EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb continue to talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease with Dr. Tedone, the founder of the Deanna Protocol and his daughter, Deanna, who was diagnosed with ALS 13 years ago. 

In this podcast, Dr. Vincent Tedone and Deanna Tedone discuss:

• Introduction and Purpose of the Podcast 0:01

• Pete Levine's Absence and Podcast Continuation 1:46

• Discussion on ALS Diagnosis and Neurofibrillary Tangles 3:01

  • Dr. Tedone explains that it takes at least two years for a definitive ALS diagnosis due to reluctance from the medical profession.

  • Neurofibrillary tangles are found in the cerebral spinal fluid, indicating cellular energy deficiencies.

  • Gene mutations are linked to abnormal protein formation, which can cause cancer.

  • Dr. Tedone argues that infections, not gene mutations, may be the root cause of cancer.

• Borrelia Infection and Its Impact on Health 6:05

  • Dr. Tedone discusses the role of Borrelia infection in various diseases, including arthritis, rheumatoid arthritis, psoriatic arthritis, lupus, and cancer.

  • Cortisone suppresses inflammation but does not address the underlying infection, leading to disease progression.

  • Treatment for Borrelia includes opening cysts with metronidazole, using oregano oil or artemisinin to open biofilms, and administering antibiotics.

  • The treatment protocol involves alternating antibiotics every three months to prevent resistance.

• Testing for Borrelia Infection and Case Studies 10:01

  • Dr. Tedone mentions the Accu Dart infectious disease test and the need for provocative tests before serology tests.

  • Dr. Tedone shares two case studies: one where a patient's worsening condition was linked to his wife's co-infections, and another where an emergency room doctor's wife's condition was attributed to Borrelia.

  • The discussion highlights the importance of consistent treatment and the challenges of finding accurate tests for Borrelia.

• Deanna's Protocol and Its Benefits 18:54

  • Dr. Tedone and Deanna discuss the Deanna Protocol, which includes caprylic acid and coenzyme Q10, and its benefits in maintaining mental acuity and energy.

  • Dr. Tedone shares personal experiences of using the Deanna Protocol and its positive effects on his and his wife's health.

  • The protocol is designed to support nerve cell communication and improve cognitive function.

  • Dr. Tedone emphasizes the importance of consistency in following the protocol for effective results.

• Advice for Newly Diagnosed Patients 20:31

  • Doro asks Deanna for advice for newly diagnosed patients.

  • Deanna advises maintaining a regimented medication regimen and surrounding oneself with supportive, informed individuals.

  • The importance of challenging oneself and maintaining a positive attitude is highlighted.

  • Dr. Tedone shares a quote from his book, emphasizing the importance of persistence and continuous learning.

• Challenges and Research in ALS Treatment 33:15

  • Dr. Tedone discusses the challenges of conducting research and the need for clinical feedback to guide research efforts.

  • The Deanna Protocol has shown promising results in ALS patients, with an 80% approval rating in a study by USF.

  • The protocol is compared favorably to dorozolamide, which blocks glutamate, in terms of symptom management and disease progression.

  • The discussion includes the need for better tests and the importance of funding for research.

• Funding and Support for Research 42:28

  • Deanna mentions the challenges of funding and the importance of donating to organizations that directly support research.

  • The Winning the Fight Foundation is highlighted as a reliable organization for donations, with 99% of funds going directly to research.

  • The foundation is a 501(c)(3) organization, making donations fully tax-deductible.

  • Doro encourages listeners to visit the foundation's website for more information and to support the research efforts.

• Conclusion and Final Thoughts 48:33

  • Deb thanks the guests for sharing their stories and research, emphasizing the importance of spreading awareness.

  • Dr. Tedone and Deanna express their gratitude for the opportunity to share their experiences and research findings.

  • The episode concludes with a call to action for listeners to share the podcast with others who may benefit from the information.

  • Contact information for the podcast and the foundation is provided for further inquiries and support.

• Resources and References:
  •  ALS specific websites  & show References
    • Als.org
    • I Am ALS
    • Winning The Fight
    • National Institute of Neurological Disorders and Stroke-Amyotrophic Lateral Sclerosis (ALS)
  • Deanna's Book
    • The Deanna Protocol _ Book
  • Dr. Tedone's Treatment
    • The Deanna Protocol Website
  • Maintaining Optimal Quality of Life
    • Support groups
    • Proper equipment & Knowledge of use
    • RESOURCES:
      • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
        • 813-637-9000 infoFL@als.org
      • Community support groups & counseling
      • Transportation assistance
      • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
      • Assistance finding & obtaining community & government resources
      • Multidisciplinary medical care under one roof
      • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
        • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
      • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
        • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
        • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
      • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
        • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
      • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
        • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
      • University of North Carolina Wilmington Center for Assistive Technology
      • Miami University Center for Assistive Technology Oxford, OH
      • Assistive Technology Center New Jersey
      • Utah Center for Assistive Technology
      • University of South Carolina Assistive Technology Program

  We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

   

  THERAPY PRACTICE RESOURCES:

  DEB’S RESOURCES

  • Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
  • The OT's Guide to Mirror Therapy
  • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
  • Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

  PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

  • • Blog: blogspot.com
    • Book: Stronger After Stroke, 3rd edition

   

  DORO’S OT PRACTICE – The Neuro Hub

  REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

  • Guest Request Form
  • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

   

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease with Dr. Tedone, the founder of the Deanna Protocol and his daughter, Deanna, who was diagnosed with ALS 13 years ago. 

In this podcast, Dr. Vincent Tedone and Deanna Tedone discuss:

• The development of the Deanna Protocol
  • Dr. Vincent Tedone describes his research and the development of the Deanna Protocol, which includes AKG and GABA.
  • Deanna experienced significant improvements in muscle symptoms and functional abilities after receiving the AKG and GABA combination.
  • The Deanna Protocol was tested on ALS mice, showing suppressed muscle symptoms, slowed disease progression, and increased energy production.The findings were documented in a paper and a book, "The Deanna Protocol: Winning the Fight for Neurodegenerative Diseases."
• Discovery of Borrelia Infection
  • In 2015, Deanna was tested for a Borrelia infection, which was positive, despite previous negative results from commercial laboratories.
  • Deanna developed severe meningitis, and Dr. Vincent Tedone convinced the infectious disease doctor to treat her with IV antibiotics.
  • The IV antibiotics successfully treated Deanna's pain, and she continued the post-antibiotic regimen until 2018.
  • Dr. Vincent Tedone believes that all neurodegenerative diseases are caused by infections, primarily Borrelia.
• Challenges and Resistance in Medical Research
  • Dr. Vincent Tedone discusses the challenges and resistance he faced when trying to get academic institutions to fund clinical trials for the Deanna Protocol.
  • He emphasizes the importance of treating the cause of the disease rather than just the symptoms.
  • Dr. Vincent Tedone shares anecdotal evidence of the Deanna Protocol's effectiveness in treating Alzheimer's disease and other neurodegenerative diseases.
  • He highlights the need for further research and the potential for the Deanna Protocol to be effective in treating various neurodegenerative diseases.
• Clinical Experience and Intensive Therapy
  • Doro, shares her clinical experience working with Deanna and the intensive therapy program they designed.
  • Deanna's progress and improvements were significant, and the traditional ALS progression did not occur.
  • Doro emphasizes the importance of not treating Deanna like she has ALS and the positive changes observed in Deanna's muscle building and overall function.
  • The discussion shifts to the role of glutamate, AKG, and GABA in the Deanna Protocol and their impact on nerve cell communication.
• Impact of Borrelia Infection and Immune System
  • Dr. Vincent Tedone explains the impact of Borrelia infection on the immune system and the body's response to inflammation.
  • He describes the role of the gut microbiome in controlling the brain and the potential link between vaccines and autism.
  • The conversation touches on the importance of the immune system in maintaining health and the potential impact of mRNA vaccines on the immune system.
  • Dr. Vincent Tedone discusses the common denominator in neurodegenerative diseases and the potential for the Deanna Protocol to be effective in treating various conditions.
• Conclusion and Future Research
  • Dr. Vincent Tedone expresses his frustration with the lack of focus on the cause of diseases and the need for further research.
  • He shares anecdotal evidence of the Deanna Protocol's effectiveness in treating Alzheimer's disease and other conditions.
  • The discussion highlights the importance of treating the cause of diseases rather than just the symptoms.
  • The episode concludes with a call for further research and the potential for the Deanna Protocol to revolutionize the treatment of neurodegenerative diseases.

•  ALS specific websites  & show References
  • Als.org
  • I Am ALS
  • Winning The Fight
  • National Institute of Neurological Disorders and Stroke-Amyotrophic Lateral Sclerosis (ALS)

• Deanna's Book
  • The Deanna Protocol _ Book

• Dr. Tedone's Treatment
  • The Deanna Protocol Website

• Maintaining Optimal Quality of Life
  • Support groups
  • Proper equipment & Knowledge of use
  • RESOURCES:
    • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
      • 813-637-9000 infoFL@als.org
    • Community support groups & counseling
    • Transportation assistance
    • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
    • Assistance finding & obtaining community & government resources
    • Multidisciplinary medical care under one roof
    • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
      • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
    • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
      • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
      • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
    • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
      • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
    • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
      • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
    • University of North Carolina Wilmington Center for Assistive Technology
    • Miami University Center for Assistive Technology Oxford, OH
    • Assistive Technology Center New Jersey
    • Utah Center for Assistive Technology
    • University of South Carolina Assistive Technology Program

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease. We covered:

• What is ALS?
• Signs & symptoms of ALS including:
  • Affects voluntary muscles-hands, forearms, legs.
• Early symptoms include:
  • Fasciculations- spontaneous, uncontrolled discharges of motor neurons; irregular twitchings: Muscle twitches in the arm, leg, shoulder, or tongue
  • Muscle cramps
  • Tight and stiff muscles (spasticity)
  • Muscle weakness affecting an arm, a leg, or the neck
  • Slurred and nasal speech
  • Difficulty chewing or swallowing
  • Difficulty walking, picking up objects, fine motor tasks
• Ongoing/Later symptoms:
• Chewing food and swallowing (dysphagia)
• Drooling (sialorrhea)
• Speaking or forming words (dysarthria)
• Breathing (dyspnea)
• Unintended crying, laughing, or other emotional displays (pseudobulbar symptoms)
• Constipation
• Maintaining weight and getting enough nutrients
• Frontotemporal dementia
  • Dementia that affects the frontotemporal lobe.
  • Affects thinking, talking, walking, and socializing.
  • FTD and other frontotemporal disorders are a common cause of early-onset dementia, often appearing when people are in the prime of life.

• • • Families often suffer, as they struggle to cope with the person's daily needs as well as changes in relationships and responsibilities.

• Risk Factors (National Institute of Neurological Disorders & Stroke)-Having a risk factor does not mean a person will or will not get a disease

• • Age—Although the disease can strike at any age, symptoms most commonly develop between the ages of 55 and 75.
  • Biological sex—Men are slightly more likely to develop ALS than women. However, at older ages, men and women are equally likely to be diagnosed with ALS.
  • Race and ethnicity—Whites and non-Hispanics are most likely to develop the disease, but ALS affects people of all races and ethnic backgrounds.

• National Institute of Neurological Disorders & Stroke/ALS.org
• Some studies suggest military veterans are about one and a half to two times more likely to develop ALS, although the reason for this is unclear. Possible risk factors for veterans include exposure to lead, pesticides, and other environmental toxins. Some studies have also shown that head injury can be associated with higher risk for ALS, but more research is needed to understand this connection.
• For about 90% of all cases, there’s no known family history of the disease or presence of a genetic mutation linked to ALS.
• For 5-10% of all cases, there’s a known family history of the disease. This is often called familial ALS.

      ALS.org

• In families with familial ALS, there is a 50% chance each offspring will inherit the gene mutation and may develop the disease.
• Medical treatment-involves medications
• Common PT & OT interventions
  • Assistive technology & Communication devices
    • OBI – independence with feeding
    • Battery-operated salt & pepper shakers
    • Steady spoon if tremors are present
    • Built up handle utensils
    • Eazy Hold grip aids
    • Universal cuff
    • Divided Dish
  • GUS communication devices

•  ALS specific websites  & show References
  • org
  • I Am ALS
  • Winning The Fight
  • National Institute of Neurological Disorders and Stroke-Amyotrophic Lateral Sclerosis (ALS)

• Maintaining Optimal Quality of Life
  • Support groups
  • Proper equipment & Knowledge of use
  • RESOURCES:
    • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
      • 813-637-9000 infoFL@als.org
    • Community support groups & counseling
    • Transportation assistance
    • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
    • Assistance finding & obtaining community & government resources
    • Multidisciplinary medical care under one roof
    • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
      • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
    • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
      • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
      • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
    • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
      • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
    • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
      • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
    • University of North Carolina Wilmington Center for Assistive Technology
    • Miami University Center for Assistive Technology Oxford, OH
    • Assistive Technology Center New Jersey
    • Utah Center for Assistive Technology
    • University of South Carolina Assistive Technology Program

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb and Doro talk with D’Youville University students Christin Chan and Sophie Turner about the psychosocial impact of stroke and brain injury. We covered:

• Mental health challenges post-stroke, ABI, and TBI
• The role of occupational therapy in addressing mental health
• Improving psychosocial support for survivors and caregivers
• Best practices for supporting survivors
• Post-injury affective symptoms and disorders
• Non-pharmacological treatment for behavioral disturbances among TBI/ABI patients

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Faircloth, C. A., Boylstein, C., Rittman, M., & Gubrium, J. F. (2005). Constructing the stroke: Sudden-onset narratives of stroke survivors. Qualitative Health Research, 15(7), 928. doi:10.1177/1049732305277842

Goldfinger, J. Z., edmondson, D., kronish, I. M., fei, K., balakrishnan, R., tuhrim, S., & horowitz, C. R. (2014). Correlates of post-traumatic stress disorder in stroke survivors. The official journal of stroke and cerebrovascular diseases : The official journal of national stroke association, 23(5), 1099–1105. https://Doi.org/10.1016/j.jstrokecerebrovasdis.2013.09.019.

