I Love Neuro

We are a couple of neurologic physical therapists on the quest to keep the passion, commitment, and possibilities alive for those who love neuro rehab and wellness like us, without burnout and overwhelm. This show is great for neuro therapists and trainers looking to stay up to date and make a greater impact. Join us in this important movement to elevate healthcare!

286: From Pain Points To Progress: Tools To Help Clinic Owners With Dharma Leggat

In this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk to Dharma Leggat from Superior Medical Equipment (SME) about some of the challenges and opportunities facing rehabilitation clinics. The discussion centered on how technology and strategic partnerships can help clinicians overcome industry hurdles. They discussed the potential of artificial intelligence to transform clinical practice. From streamlining documentation to providing remote patient monitoring, AI offers potential solutions to reduce administrative burden and improve patient care. Leggat emphasized the importance of working with technology partners who truly understand the nuanced needs of healthcare professionals. Since they had him on the show, host Claire, a clinic owner specializing in Parkinson's wellness programs, took the opportunity to voice some of her biggest challenges. She described her ideal management system - one that could track comprehensive patient data, monitor class attendance, and generate meaningful insights about patient progression. Her vision goes beyond traditional medical record keeping, aiming to create a holistic view of patient health and treatment effectiveness. Tune in for the discussion that ensued! SME, Inc. USA - Superior Medical Equipment https://www.smeincusa.com/ https://www.smeincusa.com/solutions - Check out SME’s new solutions surveyed from our client-base to help mitigate most common clinical pain points https://www.linkedin.com/in/dharmaleggat/ - Connect with Dharma so that I could learn more about your clinic/practice and see how we might be able to help

10-06
46:51

285: Amplifying Your Perturbation Balance Training With The Balance Tutor Treadmill

This week’s episode of the I Love Neuro podcast explored an innovative rehabilitation technology that's allowing rehab professionals to incorporate multidimensional balance training in the safest, most objective way possible right now. Host Erin Gallardo, PT, DPT, NCS is joined by Todd Gilbertson from MediTouch USA and Chris McElderry, PT, DPT, NCS to discuss the BalancedTutor treadmill.  Derived out of posturography technology this treadmill expands beyond assessment and actually allows clinicians to treat balance disorders to the whole spectrum of patients in a safe, effective and objective way - no jerry rigging required. As a clinician it benefits you to learn about the latest technology and equipment available, so this episode is simply to provide you with an inside peak conversation about a piece of equipment that is reducing falls and maximizing function for people with vestibular and balance disorders.   You’ll learn about the functionality of the system as well as hear from Chris McElderry, a clinician who has been using it in the clinic for 5 years. He shares how the device is able to create precise, graded perturbations that help patients build confidence and improve their functional mobility. Todd Gilbertson emphasized the technology's versatility, noting that it can simulate real-world balance challenges like walking on uneven sidewalks or navigating crowded spaces. The treadmill's advanced features include 30 intensity levels of movement and the ability to create anterior, posterior, medial, and lateral perturbations. Learn more about the BalanceTutor by going to https://www.meditouchusa.com Linkedin:  linkedin.com/in/todd-gilbertson-b609b830 Email:  todd@meditouchusa.com  Follow Chris at @theneuroguy_dpt  Episode 280: Using Blood Flow Restriction Training In Neuro With Chris McElderry, PT, DPT, NCS

09-29
44:24

284: How To Be A Great Mentor With Dr. Elise Ruckert, PT, DPT, EdD, NCS

Are you a mentor or expected to be one in your clinic? If you’re like most neuro clinicians you’re taking students and your colleagues are always picking your brain about their neuro patients. This episode was inspired by a Sparky question from Jackie who asked what do I need to do in order to become a good mentor? Hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS brought on Dr. Elise Ruckert, PT, DPT, EdD, NCS to teach us how to be a great mentor. Elise, a self proclaimed “educational pedagogy nerd,” has trained mentors for many years to regional and national audiences. She illuminates the nuanced world of mentorship, emphasizing that it's far more than a one-way transfer of knowledge. Instead, mentorship is a dynamic, bi-directional relationship where both mentor and mentee contribute and learn from each other. She challenges the traditional view of mentoring as simply imparting information, instead framing it as a collaborative journey of professional growth. The discussion explores critical frameworks for effective mentoring, including Bloom's Taxonomy and Donald Schön's reflection types. These approaches help mentors ask more meaningful questions, moving beyond surface-level content to deeper levels of critical thinking and professional development. The discussion also expanded into the topic of interdisciplinary mentorship, with insights into how mentors can effectively work across different healthcare disciplines. The podcast emphasizes that mentorship extends beyond clinical skills, encompassing communication, professional development, and broader contextual understanding. Get practical advice for getting your mentorship program started.  Bloom’s taxonomy  Donald Schon reflection in action vs on action Mezirow’s Transformative Learning  LinkedIn Website: www.linkedin.com/in/elizabeth-ruckert-43b470198 IG: Trellis Ed

