We also talk a bit about equipment design and fabrication because Deb’s friend and OT colleague designed a new piece of adaptive equipment. Pete shared his experience around production based on the arm skate he designed. It’s a fun and interesting conversation!
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified recaps our thoughts and perspectives on the conversation we had with vision expert, Dr. Mary Warren. In this episode Pete and Deb talk about:
* The OTA students’ love for Pete and the PTA students quick grasp of neuro concepts
* Deb’s AOTA proposal acceptance for the national conference in spring ’22 and Pete’s talk withdrawal from ACRM
* Noggins And Neurons podcast and Facebook stats
* Pete’s reminder that…
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Sep 27, 2021
Mary Warren: Vision and Brain Injury. Part II
Mary Warren: Vision and Brain Injury. Part II
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
DEB: So sometimes when we’re working with someone who needs extra time, we might think it’s because of a motor problem, we might think it’s because of fatigue and maybe even memory, but it could be because they’re not visually taking in their environment properly.
* WARREN: Yeah. That’s exactly it. That’s why it’s important to screen right? Because if I have that client and I’m first seeing them and I screen for their acuity and I screen for their contrast and I look at whether they can move their eyes together and I look at their visual attention...If I do that basic screening and get a sense of what are their strengths in using their visual system and what are their weaknesses, then I can further assess their performance in an ADL or something else and I can help start to distinguish, you know, is this vision or is it something else? If it’s vision one of…
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Sep 26, 2021
Mary Warren: Vision and Brain Injury. Part I
Mary Warren: Vision and Brain Injury. Part I
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
* WARREN: They are very concerned about falling and running into something. If you have a hemianopia you’re going to have some collusions right off the bat. And they walk very slowly or they do a thing where they stare straight ahead and just walk towards a target and hope they make it. These are dangerous types of things and you can’t get away with them when you’re in dynamic environments; they don’t keep you safe. So the person tends to avoid dynamic environments and won’t go outside the house then, because of the way they’re moving. So we...the big culprit for that....I gues that takes me off in a different direction that’s a very interesting thing that the brain does is that when we’re scanning our environment, when we’re finding things, we don’t go from object to object to build a visual scene. Instead what our frontal lobes do is they sample the visua…
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Sep 22, 2021
Listener Q‘s & Decoding Teasell
Listener Q's & Decoding Teasell
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
DEB: An easy question for you to answer from JE. She is wondering, ‘Is there ever a time when spasticity turns itself off?’
PETE: Yes, there is a time when it turns off and that’s when they’re sleeping. Then that had implications for things like a splint that you can’t get on when they’re awake, you might be able to get it on when they’re asleep. So, my wife...this was another joke I used to tell in my talks. So my wife would say ‘yeah, I know about the splinting (Pete whispering) and sometimes I would sneak into their room and I’d be very quiet and I wouldn’t want to wake ‘em and then I would put the splint...’ and she’s a PT so it was probably something on the lower extremity...um...a boot or something. ‘And then I would sneak out.’ (Normal voice) But that’s not ethical right? So I’m like maybe I should report you to the state board, Ila! But no, I think…
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Sep 19, 2021
Pete & Deb Review Teasell‘s Insights
Pete & Deb Review Teasell's Insights
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
DEB: Dr. Teasell said that the reasons that therapists have for not doing these things...so they include not having enough time, being busy...and I understand all of this. I do, because I’ve been in those shoes...all of those reasons...he said that they’re legit. And I think that whatever our reasons are, whoever we are, I think they’re legit to a degree. I think that we need to start empowering ourselves to take some steps and try new things. I just think it’s important to have a culture of listening and kindness. Be compassionate with each other and then that way you’re going to advance your clinical outcomes, you’ll advance your practice setting. In trying to implement something new and doing new things, it’s become very apparent to me that we really are limited by our own weaknesses.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simpli…
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Sep 18, 2021
Stroke and TBI Recovery with Dr. Robert Teasell MD: Part II
Stroke and TBI Recovery with Dr. Robert Teasell MD: Part II
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
* TEASELL: ...second of all, try and develop ways in which we can move things forward. You know? Not necessarily get to the you know, I say research is always about trying to get to the truth, and we’re far from it and our piece, hopefully, will get us a little closer to it, but it clearly isn’t going to be it. But I do think, you know, I think we all agree that we’re kind of at a point where we’re stuck, you know, and stroke rehab, there doesn’t seem to be a lot of movement forward clinically, you know, we’ve gotten really good at standardized care and even that’s starting to be eroded, you know what I mean, in some jurisdictions? And I think it’s time for us to really think about what do we pivot to next? Right? What do we add onto that to make it better, get people excited about stroke rehab again and sort of end that erosion of funding that i…
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Sep 14, 2021
Stroke and TBI Recovery with Dr. Robert Teasell MD: Part I
Stroke and TBI Recovery with Dr. Robert Teasell MD: Part I
Noggins And Neurons Facebook Group: CLICK HERE or scan below!