Howlett, J. R., Nelson, L. D., & Stein, M. B. (2022). Mental health consequences of traumatic brain injury. Biological Psychiatry, 91(5), 413–420. https://doi.org/10.1016/j.biopsych.2021.09.024

Kumar, R., Kumar, A., & Singh, A. (2019). Psychosocial impact of Brain Injury: A Review. Indian Journal of Neurosurgery, 08(01), 011–015. https://doi.org/10.1055/s-0039-1687713

Raya-Ruiz, M. A., Rodríguez-Bailón, M., Castaño-Monsalve, B., Vidaña-Moya, L., Fernández-Solano, A. J., & Merchán-Baeza, J. A. (2022). Study protocol for a non-randomised controlled trial: Community-based occupational therapy intervention on mental health for people with acquired brain injury (COT-MHABI). Plos One, 17(10) doi:10.1371/journal.pone.0274193

Ritter, J., Dawson, J., & Singh, R. K. (2021). Functional recovery after brain injury: Independent predictors of psychosocial outcome one year after TBI. Clinical Neurology and Neurosurgery, 203, 106561. https://doi.org/10.1016/j.clineuro.2021.106561

Simpson, E. K., Ramirez, N. M., Branstetter, B., Reed, A., & Lines, E. (2018). Occupational therapy practitioners’ perspectives of mental health practices with clients in stroke rehabilitation. OTJR: Occupational Therapy Journal of Research, 38(3), 181. doi:10.1177/1539449218759627

Terrill, A. L., Schwartz, J. K., & Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 1. doi:10.1155/2018/6187328

Tjokrowijoto, P., Kneebone, I., Baker, C., Andrew, N. E., Stolwyk, R. J., & Stolwyk, J. (2023). Supplemental material for mental health support after stroke: A qualitative exploration of lived experience. Rehabilitation Psychology, doi:10.1037/rep0000527.supp

Wenzel, R. A., Zgoda, E. A., St. Clair, M. C., & Knecht-Sabres, L. J. (2021). A qualitative study investigating stroke survivors’ perceptions of their psychosocial needs being met during rehabilitation. The Open Journal of Occupational Therapy, 9(2), 1. doi:10.15453/2168-6408.1691

Wiart, L., Luauté, J., Stefan, A., Plantier, D., & Hamonet, J. (2016). Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations. Annals of Physical and Rehabilitation Medicine, 59(1), 31–41. https://doi.org/10.1016/j.rehab.2015.12.001

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Website: Creative Concepts In Occupational Therapy
• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins & Neurons Podcasts In Education-ready-made lesson plans for educators
• Noggins And Neurons Podcast Creative Learning & Discussion Guide
• PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb and Doro talk with D’Youville University students Christin Chan and Sophie Turner  about the psychosocial impact of stroke and brain injury. We covered:

• Mental health challenges post-stroke, ABI, and TBI
• The role of occupational therapy in addressing mental health
• Improving psychosocial support for survivors and caregivers
• Best practices for supporting survivors
• Post-injury affective symptoms and disorders
• Non-pharmacological treatment for behavioral disturbances among TBI/ABI patients

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Faircloth, C. A., Boylstein, C., Rittman, M., & Gubrium, J. F. (2005). Constructing the stroke: Sudden-onset narratives of stroke survivors. Qualitative Health Research, 15(7), 928. doi:10.1177/1049732305277842

Goldfinger, J. Z., edmondson, D., kronish, I. M., fei, K., balakrishnan, R., tuhrim, S., & horowitz, C. R. (2014). Correlates of post-traumatic stress disorder in stroke survivors. The official journal of stroke and cerebrovascular diseases : The official journal of national stroke association, 23(5), 1099–1105. https://Doi.org/10.1016/j.jstrokecerebrovasdis.2013.09.019.

Howlett, J. R., Nelson, L. D., & Stein, M. B. (2022). Mental health consequences of traumatic brain injury. Biological Psychiatry, 91(5), 413–420. https://doi.org/10.1016/j.biopsych.2021.09.024

Kumar, R., Kumar, A., & Singh, A. (2019). Psychosocial impact of Brain Injury: A Review. Indian Journal of Neurosurgery, 08(01), 011–015. https://doi.org/10.1055/s-0039-1687713

Raya-Ruiz, M. A., Rodríguez-Bailón, M., Castaño-Monsalve, B., Vidaña-Moya, L., Fernández-Solano, A. J., & Merchán-Baeza, J. A. (2022). Study protocol for a non-randomised controlled trial: Community-based occupational therapy intervention on mental health for people with acquired brain injury (COT-MHABI). Plos One, 17(10) doi:10.1371/journal.pone.0274193

Ritter, J., Dawson, J., & Singh, R. K. (2021). Functional recovery after brain injury: Independent predictors of psychosocial outcome one year after TBI. Clinical Neurology and Neurosurgery, 203, 106561. https://doi.org/10.1016/j.clineuro.2021.106561

Simpson, E. K., Ramirez, N. M., Branstetter, B., Reed, A., & Lines, E. (2018). Occupational therapy practitioners’ perspectives of mental health practices with clients in stroke rehabilitation. OTJR: Occupational Therapy Journal of Research, 38(3), 181. doi:10.1177/1539449218759627

Terrill, A. L., Schwartz, J. K., & Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 1. doi:10.1155/2018/6187328

Tjokrowijoto, P., Kneebone, I., Baker, C., Andrew, N. E., Stolwyk, R. J., & Stolwyk, J. (2023). Supplemental material for mental health support after stroke: A qualitative exploration of lived experience. Rehabilitation Psychology, doi:10.1037/rep0000527.supp

Wenzel, R. A., Zgoda, E. A., St. Clair, M. C., & Knecht-Sabres, L. J. (2021). A qualitative study investigating stroke survivors’ perceptions of their psychosocial needs being met during rehabilitation. The Open Journal of Occupational Therapy, 9(2), 1. doi:10.15453/2168-6408.1691

Wiart, L., Luauté, J., Stefan, A., Plantier, D., & Hamonet, J. (2016). Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations. Annals of Physical and Rehabilitation Medicine, 59(1), 31–41. https://doi.org/10.1016/j.rehab.2015.12.001

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Website: Creative Concepts In Occupational Therapy
• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins & Neurons Podcasts In Education-ready-made lesson plans for educators
• Noggins And Neurons Podcast Creative Learning & Discussion Guide
• PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

What really drives someone to keep going after a stroke — even when it’s hard?

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb dive deep into the heart of recovery: motivation. Whether you're a survivor, clinician, or care partner, this conversation is packed with insights to help you light (and maintain) that motivational fire. We explore:

• 🔑 What motivation is and why it matters more than you think
• 🔁 The proven process Doro’s team uses to help clients stay focused and forward-moving
• 💪 How self-efficacy impacts momentum and long-term success
• 🧠 A reminder that stroke recovery is a marathon (not a sprint)
• 😴 Working with post-stroke fatigue for optimal success
• 🧰 Tools that assess motivation and reveal strengths worth building on
• 🤝 Why strong care partner training is a game-changer
• 🧭 The power of adaptive planning — and why flexibility = success

If you’ve ever felt stuck, unmotivated, or unsure how to keep yourself or someone you love moving forward, this episode will give you a fresh perspective and real-world strategies.

🎙️ Tune in and let’s turn the recovery spark into a flame.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Research Articles

Argent, R., Daly, A., & Caulfield, B. (2018). Patient Involvement With Home-Based Exercise Programs: Can Connected Health Interventions Influence Adherence?. JMIR mHealth and uHealth, 6(3), e47. https://doi.org/10.2196/mhealth.8518

Driscoll, R., Fitzpatrick, L., Karsten, J., Scott, S., & Winters, E. (2021). Care Partner Carryover Day: A Formalized Training Program to Improve Care Partner Preparedness for Pt’s. with ABI Prior to D/C home. Archives of Physical Medicine and Rehabilitation, 102(10), e52

Ghorbani, S. (2019). Motivational effects of enhancing expectancies and autonomy for motor learning: An examination of the OPTIMAL theory. The Journal of General Psychology, 146(1), 79-92.

Rolls, E.T. (2023). Emotion, motivation, decision-making, the orbitofrontal cortex, anterior cingulate cortex, and the amygdala. Brain Structure and Function, 228, 1201-1257. https://doi.org/10.1007/s00429-023-02644-9

Siegle, F. (2024). The role of synaptic plasticity in learning and memory: A neurophysiological perspective. The Cognitive Neuroscience Journal, (7)4.

Yoshida, T., Otaka, Y., Osu, R., Kumagai, M, Kitamura, S., & Yaeda, J. (2021). Motivation for rehabilitation in patients with subacute stroke: A qualitative study. Frontiers in Rehabilitation, 2:664758. doi: 10.3389/fresc.2021.664758

Assessments:

• Eppworth Sleepiness Scale
• Fatigue Severity Scale
• Canadian Occupation Performance Measure (COPM)
• Motor Activity Log

Heart Rate Variability YouTube Videos:

Scientific Explanation

The Science of Heart Rate Variability (HRV): Health, Wellness & Performance by Dr Cailbhe Doherty

Guided HRV Breathing Exercise

Heart Coherence Breathing Exercise | HRV Resonant Cardiac Breathwork by Take A Deep Breath

Previous Episodes Referenced

• Super Survivor Kathy Spencer on Successful Recovery
• Empowering Recovery with Survivor Angela Wingfield, PTA

Resources Mentioned in This Episode

• The Aligned Professional Mini Course

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• The Aligned Professional Mini Course
• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:

• Strategies for addressing spasticity, how to descriptions and rationale for use
• Difference between spasticity management and spasticity treatment
• Specific techniques discussed
  • Stretching
  • Weight Bearing
  • Splinting
  • Intentional muscle fatigue
  • Proprioceptive Neuromuscular Facilitation (PNF) Principles
  • Neuromodulators
  • Surgery
  • Cryoneurolysis
  • Enzyme treatment-clinical trials ongoing
  • Visualization & Mirror Therapy
  • Extra corporeal shock wave therapy
    • Focused waves-sends waves into small area
    • Radial waves-delivers shock waves into broader areas
    • Contraindications to use
    • Adverse effects-transient discomfort, swelling, bruising
    • Works well in conjunction with neuromodulator use

• Importance of interdisciplinary communication & using clinical communication notes
• Spasticity & contracture predictors using traffic light system

We hope you enjoyed this episode of Noggins And Neurons and found the information shared helpful. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Almufarah, Kausar, Humayun, & Tehsin (2023). Leveraging motor imagery rehabilitation for individuals with disabilities: A review. Healthcare, 11, 1-17. https://doi.org/10.3390/healthcare11192653. https://www.mdpi.com/journal/healthcare

Bavikatte, Subramanian, Ashford, Allison & Hicklan (2021). Early identification and management of post-stroke spasticity: Expert consensus recommendations. Journal of Central Nervous System Disease, 13, 1-8.

Brusola*, Garcia, Albosta, Daly, Kafes & Furtado (2023). Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review.

Guo, Hai & Ma (2022). Application of extracorporeal shockwave therapy in nervous system diseases: A review. Frontiers in Neurology DOI 10.3389/fneur.2022.963849

Guo, Gao, Zhao, Sun, Wang & Li (2017). Positive effects of extracorporeal shock wave therapy on spasticity in post stroke patients: A meta-analysis. Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 11 (November), 2017: pp 2470–2476

Li (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 8, 120; 1-7. doi: 10.3389/fneur.2017.00120.

Martinez, Sempere-Rubio, Navarro & Faubel (2021). Effectiveness of shock wave therapy as a treatment for spasticity: A systematic review. Brain Sciences, 11, 15-18. https://dx.doi.org/10.3390/brainsci11010015.

