Stroke and Brain Injury
Episodes
Sunday Nov 17, 2024
Sunday Nov 17, 2024
EPISODE TITLE: Stroke Survivor Rachel Groves
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Rachel Groves about her experience of having a stroke as a young wife, mother and professional. Thank you for sharing your story, Rachel.
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
- Rachel’s Story-In One Stroke by Rachel Groves
- NEW FREE RESOURCE: Stroke Recovery Home Program Checklist
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
NEW RESOURCES
- Secondary Stoke Prevention Info Graphic
- Homonymous Hemianopia Flyer
- N & N Podcast Instructor Guides:
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Wednesday Oct 23, 2024
Wednesday Oct 23, 2024
EPISODE TITLE: Supporting Care Partners with Julie Wall
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Julie Wall, occupational therapist about care partner support. We covered:
- The need for community and support for care partners
- The importance of care partner self-care for everyone’s health and well-being
- How movement helps with emotional processing, strength, and connection
- The importance of listening to our bodies and ways the body tries to get our attention
- Using dance as a self-care technique; it moves and releases stuck energies, thereby creating the space for caregiving energy with generosity and love.
- Research supporting the use of dance as a whole person, evidence-based intervention
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
LaBlast Promo Video Short 2023:
https://www.youtube.com/watch?v=Y4dm-S8KAXM
LaBlast Promo Video Long 2018:
https://www.youtube.com/watch?v=hjfRuYvM7yw
Caregiving Through a Therapeutic Lens Introductory Webinar:
“When the Body Says No: EXPLORING THE STRESS-DISEASE CONNECTION” by Gabor Mate, MD
Connect with Julie on FB
- Julie OT Living
- Group for care givers: Caregiving Through A Therapeutic Lens
Email Julie: julieOTliving@gmail.com
Research Articles:
Vielvoye, M.; Nanninga, C.S.; Achterberg, W.P.; Caljouw, M.A.A. Informal Caregiver Stroke Program in Geriatric Rehabilitation of Stroke Patients: A Qualitative Study. J. Clin. Med. 2023, 12, 3085. https://doi.org/10.3390/ jcm12093085
Kumar, A., Yadav, A. J., Singh, V. K., Pathak, A., Chaurasia, R., N., Mishra, V., N., & Joshi, D. (2022). Caregiver burden in caregivers of stroke survivors: A hospital-based study. Annals of Indian Academy of Neurology, 25(6); 1092-1098.
Bartoli, D., Brugnera, A., Grego, A., Alvaro, R., Vellone, E., & Pucciarelli, G. (2024). Stroke disease-specific quality of life trajectories and their associations with caregivers’ anxiety, depression, and burden in stroke population: a longitudinal, multicentre study. European Journal of Cardiovascular Nursing, 23, 160-168; https://doi.org/10.1093/eurjcn/zvad054
Teixeira-Machado, L., Arida, R. M., de Jesus Mari, J. (2019). Dance for neuroplasticity: A descriptive systematic review. Neuroscience & Behavioral Reviews, 96, 232-240.
The Effectiveness of Dance Interventions on Psychological and Cognitive Health Outcomes Compared with Other Forms of Physical Activity: A Systematic Review with Meta‑analysis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127814/pdf/40279_2023_Article_1990.pdf
The Effectiveness of Dance Interventions to Improve Older Adults' Health: A Systematic Literature Review
https://pubmed.ncbi.nlm.nih.gov/26393993/
Dance after stroke improves motor recovery in the subacute phase: A randomized controlled trial
https://pubmed.ncbi.nlm.nih.gov/38053900/
Dance in mental health nursing: A hybrid concept analysis
Caregiver Resilience and Dance/Movement Therapy: A Theoretical Review and Conceptual Model
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Thursday Oct 03, 2024
Thursday Oct 03, 2024
NogginsAndNeurons: The Website
EPISODE TITLE: Sensory Recovery Following Stroke & Brain Injury
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Alice Chen & Kelly Tan from D’Youville University about sensory recovery. We covered:
- Bodily sensations and impact of impaired sensation on the recovery process
- We touch briefly on disorders of consciousness
- Impact of pain on recovery
- Interventions for sensory recovery
- Empowering family members and care partners as part of the survivor’s team
- Training and education as support strategies
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
SHOW REFERENCES:
Aderinto, N., AbdulBasit, M. O., Olatunji, G., & Adejumo, T. (2023). Exploring the transformative influence of neuroplasticity on stroke rehabilitation: A narrative review of current evidence. Annals of Medicine & Surgery, 85; 4425-4432. http://dx.doi.org/10.1097/MS9.0000000000001137
Carlsson, H., Gard, G., & Brogardh, C. (2018). Upper limb sensory impairments after stroke: Self-reported experiences of Daily Life and Rehabilitation. Journal of Rehabilitation Medicine, 50; 45-51. doi: 10.2340/16501977-2282.
