On the importance of measurement…

Did I improve? This is a common question in all forms of learning and rehabilitation, that comes in many forms. That question may be asked in performing arts, “How did that sound?” or “How did that look?” to athletics, rehabilitation, learning to drive, and even avocations. The question can be answered externally, by another person […]

Recipes for Motor Learning – No substitutes!

If you truly “CARE” about motor learning, you will follow this recipe for your patients: Constraints, Affordances, Rewards, and Expectations! Constraints challenge the brain and body with overloading principles of distractions, weights, speed/timing, pressure, difficulty (more defenders/players on the field), etc. Affordances are the solutions created and potentially stored by the learner. Opportunities perceived, if […]

Where is the value?

As I write this, on March 29th, our community has not yet felt the full impact of Covid-19, that we will endure over the next few weeks. We are working with patients to schedule in-person (where needed, by exception) and telehealth visits. Some patients are reluctant, some excited to schedule telehealth across our practice (21 […]

Find Your Run

In these unprecedented and trying, even dangerous times, depression should be expected. Situational depression, like we have never seen before, can become the norm. I am an expert on myself, on motor control and motor learning – but not much else. So, mental health is not an area of expertise…but, I am encouraging people to […]

Enhanced Expectancies and the history of the NBA

The OPTIMAL theory of motor learning (Lewthwaite, Wulf 2016) espouses the anticipation and priming of the dopaminergic reward system causing increased attention, intensity and potentially reward reinforcing learning, called enhanced expectancies. We can apply this concept on and for our patients using cues, practice, and structure, setting them up initially for success that can build their […]

The Hybrid of Motor Learning and Motivation…

Feedback frequency, specficity of practice, intensity, repetitions…yes, we know many of the essential components of motor learning in rehabilitation AND how to best manipulate them now both in recovery of function and in learning of novel task. In 2016, Wulf and Lewthwaite added the OPTIMAL theory to what we knew. The authors added concepts of […]

New course coming in Fall 2020, “Patient engagement”

I have been asked SO MANY TIMES over the past 2 years, to consult for PT practices…that I have developed a course to reach a larger audience than just the admin team/practice manager. So, for closed course offering, for an open to the community presentation, or a webinar/teleconference: Maximizing patient engagement and potential in each […]

Functional Symptom Disorder?

Yes, be on the watch out for a new article coming from me, detailing what I see to be a direct relationship/commonality between seemingly unrelated conditions: Functional Neurologic Disorder/Functional Movement Disorder, with chronic pain, and Persistent Perceptual Postural Dizziness (PPPD, formerly Chronic Subjective Dizziness). There are more conditions to be included, under consideration, among them: Flikikammo, “the […]

Dual Task Cost – How much is too much?

As was initially suggested by the BEST test, perhaps a 10% dual task cost (reduction in performance due to the introduction of a purposeful distractor) would be acceptable. Greater than this (more than 10%), would indicate an impairment, lack of automaticity (procedural memory capacity), or other. For clear example, if someone walks more than 20% […]

Upcoming Events

  1. Maximizing Motor Learning in Physical Therapy: Neurology, geriatrics, sports and orthopedics

    October 9
  2. Parkinson’s Disease: One Size Does NOT fit all!

    October 25
  3. Movement is Medicine: The 2020 Hereditary Neuropathy Foundation Conference

    November 13 @ 8:00 am - November 14 @ 5:00 pm

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