Poveda-Garcia, Moret-Tatay & Gomez-Martinez (2021). The association between mental motor imagery and real movement in stroke. Healthcare, 9, 1568; 1-11. https://doi.org/10.3390/healthcare9111568

Spasticity: Can Anything Be Done. Blog article by Peter G. Levine

Suputtitada, Chatromyen, Chen & Simpson (2024). Best practice guidelines for the management of patients with post-stroke spasticity: A modified scoping review. Toxins, 16, 98. https://doi.org/10.3390/toxins16020098

THERAPY PRACTICE RESOURCES:

NEW RESOURCES

• Secondary Stoke Prevention Info Graphic
• Homonymous Hemianopia Flyer
• For academic use: N & N Podcast Instructor Guides:
  • Impact of Psychosocial Factors on Stroke Recovery
  • Factors Affecting Stroke Recovery
  • Stroke Recovery Along the Continuum of Care
  • Sensory Recovery

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide
• PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

 EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:

• Definition of spasticity and spastic paresis
• Underlying mechanisms of motor recovery and spasticity-they aren’t the same
• Keys to promoting recovery
• How to know if someone has spasticity
• Creating an occupational profile as a treatment plan foundation
• Measuring spasticity

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Crow, J. L. & Harmeling-van der Wel, B. C. (2008). Hierarchical properties of the motor function sections of the Fugl-Meyer Assessment Scale for people after stroke: A retrospective study. Physical Therapy, 88(12): 1554-67. DOI:10.2522/ptj.20070186 Source-PubMed https://www.researchgate.net/publication/23389179

Li, S. (2017). Spasticity, Motor Recovery, and Neural Plasticity after Stroke. Frontiers in Neurology; April 3:8:120.  DOI: 10.3389/fneur.2017.00120

THERAPY PRACTICE RESOURCES:

NEW RESOURCES

• Secondary Stoke Prevention Info Graphic
• Homonymous Hemianopia Flyer
• N & N Podcast Instructor Guides:
  • Impact of Psychosocial Factors on Stroke Recovery
  • Factors Affecting Stroke Recovery
  • Stroke Recovery Along the Continuum of Care
  • Sensory Recovery

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

                                   ✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE TITLE: Seeing Clearly Again: Occupational Therapy’s Impact After Mild TBI-Part 2

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with returning guest, Suzanne Briggs about vision rehab for individuals who’ve experienced mild TBI. We covered a lot of ground in the second half of our conversation. We discussed:

• Impact of mood on self-report questionnaires
• Example of remedial vision treatment session
• The effects of the autonomic nervous system on participation and recovery
• Strategies for regulating the nervous system
• Understanding top down vs. bottom-up treatment approaches
• Differences between low vision therapy and remedial vision therapy
• Standardizing care and Hospital Based Interest Group (HBIG)
• Using the Senaptec Sensory Station in vision rehab

• Connect with Suzanne. Her email address is outhere1999@gmail.com
• Learn more about vision rehab at VisCon 2025 March 7th through 9th. Attend live in Pensacola, FL or virtually. LEARN MORE HERE.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

• Occupational Therapist-Led Remedial Vision Program after Mild Traumatic Brain Injury: Pre/Post Pilot Study by Suzanne Briggs, OTD, OTR/L, Mitchell Scheiman, OD, PhD, FAAO, Yuki Asakura, PhD, APRN, ACNS-BC, ACHPN, OCN
• The Senaptec Sensory Station
• VisCon 2025
• Connect with Suzanne: outhere1999@gmail.com

THERAPY PRACTICE RESOURCES

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with returning guest, Suzanne Briggs, OTD, OTR/L, Remedial Vision Certified, about vision rehab for individuals who’ve experienced mild TBI. We covered a lot of ground in this informative episode. We discussed:

• Suzanne’s doctoral experience and some lessons she learned along the way
• Why she’s chosen not to be called “doctor”
• Symptoms experienced by mTBI survivors and the effect on occupational performance
• Common symptoms of vision dysfunction
• Assessments Suzanne uses to determine deficit areas and her reasons for using these assessments

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

• Occupational Therapist-Led Remedial Vision Program after Mild Traumatic Brain Injury: Pre/Post Pilot Study by Suzanne Briggs, OTD, OTR/L, Mitchell Scheiman, OD, PhD, FAAO, Yuki Asakura, PhD, APRN, ACNS-BC, ACHPN, OCN

THERAPY PRACTICE RESOURCES

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Rachel Groves about her experience of having a stroke as a young wife, mother and professional. Thank you for sharing your story, Rachel.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

• Rachel’s Story-In One Stroke by Rachel Groves
• NEW FREE RESOURCE: Stroke Recovery Home Program Checklist

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

NEW RESOURCES

• Secondary Stoke Prevention Info Graphic
• Homonymous Hemianopia Flyer
• N & N Podcast Instructor Guides:
  • Impact of Psychosocial Factors on Stroke Recovery
  • Factors Affecting Stroke Recovery
  • Stroke Recovery Along the Continuum of Care
  • Sensory Recovery

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Julie Wall, occupational therapist about care partner support. We covered:

• The need for community and support for care partners
• The importance of care partner self-care for everyone’s health and well-being
• How movement helps with emotional processing, strength, and connection
• The importance of listening to our bodies and ways the body tries to get our attention
• Using dance as a self-care technique; it moves and releases stuck energies, thereby creating the space for caregiving energy with generosity and love.
• Research supporting the use of dance as a whole person, evidence-based intervention

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

LaBlast Promo Video Short 2023:

https://www.youtube.com/watch?v=Y4dm-S8KAXM

LaBlast Promo Video Long 2018:

https://www.youtube.com/watch?v=hjfRuYvM7yw

Caregiving Through a Therapeutic Lens Introductory Webinar: 

https://us06web.zoom.us/rec/share/sGHToGZaRIg0GmT1Jncjb1cgXVhupfZGD7OFXZDg-vMpszMmKJkz-zl-GMc_oroT.M9lvBhO5ckv5lU_i?startTime=1713647685000 

“When the Body Says No: EXPLORING THE STRESS-DISEASE CONNECTION” by Gabor Mate, MD

Connect with Julie on FB

• Julie OT Living
• Group for care givers: Caregiving Through A Therapeutic Lens

Email Julie: julieOTliving@gmail.com

Research Articles:

Vielvoye, M.; Nanninga, C.S.; Achterberg, W.P.; Caljouw, M.A.A. Informal Caregiver Stroke Program in Geriatric Rehabilitation of Stroke Patients: A Qualitative Study. J. Clin. Med. 2023, 12, 3085. https://doi.org/10.3390/ jcm12093085

Kumar, A., Yadav, A. J., Singh, V. K., Pathak, A., Chaurasia, R., N., Mishra, V., N., & Joshi, D. (2022). Caregiver burden in caregivers of stroke survivors: A hospital-based study. Annals of Indian Academy of Neurology, 25(6); 1092-1098.

Bartoli, D., Brugnera, A., Grego, A., Alvaro, R., Vellone, E., & Pucciarelli, G. (2024). Stroke disease-specific quality of life trajectories and their associations with caregivers’ anxiety, depression, and burden in stroke population: a longitudinal, multicentre study. European Journal of Cardiovascular Nursing, 23, 160-168; https://doi.org/10.1093/eurjcn/zvad054

Teixeira-Machado, L., Arida, R. M., de Jesus Mari, J. (2019). Dance for neuroplasticity: A descriptive systematic review. Neuroscience & Behavioral Reviews, 96, 232-240.

The Effectiveness of Dance Interventions on Psychological and Cognitive Health Outcomes Compared with Other Forms of Physical Activity: A Systematic Review with Meta‑analysis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127814/pdf/40279_2023_Article_1990.pdf

The Effectiveness of Dance Interventions to Improve Older Adults' Health: A Systematic Literature Review

https://pubmed.ncbi.nlm.nih.gov/26393993/

Dance after stroke improves motor recovery in the subacute phase: A randomized controlled trial

https://pubmed.ncbi.nlm.nih.gov/38053900/

Dance in mental health nursing: A hybrid concept analysis

https://www.researchgate.net/publication/7293290_Dance_in_mental_health_nursing_A_hybrid_concept_analysis 

Dance training is superior to repetitive physical exercise in inducing brain plasticity in the elderly

Caregiver Resilience and Dance/Movement Therapy: A Theoretical Review and Conceptual Model

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE TITLE: Sensory Recovery Following Stroke & Brain Injury

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Alice Chen & Kelly Tan from D’Youville University about sensory recovery. We covered:

• Bodily sensations and impact of impaired sensation on the recovery process
• We touch briefly on disorders of consciousness
• Impact of pain on recovery
• Interventions for sensory recovery
• Empowering family members and care partners as part of the survivor’s team
• Training and education as support strategies

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

SHOW REFERENCES:

Aderinto, N., AbdulBasit, M. O., Olatunji, G., & Adejumo, T. (2023). Exploring the transformative influence of neuroplasticity on stroke rehabilitation: A narrative review of current evidence. Annals of Medicine & Surgery, 85; 4425-4432. http://dx.doi.org/10.1097/MS9.0000000000001137

Carlsson, H., Gard, G., & Brogardh, C. (2018). Upper limb sensory impairments after stroke: Self-reported experiences of Daily Life and Rehabilitation. Journal of Rehabilitation Medicine, 50; 45-51. doi: 10.2340/16501977-2282.

Crema, A., Bassolino, M., Guanziroli, E., Colombo, M., Blanke, O., Serino, A., Micera, S., & Molteni, F. (2022). Neuromuscular electrical stimulation restores upper limb sensory-motor functions and body representations in chronic stroke survivors. Med 3, 58-74. https://doi.org/10.1016/j.medj.2021.12.001

Doyle, S., Bennett, S., Fasoli, S. E., & McKenna, K. T. (2010). Interventions for sensory impairment in the upper limb after stroke (Review). Cochrane Database of Systematic Reviews; (6), Art. No. CD006331. DOI: 10.1002/14651858.CD006331.pub2.

Ghandi, D. B. C., Sebastian, I. A., & Bhanot, K. (2021). Rehabilitation of post stroke sensory dysfunction-A scoping review. Journal of Stroke Medicine, 4(1), 25-33. DOI: 10.1177/2516608520984296

Lim, C. (2019). Multi-sensorimotor training improves proprioception and balance in subacute stroke patients: A randomized controlled pilot trial. frontiers in Neurology 10:157; 1-8. doi: 10.3389/fneur.2019.00157

SENSORY REMEDIATION LESSON PLAN

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with D’Youville University students, Giovanni Feliciano and Fatima Ijaz about preventing secondary stroke. People who have a stroke are at increased risk of having another stroke. In this conversation we:

• Discuss the difference between primary and secondary prevention
• Highlight the increased risk faced by individuals who have already experienced a stroke
• Discover the effects of antiplatelet therapies for stroke prevention
• Address clot formation and subsequent strokes
• Learn about the importance of client follow-through and monitoring in long-term prevention
• Hear about research findings regarding hypertension management and its role in prevention
• Learn about the multifaceted approach to reducing stroke risk: diet, exercise and alcohol consumption
• Investigate the correlation between exercise and heart health
• Explore the effect of smoking cessation on stroke recurrence
• Consider the role of lifestyle choices in stroke prevention and the role of occupational therapy in supporting choices that are right for clients
• Talk about the importance of being informed and proactive in managing risk factors

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Brass, L. M. (2006). Strategies for primary and secondary stroke prevention. Clinical Cardiology, 29(S2), 21-27.

Chen, J., Li, S., Zheng, K., Wang, H., Xie, Y., Xu, P., ... & Xu, G. (2019). Impact of smoking status on stroke recurrence. Journal of the American Heart Association, 8(8), e011696.

Deiner, H-C. & Hankey, G.H. (2020). Primary and secondary prevention of ischemic stroke and cerebral hemorrhage. Journal of the American College of Cardiology Focus Seminar, 75(15); 1804-1818.

Gladstone, D.J., et al. (2021). Canadian stroke best practice recommendations: Secondary prevention of stroke update 2020. The Canadian Journal of Neurological Sciences, 315-337

Grassi, G., Arenare, F., Trevano, F. Q., Dell’Oro, R., & Mancia, G. (2007). Primary and secondary prevention of stroke by antihypertensive treatment in clinical trials. Current hypertension reports, 9, 299-304.

Hankey, G. J. (2005). Secondary prevention of recurrent stroke. Stroke, 36(2), 218-221.

Ringelstein, E. B., & Nabavi, D. (2000). Long-term prevention of ischaemic stroke and stroke recurrence. Thrombosis research, 98(3), 83-96.

Shah, J., Liu, S., & Yu, W. (2022). Contemporary antiplatelet therapy for secondary stroke prevention: a narrative review of current literature and guidelines. Stroke and vascular neurology, 7(5).

FREE INFOGRAPHIC:

Giovanni & Fatima created a helpful infographic you can use as part of your client education tools.

Get the Secondary Stroke Prevention Infographic here

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• The Aligned OT Mini Courses ***NEW COURSE AUGUST 13, 2024***
• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE TITLE: All About Homonymous Hemianopsia

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Bridget Smith & Nabila Bhuiyan from D’Youville University about homonymous hemianopsia. We covered:

• What homonymous hemianopsia is & how it occurs
• Signs & symptoms experienced by a person who has homonymous hemianopsia
• Impact on daily life
• Treatment interventions for homonymous hemianopsia

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References:

Chung, A., & Slowman, L.S. (2020). Visual dysfunction: Occupational therapy. Cinahl Information Systems

Giorgi, R.G., Woods, R.L., & Peli, E. (2009). Clinical and laboratory evaluation of peripheral prism glasses for hemianopia. Optometry and Vision Science, 86(5): 492-502. doi:10.1097/OPX.0b013e31819f9e4d

Goodwin, D. (2014). Homonymous hemianopia: Challenges and solutions. Clinical Opthalmology, 1919-1927. DOI: 10.2147/OPTH.S59452

Mascaro, P.F., Junyent, Q., & Casanova, A. (2017). Effective visual rehabilitation in homonymous hemianopia by attaching binocular prisms to lenses. American Research Journal of Opthalmology and Optometry; 1(1): 1-11.

Perea, J.D. & Anise, M.C. (2019). Beyond cueing to the left and a red line: Treatment methods for homonymous hemianopia. SIS Quarterly Practice Connections, 4(2), 28–30.

Perez, C. & Chokron, S. (2014). Rehabilitation of homonymous hemianopia: Insight into blindsight. Frontiers in Integrative Neuroscience; 8(82); 1-12.

Platz, T. (Ed) (2021). Clinical pathways in stroke rehabilitation: Evidence-based clinical practice recommendations. Springer. https://doi.org/10.1007/978-3-030-58505-1.

