Episodes

  • The Brain: Part 2

    The Brain: Part 2
    Apr 14 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
    Show more Show less
    1 hr and 13 mins
  • Driving Rehab with Terri Cassidy

    Driving Rehab with Terri Cassidy
    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)
    • The OT's Guide to Mirror Therapy
    • All Resources

    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
    Show more Show less
    1 hr and 13 mins
  • We're back! Noggins And Neurons Update

    We're back! Noggins And Neurons Update
    Mar 27 2024

    Thanks for still being here! We love you 😍

    Show more Show less
    12 mins
  • Sex & Intimacy With Sujata Martin, MS, OTR/L

    Sex & Intimacy With Sujata Martin, MS, OTR/L
    Jul 10 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 IntimacyThe impact of a neurological diagnosis on the pelvic floor, function and one’s identityWhere sex and sexuality are addressed in the OT Practice Framework, 4th editionHow fine motor deficits impact bowel & bladder management, including catheter managementSexual expression, psychological & physical aspects of intimacyFinding the right practitioner-why properly trained OT practitioners may be able to help & finding a good provider/client fitThe 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 clientAdditional training required to treat pelvic dysfunction & to provide sex counselingThe importance of client questioning and, sometimes, persistence, when advocating to getting one’s needs metBeing open to considering other possibilities such as adaptations to enhance connection and intimacyBeing mindful not to adapt to the caregiver & sick role only - remembering who you are to maintain relationshipSexuality 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/opisiDevelopment 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 Sujata’s book:  “Not Just Kegels – The Exhausted Mama’s Guide to Pregnancy & Postnatal Wellness” that ranked #1 on Amazon’s Pregnancy & Childbirth list.  THERAPY PRACTICE RESOURCES: DEB’S RESOURCES Beyond the Basics: Motor Recovery Bootcamp (Modified Constraint Induced Movement Therapy Guide) The OT's Guide to Mirror TherapyTri-Fold Mirror (US addresses only)Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins 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.comBook: 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 FormMUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify  
    Show more Show less
    1 hr and 5 mins
  • Impact of Psychosocial Factors on Stroke Recovery

    Impact of Psychosocial Factors on Stroke Recovery
    Jun 16 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 healthPre and post stroke anxiety and depressionClinician 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 saysPractitioner clinical reasoningJudgement 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 TherapyTri-Fold Mirror (US addresses only)Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins 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.comBook: Stronger After Stroke, 3rd edition DORO’S OT PRACTICE – The Neuro Hub FOR FUN: Donate to Noggins And Neurons and get an Allstar Pete Trading Card 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 FormMUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify  
    Show more Show less
    1 hr and 23 mins
  • Factors Affecting Stroke Recovery

    Factors Affecting Stroke Recovery
    May 3 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 outcomesHow culture & community impacts stroke recoveryThe impact of beliefs on stroke recovery and provider rolesPharmacological & 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 unnoticedEnsuring 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 recoveryCognitive reserve defined and the impact on recoveryUse 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 concernsProviding 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 Post Stroke Checklist 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 TherapyOccupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins And Neurons Podcast Creative Learning & Discussion Guide (Free for podcast members) Podcasts in Education Instructor Guide PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition: Blog: blogspot.comBook: Stronger After Stroke, 3rd edition DORO’S OT PRACTICE – The Neuro Hub FOR FUN: Donate to Noggins And Neurons and get an Allstar Pete Trading Card 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 FormMUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify  
    Show more Show less
    1 hr and 30 mins
  • Stroke Recovery Along the Continuum of Care

    Stroke Recovery Along the Continuum of Care
    Apr 5 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 clinicianThe knowing factor that clinicians use when determining discharge recommendationsThe role of insurance in the USDismantling the subacute rehab stigmaIncluding survivors in their careThe value of the survivors’ lived (subjective) experiencesHow education helps increase client and care partner confidenceImproving education content and delivery by healthcare providersAccepting one’s career learning path being a process of continued growthCollaborative 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 TherapyOccupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins 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.comBook: Stronger After Stroke, 3rd edition DORO’S OT PRACTICE – The Neuro Hub FOR FUN: Donate to Noggins And Neurons and get an Allstar Pete Trading Card 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 FormMUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify  
    Show more Show less
    1 hr and 42 mins
  • All About The Brain Part 1

    All About The Brain Part 1
    Feb 16 2023
    NogginsAndNeurons: The Website Join the Noggins And Neurons Facebook Group   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 SIGN UP HERE 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 anatomyHow much a human brain weighsThe purpose of gyri & sulciElectrical connections, chemical reactions and brain functionThe cerebrumThe lobes: frontal, parietal, temporal & occipitalThe cerebellumImportance of rest for recoveryA 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 TherapyOccupational Therapy Intervention: Scavenger Hunt Visual Scanning for AdultsOccupational Therapy Intervention 2 Pack: Scavenger Hunt & Visual Trails for AdultsNoggins 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.comBook: Stronger After Stroke, 3rd edition DORO’S OT PRACTICE – The Neuro Hub FOR FUN: Donate to Noggins And Neurons and get an Allstar Pete Trading Card 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 FormMUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify
    Show more Show less
    1 hr and 20 mins