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2024. 09. 13.

6월 15일

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/⁠

6월 15일

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1시간 15분
6월 15일

Rehab and Performance Lab Episode 27: ACL Graft Choice: Is There a New Gold Standard?

Join host Phil Plisky, PT, DSc, ATC, CSCS, as he sits down with Matt Daggett, DO, MBA, a dual fellowship-trained orthopedic surgeon and leading member of the international SANTI research group. Together, they explore the evolving landscape of ACL reconstruction, moving beyond traditional graft debates to discuss the critical role of lateral extra-articular procedures (LEAP) in reducing reinjury rates. You’ll gain expert perspective on individualizing graft selection—including the promising rectus tendon autograft—and why addressing the "lateral side" of the knee is essential for long-term stability in high risk athletes. From debunking trends such as the cross-bracing protocol to mastering criteria-based return-to-sport transitions, this conversation provides the practical, evidence-based tools you need to optimize patient outcomes. Learning Outcomes Analyze the evidence around graft selection for ACL reconstruction and the use of lateral extra-articular procedures (LEAP) to improve rotational stability and reduce graft failureApply evidence-based, practical strategies to actionably address rehabilitation progression, return-to-sport timing, and the management of arthrogenic muscular inhibition (AMI) following ACL reconstructionSolve patient case scenarios involving ACL reconstruction graft selection based on patient demographics, sport-specific demands, and individual risk factorsTimestamps (00:00:00) Welcome(00:00:05) Introduction to ACL reconstruction and graft selection(00:02:18) Diverse perspectives in orthopedic surgery(00:04:20) Types of grafts for ACL reconstruction(00:08:45) Concomitant procedures and lateral knee stability(00:11:19) An overview of LEAP(00:15:25) Understanding combined instabilities in ACL injuries(00:18:44) Consensus statements and recommendations(00:21:48) The evolution of ACL surgery techniques(00:26:26) Cross-bracing protocol: a critical review(00:28:50) Decision-making in surgical procedures(00:32:18) Graft choices: hamstring, quad, and rectus(00:35:05) Rehabilitation perspectives and early activation(00:41:10) Return to sport: psychological readiness and timeframes(00:46:58) Key takeaways and future innovationsRehab and Performance Lab 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 Rehab and Performance Lab, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/rehab-and-performance-lab⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

6월 15일

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53분
5월 15일

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/⁠

5월 15일

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59분
6월 15일

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/

6월 15일

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50분
5월 15일

Rehab and Performance Lab Episode 26: Dry Needling Research: Why Are the Results So Inconsistent?

Dr. Edo Zylstra, PT, DPT, a leader in the development and teaching of dry needling techniques, joins host Phil Plisky for a deep dive into one of the most debated modalities in rehabilitation. Phil and Edo revisit decades of clinical experience, challenge assumptions in the research, and explore why dry needling may succeed—or fall short—depending on how and when it’s applied. Together, they discuss the gap between controlled trials and clinical practice and offer you a compelling neurological lens for rethinking musculoskeletal care. If you’ve ever wondered why the literature on dry needling is all over the map, this conversation is for you. Learning Outcomes Analyze the evidence around how to improve clinical effectiveness with dry needling and other manual therapy toolsApply evidence-based, practical strategies to address patient symptoms by assessing and treating underlying mechanismsSolve patient case scenarios involving the integration of a neurological lens in orthopedic assessment and interventionTimestamps (00:00:00) Welcome(00:00:05) Introduction to dry needling(00:05:17) Understanding dry needling: physiology and mechanism(00:08:12) Clinical applications and considerations for dry needling(00:21:30) Research insights: efficacy and limitations of dry needling(00:32:50) Case study: practical application of dry needling(00:38:24) Common misapplications of dry needling(00:45:45) Key takeaways and final thoughts on dry needlingRehab and Performance Lab 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 Rehab and Performance Lab, visit ⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/rehab-and-performance-lab⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

5월 15일

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52분
4월 15일

Rehab and Performance Lab Episode 25: Is 3×10 the Best? A Modern Approach to Strength in Rehab (Live Podcast Recording)

