Podcasts about constraint induced movement therapy

Chime In, Send Us a Text Message!Episode 71 Guest: Carolyn Brown, OTD, OTR/L, CLT Executive Director, StrokeOT,LLCDr Brown joined us back in season 2 episode 3 (Oct 2021) when she first formed Stroke OT, her CT based non profit for opening long term care access and providing  essential health and wellness services to stroke survivors and caregivers.  Our guest has worked with the stroke community for 27 years.  Her expertise areas in stroke rehabilitation include Neuro-developmental Treatment, the Lifestyle Redesign® model, Constraint-Induced Movement Therapy, and Saebo orthotics and most recently Vivistim.  In addition she has been a clinical instructor for university students for the past 5+ years. More on the mission of  StrokeOT:StrokeOT, Inc. is a nonprofit organization of healthcare professionals and volunteers dedicated to providing long-term support for stroke and brain injury survivors. They offer virtual and in-person groups that focus on health, exercise, and lifestyle education to advance stroke recovery. They understand that recovery occurs throughout a lifetime when the brain and the body are in action. By creating a community of support, they are improving the lives of those experiencing health care and financial inequalities. Connect with Dr. Brown and StrokeOT: https://www.strokeot.org/Show mentions: Trillium Brewery 5K Race May 11th Vivistim Paired VNS TherapyNew show supporter CTA for 2024-Mike Garrow Support Our Show! Thank you for helping us to continue to make great content. We appreciate your generosity! For more information about joining our show or advertising with us visit: https://enable4us.comBuzzsprout Hosting - We trust BuzzsproutStart for FREEDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the Show.Support the show:Become a monthly subscriber for as low as $3 per month.Click here to subscribe.Be sure to give the show a like and share, & follow plus connect with us on social or contact us to support us as a show sponsor or become a guest on the Know Stroke Podcast. Visit website to to learn more: https://www.knowstrokepod.com/Show credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcastConnect with Us and Share our Show on Social: Website | Linkedin | Twitter | YouTube | Facebook

Our AOTA PosterThe p-CIMT Manual Katie's email: katie@otgraphically.comKaitlyn's email: kaitlyngoerl@gmail.com    

Research has shown constraint-induced movement therapy (CIMT) to be of benefit in pediatric occupational therapy practice to treat children with hemiplegia. The perceptions of adult clients, pediatric clients, child caregivers, and occupational therapists working with the adult population has been explored in the past. However, little is known about the perceptions of occupational therapists working with the pediatric population regarding CIMT. This qualitative study explored the perceptions of pediatric occupational therapists who had awareness of CIMT as an intervention method.

Today's episode is a conversation with Dr. Edward Taub. Dr. Taub is a professor at the University of Alabama at Birmingham and a behavioral neuroscientist. He developed a family of techniques, known as Constraint-Induced Movement Therapy, or CI Therapy for short, that have been shown to be effective in improving the rehabilitation of movement after stroke, traumatic brain injury, cerebral palsy in young children, multiple sclerosis and other neurological injuries. He has also developed a form that is efficacious in the treatment of post-stroke aphasia. I first read about Dr. Taub in the Dr. Norman Doidge book, The Brain That Changes Itself, and was honored to get to spend a little time chatting with him directly about his work. In this episode, we discuss the questions and experiments that led Dr. Taub and his colleagues to eventually create CI Therapy, including how they applied what they learned from their experiments with monkeys to humans. We discuss the importance of patients continuing to seek improvements outside of therapy, the reasonable expectations and limitations of CI therapy, among other topics relating to this work. We finish the episode talking about meditation and Dr. Taub shares a surprising story of how transcendental meditation improved his life.Dr. Taub at UAB: https://www.uab.edu/cas/psychology/people/faculty/edward-taubDr. Taub and The Dalai Lama: https://www.youtube.com/watch?v=zJlmRISL-QA&t=7485s"The Brain That Changes Itself": http://www.normandoidge.com/?page_id=1259http://theewpodcast.com/podcast-023-dr-edward-taub-and-constraint-induced-movement-therapy/