Crema, A., Bassolino, M., Guanziroli, E., Colombo, M., Blanke, O., Serino, A., Micera, S., & Molteni, F. (2022). Neuromuscular electrical stimulation restores upper limb sensory-motor functions and body representations in chronic stroke survivors. Med 3, 58-74. https://doi.org/10.1016/j.medj.2021.12.001
Doyle, S., Bennett, S., Fasoli, S. E., & McKenna, K. T. (2010). Interventions for sensory impairment in the upper limb after stroke (Review). Cochrane Database of Systematic Reviews; (6), Art. No. CD006331. DOI: 10.1002/14651858.CD006331.pub2.
Ghandi, D. B. C., Sebastian, I. A., & Bhanot, K. (2021). Rehabilitation of post stroke sensory dysfunction-A scoping review. Journal of Stroke Medicine, 4(1), 25-33. DOI: 10.1177/2516608520984296
Lim, C. (2019). Multi-sensorimotor training improves proprioception and balance in subacute stroke patients: A randomized controlled pilot trial. frontiers in Neurology 10:157; 1-8. doi: 10.3389/fneur.2019.00157
SENSORY REMEDIATION LESSON PLAN
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Monday Jul 22, 2024
Monday Jul 22, 2024
EPISODE TITLE: Secondary Stroke Prevention
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with D’Youville University students, Giovanni Feliciano and Fatima Ijaz about preventing secondary stroke. People who have a stroke are at increased risk of having another stroke. In this conversation we:
- Discuss the difference between primary and secondary prevention
- Highlight the increased risk faced by individuals who have already experienced a stroke
- Discover the effects of antiplatelet therapies for stroke prevention
- Address clot formation and subsequent strokes
- Learn about the importance of client follow-through and monitoring in long-term prevention
- Hear about research findings regarding hypertension management and its role in prevention
- Learn about the multifaceted approach to reducing stroke risk: diet, exercise and alcohol consumption
- Investigate the correlation between exercise and heart health
- Explore the effect of smoking cessation on stroke recurrence
- Consider the role of lifestyle choices in stroke prevention and the role of occupational therapy in supporting choices that are right for clients
- Talk about the importance of being informed and proactive in managing risk factors
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Brass, L. M. (2006). Strategies for primary and secondary stroke prevention. Clinical Cardiology, 29(S2), 21-27.
Chen, J., Li, S., Zheng, K., Wang, H., Xie, Y., Xu, P., ... & Xu, G. (2019). Impact of smoking status on stroke recurrence. Journal of the American Heart Association, 8(8), e011696.
Deiner, H-C. & Hankey, G.H. (2020). Primary and secondary prevention of ischemic stroke and cerebral hemorrhage. Journal of the American College of Cardiology Focus Seminar, 75(15); 1804-1818.
Gladstone, D.J., et al. (2021). Canadian stroke best practice recommendations: Secondary prevention of stroke update 2020. The Canadian Journal of Neurological Sciences, 315-337
Grassi, G., Arenare, F., Trevano, F. Q., Dell’Oro, R., & Mancia, G. (2007). Primary and secondary prevention of stroke by antihypertensive treatment in clinical trials. Current hypertension reports, 9, 299-304.
Hankey, G. J. (2005). Secondary prevention of recurrent stroke. Stroke, 36(2), 218-221.
Ringelstein, E. B., & Nabavi, D. (2000). Long-term prevention of ischaemic stroke and stroke recurrence. Thrombosis research, 98(3), 83-96.
Shah, J., Liu, S., & Yu, W. (2022). Contemporary antiplatelet therapy for secondary stroke prevention: a narrative review of current literature and guidelines. Stroke and vascular neurology, 7(5).
FREE INFOGRAPHIC:
Giovanni & Fatima created a helpful infographic you can use as part of your client education tools.
