Neuro Navigators: A Medbridge Podcast

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Latest Episodes:

Neuro Navigators Episode 12: Can We Awaken Potential and Rethink What’s Possible in Disorders of Consciousness? Feb 14, 2025

On this episode of Neuro Navigators,⁠Kristen Keech⁠ and⁠Jessica Asiello⁠ join host⁠J. J. Mowder-Tinney ⁠to tackle a vital and often misunderstood topic: disorders of consciousness (DoC). Together, we bust myths, consider ethical challenges, and offer actionable insights grounded in cutting-edge research, including recent clinical practice guidelines. How can we ensure equitable access to treatment and avoid strikingly common pitfalls like misdiagnosis or premature withdrawal of care? Tune in to explore evidence-based practices, practical strategies, and inspiring examples that challenge us to rethink what’s possible for these patients.

Learning Objectives

Interpret the evidence around rehab professionals’ role in assessment and recovery of consciousness
Apply evidence-based, practical strategies to actionably address gaps in knowledge translation to ensure implementation of best practices when managing individuals with disorders of consciousness
Solve patient case scenarios involving individuals at various levels of consciousness

Timestamps

(00:00:00) Welcome
(00:00:50) Introduction to guests and disorders of consciousness (DoC)
(00:02:20) Personal journeys and passion for DoC
(00:06:05) Misconceptions and clinical questions
(00:09:23) Assessment techniques and team collaboration
(00:13:29) Recent research and evidence-based practice
(00:23:10) Understanding disorders of consciousness
(00:25:33) Multimodal approaches in rehabilitation
(00:27:45) Assessment tools and techniques
(00:29:13) Importance of documentation
(00:31:45) Individualizing patient care
(00:33:15) Engaging families in therapy
(00:36:25) Overcoming barriers in treatment
(00:39:58) Empowering clinicians
(00:41:14) Actionable takeaways for clinicians
(00:43:17) Case studies in practice
(00:49:11) Final thoughts and inspiration

Resources Mentioned in Episode

⁠Practice guideline update recommendations summary: Disorders of consciousness⁠

Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navaigators, visit

⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to Medbridge, visit⁠https://www.medbridge.com/pricing/⁠

Neuro Navigators Episode 11: Can We Augment Recovery After SCI With Noninvasive Spinal Stimulation? Jan 14, 2025

In this episode we welcome Dr. Candace (Candy) Tefertiller, an expert in spinal cord injury (SCI) rehabilitation, to explore the exciting potential of transcutaneous spinal stimulation (TSS) in augmenting motor recovery. Candy breaks down the mechanisms behind TSS, offers insights into the latest research, and shares the current and emerging clinical applications of this noninvasive technique. Together with host J.J. Mowder-Tinney, we dig into key considerations for therapists, including patient outcomes, and strategies for keeping a pulse on relevant research. Listen in to learn how TSS might be the next innovative intervention to augment SCI recovery.

Interpret the evidence around the underlying mechanism associated with noninvasive spinal stimulation to facilitate sensory and motor recovery after SCI
Apply evidence-based, practical strategies to actionably address motor recovery and activation after SCI, with a focus on enhancing functional outcomes in daily activities
Solve patient case scenarios involving individuals with limited voluntary motor activation after SCI

Timestamps:

(00:00:00) Welcome
(00:0049) Introduction to guest
(00:03:05) Background and research focus
(00:06:14) The impact of noninvasive spinal stimulation
(00:10:04) Understanding transcutaneous spinal stimulation mechanisms
(00:14:03) Comparing noninvasive and invasive spinal stimulation
(00:15:54) Patient tolerance and individual variability in stimulation
(00:18:01) Distinguishing between spinal and peripheral nerve stimulation
(00:20:57) Current research status and future directions
(00:25:38) Understanding noninvasive spinal stimulation
(00:27:48) Research insights and case studies
(00:30:55) Impact on spasticity and functional improvements
(00:37:16) Key considerations for therapists
(00:45:30) Real-world applications and patient engagement
(00:48:51) The future of physical therapy and research

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 10: What’s the Key to Maximizing Mobility in MS Patients? Dec 13, 2024

Dr. Herbert Karpatkin, PT, DSc, NCS, GCS, MSCS, joins J.J. Mowder-Tinney to share his expertise on improving mobility in patients with multiple sclerosis (MS). Herb discusses the common misconceptions about MS in physical therapy and offers practical strategies, including interval training and task-specific exercises, to enhance patient outcomes.

