Academy of Neurologic Physical Therapy Podcast

Host Maureen Clancy PT, DPT, OCS, Cert MDT is joined by Karen McCulloch PT, PhD, FAPTA, NCS in a discussion on the release of the Concussion Clinical Practice Guideline in April 2020. To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

In this episode, to ring out HD Awareness Month, Katy talks to Ann Kloos and Deb Kegelmeyer about the most up-to-date recommendations for exercise and physical therapy for people with Huntington’s disease. It is chock-full of the latest information for clinicians treating patients with HD, whether experienced or novice. We hope you enjoy it! The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this final of four CSM bonus episodes, Katy talks to Dr. Laurie King about her study on the impact of an exercise intervention in people with PD on the MiniBEST, freezing of gait, gait mechanics, dual task function, and patient-reported outcomes. They discuss the ins and outs of the study including who responded best and details of the agility bootcamp intervention. They also delve into Laurie and her colleagues’ upcoming research on turning in people with PD. This research was the basis for a platform presentation that won the DD SIG’s Best Platform Award at APTA’s CSM 2020. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, Cory Hall has a conversation with Dr. George Hornby, Professor of Physical Medicine & Rehabilitation at Indiana University. He is the primary author of the 2020 Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury. In this engaging conversation you will learn direct clinical tips and tricks to help you in your clinical practice to improve locomotor function. The full article can be found on the Journal of Neurologic Physical Therapy. Find additional resources at this website: http://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/locomotor-training-cpg The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this third of four CSM bonus episodes, Parm talks to Lindsay White Walston about her case series that combined manual therapy with additional intervention for gait and balance for people with PD. Lindsay tells us how she combines her orthopedic and neurologic clinical specialties to improve outcomes for patients. This case series was the basis for a poster presentation that won the DD SIG’s Best Clinical Poster Award at APTA’s CSM 2020. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this second of four CSM bonus episodes, Parm talks to Dr. Cristina Colon-Semenza about her work investigating decision making and response to rewards for exercise in people with PD. This research was the basis for a poster presentation that won the DD SIG’s Best Basic/Applied Science Poster Award at APTA’s CSM 2020. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this first of four CSM bonus episodes, Parm talks to Dr. Paul Kline and Dr. Mark Manago about their work investigating the relationship between single leg calf raise test with dynamometry and with clinical measures of gait in people with MS. This research was the basis for a platform presentation that won the DD SIG Platform Presentation Award at APTA's CSM 2020. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, Parm talks to Dr. Tara McIsaac about her recent study outlining characteristics of people with PD that determined exercise class prescription. Tara and Parm review the study results, including a group of clinical tests that may help PTs refer to appropriate programs. They also discuss the importance and logistics of communication between PTs and other exercise professionals. If you’re interested in community exercise in this population, this is a great listen! The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode of Discussions in Spinal Cord Injury Science (DiSCIS), we interview Carey Holleran, PT, DHS, NCS and George Hornby, PT, PhD about their recent publication: Hornby TG, Reisman DS, Ward IG, et al. Clinical practice guideline to improve locomotor function following chronic stroke, incomplete spinal cord injury, and brain injury. J Neur Phys Ther. 2020;44:49-100. Click here for the CPG document. The SCI SIG is part of the Academy of Neurologic Physical Therapy - www.neuropt.org. Transcription of this podcast can be found here: https://app.box.com/s/uvlqr3hbe30w1cn4yadsr5et3t2h1ep4.

In this episode, Dr. Lori Quinn talks to Parm about key features of Huntington’s Disease for PTs to recognize and examine, treatment approaches, and her rehabilitation-based research with this population. This is a great learning opportunity for clinicians familiar with HD as well as those who may see it very rarely (or haven’t seen it at all yet!). Lori also gives some great clinical pearls that apply to working with patients with any rare neurological condition. For show notes click here. Click here for courses on the ANPT Synapse Education Center on Huntington's Disease. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Dr. Edelle Field Fote discusses with the ANPT Historian Committee why she became a physical therapist, her involvement in ANPT and as editor of the Journal of Neurologic Physical Therapy. To listen to the full interview with Dr. Field-Fote click here. To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Dr. Edelle Field Fote discusses with the ANPT Historian Committee why she became a physical therapist, her involvement in ANPT and as editor of the Journal of Neurologic Physical Therapy. For a transcript of this conversation click here. To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

In this episode of Discussions in Spinal Cord Injury Science (DiSCIS), we interview Candy Tefertiller, PT, DPT, PhD, NCS about Transcutaneous Electrical Spinal Cord Stimulation. For more information, refer to: Taccola G, et al. And yet it moves: recovery of volitional control after spinal cord injury. Prog Neurobiol. 2018;160:64-81. The Spinal Cord Injury Special Interest Group is a part of the Academy of Neurologic Physical Therapy, www.neuropt.org. Transcription of this podcast can be found here: https://app.box.com/s/dvhtsrhgxbvxfju0p0r6yvoprd4o8v73.

