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3 episodes with functional outcomes
2 episodes with functional outcomes
2 episodes with functional outcomes
2 episodes with functional outcomes
2 episodes with functional outcomes
2 episodes with functional outcomes
2 episodes with functional outcomes
4 episodes with functional outcomes
2 episodes with functional outcomes
April 2025 Show Notes Drs. Jill Larson and Vineeta Swaroop from Northwestern University and Lurie Children's Hospital in Chicago join the podcast for a journal club-style discussion of their group's studies concerned with care for children with Spina Bifida and Neuromuscular Conditions. The lightening round articles touch on determination of femoral anteversion in the operating room, regional anesthesia for hip surgeries, and the value of tapping for pedicle screws during spine deformity surgery. Your hosts are Craig Louer (Vanderbilt University), Carter Clement (Manning Family Children's Hospital in New Orleans), Tyler McDonald (University of South Alabama), and Will Morris (Scottish Rite for Children). Main Event – Spina Bifida Journal Club Dias LS, Swaroop VT, de Angeli LRA, Larson JE, Rojas AM, Karakostas T. Myelomeningocele: a new functional classification. J Child Orthop. 2021;15(1):1-5. doi:10.1302/1863-2548.15.200248 May JM, DeMaio EL, Larson JE. Long-term Clinical and Radiographic Results of Posteromedial Lateral Release for Neuromuscular Clubfoot Deformity. J Pediatr Orthop. 2025;45(2):87-92. doi:10.1097/BPO.0000000000002848 Poggiali P, May JM, Larson JE, Dias LS. Talectomy for the Treatment of Rigid Nonidiopathic Clubfoot Deformity: Long-term Follow-up. Journal of the Pediatric Orthopaedic Society of North America, Volume 9, 100112 Arkin C, Ihnow S, Dias L, Swaroop VT. Midterm Results of the Ponseti Method for Treatment of Clubfoot in Patients With Spina Bifida. J Pediatr Orthop. 2018;38(10):e588-e592. doi:10.1097/BPO.0000000000001248 Thompson RM, Foley J, Dias L, Swaroop VT. Hip Status and Long-term Functional Outcomes in Spina Bifida. J Pediatr Orthop. 2019;39(3):e168-e172. doi:10.1097/BPO.0000000000001266 Lightning Round Yao B, Li D, Cui J, et al. Establishment of an Accurate and Precise Alternative Intraoperative Technique for Determination of Femoral Version. J Pediatr Orthop. Published online March 21, 2025. doi:10.1097/BPO.0000000000002920' Reysner M, Reysner T, Janusz P, et al. Pericapsular Nerve Group (PENG) Block Versus Lumbar Erector Spinae Plane Block (ESPB) in Pediatric Hip Surgery: A Randomized, Double-Blinded, Controlled Trial. J Pediatr Orthop. 2025;45(4):e324-e330. doi:10.1097/BPO.0000000000002882 Tate A, Brouillet K, Braithwaite Iv HC, Luhmann SJ. Pedicle Screw Placement in Pediatric and Adolescent Spinal Deformity Surgery: Does Tapping of the Pedicle Screw Tract Increase Safety?. J Pediatr Orthop. 2025;45(5):269-273. doi:10.1097/BPO.0000000000002909
MS symptoms can worsen, and relapses can occur. And when that happens, how do you know whether you require immediate medical care? When is it time to go to the hospital? Dr. Kalina Sanders joins me to talk about when it's time to seek immediate medical care for MS. Dr. Sanders is a board-certified neurologist who specializes in multiple sclerosis and spasticity management at Baptist Health in Jacksonville Beach, Florida. We're also talking about MS care in the United Arab Emirates with Professor Bassem Yamout, the President of the Middle East North Africa Committee for Treatment and Research in Multiple Sclerosis. We'll explain why Bayer's new MRI contrast agent is good news for people with MS. We'll tell you about a new Federal Trade