Rowe, F. (2016). Visual effects and rehabilitation after stroke. Community Eye Health Journal; 19(96): 75-76.

Zihl, J., Kentridge, R.W., Pargent, F., & Heywood, C.A. (2021). Aging and the rehabilitation of homonymous hemianopia: The efficacy of compensatory eye-movement training techniques and a five year follow up. Aging Brain 1: 1-17. https://doi.org/10.1016/j.nbas.2021.100012.

Resources

• Neuro-Optometric Rehabilitation Association: http://noravisionrehab.com/

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify  ✨ Website

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE TITLE: Driving Rehab with Terri Cassidy

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Terri Cassidy, OTD, OTR/L, CDRS about driving after stroke. We covered a lot of ground in this interesting conversation. Highlights include:

• Terri’s journey into private practice
• Meeting clients where they are
• Community connections and client rapport
• Importance of early and often conversations around driving safety and retirement.
• FREE RESOURCE FOR PROVIDERS: Generalist Resource to Integrate Driving (GRID) contains assessments and scoring information; Not everyone needs to see a specialist (moderate to severe dementia) grid for decision making
• Value of a driving risk assessment
• Progression of driving evaluation: start to finish.
• OT-Drive Model: Integrating the Instrumental Activity of Daily Living (I-ADL) of driving and community mobility into routine practice
• Clinical Assessment Tools that Terri & Doro use as part of the driving evaluation
• The importance of potential - leave room for recovery that hasn’t happened yet. This can be more clinical rehab as well as training within the vehicle
• Terri’s business has a readiness to drive program – for people with history of CVA, brain injury as children. Helping people make decisions around driving appropriateness.
• Terri’s wisdom for practitioners, survivors, care partners – keep asking questions!

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

• OT-Drive Model: Integrating the Instrumental Activity of Daily Living (I-ADL) of driving and community mobility into routine practice
• Generalist Resource to Integrate Driving (GRID)
• Health Promotion Partners/Fitness to Drive

THERAPY PRACTICE RESOURCES

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• All Resources

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

EPISODE TITLE: Sex & Intimacy with Sujata Martin, MS, OTR/L

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Sujata Martin about sex & intimacy. We covered:

• Sex, Sexuality, and Intimacy
• The impact of a neurological diagnosis on the pelvic floor, function and one’s identity
• Where sex and sexuality are addressed in the OT Practice Framework, 4th edition
• How fine motor deficits impact bowel & bladder management, including catheter management
• Sexual expression, psychological & physical aspects of intimacy
• Finding the right practitioner-why properly trained OT practitioners may be able to help & finding a good provider/client fit
• The role of occupational therapy practitioners in addressing sexual needs of clients, including clinician responsibility in receiving client responses; the importance of withholding judgment to avoid damage to the client
• Additional training required to treat pelvic dysfunction & to provide sex counseling
• The importance of client questioning and, sometimes, persistence, when advocating to getting one’s needs met
• Being open to considering other possibilities such as adaptations to enhance connection and intimacy
• Being mindful not to adapt to the caregiver & sick role only - remembering who you are to maintain relationship
• Sexuality as a means of strengthening relationships with one’s partner(s) and oneself

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Mellor, R.M. et. al, (2013). Healthcare professionals’ views on discussing sexual wellbeing with patients who have had a stroke: A qualitative study. PLOS | ONE, 8(10).

Naphtali, K., MacHattie, E., Elliott, S.L. & Krassioukov, A. (2009). Pleasure ABLE: Sexual device manual for persons with disabilities. Disabilities Health Research Network.

O’Shea, A., Frawley, P., Leahy, J. W., & Nguyen, H.D. (2020). A critical appraisal of sexuality and relationships programs for people with acquired brain injury. Sexuality and Disability, 38:57-83. https://doi.org/10.1007/s11195-020-09616-5

Prior, S., Reeves, N., Peterson, G., Jaffray, L., & Campbell, S. (2019). Addressing the gaps in post-stroke sexual activity Rehabilitation: Patient Perspectives. Healthcare 7, 25; doi:10.3390/healthcare7010025

Occupational Performance Inventory of Sexuality & Intimacy 

• University of Indianapolis-https://uindy.edu/health-sciences/ot/opisi
• Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One-https://scholarworks.wmich.edu/ojot/vol8/iss2/7/

Find a pelvic therapist: Pelvicrehab.com

Sujata’s website: pelvicsoul.com

Sujata’s book:  “Not Just Kegels – The Exhausted Mama’s Guide to Pregnancy & Postnatal Wellness” that ranked #1 on Amazon’s Pregnancy & Childbirth list. 

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

• Stroke statistics
• Lack of awareness around how stroke impacts survivors' mental health
• Pre and post stroke anxiety and depression
• Clinician and Care Provider self-care to avoid burn out.
• Using the research for interventions, try them...if they work, great. If not, try another one.
• The 3 legs of evidence-based practice:
  • What the evidence says
  • Practitioner clinical reasoning
  • Judgement related to the scenario & the client.
• Advocating for the survivor to get quality care.
• Care Partners advocating for the survivor (they know them best) based on their knowledge of the person. You do not have to accept whatever is happening.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

EPISODE REFERENCES:

Show References

Cheng, H. Y., Chair, S. Y., & Chau, J. P. (2012). The effectiveness of caregiver psychosocial interventions on the psychosocial wellbeing, physical health and quality of life of stroke family caregivers and their stroke survivors: A systematic review. JBI Library of Systematic Reviews, 10(12), 679- 797. https://10.11124/jbisrir-2012-66

Cheong, M. J., Kang, Y., & Kang, H. W. (2021). Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea. Healthcare (Basel), 9(9), 1211. https://10.3390/healthcare9091211

Kirkevold, M., Kildal Bragstad, L., Bronken, B. A., Kvigne, K., Martinsen, R., Gabrielsen Hjelle, E., Kitzmüller, G., Mangset, M., Angel, S., Aadal, L., Eriksen, S., Wyller, T. B., & Sveen, U. (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology, 6(1), 12. https://10.1186/s40359-018-0223-6

Minshall, C., Castle, D. J., Thompson, D. R., Pascoe, M., Cameron, J., Mccabe, M., Apputhurai, P., Knowles, S. R., Jenkins, Z. R., & Ski, C. F. (2020). A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial. Informa UK Limited. https://10.1080/10749357.2020.1738677

Panzeri, A., Ferrario, S. R., Vidotto, G. (2019). Interventions for psychological health of stroke caregivers: A systematic review. Frontiers in Psychology, 10(2045). https://doi.org/10.3389/fpsyg.2019.02045

Rochette, A. R., Korner-Bitensky, N., Bishop, D., Teasell, R., White C. L., Bravo, G., Côté, R., Green, T., Lebrun, L.-H., Lanthier, S., Kapral, M., & Bayley, M. (2013). The YOU CALL-WE CALL randomized clinical trial impact of a multimodal support intervention after a mild stroke. Circulation: Cardiovascular Quality and Outcomes, 6(6), 674-679. https://doi.org/10.1161/CIRCOUTCOMES.113.000375

Terrill, A. L., Schwartz, J. K., Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 6187328. https://doi.org/10.1155/2018/6187328

THERAPY PRACTICE RESOURCES:

PODCAST IN EDUCATION INSTRUCTOR GUIDE + MINI LESSON

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

EPISODE TITLE: Factors Affecting Stroke Recovery

EPISODE SUMMARY: EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Minkshi Kareer and Victoria Purucker, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:

• The effects of age, gender, race, and importance of proper diagnosis on short term/long term recovery and overall survivor outcomes
• How culture & community impacts stroke recovery
• The impact of beliefs on stroke recovery and provider roles
• Pharmacological & Non-pharmacological interventions for treating depression symptoms following stroke and being facilitators for recovery
• “Practice makes progress,” and the practitioner role in helping survivors and their loved ones identify gains when they might otherwise go unnoticed
• Ensuring that survivors and care partners are given appropriate and relevant resources related to the stroke and continued stroke recovery. Practitioners can improve support strategies by reviewing the information after discharge whether at home or in outpatient settings.
• The importance of care partner education on the recovery process for facilitating optimal survivor recovery
• Cognitive reserve defined and the impact on recovery
• Use of the “Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors”
• Addressing quality of life through survivor and care partner trainings that address concerns and planting seeds and providing resources for addressing possible future concerns
• Providing post-discharge services such as respite care and overall care coordination to support better outcomes

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Post Stroke Checklist

Is Sex a Prognostic Factor in Stroke Rehabilitation? A Matched Comparison

Factors Affecting Post-stroke Motor Recovery: Implications on Neurotherapy After Brain Injury

Awareness of Deficits in Stroke Rehab

Cognitive Reserve as an Emerging Concept in Stroke Recovery

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

• Podcasts in Education Instructor Guide

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Hannah Waring and Madison Mendofik, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:

• Levels of care and typical expectations for survivors, care partners and clinician
• The knowing factor that clinicians use when determining discharge recommendations
• The role of insurance in the US
• Dismantling the subacute rehab stigma
• Including survivors in their care
• The value of the survivors’ lived (subjective) experiences
• How education helps increase client and care partner confidence
• Improving education content and delivery by healthcare providers
• Accepting one’s career learning path being a process of continued growth
• Collaborative care, assessments and interventions along the continuum of care

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Hartford. W, Lear, S., & Nimmon, L. (2019). Stroke survivors’ experiences of team support along their recovery continuum. BMC Health Services Research, 19(1), 1-12. https://doi.org/10.1186/s12913-019-4533-z Krishnan, S., Hay, C. C., Pappadis, M. R., Duetsch, A., & Reistetter, T. A. (2019). Stroke survivors’ perspectives on post-acute rehabilitation options, goals, satisfaction and transition to home. Journal of Neurologic Physical Therapy, 43(3), 160-167. https://doi.org/10.1097/NPT.0000000000000281

Lien, P., Deluzio, S., Adeyemo, J., Langton-Frost, N., Lavezza, A., Daley, K., Friedel, S., Pruski, A., French, M. A., & Raghavan, P. (2023). Development and implementation of a standard assessment battery across the continuum of care for patients after stroke. American Journal of Physical Medicine and Rehabilitation, 102(2), 51-55. https://doi.org/10.1097/PHM.0000000000002142 Oyake, K., Suzuki, M., Otaka, Y., Momose, K., & Tanaka, S. (2020). Motivational strategies for stroke rehabilitation: A delphi study. American Congress of Rehabilitation Medicine, 101,1929-1936. https://doi.org/10.1016/j.apmr.2020.06.077

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
• Noggins And Neurons Podcast Instructor Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

NEXT LEVEL GERIATRIC CARE SUMMIT: A Certification Training for Rehab Professionals

March 29-31

Deb’s Talk: UE Mirror Therapy for Stroke Survivors: What’s Behind the Reflection

March 29th at 10:20 – 12: 20 Pacific, 12:20-2:20 Central, 1:20-3:20 Eastern

SIGN UP HERE

Questions about the summit: info@pesi.com or (800) 844-8260

EPISODE TITLE: All About The Brain Part 1

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about the brain regions and their functions. We covered:

• Basic brain anatomy
• How much a human brain weighs
• The purpose of gyri & sulci
• Electrical connections, chemical reactions and brain function
• The cerebrum
• The lobes: frontal, parietal, temporal & occipital
• The cerebellum
• Importance of rest for recovery
• A little bit about aphasia

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

Show References

Barbas, H. (2016). Executive functions: The prefrontal cortex: Structure and anatomy. In Reference module in biomedical sciences. Retrieved from ScienceDirect Central Sulcus    https://www.sciencedirect.com/topics/engineering/central-sulcus  

Borch, M.R., Brodie, S.M., Gray, W.A., Ionta, S., & Boyd, L.A. (2015). Understanding the role of the primary somatosensory cortex: Opportunities for rehabilitation. Neuropsychologia, 79(Pt B): 246-255. doi:10.1016/j.neuropsychologia.2015.07.007

Kozial, L. F., Budding, D. E., & Chidekel, D. (2011). From movement to thought: Executive function, embodied cognition, and the cerebellum. Cerebellum|Review. Springer Science Business Media, LLC. DOI 10.1007/s12311-011-0321-y

Reichenbach, A., Thielscher, A., Peer, A., Bulthoff, H. H., Breschiani, J-P. (2014). A key region in  the human parietal cortex for processing proprioceptive hand feedback during reaching movements. NeuroImage 84; 615-625.  http://dx.doi.org/10.1016/j.neuroimage.2013.09.024

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
• MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

Sign Up for the Noggins And Neurons Premium Access Pass

EPISODE TITLE: Debrief Sampling: Remedial Vision with Suzanne Briggs

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb give you a sampling of the full debrief we did on Remedial Vision with Suzanne Briggs Parts 1 & 2. We share our thoughts and ideas about what we learned, assessment tools, intervention ideas and more. The full debrief can be found in the Noggins And Neurons Membership site.