Learning Objectives

Interpret the evidence around how to improve mobility and exercise tolerance in people with MS
Apply evidence-based, practical strategies to actionably address fatigue to increase exercise intensity for people with MS
Solve patient case scenarios involving MS focusing on exercise, rest, and functional outcomes

Timestamps

(00:00:00) Welcome
(00:00:58) Introduction to guest
(00:03:33) Is there anything we should be questioning as clinicians in regard to people with MS?
(00:08:05) What’s the evidence and application?
(00:16:50) Translating research into clinical practice
(00:26:21) Fatigue measures and scales
(00:36:21) Three actionable takeaways
(00:45:00) Final words of wisdom

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 9: How Can Poststroke Rehab Bridge the Gap Between Therapy and Real-Life Performance? Nov 15, 2024

⁠Dr. Darcy Reisman⁠, professor and chairperson of the department of physical therapy at the University of Delaware, joins host ⁠J.J. Mowder-Tinney⁠ for an engaging discussion on poststroke rehabilitation, with a focus on walking recovery. A true knowledge translator, Dr. Reisman shares her extensive research and outlines practical strategies for improving both clinical walking capacity and real-world walking performance. Tune in to discover how bridging the gap between research, therapy, and real life can help your patients achieve their walking goals both in and beyond the clinic.

Learning Objectives

Interpret the evidence surrounding walking capacity vs. walking performance after stroke
Apply evidence-based strategies to enhance walking recovery in poststroke patients
Incorporate motivational interviewing-type techniques and patient-centered goal setting in stroke rehabilitation

Timestamps

(00:00:00) Welcome
(00:00:29) Introduction to guest
(00:01:30) Background and research focus
(00:04:49) Understanding walking capacity vs. performance after stroke
(00:09:42) Research findings on capacity and performance interventions
(00:12:50) Behavioral interventions in stroke rehabilitation
(00:16:11) Step activity monitoring behavioral intervention explained
(00:19:30) Setting realistic goals for patients
(00:22:52) The importance of specificity in rehabilitation goals
(00:25:40) Motivational interviewing type techniques for patient engagement
(00:30:45) Integrating heart rate monitoring in therapy
(00:34:28) High-intensity training and its impact on recovery
(00:39:17) Empowering patients as athletes in their recovery
(00:43:04) Case study: Applying research to practice
(00:51:42) Final thoughts and words of wisdom

Resources Mentioned in Episode

⁠PROWALKS Study⁠

To hear more episodes of Neuro Navigators, visit ⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to Medbridge, visit ⁠https://www.medbridge.com/pricing/⁠

Neuro Navigators Episode 8: How Can You Make a Real Impact on Frailty, Deconditioning, and Sarcopenia? Oct 15, 2024

Dr. Carole Lewis, an esteemed expert in geriatric rehabilitation, joins host J.J. Mowder-Tinney to discuss practical pearls for managing frailty, deconditioning, and sarcopenia in older adults. Drawing on Dr. Lewis’s extensive clinical experience and research, this episode is jam-packed with key outcome measures, targeted interventions, and strategies to empower your patients toward greater independence. Listen and learn from a conversation centered around bringing hope and skill to a population that too many people overlook and underestimate.