PETE: When I first got involved in clinical research, I remember there was this statistic that the lag time between bench and bedside and rehabilitation was 15-20 years and the idea was you know that in oncology you couldn’t have that much lag time because people die of cancer whereas typically nobody dies of bad therapy. Do you think that the translation is still that long? What would you estimate is the, or is it impossible to estimate, it depends on the therapist kind of deal?
TEASELL: It depends on the treatment and it depends on the kind of support that the treatments got. A lot of it’s cultural as well but I would say that 15-20 years...you know from moving into the research into regular clinical practice would be considered to be a very early adoption. That would be considered to be rapid. It’s more than 15-20 years. In some cases, I think it’s a co…
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Sep 10, 2021
More Listener Q‘s & More StrokEngine
More Listener Q's & More StrokEngine
Noggins And Neurons Facebook Group:
PETE: And having other kinds of problems like diabetes flares up or whatever it is...and so they cycle back through to the therapist and what the therapist sees is not the people getting better because they’re gone. They’re Kathy Spencer...they’re people that are living their life and going to work and doing stuff that’s important to them. The therapists keep seeing the sick people, who are often sick because they don’t exercise, and the therapists don’t interface with the successful survivors. And that’s the other thing, like, some of the people that I’ve met through some of the survivor Facebook groups, they’ve come to my talks. And you know, I’ve got to meet them, and they’re still working and they’re pressing and they’re exercising and those people I think it would be good if you knew who those people were. And that you kept in touch with them. We trashed Facebook in the last episod…
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Sep 5, 2021
Deb‘s Trip & Listener Questions
EPISODE TITLE: Deb's Trip & Listener Questions
Noggins And Neurons Facebook Group:
DEB: I think too, that if we do a case study and we talk about it and we kinda say what our process is and the way that we think about things and link it to the research, maybe it will help clinicians to know that they’re probably thinking about things the right way. I think sometimes there’s just insecurities around trying something new. Or, even doing what you think you should do. Especially if you don’t have a mentor available to you...which I always recommend anybody have a mentor of some type or even work in a clinic where there are seasoned therapists there or at least people who have some more experience than you do because it’s hard. Especially when you’re a new grad. It’s hard to put all those pieces together in a meaningful way. And then...yeah!
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talked about Florida travels and l…
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Aug 25, 2021
Brain ‘Splain Pete Style
Brain 'Splain Pete Style
Noggins And Neurons Facebook Group
EPISODE TITLE: Brain ‘Splain Pete Style
DEB: What?
PETE: So, I’ve got a funny story for you...So, my college had a career development day. And they wanted people to do an hour, hour and a half on whatever they wanted to do and people were doing it on how to run a good zoom meeting and how to grab a great power point and a lot of other interesting things and of course I pitched my crazy, ‘how does the brain really learn? and ‘how can we engage students if we look at it from a neuroscience perspective?’ And they said ok, we’ll give you an hour and a half to do that, so I show up at the college today and I go to the room that I’m supposed....it’s in this big convention center....and I go to the room I supposed to be in and, ah, the door’s locked. So I called the lady that runs the whole thing and she says, “well, um” I said ‘when will the door be unlocked?’ And she said, “well, um, at 9:00 they’l…
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Aug 19, 2021
StrokEngine: A-Z Treatment Options
StrokEngine: A-Z Treatment Options
Noggins And Neurons Facebook Group
DEB: Acupuncture has to do with stimulating certain trigger points along the body’s meridian lines to help regulate the flow of energy or chi. They looked at this in the different phases of stroke and they found that it’s not more helpful in general. So they looked at in terms of balance, cognitive function, depression, dexterity, independence a lot of other things, that it’s not really effective for. But you know what it’s effective for? Swallowing problems. It’s effective for dysphagia.
