Podcasts about EMG

With Hughes down for the year, some value opens up at the Storm but is that the right place to invest your money? We also look at the concept of VORP (value over replacement player) - basically whether byes and potential resting would incline you to buy or sell certain players due to the quality of your EMG depth.   Link to the NRL Fantasy Amateurs Discord: https://discord.gg/XraJe9vFzp   If you like the show, don't forget to check out our new ”Good Friends of the Show” exclusive member package, featuring members only discord channel, individual player analysis, tactical game theory content, and personalise team review and trade assistance. To join, visit https://buymeacoffee.com/fantasyamateurs/membership and sign up for $5 per month to start receiving benefits.

Noé viveu em uma geração marcada pela corrupção e maldade, mas sua história se destaca pela piedade resistente que demonstrou. Em Gênesis 6:9, vemos três marcas essenciais dessa piedade: referência, resiliência e relacionamento. Noé era justo, vivia segundo a referência de Deus e não dos homens. Ele era íntegro entre seus contemporâneos, resiliente, permanecendo firme mesmo quando tudo ao redor era contrário à vontade divina. E Noé andava com Deus, mantinha um relacionamento constante, profundo e transformador com o Senhor. Sua vida mostra que a verdadeira piedade nasce de um coração alinhado com a Palavra. Em um mundo que tenta nos moldar, a piedade resistente é fruto de uma fé enraizada em Deus.#igrejabatista #igrejanaoelugar #somosalife #reflexão #piedade #vidapiedosa

Join Jay Gunkelman, QEEGD (the man who has analyzed over 500,000 brain scans), and host Pete Jansons for another engaging NeuroNoodle Neurofeedback Podcast episode discussing neuroscience, psychology, mental health, and brain training. Special guests Joshua Moore and Anthony Ramos join in for a deep-dive Q&A.✅ Topic 1 Explained: Jay breaks down the critical links between insomnia and ADHD, highlighting how delayed circadian rhythms and underarousal phenotypes impact life satisfaction and school performance.✅ Topic 2 Deep Dive: Restless Leg Syndrome as an ADHD mimic—Jay explains its dopamine and beta spindle connections, EMG detection methods, and neurofeedback treatment options.✅ Topic 3 Insights: How psychiatric meds, especially antipsychotics and benzos, can impact EEGs, neuroplasticity, and long-term cognitive outcomes—plus safer treatment alternatives.✅ Additional Topics:

The publication of Human Augmentation - The Dawn of a New Paradigm by the Defence Concepts and Doctrine Centre (DCDC) in 2021 demonstrated the importance of this topic within UK defence.1 Human Augmentation (HA) is also referenced in the recent Defence Command Paper (Defence's response to a more contested and volatile world)3 relative perceived effort,4 reduction in muscle EMG activity,5 cognitive function,6 and metabolic activity7 inter alia. In addition, translation of these outcome measures to military utility is not yet convincing. Another fundamental challenge with exoskeletons for military applications is power requirement. The reported improvements in physical performance in tethered systems described in these studies need to be viewed with scepticism as they will be reduced significantly once the systems carry their own power supply. Finally, there is evidence that while performance in one domain (lifting / carrying) may be augmented, this comes at the cost of reduced performance in another (walking).8 Remote sensing and measurement has been explored as a means to prevent injury and assure the health of our fighting force. Several remote sensing systems have reached an advanced technology readiness level and have shown promise in the field.9 However, there are several key problems that range from technological challenges (e.g. signal noise, calibration, drift, attachment-related artefact, etc) to the lack of causal evidence in the literature to link injuries or illness states with particular measurable parameters.10 This last problem is a fundamental barrier to this technology finding a military utility. We are currently at the stage of discovering what we can measure, but to be useful we need to know what we should measure. This problem of lack of fundamental knowledge is profound in the more invasive areas of HA. Much of the means by which HA can be delivered remains entirely theoretical. For example, the specific genetic modifications of the human genome to improve muscle strength or prevent MSK injury are not known. Our literature search has not revealed any human research in these areas, meaning that deficits in understanding are unlikely to be resolved soon. If the HA technology is to transform our fighting force within a generation then significant investment in basic human research is required now. The scientific problems discussed above are not the only difficulties in this area. Key ethical, legal, societal, and economic problems will need to be overcome for HA to deliver meaningful performance gains. Ethical issues are discussed clearly in the original paper (1) and relate to permanence, harm, societal acceptance, military proportionality, and fairness. Another ethical problem that has not been discussed in the literature is the question of whether HA is a medical therapy. HA intended to mitigate traumatic injury may be argued to be analogous to preventative medicine such as vaccination and may be considered within the remit of our current understanding of healthcare and medical ethics. However, HA that has no preventative medical application has no current medical analogy and cannot be considered part of healthcare as we currently understand it. Multiple unanswered legal questions will need to be answered before HA can be used in practice (table 2). However, the UK government has no legislative agenda to clarify the law surrounding this area so these questions are likely to remain unanswered for now. Legal Concept Legal Questions Informed consent Montgomery ruling: patients must have individualised discussion of potential risks, benefits, alternatives, and implications. If HA is not defined as a medical technology, what consenting safeguards apply? Liability Who is liable if harm is caused to the individual as a result of augmentation if something goes wrong during augmentation procedure or during use? Who is responsible for the removal of HA technology in the case of obsolescence or request from the use...

Leitura Bíblica Do Dia: GÁLATAS 5:1-7,13-15 Plano De Leitura Anual: NEEMIAS 12–13; ATOS 4:23-37  Já fez seu devocional hoje? Aproveite e marque um amigo para fazer junto com você! Confira:  No Texas, onde eu cresci, havia desfiles e piqueniques nas comunidades negras, todo dia 19 de junho, celebrando o Juneteenth (uma mistura das palavras junho e 19 em inglês). Só quando eu já era adolescente que aprendi o significado chocante dessa data. Nesse dia, em 1865, a população escravizada do Texas descobriu que o presidente Lincoln havia assinado a Declaração de Emancipação, libertando-os, 2 anos e 5 meses antes. Eles tinham permanecido na escravidão porque não sabiam que tinham sido libertos. É possível ser livre e continuar vivendo como escravo. Em Gálatas, Paulo escreve sobre outro tipo de escravidão: viver sob as exigências esmagadoras das regras religiosas. Neste versículo- -chave, Paulo afirma a seus leitores: “Para a liberdade foi que Cristo nos libertou. Por isso, permaneçam firmes e não se submetam, de novo, a jugo de escravidão” (GÁLATAS 5:1, NAA). Os seguidores de Jesus foram libertos das regras exteriores, incluindo o que comer ou de quem ser amigo. Muitos, porém, ainda viviam como escravos. Infelizmente, podemos fazer o mesmo hoje. Entretanto, quando cremos em Jesus, Ele nos liberta de uma vida de medo dos padrões religiosos humanos. A liberdade foi declarada. Sejamos livres em Seu poder!  Por: LISA SAMRA 

Listen, Watch, & Support DTP:  www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content!--------------"We solve complex problems, and we help people."This mantra has embodied the work of the US Army Corps of Engineers (USACE) for the past 250 years.On this, the 250th Birthday of the Corps, the Disaster Tough Podcast hears the perspective of Major General Jason Kelly, its Deputy Commanding General of Civil & Emergency Operations.MG Kelly has an extensive military background, including 30+ years in USACE.  In this episode, he and DTP host, John Scardena, discuss a wide range of topics including:USACE's history dates back to the birth of America shortly after the RevolutionThe corps' efforts to make sure disasters don't do MORE damage than is necessaryHow USACE thinks about infrastructure from a security, risk management, response, and financial point of viewCounseling and advising leaders and stakeholders from a technical standpoint, regardless of politicsUSACE's work with FEMA and other entities is to be ready for disasters such as the upcoming hurricane season on the East Coast, or the recent fire season and cleanup efforts on the West Coast.As Major General Kelly says, "We deal with concrete and steel, but we don't PLACE concrete, and we don't PLACE any steel.  We do that with partners."On this Monday, June 16, DTP celebrates and honors the US Army Corps of Engineers for the way they have fulfilled this mission, and their partnership and contribution to America's prosperity and success.--------------Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.comFor sponsorship requests, check out our Sponsorship Portfolio here or email us at contact@thereadinesslab.com

Africa Melane talks to the director of EMG, Mandy Moussouris. This South African organisation has over 30+ years of work in environmental justice. From fighting for clean water to empowering small-scale farmers, EMG puts community voices at the heart of climate action. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buƯ.ly/XHry7eQ and find all the catch-up podcasts here https://buƯ.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buƯ.ly/gk3y0Kj and CapeTalk https://buƯ.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buƯ.ly/v5mfetcFollow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702702 on TikTok: https://www.tiktok.com/@talkradio702702 on Instagram: https://www.instagram.com/talkradio702/702 on X: https://x.com/Radio702702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalkCapeTalk on TikTok: https://www.tiktok.com/@capetalkCapeTalk on Instagram: https://www.instagram.com/CapeTalk on X: https://x.com/CapeTalkCapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

Listen, Watch, & Support DTP:  www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content!--------------This week on the Disaster Tough Podcast, we're joined by Andre Mackey, Chair of NATO's Specific Environments Panel (SPED)—and all-around powerhouse in the world of crisis leadership.Andre is an American based in Turkey, working directly with NATO to address the toughest environments on Earth—think urban warfare, cross-border coordination, and multi-agency response in unstable regions.In this episode, we dive into:NATO's response to current global flashpoints, including Ukraine and GazaThe role of SPED in preparing for and operating in extreme and urban environmentsReal-world insights on leadership during international emergenciesThe reality of coordinating across cultures, agencies, and bordersWe also want to give a big shoutout to our friends on the Specific Environments Panel (SEP). You know who you are—and we're grateful for the work you do.Listen now—this episode brings global perspective from someone who's living it.#DisasterTough #NATO #SPED #SEP #UrbanWarfare #EmergencyManagement #CrisisResponse #GlobalSecurity #Ukraine #Gaza #CrisisLeadership #PodcastEpisode--------------Impulse: Bleeding Control Kits by Professionals for Professionals:https://www.dobermanemg.com/impulse Doberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

In this AANEM podcast, Dr. Chilvana Patel interviews Dr. Devin Rubin and Dr. Nortina Shahrizaila about global disparities in EMG and nerve conduction study training. They discuss challenges such as inconsistent educational program standards, limited resources, and lack of mentorship, especially in developing countries. The experts are discussing the current efforts to improve access to hands-on training and standardized education.