Commission report that calls out Pharmacy Benefit Managers for inflating the price of generic specialty drugs by thousands of percent. We'll share the details of a study that shows the profound impact of menopause on MS. And we're sharing two different opportunities for you to participate in MS research. We have a lot to talk about! Are you ready for RealTalk MS??! A word about Facebook posts :22 This Week: Worsening symptoms? Relapse? When is it time to go to the Emergency Room? 1:46 FTC reports Pharmacy Benefit Managers have marked up generic specialty drugs 1000s of percent 2:20 Bayer's new MRI contrast agent contains 60% less gadolinium 4:57 Professor Bassem Yamout discusses MS in the United Arab Emirates 6:48 Study reveals menopause significantly increases the speed of disability worsening and brain cell damage in women with MS 15:08 Two opportunities for you to participate in MS research 17:38 Dr. Kalina Sanders explains when it's time to seek immediate medical care for MS 19:54 Share this episode 31:42 Have you downloaded the free RealTalk MS app? 32:02 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/386 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com RealTalk MS on YouTube https://www.youtube.com/@RealTalkMS Federal Trade Commission Interim Report on Pharmacy Benefit Managers and Specialty Generic Drugs https://www.ftc.gov/reports/specialty-generic-drugs-growing-profit-center-vertically-integrated-pharmacy-benefit-managers Bayer Announces MRI Contrast Agent Gadoquatrane Meets Primary and Main Secondary Endpoints in Pivotal Phase III Studies https://www.businesswire.com/news/home/20250109869429/en/Bayers-investigational-MRI-contrast-agent-gadoquatrane-meets-primary-and-main-secondary-endpoints-in-pivotal-Phase-III-studies STUDY: Association of Menopause with Functional Outcomes and Disease Biomarkers in Women with Multiple Sclerosis https://www.neurology.org/doi/10.1212/WNL.0000000000210228 PARTICIPATE IN MS RESEARCH: Psychometric Properties of Sexual Difficulties Scales in People Living with Multiple Sclerosis https://qualtrics.kcl.ac.uk/jfe/form/SV_br1fVoYGqXnLooK PARTICIPATE IN MS RESEARCH: Efficacy and Safety Study of Frexalimab in Adults with Nonrelapsing Secondary Progressive Multiple Sclerosishttps://www.sanofistudies.com/SR0A/ Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 386 Guests: Professor Bassem Yamout, Dr. Kalina Sanders Privacy Policy
Description: In this podcast, Karen Twyford discusses her paper Functional outcomes in children and adolescents with neurodisability accessing music therapy: A scoping review. The paper is available here: https://doi.org/10.1111/dmcn.16135 Follow DMCN on Podbean for more: https://dmcn.podbean.com/ ___ Watch DMCN Podcasts on YouTube: https://bit.ly/2ONCYiC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___ Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress
Five articles from the December 2024 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “High Variability of Lateral Extra-articular Tenodesis Femoral Tunnel Position With Landmark-Based Techniques,” “Effect of Patient Resilience on Functional Outcomes After Anterior Cruciate Ligament Reconstruction,” “Treatment and Early Outcomes of Capitellar Osteochondritis Dissecans,” “Functional Outcomes of Immediate Weightbearing After Arthroscopic Lateral Ankle Ligament Repair: A Prospective Randomized Single-Center Trial,” and “Physiologic Preoperative Knee Hyperextension Is Not Associated With Postoperative Laxity, Subjective Knee Function, or Revision Surgery After ACL Reconstruction With Hamstring Tendon Autografts.” Click here to read the articles.