Get the Secondary Stroke Prevention Infographic here
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- The Aligned OT Mini Courses ***NEW COURSE AUGUST 13, 2024***
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Thursday Jun 27, 2024
Thursday Jun 27, 2024
NogginsAndNeurons: The Website
EPISODE TITLE: All About Homonymous Hemianopsia
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Bridget Smith & Nabila Bhuiyan from D’Youville University about homonymous hemianopsia. We covered:
- What homonymous hemianopsia is & how it occurs
- Signs & symptoms experienced by a person who has homonymous hemianopsia
- Impact on daily life
- Treatment interventions for homonymous hemianopsia
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References:
Chung, A., & Slowman, L.S. (2020). Visual dysfunction: Occupational therapy. Cinahl Information Systems
Giorgi, R.G., Woods, R.L., & Peli, E. (2009). Clinical and laboratory evaluation of peripheral prism glasses for hemianopia. Optometry and Vision Science, 86(5): 492-502. doi:10.1097/OPX.0b013e31819f9e4d
Goodwin, D. (2014). Homonymous hemianopia: Challenges and solutions. Clinical Opthalmology, 1919-1927. DOI: 10.2147/OPTH.S59452
Mascaro, P.F., Junyent, Q., & Casanova, A. (2017). Effective visual rehabilitation in homonymous hemianopia by attaching binocular prisms to lenses. American Research Journal of Opthalmology and Optometry; 1(1): 1-11.
Perea, J.D. & Anise, M.C. (2019). Beyond cueing to the left and a red line: Treatment methods for homonymous hemianopia. SIS Quarterly Practice Connections, 4(2), 28–30.
Perez, C. & Chokron, S. (2014). Rehabilitation of homonymous hemianopia: Insight into blindsight. Frontiers in Integrative Neuroscience; 8(82); 1-12.
Platz, T. (Ed) (2021). Clinical pathways in stroke rehabilitation: Evidence-based clinical practice recommendations. Springer. https://doi.org/10.1007/978-3-030-58505-1.
Rowe, F. (2016). Visual effects and rehabilitation after stroke. Community Eye Health Journal; 19(96): 75-76.
Zihl, J., Kentridge, R.W., Pargent, F., & Heywood, C.A. (2021). Aging and the rehabilitation of homonymous hemianopia: The efficacy of compensatory eye-movement training techniques and a five year follow up. Aging Brain 1: 1-17. https://doi.org/10.1016/j.nbas.2021.100012.
Resources
- Neuro-Optometric Rehabilitation Association: http://noravisionrehab.com/
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
-
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify ✨ Website
Saturday Apr 13, 2024
Saturday Apr 13, 2024
Like you, we are fascinated with the brain and can't stop talking about it! We hope you find the information in this episode helpful for understanding recovery. Enjoy!
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Wednesday Mar 27, 2024
Wednesday Mar 27, 2024
NogginsAndNeurons: The Website
EPISODE TITLE: Driving Rehab with Terri Cassidy
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Terri Cassidy, OTD, OTR/L, CDRS about driving after stroke. We covered a lot of ground in this interesting conversation. Highlights include:
- Terri’s journey into private practice
- Meeting clients where they are
- Community connections and client rapport
- Importance of early and often conversations around driving safety and retirement.
- FREE RESOURCE FOR PROVIDERS: Generalist Resource to Integrate Driving (GRID) contains assessments and scoring information; Not everyone needs to see a specialist (moderate to severe dementia) grid for decision making
- Value of a driving risk assessment
- Progression of driving evaluation: start to finish.
- OT-Drive Model: Integrating the Instrumental Activity of Daily Living (I-ADL) of driving and community mobility into routine practice
- Clinical Assessment Tools that Terri & Doro use as part of the driving evaluation
- The importance of potential - leave room for recovery that hasn’t happened yet. This can be more clinical rehab as well as training within the vehicle
- Terri’s business has a readiness to drive program – for people with history of CVA, brain injury as children. Helping people make decisions around driving appropriateness.
- Terri’s wisdom for practitioners, survivors, care partners – keep asking questions!