09-22
45:42

283: The Easiest Way To Treat The Pelvic Floor With Your Neuro Clients With Grace Weiland, PT, DPT, CAPP-PH

We know that you know your neuro clients have a pelvic floor… but are you doing anything to help it?? You may be surprised how many of your clients have weak, tight, spastic, or flaccid pelvic floors, and the issues arising from this may be preventing them from fully engaging in their lives. If you want to help but don’t know where to start, this episode is for you! We break it down for the non-pelvic floor PT and give you the skinny on how to screen and incorporate an easy, functional progression of activities into what you’re already doing with your neuro clients. Grace Weiland, PT, DPT, CAPP-PH, a physical therapist specializing in pelvic floor therapy, shares her expertise on an often overlooked but critical aspect of treating pelvic floor dysfunction in neurological rehabilitation. Working in a rural critical access hospital, Grace highlights the importance of pelvic floor health for all patients, not just those with specific pelvic issues. She explains that pelvic floor dysfunction can significantly impact quality of life, leading to social isolation and reduced participation in activities. Grace discusses how pelvic floor problems are common but not normal, emphasizing the need for healthcare providers to approach the topic professionally and sensitively. She offers practical strategies for screening and addressing pelvic floor issues, including breathing techniques, functional exercises, and subtle strengthening methods that don't require invasive interventions. The conversation reveals the interconnectedness of pelvic floor health with overall body mechanics, highlighting how exercises targeting stability, balance, and proper breathing can improve pelvic floor function. Grace will be presenting a detailed webinar on this topic during the upcoming NeuroSpark quadrimester, breaking down approaches for different neurological impairments and providing clinicians with valuable tools to support their patients' comprehensive rehabilitation. **A correction note from the episode: The pelvic floor co-activates when any of the following 4 muscles are activated: glute max, hip adductors, Transverse abdominus, obturator internus. Incontinence Severity Index (ISI) To get access to Grace's webinar go to www.joinneurospark.com to learn how to become a Sparky the next time NeuroSpark opens!

09-15
46:07

282: How To Introduce A New Wellness Class

In this week’s episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss how Claire is introducing a new exercise class at Rogue called "Stretch and Flow." This class was designed to meet members' requests for a gentler, more restorative exercise experience. The class will combine guided meditation, slow power moves, and breath work, offering a unique approach for people with Parkinson's and varying mobility levels. In the show Claire will explain the structure of the class as well as the rationale for offering it in this way. She emphasizes that while the class is less intense, it's not meant to replace high-intensity workouts but to complement them. With both in-person and online options, the class aims to provide accessible, mindful movement for Rogue members. The inspiration came from member feedback and Claire's observations about the benefits of meditation and breath work for managing Parkinson's symptoms. By offering a class that focuses on slower, more intentional movement, Rogue hopes to support members' overall wellness and provide a recovery-focused option that can help reduce freezing and dyskinesia. We’ll also discuss the process for adding a new class, how you know when it’s the right time or if a new class isn’t going to cut it as well as how to decide when to offer it during the schedule. Claire is optimistic about the class's potential and looks forward to seeing how members respond to this new approach to exercise and wellness.