PainExam Podcast Show Episode Title: Exploring PRP and BMAC in Pain Managemen Host: David Rosenblum, MD Release Date: November 27, 2024 Episode Overview: In this episode of the PainExam Podcast, Dr. David Rosenblum, a New York-based pain physician, examines the latest research surrounding Platelet-Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) in pain management for the knee, shoulder, and spine. Dr. Rosenblum reviews several key studies, providing insights into the efficacy of these regenerative treatments and their implications for clinical practice. Featured Studies: 1. A Comparison of Functional Outcomes in Rotator Cuff Repairs Using Adjunctive Bone Marrow Aspirate Concentrate vs. Bone Marrow Aspirate Concentrate With Platelet-Rich Plasma: A Systematic Review and Meta-Analysis** - Authors: Seth J. Spicer, Sara Soliman, Robert Malek, Mitchell Kaplan, Jensen Clark, Nicholas Averell, Brandon Goodwin, Richard Jermyn - Published in: Cureus. 2024 Aug 23;16(8):e67594. doi: 10.7759/cureus.67594 - Summary: This systematic review evaluates the outcomes of rotator cuff repairs (RCR) using BMAC alone versus BMAC combined with PRP. The analysis included three studies and found no significant difference in functional outcomes between the two groups, suggesting that BMAC alone may be adequate, potentially reducing costs and resource use. 2. Bone Marrow Aspirate Concentrate Versus Platelet-Rich Plasma for Treating Knee Osteoarthritis: A One-Year Non-Randomized Retrospective Comparative Study - Authors: Abed El-Hakim El-Kadiry, Carlos Lumbao, Natasha Salame, Moutih Rafei, Riam Shammaa - Published in: BMC Musculoskeletal Disorders, 2022. - Summary: This study compared the effectiveness of intra-articular BMAC and PRP injections in patients with knee osteoarthritis (OA). Results indicated that patients receiving BMAC experienced significant improvements in pain and functionality scores over 12 months, while the PRP group showed nonsignificant improvements. BMAC was found to be more effective than PRP in managing knee OA symptoms. 3. Patients With Knee Osteoarthritis Who Receive Platelet-Rich Plasma or Bone Marrow Aspirate Concentrate Injections Have Better Outcomes Than Patients Who Receive Hyaluronic Acid: Systematic Review and Meta-analysis** - Authors: John W. Belk, Joseph J. Lim, Carson Keeter, Patrick C. McCulloch, Darby A. Houck, Eric C. McCarty, Rachel M. Frank, Matthew J. Kraeutler - Published in: World Journal of Stem Cells, 2021. - Summary: This systematic review assessed the efficacy of PRP and BMAC compared to hyaluronic acid (HA) injections for knee OA. The findings demonstrated that both PRP and BMAC led to significantly better patient-reported outcomes (PROs) compared to HA, with no significant differences between PRP and BMAC in terms of effectiveness. 4. Platelet-Rich Plasma vs Bone Marrow Aspirate Concentrate: An Overview of Mechanisms of Action and Orthobiologic Synergistic Effects - Authors: José Fábio Santos Duarte Lana, Lucas Furtado da Fonseca, Rafael da Rocha Macedo, Tomas Mosaner, William Murrell, Ashok Kumar, Joseph Purita, Marco Antonio Percope de Andrade - Published in: World Journal of Stem Cells, 2021. - **Summary:** This overview discusses the mechanisms of action for PRP and BMAC and their potential synergistic effects in musculoskeletal healing. The authors highlight that while both therapies show promise, further research is needed to standardize treatment protocols and fully understand their combined effects on healing processes. 5. PRP and BMAC for Musculoskeletal Conditions via Biomaterial Carriers* - Authors: Fabio S. M. Yamaguchi, Shahin Shams, Eduardo A. Silva, Roberta S. Stilhano - Published in:** International Journal of Molecular Sciences, 2019. - Summary: This review focuses on the use of biomaterial carriers in conjunction with PRP and BMAC to enhance regenerative processes for musculoskeletal injuries. The authors emphasize the growing interest in these therapies as alternatives for treating cartilage, muscle, and bone injuries, and discuss the various biomaterials used in clinical trials. Key Takeaways: - The efficacy of BMAC compared to PRP in various orthopedic applications. - Insights into the mechanisms of action and potential synergistic effects of PRP and BMAC. - The importance of research in optimizing treatment protocols for knee osteoarthritis and other musculoskeletal conditions. Upcoming Events: Visit NRAPpain.org to learn about the virtual pain fellowship and other educational resources. Additionally, check out our live courses designed for healthcare professionals looking to enhance their skills in pain management and regenerative therapies. Listen to the Episode: Join Dr. Rosenblum as he provides expert analysis on these studies and discusses the implications for pain management and regenerative medicine. Connect with Us: For more information, resources, and to access past episodes, visit our website or follow us on social media. Your feedback and questions are always welcome! Disclaimer The content of this podcast is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for any medical concerns.
