How many repetitions does it take?

3 sets of 10 repetitions at 70% of 1RM (maximum capacity in one repetition)…do we wish that the “dosage” to make a change in the brain (learning) were more standardized? Fortunately or unfortunately, learning does not take a set # repetitions, time – and is rather stimulated to make a change under: Constraints (I am […]

Extroboxtion

Yes, my mind has gone neologistic again. Creating new words because: it doesn’t cost, doesn’t hurt, and makes people laugh. Why wouldn’t someone choose to do something that meets these criteria? “Extroboxtion”, to me, is a better word than innovation to describe thinking “outside the box”. I mean, why would “in”novation be the right term […]

Personality Considerations in Rehabilitation…

“If you are not reading, your not trying.” Hopefully, this is a clear word-twist reference to the oft-stated, “If you’re not cheating…you’re not trying.” phrase. My spin, for this blog, is in reference to reading personalities as an essential part of rehabilitation. Over the past nearly 30 years, I have read more personalities than books, […]

Personalities Persist

As a health care professional, I am trained to read charts and look at diagnoses. I am trained to be informed in anatomy, physiology and pathophysiologies. Over the past 30 years of my education – admittedly continuing to learn more every year – I have learned that personalilties persist. We must not only respect (emerging […]

Neuropracticity

Yes, even if you learn a new word, “neuropracticity” (the intentional application of principles leading to neuroplasticity in rehabilitation practice), you are changing your brain. How do we make neuroplasticity more tangible and less theoretical? Consider looking for opportunities to incentivize, constrain, or create avoidances – giving learners a clear pathway toward neuroplasticity – in […]

Seven Parameters of Fitness?

Strength and endurance. I was a largely unschooled, unqualified, and un-certified personal trainer for a small gym in Southwest Missouri before I entered PT school over 30 years ago. My perception and prescriptions of fitness at that time included strength and endurance. Largely, sport science and our culture defined fitness in these terms as well, […]

Aging – Are You Up for It?

The science of aging includes three main components: An understanding of what truly is obligatory and expected in normal aging Specific applications designed to delay the aging process in efforts to perform (sport) or function (life) Rehabilitative considerations, defining what is possible to recover from in the face of advanced age (stroke, TKR, extended bedrest […]

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 […]

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