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% […]

Solutions Oriented Medical Experience (SOME)

Be a listener, patients will help you understand what they need and which of your solutions will work best for them.  Be a person that remembers. Remember trends in your career, similarities, and facts about the people behind the diagnoses.  Be a motivator. Give of yourself. Give your energy during a visit, and between.  Provide […]

New Webinar Launched!

My latest Medbridge webinar, recorded in October, is fully produced and ready to view on demand. You can find it at: http://Maximize Functional Recovery Across the Continuum: Acute & Chronic Stroke (Recorded Webinar) I am told that you can expect a discount to this and a Medbridge subscription + access to more recordings with this […]

Upcoming Events

  1. Tackling the Most Challenging in Neuro Rehab: Cognition, Spasticity, Pusher, and Flaccidity

    April 24, 2021

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