09-08
38:15

281: The Surprising Things Roller Skating Will Teach You About Business With Emily Duval Ledger

In this week’s episode, NeuroBiz coach Emily Duval Ledger shares with hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS the lessons she’s learned so far from attempting a hard thing: Learning to roller skate at 48 years old. Emily decided to try something new. Something she wasn’t inherently good at and through her roller skating experience, she’s picked up lessons that overlap with the things business owners need to keep in mind.   She describes how her initial skating lessons put her face to face with the biggest thing she wanted to avoid - falling - and why it ended up being the best thing. Emily emphasizes that successful entrepreneurs often emerge from previous failed ventures, and approaching challenges with curiosity instead of anxiety can lead to greater success. The episode highlights the importance of infusing fun and playfulness into learning, demonstrating how pairing skill practice with lighthearted conversation can reduce performance pressure and enhance creativity. Emily argues that leaving space for joy allows individuals to be more nimble and innovative in both personal pursuits and professional environments. Her final lesson focuses on "softening" when encountering obstacles - maintaining flexibility and a relaxed mindset when navigating unexpected business challenges, much like adjusting one's stance while roller skating over uneven terrain. By sharing her vulnerable learning process on her "Silver Skate Girl" Instagram account, Emily hopes to inspire others to step out of their comfort zones and embrace new experiences. The conversation ultimately celebrates continuous learning, community support, and the value of approaching life's challenges with openness, humor, and resilience. You can follow Emily on her skating journey @silverskategirl 

09-01
27:00

280: Using Blood Flow Restriction Training In Neuro With Chris McElderry, PT, DPT, NCS

Neuro rehab / neuro wellness… if you’re listening to this podcast chances are anything you’re doing is skilled! On today’s show you’re going to be inspired by Chris McElderry, PT, DPT, NCS as he shares his journey with host Erin Gallardo, PT, DPT, NCS. Chris went into PT with a sports focus but quickly realized neuro was where it’s at. After completing his neuro residency and working full time in outpatient he was compelled to expand. He wanted to provide inspiration and ideas to other clinicians on social media and also grow his own wellness side gig. Chris, also known as @theneuroguy_dpt founded The Neuro Guy LLC, a wellness and coaching company, in 2022. In this episode he talks about how he overcame hesitation and fear of doing neuro wellness outside of the insurance model and prioritized giving people what they needed to thrive. One of the treatment interventions he’s using is blood flow restriction (BFR) training for neurological populations. Chris explains the mechanism behind BFR training, a technique that uses specialized cuffs to partially restrict blood flow during low-intensity exercises. He describes the potential benefits for patients with conditions like stroke, multiple sclerosis, and spinal cord injuries, emphasizing its safety and effectiveness when properly implemented. He maintains that despite loads of research for BFR in the orthopedic population, it’s just emerging in neuro, and he’s ready for it to grow.   If you want to learn more about BFR in neuro, join us inside NeuroSpark when we open again Sept 16, 2025! Chris will be presenting an educational webinar on the topic inside! Learn how to join at www.joinneurospark.com Follow Chris at @theneuroguy_dpt 

08-25
50:58

279: Bullet Proof Documentation With Phyllis Goldstein, M.S., CCC-SLP, RAC-CT, CHHI-CP

Wonder if your documentation is up to snuff to pass an audit? Tune into this episode where hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS interviewed Phyllis Goldstein, a speech-language pathologist with extensive experience in Medicare audits and appeals! She shares her journey from clinical work to becoming an expert in navigating the complex world of therapy documentation and reimbursement. Phyllis emphasizes the critical importance of detailed, skilled documentation using precise language that explains exactly what makes their intervention unique and necessary. The discussion explores the challenges therapists face, particularly in neurological specialties, when transitioning patients between skilled therapy and maintenance programs. Phyllis stresses the difficulty of determining when therapy becomes repetitive and no longer medically necessary, while acknowledging therapists' genuine desire to help patients maintain their functional abilities. She provides insights into the Medicare audit process, sharing her strategies for successfully appealing denied claims and her impressive 85-90% overturn rate. She also addresses the big question of are there a lot of cases of therapists going to court for charging cash for wellness services that should really be billed to Medicare as therapy? Get in touch with Phyllis here: 410-382-900 Phyllis@pgconsultants.net