Listen, Watch, & Support DTP:  www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content!--------------The more you worry about the future, the less you enjoy the present.” Many working for federal agencies, such as FEMA, are worried about the future because of things happening in the present.For that reason, the Disaster Tough Podcast returns with a timely conversation with former FEMA Administrator Pete Gaynor. Pete served at the highest levels of FEMA and the Department of Homeland Security during President Trump's first term.Since then, he has been providing his expertise in the private sector, including his current role as Vice President of Resiliency and Disaster Recovery at Hill International, Inc.In this episode, Pete shares his thoughts on the current situation at FEMA amid recent reductions in workforce within the agency. He also discusses what employees and emergency management professionals can do to remain viable and ready in the face of uncertainty.He and host, John Scardena, point out the difficulties that EM professionals run into when it comes to response because of bureaucracy.He says the expectations often differ from the process and final response.As such, he calls for systems to be put in place so that state and local agencies have more ability to respond first, and only request federal assistance when necessary.--------------Impulse: Bleeding Control Kits by Professionals for Professionals:https://www.dobermanemg.com/impulse Doberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Replay of our live Q&A today where I also interviewed EMG parents!We covered:-Why these parents joined EMG in the first place (everything from experiencing nerves before games, new sports teams, and lacking confidence)-Biggest wins they've noticed since joining-Favorite parts of the program (ease of use, coach on call texting, live calls, & simple tools!)-How to bring up the "mental game" without causing her to shut downThe What to Say Challenge Discount on EMG expires today at 11pm ET!Grab 50% off the program + bonuses here

Episode 187: In this episode of the Athletic Shoulder Podcast, we're joined by Annelies Maenhout, a visiting professor at Ghent University's Department of Rehabilitation Sciences and a leading researcher in shoulder rehabilitation. As a core member of the university's Upper Limb Research Team, Annelies has contributed significantly to the field through her work on EMG, motor learning, and kinetic chain mechanics. Her research bridges cutting-edge science with clinical practice, offering insights into how shoulder rehab can be refined through eccentric loading, implicit motor learning, and neuromechanics. With a forward-thinking approach, she explores how VR, brain activity, and reaction time play a role in optimizing rehab for overhead athletes. Topics Discussed: EMG research on kinetic chain and plyometric exercises How her view on GIRD (glenohumeral internal rotation deficit) evolved over time Key findings from eccentric training research Transitioning from internal to external attentional focus in rehab Applying implicit motor learning in shoulder rehabilitation The current gap in research on reaction time in overhead athletes Exploring the potential of VR and neuroscience in shoulder rehab Future directions in shoulder research: muscle synergies and brain activity Whether you're a clinician, coach, or researcher, this episode offers valuable insights into the future of evidence-based shoulder rehabilitation. - Where you can find Annelies: LinkedIn ResearchGate -  Sponsors VALD Performance, makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training Hytro: The world's leading Blood Flow Restriction (BFR) wearable, designed to accelerate recovery and maximise athletic potential using Hytro BFR for Professional Sport. -  Where to Find Us Keep up to date with everything that is going on with the podcast by following Inform Performance on: Instagram Twitter Our Website - Our Team Andy McDonald Ben Ashworth Alistair McKenzie Dylan Carmody Steve Barrett  Pete McKnight

​ @igrejakyrios  | Igreja Evangélica KyriosFeliz Dia das Mães!Culto do dia 11.05.2025 no período da Manhã - 9h Gênesis 21:9-21 (NVI) Você já se sentiu rejeitado, como se estivesse num deserto, sozinho?Em Gênesis 21:9-21, aprendemos algo poderoso: o que o homem rejeita, Deus assume.Agar foi lançada no deserto com seu filho. Parecia o fim. Mas Deus a viu. Deus ouviu o clamor.Talvez você esteja no seu deserto agora, mas Deus já preparou um poço, um escape, uma nova chance.Às vezes, a dor cega. Mas Deus quer abrir seus olhos para enxergar o que já está aí: sustento, direção, esperança.A rejeição não define você. O que você faz com a vida que Deus te deu, sim.Levante-se! Segure na mão do seu filho, da sua história, dos seus sonhos — e siga em frente.Compartilhe essa palavra com alguém... ✨Ouça nossa música autoral!https://youtu.be/htZ9wZZryaM?si=uGKU5E0CfqprJfqCSe conecte conosco!https://portal.igrejakyrios.com.br/fale-conosco/Inscreva-se no nosso canal: www.youtube.com/@igrejakyrios Nosso Site: http://www.igrejakyrios.com.brInstagram: https://www.instagram.com/igrejakyrios/

Can electrode design support both signal stability and sustainability? José Näf explains how Nahtlos electrodes reduce waste and skin irritation while delivering high-quality data over time. In this fourth episode, Dr. Olli Tikkanen and José Näf explore the technical and environmental details of electrode design for long-term HRV and ECG measurements. José discusses how offset connectors, biocompatible foil materials, and breathable adhesives improve comfort and data quality. He also explains the sustainability advantages of Nahtlos' packaging and activation system, which extends product shelf life and cuts down on disposable waste. The conversation expands into practical tips on cable management, adhesive reactions, and how to reduce motion artifacts during physical activity. They also touch on emerging opportunities in long-term EMG monitoring and multi-sensor wearable setups. This episode gives practical guidance for researchers, developers, and clinicians aiming for long-duration, high-quality physiological data. __________   This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research --- Learn more about Fibion Sleep and Fibion Circadian Rhythm Solutions. --- Fibion Kids - Activity tracking designed for children. --- Collect self-report physical activity data easily and cost-effectively with Mimove. --- Explore our Wearables,  Experience sampling method (ESM), Sleep,  Heart rate variability (HRV), Sedentary Behavior and Physical Activity article collections for insights on related articles. --- Refer to our article "Physical Activity and Sedentary Behavior Measurements" for an exploration of active and sedentary lifestyle assessment methods. --- Learn about actigraphy in our guide: Exploring Actigraphy in Scientific Research: A Comprehensive Guide. --- Gain foundational ESM insights with "Introduction to Experience Sampling Method (ESM)" for a comprehensive overview. --- Explore accelerometer use in health research with our article "Measuring Physical Activity and Sedentary Behavior with Accelerometers ". --- For an introduction to the fundamental aspects of HRV, consider revisiting our Ultimate Guide to Heart Rate Variability. --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher

How did you fare on your March Madness brackets? Did you win your EMG lab pool? Did you pick any upsets? Tune in and you will be sure to win this Lessons from the Lab March Madness bracket. It's full of surprises and successes, and you won't be “upset".

What if the secret to your daughter's confidence isn't more practice… but a mental game shift?Two sports moms (one with a 9-year-old gymnast, another with a 12-year-old softball catcher) spill exactly how they transformed meltdowns into comebacks and rebuilt their own parenting playbooks along the way.

Send us a textParsonage-Turner Syndrome can mimic several other shoulder conditions, leading to misdiagnosis and ineffective treatment if not properly identified and differentiated.• PTS typically presents with sudden onset of severe shoulder pain lasting 2-3 weeks, often triggered by viruses or vaccinations• Common symptoms include limited active and passive range of motion, weakness, atrophy (especially in deltoids), and sometimes altered sensation• Rotator cuff tears differ by having better passive than active motion and usually having a clear mechanism of injury• Cervical nerve root compression can be distinguished by performing Spurling's test and gentle cervical traction• Adhesive capsulitis has a slower onset than PTS and typically doesn't cause the significant atrophy seen in PTS cases• Diagnostic imaging should be used after thorough clinical examination to confirm suspected diagnosis• EMG/nerve conduction studies are most helpful for confirming PTS after 3-4 weeks of symptoms• Always check for skin changes like pustules or rashes that might indicate shingles, which can cause brachial neuritisJoin us for our upcoming live course on May 31st, 2025 where we'll cover more differential diagnoses like these. Visit the website link in the show notes for more information and to reserve your spot.