This 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 Phil Plisky, PT, DSc, ATC, CSCS, and strength expert Daniel Lorenz, DPT, PT, ATC, LAT, CSCS, as they challenge the traditional 3×10 status quo and dive into the physiological necessity of true tissue loading. You’ll explore how to move past clinical guesstimation by using objective feedback loops and functional testing to bridge the gap between initial rehab and high-level performance. Learn actionable strategies for determining appropriate intensity, along with set and rep schemes that build genuine load tolerance for your patients. Tune in to learn why it’s time to “test, don’t guess” and how to safely apply progressive overload to optimize patient outcomes. Learning Outcomes Analyze the evidence around clinically relevant loading approachesApply evidence-based, practical strategies to actionably address the challenge of proper load progression that is mindful of the patient’s history and current status, while also applying strength training principles to adequately build the patient’s load toleranceSolve patient case scenarios involving how to properly apply the principles of progressive overload in rehabilitationTimestamps (00:00:00) Welcome(00:00:05) Introduction to loading in rehab(00:03:20) Understanding the importance of loading(00:05:52) Challenges in loading patients(00:08:45) Effective loading strategies(00:17:15) Balancing loading with patient safety(00:25:02) Teaching patients to self-load after rehab(00:27:36) Functional testing in rehabilitation(00:36:46) Case scenarios(00:42:20) Key takeaways for effective rehabilitation(00:44:50) Rest periods and their impact(00:47:32) Tailoring exercise for Ehlers-Danlos syndrome(00:50:18) The importance of reps and failure levels(00:56:16) Isometrics and pain management in rehab(00:58:48) Conclusion and resources Rehab and Performance Lab 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 Rehab and Performance Lab, visit ⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/rehab-and-performance-lab⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

4월 15일

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1시간 3분
4월 15일

Neuro Navigators Episode 26: Success in ALS/HD: How Do We Measure Progress When Decline Is Expected?

Join host ⁠J.J. Mowder-Tinney, PT, PhD⁠, as she sits down with ⁠Matthew Caraher, PT, DPT, NCS⁠, a board-certified specialist with extensive experience in multidisciplinary ALS and Huntington’s disease care. Together, they explore how to move past a “fear-based” clinical mindset and toward intentional, staged rehabilitation when working with neurodegenerative conditions. You’ll discover practical, evidence-based strategies for dosing moderate-intensity exercise, using objective assessment tools and subjective reports to guide treatment, and recognizing when “skilled maintenance” is the ultimate clinical win. Learn how to shift your focus from impairment correction to maximizing participation and quality of life for patients and their caregivers. Learning Outcomes Analyze the evidence regarding exercise and rehabilitation dosing across disease stages in amyotrophic lateral sclerosis (ALS) and Huntington’s disease (HD), including strength, aerobic, and respiratory trainingApply evidence-based, practical strategies to select outcomes and dose interventions across the disease continuum while balancing fatigue, fall risk, and respiratory declineSolve patient case scenarios involving clinical decision-making for ALS and HD related to staging, dosing, equipment, and interdisciplinary coordinationTimestamps (00:00:00) Welcome(00:00:05) Introduction to neurodegenerative conditions(00:01:14) Matt's journey into neurodegenerative medicine(00:05:25) Addressing clinician fears in treatment(00:07:29) Redefining success in patient care(00:10:22) The importance of multidisciplinary care(00:13:45) Assessment tools for ALS patients(00:22:43) Challenges in assessing Huntington's disease(00:26:00) Principles for effective patient management(00:29:30) Understanding patient emotional states(00:31:00) The importance of therapeutic presence(00:36:20) Exercise guidelines for neurologic patients(00:49:40) Effective communication with patients and caregivers(00:56:17) Key takeaways for cliniciansNeuro 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/⁠

4월 15일

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1시간 2분
1월 15일

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/

1월 15일

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58분
2025. 11. 14.

Neuro Navigators Episode 21: Stroke Boot Camp: How Do We Keep Progress Going in Chronic Stroke?

Dr. Alison McKenzie, PT, DPT, PhD, FAPTA, a leading voice in neurorehabilitation and creator of Stroke Boot Camp, joins host J.J. Mowder-Tinney to explore how we can extend meaningful progress for people living with chronic stroke. Together, Alison and J.J. dive into the clinical reasoning, research, and real-world outcomes behind this high-intensity, interdisciplinary model. You’ll hear practical ideas to apply in your own setting, whether that’s a full boot camp or small-scale changes that shift the trajectory for your patients. Tune in to reimagine what’s possible beyond traditional rehab. Learning Objectives Analyze the evidence around recommendations for optimal health management, wellness, and ongoing rehabilitation for individuals with chronic strokeApply evidence-based, practical strategies to actionably address the delivery of short-term, high-intensity, interdisciplinary rehabilitation and wellness for individuals with chronic strokeSolve patient case scenarios involving plateau or decline in function over time in individuals who are aging with chronic strokeTimestamps (00:00:00) Welcome(00:00:05) Introduction to stroke boot camp(00:01:36) The journey of Dr. Alison McKenzie(00:06:56) The importance of community and support(00:09:46) Research-driven approaches in stroke rehabilitation(00:12:25) Tailoring treatment for individual needs(00:14:25) Stroke boot camp overview(00:16:45) High-intensity training and its impact(00:19:37) Neural priming and its benefits(00:21:57) Measuring intensity and progress(00:28:49) Expanding the boot camp model(00:31:32) Engaging clinicians in community programs(00:34:58) Flexible approaches to community rehabilitation(00:39:15) Enhancing therapy through intensity and creativity(00:45:05) Fostering socialization in rehabilitation(00:47:20) Conclusion and future directions 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/

2025. 11. 14.

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50분
3월 13일

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/

3월 13일

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58분

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/