08-18
43:56

278: A Naturopathic Take On Treating PD With Dr. Tanya Denne, ND

Have you ever been curious how a naturopath approaches medicine for a person with Parkinson’s? Turns out it’s super comprehensive. Spoiler alert - we couldn’t cover it all, but what you’ll learn from Dr. Tanya Denne, ND will blow your mind! Hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS learn about Dr. Denne’s journey into naturopathic medicine and her groundbreaking research on Mucuna pruriens, a botanical treatment for Parkinson's disease. Driven by a personal connection to neurological conditions through her grandmother's Alzheimer's, Dr. Denne discovered naturopathic medicine as a holistic approach to healthcare that goes beyond traditional Western medical treatments. Her research focuses on Mucuna pruriens, a subtropical plant with remarkable potential for Parkinson's patients. Unlike traditional medications, Mucuna contains high levels of levodopa and offers multiple beneficial constituents, including amino acids, glutathione, and antioxidants. Dr. Denne emphasizes that the plant isn't a cure, but can potentially slow disease progression when used correctly. The biggest challenge in using Mucuna is ensuring quality and proper dosage. Dr. Denne warns about widespread supplement adulteration, recommending patients work closely with qualified practitioners to source safe, effective products. She suggests using Mucuna as a complementary treatment to standard Parkinson's medications, particularly Sinemet, to optimize patient outcomes. One of her most compelling case studies involves a patient whose Unified Parkinson's Disease Rating Scale (UPDRS) score dramatically improved from 27 to 8 through an integrative approach combining Mucuna, exercise, and foundational health optimization. Patients interested in learning more can visit Dr. Denne's website at Dr Denne.com for consultations and further information about integrative approaches to neurological health. www.doctordenne.com DoctorDenne@gmail.com IG @Dr.TanyaDenne

08-11
43:13

277: Finding And Establishing Your Neuro Clinic Space With Emily Duval Ledger

Ever dream of having a lively clinic space where all of your neuro dreams come true? In this episode Claire McLean, PT, DPT, NCS and Emily Duval Ledger, NeuroBiz coach dive deep into the challenging journey of finding and establishing a brick-and-mortar space for a neurological therapy and fitness business. They share candid insights about their personal experiences, emphasizing that the process is far more complex than traditional real estate hunting. The conversation highlights the importance of starting small by renting space from others, which allows entrepreneurs to test their business model and understand their specific spatial needs without significant financial risk. Both Claire and Emily describe their initial steps of teaching classes in shared spaces like gyms, physical therapy clinics, and even parks before committing to a long-term lease. Their discussion reveals the intricate negotiations involved in commercial leasing, including understanding different lease types, build-out costs, and landlord expectations. They stress the value of creativity in lease negotiations, such as reduced rent periods, longer lease terms with incremental increases, and finding landlords who genuinely want long-term tenants. The podcast also delves into the practical challenges of renovations, with Claire sharing her experience of a $70,000 build-out that transformed a dated gym space into a perfect neurological wellness center. They candidly discuss unexpected costs, the importance of doing renovations comprehensively, and the need for spaces that can accommodate specialized equipment and exercise programs. Tell your clients about Parkinson’s Wellness Fund grants!

08-04
53:40

276: Clinical Use Of Spinal Stimulation For Spinal Cord Injury Rehabilitation With Rose Tilton, OTR/L, OTD

If you’re anything like us you always want to do everything possible to help your neuro patients recover and improve as much as possible. On today’s show host Erin Gallardo, PT, DPT, NCS interviews Rose Tilton, OTR/L, OTD about an intervention that she took straight from the research to the clinic: spinal cord stimulation with transcutaneous stimulation. After learning about its applicability in the literature Rose was eager to use it with her patients but hit some road blocks. Finally she was in touch with the authors of a study who helped her and her colleagues become trained in using transcutaneous spinal stimulation on people with spinal cord injury. The clinicians found the intervention was not only simple to do but also very effective for maximizing outcomes in upper extremity rehab, lower extremity rehab, trunk control for balance, bowel and bladder and even sexual function. In today’s episode Rose breaks down exactly what you need to know in order to start using this intervention with your patients today using equipment you already have!   Gain clinical insights that will spark your curiosity to learn more in this episode. While you’ll learn exactly what to do, best practice dictates that you do additional research to ensure you have competency and clearance from your clinical state practice act to perform this intervention. Rose encourages therapists to stay curious, reach out to researchers, and be proactive in exploring new interventions that could transform patient outcomes. Link to article discussed on the episode: https://pubmed.ncbi.nlm.nih.gov/36188824/  