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
- OT-Drive Model: Integrating the Instrumental Activity of Daily Living (I-ADL) of driving and community mobility into routine practice
- Generalist Resource to Integrate Driving (GRID)
- Health Promotion Partners/Fitness to Drive
THERAPY PRACTICE RESOURCES
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Wednesday Mar 27, 2024
Sunday Jul 09, 2023
Sunday Jul 09, 2023
NogginsAndNeurons: The Website
Join the Noggins And Neurons Facebook Group
EPISODE TITLE: Sex & Intimacy with Sujata Martin, MS, OTR/L
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Sujata Martin about sex & intimacy. We covered:
- Sex, Sexuality, and Intimacy
- The impact of a neurological diagnosis on the pelvic floor, function and one’s identity
- Where sex and sexuality are addressed in the OT Practice Framework, 4th edition
- How fine motor deficits impact bowel & bladder management, including catheter management
- Sexual expression, psychological & physical aspects of intimacy
- Finding the right practitioner-why properly trained OT practitioners may be able to help & finding a good provider/client fit
- The role of occupational therapy practitioners in addressing sexual needs of clients, including clinician responsibility in receiving client responses; the importance of withholding judgment to avoid damage to the client
- Additional training required to treat pelvic dysfunction & to provide sex counseling
- The importance of client questioning and, sometimes, persistence, when advocating to getting one’s needs met
- Being open to considering other possibilities such as adaptations to enhance connection and intimacy
- Being mindful not to adapt to the caregiver & sick role only - remembering who you are to maintain relationship
- Sexuality as a means of strengthening relationships with one’s partner(s) and oneself
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Mellor, R.M. et. al, (2013). Healthcare professionals’ views on discussing sexual wellbeing with patients who have had a stroke: A qualitative study. PLOS | ONE, 8(10).
Naphtali, K., MacHattie, E., Elliott, S.L. & Krassioukov, A. (2009). Pleasure ABLE: Sexual device manual for persons with disabilities. Disabilities Health Research Network.
O’Shea, A., Frawley, P., Leahy, J. W., & Nguyen, H.D. (2020). A critical appraisal of sexuality and relationships programs for people with acquired brain injury. Sexuality and Disability, 38:57-83. https://doi.org/10.1007/s11195-020-09616-5
Prior, S., Reeves, N., Peterson, G., Jaffray, L., & Campbell, S. (2019). Addressing the gaps in post-stroke sexual activity Rehabilitation: Patient Perspectives. Healthcare 7, 25; doi:10.3390/healthcare7010025
Occupational Performance Inventory of Sexuality & Intimacy
- University of Indianapolis-https://uindy.edu/health-sciences/ot/opisi
- Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One-https://scholarworks.wmich.edu/ojot/vol8/iss2/7/
Find a pelvic therapist: Pelvicrehab.com
Sujata’s website: pelvicsoul.com
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Thursday Jun 15, 2023
Thursday Jun 15, 2023
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with D’Youville University students, Devin Jones, Brittany Sockwell and their professor, Tracy Bentley-Root about the psychosocial aspects stroke survivors experience. We covered:
- Stroke statistics
- Lack of awareness around how stroke impacts survivors' mental health
- Pre and post stroke anxiety and depression
- Clinician and Care Provider self-care to avoid burn out.
- Using the research for interventions, try them...if they work, great. If not, try another one.
- The 3 legs of evidence-based practice:
- What the evidence says
- Practitioner clinical reasoning
- Judgement related to the scenario & the client.
- Advocating for the survivor to get quality care.
- Care Partners advocating for the survivor (they know them best) based on their knowledge of the person. You do not have to accept whatever is happening.
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
EPISODE REFERENCES:
Show References
Cheng, H. Y., Chair, S. Y., & Chau, J. P. (2012). The effectiveness of caregiver psychosocial interventions on the psychosocial wellbeing, physical health and quality of life of stroke family caregivers and their stroke survivors: A systematic review. JBI Library of Systematic Reviews, 10(12), 679- 797. https://10.11124/jbisrir-2012-66
Cheong, M. J., Kang, Y., & Kang, H. W. (2021). Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea. Healthcare (Basel), 9(9), 1211. https://10.3390/healthcare9091211
Kirkevold, M., Kildal Bragstad, L., Bronken, B. A., Kvigne, K., Martinsen, R., Gabrielsen Hjelle, E., Kitzmüller, G., Mangset, M., Angel, S., Aadal, L., Eriksen, S., Wyller, T. B., & Sveen, U. (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology, 6(1), 12. https://10.1186/s40359-018-0223-6