PainExam Podcast Show Episode Title: Exploring PRP and BMAC in Pain Managemen Host: David Rosenblum, MD Release Date: November 27, 2024 Episode Overview: In this episode of the PainExam Podcast, Dr. David Rosenblum, a New York-based pain physician, examines the latest research surrounding Platelet-Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) in pain management for the knee, shoulder, and spine. Dr. Rosenblum reviews several key studies, providing insights into the efficacy of these regenerative treatments and their implications for clinical practice. Featured Studies: 1. A Comparison of Functional Outcomes in Rotator Cuff Repairs Using Adjunctive Bone Marrow Aspirate Concentrate vs. Bone Marrow Aspirate Concentrate With Platelet-Rich Plasma: A Systematic Review and Meta-Analysis** - Authors: Seth J. Spicer, Sara Soliman, Robert Malek, Mitchell Kaplan, Jensen Clark, Nicholas Averell, Brandon Goodwin, Richard Jermyn - Published in: Cureus. 2024 Aug 23;16(8):e67594. doi: 10.7759/cureus.67594 - Summary: This systematic review evaluates the outcomes of rotator cuff repairs (RCR) using BMAC alone versus BMAC combined with PRP. The analysis included three studies and found no significant difference in functional outcomes between the two groups, suggesting that BMAC alone may be adequate, potentially reducing costs and resource use. 2. Bone Marrow Aspirate Concentrate Versus Platelet-Rich Plasma for Treating Knee Osteoarthritis: A One-Year Non-Randomized Retrospective Comparative Study - Authors: Abed El-Hakim El-Kadiry, Carlos Lumbao, Natasha Salame, Moutih Rafei, Riam Shammaa - Published in: BMC Musculoskeletal Disorders, 2022. - Summary: This study compared the effectiveness of intra-articular BMAC and PRP injections in patients with knee osteoarthritis (OA). Results indicated that patients receiving BMAC experienced significant improvements in pain and functionality scores over 12 months, while the PRP group showed nonsignificant improvements. BMAC was found to be more effective than PRP in managing knee OA symptoms. 3. Patients With Knee Osteoarthritis Who Receive Platelet-Rich Plasma or Bone Marrow Aspirate Concentrate Injections Have Better Outcomes Than Patients Who Receive Hyaluronic Acid: Systematic Review and Meta-analysis** - Authors: John W. Belk, Joseph J. Lim, Carson Keeter, Patrick C. McCulloch, Darby A. Houck, Eric C. McCarty, Rachel M. Frank, Matthew J. Kraeutler - Published in: World Journal of Stem Cells, 2021. - Summary: This systematic review assessed the efficacy of PRP and BMAC compared to hyaluronic acid (HA) injections for knee OA. The findings demonstrated that both PRP and BMAC led to significantly better patient-reported outcomes (PROs) compared to HA, with no significant differences between PRP and BMAC in terms of effectiveness. 4. Platelet-Rich Plasma vs Bone Marrow Aspirate Concentrate: An Overview of Mechanisms of Action and Orthobiologic Synergistic Effects - Authors: José Fábio Santos Duarte Lana, Lucas Furtado da Fonseca, Rafael da Rocha Macedo, Tomas Mosaner, William Murrell, Ashok Kumar, Joseph Purita, Marco Antonio Percope de Andrade - Published in: World Journal of Stem Cells, 2021. - **Summary:** This overview discusses the mechanisms of action for PRP and BMAC and their potential synergistic effects in musculoskeletal healing. The authors highlight that while both therapies show promise, further research is needed to standardize treatment protocols and fully understand their combined effects on healing processes. 