In this episode, Katy talks with Dr. Andrew Guccione and Dr. Andrew Pechstein about their article published in the April 2023 issue of JNPT entitled “Walking Endurance and Oxygen Uptake on Kinetics in Individuals with Parkinson Disease Following Overground Locomotor Training.” “Dr. G” and Dr. Pechstein discuss cardiorespiratory aspects of locomotor training and how bioenergetic factors play a role in walking endurance. Tune in to hear more, including how they designed their exercise protocol, se...
Mar 25, 2023•49 min•Season 1Ep. 37
In this bonus episode of 4D, we talk with Herb Karpatkin, a DD SIG officer who serves on the Nominating Committee, about one of the DD SIG’s newest features, the clinician locator map. Host and DD SIG chair Rebecca Martin talks with Dr. Karpatkin about his recent initiative to improve and simplify access to physical therapists who specialize in degenerative neurologic diseases. Learn more about how to access this resource and how to add your information to our map! The Degenerative Diseases Spec...
Feb 14, 2023•18 min•Season 1Ep. 37
In this episode of 4D, hosts Parm Padgett and Ken Vinacco give us the inside scoop on the degenerative disease representation in the 2023 CSM line up. Hear clips/sneak peeks from several of the speakers about their upcoming presentations. With so many must-see talks, you’re going to want to listen in to get a head start on planning your time at CSM! The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy –www.neuroPT.org Link to show notes: https://...
Feb 09, 2023•26 min•Season 1Ep. 37
In this bonus episode, physical therapy students, Emily Buggeln and Colleen Noonan interview Daniel Corcos on resistance training for persons with Parkinson Disease. This interview was organized by the knowledge translation task force for the clinical practice guideline for the physical therapist management of people with Parkinson disease. For more resources, check out their webpage at https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/pt-management-of-parkinson-diseas...
Feb 02, 2023•25 min•Season 1Ep. 37
In this episode of 4D, we talk with Dr. Colin Grove about his recent ANPT poster presentation from the International Conference for Vestibular Rehabilitation entitled “People Living with Advanced Multiple Sclerosis Demonstrate Unique Strategies to Compensate for Vestibular-Ocular Reflex Deficits”. Host Chris Burke talks with Colin about what constitutes gaze stability, and how the vestibular-ocular reflex can be altered in patients with MS with reports of imbalance and dizziness. Colin and Chris...
Jan 19, 2023•39 min•Season 1Ep. 36
In this episode of 4D, Parm talks with Dr. Alexis Drutchas and Dr. Jaclyn Shameklis about creating open conversations with patients who have illnesses that can have drastic and lasting impacts on their lives. We discuss the Serious Illness Conversation Guide, and how it can be applied in a physical therapy setting, especially for patients with degenerative diseases. They build a case that having these conversations, early and often, allows health care providers to get to the root of what is impo...
Dec 15, 2022•48 min•Season 1Ep. 35
In this episode of 4D, we talk with Dr. Nora Fritz about her expansive research in the field of Multiple Sclerosis (MS) rehabilitation. Dr. Fritz talks with host Katy McGraw about her research on the relationship between backward walking velocity and falls, and the effects of cerebellar involvement on the motor and cognitive function in people with MS. Tune in to learn more about what PTs can be assessing and addressing to best serve the MS patient population. The Degenerative Diseases Special I...
Nov 23, 2022•34 min•Season 1Ep. 34
In this episode of 4D, we talk with Dr. Debbie Backus from the Shepherd Center in Atlanta, GA and Dr. Laura Rice from the University of Illinois Urbana-Champaign about their abundance of research in fall risk and fall prevention for wheelchair users with Multiple Sclerosis (MS). Host Chris Burke talks with our guests about what risk factors clinicians should be on the lookout for, what outcome measures to consider, and evidence based intervention strategies for this population. Tune in to learn ...
Oct 21, 2022•36 min•Season 1Ep. 33
In this episode, we talk with Dr. Catherine Lang and Dr. Carey Holleran from Washington University in St. Louis about their article scheduled for publication in the January 2023 issue of JNPT titled “Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation.” Dr. Lang and Dr. Holleran discuss the difference between patients’ capacity in the clinic and their functional performance outside of the clinical setting. In this ...
Sep 08, 2022•41 min•Season 1Ep. 32
Note to listeners: We want to hear from you! We value listener feedback and are always working to improve our podcast. Share your 4D podcast feedback with us here: https://forms.gle/NKAC5Lob5rxpZ3459 In this special 3-year anniversary episode of 4D, host Parm Padgett and DDSIG secretary and podcast editor Sara Zoeller dive into the world of neuro-rehab and the pet peeves that come along with it. From terminology to exercise intensity to balance, we hear from previous guests and board members abo...