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Suzanne Briggs, MOT, OTR/L about remedial vision.  We learned:

• Details about remedial vision
• Common visual skills/visual skill deficits, the role of cognition and vision hierarchy
• Screening and assessing for vision deficits, including the OculoMotor Assessment Tool (OMAT)
• Schools of thought regarding appropriate time to treat vision deficits post injury
• Use of prisms as intervention and compensatory strategies
• Value of professional collaborations in the client care experience

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

THERAPY PRACTICE RESOURCES:

DEB’S RESOURCES

• Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
• Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
• Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)

PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

DORO’S OT PRACTICE – The Neuro Hub

FOR FUN:

• Donate to Noggins And Neurons and get an Allstar Pete Trading Card

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

JOIN THE NOGGINS & NEURONS PODCAST MEMBERSHIP

Join the Noggins And Neurons Facebook Group

EPISODE TITLE:  Empowering Recovery with Survivor, Angela Wingfield, PTA

INTRO - ANGELA: So, I try, and what I hope I’ve done with stroke survivors and caregivers and this is what I want for medical professionals who are working with neurological patients to realize...you can...you can, over a period of time set them up to where they’re using neuroplasticity for their physical and mental health; they are...the caregiver is asking for assistance...accepting any assistance that comes along the way...if you’re teaching them this early on...they’re learning how to communicate with each other better, the stroke survivor and their care partners in their life, and you’re teaching them skills to where...I have a lot of survivors they’re still coming to the group seven, eight, ten years later but they’re doing it mainly so they can help other people...they want to help the new ones that are coming in

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Empowering Recovery with Survivor, Angela Wingfield, PTA we talked about:

• Angela’s story – insight, depression, denial, cover-ups and wanting the old self
• Seeing through the symptoms to the person
• Beyond stroke education and connecting through emotion
• Moving from helpless to empowered
• The stroke belt - information about the stroke belt: Twenty Years of Progress Toward Understanding the Stroke Belt

As always, we want to hear your top takeaways! Email Doro & Deb at nogginsandneurons@gmail.com 

Connect with Angela: awingfield1106@outlook.com 

About Angela:

https://www.methodisthealth.org/healthcare-services/rehabilitation/methodist-germantown-outpatient-rehab/meet-our-team.dot 

Stroke Support Group

https://www.methodisthealth.org/healthcare-services/neurology-neurosurgery/Strokes/support-groups/

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Deb's OT Resources:

• Deb's OT resources
• The OT’s Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
• Occupational Therapy Intervention 2 pack Scavenger Hunt + Visual Trails
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

Doro’s Website: The Neuro Hub

Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

• Blog: blogspot.com
• Book: Stronger After Stroke, 3rd edition

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC:

“Soft Inspiration” by Scott Holmes/ScottHolmesMusic/scotthomesmusic.com 

Join the Noggins And Neurons Membership

Join the Noggins And Neurons FB Group

EPISODE TITLE:  A Care Partners Perspective with Bridget

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Bridget, a care partner to John, shares their story and expresses deep gratitude for the information in Pete’s book, “Stronger After Stroke: Your Roadmap to Recovery.” Bridget describes their experience, including fears, frustrations, obstacles and what they have done and continue to do to heal and thrive along their recovery journey.

As always, we want to hear your top takeaways!

Email us at Nogginsandneurons@gmail.com 

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

PETE’S RESOURCES:

• Pete's book
• Pete's blog

DEB’S OT RESOURCES:

• The OT's Guide to Mirror Therapy
  • https://creativeconceptsot.gumroad.com/l/rlmirrortherapy
• Tri-Fold Mirror (US addresses only)
  • https://creativeconceptsot.gumroad.com/l/trifoldmirror
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • https://creativeconceptsot.gumroad.com/l/scavengerhunt

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
  • https://forms.gle/PsSFqFjUBSUyV6ud9

MUSIC

Music by scottholmesmusic.com

Join us in the Founders Circle Membership

A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at:  NogginsAndNeurons@gmail.com.

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card
2. Using your PayPal app

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

excerpt of the information that was submitted and reviewed by the FDA: "10 Summary of Clinical Performance Testing

The Neurolutions System has been evaluated in 40 subjects across three separate clinical studies (described below), all of which evaluated use of the Neurolutions system in chronic stroke survivors.  All three studies were designed to determine the feasibility of recording electroencephalogram (EEG) signals from the affected and/or unaffected brain hemispheres, and to use the signals to control a computer to facilitate movement of a robotic hand orthosis (Handpiece).  The results of the studies have been analyzed to determine if the Neurolutions System can be used to positively impact rehabilitation. These three studies were open-label studies whereby a literature meta-analysis assessing usual care as well as minimal clinically important difference (MCID) benchmarks were utilized for comparison of device effectiveness in lieu of randomized control data.

Results of testing demonstrate that following 12-weeks of use of the Neurolutions System, chronic stroke survivors showed increases in the mean change from their baseline scores on the primary outcome measure for the three respective studies. Ten of the total 40 subjects were assessed utilizing the Action Research Arm Test (ARAT) as the primary outcome measure and the mean scores exceeded the Minimal Clinically Important Difference (MCID) of 5.7 points.  In the two other studies, 30 of the total 40 subjects were assessed utilizing the Fugl-Meyer Upper Extremity (UEFM) assessment as the primary outcome measure. For 66.7% of these 30 subjects, mean scores exceeded the MCID of 5.25 points.  UEFM data were collected in 30 subjects from studies.

Results of Pooled Analysis: The results from 30 subjects across two studies may be validly pooled because the studies have the same primary endpoint and were conducted under nearly identical protocols (including inclusion/exclusion criteria and treatment regimen) and investigated the same version of the device in a very similar patient population (as evidenced by a comparison of the demographic data).  Moreover, the primary endpoint, change in UEFM, was compared at the same timepoint, and the studies were weighted relative to their size.  Based on the foregoing, a pooled analysis for UEFM, including all 30 subjects from the two studies, resulted in a mean change at 12-weeks of 7.77 points (SD of 5.041, two-sided, one-sample t-test, p-value < .0001), which exceeds the Minimal Clinically Important difference (MCID) of +5.25 points reported in the literature. 

Across the two pooled clinical studies, 100% (30/30) of the subjects demonstrated improvement on the primary outcome measure, UEFM. A total of 66.7% of these subjects exceeded the minimal clinical important difference (MCID). The MCID is the change in a treatment outcome as measured by a trained clinician and regarded as important and clinically meaningful to health professionals and patients.[1],[2],[3],[4]  The remaining 33.3% of the subjects, although demonstrating improvement, did not achieve the MCID.

For a cohort of 12 patients who participated in, durability data was assessed at 6-months following completion of their 12-week study visit. Durability assessment of the primary and secondary outcome measures revealed these subjects maintained their level of improved functional and motor performance. This demonstrates that the motor improvements achieved with the Neurolutions System therapy were maintained at 6-months following the last device use. However, as durability testing has not been completed beyond 6-months, persistence of benefits beyond 6-months post device use are currently unknown.

The results of these clinical studies support the feasibility of recording EEG signals from the affected and unaffected hemisphere and demonstrate that a computer can use these signals to control the motor output of a robotic handpiece (orthosis). Results of testing demonstrate that movement of the affected fingers, through the use of the Neurolutions System, can positively impact rehabilitation of the affected arm in individuals who suffer from chronic (≥ 6 months post-stroke) upper extremity hemiparesis resulting from stroke."

Website Items: 

• Link to FDA Approval Announcement: FDA Approval Announcement

• Link to DeNovo Announcement: IpsiHand_DeNovo

Publications of Interest: 

• Contralesional Brain–Computer Interface Control of a Powered Exoskeleton for Motor Recovery in Chronic Stroke Survivors (on cover of STROKE)

• Theta–gamma coupling as a cortical biomarker of brain–computer interface-mediated motor recovery in chronic stroke

• Motor Network Reorganization Induced in Chronic Stroke Patients with the Use of a Contralesionally-Controlled Brain Computer Interface

IpsiHand in the Media:

• Podcast: Giving Stroke Patients a Hand (patient testimonial)

• Life Changing Technology (Bloomberg Report Special on BCI (Minute Time Mark: 7): 

• Engaging the Mind and the Brain with Neurotechnology (YouTube, Dr. Eric Leuthart)

RESOURCES:

• Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

• Deb's OT Resources:
  • Deb's OT resources
  • The OT's Guide to Mirror Therapy
  • Tri-Fold Mirror (US address only)
  • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • NEW! Presentation: OT & Mirror Therapy: What’s Behind the Reflection? Learn about this fascinating intervention and start helping stroke survivors today!

• Doro's website - the neuro hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

Join us in the Founders Circle Membership A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card
2. Using your PayPal app

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, "PT Michelle: Survivor Success Story," with Michelle Sawtelle, we talked about: Deb and Michelle chat about Michelle’s experience around having a stroke. She shares details around the evolution of the stroke, her recovery journey and returning to family and work life. Other topics that came up include:

• Inflammation, nutrition and overall health
• Wahl’s Protocol – one example of decreasing inflammation through food
• Who you are after stroke
• The gluteus maximus

As always, we want to hear your top takeaways!

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

• Wahl’s Protocol (links provided for convenience)
  • Book
  • Autoimmune Association Blog Article
• Michelle’s email: mmsawtelle@yahoo.com
• Academy of Neurologic Physical Therapy Stroke Special Interest Group
• Michelle’s Research
• Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.

• Deb's OT Resources:
  • Deb's OT resources
  • The OT's Guide to Mirror Therapy
  • Tri-Fold Mirror (US address only)
  • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • NEW! Presentation: OT & Mirror Therapy: What’s Behind the Reflection? Learn about this fascinating intervention and start helping stroke survivors today!

• Doro's website - the neuro hub

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

MEMBERSHIP IS HERE!

Join us in the Founders Circle Membership

A community for brain loving nerds like us who want more!

LISTEN ON YOUR FAVORITE SITE

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at:  NogginsAndNeurons@gmail.com.

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card
2. 2. Using your PayPal app

RESOURCES:

• Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition
• Deb's OT Resources:
  • Deb's OT resources
  • The OT's Guide to Mirror Therapy
  • Tri-Fold Mirror (US address only)
  • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • NEW! Presentation: OT & Mirror Therapy: What’s Behind the Reflection? Learn about this fascinating intervention and start helping stroke survivors today!
• Doro's website - the neuro hub

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

✨Google Podcasts  ✨iTunes    ✨Spotify

Join the Noggins And Neurons Facebook Group

SIGN UP FOR THE NEW Noggins And Neurons Premium Access Pass! Become a Founders Circle Member-join by October 15, 2022 for special perks & pricing!

EPISODE TITLE:  Strategies for Successful Medication Management: Part 2

OVERVIEW: Occupational Therapy provides the distinct value of being able to look at clients holistically to best collaborate with individuals on THEIR goals and needs, rather than viewing them solely as their diagnosis.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Medication Management: Part II, with Tracy Bentley-Root, Anna Kotansky, and Haleigh Bjorkman, we talked about:

• Utilizing the evaluation process to address physical, cognitive and visual (and so much more!) components of medication management from the START of client care.
• Analyzing the environment and context to determine possible barriers to medication management.
• Empowering and motivating individuals can reduce caregiver fatigue and increase an individual’s participation in medication management.
• Modifications for medication management, such as low- and high-tech assistive device examples
• How to tailor specific low- and high-tech assistive devices to best meet client needs (variations for each example)

SUMMATION STATEMENT: It is imperative to look at what an individual used to do, and now WANTS to be able to do, before suggesting modifications to their medication management routine. Taking a strength-based approach and providing suggestions that best fit an individual’s needs is key to ensure consistent medication adherence. There are various low-cost devices that can assist an individual in the areas they need it most, whether it be cognitive, physical, visual, or other deficits.

As always, we want to hear your top takeaways!

Please email us at:  NogginsAndNeurons@gmail.com.

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card
2. Using your PayPal app

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Check out the free app, Mango Health at: https://www.mangohealth.com/

For a list of some examples of low- and high-tech assistive devices, check out: https://mainecite.org/wp-content/uploads/2017/01/MedicationManagPicts.pdf

PurrFect Opener: https://www.elderstore.com/purrfect-opener-the-easy-open-pill-extractor.aspx

For some examples of different pill boxes, check out: https://www.epill.com/organizer.html

Articles discussed during the podcast:

Siebert, C., Schwartz, J., & Kannenberg, K. (2017). Occupational therapy’s role in medication management. American Journal of Occupational Therapy, 71, 1–20. https://doi-org.dyc.idm.oclc.org/10.5014/ajot.2017.716S02

Appalasamy, J. R., Joseph, J. P., Ramaiah, S. S., Quek, K. F., Zain, A. Z. M., & Tha, K. K. (2020). Exploring stroke survivors’ self-efficacy in understanding and taking medication and determining associated factors: a cross-sectional study in a neurology clinic in Malaysia. Patient Preference and Adherence, 1463c. https://doi-org.dyc.idm.oclc.org/10.2147/PPA.S215271

Polenick, C. A., Stanz, S. D., Leggett, A. N., Maust, D. T., Hodgson, N. A., & Kales, H. C. (2020). Stressors and resources related to medication management: Associations with spousal caregivers’ role overload. Gerontologist, 60(1), 165–173. https://doi-org.dyc.idm.oclc.org/10.1093/geront/gny130

Appalasamy, J. R., Tha, K. K., Quek, K. F., Ramaiah, S. S., Joseph, J. P., & Md Zain, A. Z. (2018). The effectiveness of culturally tailored video narratives on medication understanding and use self-efficacy among stroke patients: a randomized controlled trial study protocol. Medicine, 97(22), e10876. https://doi-org.dyc.idm.oclc.org/10.1097/MD.0000000000010876

Kollerup, M. G., Curtis, T., & Schantz Laursen, B. (2018). Visiting nurses’ posthospital medication management in home health care: An ethnographic study. Scandinavian Journal of Caring Sciences, 32(1), 222–232. https://doi-org.dyc.idm.oclc.org/10.1111/scs.12451

Connect with Anna: https://www.linkedin.com/in/anna-kotansky-7005b11a6/

Connect with Haleigh: https://www.linkedin.com/in/haleighbjorkman/

RESOURCES:

Deb's OT Resources:

• Deb's OT resources
• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

Pete's Resources:

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

JOIN THE NOGGINS AND NEURONS FACEBOOK GROUP

EPISODE TITLE: Medication Management Part 1

OVERVIEW:

Haleigh: “I think it is important too, to see what patients actually value doing within medication management and then starting from there.” This episode is a conversation between two OTRs and two soon-to-be new grad OTs. The topic of conversation is about medication management and how to adapt this occupation for patients.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Medication Management Part 1 with Tracy Bentley Root, Haleigh Bjorkman, and Anna Kotansky, we talked about:

• What is Medication Management?
• What are common burdens related to medication management?
• How are caregivers affected by the burdens of medication management?
• What is Occupational Therapy’s role in medication management?