5. PRP and BMAC for Musculoskeletal Conditions via Biomaterial Carriers* - Authors: Fabio S. M. Yamaguchi, Shahin Shams, Eduardo A. Silva, Roberta S. Stilhano - Published in:** International Journal of Molecular Sciences, 2019. - Summary: This review focuses on the use of biomaterial carriers in conjunction with PRP and BMAC to enhance regenerative processes for musculoskeletal injuries. The authors emphasize the growing interest in these therapies as alternatives for treating cartilage, muscle, and bone injuries, and discuss the various biomaterials used in clinical trials. Key Takeaways: - The efficacy of BMAC compared to PRP in various orthopedic applications. - Insights into the mechanisms of action and potential synergistic effects of PRP and BMAC. - The importance of research in optimizing treatment protocols for knee osteoarthritis and other musculoskeletal conditions. Upcoming Events: Visit NRAPpain.org to learn about the virtual pain fellowship and other educational resources. Additionally, check out our live courses designed for healthcare professionals looking to enhance their skills in pain management and regenerative therapies. Listen to the Episode: Join Dr. Rosenblum as he provides expert analysis on these studies and discusses the implications for pain management and regenerative medicine. Connect with Us: For more information, resources, and to access past episodes, visit our website or follow us on social media. Your feedback and questions are always welcome! Disclaimer The content of this podcast is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for any medical concerns.
In this first in series of literature review podcasts Dr Ritch Geitenbeek (PhD Candidate at the University Medical Center, Groningen, Netherlands) discusses his recent journal article comparing outcomes for rectal cancer patients of different surgical methods. This episode is hosted by Dr Alice Tsai (Post-CCT Fellow in Oesophagogastric Surgery at Imperial College London, UK) and Dr Monica Ortenzi (Assistant Professor of Surgery at Università Politecnica delle Marche in Italy).Article reference:Geitenbeek, R.T.J., Burghgraef, T.A., Moes, C.A. et al. Functional outcomes and quality of life following open versus laparoscopic versus robot-assisted versus transanal total mesorectal excision in rectal cancer patients: a systematic review and meta-analysis. Surg Endosc 38, 4431–4444 (2024).https://link.springer.com/article/10.1007/s00464-024-10934-4If you enjoy this episode, why not subscribe to Inside Surgery so you don't miss out on future episodes?Would you like to become a part of the EAES family? Become a member via https://eaes.eu/become-a-member
In this episode of New PossibilOTs, Mahek Bansal and Larissa Ferrari dive deeper into understanding child development and its practical implications in occupational therapy (OT) interventions. By examining real-life examples and discussing the role of developmental milestones in goal setting and intervention planning, Mahek and Larissa highlight the nuanced approach required to support children with diverse needs effectively. They emphasise the significance of clinical reasoning rooted in activity analysis and meaningful occupational performance goals as foundational skills for pediatric OT practitioners, providing valuable insights for professionals entering the field. In their engaging discussion, Mahek and Larissa outline the holistic nature of paediatric OT, emphasising the essential balance between understanding child development and addressing the unique circumstances of each child and family. They discuss meaningful participation and functional outcomes over rigid adherence to developmental norms. Their conversation serves as a reminder for practitioners to remain flexible, child-centered, and attentive to the diverse needs of children as they navigate the complexities of developmental milestones and readiness for school. By offering practical tips and emphasizing the foundational skills of activity analysis and goal setting, Mahek and Larissa provide valuable guidance for both novice and experienced pediatric OT professionals, encouraging them to maintain a holistic perspective in their practice. More Episodes & Info: Our website: https://www.occupationaltherapy.com.au/ Transcript: https://www.occupationaltherapy.com.au/podcasts/child-development-clinical-reasoning-in-paediatric-ot Instagram: @NewPossibilOTsPodcast
