ANPT Stroke Special Interest Group

The Student Corner of the Stroke SIG (Ben Lindaman, Pam Bosch, and Dana Kohl) took a question from a student regarding the role of neurotechnology in stroke rehabilitation. This podcast discusses the evidence behind some of the neurotechnology you may (or may not have!) heard of to support the recovery of those with neurologic impairments. Article Referenced: Putrino D, Krakauer JW. Neurotechnology’s prospects for bringing about meaningful reductions in neurological impairment. Neurorehabil Neural Repair. 2023;37(6):356-366. doi:10.1177/15459683221137341 Note: This podcast used Artificial Intelligence (AI) for its creation! Source: Notebook LM If you are a student and have a question regarding stroke rehabilitation, we are here to help! Submit questions here: https://www.neuropt.org/special-interest-groups/stroke/resources-for-students The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

Dr. Dana Kahl, PT, DPT, EdD and Dr. Benton Lindaman, PT, DPT answer a question a student submitted to the Stroke SIG regarding spasticity after stroke. They discuss assessment and management of flaccidity and spasticity within this episode. This discussion may be helpful for both students and PTs/PTAs alike! Note: This podcast used Artificial Intelligence (AI) for its creation! Source: Notebook LM Article referenced: Suputtitada A, Chatromyen S, Chen CPC, Simpson DM. Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review. Toxins (Basel). 2024 Feb 10;16(2):98. doi: 10.3390/toxins16020098. PMID: 38393176; PMCID: PMC10892074. If you are a student and have a question regarding stroke rehabilitation, we are here to help! Submit questions here: https://www.neuropt.org/special-interest-groups/stroke/resources-for-students The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

Elizabeth Thompson, a clinical research scientist, and Darcy Reisman, a professor in physical therapy, dive into innovative approaches for stroke rehabilitation. They discuss their recent study highlighting high-intensity walking to boost activity levels among stroke survivors. The conversation emphasizes bridging the gap between rehabilitation capacities and actual performance, utilizing behavioral interventions and technology like Fitbits. They also share insights on empowering patients through motivational interviewing, enhancing their engagement in recovery.

In this episode, host Marissa Moran, PT, DPT is joined by Dr. Carey Holleran, MPT, DHS to discuss her article “Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation.” This article was published within the JNPT in January 2023. Activity capacity is what a person is capable of doing, and activity performance is what a person does in their daily life. Dr. Holleran discusses the implications of assessments of capacity vs. performance, and how these measurements can be used for decision-making for physical therapy plans of care. Article citation: Lang, Catherine E. PT, PhD, FAPTA; Holleran, Carey L. PT, DPT, DHS; Strube, Michael J PhD; Ellis, Terry D. PT, PhD, FAPTA; Newman, Caitlin A. OTR/L; Fahey, Meghan PT, DPT; DeAngelis, Tamara R. PT, DPT; Nordahl, Timothy J. PT, DPT; Reisman, Darcy S. PT, PhD, FAPTA; Earhart, Gammon M. PT, PhD, FAPTA; Lohse, Keith R. PhD; Bland, Marghuretta D. PT, DPT, MSCI. Improvement in the Capacity for Activity Versus Improvement in Performance of Activity in Daily Life During Outpatient Rehabilitation. Journal of Neurologic Physical Therapy 47(1):p 16-25, January 2023. | DOI: 10.1097/NPT.0000000000000413 The information in this podcast is meant for the benefits of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any losses or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Marissa Moran, PT, DPT is joined by Ariana Jones, PT, DPT, Board-Certified Clinical Specialist in Women’s Health Physical Therapy, and Gillian McLean, PT, DPT, Board-Certified Clinical Specialist in Neurologic Physical Therapy, to discuss pelvic health therapy across the continuum of care for the neurologic population, particularly those following a stroke. In this podcast, you may expand your knowledge on the pelvic floor and normal urination/bowel movements. Listen to learn how pelvic health and neurologic physical therapists can collaborate to deliver the effective and holistic care to patients, as well as education you can provide to patients regarding pelvic health concerns/when to see a pelvic health specialist to promote optimal well-being. When to Refer to Pelvic PT: Pelvic Floor Dysfunction Screening Questions (as referenced in the podcast interview): Are you experiencing any urinary incontinence? Are you able to delay urination if you have the urge? If so, for how long? Are you experiencing any constipation? Are you experiencing any fecal incontinence? Are you experiencing any pain in the pelvic or abdominal region? Reference for the screening questions: Siracusa C, Gray A. Pelvic Floor Considerations in COVID-19. J Womens Health Phys Therap. 2020;44(4):144-151. doi:10.1097/JWH.0000000000000180 The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. This is for informational and educational purposes only. It does not constitute and should not be used as a substitute for medical advice, diagnosis, rehabilitation, or treatment. Patients and other members of the general public should always seek the advice of a qualified healthcare professional regarding personal health and medical conditions. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical Therapy. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

