More Listener Q‘s & More StrokEngine

September 10, 2021

More Listener Q's & More StrokEngine


Noggins And Neurons Facebook Group:


PETE: And having other kinds of problems like diabetes flares up or whatever it is...and so they cycle back through to the therapist and what the therapist sees is not the people getting better because they’re gone. They’re Kathy Spencer...they’re people that are living their life and going to work and doing stuff that’s important to them. The therapists keep seeing the sick people, who are often sick because they don’t exercise, and the therapists don’t interface with the successful survivors. And that’s the other thing, like, some of the people that I’ve met through some of the survivor Facebook groups, they’ve come to my talks. And you know, I’ve got to meet them, and they’re still working and they’re pressing and they’re exercising and those people I think it would be good if you knew who those people were. And that you kept in touch with them. We trashed Facebook in the last episode so now let’s say something nice. There’s some groups on Facebook that you can get engaged in that are really good to help you know the full rainbow of the kinds of survivors that exist.

DEB: Yeah...

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Pete and Deb got into more N & N FB group member questions and another Stroke Engine intervention. We discussed:

  • Goal setting strategies to instill motivation for recovery:

    • Benefits of involving athletic trainers for stroke recovery success
    • Hard (honest) conversations about interventions that work and what’s required
    • Habits, routines and home programs during inpatient rehab
    • Thinking about the dreaded plateau before it happens
    • Patient and practitioner viewpoints about pushing harder on the recovery journey
    • Improving service delivery with tele rehab, consultations, part B and the “low-level athlete” mindset
    • Survivor Facebook groups are opportunities to interact with successful survivors
    • Moving away from practice are territorialism and into professional collaboration to optimize survivor recovery
    • Using therapy opportunities wisely to educate and empower clients to be involved in their recovery journey
    • Tiny changes lead to big improvements
  • The dance of cognitive rehab: no pencil & paper tasks! Only the “doing” works
    • Understanding the fatigue factor and the just right challenge
  • Stroke Engine A-Z:
    • Aerobic exercise following stroke to improve cardiovascular health, quality of life, leg and body function, spasticity, cognition, dexterity and more!
    • Task specificity, brain re-wiring, task focus (bring in meaning), repetition and follow through
    • Mental imagery, wandering thoughts and guided mental practice to reduce boredom
    • Use brain primers first: mental imagery & mirror therapy prepare for task specific training
    • High and low intensity related to task specific training and efficacy for the upper and lower extremities

 As always, we want to hear your top takeaways!


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Pete’s blog, book, Stronger After Stroke, and talks.

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