Summation statement:

The job of medication management can be extremely stressful for both the patient and the caregivers. Health professionals, such as nurses and occupational therapists, have an important role in the health care system to assist caregivers with the many responsibilities within medication management. In this episode, we acknowledge the challenges of medication management and discuss how occupational therapy practitioners have such an important role in reducing the stress for patients and caregivers. Tune into the second part of this podcast with Tracy, Haleigh, and Anna to learn more about techniques and assistive technology devices that can assist with medication management.

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

https://www.heart.org/en/

Articles discussed during the podcast:

Siebert, C., Schwartz, J., & Kannenberg, K. (2017). Occupational therapy’s role in medication management. American Journal of Occupational Therapy, 71, 1–20. https://doi-org.dyc.idm.oclc.org/10.5014/ajot.2017.716S02

Appalasamy, J. R., Joseph, J. P., Ramaiah, S. S., Quek, K. F., Zain, A. Z. M., & Tha, K. K. (2020). Exploring stroke survivors’ self-efficacy in understanding and taking medication and determining associated factors: a cross-sectional study in a neurology clinic in Malaysia. Patient Preference and Adherence, 1463c. https://doi-org.dyc.idm.oclc.org/10.2147/PPA.S215271

Polenick, C. A., Stanz, S. D., Leggett, A. N., Maust, D. T., Hodgson, N. A., & Kales, H. C. (2020). Stressors and resources related to medication management: Associations with spousal caregivers’ role overload. Gerontologist, 60(1), 165–173. https://doi-org.dyc.idm.oclc.org/10.1093/geront/gny130

Appalasamy, J. R., Tha, K. K., Quek, K. F., Ramaiah, S. S., Joseph, J. P., & Md Zain, A. Z. (2018). The effectiveness of culturally tailored video narratives on medication understanding and use self-efficacy among stroke patients: a randomized controlled trial study protocol. Medicine, 97(22), e10876. https://doi-org.dyc.idm.oclc.org/10.1097/MD.0000000000010876

Kollerup, M. G., Curtis, T., & Schantz Laursen, B. (2018). Visiting nurses’ posthospital medication management in home health care: An ethnographic study. Scandinavian Journal of Caring Sciences, 32(1), 222–232. https://doi-org.dyc.idm.oclc.org/10.1111/scs.12451

Connect with Anna: https://www.linkedin.com/in/anna-kotansky-7005b11a6/

Connect with Haleigh: https://www.linkedin.com/in/haleighbjorkman/

As always, we want to hear from you! Questions and Comments about the podcast: NogginsAndNeurons@gmail.com

If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:

1. Donate to Noggins And Neurons and get an Allstar Pete Trading Card
2. Using your PayPal app

RESOURCES:

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

Deb's OT Resources:

• Deb's OT resources
• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

Alyssa: Finding that purpose, that meaning as to why… And I think once together we figure out why it’s almost motivation to better that aspect…

Tracy: So many things have changed now that they’ve had their neurological event.. Meet the new routine as opposed to going back the old way because the old way isn’t working any longer.. Increasing their awareness of what their body needs now could be very beneficial…

Debra: And their [caregivers] lives are different now too… we can’t just keep adding things onto a caregiver but making something more meaningful.. And so when is everyone functioning their best

Sarah: The whole chemical makeup of the brain is changing constantly.. What is actually happening and there are a few different reasons why post stroke fatigue is happening…

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified: Post-Stroke Fatigue, with occupational therapist and educator Tracy Bentley-Root, and occupational therapy students Alyssa Brockmann and Sarah Battaglia, we talked about:

• Continuation of journaling to determine patterns contributing to fatigue. Bringing a diary to an occupational therapist or a practitioner to identify triggers and develop a treatment plan to compensate or design a body map to enhance functioning. Introduce new routines, as opposed to old routines as after a neurological event, the past remains in the past and a new beginning is present. Discussion on caregiver responsibility and adapting to new roles and routines. Energy conservation and other interventions are discussed throughout the podcast to target survivors, caregivers, practitioners, researchers, and students.
• Fatigue is subjective and perceivable, and the effort used to produce movement and involuntary behaviors is seemingly more difficult due to the high threshold of neuron excitability. Sarah addresses the why and how related to post-stroke fatigue from a neurological level and elaborates on how the brain is constantly changing before, during and after a stroke takes place. Research surrounding the excitability of neurons has been emerging and states after a stroke the neurons within the brain have to work much harder to fire. This not only is hard work and utilizes a high amount of energy for the body, but the brain also is working double time to process the receiving input to produce movement, thoughts, and unconscious bodily functions.

Summary: The aspect of bringing awareness to how one is feeling and collaboratively developing a treatment plan that includes the survivor and caregiver can be pertinent to recovery. Understanding the why and how from a neurological level may assist in awareness.

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Factors associated with post-stroke depression and fatigue: lesion location and coping styles

Managing post-stroke fatigue: A qualitative study to explore multifaceted clinical perspectives

Occupational Therapy - Energy Conservation Booklet Patient Information Leaflet

Post-stroke fatigue: a deficit in corticomotor excitability?

Post-stroke fatigue: a review on prevalence, correlates, measurement, and management

Poststroke Fatigue | Stroke

Review article Lack of content overlap and essential dimensions – A review of measures used for post-stroke fatigue

Social Support as a Predictor of Community Participation After Stroke

As always, we want to hear your top takeaways!

Questions and Comments about the podcast: NogginsAndNeurons@gmail.com

DONATE TO NOGGINS & NEURONS:

Donate to Noggins And Neurons and get an Allstar Pete Trading Card

Using your PayPal app:

RESOURCES:

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

Deb's OT Resources:

• Deb's OT resources
• Tri-Fold Mirror (US address only)
• The OT's Guide to Mirror Therapy
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

✨Google Podcasts  ✨iTunes    ✨Spotify

MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

Tracy: My understanding is that not a lot of people understand post-stroke fatigue. Are we mislabeling it? Are we saying it’s more of a cognitive problem? Are we saying it’s more of a muscle strength problem? I’m just wondering if we’re mislabeling it…especially when we’re talking about it down the road. I’m really hung up on these individuals who are functioning well…so these are the individuals who no longer qualify for home care services, and have really graduated beyond outpatient, but they’re still not able to get back to their role as an employee…back to those desired occupations they want to get to…because of the post-stroke fatigue.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified: Post-Stroke Fatigue, with occupational therapist and educator Tracy Bentley-Root, and occupational therapy students Alyssa Brockmann and Sarah Battaglia, we talked about:

• Post-stroke fatigue (PSF) - General symptoms, occupational impacts, timeline, recovery process, and intervention ideas for post-stroke fatigue. Alyssa and Sarah share their experiences with post-stroke fatigue through different lenses. Alyssa explains her fieldwork from an acute care standpoint, whereas Sarah shares her experience with the population through an outpatient or chronic lens. Alyssa discovered that she witnessed post-stroke fatigue on more of a cognitive level in the early stages of stroke recovery. Post-stroke fatigue in the chronic stages after stroke (3-6 months or longer) has a different effect on the individual.
• PSF is extremely difficult to research. The definition of post-stroke fatigue also varies through the timespan of recovery. It was found that up to 50% of stroke patients report post-stroke fatigue as their worst symptom. Alyssa reports her definition of PSF, statistics of the phenomenon, and prevalence rates of the phenomenon that were found in the literature. Debra notes how common and debilitating PSF can be. There are few evaluation methods specific to stroke, they are broad evaluation methods. PSF is dependent on a number of factors before and after the injury occurs. It affects a variety of areas in your brain and translates into how the patient acts following the incident.
• Real experiences of patients and their concerns entering the workforce after stroke and what can be done to support fatigue in their roles. Alyssa explores the need for healthcare practitioners to be providing patients and caregivers with hard copies of resources prior to discharge from acute care to be referenced throughout their recovery journey. Tracy and Sarah support Alyssa’s point in saying maybe healthcare practitioners need to use unified language to describe post stroke fatigue to reduce the unknown factors, and related post stroke fatigue in the group of cognitive deficits.
• Interventions including journaling were found to be effective in literature examining that caregiver and patient journaling can be brought to occupational therapists to determine patterns. Such patterns can be used to design individualized care plans and reduce fatigue based on the performance patterns present. Debra then explores educating fatigue management from sleep, exercise, and nutrition from a group process standpoint to enhance the social support of fatigue. Sarah further supports this idea and describes the central adjustment to stroke by re-establishing a self identity through confidence, occupational management, and seizing control. Energy conservation, routine planning, pacing, alternating physical and mental activities, gradual grading of exercise, meditation and more are touched on to manage fatigue.

Stroke manifests in various ways that are individualized to each patient and caregiver. It is important to note that stroke recovery is an adjustable and continually changing journey where each day will present differently. A decrease in performance does not mean patient regression, rather an occupational performance area strengthened, leaving another area open for improvement. Being aware of one’s symptoms, including fatigue, as well as understanding why fatigue manifests post-stroke is important to then advocate on behalf of yourself to health care practitioners for adequate resources and sports needed to move forward in one’s re-establishment of routine, identity and occupational performance.

As always, we want to hear your top takeaways!

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Factors associated with post-stroke depression and fatigue: lesion location and coping styles

Managing post-stroke fatigue: A qualitative study to explore multifaceted clinical perspectives

Occupational Therapy - Energy Conservation Booklet Patient Information Leaflet

Post-stroke fatigue: a deficit in corticomotor excitability?

Post-stroke fatigue: a review on prevalence, correlates, measurement, and management

Poststroke Fatigue | Stroke

Review article Lack of content overlap and essential dimensions – A review of measures used for post-stroke fatigue

Social Support as a Predictor of Community Participation After Stroke

As always, we want to hear your top takeaways!

Questions and Comments about the podcast: NogginsAndNeurons@gmail.com

Donate to The Noggins And Neurons Podcast using your PayPal app:

Donate to Noggins And Neurons and get an Allstar Pete Trading Card

PETE’S RESOURCES:

• Pete's book
• Pete's blog

DEB’S OT RESOURCES:

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US addresses only)
  • https://creativeconceptsot.gumroad.com/l/trifoldmirror
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • https://creativeconceptsot.gumroad.com/l/scavengerhunt

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
  • https://forms.gle/PsSFqFjUBSUyV6ud9

✨Google Podcasts  ✨iTunes    ✨Spotify

MUSIC

Music by scottholmesmusic.com

INTRO: This episode is the continued conversation between two OTRs and two soon-to-be new grad OTs. During this episode we will wrap up virtual reality and move into other methods of traditional and non-traditional therapy with a focus on safety and interprofessional communication. The conversation rounds out with caretaker, friends, and family roles and the importance of support in rehabilitation and neuroplasticity. 

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Perspectives on Neuroplasticity Part 2, with Tracy Bentley Root, Morgan Wellenzohn, and Sarah DiMayo we talked about:

• Virtual reality and the contraindications associated
• Mirror therapy and what are appropriate activities
• Action observation opportunities in the hospital with caretakers
• Weightbearing as a rehabilitation technique and safety
• Constraint Induced Movement Therapy
• Including caregivers/friends/colleagues in the rehabilitation process
• Equipment used in clinic and safety

As was stated in part 1 of this podcast “practice makes progress” and practice can come in many forms of therapy. They may be traditional such as mirror therapy and constraint induced movement therapy or non-traditional such as action observations with a family member. No matter what, recovery to desired rolls is possible, with careful consideration from healthcare providers and unique ways friends and coworkers can get involved. A great student take-away is to not underestimate the amount of knowledge we bring to our level II fieldwork sites and supervisors. Therapy is a collaborative process that requires and is enhanced by contributions from various perspectives.

As always, we want to hear your top takeaways!