This is a replay of the recent training we hosted for Sports Moms "The Do's and Don'ts of Strengthening Your Athlete's Mental Game"! Spring enrollment special (50% off the program + bonuses) expires Friday, April 4th! Grab the program with the discount hereShe's talented, she's dedicated, but something's holding her back… and it's not her skills. If you've ever watched your daughter struggle with confidence, perfectionism, or bouncing back from mistakes on the field, this episode is for you. As a parent, it's heartbreaking to see your girl spiral after a setback, or hear her talk herself down after a game. You've told her she's good enough, she's strong enough, but how can you actually help her believe it?This episode will give you the tools to help her break free from self-doubt and start playing with the confidence she deserves!Here's what we cover in this episode:How to help your athlete bounce back from mistakes using the “Bounce Back in a Snap” method.Why perfectionism is holding her back, and how to help her release the pressure.The power of flipping negative self-talk into productive, confidence-building thoughts.Real-life Q&A with sports moms like you, plus expert advice.A special, limited-time offer for the Elite Mental Game program that's designed to quickly strengthen your daughter's mental game and confidence.Don't wait – this episode is only up for 48 hours! Listen now to learn how you can support your athlete's mental game, and unlock a 50% discount on the Elite Mental Game program before the offer ends this Friday, January 31st!Listen to the full episode now and empower your girl to play with confidence – both in sports and in life.Episode Highlights: [00:00] Raising Confident and Mentally Strong Girl Athletes. This is a 48-hour special, featuring a live training session on strengthening an athlete's mental game.[03:20] Common Challenges Faced by Athletes. Discussing the common concerns of parents about their daughters' handling of sports and life challenges.[05:14] Misconceptions About Building Confidence. Debunking common misconceptions about building confidence in athletes, such as relying on coaches or expecting confidence to develop naturally.[07:56] The Unstoppable Athlete Method. Introducing the Unstoppable Athlete Method, a solution used to coach high school volleyball teams.[10:38] Bounce Back in a Snap. The Bounce Back in a Snap method, which helps athletes recover from mistakes quickly.[23:05] Releasing the Pressure Athletes Feel. Discussing the pressure athletes feel, including perfectionism, comparison, and pregame anxiety and understanding the concept of noticing and shifting thoughts to release the pressure.[34:13] Flipping Negative Mindset. The challenge of athletes turning positive feedback into negative self-talk. Understanding negativity bias and the importance of self-trust in building confidence.[42:40] The Role of Parents in Mental Training. The importance of parents in shaping their children's environment and providing opportunities for mental training. And tips for parents to improve their own self-talk and support their children's mental training.[42:50] The Elite Mental Game Program. Introducing the Elite Mental Game program, a self-paced mental training system for girl athletes.[01:08:27] Live Support and Bonuses. Introducing the live support and bonuses included in the Elite Mental Game program.[01:08:07] Enrollment and Special Offers. Details on how to enroll in the Elite Mental Game program, including the enrollment checkout process. Grab the Spring Enrollment Discount + Bonuses on EMG until April 4th here!

Em Gênesis 22:2, vemos uma história de fé, obediência e entrega total a Deus. O que podemos aprender com a vida de Abraão, que saiu da desobediência para se tornar um exemplo de fé?

PX Docs articles to learn more about POTS: click hereTommie's story of HOPE: click hereEpisode on Vagus Nerve Dysfunction referenced: click hereIn this episode, Dr. Tony Ebel breaks down Postural Orthostatic Tachycardia Syndrome (POTS), a condition that affects many teenagers and young adults, particularly females. Dr. Ebel explains that POTS is not a mystery condition but rather a neurological issue stemming from vagus nerve dysfunction, dysautonomia, nervous system dysregulation, and subluxation. He criticizes conventional medical approaches that merely treat symptoms while missing the root cause and offers a chiropractic perspective on how to effectively address POTS through nervous system-focused care. Dr. Ebel provides hope for those suffering from POTS, emphasizing that healing is possible through natural, drug-free methods.[00:00:00] Introduction & Overview of POTSPOTS is not a mystery condition but a straightforward neurological issuePrimarily affects teenagers and young adults, especially femalesMedical approach fails by merely labeling symptoms without addressing root causes[07:00:00] POTS Symptoms & Root CausesSymptoms: dizziness, rapid heartbeat, chronic fatigue, easily triggered anxietyRoot causes: nervous system dysregulation, vagus nerve dysfunction, dysautonomia, subluxationHow vagus nerve connects brain and gut, affecting everything from balance to anxiety[14:00:00] Conventional vs. Functional ApproachesConventional: salt intake, beta blockers, and "slowing down" recommendationsFunctional medicine: diet, physical activity, gut health, stress managementWhy both approaches still fall short without addressing neurological root causes[18:00:00] Patient Patterns & Physical SignsCommon history: birth interventions, childhood illnesses like colic and ear infectionsPhysical signs: forward head posture ("tech neck"), tension at base of skullThe bowling ball analogy explaining how posture affects nervous system function[23:00:00] Assessment & Treatment ApproachAssessment tools: INSiGHT scans (thermal, EMG), heart rate variability (HRV)Care plan: specific chiropractic adjustments, postural correction techniquesWhy complete healing takes time and follows a non-linear recovery path[28:00:00] Call to ActionFinding a PX doctor through PXdocs.com-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click HereSubscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!

In recent years, advancements in neural interface technology have revolutionized the field of prosthetics, offering unprecedented capabilities to amputees and significantly improving their quality of life. The integration of bioelectrical signals, artificial intelligence (AI), and advanced robotics has led to the development of sophisticated prosthetic devices that not only mimic natural limb functions but also provide users with intuitive control and enhanced functionality. OYMotion represents remarkable innovations in neural interface technology and their transformative impact on prosthetics.Neural Interface Technology Enhances ProstheticsAt the heart of this technological advancement is the ability to capture and interpret human bioelectrical signals, particularly muscle and brainwave activity. Companies like OYMotion are at the forefront of this innovation, developing high-tech solutions that utilize electromyography (EMG) sensors and electroencephalography (EEG) technology. EMG sensors can detect electrical signals generated by muscle contractions, allowing prosthetic limbs to respond to the user's intentions with remarkable accuracy. For instance, an EMG armband can be placed on the residual limb of an amputee, capturing muscle signals that correspond to specific movements. These signals are then processed by AI algorithms, enabling the prosthetic hand to perform various gestures, such as grasping or pointing, with fluidity and precision.Beyond muscle signals, the exploration of brainwave activity through EEG technology further expands the possibilities of neural interface applications. EEG helmets can capture brainwave signals, enabling researchers to study brain function and diagnose neurological conditions such as Alzheimer's disease. In the context of prosthetics, this technology could lead to even more advanced control mechanisms. By interpreting brain signals, future prosthetic devices may allow users to control their limbs directly with their thoughts, eliminating the need for physical muscle contractions. This direct brain-to-device communication represents the next frontier in prosthetic technology.Integrating AI Into the InterfaceThe integration of AI into prosthetics is a game-changer. Through machine learning, the AI system can be trained to associate specific neural signals with corresponding actions. This training process allows the prosthetic device to adapt to the user's unique muscle signals, resulting in a personalized experience that mimics the natural movement of a biological hand. OYMotion's neurobiotic prosthetic hand, for example, is capable of executing 27 predefined gestures, providing users with a range of functionalities that enhance their day-to-day activities. This level of control not only restores a sense of agency to amputees but also empowers them to engage more fully in their personal and professional lives.Moreover, the versatility of neural interface technology extends to industrial applications as well. For instance, robotic systems controlled by neural interfaces can be employed in hazardous environments, such as nuclear facilities, where human operators are at risk. By using motion capture technology, workers can control robotic limbs from a safe distance, allowing for precise manipulation of dangerous materials without the inherent risks associated with direct human involvement. This capability not only enhances safety but also increases efficiency in high-stakes industries.Challenges Still to OvercomeDespite the remarkable advancements, challenges remain in the widespread adoption of OYMotion's neural interface technology in prosthetics. Issues such as cost, accessibility, and the need for further research and development must be addressed to ensure that these life-changing devices are available to all who need them. Nonetheless, the progress made thus far is a testament to the potential of neural interface technology to enhance the lives of amputees and individuals with mobility challenges.Conclusion: Using Neural Technology to Restore MotionIn conclusion, OYMotion's neural interface technology is transforming the landscape of prosthetics by bridging the gap between human intention and machine response. Through the integration of bioelectrical signal capture, AI algorithms, and advanced robotics, prosthetic devices are becoming more intuitive, responsive, and capable of mimicking natural limb movements. As research continues and technology evolves, the future promises even greater advancements, potentially allowing users to control their prosthetics with their thoughts. This evolution not only enhances the functionality of prosthetics but also restores a sense of autonomy and dignity to individuals who have faced the challenges of limb loss. The journey of neural interface technology in prosthetics is just beginning, and its impact is poised to be profound and far-reaching.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. The most flexible tools for podcasting. Get a 30 day free trial of storage and statistics.

