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Updated 13/09/2024
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15 May

Neuro Navigators Episode 27: High-Intensity Gait Training: Is It More Than Just Walking?

Join Dr. Annie Tapp, PT, DPT, PhD, NCS, an expert in implementation science and neurologic rehabilitation, as she breaks down the active ingredients of effective gait interventions. Alongside host J.J. Mowder-Tinney, you’ll discover how to move beyond “just walking” by using a clinical reasoning framework to prioritize gait subcomponents like stance stability and limb advancement. Together, they explore practical strategies for maintaining high intensity without sacrificing biomechanical specificity. You will learn how to calibrate sessions in real time and embrace patient errors as essential drivers for neuroplasticity. Learning Outcomes Analyze the evidence around high-intensity gait training and the motor learning principles that support its useApply evidence-based, practical strategies to actionably address the biomechanical subcomponents of gait in individualized training sessionsSolve patient case scenarios involving the design and progression of high-intensity subcomponent-targeted interventions for patients with strokeTimestamps (00:00:00) Welcome(00:00:05) Introduction to high-intensity gait training(00:02:54) Challenges in understanding abnormal gait(00:04:48) Functional subcomponents of gait(00:07:41) Barriers to implementing high-intensity gait training(00:11:01) Alternative approaches to high-intensity training(00:14:36) Motor learning and individualized interventions(00:16:50) Addressing cognitive impairments in therapy(00:18:52) High-intensity training for nonambulatory patients(00:21:48) Creating engaging therapy sessions(00:24:05) Examining gait components in therapy(00:30:00) Motivating patients through progression(00:32:49) Documentation strategies for clinicians(00:35:00) Heart rate and RPE in therapy(00:39:18) Building patient buy-in(00:41:58) Key takeaways for clinicians(00:42:58) Case study: outpatient stroke rehabilitation(00:48:38) Case study: inpatient stroke rehabilitationNeuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ IG: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/medbridgeteam/⁠

15 May

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59 min
15/11/2024

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

⁠Dr. Darcy Reisman⁠, professor and chairperson of the department of physical therapy at the University of Delaware, joins host ⁠J.J. Mowder-Tinney⁠ for an engaging discussion on poststroke rehabilitation, with a focus on walking recovery. A true knowledge translator, Dr. Reisman shares her extensive research and outlines practical strategies for improving both clinical walking capacity and real-world walking performance. Tune in to discover how bridging the gap between research, therapy, and real life can help your patients achieve their walking goals both in and beyond the clinic. Learning Objectives Interpret the evidence surrounding walking capacity vs. walking performance after stroke Apply evidence-based strategies to enhance walking recovery in poststroke patients Incorporate motivational interviewing-type techniques and patient-centered goal setting in stroke rehabilitation Timestamps (00:00:00) Welcome (00:00:29) Introduction to guest (00:01:30) Background and research focus (00:04:49) Understanding walking capacity vs. performance after stroke (00:09:42) Research findings on capacity and performance interventions (00:12:50) Behavioral interventions in stroke rehabilitation (00:16:11) Step activity monitoring behavioral intervention explained (00:19:30) Setting realistic goals for patients (00:22:52) The importance of specificity in rehabilitation goals (00:25:40) Motivational interviewing type techniques for patient engagement (00:30:45) Integrating heart rate monitoring in therapy (00:34:28) High-intensity training and its impact on recovery (00:39:17) Empowering patients as athletes in their recovery (00:43:04) Case study: Applying research to practice (00:51:42) Final thoughts and words of wisdom Resources Mentioned in Episode ⁠PROWALKS Study⁠ Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Navigators, visit ⁠https://www.medbridge.com/neuro-navigators⁠ If you’d like to subscribe to Medbridge, visit ⁠https://www.medbridge.com/pricing/⁠

15/11/2024

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54 min
25/03/2022

House Call Episode 3: Being Empathetic and Expressing Empathy

Empathy allows the clinician to gain insight into a patient’s motivational level and potential barriers for health behavior changes. In this course, we explore ways to use an empathic approach during a patient home health visit. Learning Objectives After completing this course, learners should be able to Recognize empathy in patient care Identify empathic statements in patient care Demonstrate empathetic expressions that improve the patient experience House Call is brought to you by MedBridge Education. If you’d like to see if you can earn continued professional development credit for listening to this episode, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. To hear more episodes of House Call, visit https://www.medbridgeeducation.com/house-call If you’d like to subscribe to MedBridge, visit https://www.medbridgeeducation.com/pricing/