Minshall, C., Castle, D. J., Thompson, D. R., Pascoe, M., Cameron, J., Mccabe, M., Apputhurai, P., Knowles, S. R., Jenkins, Z. R., & Ski, C. F. (2020). A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial. Informa UK Limited. https://10.1080/10749357.2020.1738677
Panzeri, A., Ferrario, S. R., Vidotto, G. (2019). Interventions for psychological health of stroke caregivers: A systematic review. Frontiers in Psychology, 10(2045). https://doi.org/10.3389/fpsyg.2019.02045
Rochette, A. R., Korner-Bitensky, N., Bishop, D., Teasell, R., White C. L., Bravo, G., Côté, R., Green, T., Lebrun, L.-H., Lanthier, S., Kapral, M., & Bayley, M. (2013). The YOU CALL-WE CALL randomized clinical trial impact of a multimodal support intervention after a mild stroke. Circulation: Cardiovascular Quality and Outcomes, 6(6), 674-679. https://doi.org/10.1161/CIRCOUTCOMES.113.000375
Terrill, A. L., Schwartz, J. K., Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 6187328. https://doi.org/10.1155/2018/6187328
THERAPY PRACTICE RESOURCES:
PODCAST IN EDUCATION INSTRUCTOR GUIDE + MINI LESSON
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
-
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Wednesday May 03, 2023
Wednesday May 03, 2023
NogginsAndNeurons: The Website
Join the Noggins And Neurons Facebook Group
EPISODE TITLE: Factors Affecting Stroke Recovery
EPISODE SUMMARY: EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Minkshi Kareer and Victoria Purucker, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:
- The effects of age, gender, race, and importance of proper diagnosis on short term/long term recovery and overall survivor outcomes
- How culture & community impacts stroke recovery
- The impact of beliefs on stroke recovery and provider roles
- Pharmacological & Non-pharmacological interventions for treating depression symptoms following stroke and being facilitators for recovery
- “Practice makes progress,” and the practitioner role in helping survivors and their loved ones identify gains when they might otherwise go unnoticed
- Ensuring that survivors and care partners are given appropriate and relevant resources related to the stroke and continued stroke recovery. Practitioners can improve support strategies by reviewing the information after discharge whether at home or in outpatient settings.
- The importance of care partner education on the recovery process for facilitating optimal survivor recovery
- Cognitive reserve defined and the impact on recovery
- Use of the “Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors”
- Addressing quality of life through survivor and care partner trainings that address concerns and planting seeds and providing resources for addressing possible future concerns
- Providing post-discharge services such as respite care and overall care coordination to support better outcomes
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Is Sex a Prognostic Factor in Stroke Rehabilitation? A Matched Comparison
Factors Affecting Post-stroke Motor Recovery: Implications on Neurotherapy After Brain Injury
Awareness of Deficits in Stroke Rehab
Cognitive Reserve as an Emerging Concept in Stroke Recovery
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Wednesday Apr 05, 2023
Wednesday Apr 05, 2023
EPISODE TITLE: Stroke Recovery Along the Continuum of Care
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, we talk with D’Youville University students, Hannah Waring and Madison Mendofik, and their professor, Tracy Bentley-Root about the continuum of care in brain injury recovery. We covered a wide variety of topics, including:
- Levels of care and typical expectations for survivors, care partners and clinician
- The knowing factor that clinicians use when determining discharge recommendations
- The role of insurance in the US
- Dismantling the subacute rehab stigma
- Including survivors in their care
- The value of the survivors’ lived (subjective) experiences
- How education helps increase client and care partner confidence
- Improving education content and delivery by healthcare providers
- Accepting one’s career learning path being a process of continued growth
- Collaborative care, assessments and interventions along the continuum of care
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Hartford. W, Lear, S., & Nimmon, L. (2019). Stroke survivors’ experiences of team support along their recovery continuum. BMC Health Services Research, 19(1), 1-12. https://doi.org/10.1186/s12913-019-4533-z Krishnan, S., Hay, C. C., Pappadis, M. R., Duetsch, A., & Reistetter, T. A. (2019). Stroke survivors’ perspectives on post-acute rehabilitation options, goals, satisfaction and transition to home. Journal of Neurologic Physical Therapy, 43(3), 160-167. https://doi.org/10.1097/NPT.0000000000000281