Host Dr. Arun Aneja interviews paper author Dr. Brian Mullis. This paper was presented at the 2023 OTA Annual Meeting. To see the abstract, listen in the free ConveyMED app: Apple Store or Google Play For additional educational resources visit https://ota.org/
Dr. Halley Alexander, Dr. Genevieve Rayner, and Eliza Honybun discuss the relationship between prenatal antiseizure medication exposure and adverse postnatal neurodevelopmental outcomes. Show reference:
Five articles from the March 2024 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Chronic Ankle Joint Instability Induces Ankle Sensorimotor Dysfunction: A Controlled Laboratory Study,” “5-Year Radiographic and Functional Outcomes of Nonoperative Treatment of Completely Displaced Midshaft Clavicular Fractures in Teenagers,” “A New Arthroscopic Classification for Chondrolabral Disease in Patients Undergoing Surgery for Developmental Dysplasia of the Hip,” “Single-Strand ‘Short Isometric Construct' Medial Collateral Ligament Reconstruction Restores Valgus and Rotational Stability While Isolated Deep MCL and Superficial MCL Reconstruction Do Not,” and “Outcomes and Proportions of Subsequent Contralateral Sports Hernia Repair Following Primary Unilateral Repair.” To read the articles, click here.
Dr. Halley Alexander talks with Dr. Genevieve Rayner and Eliza Honybun about the relationship between prenatal antiseizure medication exposure and adverse postnatal neurodevelopmental outcomes. Disclosures can be found at Neurology.org.
Blunt Head Injury in the Elderly: Analysis of the NEXUS II Injury Cohort Los traumas no-penetrantes a la cabeza en pacientes geriátricos tienen una mortalidad muy alta. Desafortunadamente, el examen físico puede no ser suficiente en descartar la presencia de una lesión clínicamente significativa. Este estudio favorece que este grupo etéreo sea evaluado siempre con una tomografía de cabeza. The association between mechanical CPR and outcomes from in-hospital cardiac arrest: An observational cohort study En esre cohorte de pacientes, el uso de RCP mecánica estuvo asociado a una menor sobrevivenvia comparado con la RCP manual. No obstante, los resultados deben considerarse en el contexto de las limitaciones del estudio. Lying Flat Shows Big Benefit in LVO Stroke En este estudio, los pacientes que tienen una oclusión de grandes vasos tuvo una tendencia a mejores resultados en la escala Rankin modificada para función neurológica pos-evento cerebrovascular isquémico si se acostaban en posición supina en vez de la cabeza elevada 30 grados en el periodo desde que se identificó el “stroke” y se llevaba a cabo la trombectomía. Este resultado puede ser útil en pacientes que están en espera de ser transferidos a un centro que realice la trombectomía. No obstante, no debe realizarse en pacientes que se desconoce si tienen un evento hemorrágico, ya que la posición supina pudiera agravar la presión intracraneal. Time to Treatment With Intravenous Thrombolysis Before Thrombectomy and Functional Outcomes in Acute Ischemic StrokeA Meta-Analysis En este estudio, el uso de trombolíticos antes de realizar la trombectomía tuvo beneficios en resultados funcionales a 90 días si se realiza en las primeras 2 horas y 20 minutos del inicio de los síntomas versus llevar a cabo solamente la trombectomía sin la administración primero de trombolíticos.
At the 2023 AOFAS annual meeting in Louisville, Kentucky, host Nicholas Strasser, MD discusses with Albert T. Anastasio, MD the Roger A. Mann Award Winning paper “Younger patients undergoing total ankle arthroplasty experience higher complication rates and worse functional outcomes scores.” To claim CME credit, click on the link: https://prc.aofas.org/URL/CMEPod-AM-2023-1 or listen in the free ConveyMED app: Apple Store or Google Play CME credit is free to AOFAS members and $25 for non-members.