25/03/2022

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14 min
25/03/2022

House Call Episode 1: Assessing Patient Readiness to Change

It is important for clinicians to understand patients’ readiness for change. In this course, we explore the ways to assess a patient’s readiness to change during a home health visit. Understanding when a patient is in the precontemplation stage of change and is not ready to change allows the clinician to gain insight into a patient’s motivational level and potential barriers for positive health behavior changes. Learning Objectives After completing this course, learners should be able to Identify precontemplation stage of change Demonstrate strategies to support a patient who is not ready to change Outline the process for moving from precontemplation to contemplation stage of change House Call is brought to you by MedBridge Education. If you’d like to see if you can earn continued professional development credit for listening to this episode, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. To hear more episodes of House Call, visit https://www.medbridgeeducation.com/house-call If you’d like to subscribe to MedBridge, visit https://www.medbridgeeducation.com/pricing/

25/03/2022

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14 min
14/01/2025

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

In this episode we welcome Dr. Candace (Candy) Tefertiller, an expert in spinal cord injury (SCI) rehabilitation, to explore the exciting potential of transcutaneous spinal stimulation (TSS) in augmenting motor recovery. Candy breaks down the mechanisms behind TSS, offers insights into the latest research, and shares the current and emerging clinical applications of this noninvasive technique. Together with host J.J. Mowder-Tinney, we dig into key considerations for therapists, including patient outcomes, and strategies for keeping a pulse on relevant research. Listen in to learn how TSS might be the next innovative intervention to augment SCI recovery. Learning Objectives Interpret the evidence around the underlying mechanism associated with noninvasive spinal stimulation to facilitate sensory and motor recovery after SCIApply evidence-based, practical strategies to actionably address motor recovery and activation after SCI, with a focus on enhancing functional outcomes in daily activitiesSolve patient case scenarios involving individuals with limited voluntary motor activation after SCI Timestamps: (00:00:00) Welcome(00:0049) Introduction to guest(00:03:05) Background and research focus(00:06:14) The impact of noninvasive spinal stimulation(00:10:04) Understanding transcutaneous spinal stimulation mechanisms(00:14:03) Comparing noninvasive and invasive spinal stimulation(00:15:54) Patient tolerance and individual variability in stimulation(00:18:01) Distinguishing between spinal and peripheral nerve stimulation(00:20:57) Current research status and future directions(00:25:38) Understanding noninvasive spinal stimulation(00:27:48) Research insights and case studies(00:30:55) Impact on spasticity and functional improvements(00:37:16) Key considerations for therapists(00:45:30) Real-world applications and patient engagement(00:48:51) The future of physical therapy and research Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators If you’d like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

14/01/2025

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52 min
15 Jun

Neuro Navigators Episode 28: Trust in FND: What Builds It—and What Breaks It? (Live Podcast Recording)

This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from those of standard podcasts. Join host J.J. Mowder-Tinney, PT, PhD, NCS, for an insightful conversation with Julie Hershberg, PT, DPT, NCS, a renowned expert with over two decades of experience navigating the complexities of functional neurological disorder (FND). Together, they unpack the critical—and often fragile—role of the therapeutic alliance, exploring how past medical stigma and past clinical “gaslighting” can derail patient progress before treatment even begins. You will discover how to identify subtle “trust-breakers” in your own practice and replace them with actionable, evidence-based strategies that center the patient’s wisdom. Tune in to learn how to move beyond simple patient education and build a collaborative partnership that fosters genuine healing. Learning Outcomes Analyze the evidence related to medical stigma and the impact of mistrust on clinical outcomes in functional neurological disorder (FND)Apply evidence-based, practical strategies to build trust and foster patient-led collaboration in FNDIntegrate case-based approaches to restore therapeutic alliance and strengthen rapport with individuals with FNDTimestamps (00:00:00) Welcome(00:00:00) Introduction to trust in FND(00:02:11) Building trust with patients(00:10:23) Understanding stigma in healthcare(00:15:36) Impact of stigma on trust(00:18:45) Explaining FND to patients(00:24:00) Interdisciplinary team approach(00:31:50) Discharge recommendations for FND patients(00:34:25) Starting therapy with FND patients(00:36:35) The importance of listening and believing patients(00:40:28) Building trust through empathy and understanding(00:47:40) Creative approaches in therapy sessions(00:59:20) Navigating insurance and patient care(01:10:00) Family dynamics and patient belief(01:11:00) Unusual adaptations in therapy for trust buildingNeuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ IG: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/medbridgeteam/⁠

15 Jun

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1hr 15min
16/09/2025

Neuro Navigators Episode 19: Focal Dystonia: Can We Really Retrain the Brain?