Lien, P., Deluzio, S., Adeyemo, J., Langton-Frost, N., Lavezza, A., Daley, K., Friedel, S., Pruski, A., French, M. A., & Raghavan, P. (2023). Development and implementation of a standard assessment battery across the continuum of care for patients after stroke. American Journal of Physical Medicine and Rehabilitation, 102(2), 51-55. https://doi.org/10.1097/PHM.0000000000002142 Oyake, K., Suzuki, M., Otaka, Y., Momose, K., & Tanaka, S. (2020). Motivational strategies for stroke rehabilitation: A delphi study. American Congress of Rehabilitation Medicine, 101,1929-1936. https://doi.org/10.1016/j.apmr.2020.06.077
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
- Noggins And Neurons Podcast Instructor Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
-
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Thursday Feb 16, 2023
Thursday Feb 16, 2023
NogginsAndNeurons: The Website
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NEXT LEVEL GERIATRIC CARE SUMMIT: A Certification Training for Rehab Professionals
March 29-31
Deb’s Talk: UE Mirror Therapy for Stroke Survivors: What’s Behind the Reflection
March 29th at 10:20 – 12: 20 Pacific, 12:20-2:20 Central, 1:20-3:20 Eastern
Questions about the summit: info@pesi.com or (800) 844-8260
EPISODE TITLE: All About The Brain Part 1
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about the brain regions and their functions. We covered:
- Basic brain anatomy
- How much a human brain weighs
- The purpose of gyri & sulci
- Electrical connections, chemical reactions and brain function
- The cerebrum
- The lobes: frontal, parietal, temporal & occipital
- The cerebellum
- Importance of rest for recovery
- A little bit about aphasia
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
Show References
Barbas, H. (2016). Executive functions: The prefrontal cortex: Structure and anatomy. In Reference module in biomedical sciences. Retrieved from ScienceDirect Central Sulcus https://www.sciencedirect.com/topics/engineering/central-sulcus
Borch, M.R., Brodie, S.M., Gray, W.A., Ionta, S., & Boyd, L.A. (2015). Understanding the role of the primary somatosensory cortex: Opportunities for rehabilitation. Neuropsychologia, 79(Pt B): 246-255. doi:10.1016/j.neuropsychologia.2015.07.007
Kozial, L. F., Budding, D. E., & Chidekel, D. (2011). From movement to thought: Executive function, embodied cognition, and the cerebellum. Cerebellum|Review. Springer Science Business Media, LLC. DOI 10.1007/s12311-011-0321-y
Reichenbach, A., Thielscher, A., Peer, A., Bulthoff, H. H., Breschiani, J-P. (2014). A key region in the human parietal cortex for processing proprioceptive hand feedback during reaching movements. NeuroImage 84; 615-625. http://dx.doi.org/10.1016/j.neuroimage.2013.09.024
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
- Guest Request Form
- MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Sunday Jan 29, 2023
Sunday Jan 29, 2023
NogginsAndNeurons: The Website
Join the Noggins And Neurons Facebook Group
Sign Up for the Noggins And Neurons Premium Access Pass
EPISODE TITLE: Debrief Sampling: Remedial Vision with Suzanne Briggs
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb give you a sampling of the full debrief we did on Remedial Vision with Suzanne Briggs Parts 1 & 2. We share our thoughts and ideas about what we learned, assessment tools, intervention ideas and more. The full debrief can be found in the Noggins And Neurons Membership site.
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Monday Jan 16, 2023
Saturday Dec 31, 2022
Saturday Dec 31, 2022
EPISODE TITLE: REMEDIAL VISION WITH SUZANNE: PART 1
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with Suzanne Briggs, MOT, OTR/L about remedial vision. We learned:
- Details about remedial vision
- Common visual skills/visual skill deficits, the role of cognition and vision hierarchy
- Screening and assessing for vision deficits, including the OculoMotor Assessment Tool (OMAT)
- Schools of thought regarding appropriate time to treat vision deficits post injury
- Use of prisms as intervention and compensatory strategies
- Value of professional collaborations in the client care experience
We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com
THERAPY PRACTICE RESOURCES:
DEB’S RESOURCES
- Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide)
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- Occupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for Adults
- Noggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members)
PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
DORO’S OT PRACTICE – The Neuro Hub
FOR FUN:
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
✨Google Podcasts ✨iTunes ✨Spotify
Friday Nov 11, 2022
Friday Nov 11, 2022
✨Google Podcasts ✨iTunes ✨Spotify
JOIN THE NOGGINS & NEURONS PODCAST MEMBERSHIP
Join the Noggins And Neurons Facebook Group
EPISODE TITLE: Empowering Recovery with Survivor, Angela Wingfield, PTA