PETE: What? Get out!
DEB: I’m not kidding you....
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk start a conversation on stroke treatments listed on the Stroke Engine website. We started the episode with a listener question about the number of repetitions needed for the brain to change and motor recovery to occur. Pete shared more research and we talked abo…
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Aug 12, 2021
What Makes a Great Therapist?
What Makes a Great Therapist?
Noggins And Neurons Facebook Group
“I want to do what I did with the smaller group earlier this week and read you my favorite letter. Because, I think the thing that pushes me and everything...My why...My purpose...are embedded in the idea of service in care to others. Meaning all of those to self, to family, to community, the society. And, if you’re not clearly in touch with just how unbelievable it feels to care for others, my favorite letter of several hundred thousand will hint.”
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk about qualities that make someone a good clinician. Here’s what we came up with:
* Understanding qualities of excellence can aid in selecting the right therapist
* Striving for excellence is a lifelong quest
* Proper training may lay a foundation for clinicians developing necessary skills for clinical success
* Asking significant questions is as import…
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Aug 8, 2021
Sleep: Vital for Everyone, Essential for Survivors
Sleep: Vital for Everyone, Essential for Survivors
Noggins And Neurons Facebook Group
DEB: Did you know that rest and sleep are considered occupations? The Occupational Therapy Practice Framework is a document that we use in occupational therapy to guide the process of what we do in OT and it also explains what occupations are and what they mean. And sleep preparation is a thing in the OTPF and it talks about routines. Bedtime routines to prepare yourself, to prepare the body, to prepare the mind that it’s time to wind it down and get ready to fall asleep. They talk about how routines that prepare the self for comfortable rest are important and then they have some examples; grooming, get your clothes out for the next day, reading and listening to music, saying goodnight to others and engaging in meditation or prayers before bed, determining the time of day and length of time that somebody desires to sleep. And then how much time somebody needs to be awake...so being mindful of that…
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Aug 5, 2021
Dr. Jones, TexMex, and Synaptic Connections
Dr. Jones, TexMex, and Synaptic Connections
Noggins And Neurons Facebook Group
PETE: Hey everybody, this is Pete. I just wanted to jump in real quick and tell you about a mistake I made. I forgot to put the bio for our interview with Dr. Theresa Jones ahead of the actual interview. So, I’m gonna put the bio at the beginning of this episode, which kinda works because it is a review of the episode and what we learned, when we did interview Dr. Jones. Thanks!
DEB: New clinicians working in the world of stroke recovery need to understand what is too much too soon. And I think she made some good points about it. That early mobility doesn’t mean early intensity. So, you know, early mobility really is to get the person up so that other systems in the body don’t start to fail them. And...which would impact negatively, negatively impact their recovery. So we keep them healthy while they’re still in that acute stage so that when they enter that more subacute phase they can participate…
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Aug 2, 2021
Rodents and Recovery with Behavioral Neuroscientist Dr. Theresa A. Jones
Rodents and Recovery with Behavioral Neuroscientist Dr. Theresa A. Jones
Noggins And Neurons Facebook Group
Rodents and Recovery with Behavioral Neuroscientist Dr. Theresa A. Jones
PETE: So one of the things I find interesting about fMRI’s...it doesn’t directly measure neuroplastic change and I always thought you would have to get really lucky drilling a hole through the skull, through the meninges and somehow get a very big microscope and see actual synaptogenesis and you’d have to get very lucky that those neurons just happen to get connected at that point. But you’re saying in this model they glow green and you can see that process happening in individual neurons?
DR. JONES: I feel so lucky to have lived long enough for these techniques in neuroscience that I had nothing to do with to be dropped into my lap. Yeah these, they’re transgenic mice that seem to be normal except they have been manipulated to have fluorescent proteins expressed in a subset of their cortical n…
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Jul 28, 2021
The N&N Review: What We’ve Learned and Where We’re Going
The N&N Review:
What We’ve Learned and Where We’re Going
Noggins And Neurons Facebook Group
Pete and Deb started off with a little silliness before moving on to talk about Noggins And Neurons podcast stats...