From the Institute for Stroke and Cerebrovascular Diseases at UTHealth Houston, today, we delve into a fascinating study exploring the intriguing concept known as the "obesity paradox" in patients with spontaneous intracerebral hemorrhage (ICH). Joining us are two esteemed guests, Dr. Jared Chen and Dr. Andrea Gaitan, who played integral roles in this research. You are in for a treat as we unpack the study's background, objectives, and compelling results. The study, aiming to understand the association between body mass index (BMI) and functional outcomes in patients with ICH, also explores the role of race/ethnicity in this relationship. Their research article can be found at https://www.neurology.org/doi/10.1212/WNL.0000000000208014
Dr Henry Ellis from TSRH joins the show to discuss his research on the functional outcomes of open vs. arthroscopic cam resection. Highlights from the lightning round include the impacts of seemingly benign parts of care like saw blades/Dermabond/Pavlik harnesses, the recovery process after femoral flex nails, and more. Your hosts are Carter Clement from Children's Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. This episode is sponsored by Nuvasive. Music by A. A. Alto. Citations for papers discussed: 1) Morris et al. Comparison of Gait and Functional Outcomes between Arthroscopic and Open Treatment of Adolescent and Young Adult Femoroacetabular Impingement. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791636/ 2) Koritz et al. Incidence of Skin Sensitivity Following Dermabond Application in Pediatric Orthopaedic Surgery. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37820062/ 3) Gettleman et al. Use of Surgical Adjuvants does not Decrease Recurrence of Aneurysmal Bone Cysts in Surgical Intervention with Pediatric Patients. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37815299/ 4) Greenhill et al. Metaphyseal Fracture Displacement is Predictive of Intra-articular Diastasis in Adolescent Triplane Ankle Fractures. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37779308/ 5) Batley et al. What are the Psychosocial Effects of Pavlik Harness Treatment? A Prospective Study on Perceived Impact on Families and Maternal-Infant Bonding. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37807604/ 6) Stevens et al. Coated Cast Saw Blades Decrease Temperature During Cast Removal. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37796155/ 7) Flinck et al. Recovery of Gait in Children and Adolescents after Pediatric Femoral Shaft Fracture treated with Intramedullary Nail Fixation: a Longitudinal Prospective Study. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791633/
Dr Ishaan Swarup from UCSF joins the show this month to discuss distal tibial physeal fractures. Highlights from the lightning round include the interplay of race, socioeconomic status and self-image in scoliosis, measuring rotation with advanced imaging and clinical examination, and selective dorsal rhizotomy. Your hosts are Julia Sanders from Children's Hospital Colorado, Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Alto. Citations for papers discussed can be found below: Swarup I, Pearce R, Sanborn R, Shore BJ; Children's Orthopaedic Trauma and Infection Consortium for Evidence Based Studies (CORTICES). Variations in the Management of Closed Salter-Harris II Distal Tibia Fractures. J Pediatr Orthop. 2023;43(9):e742-e746. Onay T, Çelen ZE, Bayhan M, Kandemir İ, Kiliç NC, Kayaalp ME. A More Conservative Approach in the Surgical Management of Pediatric Physeal Ankle Fractures Should be Preferred: Mid to Long-term Functional Outcomes of Three Different Surgical Techniques for Salter-Harris Type II and Triplane Distal Tibial Fractures. J Pediatr Orthop. 2023;43(9):e734-e741. Sheth M, Kitziger R, Bindner C, Rosenfeld SB. Computed Tomography Analysis of Distal Tibia Physeal Fracture Patterns: A Classification and Technique for Optimizing Screw Trajectory [published online ahead of print, 2023 Aug 29]. J Pediatr Orthop. 2023;10.1097/BPO.0000000000002498. Erkkila, I. P., Reynolds, C. A., Weissman, J. P., Levine, O. P., Aronson, H., Knoll, J. M., & Larson, J. E. (2023). Factors Associated with Presentation of Severe Adolescent Idiopathic Scoliosis: Original Research. Journal of the Pediatric Orthopaedic Society of North America, 5(3). Cirrincione PM, Thakur A, Zucker CP, et al. Exploring Correlations Between Pain and Deformity in Idiopathic Scoliosis With Validated Self-reported Pain Scores, Radiographic Measurements, and Trunk Surface Topographic Measurements [published online ahead of print, 2023 Aug 21]. J Pediatr Orthop. 2023;10.1097/BPO.0000000000002493. Edmonds, E. W., Parvaresh, K. C., Price, M. J., Farnsworth, C. L., Bomar, J. D., Hughes, J. L., & Upasani, V. V. (2023). The Reliability of Measurements for Tibial Torsion: A Comparison of CT, MRI, Biplanar Radiography, and 3D Reconstructions With and Without Standardized Measurement Training: Original Research. Journal of the Pediatric Orthopaedic Society of North America, 5(3). Miller SD, Juricic M, Bone JN, Steinbok P, Mulpuri K. The Effect of Selective Dorsal Rhizotomy on Hip Displacement in Children With Cerebral Palsy: A Long-term Follow-up Study. J Pediatr Orthop. 2023;43(9):e701-e706.