Dr. Nancy Byl, a pioneer in neuroplasticity and expert in focal dystonia, joins host J.J. Mowder-Tinney for a dynamic conversation on how OTs and PTs can rethink assessment and intervention for this underrecognized movement disorder. J.J. brings curiosity and clinical insight as they explore the sensory origins of dystonia, surprising traits shared by many patients, and why behavioral retraining may hold more promise than you think. Along the way, Dr. Byl shares case examples, brain mapping data, and creative treatment strategies grounded in decades of experience. Tune in to discover how targeted sensory retraining—and a little outside-the-box thinking—may help retrain the brain. Learning Objectives Analyze the evidence around the definition, diagnosis, and prevalence of focal dystonia (FD)Apply evidence-based, practical strategies to address the treatment of FD, grounded in principles of neuroplasticity and behavioral interventions, and to support engagement in meaningful occupationsSolve patient case scenarios involving FD while integrating current research, clinical reasoning, and potential directions for future investigation Timestamps (00:00:00) Welcome(00:01:05) Introduction to guest and focal dystonia research(00:06:56) Understanding focal dystonia in context(00:11:16) The impact of focal dystonia on lives(00:16:01) Personality traits and focal dystonia(00:18:35) Neuroscience insights into dystonia(00:24:39) Behavioral retraining and dystonia(00:28:18) Patient characteristics and outcomes(00:33:49) Assessment techniques for dystonia(00:46:08) Innovative treatment approaches(00:47:17) The role of behavioral training in recovery(00:49:46) Real-life retraining success stories and insights Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠ IG: ⁠⁠https://www.instagram.com/medbridgeteam/

16/09/2025

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1hr 1min
15 Jun

Speech Scope Episode 28: Dysphagia Mythbusting: How Do We Facilitate QoL With Compromise?

Dr. Amber Heape, ClinScD, CCC-SLP, CDP, joins host Sarah Baar to unpack some of the most common and controversial myths surrounding dysphagia management in residential care. Drawing from over two decades of clinical leadership and teaching experience, Amber and Sarah challenge long-held assumptions about compliance, patient choice, and what truly supports quality of life. Together, they explore how clinicians can shift from fear-based decision-making to evidence-informed, person-centered care. Tune in as we navigate the gray areas of dysphagia practice and explore what it really means to compromise for the sake of dignity and autonomy. Learning Outcomes Analyze the evidence around dysphagia management practices in residential care settings, with a focus on ethical considerations and person-centered careDetermine the situations in which individualized care planning and interdisciplinary collaboration provide the most benefit for balancing aspiration risk and quality of lifeSolve patient case scenarios involving dysphagia management by applying current evidence, patient autonomy, and ethical communication strategies in team-based careTimestamps (00:00:00) Welcome(00:00:05) Introduction and the ethics of dysphagia(00:01:18) Guest introduction: Dr. Amber Heape(00:03:40) The evolution of evidence-based practice(00:05:19) Myth: waivers and the Medicare Benefit Policy Manual(00:09:32) Myth: patient choice and decision-making capacity(00:14:23) Strategies for quality of life compromises(00:17:42) Myth: clinical judgment vs. the patient's lived experience(00:24:00) Myth: discharge due to “noncompliance“(00:29:18) Myth: aspiration risk and altered consistencies(00:32:24) Myth: cultural perspectives on food and caring(00:34:57) Impact on assessment time and planning(00:36:45) Shifting facility culture through communication(00:41:48) Top three actionable takeaways(00:44:05) Experiential learning and clinical empathy(00:48:08) Final words of wisdom Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

15 Jun

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50 min
15 Jan

Neuro Navigators Episode 23: FND in Practice: What Myths Are Holding Us Back?