DEB: ...So I did look up downloads before we reconvened here tonight and we’re over 5,500...so, it’s saying something, I’m just not sure exactly what it’s saying and some day I hope to know
PETE: It’s like reading tea leaves. So, what is today’s episode about?
DEB: Today’s episode is...I love the name that you called it....it’s sort of a State of the Union episode because we have over 5,000 downloads, we’ve...how many episodes did we make so far? We’ve got 22 or 23 out there?
PETE: I think it’s 22. I could be wrong...
DEB: You’re probably right...We’re gonna talk about whatever the state of this union is.
PETE: I think you’re right, it’s 23....
DEB: And we have 122 followers. I think those are the people that have taken the time to follo…
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Jul 25, 2021
Measuring Spasticity
Measuring Spasticity
Noggins And Neurons Facebook Group
PETE: So, are we sorta kinda ready?
DEB: Yeah, ready or not...here I come
PETE: We’re never gonna outgrow this, are we?
DEB: No
PETE: It’s just gonna be like this forever...OK...so, hey, Deb Battistella, how you doin’?
DEB: Pete Levine, I’m great, how are you?
PETE: Oh, by the way, American College of Rehabilitation Medicine...I’m doing a talk for them in September. So, if you’re a member of ACRM or you’re planning to go, you should go to my talk! Thanks! That was a public service announcement from one of the co-hosts who was self-promoting his own stupid talk even though he doesn’t make any money off it. So, don’t worry about that, just come to his talk. Thank you very much.
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb talk about measuring spasticity. We start with a rabbit hole of sorts where we discuss the problem of home care OT’s not addre…
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Jul 21, 2021
Leading-Edge OT with Doro & Lynette of NEUROHUB: Part II
Leading-Edge OT with Doro & Lynette of NEUROHUB: Part II
Noggins And Neurons Facebook Group
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb talk with Doro & Lynette from The Neuro Hub, Orlando, Florida, about leading edge OT services they provide. In part 2 we:
* Learned about the Neuro Hub locations, staff and more
* Talked about the roles sleep, gut health and heart rate variability for recovery and health
* Discussed how nature, exercise and community are important for achieving optimal health
* Learned how Doro and Lynette educate on and incorporate mindfulness strategies to promote the mind-body connection and facilitate improvement in their clients
* Talked about non-OT books that inform OT practice
* Found out how the Neuro Hub uses brain computer interface technology in stroke and brain injury recovery.
You will hear fun facts and behind the scenes details and thoughts about these topics, including how the…
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Jul 18, 2021
Leading-Edge OT with Doro & Lynette of NEUROHUB: Part I
Leading-Edge OT with Doro & Lynette of NEUROHUB: Part I
Noggins And Neurons Facebook Group
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb talk with Doro & Lynette from The Neuro Hub, Orlando, Florida, about leading edge OT services they provide . In part 1 we covered:
* The Neuro Hub business model and their client-centered practice
* Following your heart for career satisfaction
* The Neuro Hub OT Process – evaluation, treatment, goals and motivation
* The many players and concerns associated with driving following neurological injury (and other diagnoses)
* The importance of cognition and vision and the relationship among the two
* Neuroscientists and other medical professionals who inform and inspire us
* How Doro & Lynette treat subluxation – from therex (it’s not always a bad word in OT practice), to mindfulness, K-T Taping, e-stim and more
Doro & Lynette bring their dynamic personalities and passion f…
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Jul 13, 2021
What Works II
What Works II
DEB: I wanted to talk about Marijuana PETE: Well. Who doesn’t? DEB: Exactly! PETE: You live in New York man, you can do anything you want! Ohio they’ll string you up but yeah...so what about pot? DEB: Well first of all I learned that it doesn’t cause stroke the way cigarettes do....cigarette smoking...it’s really good for treating other effects beyond the spasticity and things like that. It’s more like anxiety, anger, sadness, frustration, hopelessness, fear, depression types of feelings which I think is really important because if people are feeling those negative types of emotions then it’s harder to participate in your rehabilitation. PETE: I’ve done some talks in Colorado recently and you know there's often therapists from every different kind of facility and I'm like, hey does anybody here um work in skilled nursing....and yeah, yeah they do... so um, are they allowed to smoke pot, I mean like you know, these are people they’re adults... can they smo…
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Jul 10, 2021
What Does Work I
WHAT DOES WORK I
PETE: But there may be a mental block there, a sort of phobia, a fear that they’d never be able to get it back and you do see that in survivors. You go, Mr. Smith, you know we can fool around with balance training and we can fool around with grasp and release training, you have trouble opening and closing your hand so that would be good we can work on that, we can work on balance, but you were a scratch golfer back in the day. So if we put a putter in your hand and we get you to start to golf, you’ll be working on balance and you’ll be working on grasp and release and we won’t even have to worry about it cuz the whole system will drive itself. And then Mr. Smith says, I never want to go back to playing golf because I was such a good golfer. And now you’re going to come in with this what, you’re gonna have what, like a putter return thing or something and stick an old putter in my hand? I don’t want to do that. But if you can get him to turn that corner a…
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Jul 5, 2021
Sensation Recovery
Sensation Recovery
PETE: If you can’t feel it, it’s harder to integrate it into anything that you do and so you don’t do it as much and so you add to learned non-use.