Join hosts Parm Padgett and Katy McGraw as they discuss the degenerative disease-related programming coming to CSM this year, with sneak preview clips from prior guests of the show and SIG members. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this episode, we talk to Kathy Gill-Body about her role on the Movement System Diagnosis task force. Kathy shares her impressions and applications of the movement system, including how she uses it in her clinical practice, and future directions for movement system diagnosis. She also shares her journey as a physical therapist involved in clinical practice, research, and teaching, and how she has been able to make connections and take advantage of a variety of opportunities to develop her interests. For show notes click here. To watch free webinars on the Movement System click here to visit the ANPT Synapse Education Center. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Dr. Stephen Page OTR/L, PhD joins us to discuss constraint induced movement therapy (CIMT) after stroke. Listen as he discusses the benefits of CIMT and some of his research involving a modified CIMT program. The Spinal Cord Injury Special Interest Group is a part of the Academy of Neurologic Physical Therapy, www.neuropt.org.

Podcast 4 is an interview with the Trialliance of Balance & Falls SIG Chairs representing the APTA Geriatric, Neurologic, and Oncology Academies. The SIG Chairs talk about what led them to join forces and to create a course & handout that was presented at CSM 2020 in Colorado. The Balance and Falls Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

Podcast 3 is an interview with Laboratory Director, James Finley about the stroke balance and locomotion research being done at USC's Locomotor Control Lab. He shares thoughts on mentors and influences that led him to his current research projects while highlighting the current research related to stroke and locomotor learning and adaptation after stroke. The Balance and Falls Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

In this episode of Discussions in Spinal Cord Injury Science (DiSCIS), Rachel Tappan, PT, DPT interviews Dr. Monica Perez, Scientific Chair of Arms and Hands Lab at the Shirley Ryan Ability Lab in Chicago. The discussion focuses on neuromodulation and Dr. Perez's work. For further reading, check out: Christiansen L, Perez MA. Targeted-plasticity in the corticospinal tract after human spinal cord injury. Neurotherapeutics. 2018;15:618-627. The Spinal Cord Injury Special Interest Group is a part of the Academy of Neurologic Physical Therapy - www.neuropt.org. Transcription of this podcast can be found here: https://app.box.com/s/7gvlj0tcx63vgvivi3er1ibmpxxu2ehp.