Leading neurorehabilitation expert Julie Hershberg, PT, DPT, NCS, joins host J.J. Mowder-Tinney, PT, PhD, to dismantle the persistent myths and "weird" clinician behaviors that often hinder the treatment of functional neurological disorder (FND). Together, they bridge the gap between outdated assumptions and current neuroscience, exploring the predictive brain model and the high prevalence of comorbid conditions. You will learn why practitioners should shift from a diagnosis of exclusion to a positive clinical framework that prioritizes building trust and addressing underlying sensory processing difficulties. You will also gain actionable strategies to treat FND with the same clinical rigor and confidence as any other neurologic condition, ensuring your patients feel truly seen and supported. Learning Objectives Analyze the evidence around functional neurological disorder (FND), including common myths, neurobiological mechanisms, and diagnostic clarityApply evidence-based, practical strategies to actionably address assessment and treatment planning for individuals with FND, including sensory, autonomic, and psychosocial factorsSolve patient case scenarios involving FND by using whole-person, trust-building approaches to guide interdisciplinary treatment and improve functional outcomesTimestamps (00:00:00) Welcome(00:00:05) Introduction and clinical training gaps(00:01:30) Guest background and professional evolution(00:03:37) Overcoming the stigma of "weird" therapy(00:08:30) Debunking common FND myths(00:10:10) Clinical diagnosis and neurological evidence(00:13:27) Reviewing current treatment research(00:16:30) Screening for comorbid conditions(00:18:10) Autonomic nervous system considerations(00:20:09) Integrating sensory and lifestyle factors(00:21:45) Patient triage and readiness for change(00:26:58) Acceptance of the brain-based model(00:29:04) Assessment priorities and heavy hitters(00:32:37) Practical sensory and autonomic interventions(00:35:45) Establishing radical trust with patients(00:37:46) Family education and environmental influence(00:39:55) Promoting patient advocacy and autonomy(00:46:10) Top three actionable takeaways(00:47:04) Case studies in holistic recovery(00:53:15) Creative adaptations in functional therapyNeuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠⁠⁠⁠⁠ IG: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/medbridgeteam/

15 Jan

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58 min
13 Mar

Neuro Navigators Episode 25: The Power of Strategy: How Do We Optimize Independence?

In this episode, host J.J. Mowder-Tinney sits down with Dr. Elizabeth Skidmore, PhD, OTR/L, FACRM, FAOTA, to challenge how we view the "silent epidemic" of cognitive impairments in rehabilitation. They explore moving from traditional "drill and repeat" exercises to Strategy Training. This metacognitive approach helps clients lead their recovery through active learning. You’ll discover how the START framework uncovers subtle executive function deficits, supporting greater independence for even complex patients. Learn how slowing down your clinical approach can accelerate patients’ return to meaningful community participation. Addendum:This episode discusses Strategy Training for individuals who can learn new skills and generalize them, such as people with acquired brain injury. Dr. Skidmore notes that Strategy Training is not suitable for individuals with moderate to severe dementia or significant clinical apathy. For these populations, clinicians should instead focus on errorless learning and habit training to help maintain structured routines. Learning Outcomes Analyze the evidence around attention and executive function after acquired brain injuryApply evidence-based, practical strategies to actionably improve rehabilitation outcomes for this populationSolve patient case scenarios focused on achieving community independence and participation after acquired brain injuryTimestamps (00:00:00) Welcome(00:00:05) Introduction to cognitive rehabilitation(00:02:48) Understanding cognitive impairments(00:06:00) Screening and assessment tools(00:08:50) Communicating cognitive changes(00:11:53) Interventions for cognitive impairments(00:15:10) Metacognitive strategies in therapy(00:18:00) Guided discovery in practice(00:20:59) Addressing attention and executive function(00:23:45) Real-life application of strategies(00:28:00) Building client independence(00:33:50) Engaging family in therapy(00:45:30) Impactful takeaways for therapists(00:55:18) Conclusion and reflectionsNeuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ IG: ⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/medbridgeteam/

13 Mar

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58 min

Medbridge podcasts are a collection of shows that equip and support healthcare professionals with the latest evidence, best practices, and practical takeaways for optimal patient care. For more information about Medbridge, check out https://www.medbridge.com/