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 a...
Sep 18, 2021•1 hr•Ep. 37
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? W...
Sep 15, 2021•1 hr 2 min•Ep. 36
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...
Sep 11, 2021•1 hr•Ep. 35
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 hav...
Sep 06, 2021•1 hr 3 min•Ep. 34
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 ...
Aug 25, 2021•1 hr 1 min•Ep. 33
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 ef...
Aug 19, 2021•1 hr•Ep. 32
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 th...
Aug 13, 2021•1 hr 4 min•Ep. 31
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 min...
Aug 08, 2021•1 hr 3 min•Ep. 30
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 worl...
Aug 05, 2021•45 min•Ep. 29
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 luc...
Aug 02, 2021•1 hr 6 min•Ep. 28
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......
Jul 29, 2021•1 hr 2 min•Ep. 27
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 m...
Jul 25, 2021•59 min•Ep. 26
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, ex...
Jul 21, 2021•57 min•Ep. 25
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, goa...
Jul 18, 2021•1 hr 17 min•Ep. 24
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 fe...
Jul 13, 2021•1 hr 10 min•Ep. 23
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...
Jul 10, 2021•1 hr 5 min•Ep. 22
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 t...
Jul 05, 2021•59 min•Ep. 21
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 vi...
Jul 04, 2021•55 min•Ep. 20
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 ...
Jun 29, 2021•1 hr 7 min•Ep. 19
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 difficu...
Jun 27, 2021•1 hr•Ep. 18
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 ...
Jun 21, 2021•57 min•Ep. 17
“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 ...
Jun 16, 2021•1 hr 10 min•Ep. 16
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: ...
Jun 12, 2021•45 min•Ep. 15
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’ const...
Jun 06, 2021•1 hr 2 min•Ep. 14
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...
Jun 02, 2021•58 min•Ep. 13
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 i...
May 30, 2021•59 min•Ep. 12
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, he...
May 25, 2021•50 min•Ep. 11
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 t...
May 20, 2021•1 hr 18 min•Ep. 10
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 situatio...
May 15, 2021•55 min•Ep. 9
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 talkin...
May 13, 2021•58 min•Ep. 8
