Professor Steven Wolf - UL rehab, Asking Why, Future of Neuro rehab
Feb 22, 2022
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Professor Steven Wolf, a legend in neuro rehab, discusses vagus nerve stimulation, personalized care, telerehab, patient-tech expectations, and peer support in the future of neuro rehab. He emphasizes observation, questioning treatment mechanisms, and hands-on clinical experience. The podcast explores Tai Chi's role in fall prevention, the power of vagus nerve stimulation in stroke recovery, outcome measures, patient perception, and the evolution of physical therapy practices.
Vagus nerve stimulation for cortical plasticity, upper limb outcome measures, and personalized care in neuro rehab.
Patient-therapist partnership for accountability, observation for skill development, and incorporating imaging in educational programs.
Integration of technology in tele-rehab, patient engagement, and imaging studies is essential for future neuro rehab practices.
Deep dives
Dr. Stephen Wolfe's Distinguished Career and Contributions to Neuro Rehab
Dr. Stephen Wolfe, a program director of restorative neurology and professor at Emory University, has over 50 years of experience, exploring interventions to improve extremity use, mechanisms of cortical reorganization, and inter-joint coordination associated with stroke. His work includes upper limb rehab, development of motor outcome measures like Telly Rehab, and pioneering research in using vagal nerve stimulation to enhance stroke recovery.
Importance of Acknowledging Shortcomings and Embracing Learning
Discussing Prue Morgan's journey highlights the value of acknowledging and learning from past shortcomings. Emphasizing pain and fatigue assessment for people with CP, Prue's insights underscore the importance of self-reflection for professional growth. Her experience with the NDIS in Australia showcases how new services can positively impact marginalized communities by rectifying previous negative health system experiences.
Utilizing Observational Learning in Student Education
Encouraging observation of professionals in practice and leveraging student engagement can enhance learning outcomes. Prue's emphasis on the value of observation underscores the importance of hands-on learning experiences. Supervising students to observe and learn from experienced professionals can lead to deeper skill development and lighten workload pressures for educators.
Advancements in Neuro Rehab Through Technology and Imaging
The discussion on tele-rehab and gaming underscores the importance of utilizing technology for comprehensive patient care. Dr. Wolfe's focus on imaging in neurological rehabilitation highlights the need for incorporating imaging studies in educational programs. Integrating imaging into clinical practice can provide valuable insights into brain function and changes, enhancing treatment outcomes.
Engaging Patients in Partnership for Optimal Rehabilitation Outcomes
Recognizing the need for patient engagement as a partnership in rehabilitation processes is critical for successful outcomes. Highlighting behavioral contracts between therapists and patients fosters accountability and mutual commitment to treatment goals. Facilitating patient-peer interactions for mutual support and encouragement can enhance patient motivation and treatment adherence.
Embracing Future Directions in Neurological Rehabilitation
Embracing upcoming trends like tele-rehab, patient engagement, and imaging studies is crucial for the advancement of neurological rehabilitation. Dr. Wolfe's proactive approach towards technology adoption and patient-centered care sets a standard for future practices in the field. Encouraging continual learning and adaptation to evolving technologies and patient expectations is key for successful clinical outcomes.
Our discussion with Dr Steve Wolf from Emory University in Atlanta, Georgia. A true legend of the field he shares with us snippets of his illustrious career, his newest research including vagus nerve stimulation to induce cortical neurplasticity, and his predictions for the future of neuro rehab. 3.53 Introduction 5.35 Career Pathway 8.15 History of physio in the US 10.40 Suspended from PT school 14.16 PhD - EMG biofeedback for muscle co-activation 16.55 Foundations of CIMT 18.45 Posturography - Tai Chi - Falls prevention studies 23.30 Mechanisms of neuro PT intervention 24.03 Steve's must-have attributes in the field 26.25 Vagus nerve stimulation 35.00 Upper limb outcome measures 39.31 Personalised care 41.29 Telerehab & technology - the future 45.36 Patients of today expect tech 50.51 Physio - Patient partnership 52.55 Peer support as a rehab tool 53.52 Imaging - in PT curriculum & to demonstrate treatment effectiveness
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