Jul 28, 2022•42 min•Season 1Ep. 31
In this episode, we highlight one of the winners of our poster awards at CSM 2022. Lindsay Fitchett talks to Chris Burke about her group’s systematic review of wearable sensors assessing balance and mobility in people with PD. They discuss themes from the review including differentiating PIGD and tremor-dominant subtypes, looking at fall risk, assessing movement strategies/transfers, and sensor-based interventions. They also discuss potential future avenues for sensors in rehab. The Degenerative...
Jun 10, 2022•18 min
In this episode, we highlight one of the winners of our poster awards at CSM 2022. Jason Longhurst talks to Katy McGraw about his research on gait characteristics in people with PD. His research looks at data from people without freezing, people with freezing on initiation, and people with non-initiation-type freezing. He discusses the role of gait variability in clinical presentation and expands on how this research might inform PT intervention and make interventions more specific to patients w...
Jun 02, 2022•24 min
Description: In this episode, we highlight the winners of our platform award at CSM 2022. Lori Quinn talks to Chris Burke about her team’s research on long-term PT follow up to promote exercise in people with HD. They discuss findings related to feasibility, participant engagement, and outcomes related to function, disease progress and physical activity during the year-long study. They also discuss innovative models to provide care for and do research with people with HD, and unique challenges i...
May 27, 2022•38 min•Season 1Ep. 31
Strategies to Advance Practice – with Elissa Held Bradford In this episode, we highlight the article “Health Promotion and Wellness in Neurologic Physical Therapy: Strategies to Advance Practice” from the April 2022 issue of JNPT by Rafferty, et. al. Parm is joined by one of the authors, Elissa Held Bradford, to discuss how to implement health promotion and wellness topics into daily PT practice. They expand on the role of health promotion and wellness across multiple practice settings and delve...
Mar 30, 2022•35 min
A Clinical Practice Guideline (CPG) for PT management of PD was recently published in the Physical Therapy & Rehabilitation Journal in December, 2021. In this episode, Parm talks to Miriam Rafferty, an author of the CPG and co-chair of the CPG knowledge translation task force, about the development of this new guideline. They discuss the goals of the CPG and highlights intervention featured in the paper, as well as nuances about application to PT practice. This podcast gives both an introduc...
Mar 13, 2022•32 min•Season 1Ep. 29
In this episode, Parm talks to the authors of the winners of the the DD SIG poster awards at the 2021 ANPT annual conference. Dr. Rashelle Hoffman discusses aspects of fatigue related to Multiple Sclerosis and Dr. Rebecca Martin discusses the effect of modeling and cueing on sit to stand transfers in individuals with Parkinson’s Disease. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.
Feb 10, 2022•32 min•Season 1Ep. 28
In this episode, Parm talks to Mark Mañago about his recent publication in PTJ about the changing landscape of community exercise classes. Parm and Mark review the results of the study’s survey that asked exercise class participants with PD and exercise group leaders to identify facilitators and barriers to virtual and in-person class. They also discuss observed changes in activity level in the people surveyed. Parm and Mark brainstorm some real-world solutions to the barriers identified to help...
Jan 24, 2022•36 min•Season 1Ep. 27
In this episode, Rebecca talks to Rupal Patel, a founding member of the APTA Health Promotion and Wellness Council. They discuss the council and how it relates to patients with degenerative diseases. They highlight different areas of wellness and ideas for promoting healthy lifestyles at the individual, community, and society levels. Don’t miss these practical tips and resources for clinicians. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy...
Nov 24, 2021•35 min•Season 1Ep. 26
In this episode, Parm talks to Dr. Zajac and Dr. Ellis about their paper in the October 2021 issue of JNPT “Are Mobile Persons With Parkinson Disease Necessarily More Active?” Parm dives into the methods and results with Dr. Zajac. Then, she zooms out to talk about big picture implications including measuring and defining performance and participation with Dr. Ellis. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.
Oct 05, 2021•Season 1Ep. 25
In this episode, Katy talks to Heather Cianci, who works in University of Pennsylvania’s COPE (Comprehensive Outpatient Parkinsonism Evaluation) Clinic. They discuss the structure of this and other specialty clinics, the rehabilitation team, and atypical PD diagnoses. They highlight resources, evaluation and treatment strategies for clinicians who provide care to patients with these diagnoses. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy ...
Sep 29, 2021•Season 1Ep. 24
In this episode Parm talks to Lisa Brown, an author on the newly released Clinical Practice Guideline for use of Ankle-Foot Orthoses and Functional Electrical Stimulation Post-Stroke. They discuss the CPG development process, as well as what conclusions might be applicable outside of the stroke population including for people with MS and other neurodegenerative conditions. They talk through some practical strategies clinicians can use when making bracing recommendations and give a preview of upc...