DEB: Yeah. And think about that with the person who also has neglect. They don’t know that they have that side and they don’t feel that side, there’s no reminder that the side is there so it impacts body awareness.
PETE: Absolutely. Let me ask you this, as a clinician, and I’ll try to get my head around this as well, if you think that sensation is recoverable, do you think it’s worth putting some of your valuable clinical time, your limited amount of time with that patient focused specifically on sensation recovery?
DEB: I think it would be worth it. Because if sensation and movement are linked together, it’s important, and for all the reasons that we just talked about, the things that can go wrong, improving sensation can increase safety, it can increase independence, quality of life...yes, I think…
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Jul 3, 2021
tPA: The Clot Buster
tPA: The Clot Buster
PETE: And you still hear in doctors voicing this reluctance to use tPA because they’re afraid people are going to bleed out.
DEB: There’s so much that doesn’t make sense to me around those types of decisions and the way that our society is right now with suing people because if you don’t have tPA, it’s not going to end well. So if you’re already in a situation where it’s not going to end well, what is the risk? And I do think that some of it has to do with the way that we view the life cycle and our beliefs around living and dying.
PETE: Really....how so Deb? This is gonna get deep quick, I can tell...
DEB: Here we go...
PETE: What do ya got?
DEB: Well, we don’t get out of here alive. I mean we do die and I have seen a lot working in the critical care units...I have seen people come in with those MOLST forms
PETE & DEB: Medical Orders for Life Sustaining Treatment -MOLST
DEB: So those are pretty specific, and you can put exactly what you wan…
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Jun 29, 2021
What Doesn’t Work II
What Doesn't Work II
PETE: Here’s one for you...acupuncture may not be helpful for improving functional ambulation, spasticity and activities of daily living for the lower extremity. Again we’re still talking about the lower extremity. Here’s one that may not surprise you...Neuro Aid may not be beneficial for improving stroke severity
DEB: Huh! That’s interesting. It made it in here, into the EBRSR
PETE: Yeah. How about this one? Stimulants may not be beneficial for improving motor function. Do you remember when stimulants were all the rage for people with brain injury because it was thought that they would somehow get better if they had...what’s the big one again?
DEB: Ritalin...
PETE: Adderall
DEB: oh Adderall yeah... Ritalin’s the one that I seem to remember somebody talking about a lot at the hospital
PETE: For brain injury recovery?
DEB: I think so because it was a stroke center
PETE: How about this one...have you ever heard of wholebody vibration?
DEB: Yeah!…
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Jun 27, 2021
What Doesn’t Work I
What Doesn’t Work I
PETE: “Stem cells are gonna shine in the future. There’s no FDA approval. You can’t get it anywhere in the United States. You can’t get it anywhere in Europe. There are places that you can get it and I’m gonna put a link in the show notes to two places that do it. Both of them are in China. I had a survivor, that when I wrote about this in my blog, report that he went to China to get this done and it cost him about 16,000 U. S. dollars to do it and this....it makes it difficult. You know, the Chinese are doing it but we’re not doing it. You know...it’s tough to standardize things unless nations across the world agree to the standardization. I have to say, and the reporting back that I got from the blog, it didn’t seem to work that well. But, you know, you never know. So I think there’s great hope for stem cells for people with brain injury, and a lot of other neurological diseases...You know, Amyotrophic Lateral Sclerosis, MS, there’s a bunch…
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Jun 20, 2021
Subluxation and Shoulder Pain
Subluxation and Shoulder Pain
“And my problem with taping generally is, it’s kind of band-aidy because as soon as you take it off the arm could fall right back out. However, if you could get that to reduce pain and then have them do stuff, which then activates the SITS muscles and the deltoid and it brings that humerus back into where it needs to go, in the meantime because they are doing stuff...they’re driving cortical change, which reduces spasticity, which may indicate more movement and now we get this upward spiral of recovery that could be quite helpful. So taping may be a temporary thing but it might be a good temporary thing.”