I learned about the iStride device when the initial research paper came out last year. It made a big difference in subjects’ ability to walk. I thought you’d like to learn more about it. I know I did. So I reached out to the developer Dr. Kyle Reed. We talk about it, how it works, and the research in this episode. So what’s the principle behind how it works? When we start walking after stroke, it’s liberating. As we get more and more mobile we start to compensate for our affected side by walking differently. But that can cause problems later on. And our skills can top out. At a certain point to get better, we need to break those new bad habits. The iStride is a therapeutic device that you wear on your unaffected foot. It teaches you to rely more on your affected leg to ultimately improve your walking ability years after stroke. Bio Dr. Kyle B. Reed is an associate professor in the Department of Mechanical Engineering at the University of South Florida (USF).  His rehabilitation research focuses on low-cost methods to restore abilities in individuals with asymmetric impairments, such as from stroke or unilateral amputations.  His research on Haptics focuses on thermal responses of the skin, coordinated motions, and human-robot interaction.  He has over 100 publications and has 18 patents issued or pending with three patents licensed for commercialization.  He is an Associate Editor for IEEE Transactions on Haptics, an IEEE Senior Member, a Senior Member of the National Academy of Inventors, and was a 2019 Core Fulbright U.S. Scholar.  He has received funding from the National Science Foundation, the National Institutes of Health, the Florida High Tech Corridor, the Orthotic and Prosthetic Education and Research Foundation, the American Orthotic & Prosthetic Association, and industry.  Prior to USF, he was a post-doctoral scholar at Johns Hopkins University.  He received his Ph.D. and master’s from Northwestern University and his B.S. from the University of Tennessee, all in Engineering. iStride in Action Research Here’s the pilot study that initially caught my attention: https://jneuroengrehab.biomedcentral.com/track/pdf/10.1186/s12984-019-0569-x There are couple more studies coming out soon showing the benefits of the iStride. Check out the abstracts here: https://www.ahajournals.org/doi/abs/10.1161/str.51.suppl_1.TP144 https://apta.confex.com/apta/csm2020/meetingapp.cgi/Paper/23350 Always be skeptical of new approaches to recovery, but if it’s not harmful, and it doesn’t interfere with other treatments in terms of time or money, those new treatments may be a great choice. Thoughts on the Protests The pro-democracy protests in Hong Kong negatively impacted people’s treatment because they couldn’t get to clinics. The recent anti-police brutality / Black Lives Matter protests in the US also likely disrupted people’s care, which was already disrupted by COVID-19. It’s okay to acknowledge that. But that doesn’t mean the protests are bad or need to stop. Every group that is fighting for its rights also has people with disabilities in its ranks. With all the upheaval, now is not the time for people with disabilities to stay silent. Now is the time to speak up even louder. Disability doesn’t mean we can’t or shouldn’t be part of the fight — it just means we may have a different role. Hack of the Week An umbrella stand or tall vase is a great place to store canes by the door. It can also be a great place to swap from an indoor to an outdoor cane a you venture into the larger world. And as long as you have to use a cane, make it awesome. You can find hundreds of great options on Etsy:https://www.etsy.com/search?q=walking%20cane&ref=auto-1&as_prefix=walk I’ve also acquired most of mine through FashionableCanes.com. Links Reed Lab http://reedlab.eng.usf.edu/ Dr. Kyle Reed’s email address kylereed@eng.usf.edu iStride Device http://reedlab.eng.usf.edu/iStrideDevice/ Moterum Technologies https://moterum.com/ Clinical Trials https://moterum.com/clinical-trials/ iStride video by USF https://youtu.be/vlv7T5PynIM USF Article about iStride https://www.usf.edu/news/2019/stroke-patients-relearning-how-to-walk-with-peculiar-shoe.aspx iStride on NBC DFW https://www.nbcdfw.com/news/local/stroke-shoe-retrains-the-brain/15/ Pilot Study https://jneuroengrehab.biomedcentral.com/track/pdf/10.1186/s12984-019-0569-x Abstract from the AHA Journal https://www.ahajournals.org/doi/abs/10.1161/str.51.suppl_1.TP144 Abstract from the APTA Conference https://apta.confex.com/apta/csm2020/meetingapp.cgi/Paper/23350 Constraint Induced Movement Therapy from Physiopedia https://www.physio-pedia.com/Constraint_Induced_Movement_Therapy Amy Bastion at the Kennedy Kreiger Institute https://www.kennedykrieger.org/patient-care/faculty-staff/amy-bastian Fashionable Canes http://FashionableCanes.com Canes on Etsy https://www.etsy.com/search?q=walking%20cane&ref=auto-1&as_prefix=walk Where do we go from here? Check out the video above to see the iStride in action, and visit http://Moterum.com to learn more about participating in studies. Share this episode with 3 people you know by giving them the link http://strokecast.com/istride Lift your literal or metaphorical voice high and don’t be ignored in this time of social change Don’t get best…get better Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.

Dr. Stephen Page OTR/L, PhD joins us to discuss constraint induced movement therapy (CIMT) after stroke. Listen as he discusses the benefits of CIMT and some of his research involving a modified CIMT program. The Spinal Cord Injury Special Interest Group is a part of the Academy of Neurologic Physical Therapy, www.neuropt.org.