Discussions on walking adaptability post-stroke, importance of assessment, limitations of current tools like DGI and FGA, development of new assessment tools such as VIT test, exploration of item response theory for assessment tools, significance of evaluating walking adaptability alongside speed and balance for enhanced functional recovery

In this episode, host Marissa Moran, PT, DPT is joined by authors Dr. Anjali Sivaramakrishnan and Dr. Sandeep Subramanian to discuss their recent article published in the Neurorehabilitation and Neural Repair titled “A Systematic Review on the Effects of Acute Aerobic Exercise on Neurophysiological, Molecular, and Behavioral Measures in Chronic Stroke”. The authors share their research, which is a systematic review aimed at examining the effects of a single bout of aerobic exercise on neuroplasticity measures. They discuss aerobic priming and considerations for the clinic to promote improved motor learning for individuals with chronic stroke. The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. This is for informational and educational purposes only. It does notconstitute and should not be used as a substitute for medical advice,diagnosis, rehabilitation, or treatment. Patients and other members of thegeneral public should always seek the advice of a qualified healthcareprofessional regarding personal health and medical conditions. TheAcademy of Neurologic Physical Therapy and its collaborators disclaimany liability to any party for any loss or damage by errors or omissions inthis publication. The views or opinions expressed are those of theindividual creators and do not necessarily represent the position of theAcademy of Neurologic Physical Therapy. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

Physical therapists Pierce Boyne, Sandra Billinger, and Darcy Reisman discuss their research on optimal walking rehabilitation for chronic stroke patients. They compare high-intensity interval training and moderate aerobic training for 4, 8, and 12 weeks. Emphasizing intensity, timing, and personalized dosing for maximum gains in stroke rehab.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Michelle Sawtelle, PT, PhD. Dr. Sawtelle currently serves on the Stroke SIG leadership board. This interview discusses why the sit to stand task is an important clinical indicator in the stroke population, the findings of Dr. Sawtelle’s research, and how we can translate findings from this article into clinical practice. The article “Gluteus Maximus Muscle Activation During a Chair-Rise in Adults With Chronic Stroke” is featured in the October 2022 issue of the JNPT. The JNPT is a partner on this episode. The article can be found here: https://journals.lww.com/jnpt/Abstract/2022/10000/Gluteus_Maximus_Muscle_Activation_Characteristics.6.aspx. The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.com.

In this episode, host Jackie Loeshelle, PT, DPT is joined by Nancy Salbach, PT, PhD to discuss Dr. Salbach’s article, “Assessment of Walking Speed and Distance Post-Stroke Increases after Providing a Theory-Based Toolkit”, published in the JNPT. The JNPT is a partner on this episode. Resources on the measurement of gait speed and distance can be found here: 10 Meter Walk Test: https://www.neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-measure-10-meter-walk-test-(10mwt)_final.pdf?sfvrsn=c5585243_2&sfvrsn=c5585243_2 6 Minute Walk Test: https://neuropt.org/docs/default-source/cpgs/core-outcome-measures/core-outcome-measures-documents-july-2018/6mwt_protocol.pdf?sfvrsn=fc325343_2&sfvrsn=fc325343_2 The information in this podcast is meant for the benefit of physical therapists. It is not meant for personal medical diagnosis and/or treatment. Individuals should always consult an appropriate medical practitioner with questions. Please send comments or questions on this podcast to the Stroke SIG at strokesig@gmail.com. The Stroke Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.