In recent years, advancements in neural interface technology have revolutionized the field of prosthetics, offering unprecedented capabilities to amputees and significantly improving their quality of life. The integration of bioelectrical signals, artificial intelligence (AI), and advanced robotics has led to the development of sophisticated prosthetic devices that not only mimic natural limb functions but also provide users with intuitive control and enhanced functionality. OYMotion represents remarkable innovations in neural interface technology and their transformative impact on prosthetics.Neural Interface Technology Enhances ProstheticsAt the heart of this technological advancement is the ability to capture and interpret human bioelectrical signals, particularly muscle and brainwave activity. Companies like OYMotion are at the forefront of this innovation, developing high-tech solutions that utilize electromyography (EMG) sensors and electroencephalography (EEG) technology. EMG sensors can detect electrical signals generated by muscle contractions, allowing prosthetic limbs to respond to the user's intentions with remarkable accuracy. For instance, an EMG armband can be placed on the residual limb of an amputee, capturing muscle signals that correspond to specific movements. These signals are then processed by AI algorithms, enabling the prosthetic hand to perform various gestures, such as grasping or pointing, with fluidity and precision.Beyond muscle signals, the exploration of brainwave activity through EEG technology further expands the possibilities of neural interface applications. EEG helmets can capture brainwave signals, enabling researchers to study brain function and diagnose neurological conditions such as Alzheimer's disease. In the context of prosthetics, this technology could lead to even more advanced control mechanisms. By interpreting brain signals, future prosthetic devices may allow users to control their limbs directly with their thoughts, eliminating the need for physical muscle contractions. This direct brain-to-device communication represents the next frontier in prosthetic technology.Integrating AI Into the InterfaceThe integration of AI into prosthetics is a game-changer. Through machine learning, the AI system can be trained to associate specific neural signals with corresponding actions. This training process allows the prosthetic device to adapt to the user's unique muscle signals, resulting in a personalized experience that mimics the natural movement of a biological hand. OYMotion's neurobiotic prosthetic hand, for example, is capable of executing 27 predefined gestures, providing users with a range of functionalities that enhance their day-to-day activities. This level of control not only restores a sense of agency to amputees but also empowers them to engage more fully in their personal and professional lives.Moreover, the versatility of neural interface technology extends to industrial applications as well. For instance, robotic systems controlled by neural interfaces can be employed in hazardous environments, such as nuclear facilities, where human operators are at risk. By using motion capture technology, workers can control robotic limbs from a safe distance, allowing for precise manipulation of dangerous materials without the inherent risks associated with direct human involvement. This capability not only enhances safety but also increases efficiency in high-stakes industries.Challenges Still to OvercomeDespite the remarkable advancements, challenges remain in the widespread adoption of OYMotion's neural interface technology in prosthetics. Issues such as cost, accessibility, and the need for further research and development must be addressed to ensure that these life-changing devices are available to all who need them. Nonetheless, the progress made thus far is a testament to the potential of neural interface technology to enhance the lives of amputees and individuals with mobility challenges.Conclusion: Using Neural Technology to Restore MotionIn conclusion, OYMotion's neural interface technology is transforming the landscape of prosthetics by bridging the gap between human intention and machine response. Through the integration of bioelectrical signal capture, AI algorithms, and advanced robotics, prosthetic devices are becoming more intuitive, responsive, and capable of mimicking natural limb movements. As research continues and technology evolves, the future promises even greater advancements, potentially allowing users to control their prosthetics with their thoughts. This evolution not only enhances the functionality of prosthetics but also restores a sense of autonomy and dignity to individuals who have faced the challenges of limb loss. The journey of neural interface technology in prosthetics is just beginning, and its impact is poised to be profound and far-reaching.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. The most flexible tools for podcasting. Get a 30 day free trial of storage and statistics.

In this episode, we dive into a groundbreaking neuropathy study that's redefining treatment options for patients suffering from nerve damage. With special guests Joe McGilvrey (Apex PT) and Ramona von Leden (NeuFit VP of Research), we explore the power of direct current (DC) stimulation and how it's achieving results that no other treatment has before. Specific discussion topics include: Neuropathy affects millions, yet standard treatments only manage symptoms. A recent study in the Journal of Diabetes Research demonstrates that the Neubie's direct current stimulation can actually improve nerve function–and is superior to TENS. Describing and understanding the objective measures used in this study, like EMG and nerve conduction velocity.  How this research paves the way for new protocols in neuropathy, radiculopathy, and nerve regeneration. Could this be the new gold standard for neuropathy treatment? Tune in to hear the science, real patient stories, and what this means for the future of rehab and recovery.  

Got a strong-willed, fiercely independent kid who's equal parts exhausting and amazing? You're not alone – and this episode is for you. Learn how to parent your ‘spicy one' without losing your mind, and help them thrive in sports and life!What's Covered in This EpisodeWhat is a “spicy one”? Strong-willed, independent, and fiercely competitive kids who march to their own beat.Why spicy ones make great athletes (and challenging kids). Their intensity and drive set them apart.How to handle resistance to feedback. Why stepping back and cheering them on works better than pushing.The power of the pause. Why taking a breath before reacting can change everything.Staying calm as a parent. How your calm demeanor helps regulate your child's emotions.Balancing independence and respect. Teaching your spicy one to advocate for themselves while respecting authority.Letting the world teach lessons. Why natural consequences are sometimes the best teachers.Mary's best advice for parents: “Your main job is to delight in them.”Ready to learn more? Check out Mary Van Geffen's resources at maryvangeffen.com and explore her programs like Moms of Spicy Ones and Kind Class. And if your athlete needs mental training, head to EliteCompetitor.com/EMG to learn more about The Elite Mental Game.Parenting a spicy one isn't easy, but it's worth it. Let's do this together!Episode Highlights: [00:01:15] What Is a “Spicy One”? A “spicy one” is a strong-willed, independent, and fiercely competitive kid who marches to the beat of their own drum. These traits make them incredible athletes but can also be challenging to parent.[00:02:09] Meet Mary Van Geffen. Mary is an international parenting coach who helps moms of spicy ones cultivate warmth, tenderness, and self-compassion. Her mission is to help parents thrive while raising these fiery future leaders.[00:05:26] Traits of a Spicy One. Spicy ones are intense, fiercely independent, and often resist feedback or authority. They're not afraid to take up space, which makes them great athletes but also challenging to parent.[00:11:09] Understanding Adolescent Brains. Teens experience adult-sized emotions without the rational thinking to match, which can lead to big ups and downs. Their brains are still under construction, so patience is key.[00:18:47] The Power of the Pause. Mary's top tip: pause before reacting to your child's behavior. Taking a moment to breathe helps you respond thoughtfully instead of reacting impulsively.[00:24:37] Balancing Independence and Respect. Encourage your spicy athlete's independence while teaching them to respect authority figures like coaches and referees. It's a delicate but important balance.[00:30:50] Mary's Best Advice for Parents. Mary's top advice: “Other people can teach them life skills, but your main job is to delight in them.” Your unconditional love is what they need most.[00:34:58] Closing Thoughts. Parenting a spicy one is challenging but incredibly rewarding – let's keep supporting each other and our amazing kids.Next Steps:Join our FREE Training for Sports Moms - How to Strengthen Your Athlete Daughter's Mental Game so She Believes in Herself as Much as You DoVisit our podcast website for more great episodesThank you in advance for joining us on our mission and leaving a rating and review on Grab your exclusive Elite Mental Game discount for being a podcast listener here!

Grab your hot chocolate and cozy up to your fireplace as you warm up with an educational discussion about a patient who lost his voice. Drs. Rubin and Munin will help teach you how to help patients find their voice (or at least find some muscles contributing to their voice with needle EMG) as they figure out the best way to approach this patient.

In this special episode, we're pulling back the curtain on The Elite Mental Game (EMG) with a candid conversation featuring two incredible moms—Samarra, mom to a 12 (soon to be 13)-year-old softball player, and Allegra, mom to a 9-year-old gymnast. They share their firsthand experiences of watching their daughters grow in confidence, handle pressure, and navigate the mental side of their sports with the help of EMG.Even though their athletes are on the younger end of the spectrum, we dive into why ages 11-18 is the ideal time to develop strong mental game skills—and how the foundation they're building now is setting them up for long-term success.Inside This Episode:✅ Why they joined EMG – What struggles led them to seek mental training for their daughters?✅ The biggest mindset shifts – How their daughters have changed in confidence, resilience, and handling mistakes.✅ Handling pressure & expectations – How EMG has helped their athletes navigate tough moments in competition.✅ What surprised them most – Insights they didn't expect from the program that made the biggest difference.✅ The mom's role in mental training – How they've supported their daughters and what they've learned along the way.✅ Live Q&A! – We answer common questions from moms considering EMG, including:How do I know if my daughter is ready for mental training?Will she actually want to do the program?What if I've tried to help her before and nothing has worked?How do we balance this with an already busy sports schedule?This episode is a must-listen for any mom wondering if EMG is the right fit for their daughter. Whether she's struggling with confidence, perfectionism, or performance pressure, these real stories will give you insight into how mental training can be a game-changer. EMG Winter Enrollment is happening NOW! -50% off the program-Ditch the Drama training bundle for FREE-FREE ticket to our Peak Performance Clinic "How to Stay Motivated Through the Grind"Https://elitecompetitor.com/emgspecialDiscount + Bonuses Expire January 31st!

www.patreon.com/banjopodcast Today we have a follow-up episode to #152, which featured the engineers behind the innovative ToneDexter product, by Audio Sprockets. In this one, host Keith Billik demonstrates what ToneDexter can do, by programming wavemaps using every combination of 3 different banjo pickups (by K&K, Schatten, and EMG) and 5 different microphones (by Rode, Behringer, Shure, Audio Technica, and Mesanovic). Sponsored by Elderly Instruments, Peghead Nation, Sullivan Banjos, and Bluegrass Country Radio Episode Time Codes: Intro & explanation of WaveMap Shootout - 03:40   Microphone Base Samples (Not using ToneDexter): Rode NT5 (Small diaphragm condenser) - 12:27 Behringer ECM8000 (Omnidirectional measurement microphone) - 17:27 Shure SM57 (Dynamic cardioid) - 22:29 Audio Technica AT4047(Large diaphragm Condenser) - 27:05 Mesanovic Model 2 (Figure 8 ribbon) - 31:46   Pickup Base Samples (Not using ToneDexter): K&K Banjo Twin - 40:38 Schatten BJ-02 - 47:13 EMG ACB Barrel - 53:47   Wavemap Samples   K&K Pickup wavemaps: Rode NT5 - 42:18 Behringer ECM8000 - 43:18 Shure SM57 - 44:16 Audio Technica AT4047 - 45:14 Mesanovic Model 2 - 46:14   Schatten Pickup WaveMaps: Rode NT5 - 48:26 Behringer ECM8000 - 49:29 Shure SM57 - 50:32 Audio Technica AT4047 - 51:38 Mesanovic Model 2 - 52:42   EMG ACB Barrel Pickup WaveMaps: Rode NT5 - 55:02 Behringer ECM8000 - 56:08 Shure SM57 - 57:16 Audio Technica AT4047 - 58:22 Mesanovic Model 2 - 59:30   Conclusion + Keith's Reaction - 1:00:36   Contact the show: pickyfingersbanjopodcast@gmail.com  