Cerebral palsy is the most common form of childhood disability, and there are several Cochrane Reviews of therapies that might help the children and their families. These include a review on constraint-induced movement therapy, which was updated in April 2019. We asked lead author Brian Hoare from Monash Children’s Hospital in Australia to tell us about this treatment, and the evidence on its effects.

Cerebral palsy is the most common form of childhood disability, and there are several Cochrane Reviews of therapies that might help the children and their families. These include a review on constraint-induced movement therapy, which was updated in April 2019. We asked lead author Brian Hoare from Monash Children’s Hospital in Australia to tell us about this treatment, and the evidence on its effects.

Cerebral palsy is the most common form of childhood disability, and there are several Cochrane Reviews of therapies that might help the children and their families. These include a review on constraint-induced movement therapy, which was updated in April 2019. We asked lead author Brian Hoare from Monash Children’s Hospital in Australia to tell us about this treatment, and the evidence on its effects.

Occupational therapy practitioners are continuously looking for ways to maximize the potential of their clients that have had a stroke. But what does the research say? Lauren Sheehan OTD, OTR/L & Lauren Souders OTR/L, CBIS dig into the intensity and repetition for task based practice in order to increase the motor function after a person has a stroke. Tips for how to do it, options for technology to assist us and when should we get started. Resources from the Show: Virtual Reality and OT Neurorehabilitation podcast Fugl Meyer, ARAT & AMAT assessments Websites: Evidence-Based Review of Stroke Rehabilitation: ebrsr.com Shirley Ryan Abilitylab: sralab.org Research: Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke: The EXCITE Randomized Clinical Trial Thank You For Listening I really appreciate you choosing to listen to and supporting the Seniors Flourish podcast. If you enjoyed today's show, please share it and taking a minute to leave an honest review and rating for the show in iTunes. It really helps in reaching fellow OT practitioners, students and those curious about the OT profession. Finally, don't forget to subscribe to the podcast in iTunes to make sure that you never miss an episode

Video Project I'm thrilled to announce a video project I've been part of now airs on local TV in Seattle. The Medical Minute is a partnership between King 5 and Swedish Medical Center highlighting the working relationship between care providers and patients at Swedish. I got to share the screen with the always awesome Olivia.  Check it out below.   Learned Nonuse Neurons that fire together, wire together. -- Dr. Norman Doidge (and, apparently, several others) In a few weeks I have one of those rare Seattle events where a tie will be appropriate. So now I need to figure out how to do that. Do I get a clip on, or do I try to learn to tie one-handed?  Clip on seems easy and temporary. One-handed tying would become a lifelong skill and permanent. Do I really want a lifelong solution here? Isn't that just conceding that I won't get my left hand back? I'm not prepared to make that concession. The brain functions like a network of dirt roads. The ruts in the road make it simple for instructions to flow in a simple path. The stroke wiped out those ruts and roads and it's time to rebuild them.  This thought process eventually led to a discussion of Shoulder Subluxation and  the work of Edward Taub and Constraint Induced Movement Therapy and the nature of rote learning. Ultimately I decided to get the clip on tie. I think. Hack of the Week Putting on a belt with hemiparesis can be tough. It requires reaching around your body, past your weak arm, without losing your balance. The solution is to thread your bel through your belt loops before putting on your pants. This makes it much less likely that you'll fall over. Where do we go from here? What are your thoughts and experiences with adaptive equipment and learned nonuse? Let us know in the comments here. If you have an Amazon Echo device (affiliate link), please enable the Strokecast skill. Go up to it and say, "Alexa, enable Strokecast." Don't get best...get better.

Using the evidence to start a modified constraint induced movement therapy (mCIMT) program in your occupational therapy practice doesn't have to be hard or involve lots of equipment. Listen in to Lauren Walker MOT OTR/L talk about how her team did this to produce better outcomes for her patients who experienced a stroke. Resources from the Show: Get the Item List to Start Your Own mCIMT Program Corbetta, D., Sirtori, V., Castellini, G., Moja, L., & Gatti, R. (2015). *Constraint-induced movement therapy for upper extremities in people with stroke*. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26446577 Levine, P. G. (2009). *Stronger after stroke: Your roadmap to recovery* (2nd ed.). New York: Demos Health. Miltner, W. H. R., Bauder, H., Sommer, M., Dettmers, C., & Taub, E. (1999). Effects of constraint-induced movement therapy on patients with chronic motor deficits. *After Stroke, 30*, 586–592. http://dx.doi.org/10.1161/01.STR.30.3.586 Wu, C., Lin, K., Chen, H., Chen, I., & Wong, W. (2007). *Effects of modified constraint-induced* *movement therapy on movement kinematics and daily function in patients with stroke: A kinematic study of motor control mechanisms*. *Neurorehabilitation and Neural Repair, 21*, 460-466. http://dx.doi.org/10.1177/1545968307303411 Yamashita, T., & Abe, K. (2012). *Potential treatment strategies for enhancing neuroplasticity and regeneration after ischemic stroke*. Retrieved from http://www.medscape.com/viewarticle/763955_4 Subscribe here on: iTunes or Stitcher LEARN MORE ABOUT OUR SPONSOR This episode is sponsored by Great Seminars and Books: Get $25 off a Great Seminars Course! Go to http://www.seniorrehabproject.com/GREAT & use promo code: SRP25 Thanks for Listening! I appreciate you taking the time to join me this week. If you have ANY suggestions on OT podcast topics focusing on the older adult, I'd love to hear your suggestions. Head on over to SeniorsFlourish.com/podcast. And forget to subscribe to the show on iTunes to get automatic updates and be sure to not miss an episode. Plus, it's free! ------------ *Check out the other podcasts in the Geros Collective family, equipping healthcare clinicians to better serve our aging population at GerosCollective.com