INTRO - ANGELA: So, I try, and what I hope I’ve done with stroke survivors and caregivers and this is what I want for medical professionals who are working with neurological patients to realize...you can...you can, over a period of time set them up to where they’re using neuroplasticity for their physical and mental health; they are...the caregiver is asking for assistance...accepting any assistance that comes along the way...if you’re teaching them this early on...they’re learning how to communicate with each other better, the stroke survivor and their care partners in their life, and you’re teaching them skills to where...I have a lot of survivors they’re still coming to the group seven, eight, ten years later but they’re doing it mainly so they can help other people...they want to help the new ones that are coming in
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Empowering Recovery with Survivor, Angela Wingfield, PTA we talked about:
- Angela’s story – insight, depression, denial, cover-ups and wanting the old self
- Seeing through the symptoms to the person
- Beyond stroke education and connecting through emotion
- Moving from helpless to empowered
- The stroke belt - information about the stroke belt: Twenty Years of Progress Toward Understanding the Stroke Belt
As always, we want to hear your top takeaways! Email Doro & Deb at nogginsandneurons@gmail.com
Connect with Angela: awingfield1106@outlook.com
About Angela:
Stroke Support Group
https://www.methodisthealth.org/healthcare-services/neurology-neurosurgery/Strokes/support-groups/
LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:
Deb's OT Resources:
- Deb's OT resources
- The OT’s Guide to Mirror Therapy
- Tri-Fold Mirror (US address only)
- Occupational Therapy Intervention 2 pack Scavenger Hunt + Visual Trails
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
Doro’s Website: The Neuro Hub
Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit! Guest Request Form
MUSIC:
“Soft Inspiration” by Scott Holmes/ScottHolmesMusic/scotthomesmusic.com
Tuesday Oct 11, 2022
Tuesday Oct 11, 2022
Join the Noggins And Neurons Membership
Join the Noggins And Neurons FB Group
EPISODE TITLE: A Care Partners Perspective with Bridget
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified Bridget, a care partner to John, shares their story and expresses deep gratitude for the information in Pete’s book, “Stronger After Stroke: Your Roadmap to Recovery.” Bridget describes their experience, including fears, frustrations, obstacles and what they have done and continue to do to heal and thrive along their recovery journey.
As always, we want to hear your top takeaways!
Email us at Nogginsandneurons@gmail.com
LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:
PETE’S RESOURCES:
DEB’S OT RESOURCES:
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US addresses only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!
MUSIC
Music by scottholmesmusic.com
Saturday Sep 24, 2022
Saturday Sep 24, 2022
MEMBERSHIP IS HERE!
Join us in the Founders Circle Membership
A community for brain loving nerds like us who want more!
LISTEN ON YOUR FAVORITE SITE
✨Google Podcasts ✨iTunes ✨Spotify
Join the Noggins And Neurons Facebook Group
As always, we want to hear your top takeaways! Please email us at: NogginsAndNeurons@gmail.com.
If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:
- Donate to Noggins And Neurons and get an Allstar Pete Trading Card
- Using your PayPal app
LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:
excerpt of the information that was submitted and reviewed by the FDA: "10 Summary of Clinical Performance Testing
The Neurolutions System has been evaluated in 40 subjects across three separate clinical studies (described below), all of which evaluated use of the Neurolutions system in chronic stroke survivors. All three studies were designed to determine the feasibility of recording electroencephalogram (EEG) signals from the affected and/or unaffected brain hemispheres, and to use the signals to control a computer to facilitate movement of a robotic hand orthosis (Handpiece). The results of the studies have been analyzed to determine if the Neurolutions System can be used to positively impact rehabilitation. These three studies were open-label studies whereby a literature meta-analysis assessing usual care as well as minimal clinically important difference (MCID) benchmarks were utilized for comparison of device effectiveness in lieu of randomized control data.
Results of testing demonstrate that following 12-weeks of use of the Neurolutions System, chronic stroke survivors showed increases in the mean change from their baseline scores on the primary outcome measure for the three respective studies. Ten of the total 40 subjects were assessed utilizing the Action Research Arm Test (ARAT) as the primary outcome measure and the mean scores exceeded the Minimal Clinically Important Difference (MCID) of 5.7 points. In the two other studies, 30 of the total 40 subjects were assessed utilizing the Fugl-Meyer Upper Extremity (UEFM) assessment as the primary outcome measure. For 66.7% of these 30 subjects, mean scores exceeded the MCID of 5.25 points. UEFM data were collected in 30 subjects from studies.