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified covers subluxation and pain. In this episode we learn:
* That moving the hand engages the shoulder and the muscles that reduce subluxation
* The proximal to distal arm recovery notion is a myth
* That approximately 80% of stroke survivors experience sho…
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Jun 15, 2021
Mirror Therapy
“I have to say, out of all the therapies that rehab can do, mirror therapy seems like it’s the most robust. The EBRSR and other meta-analyses get behind mirror therapy so much I’m amazed. And this is just because I’ve known you and we started doing this podcast, I’ve been keeping an eye on mirror therapy, thinking ok it’s a good thing...apparently it’s not a good thing, it’s a great thing...Unlike a meta-analysis that is done where you might look at a meta-analysis from 2016...well, it’s been a while since 2016. The EBRSR is updated every year so you’re always getting the latest and greatest in meta-analysis form and here’s some of the stuff they say...’mirror therapy on its own or in combination with other interventions can improve many aspects of upper limb function following stroke.’ Now you might think that that’s a pretty mild statement, but it says can improve and the word can there is bizarre for the EBRSR cuz they never say can. They say, ‘it may,…
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Jun 12, 2021
Constraint Induced Therapy: Part II
CONSTRAINT INDUCED THERAPY II
OVERVIEW: Pete: Yeah, although be forewarned that if you have questions, we may read it on the air and, uh...on the air! Are we on the air? I don’t even know...
Deb: Like WKRP In Cincinnati.
Pete: Hey ‘now for the big sounds of the big town where the daddy-o of the radio in a city so nice they named it twice. New York, New York.’ I was communications....
Deb: You’ve been waiting your whole life for this opportunity!
Pete: I used to practice that...
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified is part 2 of Constraint Induced Therapy (CIT). Part 2 begins with Pete reiterating important points covered in Episode 1, including:
* Commitment is required for participation in a CIT program
* When NOT to wear the constraint: when ambulating, navigating stairs, bathing/washing, toileting and driving
* Review of frequently asked questions about CIT including compliance, dropout rate; that CIT is not an ea…
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Jun 5, 2021
Constraint Induced Therapy: Part I
Constraint Induced Therapy: Part I
OVERVIEW: Pete: And I asked whoever answered the phone, may I please speak to Dr. Ince. And he goes ‘hello’ and I’m in a panic because I’m like this is the guy! It took me three days to find him! And I’m like, ahh, Dr. Ince my name is Pete Levine and I’m doing a book on ah Constraint Induced Therapy and um Dr. Taub said that you were the first human to ever do it on humans and I’m really excited to talk to you... and he goes ‘I can’t hear you. There doin’ construction outside. Wait, let me close the door.’ Boom! Door slams and he comes back and he tells me this fantastic story.
Pete quoting Dr. Ince: In 1967, I’m in a Macy’s and I’m standing there next to this guy. I don’t know who he is, and ah, we’re at a table with toys and our wives are gone doing something, I don’t what they were doing. And he was fooling with this toy...’
Pete: I always imagine this toy was the monkey with the two cymbals going like shika t…
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Jun 2, 2021
Neuroplastic Beats Spastic
OVERVIEW: Now the one thing that they do have is finger flexion. And often therapists think you cannot let them flex their fingers because if you do you will strengthen the overwhelmingly strong flexors; and if you do that you will make the spasticity worse – which is NOT true. Spastic muscles are weak so even if you strengthen them it wouldn’t be the end of the world. But you’re not trying to strengthen them; you’re just trying to activate them. How are you gonna re-establish brain control over the finger flexors if you don’t allow them to flex the fingers? But what about a ball – a squishy ball? Who doesn’t like a squishy ball? You squish into the ball, it re-establishes brain control over the flexors thereby reducing spasticity. That’s the whole thing.