Feeling stuck between wanting the best for your athlete and navigating their eye rolls and closed-off responses? You're not alone. This episode is for every mom who's been in the trenches, wondering if what they're doing is even working. Get ready to hear from three real moms who've walked that road and are sharing their unfiltered experiences with The Elite Mental Game. From the early struggles of getting their daughters to buy in to the game-changing moments that made it all worth it – you're about to get the real talk you've been craving. What You'll Learn in This Episode:Early Wins: The first shifts moms noticed in their daughters' confidence and resilience.Snapback Success: How one simple routine helped athletes bounce back from mistakes in seconds.Parent Perspectives: The biggest mindset shifts moms made to support their athletes.Team Dynamics: Strategies for helping athletes navigate new teams and relationships.Navigating Feedback: How EMG tools help athletes handle constructive criticism and grow from it.Live Coaching Benefits: Why athletes love connecting with coaches during live calls and text support.Flexible Training: How EMG fits seamlessly into even the busiest schedules.Why It's Worth It: Hear firsthand why these moms believe the program has been life-changing – not just for their athletes but for their entire families.Ready to hear the raw, unfiltered truth about what it's like inside The Elite Mental Game? Grab your headphones and listen now. Your perspective as a sports mom might just shift forever.Episode Highlights: [00:00:00] Introducing today's focus: hearing directly from three moms with daughters in the Elite Mental Game (EMG). These moms are at different stages of the program, giving you an inside look at how EMG supports athletes and their families.[00:02:00] Shoutout to Jamie: One of our moms shares how her daughter, an equestrian athlete, used EMG tools to maintain her poise during a challenging horse show, earning praise from her coach for staying calm under pressure.[00:05:00] When to Start: I share why starting mental training between ages 11 and 12 is ideal but emphasize that it's never too late for athletes to build confidence and mental strength.[00:09:30] Answering Common Questions: I address questions I frequently get, like how to help athletes stay consistent with mental training and ways to encourage buy-in.[00:25:00] Why They Joined EMG: Each mom shares what brought them to EMG – whether it was to help their daughters overcome self-doubt, navigate team dynamics, or strengthen their own communication as sports parents.[00:38:00] Long-Term Growth: Kim shares how her daughter, now a senior and team captain, revisits EMG tools to manage feedback, lead her team, and maintain confidence as she transitions to college basketball.[00:45:00] Favorite Parts of EMG: The moms highlight their favorite features, including the flexibility to work at their own pace, the supportive community, and practical tools that empower both athletes and parents.[00:55:00] Watching Game Film: I share how to review post-game recordings constructively, focusing on identifying strengths and actionable goals to guide practice without overwhelming athletes.[01:07:00] Final Reflections: Each mom reflects on the program's impact, from helping their daughters grow as athletes and individuals to strengthening their relationships as families.Next Steps:Join our FREE Training for Sports Moms - How to Strengthen Your Athlete Daughter's Mental Game so She Believes in Herself as Much as You DoVisit our podcast website

In this engaging conversation on the Crazy Wisdom podcast, Stewart Alsop talks with neurologist Brian Ahuja about his work in intraoperative neurophysiological monitoring, the intricate science of brainwave patterns, and the philosophical implications of advancing technology. From the practical applications of neuromonitoring in surgery to broader topics like transhumanism, informed consent, and the integration of technology in medicine, the discussion offers a thoughtful exploration of the intersections between science, ethics, and human progress. Brian shares his views on AI, the medical field's challenges, and the trade-offs inherent in technological advancement. To follow Brian's insights and updates, you can find him on Twitter at @BrianAhuja.Check out this GPT we trained on the conversation!Timestamps00:00 Introduction to the Crazy Wisdom Podcast00:21 Understanding Intraoperative Neurophysiological Monitoring00:59 Exploring Brainwaves: Alpha, Beta, Theta, and Gamma03:25 The Impact of Alcohol and Benzodiazepines on Sleep07:17 The Evolution of Remote Neurophysiological Monitoring09:19 Transhumanism and the Future of Human-Machine Integration16:34 Informed Consent in Medical Procedures18:46 The Intersection of Technology and Medicine24:37 Remote Medical Oversight25:59 Real-Time Monitoring Challenges28:00 The Business of Medicine29:41 Medical Legal Concerns32:10 Alternative Medical Practices36:22 Philosophy of Mind and AI43:47 Advancements in Medical Technology48:55 Conclusion and Contact InformationKey InsightsIntraoperative Neurological Monitoring: Brian Ahuja introduced the specialized field of intraoperative neurophysiological monitoring, which uses techniques like EEG and EMG to protect patients during surgeries by continuously tracking brain and nerve activity. This proactive measure reduces the risk of severe complications like paralysis, showcasing the critical intersection of technology and patient safety.Brainwave Categories and Their Significance: The conversation provided an overview of brainwave patterns—alpha, beta, theta, delta, and gamma—and their connections to various mental and physical states. For instance, alpha waves correspond to conscious relaxation, while theta waves are linked to deeper relaxation or meditative states. These insights help demystify the complex language of neurophysiology.Transhumanism and the Cyborg Argument: Ahuja argued that humans are already "cyborgs" in a functional sense, given our reliance on smartphones as extensions of our minds. This segued into a discussion about the philosophical and practical implications of transhumanism, such as brain-computer interfaces like Neuralink and their potential to reshape human capabilities and interactions.Challenges of Medical Technology Integration: The hype surrounding medical technology advancements, particularly AI and machine learning, was critically examined. Ahuja highlighted concerns over inflated claims, such as AI outperforming human doctors, and stressed the need for grounded, evidence-based integration of these tools into healthcare.Philosophy of Mind and Consciousness: A recurring theme was the nature of consciousness and its central role in both neurology and AI research. The unresolved "hard problem of consciousness" raises ethical and philosophical questions about the implications of mimicking or enhancing human cognition through technology.Trade-offs in Technological Progress: Ahuja emphasized that no technological advancement is without trade-offs. While tools like CRISPR and mRNA therapies hold transformative potential, they come with risks like unintended consequences, such as horizontal gene transfer, and the ethical dilemmas of their application.Human Element in Medicine: The conversation underscored the importance of human connection in medical practice, particularly in neurology, where patients often face chronic and emotionally taxing conditions. Ahuja's reflections on the pitfalls of bureaucracy, private equity in healthcare, and the overemphasis on defensive medicine highlighted the critical need to prioritize patient-centered care in an increasingly technological and administrative landscape.

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-links Boost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices --------------Creating resilient communities is the goal of today's guest in the Disaster Tough Podcast.  JT White and Susanna Pho joined forces in 2019 to form Forerunner, a software platform designed to empower communities to prepare better, respond, and plan for future disasters and major incidents.The company specializes in its floodplain management platform which is designed to automate workflows for professionals to manage their resources better.  However, the company is continuing to work toward becoming an "All Hazards Resilience Platform."In this episode of the Disaster Tough Podcast, Susanna and JT go back to their days as colleagues at MIT, and discuss how their idea for a company came about. They also discuss, among other things, how they work to lead a growing company from opposite sides of the country.  To learn more about Forerunner and its platform, visit https://www.withforerunner.com/--------------*Major Endorsements: L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop): Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks.Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here: https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Dr. Christina Prevett // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Pelvic division leader Christina Prevett discusses the rising trend of the anti-Kegel movement within pelvic health. She explores the origins of the anti-Kegel sentiment, referencing a study that compared EMG activation from Kegel exercises to that of other core exercises such as planks and leg lifts. This study led some to believe that whole body exercises could replace Kegels, a notion Christina critically examines. She presents both sides of the argument, emphasizing the need for a balanced approach to pelvic health moving forward into 2025. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter!

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-links Boost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices --------------Learning from experience and dealing with physically and emotionally draining situations is necessary for anyone working in or adjacent to the Emergency management field.Krista Haugen, National Director of Patient Safety for Global Medical Response does her best to do this daily.As a longtime medical professional with extensive experience as a Registered Nurse, Master of Nursing, and Certified Medical Transport Executive, Director Haugen brings over 25 years of experience in emergency, critical care, and flight nursing.  While often caring for others in crisis, Krista is no stranger to trauma herself, as she is also an EMS helicopter crash survivor.   In this episode of the Disaster Tough Podcast, Director Haugen discusses the many lessons she has learned over multiple decades of emergency response and critical care, along with important attributes such as empathy, adaptability, and responsibility. --------------*Major Endorsements: L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop): Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks.Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here: https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

In this AANEM podcast, Carrie Ford, a CNCT and R.NCS.T. from the University of Utah's Jack Pedegon EMG Lab, interviews Dr. Kyle Mahoney, an associate professor at the University of Utah, who provides a comprehensive explanation of neuromuscular junction transmission and the critical concept of the "safety factor." He breaks down complex neurophysiological concepts using accessible analogies, explaining how the safety factor serves as a built-in buffer that ensures reliable nerve-to-muscle signal transmission. The discussion covers normal neuromuscular junction function, the impact of various pathological conditions such as Lambert-Eaton Myasthenic Syndrome, myasthenia gravis, and ALS on neuromuscular transmission, and the clinical significance of repetitive nerve stimulation testing. Dr. Mahoney's clear explanations make these technically challenging concepts more approachable for healthcare professionals, particularly EMG technicians who may be less familiar with the underlying mechanisms of neuromuscular transmission.

We just wrapped up an incredible challenge week with you all!! Here are some next steps moving forward:-The What to Say Challenge discount on EMG expires on Monday! Grab 50% off the program + bonuses using this link.-Chatting with your daughter about EMG? Use this conversation guide to help!-Join us Monday at 1pm ET (12pm CT / 10am PT) for our LIVE Q&A + Tips from successful sports moms! Add the event to your calendar here-The challenge episodes will come down on Monday, Dec 16th, so make sure to listen before then! You can also grab lifetime access to the replays to listen whenever you want here.-If you didn't register for the challenge, but want the blueprint & other bonuses we included, register here.