On the 4D: Deep Dive into Degenerative Diseases podcast Ryan Duncan talks to first-time host Katy McGraw about his career path from an entry-level PT working as an outcomes assessor to a primary investigator on his own clinical studies. Along the way, he gives great advice on how to use research methodology to improve clinical practice and how to get involved in research as a DPT. Ryan also discusses some of his upcoming research including delving into low back pain in people with PD and physical therapy interventions for people with deep brain stimulation. A great listen for anyone who has considered the research side of PT but isn’t on the path to a PhD! For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this 4D: Deep Dive into Degenerative Diseases podcast, host, Parm Padgett geeks out about the cerebellum with Dr. Amy Bastian of the Kennedy Krieger Institute. It is chock full of clinical pearls and bottom lines! You will hear one of our preeminent researchers of the cerebellum discuss how the cerebellum influences movement, neuroplasticity of the cerebellum, clinically how to be most effective with patients with cerebellar dysfunction and how the cerebellum and proprioception are tied together. You may need to listen more than once! For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Episode 2 is an interview with Brian Harris, the CEO and Founder of MedRhythms. He discusses the foundation of music in rehabilitation of balance in neurologic patients and the work of their organization. For more information on music rehabilitation visit MedRhythms and read the article Thaut, M. H., Rice, R. R., Braun Janzen, T., Hurt-Thaut, C. P., & McIntosh, G. C. (2019). Rhythmic auditory stimulation for reduction of falls in Parkinson’s disease: a randomized controlled study. Clinical Rehabilitation, 33(1), 34 The Balance and Falls Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Episode 1 is an interview with Melike Kahya, a graduate student at the University of Kansas who is completing her dissertation. Her research uses pupillometry and the assessment of balance and posture in healthy adults and people with Parkinson’s Disease. Learn more here about the poster Melike presented at CSM 2020. The Balance & Falls Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In this 4D: Deep Dive into Degenerative Diseases podcast, we interview Judy Deutsch about her research using virtual reality in PT, as well as practical considerations and applications for clinicians with access to all levels of technology. We also talk to Judy about her role as the president of the evolving International Neurological Physical Therapy Association and how physical therapists can collaborate internationally to share resources on common areas of interest. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In our fifth episode of 4D: Deep Dive into Degenerative Diseases podcast, we talk to Dr. Julie Hershberg, who with her company Re+active PT, started the first ever PT Movement Disorders Fellowship. Julie also tells us about her journey opening her private neurological PT practice in the Los Angeles area, and talks about using social media and online education to enhance collaboration between neurologic physical therapists. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Doctor Alaina Bassett, AuD., PhD., CCC-A and Doctor Jessie Patterson, AuD., PhD., CCC-A join host Nikki DiSalvio, PT DPT, MS to discuss the function of the vestibular system and vestibular diagnostic testing. This podcast will review the role of audiologists in vestibular testing and how clinicians can utilize the results from vestibular testing to guide their clinical practice. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Check out a quick snip-it from our conversation with Evan Cohen that didn't make it into Podcast #4! 4D listeners, please give us some feedback here: https://forms.gle/jh2jWstyU5dFzcgY7 The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In our fourth episode of 4D: Deep Dive into Degenerative Diseases podcast, we talk to Dr. Evan Cohen about his work in people with multiple sclerosis and its application to other degenerative diseases regarding assessment and treatment of fatigability. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Beharang Keshavarz, PhD in a discussion on the causes and characteristics of Visually Induced Motion Sickness. They discuss how visually induced motion sickness (VIMS) is a sensation very similar to traditional motion sickness, with the difference being that physical movement is usually limited or absent during VIMS. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Paul Smith, PhD, Professor, Department of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand, to discuss the implications of vestibular input to the hippocampus on vestibular rehabilitation. They will discuss how a steady accumulation of evidence suggests that vestibular lesions not just effect oculomotor and postural reflexes in humans but also may lead to cognitive deficits. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

In this episode of 4D: Deep Dive into Degenerative Diseases podcast, our host Parm Padgett talks to Dr. Lee Dibble from the University of Utah about motor learning in people with Parkinson’s Disease and other neurodegenerative diseases. Our discussion centers around how motor learning applies to balance tasks, including reactive balance. We also review the research about the impact of medication on motor learning. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Ethan Hood, PT, DPT talks with Nathan W. Steinhafel, MS, OD, FAAO, Director of TBI Vision Services at Armstrong Eye Care Associates in Pittsburgh, PA about what vision therapy is and the role of vision therapy in treating patients with neurological pathology like concussion. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Dr. Sandra Billinger, PT, PhD, FAHA Associate Professor at the University of Kansas joins us to talk about physical activity and exercise after stroke. She discusses physical activity levels after stroke, how to encourage patients to be more active, exercise dosage, and exercise testing, including the use of a recumbent stepper to conduct submaximal exercise testing. Dr. Billinger also talks about her current research examining cerebral blood flow during exercise. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Major. Carrie Hoppes, PT, PhD, NCS, OCS. CSCS, ATC. Major Hoppes is an Active Duty Army Physical Therapist and the Deputy Director of the Army-Baylor University Doctoral Program in Physical Therapy. In this episode we discuss various advances in rehabilitation and techniques in vestibular rehabilitation including assessment and treatments. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Andreas Zwergal, MD, PhD, an associate professor at Department of Neurology and German Center for Vertigo and Balance Disorders at University of Munich, Germany to discuss cerebellar dizziness - assessment and treatment interventions. In this episode they discuss how neurodegenerative and hereditary disorders of the cerebellum often lead to postural vertigo, associated with gait and balance disorders and oculomotor disorders. The importance of correct assessment in the clinic leads to successful intervention. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

In this episode of 4D: Deep Dive into Degenerative Diseases podcast, we talk to Dr. Nora Fritz about the assessment of dual task ability and treatment strategies for dual task conditions in people with neurodegenerative diseases. Nora also explains some of her up and coming neuroimaging studies in people with MS and telerehab for people with MS. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

In our first episode of 4D: Deep Dive into Degenerative Diseases podcast, we talk to Dr. Terry Ellis about alternate models for delivery of care in PT for people with degenerative diseases. For show notes click here. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

The Discussions in Spinal Cord Injury Science (DiSCIS) interview with Andrew Smith, PT, DPT, PhD is about his 2018 study, "Lateral Corticospinal Tract Damage Correlates with Motor Output in Incomplete Spinal Cord Injury." Click here for Smith AC, Weber KA, O'Dell DR, Parrish TB, Wasielewski M, Elliott JM. Lateral corticospinal tract damage correlates with motor output in incomplete spinal cord injury. Arch Phys Med Rehabil. 2018;99:660-666. The Spinal Cord Injury is part of the Academy of Neurologic Physical Therapy - www.neuropt.org. Transcription of this podcast can be found here: https://app.box.com/s/kw1dwoacc2l42hkde4v3e0bqmnf2eixn.