Aug 31, 2021•37 min•Season 1Ep. 23
In this special episode, Rebecca interviews Dr. Graham Cochrane about his recent publication in the July 2021 issue of the Journal of Neurologic Physical Therapy: “Comprehensive Clinical Assessment of Vestibular Function in Multiple Sclerosis.” They discuss his significant findings in central vestibular integration through variance in response to subjective visual vertical and dynamic visual acuity, as well as its association with disease severity. In addition, Dr. Cochrane describes each vestib...
Jul 01, 2021•32 min•Season 1Ep. 22
What is it like working as a therapist in a multidisciplinary clinic? How is the integrated model of care applied to complex degenerative diseases? Learn this and more as Parm interviews physical therapist Katey Burke and speech-language pathologist Stacey Sullivan about their experience working in a multidisciplinary clinic for Amyotrophic Lateral Sclerosis (ALS). Together they dive into the ins & outs of patient-centered care, including coordination and communication, billing, and initiati...
May 18, 2021•37 min•Season 1Ep. 21
In this episode, Parm and Patty Scheets take a step back and discuss the big picture of our profession, including utilizing practice-based evidence to establish standards of care and drive our practice forward. In addition to getting an in-depth look at Patty’s clinical experience, we take a deeper dive into the challenge of stepping out of your comfort zone to grow as a clinician. Listen in to discover the inspiration for “Moving Forward” from JNPT’s January 2021 Presidents Perspective and join...
Apr 14, 2021•37 min•Season 1Ep. 20
In this CSM bonus episode, Rebecca talks to Dr. Suzanne O’Neal about her work using backward cycling as a treatment strategy for people with PD. Suzanne and Rebecca discuss the ins and outs of testing backward stepping, the study’s results, and how to incorporate this treatment approach into your practice. This research was the basis for a platform presentation that won the DD SIG Platform Award at APTA’s CSM 2021. The Degenerative Diseases Special Interest Group is part of the Academy of Neurol...
Mar 18, 2021•25 min
In 4D's first ever topic-based episode, Katy and Parm talk to experts Dr. George Fulk, Dr. Lee Dibble, and Dr. Laurie King about how we define participation, how PTs are measuring it, and how we may measure it in the future. Have you ever asked yourself if you're missing or just skimming the surface of this piece of the ICF? Join us to spark ideas for how to make participation more relevant to your practice! The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Ph...
Feb 07, 2021•40 min•Season 1Ep. 19
Join DD SIG Chair Rebecca Martin as she interviews Heather Salon and Bart Hanson from the ANPT Programming Committee about the first ever virtual CSM. Learn the ins and outs of how CSM will work, and hear about events and programming that might be interesting to DD SIG members. If you're participating in CSM 2021, consider joining us at our DD SIG meeting on Tuesday, February 4th at 8 pm EST. Register here: https://us02web.zoom.us/meeting/register/tZYuceitqjIoGtzD7yEqjsQIXfkrLouYPtOz The Degener...
Jan 26, 2021•25 min
A Knowledge Translation Project - with authors Amy Yorke and Angee Ludwa In this episode, JNPT partners with the ANPT Degenerative Diseases SIG to bring you an interview between host, Parm Padgett, and authors, Amy York and Angee Ludwa. In the podcast, they discuss the nuances of the project that resulted in their January 2021 JNPT article, “Standardizing Outcome Assessment in Parkinson Disease: A Knowledge Translation Project.” Access the article in the Journal of Neurologic Physical Therapy. T...
Jan 04, 2021•34 min•Season 1Ep. 18
In this episode, Parm talks to Dr. Prue Plummer about her research on effective interventions for movement dysfunction associated with Multiple Sclerosis. They cover about the Guidelines for Exercise in Multiple Sclerosis (GEMS) and current clinical research examining the effects of a GEMS program delivered in person versus through tele-rehabilitation. Dr. Plummer also delves into her research on combining Dalfampridine (Ampyra) with physical therapy interventions to improve outcomes. Listen in ...
Dec 06, 2020•36 min
In this episode, Dr. Gammon Earhart and Parm dive into Dr. Earhart’s 2019 ANPT Golden Synapse Award-winning research on the effect of mental singing on gait variability in adults with Parkinson Disease. They discuss her methods and inspiration for exploring this intervention, as well as the intricacies of her findings and their clinical relevance. Listen in to get a detailed perspective on how mental singing can help individuals with PD and a sneak peek of her lab’s current and future research s...
Nov 01, 2020•37 min•Season 1Ep. 16