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices --------------Good leaders usually allow do so alongside or from behind.John Scrivani knows this well and has been putting this principle into practice for over three decades of service in law enforcement and Emergency Management.  Director Scrivani's career started with the NYPD, and eventually landed with the New York City Medical Examiner's Office and later the NYC Office of Emergency Management. He then worked for two different NYC Mayors, coordinating operations for the response to the 9/11 terrorist attacks, Super Storm Sandy, and other major incidents.  Scrivani then moved to leadership positions in the Virginia Department of Transportation and the Virginia Department of Emergency Management.  Today, he continues those duties as the Director of the Office of Safety, Security & Emergency Management Virginia Department of Transportation along with being a subject matter expert on the operational effectiveness of the Combating Terrorism Technical Support & Technical Support Working Group for the US Department of Defense.In this episode of the Disaster Tough Podcast, Director Scrivani shares among other things, his experiences of being on the frontlines of some of the most devastating disasters of the past few decades, and how law enforcement and Emergency Managers can work more effectively together.--------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices --------------Thinking ahead, talking through difficult situations, understanding you don't have all the answers, and working well with those who do, are all attributes of high-functioning emergency managers and response professionals.As a former paramedic, and current Director of Emergency Management in Larimer County, Colorado, Lori Hodges knows this well.In this episode of the Disaster Tough Podcast, Lori talks about her experience dealing with cascading impacts, transitioning between crisis mode and routine mode, and consequence management.  Lori is also an author whose book, Shaking In The Forest: Finding Light in the Darkness, explains how to deal with the trauma that is certain to come when dealing with major emergencies.Buy her book here: https://www.amazon.com/Shaking-Forest-Finding-Light-Darkness/dp/B0D2M115FX--------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Sit back and reminisce about the old oral EMG board examination as two former examiners discuss their thought process on an interesting case. See if Dr. Chiodo passes his Lessons From the Lab examination (he does with flying colors!). You are sure to learn good, practical knowledge when you listen to this episode.

On today's episode of The Drive Podcast, Joe Kyriakoza from S&P Global joins me in Newport Beach California at the EMG Event. Joe and I discuss EV forecasts, taking action on data, eliminating ad waste and more! For more info on EMG, visit: https://evolutionmediagroup.com/ Joe Kyriakoza: https://www.linkedin.com/in/joekyriakoza/ Digital Dealership Solutions: https://strategywithjason.com/digital-dealership-solutions/ Strategy With Jason: https://strategywithjason.com Bell2Bell: https://bell2bell.ca Listen To The Strategy With Jason Podcast: Apple Podcast: https://apple.co/3IwlT3v Spotify: https://spoti.fi/3fT8V3H Soundcloud: https://bit.ly/347rnDb #automotive #automotiveindustry #automotivesoftware #dealership #dealerships #dealersolutions #bell2bell #strategy️ #data #automotivedata #automotivemarketing #customerexperience #data-driven #streamingads #ott

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content!  #emergencymanagement #disastertough #leadership #emergencyservices --------------At this time of year, when we express gratitude and give thanks for the good things in our lives, The Readiness Lab does the same.We are grateful for the chance to hear this week from Safety, Health, and environmental expert Tim Page-Bottorf. Tim's influence in that space is widespread as a safety, health, and environmental expert. He is also a keynote speaker, author of three books, an adjunct instructor at two universities, and served for over two decades as the Director At-Large of the American Society of Safety Professionals.His voice can also be heard online as the host of the “Storytelling in Safety Podcast” where safety and response professionals share stories from the field and lessons learned from successes and failures.Before his work as a safety, health, and environmental expert, Tim served in the Marine Corps where he escorted fire responders to safely respond to the Kuwaiti Oil Fires during Operation Desert Storm.In this episode, Tim expresses gratitude for the good and bad experiences he has had on the frontlines of safety and emergency response, and the lessons he has learned.Also, don't skip the first few minutes of the podcast as Tim and host John Scardena quickly bond over their love of Star Wars and the Lord of the Rings trilogy.Listen to Tim's podcast here:https://podcasts.apple.com/us/podcast/storytelling-in-safety/id1505112163 --------------*Major Endorsements: L3Harris's BeOn PPT App.  Learn more about this amazing product here:https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop): Hot Mess Express:An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamic Doberman Emergency Management Group provides subject matter experts in planning and training:www.dobermanemg.com