07-28
42:26

275: Advancing Care For People With Dementia With Rachel Wiley, MS, OTR/L, CDP

In this episode of the I Love Neuro podcast, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS sat down with Rachel Wiley, MS, OTR/L, CDP, an innovative occupational therapist who is transforming dementia care through her Dementia Collaborative. With over a decade of experience, Rachel has dedicated her career to supporting individuals living with dementia, their families, and healthcare professionals. Rachel's journey began with a personal connection - her practice, originally named Day by Day Home Therapy, was inspired by her grandmother and aunts who lived with dementia. Recognizing the isolation in dementia care, she created the Dementia Collaborative, a membership-based community that brings together occupational therapists, physical therapists, and other healthcare professionals to share knowledge and support. After transitioning from direct clinical care to a consulting model, Rachel now focuses on family coaching, innovative research and education for healthcare professionals. She uses evidence-based approaches like the the Skills2Care framework, CARE checklist and framework, and the Green Activity Program study. The CARE checklist and framework is a tool she helped co-create that uses non-verbal cues to assess consent, protecting residents' dignity and right to human connection. She has a ton of resources for you to check out! Skills2care framework - training for OTs www.dementiacollaborative.com www.daybydaydementiaconsulting.com www.rachelwileyot.com https://www.linkedin.com/in/rachel-wiley-ms-otrl-cdp-80521079/

07-21
43:01

274: OT Fellowships: To Do Or Not To Do?

We know our listeners are lifelong learners and there are different ways to gain clinical excellence. On today’s show Erin Gallardo, PT, DPT, NCS talked to 4 occupational therapists who’ve completed an OT fellowship. Briana Elson, MS, OTR/L, BCPR, CBIS, Lindsey Talcott, MOT, OTR/L, Gianna Neutts, MS, OTR/L, and Jocelynn Aguilar, MSOT, OTR/L are here to discuss their experience and provide insights about OT fellowships and specifically the one they completed. OT fellowships are intensive one-year programs that offer more than just additional training; they provide a comprehensive approach to mastering neurological rehabilitation. Fellows experience concentrated mentorship, rotate through diverse neurological settings, and develop a deep understanding of evidence-based practice that goes far beyond traditional clinical education. The key motivation for pursuing a fellowship is clear: to become an exceptional clinician who can truly make a difference in patients' lives. The panel emphasized the importance of having at least a year of clinical experience before applying, demonstrating a strong work ethic, and showing a genuine passion for neurological occupational therapy. Also discussed are what the application process is like, the factors that would make you a competitive candidate and who is not a good fit for this type of program. The programs are challenging, requiring fellows to balance full-time clinical work with additional educational commitments - do you want that? Graduates emerge with increased confidence, specialized skills, and a commitment to lifelong learning that sets them apart in their field. Listen to the conversation and see which path you prefer to lead you to clinical excellence! 

07-14
47:08

273: How To Price Your Services With Emily Duval Ledger

Wait, you mean you have to charge for your amazing services?! How scary!! The pricing conversation is a BIG one! If you’ve ever felt scared to ask for a dollar amount, to raise your prices or even did what most clinicians do and undercharged, this episode is for you!  Claire McLean, PT, DPT, NCS, Erin Gallardo, PT, DPT, NCS, and Emily Duval Ledger, CPT dive deep into setting and raising prices for professional services. The key takeaway is clear: healthcare professionals often dramatically undervalue their expertise. Many therapists and wellness professionals struggle with pricing, frequently charging far less than their services are truly worth. The hosts shared personal experiences of initially undercharging, revealing common mistakes that plague the industry. These include basing prices on limited insurance reimbursements, feeling guilty about charging fair rates, and failing to account for the true costs of delivering high-quality professional services. Claire McLean introduced her "back and forth math" approach to pricing that considers multiple financial factors. This method involves calculating monthly income needs, factoring in taxes and business expenses, determining realistic client capacity, and carefully considering additional costs like staff, benefits, and overhead. The goal is to create a pricing structure that not only sustains the business but allows practitioners to deliver their best work. The conversation highlighted several key pricing principles that can transform a struggling practice into a thriving business. Practitioners must recognize that their energy and expertise are their most valuable assets. Charging appropriately prevents burnout and allows professionals to maintain the passion that drew them to their field. By creating clear value and communicating pricing transparently, businesses can attract clients who are truly committed to their own transformation. Learn practical strategies and insights so you and your clients will both thrive! 