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified is all about spasticity. In this deep dive we learn:
* What spasticity is and is not
* That spasticity is under-treated
* T…
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May 30, 2021
Research for Recovery
Research for Recovery
OVERVIEW: “So here's a little fun fact: In a lot of these articles the contact information for the researchers is made available. And I have been known to reach out to researchers over the course of my career and they do respond to me and oftentimes they're very happy—very happy—to share their information and some of their PowerPoint slides and stuff that will help you in your practice. It goes back to what you were saying in the beginning. Researchers want us using their information.”
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified gets into research for recovery. We talk about research in terms that everybody can understand. In this episode we talk about:
* What to look for when starting off on a research path
* Systematic Reviews & Meta-Analyses as a good sign that your topic is well investigated
* The history about how to discern evidence-based practice – good for clinicians who engage in patient-driven…
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May 25, 2021
How Repetition Rules Recovery
How Repetition Rules Recovery
OVERVIEW: "What we all want at the end of the day is better quality, fluid, coordinated movement. But sometimes we don't get there. I would suggest to therapists: Don't make the perfect the enemy of the good. We're not trying to make them perfect, we're just trying to get them better. And better is good.
So sometimes the beauty is not in the beauty but in the ugliness of the movement. Let it be ugly. Let it be sweaty. Look— if you don't think that this has value, here's what you need to do: Go to a music store and get yourself a viola, and let me know how that doesn't sound like a dozen doing cats for the next six months. ‘Cause it’s gonna! Take up golf! It's gonna be— it's not supposed to be beautiful. It's supposed to be ugly. You got to enjoy the stuff."
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified explains the importance of repetition for regaining movement. We talk about:
* Repetition and where i…
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May 20, 2021
Motor Learning Simplified
OVERVIEW: "Something I try to tell therapists all the time.... when you take all the neuroscience and you look at it all I swear neuroscientists say "Wow we think repetitive practice works—who does a lot of that?" And they look down that long hallway and they see therapists already doing it and having done it since the early 1900s. And they go "Well it should be challenging. Who vectors in challenge?" And they see a therapist down there and they've been doing it since the early 1900s. And then they go, "It should be repetitive, and challenging... and it should be meaningful. Who does that? OTs do that!" So you guys are in the perfect position to leverage the great neuroscience that we have and... I swear I think neuroscientists are like jealous or maybe they're angry or—I don't know. But every time they turn around they see a therapist having done it for decades and decades and decades. Here's what I would say... if you want to know in a neuroscience would say about rehab they'd sa…
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May 15, 2021
Stop Falling!
OVERVIEW: "Carr and Shephard are two Aussie physical therapists. They were the first to dovetail modern motor learning with rehab which was a sea change from the neurofacilitation crowd. Janet Carr, one of them, passed away in 2014. But they wrote this great book, I think it’s called, “Stroke Rehabilitation.” I think that’s what it’s called. I wrote a review on Amazon, you can read it, it’s just glowing because I just, I adore this book...But they make it very, very clear...There’s four situations in which you’re most likely to fall. And this is especially for people with brain injury, but also for anybody. Starting to walk, so right when you start the acceleration of walking; when you stop walking...you know...can you come to a full stop and not lose your balance? Turning – a whole bunch of problems with turning because you know, you have to shift your gaze constantly, you have to shift your feet constantly...and then uneven surfaces. So when you’re out walking and…
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May 13, 2021
Super Survivor Kathy Spencer On Successful Recovery
Super Survivor Kathy Spencer On Successful Recovery
OVERVIEW: Kathy - Well, when I got in the arm study, I was like ten or eleven months out and my I could barely— I couldn't move my wrist, my hand, or my fingers. All I could do is clench but that was it. And I thought, if I just believe that I would have given up and I wouldn't be recovered today. So, I always tell people— and Pete's book is outstanding on the plasticity of the brain— but doctors don't tend to tell us that. I went around talking to certain groups around here a while back and people were crying, they said, "You know I believed the doctor" and they gave up on their therapy.
I said: You are never done unless you quit.