For certain diagnoses and patients who meet clinical criteria, neuromodulation can provide profound, long-lasting relief that significantly improves quality of life. In this episode, Aaron Berkowitz, MD, PhD, FAAN speaks with Prasad Shirvalkar, MD, PhD, author of the article “Neuromodulation for Neuropathic Pain Syndromes,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Shirvalkar is an associate professor in the Departments of Anesthesia and Perioperative Care, Neurological Surgery, and Neurology at Weill Institute for Neurosciences at the University of California, San Francisco in San Francisco, California. Additional Resources Read the article: Neuromodulation for Neuropathic Pain Syndromes Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @PrasadShirvalka Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor in Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors, who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Prasad Shirvalkar about his article on neuromodulation for painful neuropathic diseases, which appears in the October 2024 Continuum issue on pain management in neurology. Welcome to the podcast, and if you wouldn't mind, please introducing yourself to our listeners.  Dr Shirvalkar: Thanks, Aaron. Yes, of course. So, my name is Prasad Shirvalkar. I'm an associate professor in anesthesiology, neurology and neurological surgery at UCSF. I am one of those rare neurologists that's actually a pain physician.  Dr Berkowitz: Fantastic. And we're excited to have you here and talk to you more about being a neurologist in in the field of pain. So, you wrote a fascinating article here about current and emerging neuromodulation devices and techniques being used to treat chronic pain. And in our interview today, I'm hoping to learn and for our listeners to learn about these devices and techniques and how to determine which patients may benefit from them. But before we get into some of the clinical aspects here, can you first just give our listeners an overview of the basic principles of how neuromodulation of various regions of the nervous system is thought to reduce pain? Dr Shirvalkar: Yeah, I would love to try. But I will promise you that I will not succeed because I think to a large extent, we don't understand how neuromodulation works to treat pain, to describe or to define neuromodulation. Neuromodulation is often described as using electrical stimuli or a chemical stimuli to alter nervous system activity to really influence local activity, but also kind of distant network activity that might be producing pain. On one level, we don't fully understand how pain arises, specifically how chronic pain arises in the nervous system. It's a huge focus of study from the NIH Heal Initiative and many labs around the world. But acute pain, which is kind of when you stub your toe or you burn your finger, is thought to be quite different from the changes over time and the kind of plasticity that produces emotional, cognitive and sensory dimensions. Really what I think is its own disease, chronic pain, of which there are multiple syndromes when we use neuromodulation, either peripheral nerve stimulation or electrical spinal cord stimulation. One common or predominant theory actually comes from a paper in science from 1967 and people still use it, foundational theory and it's called the gate control theory. Two authors, Melzack and Wall, postulated that at the spinal level, there are, there's a local inhibitory circuit or, you know, there's a local circuit where if you provide input to either peripheral nerves or either spinal cord ascending fibers that to kind of summarize it, there's only so much bandwidth, you know, that nerves can carry. And so that if you literally pass through artificial signals electrically, that you will help gate out or block natural pathological but natural pain signals that might be arising from the periphery or spinal cord. So, you know, one idea is that you are kind of interfering with activity that's arising for chemical neuromodulation. The most common is something known as intrathecal drug infusion drug delivery ITTD for that we quite literally put a catheter in the spinal fluid, you know, at the level of the dorsal horn neurons that we think are responsible for perpetuating or creating the pain. Where's the pain generator? And you really, you can infuse local anesthetic, you can infuse opioids. And what's nice is you avoid a lot of systemic side effects and toxicity because it goes right to the spinal cord, you know, by infusing in the fluid. So there's a couple of modalities, but I will say just, like maybe all of our living experience, pain is in the brain. And so, we don't really understand, I would say, what neuromodulation is doing to the higher spinal or brain levels. Dr Berkowitz: Fascinating topic. And yeah, very interesting to hear both what our current understanding is that some of our current understanding is based on data that's 60 years old and that we're actually probably learning about pain by using these modulation techniques, even though we don't really understand how they might be working. So interesting feedback loop there as well as in as in the as in this land. So, your article very nicely organizes the neuromodulation techniques from peripheral to central. So, encourage our listeners to check out your article. And first before we get into some of the clinical applications, just to give the listeners the lay of the land, can you sort of lay out the devices and techniques available for treating pain at each level of the neuroaxis? We'll get into some of the indications in patient selection in a moment, but just sort of to lay out the landscape. What's available that you and your colleagues can use or implant at different levels when we're thinking of referring patients too? Dr Shirvalkar: Absolutely. So, starting from the least invasive or you know, over the counter patients can purchase themselves a TENS machine. Many folks listening to this have probably tried a TENS machine in the past. And the idea is that you put a couple of pads, at least two. So you have like a dipole or you have a positive and a negative lead and you basically inject some current. So, the pads are attached to a battery and you can put these pads over muscle. If you have areas where myofascial pain or sore muscles, you can put them, frankly, over nerves as well and stimulate nerves that are deeper. Most TENS machines kind of use electrical pulses that occur at different rates. You change the rates, you can change the amplitude and patient can kind of have control for what works best. Then getting slightly more invasive, we can often stimulate electrically peripheral nerves. To do this we implant through a needle, a small wire that consists of anywhere from one electrical contact to four or even eight electrical contact. What I think is particularly cool, like TENS, which is transcutaneous electrical nerve stimulation that goes through the skin. Peripheral nerve stimulation aims to stimulate nerves, but you don't have to be right up against the nerve. So, yeah. We typically do this under an ultrasound and you can visualize a nerve like the sciatic nerve, peroneal nerve, or you know, even if someone has an ulnar or a neuropathy, you know, that's the compression. There's a role obviously for surgery and release, but if they have predominantly pain, it's not related to a mechanical problem per se, you could prevent a wire from a peripheral nerve stimulator as far as one centimeter from a nerve and it'll actually stimulate that that modulated and then, you know, kind of progressing even more deeply. The spinal cord stimulation, SCS, it's probably the most ubiquitous or popular form of neuromodulation for pain. People use it for all kinds of diseases. But what it roughly involves is a trial period, which is a placement of either two cylindrical wires, not directly over the spinal cord, but actually in the epidural space, right? So, it's kind of like when you get an epidural injection or doing labor and delivery, when women get epidural catheters, placing spinal cord stimulator leads in that same potential space outside the dura, and you're stimulating through the dura to actually target the ascending dorsal column fibers. And so, you do a trial period or a test drive where the patients get these wires put in. They're coming out of the skin, they're connected to a battery, and they walk around at home for about a week, take careful notes, check in with them, and they keep a diary or a log about how much it helps. Separately. I will say it's hard to distinguish this, the placebo effect often, but you know, sometimes we want to use the placebo effect in clinical practice, but it is a concern, you know, with such invasive things. But you know, if the trial works well, right, you basically can either keep the leads where they are and place a battery internally. And it's for neurologists. You're familiar with deep brain stimulation. These devices are very similar to DVS devices, but they're specifically made for spinal cord stimulation. And there's now like seven companies that offer manufacturers that offer it, each with their own proprietary algorithm or workflow. But going yet more invasive, there is intrathecal drug delivery, which I mentioned, which involves placement of the spinal catheter and infusion of drug into spinal fluid. You could do a trial for that as well. Keep a patient in the hospital for a few days. You've all probably had experience with lumbar drains. It's something real similar. It just goes the other way. You know, you're infusing drugs, and it could also target peripheral nerves or nerve roots with catheters, and that's often done. And last but not least, there's brain stimulation. Right now, it's all experimental except for some forms of TMS or transcranial magnetic stimulation, which is FDA approved for migraine with aura. There are tens machine type devices, cutaneous like stimulators where you can wear on your head like a crown or with stickers for various sorts of migraines. I don't really talk about them too much in in the article, but if there's a fast field out there for adjunctive therapy as well,  Dr Berkowitz: Fantastic. That's a phenomenal overview. Just so we have the lay on the land of these devices. So, from peripheral essentially have peripheral nerve stimulators, spinal cord stimulators, intrathecal drug delivery devices and then techniques we use in other areas of neurology emerging for pain DBS deep brain stimulation and TMS transcranial magnetic stimulation. OK let's get into some clinical applications now. Let's start with spinal cord stimulators, which - correct me if I'm wrong - seem to be probably the most commonly seen in practice. Which patients can benefit from spinal cord stimulators? When should we think about referring a patient to you and your colleagues for consideration of implantation of one of these spinal cord stimulator devices?  Dr Shirvalkar: So, you know, it's a great question. I would say it's interesting how to define which patients or diagnosis might be appropriate. Technically, spinal cord stimulators are approved for the treatment of most recently diabetic peripheral neuropathy. And so, I think that's a really great category if you have patients who have been failed by more conservative treatments, physical therapy, etcetera, but more commonly even going back, neuropathic low back pain and neuropathic leg pain. And so, you think about it and it's like, how do you define neuropathic pain. Neuropathic pain is kind of broadly defined as any pain that's caused by injury or some kind of lesion in the somatosensory nervous system. We now broaden that to be more than just somatosensory nervous system, but still, what if you can't find a lesion, but the pain still feels or seems neuropathic. Clinically, if something is neuropathic, we often use certain qualitative descriptors to describe that type of pain burning, stabbing, electric light, shooting radiates. There's often hyperpathia, like it lingers and spreads in space and time as opposed to, you know, arthritis, throbbing dull pain or as opposed to muscle pain might be myofascial pain, but sometimes it's hard to tell. So, there aren't great decision tools, I would say to help decide. One of the most common syndromes that we use spinal cord stimulation for is what used to be called failed back surgery syndrome. We never like to, we now try to shy away from explicitly saying something is someone has failed in their clinical treatment. So, the euphemism is now, you know, post-laminectomy syndrome. But in any case, if someone has had back surgery and they still have a nervy or neuropathic type pain, either shooting down their legs and often there's no evidence on MRI or even EMG that that something is wrong, they might be a good candidate, especially if they're relying on long term medications that have side effects or things like full agonist opioids, you know that that might have side effects or contraindication. So, I would say one, it's not a first line treatment. It's usually after you've gone through physical therapy for sure. So, you've gone through tried some medications. Basically, if chronic pain is still impacting your life and your function in a meaningful way that's restricting the things you want to do, then it it's totally appropriate, I think, to think about spinal cord stimulation. And importantly, I will add a huge predictor of final court stimulation success is psychological composition, you know, making sure the person doesn't have any untreated psychological illness and, and actually making sure their expectations going in are realistic. You're not going to cure anyone's pain. You may and that's, you know, a win, but it's very unlikely. And so, give folks the expectation that we hope to reduce your pain by 50% or we want you to list personally, I like functional goals where you say what is your pain preventing you from doing? We want to see if you can do X,Y, and Z during the trial period. Pharmacostimulation right now. Yeah. Biggest indication low back leg pain, Diabetic peripheral neuropathy. There is also an indication for CRPS, complex regional pain syndrome, a lesser, I'd say less common but also very debilitating pain condition. For better or worse. Tertiary quaternary care centers. You often will see spinal cord stem used off label for neuropathic type pain syndromes that are not explicitly better. That may be for example, like a nerve injury that's peripheral, you know, it's not responding. A lot of this off label use is highly variable and, you know, on the whole at a population level not very successful. And so, I think there's been a lot of mixed evidence. So, it's something to be aware about.  Dr Berkowitz: That's a very helpful framework. So, thinking about referring patients to who have most commonly probably the patients with chronic low back pain have undergone surgery, have undergone physical therapy, are on medications, have undergone treatment for any potential psychological psychiatric comorbidities, and yet remain disabled by this pain and have a reasonable expectation and goals that you think would make them a good candidate for the procedure. Are those similar principles to peripheral nerve stimulation I wasn't familiar with that technique, I'm reading your article, so are the principles similar and if so, which particular conditions would potentially benefit from referral for a trial peripheral nerve stimulation as opposed to spinal cord stimulation?  Dr Shirvalkar: Yeah, the principles are similar overall. The peripheral nerve stimulation, you know, neuropathic pain with all the characteristics you listed. Interestingly enough, just like spinal cord stim, most insurances require a psychological evaluation for peripheral nerve stim as well. And we want to make sure again that their expectations are reside, they have good social support and they understand the kind of risks of an invasive device. But also, for peripheral nerve stem, specifically, if someone has a traumatic injury of an individual peripheral nerve, often we will consider it seeing kind of super scapular stimulation. Often with folks who've had shoulder injuries or even sciatic nerve stimulation. I have done a few peroneal nerve stimulations as well as occipital nerve stimulation from migraine, so oxygen nerve stimulation has been studied a lot. So, it's still somewhat controversial, but in the right patient it can actually be really helpful. Dr Berkowitz: Very helpful. So, these are patients who have neuropathic pain, but limited to one peripheral nerve distribution as opposed to the more widespread back associated pains, spine associated pains. Dr Shirvalkar: Yeah, Yeah, that's right. And maybe there's one exception actually to this, which is brachial plexopathy. So, you know, folks who've had something like a brachial plexus avulsion or some kind of traumatic injury to their plexus, there is I think good Class 2 evidence that peripheral nerve stem can work. It falls under the indication. No one is as far as to my knowledge, No one's done an explicit trial, you know PNS randomized controlled trial. Yeah, that's, you know, another area one area where PNS or peripheral nerve stems emerging is actually, believe it or not in myofascial low back pain to actually provide muscle stimulation. There are some, there's a company or two out there that seeks to alter the physiology of the multifidus muscle, one of your spinal stabilizer muscles to really see if that can help low back pain. And they've had some interesting results.  Dr Berkowitz: Very interesting. You mentioned TENS units earlier, transcutaneous electrical nerve stimulation as something a patient could get over the counter. When would you encourage a patient to try TENS and when would you consider TENS inadequate and really be thinking about a peripheral nerve stimulator?  Dr Shirvalkar: Yeah, you know TENS we think of as really appropriate for myofascial pain. Folks who have muscular pain, have clear trigger points or taught muscle bands can often get relief from TENS If you turn a TENS machine up too high, you'll actually see muscle infection. So, there's an optimal level where you actually can turn it up to induce, like, a gentle vibration. And so folks will feel paresthesia and vibrations, and that's kind of the sweet spot. However, I would say if folks have pain that's limited or temporary in time or after a particular activity, TENS can be really helpful. The unfortunate reality is TENS often has very time-limited benefits - just while you're wearing it, you know? So, it's often not enduring. And so that's one of the limitations. Dr Berkowitz: That's helpful to understand. We've talked about the present landscape in your article, also talk a little bit about the future and you alluded to this earlier. Tell us a little bit about some off label emerging techniques that we may see in future use. Who, which types of patients, which conditions might we be referring to you and your colleagues for deep brain stimulation or transcranial magnetic stimulation or motor cortex stimulation? What's coming down the pipeline here?  Dr Shirvalkar: That's a great question. You know, one of my favorite topics is deep brain stimulation. I run the laboratory that studies intracranial signals trying to understand how pain is processed in the brain. But, believe it or not, chronic pain is probably the oldest indication for which DBS has been studied. the first paper came out in 1960, I believe, in France. And you know, the, the original pivotal trials occurred even before the Parkinson's trial and so fell out of favor because in my opinion, I think it was just too hard or too difficult or a problem or too heterogeneous. You know, many things, but there are many central pain syndromes, you know, poststroke pains, there's often pains associated with Parkinson's disease, epilepsy, or other brain disorders for which we just don't have good circuit understanding or good targets. So, I think what's coming down the pipeline is a better personalized target identification, understanding where can we stimulate to actually alleviate pain. The other big trend I think in neuromodulation is using closed loop stimulation which means in contrast to traditional electrical stimulation which is on all the time, you know it's 24/7, set it and forget it. Actually, having stimulation respond or adapt to ongoing physiological signals. So that's something that we're seeing in spinal cord stem, but also trying to develop in deep brain stimulation and noninvasive stimulation. TMS is interestingly approved for neuropathic pain in Europe, but not approved by the FDA in the US. And so I think we may see that coming out of pipeline broader indication. And finally, MR guided focused ultrasound is, is a kind of a brand new technique now. You know, focused ultrasound lesions are being used for essential tremor without even making an incision in the skull or drilling in skull. But there are ways to modulate the brain without lesioning. And, you know, I think a lot of research will be emerging on that in the next five years for, for pain and many other neuronal disorders. Dr Berkowitz: That's fascinating. I didn't know that history that DBS was first studied for pain and now we think of it mostly for Parkinson's and other movement disorders. And now the cycle is coming back around to look at it for pain again. What are some of the targets that are being studied that are thought to have benefit or are being shown by your work and that of others to have benefit as far as DBS targets for, for chronic pain? Dr Shirvalkar: You know, that's a great question. And so, the hard part is finding one target that works for all patients. So, it may actually require personalization and actually understanding what brain circuit phenotypes do you have with regards to your chronic pain and then based on that, what target might we use? But I will say the older targets. Classical targets were periaqueductal gray, which is kind of the opioid center in your brain. You know, it's thought to just release large amounts of endogenous opioids when you stimulate there and then the ventral pusher thalamus, right. So, the sensory ascending system may be through gait control theory interferes with pain, but newer targets the answer singlet there's some interest in in stimulating there again, it doesn't work for everybody. We found some interesting findings with the medial thalamus as well as aspects of the caudate and other basal ganglion nuclei that we hopefully will be publishing soon in a data science paper.  Dr Berkowitz: Fantastic. That's exciting to hear and encourage all of our listeners to check out your article. That goes into a lot more depth than we had time to do in this short interview, both about the science and about the clinical indications, pros and cons, risks and benefits of some of these techniques. So again, today I've been interviewing Dr Prasad Shirvalkar, whose article on neuromodulation for painful neuropathic diseases appears in the most recent issue of Continuum on pain management in neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you again to our listeners for joining today.  Dr Shirvalkar: Thank you for having me. It was an honor. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices -------------Frontline experience, training, and subject matter expert analysis.These elements are vital in effective Emergency Management and response, and this week's guest in the Disaster Tough Podcast does them all.Jeremy R. Urekew is a Hoist Rescue Paramedic and Emergency Manager and a subject matter expert (SME) in weapons of mass destruction.In this episode, he and host John Scardena discuss the importance of interagency coordination and collaboration.They also dive into the world of finance regarding funding Emergency Management and response efforts at various agencies.They also discuss the myth that certification equals qualification, and how those two terms should actually be reversed for more effective response and functionality.-------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Nikias; fuelling your body to train hard and build the muscle and strength you want. Importance of fuelling well for gains and prioritising performance for the physique you want * hard training isnt alwayss for growth - effective sets - progressive stimulus, debunk it and mistakes - EMG ** honest effort ** 8 second reps 1) short-term - peri-workout nutrition 2) long-term - the importance of being at least around maintenance caloires, if not in a surplus, in order to fuel training adaptations Talk about me doing all the right training and training hard but then not having enough fuel there It worked until it didn't The worst fate is grinding so hard but not eating enough to see the changes youre hoping for 3) pros and cons and differences between maintenance and a surplus. Thoughts? - different sensations so things feel tight Training is the trigger Nutrition is permissive * moderate surplus The ONE thing that holds people back from seeing results @nikias_fittotransform