Results of Pooled Analysis: The results from 30 subjects across two studies may be validly pooled because the studies have the same primary endpoint and were conducted under nearly identical protocols (including inclusion/exclusion criteria and treatment regimen) and investigated the same version of the device in a very similar patient population (as evidenced by a comparison of the demographic data). Moreover, the primary endpoint, change in UEFM, was compared at the same timepoint, and the studies were weighted relative to their size. Based on the foregoing, a pooled analysis for UEFM, including all 30 subjects from the two studies, resulted in a mean change at 12-weeks of 7.77 points (SD of 5.041, two-sided, one-sample t-test, p-value < .0001), which exceeds the Minimal Clinically Important difference (MCID) of +5.25 points reported in the literature.
Across the two pooled clinical studies, 100% (30/30) of the subjects demonstrated improvement on the primary outcome measure, UEFM. A total of 66.7% of these subjects exceeded the minimal clinical important difference (MCID). The MCID is the change in a treatment outcome as measured by a trained clinician and regarded as important and clinically meaningful to health professionals and patients.[1],[2],[3],[4] The remaining 33.3% of the subjects, although demonstrating improvement, did not achieve the MCID.
For a cohort of 12 patients who participated in, durability data was assessed at 6-months following completion of their 12-week study visit. Durability assessment of the primary and secondary outcome measures revealed these subjects maintained their level of improved functional and motor performance. This demonstrates that the motor improvements achieved with the Neurolutions System therapy were maintained at 6-months following the last device use. However, as durability testing has not been completed beyond 6-months, persistence of benefits beyond 6-months post device use are currently unknown.
The results of these clinical studies support the feasibility of recording EEG signals from the affected and unaffected hemisphere and demonstrate that a computer can use these signals to control the motor output of a robotic handpiece (orthosis). Results of testing demonstrate that movement of the affected fingers, through the use of the Neurolutions System, can positively impact rehabilitation of the affected arm in individuals who suffer from chronic (≥ 6 months post-stroke) upper extremity hemiparesis resulting from stroke."
Website Items:
-
Link to FDA Approval Announcement: FDA Approval Announcement
-
Link to DeNovo Announcement: IpsiHand_DeNovo
Publications of Interest:
IpsiHand in the Media:
-
Podcast: Giving Stroke Patients a Hand (patient testimonial)
-
Life Changing Technology (Bloomberg Report Special on BCI (Minute Time Mark: 7):
-
Engaging the Mind and the Brain with Neurotechnology (YouTube, Dr. Eric Leuthart)
RESOURCES:
- Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.
- Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
- Deb's OT Resources:
- Deb's OT resources
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US address only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- NEW! Presentation: OT & Mirror Therapy: What’s Behind the Reflection? Learn about this fascinating intervention and start helping stroke survivors today!
- Doro's website - the neuro hub
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit! Guest Request Form
MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com
Thursday Sep 01, 2022
Thursday Sep 01, 2022
MEMBERSHIP IS HERE!
Join us in the Founders Circle Membership A community for brain loving nerds like us who want more!
LISTEN ON YOUR FAVORITE SITE
✨Google Podcasts ✨iTunes ✨Spotify
Join the Noggins And Neurons Facebook Group
If you enjoy listening, please share with others who you think would benefit. Also, consider donating to NOGGINS & NEURONS. You can do this is 2 ways:
- Donate to Noggins And Neurons and get an Allstar Pete Trading Card
- Using your PayPal app
EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, "PT Michelle: Survivor Success Story," with Michelle Sawtelle, we talked about: Deb and Michelle chat about Michelle’s experience around having a stroke. She shares details around the evolution of the stroke, her recovery journey and returning to family and work life. Other topics that came up include:
- Inflammation, nutrition and overall health
- Wahl’s Protocol – one example of decreasing inflammation through food
- Who you are after stroke
- The gluteus maximus
As always, we want to hear your top takeaways!
LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION:
- Wahl’s Protocol (links provided for convenience)
- Michelle’s email: mmsawtelle@yahoo.com
- Academy of Neurologic Physical Therapy Stroke Special Interest Group
- Michelle’s Research
- Noggins And Neurons Resources: “Beyond the Basics: Motor Recovery Bootcamp” program. A complete guide for practitioners who want to understand and use modified Constraint Induced Therapy.
- Deb's OT Resources:
- Deb's OT resources
- The OT's Guide to Mirror Therapy
- Tri-Fold Mirror (US address only)
- Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults
- NEW! Presentation: OT & Mirror Therapy: What’s Behind the Reflection? Learn about this fascinating intervention and start helping stroke survivors today!
- Doro's website - the neuro hub
- Information about Pete’s blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:
- Blog: blogspot.com
- Book: Stronger After Stroke, 3rd edition
REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit! Guest Request Form
MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com