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Park, J., Chang, M., Kim, K., Kim, K. (2015). The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients. Journal of Physical Therapy Science, 27(6), 1681-1683. https://doi.org/10.1589/jpts.27.1681

Related Noggins And Neurons podcast episodes:

Neuroplastic Beats Spastic

Measuring Spasticity

Subluxation and Shoulder Pain

• Join the Noggins And Neurons Facebook group

• Donate to The Noggins And Neurons Podcast using your PayPal app:

Donate to Noggins And Neurons and get an Allstar Pete Trading Card

• https://creativeconceptsot.gumroad.com/l/sblgnl

PETE’S RESOURCES:

• Pete's book
• Pete's blog

DEB’S OT RESOURCES:

• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
  • https://creativeconceptsot.gumroad.com/l/trifoldmirror
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
  • https://creativeconceptsot.gumroad.com/l/scavengerhunt

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

• Guest Request Form
  • https://forms.gle/PsSFqFjUBSUyV6ud9

MUSIC

Music by scottholmesmusic.com

QR Code to JOIN THE NOGGINS AND NEURONS FACEBOOK GROUP

EPISODE TITLE:  Perspectives on Neuroplasticity Part 1

INTRO: This episode is a conversation between two OTRs and two soon-to-be new grad OTs. The topic of conversation is neuroplasticity, but this discussion dives deep into more specific topics on stroke rehabilitation.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified,  Perspectives on Neuroplasticity Part 1 with Tracy Bentley Root, Morgan Wellenzohn, and Sarah DiMayo, we talked about:

• What is neuroplasticity?
• What does the phrase “practice makes progress” mean to each of us?
• What happens in the brain when changes occur? Building bridges!!
• Visual feedback and imagery

Neuroplasticity is a never ending phenomenon that has many avenues to explore. In a therapeutic mindset, one of the most important lessons to learn when recovering from a stroke is that practice makes progress! There are so many different ways to treat an injury resulting from a stroke including different therapeutic techniques and evidence-based practice. Tune into the second part of this podcast with Tracy, Sarah, and Morgan to learn about more evidence-based practice and techniques that have been experienced and researched.

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION WE TALKED ABOUT:

Khan, F., Amatya, B., Galea, M.P., Gonzenbach, R., Kesselring, J. (2016). Neurorehabilitation: Applied neuroplasticity. Journal of Neurology. 1-13. Doi: 10.1007/s00415-016-8307-9.

Mobile Arm Supports: Evidence-based benefits and criteria for use

• http://dx.doi.org/10.1080/10790268.2008.11760741

Reference to previous Noggins And Neurons episodes:

Neuroplastic beats spastic

Measuring Spasticity

Subluxation and Shoulder Pain

• Questions and Comments about the podcast:
  • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
• Donate to The Noggins And Neurons Podcast using your PayPal app:

Donate to Noggins And Neurons and get an Allstar Pete Trading Card

LINKS TO:

• Pete's book
• Pete's blog
• Deb's OT resources
• The OT's Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)

MUSIC

 Music by scottholmesmusic.com

 Join the Noggins And Neurons Facebook Group

• Allstar Pete trading card

In this episode, I chat with Doro & Lynette from the Neuro Hub. Before he left, Pete told me he wanted them to step in where he left off…for sure those are some pretty big shoes to fill. Our conversation is all over the place, like old friends sitting around the table reminiscing about a loved friend and colleague. We discussed neuro gems we learned from Pete and implications for practice, carrying on his legacy and some of our fears. We had moments of laughter and somber pauses as well. We wound the conversation down with wisdom, trial and error and thinking outside the box…all within clinical reasoning, of course. Topics that came up:

• Lynette as a fan girl & why Pete was such a great teacher
• How Neuro Hub puts learning into practice
• Noggins And Neurons, kindred spirits and instant connections
• Brainstorming around honoring Pete’s legacy and bringing all the cool people together
• Don’t make the perfect the enemy of the good
• Pete as the silent observer who listened…he got it! Learning to listen with intent
• What would Pete say about trying new things…
• Use it and loose it to reduce spasticity

As always, we want to hear your top takeaways!

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

• Allstar Pete trading card

• Pete’s blog, book, Stronger After Stroke, and  talks.
  • Blog
  • Book: Stronger After Stroke, 3rd edition
• Questions and Comments about the podcast:
  • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website

• Debra's Creative Concepts in Occupational Therapy: 
• The OT's Guide to Mirror Therapy 
  • Mirror Therapy Blog Article

• Contact The Neuro Hub, Altamonte, FL

MUSIC “Soft Inspiration“ by Scott Holmes/ Scott Holmes Music

• How we got started and what Deb: Episode link
• The gift of connection – a gift that keeps on giving
• Podcast goal: Episode link
• The healing power of telling our stories. Check out this article , “The Healing Power of Telling Your Story,” by Lissa Rankin, MD
• Jennica Colvin from Trio Rehab & Wellness Solutions
  • Episode link (Jennica & Suzanne Part 1)
  • Episode link (Learned Non-Use)
• Pete’s friend, Todd
• Pete’s student, Alec
• Sarah, a Noggins & Neurons listener
  • Episode link (Neuroplastic Beats Spastic)
  • Episode link (Measuring Spasticity)
• Pete’s exit from this world
• Pete’s friend, Matt
• Pete’s friend Tom
• Gina, a Noggins & Neurons listener
• Official Noggins & Neurons Trading Cards: how it got started and how to get Pete’s Allstar card
  • Episode link
  • Pete’s Allstar Card link
• Ric Hudgens
• Stephen Heim
  • Heim, Drake, & Millar: Cerebellar Ataxia, PART 1
  • Heim, Drake, & Millar: Cerebellar Ataxia, PART 2
• Bill Monroe from Strokecast
  • Pete’s interview with Bill
• Pete’s song: The Glow

LINKS TO CHECK OUT

Pete Levine Allstar Trading Card

Intro Episode: Stroke and TBI Recovery Simplified

Trio Rehab & Wellness Solutions

The Healing Power of Telling Your Story by Lissa Rankin, MD

Jennica & Suzanne from Trio Rehab: PART 1

Stronger After Stroke book

Stronger After Stroke blog:

• where to place the pads for activating the wrist extensors and to lift up the foot
• e-stim

Neuroplastic Beats Spastic

Measuring Spasticity

Learned Non-Use

Heim, Drake, & Millar: Cerebellar Ataxia, PART 1

Heim, Drake, & Millar: Cerebellar Ataxia, PART 2

Pete’s interview with Bill on Strokecast

Bill from Strokecast remembers Pete

Join the Noggins And Neurons Facebook group

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with attorneys Kelly Barret Sarama and Rachel Baldassaro from the Center for Elder Law and Justice. This rich conversation covers:

• Medical legal partnerships and the benefits of having lawyers on healthcare teams
• Getting help while in the hospital or other care facilities through patient advocate and ombudsman services
• How the legal system can help in the areas of quantity and quality of care, getting providers paid and more.
• Navigating Medicare coverage and getting ambulance bills paid.
• Plateaus and baselines as they relate to person-centered care and service provision
• The importance of self-advocacy and the role of healthcare providers in this process, including good, solid documentation as part of advocacy
• Patient bill of rights and what to do if a person thinks their rights are violated while in a healthcare facility.
• Planning for the future: Unpacking advanced directives, health care proxy and other relevant legal terms and directives.

We hope you find this episode helpful!

LINKS TO OTHER IMPORTANT INFORMATION:

Support Noggins And Neurons with Pete’s Allstar Trading Card

National Institute of Health (NIH) Patient Bill of Rights

Center for Elder Law and Justice Website

As always, we want to hear from you! Please email us at NogginsAndNeurons@gmail.com

Questions and Comments about the podcast?

• • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins And Neurons Podcast with PayPal:

• Add the note NEURONS under donation amount)

Pete’s blog and book Stronger After Stroke

• • Blog
  • Book: Stronger After Stroke, 3rd edition

Debra's Website:

• The OT's Guide to Mirror Therapy

• Mirror Therapy Blog Article

Music by scottholmesmusic.com

• Mentorship, learning environments and trying new things
• Overcoming negative cultures, self-confidence, doing your best and resiliency
• Reflective practice and the importance of inquisitiveness for optimal learning
• The pause…Andrea’s strategy for coping when receiving mixed signals, self-regulating and showing up with confidence
• Accountability, self-compassion and grace throughout the learning curve
• Taking our practice to the next level: using small groups for study, learning, and mastery (simple, accountability through own note taking)
• How small groups can be helpful when starting new practice ideas…To decrease feelings of fear and intimidation, getting encouragement while seeking feedback and moving forward
• Andrea’s adaptive equipment prototype – rehab, compensation and feeding independence for quality of life
• Andrea’s commitment to learning this year

LINKS TO OTHER IMPORTANT INFORMATION:

• Pre-Print All Star “Pete” Trading Card
• Evidence-Based Practice Profiles of Physiotherapists Transitioning into the Workforce: A study of two cohorts
• Transitioning From Occupational Therapy Student To Practicing Occupational Therapist: First Year of Employment (Abstract only)
• Enhancing Occupational Therapists’ Confidence and Professional Development Through a Community of Practice Scholars (Abstract only)

As always, we want to hear from you! Please email us at NogginsAndNeurons@gmail.com

Questions and Comments about the podcast?

• • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins And Neurons Podcast with PayPal:

Pete’s blog and book “Stronger After Stroke”

• • Blog
  • Book: Stronger After Stroke, 3rd edition

Debra's Website:

• The OT’s Guide to Mirror Therapy

• Mirror Therapy Blog Article

Music by scottholmesmusic.com

• Learning by hosting a clinical student – what the experience is like from a clinician’s and FW Coordinator’s viewpoint - finding a good fit for site and student
• Role of the environment and workplace culture in facilitating or hindering growth
• How the Covid -19 pandemic changed clinical learning opportunities and experiences
• Selecting appropriate interventions with confidence
• The effects of time “management” on recovery, clinical performance, and outcomes
• Moving away from “shiny object syndrome” to focus on one thing and learning it well for clinical competence and client carryover
• Plateau thinking, breaking out of a rigid mindset, and bringing “home programs” to rehab for wise use of the other hours in rehab to set clients up for success.
• The service gap that occurs when people leave rehab
• Healing is a journey and recovery time varies for each person
• Moving towards a collaborative practice model and benefits of simplicity in practice
• Clinician inspiration, learning curves and bringing meaning into our practices

LINKS TO OTHER IMPORTANT INFORMATION:

Pre-Print All Star “Pete” Trading Card

New York State Continuing Education Presentation

JOURNAL ARTICLES:

Evidence-Based Practice Profiles of Physiotherapists Transitioning into the Workforce: A study of two cohorts

Transitioning From Occupational Therapy Student To Practicing Occupational Therapist: First Year of Employment (Abstract only)

Enhancing Occupational Therapists’ Confidence and Professional Development Through a Community of Practice Scholars (Abstract only)

APPLY TO BE A PODCAST GUEST

As always, we want to hear from you! Please email us at NogginsAndNeurons@gmail.com

Questions and Comments about the podcast?

• • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins And Neurons Podcast with PayPal:

• Use the PayPal app (add the note NEURONS under donation amount)

Pete’s blog and book Stronger After Stroke

• • Blog
  • Book: Stronger After Stroke, 3rd edition

Debra's Website:

• The OT’s Guide to Mirror Therapy

• Mirror Therapy Blog Article

Music by scottholmesmusic.com

• Shares upsetting news impacting all of us. Pete passed away on January 8, 2022 after a brief illness.
• Sends love and well wishes from Noggins & Neurons to Pete’s family, friends and colleagues
• Tell’s everyone that Pete wishes for the podcast to continue, that she assured him she will do all she can to move things forward and notifies the audience that plans for upcoming episodes are in in place
• Acknowledges the need for the Noggins & Neurons community to process and heal our own grief. Speaks to the healing power of stories and provides avenues for listeners to share their Pete stories with each other:
  • Share Pete Stories with voice message here
  • Email: NogginsAndNeurons@gmail.com
• Thanks the Noggins & Neurons community for bringing themselves to the world.

I send all of you much love and appreciation for supporting the podcast. I look forward to hearing from you and continuing this journey together.

As always, we want to hear from you! Please email us at NogginsAndNeurons@gmail.com

LINKS TO OTHER IMPORTANT INFORMATION:

• Remembering Pete
• Leave a Voice Message
• Email: NogginsAndNeurons@gmail.com
• PLEASE NOTE: Any voice recording or email story you contribute may be used on future podcast episodes.

Questions and Comments about the podcast?

• • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins And Neurons Podcast with PayPal:

• Use the PayPal app  (appears as Creative Concepts OT - add the note NEURONS under donation amount)

Pete’s blog and book Stronger After Stroke

• • Blog
  • Book: Stronger After Stroke, 3rd edition

Debra's Website:

• • Mirror Therapy Blog Article

Music by scottholmesmusic.com

OVERVIEW

Doro: That was the neat thing. This one client that had this really big change did nothing else. She just did her little exercises at home…

Lynette: Right

Doro: But no therapy with us or in other facilities. Nothing.

Lynette: She did her basic home program, just to maintain what she already had what she had already been doing…umm…but yeah, it really made a huge impact for her.

Deb: Was this a home program that she already had received prior to coming to you?

Lynette: Yes. She had been doing this home program for a while. Even with us, when we doing OT with her prior to doing BCI, she was doing this home program.

Deb: Hmmm

Doro (Dorothee) Zuleger, OTR/L, CBIS, CSRS, DRS and Lynette Diaz, COTA/L, CSRS, from The Neuro Hub, Orlando/Altamonte Springs, FL join Noggins And Neurons for another enlightening conversation. In this episode we talk about:

• The Low Tech Interventions they use, including the Upper Extremity Ranger, Saebo Glove and paddle board
• The Neofect Suite and how incorporating gaming elicits meaning and competition to promote interest as a Medium level technology intervention
• The RecoverIx Brain-Computer Interface, a High tech intervention – Doro and Lynette cover everything, from how to set it up, get started and client requirements to outcomes; this is one way to get the required (high) number of reps per session
• Home programs are not recommended during BCI treatment
• Allowing clients to use the RecoverIx system when not recommended by the company – clinical reasoning and knowing when to push the boundaries
• Neuroplastic change and success for clients with severe impairments
• Spasticity reduction, inability to move, participate in Box and Blocks Test and low scores on the Fugl-Myer
• Business and clinical impact of introducing the BCI
• Therapy Intensives at The Neuro Hub, fundamentals for recovery and client results

We hope you find this episode useful and that it increases your understanding of technology in stroke recovery.