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost the signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices -------------When describing your county's Emergency Management communication strategy, the last thing you want is for it to be defined as "...weighed, ...measured, and...found wanting."Emergency Manager Ashley Ahlquist from Yavapai County, Arizona knows this well and has applied it to the county's social media and messaging efforts.  In this episode of the Disaster Tough Podcast, Ashley discusses how those in charge of EM communications need to always be looking ten steps ahead, and embracing modern messaging methods to relate to their audience, AKA County residents.She also shares how her county is preparing for this Election Day, and how she is hoping it will be more "boring" than the leadup has been.Check out Ashley's social media efforts in Yavapai County here:www.facebook.com/YavapaiOEMwww.instagram.com/YavapaiOEMwww.x.com/YavapaiOEMwww.youtube.com/@YavapaiOEMyavapaiready.gov-------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicRead the Forbes.com article about leadership here:https://www.forbes.com/sites/forbestechcouncil/2017/06/23/the-value-of-a-global-perspective-leadership-lessons-from-working-across-the-world/Doberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-linksBoost theSignal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices -------------According to a 2017 article in Forbes magazine, "A global perspective makes for better leaders."This episode of the Disaster Tough Podcast explores that concept in Emergency Management and Response as we hear from Brenden Winder from New Zealand.Brenden is a City Councilmember and Emergency Management leader based in Christchurch, Canterbury, New Zealand.He brings two decades of experience to Emergency Management and leadership, specializing in earthquake readiness and response.However, his expertise extends beyond earthquakes and disasters common to New Zealand.This is reflected in this week's conversation, as he and John Scardena discuss the recent hurricanes in the southern United States. Contact Brenden at: brenden.winder@https://ccc.govt.nz/-------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicRead the Forbes.com article about leadership here:https://www.forbes.com/sites/forbestechcouncil/2017/06/23/the-value-of-a-global-perspective-leadership-lessons-from-working-across-the-world/Doberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-links Boost theSignal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices --------------------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-links Boost theSignal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content! #emergencymanagement #disastertough #leadership #emergencyservices -------------An iconic line from the award-winning drama, “The West Wing” perfectly describes this week's guest on the Disaster Tough Podcast.“This is a time for American heroes.  We will do what is hard.  We will achieve what is great.  This is a time for American heroes and we reach for the stars.”As a retired Colonel in the US Air Force,  Kim “KC” Campbell flew 1,800+ hours and 100+ combat missions in Iraq and Afghanistan during 24 years of service as a fighter pilot and senior military leader.Her efforts earned her the Distinguished Flying Cross for Heroism in 2003 after recovering her battle-damaged A-10 Warthog aircraft during an intense support mission.Since retiring from the Air Force, Colonel Campbell has focused on family life and helping build future leaders as an author and keynote speaker. Her best-selling book, "Flying in the Face of Fear: A Fighter Pilot's Lessons on Leading with Courage" shares vital lessons for organizations about leadership and decision-making.In this episode, she shares some of the insights from the book along with other leadership and service lessons learned during her time in the military and beyond.Colonel Campbell's book can be found online at https://kim-kc-campbell.com/book/ and other websites and stores where books are sold.------------------*Major Endorsements:L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/ Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop):Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks. Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here:https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

Listen, Watch, & Support DTP: www.thereadinesslab.com/dtp-links Boost the Signal with a $5 monthly donation! Become a TRL Insider Member with a ton of extra content!#emergencymanagement #disastertough #leadership #emergencyservices A true passion for Emergency Management is best manifested when one has it for the readiness or "front end" side of things instead of ONLY the response side.This week's guest in the Disaster Tough Podcast, Chris Housely explains why this concept is important for Emergency Managers to understand.As an emergency management specialist with the US Air Force, Chris also brings more than a decade of experience working as a first responder and flight medic before transitioning to the world of EM.In this episode, she and host John Scardena talk about how one can be "strategically tactical" in preparing and responding to various disasters, and how the origins of the Emergency Management field trace back to the need for First Responders to have someone looking out for them.They also reminisce about how a chance photo encounter in Baltimore has led to this week's important conversation.*Major Endorsements: L3Harris's BeOn PPT App.Learn more about this amazing product here: https://www.l3harris.com/Impulse: Bleeding Control Kits by Professionals for Professionals: https://www.dobermanemg.com/impulseEmergency Management for Dynamic Populations (DyPop): Hot Mess Express: An emergency management leadership course focusing on response tactics during terrorist attacks.Hot Mess Express includes an immersive exercise during an intentional train derailment scenario. Register for DyPop here: https://www.thereadinesslab.com/shop/p/dynamicDoberman Emergency Management Group provides subject matter experts in planning and training: www.dobermanemg.com

REVIEW: PRC: EMG-1: MOON Conversation with colleague Rick Fisher regarding Beijing's plan to build a cislunar station at the EMG-1 point that can dominate the Earth and the Moon, and guard all assets on the Lunar surface. More tonight. 1930

This week's show is a follow-up from last week's discussion on the effectiveness of EMG testing for determining the best hypertrophy exercises. On today's episode Joe explains why "high activation/low mechanical tension" exercises STILL have a place in the muscle building process. He shares 3 specific reasons WHY they're valuable, along with the importance of knowing when to "trust your experience over science". *For a full list of Show Notes + Timestamps visit www.IndustrialStrengthShow.com. IMPORTANT LINKS DeFranco-brand supplements [*Use code: MuscleUpJuly] Team Forever Strong [1-Week FREE Trial] Joe D's Instagram (@defrancosgym) BON CHARGE [*Use code: JOED]