I Love Neuro

Erin Gallardo and Claire McLean

We are a couple of neurologic physical therapists on the quest to keep the passion, commitment, and possibilities alive for those who love neuro rehab and wellness like us, without burnout and overwhelm. This show is great for neuro therapists and trainers looking to stay up to date and make a greater impact. Join us in this important movement to elevate healthcare!

  1. Sep 21

    336: Stop Guessing, Start Localizing: Dr. Jennifaye V. Brown, PT, MSPT, PhD, NCS, CAPS, on Neuroanatomy-Driven Treatment

    Why do two patients with what looks like the same stroke on paper walk out of rehab so differently — and why does a home exercise program built on ankle pumps and heel slides so often fail the people who need it most? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Dr. Jennifaye V. Brown, PT, MSPT, PhD, NCS, CAPS, a four-time ten-year board-certified neurologic clinical specialist and author of Brace Yourself: Everything You Need to Know About AFOs After Stroke, about why going back to foundational neuroanatomy — knowing exactly where a lesion sits, how large it is, and how edema and brain shift distort the initial picture — is the difference between generic protocols and precision rehab. Dr. Brown walks through how she uses movement observation and cranial nerve testing to localize lesions when imaging isn't available, why upper versus lower motor neuron signs (and even mixed presentations) change her clinical reasoning, and how she builds five-exercise home programs tailored to a specific synergy pattern, flexion contracture, or cerebellar presentation rather than handing out the same generic list to every client. The conversation also digs into intensity: why so many stroke survivors aren't actually reaching the high-intensity thresholds the neuroplasticity research calls for, how Dr. Brown uses culturally relevant, music-paced activities and a color-coded RPE scale to get clients there, and why she separates muscle strengthening from muscle endurance in her programming. She previews a case study she'll present in an upcoming NeuroSpark webinar and makes the case for how clinicians can build self-efficacy rather than aim to see patients forever by using neuroanatomy.   Order ebook (Flipbook or PDF): jvbneuropt.com/book Website: jvbneuropt.com LinkedIn: https://www.linkedin.com/in/jennifaye-brown-pt-mspt-phd-ncs-caps/ YouTube: https://www.youtube.com/channel/UC-0M-apffkZl4vqjAqomd8g Email: info@jvbneuropt.com Get Dr. Jennifaye Brown's 90 minute AFO FITT-CORRECT: A Plan to Improve Foot Drop Webinar Just $29.99

  2. Aug 24

    332: Can Transcutaneous Stimulation (TSS) Help Patients With Spinal Cord Injuries Improve? With Dr. Yi-Kai Lo, PhD and Rose Tilton, OTR/L, OTD

    In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Rose Tilton, OTR/L, OTD, an occupational therapist at Marquette University's Neuro Recovery Clinic, and new guest Dr. Yi-Kai Lo, PhD, CEO and co-founder of ANEUVO, about transcutaneous spinal stimulation (TSS) for people with spinal cord injury. Rose shares how she discovered TSS through her own research, became a clinical trial site investigator at Marquette, and now uses ANEUVO's ExaStim® device — a multi-channel electrode array system that can be individually programmed and timed to match specific functional movements — alongside other TSS devices on the market, including ONWARD Medical's ARC-EX. Dr. Lo walks through the engineering behind ExaStim, how the device is positioned and calibrated for each patient, and the proposed mechanism of amplifying descending brain signals to the spinal cord. Together they cover who's actually a good candidate (spoiler: it's hard to predict), what a typical treatment session looks like from aerobic priming through hand-strengthening work, and real patient outcomes ranging from improved grip and transfers to unexpected anecdotal gains, like bowel and bladder function for some. Dr. Lo also shares results from ANEUVO's ASPIRE clinical trial and home-use study, including a newly designated CPT code that will make TSS billing possible starting January 2027. Whether you're new to TSS or already using it in your practice, this conversation is full of practical, clinically grounded insight into where this intervention is headed. ANEUVO website: aneuvo.com Contact ANEUVO here: contactus@aneuvo.com Dr. Lo LinkedIn: https://www.linkedin.com/in/yi-kai-lo-53531977/ Dr. Lo Google Scholar: https://scholar.google.com/citations?user=cqiyyYgAAAAJ&hl=en ANEUVO LinkedIn: https://www.linkedin.com/company/aneuvo 276: Clinical Use of Spinal Stimulation for SCI Rehab with Rose Tilton, OTR/L, OTD

  3. Aug 10

    330: Working With The "Excluded" Patient: A Case Study Using Modified CIMT After Stroke With Briana Elson, MS, OTR/L, BCPR, CBIS

    What do you do when the most evidence-based intervention you have is also the one your patient is "not allowed" to receive? Constraint-induced movement therapy has decades of research behind it, yet its exclusion criteria — especially around cognitive impairment — rule out a huge share of the stroke survivors clinicians actually see. In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, talk with neuro OT Briana Elson, MS, OTR/L, BCPR, CBIS, about her decision to try modified CIMT with an 86-year-old stroke patient who had significant cognitive impairment and underlying dementia — a textbook exclusion — and why his profile, a left-handed man whose affected side was his dominant hand, made forced use feel natural and salient rather than confusing. Briana walks through how she built the protocol around safety and supervision in inpatient rehab: getting a physician order for the constraint mitt, educating and enlisting his wife, keeping a consistent daily schedule, breaking the three-to-six hours into non-consecutive blocks, and removing the mitt before late-day sundowning. She shares the outcomes that surprised even her skeptics — meeting the minimal detectable change on the Box and Block Test and a standardized motor scale within roughly thirteen days, plus real gains in grooming and feeding independence — alongside the honest caveats, including that his cognition never improved and that real-world delivery never looks as clean as the published article. It's a practical, encouraging conversation about reading the research, respecting its limits, and giving more patients a shot at an intervention they're usually told they can't have.

5
out of 5
35 Ratings

About

We are a couple of neurologic physical therapists on the quest to keep the passion, commitment, and possibilities alive for those who love neuro rehab and wellness like us, without burnout and overwhelm. This show is great for neuro therapists and trainers looking to stay up to date and make a greater impact. Join us in this important movement to elevate healthcare!

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