Learning Objectives

Interpret the evidence around older adults with sarcopenia, deconditioning, and frailty
Apply evidence-based, practical strategies to facilitate improved participation in daily activities for older adults with sarcopenia, deconditioning, and frailty
Solve patient case scenarios involving older adults with sarcopenia, deconditioning, and frailty

Timestamps

(00:00:00) Introduction and Overview
(00:09:00) The Clinical Challenge of Working With Frail and Deconditioned Patients
(00:13:20) Assessing Frailty, Deconditioning, and Sarcopenia
(00:18:24) Practical Tools for Assessing Frailty, Deconditioning, and Sarcopenia
(00:27:31) Documenting and Communicating the Presence of Frailty, Deconditioning, and Sarcopenia
(00:30:22) Intervention Strategies
(00:50:15) Top Takeaways
(00:51:30) Case Study
(00:55:50) Final Words of Wisdom

To hear more episodes of Neuro Navigators, visit ⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠

If you’d like to subscribe to Medbridge, visit ⁠⁠https://www.medbridge.com/pricing/⁠

Neuro Navigators Episode 7: Are We Approaching Cueing Correctly? Sep 13, 2024

Join host ⁠J.J. Mowder-Tinney⁠ as she welcomes occupational therapist ⁠Melissa Kimmerling⁠, an expert in neurorehabilitation. In this episode, J.J. and Melissa dive deep into the intricacies of cueing strategies, exploring recent research and practical applications for clinicians. Discover actionable insights and innovative approaches to enhance your clinical practice.

Learning Objectives

Interpret the evidence around effective cueing strategies for clients with neurological impairments
Apply evidence-based, practical strategies to actionably address cognitive impairments in practice
Solve patient case scenarios involving choosing the best cueing strategy for a provided client case

Timestamps

(00:00:00) Welcome
(00:00:49) Introduction to guest
(00:05:54) Why this clinical question?
(00:18:21) What’s the evidence and application?
(00:31:11) Translating evidence into the clinic
(00:42:56) Three main takeaways
(00:45:55) Case example

Neuro Navigators is brought to you by MedBridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit ⁠https://www.medbridge.com/neuro-navigators⁠

If you’d like to subscribe to MedBridge, visit ⁠https://www.medbridge.com/pricing/⁠

Neuro Navigators Episode 6: How Do You Translate Effective Concussion Management Strategies Into Clinical Practice? Aug 15, 2024

Join us for an enlightening conversation with Rebecca Bliss, an expert in concussion management across the lifespan. J.J. Mowder-Tinney engages Becky in a deep dive into recent research and practical tips, including the importance of incorporating functional assessment of symptomatology, principles of neuroplasticity, and early active rehabilitation into patient care. Discover key insights and techniques to enhance your concussion management practices, whether working with tactical athletes or older adults.

Timestamps

(00:00:00) Welcome
(00:01:03) Introduction to guest
(00:06:29) Importance of discussing approaches to concussion management
(00:10:14) History and use of the Concussion Clinical Profile Screening Tool (CCPST)
(00:20:58) Consensus statements and guidelines for concussion management
(00:33:00) Applying principles of neuroplasticity in rehabilitation
(00:43:00) Actionable takeaways
(00:47:08) Case scenario
(00:56:50) Final thoughts

Learning Objectives

Interpret the evidence related to active rehabilitation strategies to optimize outcomes for patients with concussive injury
Apply evidence-based, practical strategies to actionably address clinical trajectories following concussion injury
Solve patient case scenarios involving protracted symptoms following concussion

Resources Mentioned in Episode

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 5: How Do We Sustain Support for Stroke Survivors and Caregivers Beyond Recovery? Jul 15, 2024

Join host J.J. Mowder-Tinney as she welcomes Angela Reimer for an insightful episode on addressing the ongoing needs of stroke survivors and their caregivers. Angie shares her expertise on the importance of mental health, therapeutic alliance, and effective education in poststroke care. Tune in for actionable strategies to elevate patient and caregiver support and improve long-term outcomes.

