So many variables…so little time

In his 1970 book, Future Shock, author Alvin Toffler coined the term “overchoice”. At times, neurologic rehabilitation may seem to be filled with the burden of overchoice, referring to the overwhelming burden of making a decision when options are both plentiful and seemingly similar/equal. Give feedback or not? What form of feedback? Increase the intensity or […]

Promoting learning and neuroplasticity – three pathways

First, I will acknowledge that some learning is innate and a function of nature, prior to any nurture. Nursing might be the best example of this, coded as a sensory-motor reflex, rather than an instinct. Second, I will acknowledge that some learning is truly by instinct, with no observable sensory to motor connection, but rather […]

Exercise is the best Rx

I was compelled to publicly answer a few similar questions that I received during breaks in my presentation to the Utah PT Association meeting presentation yesterday. October 26. In an effort to answer the questions of brain to body connection, and the specific dosages of exercise to impact cognitive function, I created this short PPT. […]

Exercise IS the best medicine = #exbestrx

I continue to read, listen, and most importantly LIVE this message. Presented the Brain and Body Connection, one of my favorite topics to speak about, at the Montana Geriatric Education Conference today, MTGEC. Make positive interventions on your immune, GI, psychological/mental health, cognitive, and…oh by the way…your cardiovascular and musculoskeletal systems – – all through […]

Vestibular Neuroscience

Pain neuroscience. I think that I “get it” and can even practice physical therapy in a complementary manner. Perhaps I have been for the past decade or so, as a function of earnestly just not being a great manual physical therapist. I have defaulted to find sensory inputs through exercise, stretch, and symmetrical motion that […]

Are We Using the Evidence That We Have?

Gait training after stroke is one of the most common referral reasons for outpatient neurological PT. How uniform, though, is this common procedure? The evidence ONLY says (summarizing): strength training helps; walking is improved through walking, balance training, and virtual reality training (not through time spent on activities in sitting); circuit training can help – […]

Pressure training in neurologic rehabilitation?

Experienced therapists – consider how disabling tone is on some of your patients recovering from stroke. As noted in my June 9th blog on tone, “tone can be unwarranted, unpredictable, excessive, and uncontrollable…causing an ankle to turn in”…and, “Tone can raise in times of stress (after conflict), when a task is perceived to be either […]

Learning About…Motor Learning

If you think that you “know” the answers to all of these questions…think again, as the body of knowledge in motor learning and skill acquisition continue to evolve. Now for the questions: 1) Should a learner receive cues or externally-sourced information about the particulars of how they are moving? 2) How difficult should practice be…how […]

Upcoming Events

  1. Dual Task Training in Stroke Rehabilitation: Making the final push toward automaticity of gait (Webinar)

    January 31 @ 12:00 am
  2. The Studer Course (traveling edition)

    February 23 @ 8:00 am - February 24 @ 1:00 pm
  3. Maximizing Motor Learning: Neurology, Geriatrics, Orthopedics – the course that your patients cannot afford for you to miss!

    March 2 @ 8:00 am - 5:00 pm
  4. The Science of Fall Prevention

    March 3 @ 8:00 am - 5:00 pm
  5. Advances in Motor Learning: Applying what we now know in the “field” (Keynote address: American Hippotherapy Association)

    March 22 @ 8:00 am - 10:00 am

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