07-07
01:01:00

272: Learn About FALI’s Innovative Weighted Walker Attachments

Have you ever put weights on a walker? We’re guessing you have! Likely ankle weights…Did you find those ankle weights slide around and didn’t stay where you wanted? Well there is an actual product designed by a PT/OT duo that makes weighting ANY assistive device easier and more precise. Physical therapist Nicole Fellows, MS, PT, DPT and occupational therapist Sarah Ali, MS, OTR/L, CSRS, AIB-VRT/CON share their story of developing FALI Rehab, a company that offers adjustable weighted attachments that can be easily added to walkers, canes, and other assistive devices. Sarah and Nicole share how the idea came to fruition, what the process has been like, who benefits from the weights, why you might want to try them and where to learn more info. The weights range from 1-3 pounds and can be customized to individual needs, designed to improve proprioception and stability for users with conditions like Parkinson's, stroke, and ataxia. The product helps users feel more confident and stable while walking and can be used in clinical settings and at home. Their product addresses multiple challenges by providing immediate feedback to the nervous system, allowing users to continue using their preferred assistive device, and offering an affordable alternative to purchasing multiple specialized walkers. Currently, FALI Rehab is working on an improved design that will make attachment even easier, with plans to launch that version in late July/early August. Therapists and individuals interested in improving mobility can learn more at www.falirehab.com. IG is @falirehab  Linked in: FALI Rehab Equipment, LLC

06-30
42:58

271: Scaling A Mobile Insurance-Based Neuro Practice With Katie Wadland, PT, DPT, GCS

Dr. Katie Wadland, PT, DPT, GCS's entrepreneurial journey is a testament to adaptability and patient-centered care. What began as a pandemic-era pivot while homeschooling her children transformed into Healthy Aging Physical Therapy, a robust 20-person mobile practice specializing in geriatric and neurological rehabilitation. Her practice emerged from a critical healthcare need, offering innovative at-home therapy services that prioritize patient accessibility. Unlike traditional clinical models, Wadland created a flexible business approach that allows therapists to manage their own schedules while maintaining high-quality care standards. Financial sustainability came through a strategic blend of insurance-based and wellness services, with approximately 70% of revenue from Medicare and 30% from wellness programs. By maintaining transparent financial practices and implementing a profit-sharing model, Wadland cultivated a collaborative team culture that values both professional growth and work-life balance. A key differentiator in her practice is the emphasis on continuous learning and interdisciplinary collaboration. Therapists are encouraged to co-treat, leveraging individual specialties to provide comprehensive patient care. This approach not only enhances clinical outcomes but also creates a supportive professional environment. Wadland's success underscores an important healthcare entrepreneurship principle: innovative practices can thrive by remaining patient-focused, adaptable, and committed to both clinical excellence and team development. Her model offers a compelling blueprint for healthcare professionals seeking to reimagine traditional service delivery. FB: @HealthyAging PT  IG: @HealthyAgingPT  Web: www.HealthyAgingPT.com

06-23
45:10

270: Experiences From A PT Movement Disorders Fellowship With Andrew Doubek, PT, DPT, GCS, NMD

Ever consider specializing deeper into an aspect of neuro? Wonder what it’s like to dive deep into a subset of the neuro population and sharpen your practice? In today’s show, host Erin Gallardo, PT, DPT, NCS interviews Andrew Doubek, PT, DPT, GCS, NMD about his recent experience going through an accredited movement disorders fellowship program at the Ohio State. In the show we talk about the details of what the fellowship was like from the schedule, mix of experiences, requirements and types of patients. Andrew shares his insights and words of wisdom to anyone considering a fellowship.   Plus, with documentation efficiency being top of mind for so many clinicians, Andrew generously shares his handout of smart phrases crafted from the Clinical Practice Guidelines that you can plug into your assessments and progress notes to ensure you’re targeting the key aspects needed in your notes in less time. Download the smart phrase guides here! PD CPG smartphrase.docx FND smartphrase.docx Core outcomes smart phrases.docx

06-16
34:35

269: Focused, Intense Anticipatory Postural Training Improves Multiple Balance Measures In PD With Sharanya Chavva, PT, DPT