Deb - Something that you said caught my attention...what your OT said to you when you were being discharged. Remind me what she said and I want to know how that made you feel because a lot of what we do in occupational therapy has to do with that rapport that we build with people and I’m just cur…
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Apr 28, 2021
Measuring Recovery
OVERVIEW: “This episode was largely geared towards the survivors at home...once they’re at home doing this and some very simple strategies for how to do it and I LOVE the video recording piece. I know some people are shy and afraid to look at themselves on camera but you don’t have to show it to anybody...You know...And the people that love you won’t care any way. They will be happy to see your progress...”
EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified is all about ways to measure change along the recovery journey. There are different reasons for measuring from insurance reimbursement to deciding how long a person remains on a skilled therapy program to just wanting to know if what’s being done is working. Pete does most of the talking in this episode (and Deb is fine with that – she’s an introvert at heart and sometimes, when she’s learning, thinking makes her happy). Keep listening for more great information as we:
* Expl…
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Apr 26, 2021
Bilateral Training for the Arm, and Leg
OVERVIEW: "Antiphase would be right hand forward right hand back, left hand forward left hand back...you get the idea. So, there’s a million things that you can do within the...This could be fun! It should be fun! Yeah....Put the “fun” back in function! Exactly! The lower extremity’s super easy to do...Here’s the thing about the lower extremity – one of the things that messes up in people that have gait problems after a brain injury is the rhythmicity of walking....put in ear plugs one time and walk. It’s almost like a shuffle beat (Pete adds sound effects). It has all that beat going on. in. it. And so if you can re-establish the rhythmicity of gait you start to re-establish stride length, kinematics, hip rotation, the amount of knee flexion...it’s just something that’s not used by clinicians very often and I’m flummoxed as to why. Get a metronome...get it on your phone...use it and see if you can’t get people to re-establish their rhythmicity of gait."
EPISODE…
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Apr 23, 2021
THE CLARIFICATION
OVERVIEW: There’s another important component to us as humans and that is our level of motivation and building habits for recovery...And I think that’s an important role that therapists play in the rehab phase for a person...and really talking with them about it, the survivor if they understand. If they’re struggling to understand it’s time to bring in the caregivers...where is this person going when they leave our level of care...and talking about the importance of establishing whatever this habit, routine is towards recovery and explaining clearly the benefits of getting in the groove now.
EPISODE SUMMARY: This second episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, emerged as Pete and Deb realized additional clarifications were warranted. Not surprisingly, more insights come about as the conversation unfolded! In this episode we:
Share Pete’s clarification’s which take us on a deeper dive into differences between diseases affecting the brain & acquired…
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Apr 11, 2021
Learned Non-use
OVERVIEW: ...So hyper-acute, acute, subacute and chronic, those are the 4 phases...The way that you tell it’s time to start is look for subacute, spontaneous recovery and then, once they plateau, after that you’re not waiting for this easy ride of the brain coming back online...It’s all neuroplastic change after that. You’ve got to borrow from some other part of the brain that’s still intact and so then it becomes real learning....
EPISODE SUMMARY: In this first, full episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb discuss the perplexing phenomenon of Learned Non-Use. This engaging conversation will help you understand:
* How, when and why learned non-use it occurs
* Common deficits and rehab approaches that contribute to learned non-use
* An introduction to interventions and strategies to help thwart and reverse it
Join us as we start to unpack this fascinating topic. As you’ll soon discover, learned non-use and other concepts that o…
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Apr 10, 2021
Intro Episode: Stroke and TBI Recovery Simplified
NOGGINS & NEURONS: Stroke and TBI Recovery Simplified: Intro Episode
Peter G. Levine and Debra Battistella discuss the heart and soul of this endeavor and you will learn how quickly they go down a rabbit hole! We discuss our passion for filling in gaps and the single, most important goal of this podcast...To simplify everything around stroke and brain injury so that survivors, caregivers and loved ones, therapists, the medical team and students understand the recovery process better. Better understanding can make for a better recovery experience. We look to the future and share our thoughts on next topics to include such as core concepts around optimal recovery and why applying them is sometimes tough. Debra summed it up when she said, “If we can be the agents of change for simplifying things to enable people to have a good rehab experience, to have good continued recovery, then I think we’re doing what we set out to do.”
CONNECT WITH US:
* Questions and Comments about the p…
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