Dr. Sarah Blanton PT, DPT, NCS Associate Professor of Rehabilitation Medicine at Emory University School of Medicine joins us to talk about caregiving after stroke. Listen as Dr. Blanton discusses how caregivers or care partners can be ill-prepared for their role, how to assess caregiver burden and ways we can address the needs of caregivers. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Puja Agarwal, PT, DPT, MHA is joined by Dr. Janet Helmisnki, PT, PhD to discuss atypical BPPV and its biomechanics, apogeotropic nystagmus, differential diagnosis and interventions. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Marousa Pavlou, a senior lecturer in Physiotherapy at King's College London, in this episode to discuss the assessment and rehabilitation of people with visually induced dizziness. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Heather Hayes, Stroke SIG chair, interviews professor Julie Bernhardt. Professor Berhnardt is a clinician researcher at University of Melbourne. She is a National Health and Medical Research Council established fellow and senior principal florey research fellow at the florey Institute of Neuroscience and Mental Health, Melbourne, Australia. Julie has been working with people with stroke for 30 years. She is Head of the Stroke Division at the Florey and leader of the AVERT Early Intervention Research Program. Working in a large multidisciplinary team of researchers, the focus of Julie’s group is the development and testing of new, exercise and rehabilitation interventions that aim to reduce the burden of stroke related disability. Julie is Australia’ leading stroke rehabilitation trialist, recently completing the largest, international trial of early mobility based rehabilitation ever conducted (AVERT) which included over 2000 patients from 5 countries. Listen as Julie discusses findings from her research, applications for clinicians, and here future research direction. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

This Stoke SIG podcast discusses vision impairments after stroke with Kathleen Digre, MD who specializes in neuro-ophthalmology and Kasey Mitchell an occupational therapist who has specialized training in vision therapy. Listen as they discuss how to evaluate patients with suspected vision impairments, the prognosis for vision impairment post stroke, and treatment options. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Dr. Margaret Schenkman presenter of the 2019 Anne Shumway-Cooke Lecture shares her journey with the ANPT Historian Committee on becoming a physical therapist. For the full interview with Dr. Schenkman click here. To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Dr. Margaret Schenkman presenter of the 2019 Anne Shumway-Cooke Lecture shares her journey with the ANPT Historian Committee on becoming a physical therapist. For a transcript of this conversation click here. To learn more about the Academy of Neurologic Physical Therapy visit www.neuropt.org

Puja Agarwal, PT, DPT is joined by Daniel R. Gold, D.O. in a discussion on skew deviation, its definition, identification and pertienence to Vestibular Rehabilitation. Dr. Gold is an Assistant Professor of Neurology, Ophthalmology, Otolaryngology - Head & Neck Surgery, Neurosurgery, and Emergency Medicine at The Johns Hopkins University School of Medicine. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

On the Stroke SIG 3rd episode we are joined by Victoria Pardo, PT, DHS and Sujay Galen, PT, PhD to discuss Contraversive Pushing. Victoria and Sujay have developed a continuing education course on contraversive pushing which is available through ANPT Education Center and they share some of their insight into assessing and managing contraversive pushing. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

On the ANPT Stroke SIG 2nd episode we are joined by Nora Fritz, PhD, DPT, PT, NCS, Suzanne Trojanowski, PT, DPT, NCS, Amy Yorke, PT, PhD to discuss knowledge translation. Nora, Suzanne and Amy talk about what is knowledge translation and why it is needed in our profession. Our guests also share their experience conducting a knowledge translation project. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Sarah Gallagher PT, DPT, NCS and Sara Oxborough PT in a discussion on the use of telehealth in vestibular rehabilitation. They discuss who is appropriate for this treatment and the benefits and challenges associated with treating in this manner. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS, Cert MDT is joined by Rose Marie Rine PT, PhD and Jennifer Braswell Christy PT, PhD in a discussion on pediatric vestibular rehabilitation. They discuss the common disorders children presents with, prevalence of vestibular disorders in children, and the signs and symptoms a child presents with. Additionally the tests commonly used in children, equipment required and how treatment differs between children and adults. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.