Minimal Detectable Change for TUG and TUDS Tests for Children With Down Syndrome A study compared the Timed Up and Go test (TUG) with the Timed Up and Down Stairs test (TUDS) in a group of 12 children children with Down Syndrome.  Kathy Martin, PT, DHSc, Krannert School of Physical Therapy, University of Indianapolis, Indiana. Constraint-Induced Movement Therapy for Children With Brain Tumors A tailored therapy for children with brain tumors has been used successfully to help with upper extremity hemiplegia. Jessica Sparrow, OTD, OTR/L, Rehabilitation Services, St Jude Children’s Research Hospital, Memphis, Tennessee. Reliability of the Arch Height Index as a Measure of Foot Structure in Children Study findings have confirmed the value of an objective measure of foot structure to monitor children with flat feet over a period of time. Lisa C. Drefus, PT, DPT; Pediatric Rehabilitation, Hospital for Special Surgery, New York City. The Relationships Between Capacity and Performance in Youths With Cerebral Palsy Differ for GMFCS Levels Chinese children with cerebral palsy have been assessed successfully by using similar tools to those used in the United States.  Ai-Wen Hwang, PT, PhD Department of Physical Medicine and Rehabilitation, Chang Gung University, Tao-Yuan, Taiwan Six-Month Follow-up of Supervised Spinal Stabilization Exercises for Low Back Pain in Adolescent Idiopathic Scoliosis Adolescents with low back pain associated with idiopathic scoliosis benefited from more physical therapy rather than less.  Karina A. Zapata, PT, PhD; Texas Scottish Rite Hospital for Children, Dallas Developing a Clinical Protocol for Habitual Physical Activity Monitoring in Youth With Cerebral Palsy Recommendations have emerged from a study to improve the monitoring of usual daily patterns of physical activity in youths and children who have cerebral palsy. Kristen Nicholson, PhD, Nemours Alfred I duPont Hospital for Children, 1600 Rockland Rd, Wilmington, DE 19803 A Child With a Burn-Related Foot and Ankle Contracture Treated With Multiple Modalities A combination of high-tech materials plus clinical experience has minimized disability in a child with a scar from severe burn to the foot and ankle. Miranda Yelvington, MS, OTR/L, BCPR, Occupational Therapy, Arkansas Children’s Hospital, Little Rock Power-Up: Exploration and Play in a Novel Modified Ride-On Car for Standing Latest findings demonstrate that a modified ride-on car can better help children with disability. Samuel Logan PhD, Assistant Professor, Oregon State University, Corvalis, OR

In this podcast, Editor in Chief of Developmental Medicine & Child Neurology, Dr Peter Baxter, talks to Leanne Sakzewski (Postdoctorate Research Fellow, School of Medicine, Faculty of Health, The University of Queensland, Brisbane, Australia) and Roslyn Boyd (Scientific Director of the Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Health, The University of Queensland, Brisbane, Australia) about the paper they co-authored in the April issue of the journal ‘Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia'. This paper is also discussed with Andy Gordon (Professor of Movement Science, Teachers College, Columbia University, USA) who has also written a commentary. Read the paper: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-8749.2010.03859.x/abstract Read the commentary: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-8749.2010.03906.x/abstract

Thu, 27 Nov 2008 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/9672/ https://edoc.ub.uni-muenchen.de/9672/1/Wagner_Nina.pdf Wagner, Nina ddc:610, ddc:600, Medi

Guest: Richard Harvey, MD Host: Mark Nolan Hill, MD Constraint Induced Movement Therapy (CIMT) is a newer technique used to help stroke victims recover motor skills. In this segment Dr. Richard Harvey explains the history and process of improving motor skills using CIMT. He also breaks down the steps of shaping and talks about some of the state of the art tools used by rehab institutes to assist stroke patients in recovery.