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com. 

LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:

Science Direct Brain Computer Interface

The Stroop Color and Word Test

Cho, W., Sabathiel, N., Ortner, R., Lechner, A., Irimia, D. C., Allison, B. Z., Edlinger, G., & Guger, C. (2016). Paired Associative Stimulation Using Brain-Computer Interfaces for Stroke Rehabilitation: A Pilot Study. European journal of translational myology, 26(3), 6132. https://doi.org/10.4081/ejtm.2016.6132

Kim, T., Kim, S., & Lee, B. (2016). Effects of Action Observational Training Plus Brain-Computer Interface-Based Functional Electrical Stimulation on Paretic Arm Motor Recovery in Patient with Stroke: A Randomized Controlled Trial. Occupational therapy international, 23(1), 39–47. https://doi.org/10.1002/oti.1403

Motor Imagery Practice and Cognitive Processes

Neofect

Saebo

Upper Extremity Ranger

The Neuro Hub

Recoverix

Questions and Comments about the podcast?

• • NogginsAndNeurons@gmail.com
  • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins And Neurons Podcast with Venmo or PayPal:

• Use your PayPal app - add the note NEURONS under donation amount

Pete’s blog, book, Stronger After Stroke, and talks.

• • Blog
  • Book: Stronger After Stroke, 3rd edition
  • Talks:

• • • October 28, 8:00 PM (ET) The Neuroplastic Model of Spasticity Reduction *Virtual. 

Debra's Website:

• • THE OT'S GUIDE TO MIRROR THERAPY
  • Mirror Therapy Blog Article

• Music by scottholmesmusic.com

Neurodevelopmental Treatment Association

Neuro-Ifrah Organization

PNF & Virtual Reality

Effect of Proprioceptive Neuromuscular Facilitation in Functional Recovery of Patient’s with Stroke – A Review

Effect of task specific training with proprioceptive neuromuscular facilitation on stroke survivors

Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with your PayPal app 

RESOURCES:

• Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
  • Blog: blogspot.com
  • Book: Stronger After Stroke, 3rd edition

Deb's OT Resources:

• Deb's OT resources
• The OT’s Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

✨Google Podcasts  ✨iTunes    ✨Spotify

MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

UPDATE TOPICS: Deb, Pete, the FACES App & what's next

Access the FACES Intervention App:

Google

Apple - Search for FACES Intervention in the app store

Join the Noggins And Neurons Facebook Group

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with Venmo or PayPal:

• Venmo @neurons
• Use the PayPal app (appears as Creative Concepts OT - add the note NEURONS under donation amount)  

Noggins & Neurons Facebook Group: CLICK HERE or scan below!

OVERVIEW:

Dr. Berk: So, I think devices offer a really improved approach to neurologic problems and they don’t need to be taken every day like a pill, so compliance is 100% and up until now we really haven’t had many devices in the field. But I think going forward we will…

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete talks with Bradford C. Berk, MD, PhD. About his experience professional and personal experiences. They cover many topics, including:

• Dr. Berk’s book, “Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury,” enlightenment and sins that writers commit.
• Depression and anxiety following acute neurological injury, behavior, and insight.
• Rehab and recovery and what the literature tells us about best treatments. Limitations, straightforward questions and finding answers.
• Research is clunky, people’s perceptions cause conflicts and the importance of having a solid clinical practice.
• Everyone receives V.I.P. care at the hospital Dr. Berk was a patient at. Clinician insecurities show up when taking care of people with credentials.
• The Neuro Restoration Institute focuses on restoring function and neuroplasticity for recovery. Using energy wisely and prioritizing recovery to optimize function.
• Standing, walking, body functions, spinal cord pathways and complete vs incomplete spinal cord injuries.
• Central Pattern Generators can be used to aid in recovery.
• The role of medical devices in healthcare.
• Berk’s lived experience and how it shapes his medical practice. Patient/family centered care – the importance of attention, compassion and interpersonal relationships for recovery!
• Progressive neurodegenerative diseases, research and hope as good medicine.
• Physiology, depression, psychological states, being able to interpret body sensations and helping people who struggle with interoception.
• The future of recovery - devices, smart devices, electronics and adapting for success.

Whoever you are and whatever your place in life, we hope you find this interesting conversation beneficial!

Dr. Bradford C Berk's book: Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury

Dr. Berk's...

• Facebook page
• Instagram 
• Website
• Dr. Berk's lab University of Rochester Neurorestoration Institute (URNI)

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with PayPal:

Pete’s blog, book, Stronger After Stroke, and talks.

• • Pete's Seminars
    • Stroke and TBI Recovery - Three Part Series
    • The Neuroplastic Model of Spasticity Reduction
  • Blog
  • Consultation with Pete
  • Book: Stronger After Stroke, 3rd edition
• Debra's Resources
• • THE OT'S GUIDE TO MIRROR THERAPY
  • Mirror Therapy Blog Article

• Music by scottholmesmusic.com

Noggins & Neurons Facebook Group: CLICK HERE or scan below!

OVERVIEW:

Stephen: Even as simple as cracking an egg, I cannot do it one handed, I can’t do it 2-handed any more…so, I got on Amazon and if you put in 1-handed, a whole list of items comes up and I got an egg cracker that I can put the egg in and crack it with one hand. It’s a device, a lot of people, including some very close to me have said, ‘Oh that’s just lazy.’ Like I just say, google home so I can control my lights and or set an alarm with just using my voice and you know, I hear ‘Oh get up and turn your lights off or turn your light off…’ Well that is not easy for me to do and I’m not being lazy, I’m being efficient and that is how I have structured everything from the bathroom, from driving…efficiency.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb continue our conversation with physical therapists Jennifer Millar and Meredith Drake from Johns Hopkins Ataxia Center in Baltimore, MD, and cerebellar stroke survivor Stephen Heim. We learn more:

• Balance Weighted Torso Training – which uses a weighted vest to improve balance. While Stephen doesn’t think it’s a miracle cure, he did feel more stable with the vest on. Jennifer and Meredith explain it in more detail, also reminding us that limb weights are not effective in treating ataxia. Motiontherapeutics.com
• Dysmetria, driving, vehicle modifications and driving rehab – Stephen describes his compensatory strategies for safe driving. The more he drives, the better he gets. Stephen reports he is able to listen to music and podcasts while he drives but he is not able to talk. Texas work force division assists with payment for some vehicle modifications.
• Challenges with executive functions following stroke, despite testing showing no deficits. Stephen describes his real-world experience with cognitive functions and strategies he uses to compensate and make it successfully through the days.
• Basic home tips and tricks are available on the ataxia.org website for a treasure trove of energy conservation techniques for people with ataxia. Using one-handed items and voice activation devices to conserve energy, stay safe and give oneself the space to progress towards other life goals following stroke – it’s not laziness and we need to stop telling people they’re lazy when in fact, they’re open minded towards creating a better life for themselves.
• Cognition tends to still be missed, is perhaps incorrectly assessed, and remains under addressed following stroke! This includes gait speed. Community level gait speed within clinic testing but wearable tracking devices show significantly slower gait speeds once people leave therapy and clinical inability to accurately capture real-world cognitive functioning. Loss of automaticity has a negative impact on ease of function. 
• Practice vs compensation for people who’ve experienced a cerebellar stroke compared with those who have a neurodegenerative disease.
• Exercise programs, adaptive training at a local gym, using a pool to improve ambulation and locating a neuro therapy practice to establish a safe home exercise program, making a lifetime commitment to oneself and tracking progress.
• The importance of a debrief for increasing life success following stroke. Know yourself and know your limits – take the time you need and don’t be afraid to adapt the way you do things.

We hope you find value in Part 2 of our engaging conversation!

• A copy of last year’s annual meeting lectures may be found on the National Ataxia Foundation website including “Mobility and Exercise: Strategies to keep moving while sheltering in place”, as well as other lectures including home safety considerations, adaptive recreation, living and coping with ataxia. There is a treasure trove of information and resources within these lectures.
• BalanceWear a Weighted Vest for Ataxia
• One-handed products
• Ataxia Foundation's support group network
• Weighted Vest for Ataxia
• The Ataxian Movie | Life Is About How We React

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with your PayPal app

Pete’s blog, book, Stronger After Stroke, and talks.

• • Pete's Seminars
    • Stroke and TBI Recovery - Three Part Series
    • The Neuroplastic Model of Spasticity Reduction
  • Blog
  • Consultation with Pete
  • Book: Stronger After Stroke, 3rd edition

• • Deb's OT Resources:

    • Deb's OT resources
    • The OT’s Guide to Mirror Therapy
    • Tri-Fold Mirror (US address only)
    • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

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MUSIC:

“Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

Noggins & Neurons Facebook Group: CLICK HERE or scan below!

OVERVIEW:

Meredith: The brain stimulation program that we’re doing at Hopkins is we’re applying transcranial direct current stimulation to people who’ve had multiple types of brain injuries. The most common population that we see are strokes. The concept of this non-invasive brain stimulation is that it promotes neuroplasticity and so we combine it with intensive therapies. You come every day for 3 weeks and we’re trying to do this really intensive therapy plus the non-invasive brain stimulation so we’re hoping it’s like a double whammy of neuroplasticity and that we’re really trying to get the brain to get excited…excite those cortical tissues and get them to start re-organizing and healing themselves.

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with physical therapists Jennifer Millar and Meredith Drake from Johns Hopkins Ataxia Center in Baltimore, MD, and cerebellar stroke survivor Stephen Heim. We uncovered the following:

• Cerebellum is latin for “little brain.” It coordinates coordination. The cerebellum is where movement coordination and motor learning mostly occurs. The role of the cerebellum is to predict and smooth out our movements in response to sensory stimuli. It is a complicated structure.
• An impaired cerebellum is very debilitating to the body. Damage impacts motor learning and motor planning, which means traditional therapy is ineffective.
• The cerebellum works ipsilaterally with the other brain structures to produce movement.
• Dual task engagement is not effective for people with cerebellar damage. Using a new device such as a rolling walker adds another aspect to a task. Walking and talking should not occur together.
• Parkinson’s treatment principles do not merge well with interventions to treat cerebellar ataxia.
• Therapy for cerebellar ataxa focuses on balance, dynamic challenges and weight shifting rather than strength training. Most people with cerebellar ataxia have good strength. Practice and repetition are key for recovery. Tai Chi, yoga and swimming are effective interventions for ataxia.
• Dysmetria is a challenge for Stephen, whether he under shoots or overcorrects – he still has trouble. He finds it annoying despite knowing the challenge exists. He uses a wheelchair for mobility and finds this conserves energy.
• We learned compensatory strategies and devices that may help with dysmetria and ambulation when ataxia is present.
• The origin of the Johns Hopkins Ataxia center and services provided. The brain stimulation program promotes neuroplasticity with intensive therapy…It doesn’t cure but does advance outcomes beyond those that occur without using brain stimulation as an intervention.

We hope you find value in Part 1 of our conversation!

• LifeGlider Hands-free, upright, "fall-safe" mobility.
• National Ataxia Foundation
• OT Strategies for Improving Daily Living Independence
• Educational webinars about Ataxia

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with your PayPal app:

Pete’s blog, book, Stronger After Stroke, and talks.

• • Pete's Seminars
    • Stroke and TBI Recovery - Three Part Series
    • The Neuroplastic Model of Spasticity Reduction
  • Blog
  • Consultation with Pete
  • Book: Stronger After Stroke, 3rd edition

Deb's OT Resources:

• Deb's OT resources
• The OT’s Guide to Mirror Therapy
• Tri-Fold Mirror (US address only)
• Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

• Music by scottholmesmusic.com

Noggins & Neurons Facebook Group: CLICK HERE or scan below!

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb talk with Jennica Colvin and Suzanne McCrum from Trio Rehabilitation in Texas. We learned about private clinic ownership and more. Topics we covered include:

• Jennica encourages listeners to follow their dreams
• Brain primers, intervention, affordable interventions and getting started with home programs to facilitate success
• Re-establishing brain control over the flexors, stress balls and stretching
• Using the right questions and proper education to clients and caregivers
• Slings, cost, subluxation, learned non-use, pain and balance
• Subluxation, e-stim, markers and videos
• Sleep after stroke, home assessments and intervention
• Paying attention to prevent falls and learning floor transfers
• Using video recording to facilitate physical & cognitive rehab
• The role of music in aphasia recovery
• Vestibular rehab, stroke and Benign Paroxysmal Positional Vertigo

We cover a lot of ground across 3 episodes with Jennica and Suzanne. We hope you find value in our conversation!

Trio Rehabilitation & Wellness Solutions (website)

Trio Rehabilitation & Wellness Solutions (Facebook Page)

As always, we want to hear your top takeaways! Please email us at NogginsAndNeurons@gmail.com.

Questions and Comments about the podcast?

• • NogginsAndNeurons: The Website
  • Noggins And Neurons Facebook Group

Donate to The Noggins & Neurons Podcast with your PayPal app:

Pete’s blog, book, Stronger After Stroke, and talks.

• • Pete's Seminars
    • Stroke and TBI Recovery - Three Part Series
    • The Neuroplastic Model of Spasticity Reduction
  • Blog
  • Book: Stronger After Stroke, 3rd edition

• Deb's OT Resources:

  • Deb's OT resources
  • The OT’s Guide to Mirror Therapy
  • Tri-Fold Mirror (US address only)
  • Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults

  REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!   Guest Request Form

  MUSIC:

  “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com