Learning Objectives

Interpret the evidence around providing support to survivors of stroke and their caregivers
Apply evidence-based, practical strategies to actionably address gaps in practice surrounding support of patients post stroke
Solve patient case scenarios involving postacute stroke support in order to facilitate safe patient participation in daily activities

Timestamps

(00:00:00) Welcome
(00:00:48) Introduction to guest
(00:03:27) Why this clinical question?
(00:13:11) What’s the evidence and application?
(00:37:30) Three main takeaways

Resources Mentioned In Episode

To hear more episodes of Neuro Navigators and get CE credit, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 4: You Work Where? Practicing at Top of Scope in the Emergency Department Jun 14, 2024

In this episode, join J.J. Mowder-Tinney and Rebekah Griffith as they take us on a journey through the intricacies of practicing physical and occupational therapy in the emergency department. Through insightful discussions on addressing social determinants of health and integrating research findings into clinical practice, Rebekah provides valuable perspectives on delivering top-of-scope care. Join us for a deep dive into the world of emergency medicine and rehabilitation.

Learning Objectives:

Interpret the evidence around benefits of physical and occupational therapy in the ED
Apply evidence-based, practical strategies to provide differential diagnosis for a variety of conditions in the ED
olve patient case scenarios involving complex medical and social needs in order to facilitate safe patient participation in daily activities

Timestamps

(00:00:00) Welcome
(00:01:48) Introduction to guest
(00:03:03) Why this clinical question?
(00:16:32) What’s the evidence and application?
(00:34:24) Three main takeaways

Resources mentioned in this episode:

Social Determinants of Health

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 3: Is It Time to Redefine Fall Prevention for Persons With Parkinson’s Disease? May 15, 2024

Valerie Carter, a passionate expert on Parkinson’s disease (PD), shares with J.J. Mowder-Tinney her personal story and why she has so much energy and hope surrounding stomping out stage 5 of the disease. Valerie dives into her research on tests and measures designed to better identify fall risk in the PD population, emphasizing that backward walking and dual-task assessment and training are key components.

Learning Objectives

Interpret the evidence around appropriate disease-specific motor and nonmotor assessments for persons with Parkinson’s in order to assess fall risk
Determine the various assessments required to gather a complete picture of the motor and nonmotor symptoms involved with persons with Parkinson’s
Solve what the scores of the tests and measures indicate for patients with Parkinson’s and their risk of falls, including during occupational performance

Timestamps

(00:00:00) Welcome
(00:01:04) Introduction to guest
(00:05:27) Importance of fall prevention in Parkinson’s disease
(00:08:38) Improving walking tests for Parkinson’s disease
(00:25:56) Treatment for persons with Parkinson’s disease
(00:37:10) Medication for movement
(00:46:18) Actionable takeaways

Neuro Naviagtors is brought to you by MedBridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 2: How Can You Enhance Mobility Using AFOs or FES After Stroke? Apr 15, 2024

Jamie Haines, champion for knowledge translation, talks with J.J. Mowder-Tinney about the Academy of Neurologic Physical Therapy’s clinical practice guideline on poststroke AFO and FES use, breaking down how to apply the information toward patient care without getting overwhelmed. J.J. gets excited about the specific guidance for when and what treatment to use for walkers of all speeds.

Learning Objectives

Interpret the evidence around the use of AFO and FES
Apply evidence-based, practical strategies to actionably address implementation of AFO and FES to facilitate participation in functional mobility and daily activities
Solve patient case scenarios involving the use of AFO and FES

Timestamps

(00:00:00) Welcome
(00:01:06) Introduction to guest
(00:03:30) The role of the Academy of Neurologic Physical Therapy
(00:11:00) Clinical pearls from the clinical practice guideline
(00:31:49) Buy-in and carryover
(00:41:13) Actionable takeaways

Resources mentioned in this episode

Clinical Practice Guideline for the Use of Ankle Foot Orthoses and Functional Electrical Stimulation Post Stroke

To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators

If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Neuro Navigators Episode 1: What Is Happening With BPPV and Older Adults? Apr 11, 2024

Jeff Walter, mastermind behind the loaded Dix-Hallpike, explains to J.J. Mowder-Tinney why we should be screening more older adults for BPPV but relying less on their symptom quality.

Learning Objectives

Interpret evidence-based clinical practice guidelines for benign paroxysmal positional vertigo (BPPV)
Apply evidence-based, practical strategies to maximize identification of BPPV in older adults and their impact on participation in occupations such as sleeping or toileting
Solve patient case scenarios involving vestibular agnosia

Timestamps