Balance is a common challenge among people with Parkinson’s disease and it can be made even more challenging when there is both a risk of falls AND a high fear of falling. What’s a clinician to do to improve overall balance when your patient is too fearful to try so many things? On today’s show Erin Gallardo, PT, DPT, NCS discusses exactly that predicament with physical therapists Sharanya Chavva, PT, DPT and Jennifer Lazaro, PT, DPT, NCS who share the findings of their poster from APTA CSM 2025. Their poster, which outlines a case study of a PwP, won the APTA Balance and Falls SIG first place award. Their research focuses on a unique approach to balance interventions that incorporates high intensity focused training on one aspect of balance - Anticipatory Postural Adjustments (APAs) - that demonstrates transference to other balance outcomes. Key Highlights: - The study centered on a patient in the early stages of Parkinson's disease who had significant anxiety about falling - Traditional balance training methods weren't effectively improving her confidence - They introduced a novel approach using a specific anticipatory postural adjustment (APA) training protocol - A Zero G harness system was utilized to help the patient feel more secure during exercises Remarkable Results: - Patient's balance confidence (ABC score) increased from 73% to 80% - BESTest score improved dramatically from 62% to 83% - Patient began engaging more in daily activities like grocery shopping - Achieved high-intensity training with up to 160 repetitions per exercise This case study demonstrates that targeted, high-intensity balance training can significantly improve patient confidence and functional mobility. By focusing on anticipatory movements and creating a safe training environment, therapists can help PwP overcome their fear and improve their quality of life. Check out the poster here

06-09
42:51

268: When You’re Compelled To Serve With Leann Vitale, MS, OTR/L

So many clinicians are passionate about ensuring their clients get everything they need to gain the level of independence and quality of life they deserve after diagnosis. The disappointing part is they don’t always have access to the expert care they need. That’s where Leann Vitale, MS, OTR/L found herself several years ago realizing she had a dream to start her own practice in order to fill the gap. Taking that leap is scary and risky. Fortunately she met the perfect contact and mentor to get her going! In this episode of the I Love Neuro podcast, Leann shares her transformative journey from hospital-based therapy to founding Orange County Occupational and Physical Therapy (OC OT and PT), a specialized neurological rehabilitation practice. Driven by a passion for helping patients with Parkinson's disease and stroke recovery, Leanne took a bold leap of faith, quitting her hospital job and collaborating with Claire at Rogue to create an innovative care model that bridges the gap between individual therapy and ongoing wellness. Leann's approach is unique in its commitment to comprehensive, patient-centered care. She shares the challenges and thoughtful decisions she made about her 60-minute model of care, accepting insurance and other decisions that felt right to her. Her story is a testament to the power of passion, adaptability, and a genuine commitment to improving neurological rehabilitation, offering inspiration to healthcare professionals looking to make a meaningful difference in patients' lives. www.TheOCOT.com @the_ocot

06-02
48:59

267: Advanced Strategies And Insights For Treating Individuals With Ataxia With Dr. Jeannie Stephenson, PT, PhD, MS, NCS And Dr. Staci Shearin, PT, PhD, NCS, GCS

Treating individuals with ataxia is challenging for many reasons. Having some key insights from the literature is just what you need! That’s why on this week’s episode Erin Gallardo, PT, DPT, NCS interviewed Dr. Jeannie Stephenson, PT, PhD, MS, MCS and Dr. Staci Shearin, PT, PhD, NCS, GCS to discuss their research and clinical experiences in treating ataxia. The speakers recently presented a webinar inside NeuroSpark for members and the takeaways were so good we had to bring them on the podcast to share more! In the episode you’ll learn their insights on various types of ataxia, effective therapeutic approaches, and the importance of intensive task-specific training. They’ll debunk common misconceptions such as the most effective approach to training and whether or not weighting is a good idea. The answers may surprise you. They also provide practical advice for clinicians on using assistive devices, outcome measures, and external cues to enhance patient treatment and support. This episode is an informative resource for anyone interested in improving mobility and the quality of life for individuals with ataxia. Want to dive deeper into treating ataxia and get continuing education credits? Good news! We’ve recently updated the Ataxia Masterclass for PTs and OTs with 3 all NEW modules for a total of 6.25 contact hours, including the webinar mentioned in the episode by Dr. Stephenson and Dr. Shearin! Get it here today.

05-26
47:08

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