In this episode of the Award-winning PRS Journal Club Podcast, 2023 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Ronnie Shammas- and special guest Suhail Mithani, MD, discuss the following articles from the July 2023 issue: “Functional Outcomes of Cubital Tunnel Release in Patients with Negative Electrodiagnostic Studies” by Townsend, Katt, Tawfik, et al. Read the article for FREE: https://bit.ly/FxnalCubitalTunnel Special guest Suhail Mithani, MD, is an Associate Professor of Plastic and Orthopedic Surgery at Duke University. He completed his residency training at Johns Hopkins followed by a hand fellowship at Duke. He currently specializes in all aspects of hand surgery and is an expert in reconstruction of the traumatic injury extremity. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/JCJuly23Collection
Dennis Cleary and Thomas Fisher introduce learners to case management, care coordination, disease management, and the certification process for case managers. Occupational therapists are appropriate for case management positions because of their holistic education as well as their background in mental health and physical disabilities. This is part of the Continued Learning Podcast series.
On Episode 27 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the April 2023 issue of Stroke: “Association Between Hospital-Documented Atrial Fibrillation and Central Retinal Artery Occlusion” and “Early Stroke and Mortality After Percutaneous Left Atrial Appendage Occlusion in Patients With Atrial Fibrillation.” She also interviews Drs. Wenting Zhang and Jun Chen about their article “Poststroke Intravenous Transplantation of Human Mesenchymal Stem Cells Improves Brain Repair Dynamics and Functional Outcomes in Aged Mice.” For the episode transcript, visit: https://www.ahajournals.org/do/10.1161/podcast.20230407.897078
https://psychiatry.dev/wp-content/uploads/speaker/post-12317.mp3?cb=1679310178.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Benefits of the PRISM Shelter-Based Program for Attainment of Stable Housing and Functional Outcomes by People Experiencing Homelessness and Mental Illness:Full EntryBenefits of the PRISM Shelter-Based Program for Attainment of Stable Housing and Functional Outcomes by People Experiencing Homelessness and Mental Illness: A Quantitative Analysis –
https://psychiatry.dev/wp-content/uploads/speaker/post-12049.mp3?cb=1677478532.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Discontinuing cannabis use: Symptomatic and functional outcomes in people with an established psychotic disorder – A Waterreus et al. Schizophrenia Research. 2023.Full EntryDiscontinuing cannabis use: Symptomatic and functional outcomes in people with an established psychotic disorder –
Host Dr. Michael Blankstein interviews primary paper author Dr. Arun Aneja as they discuss this retrospective study of patient outcomes specifically geared toward returning to sporting activities and activities of daily living. This paper was presented at the 2022 OTA Annual Meeting. Looking for CME? OTA Podcast CME only on the ConveyMED Podcast App: Apple Store click here Google Play click here For additional educational resources visit https://ota.org/
Jenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes? A. Progression through the phases of wound healing B. Oxygenation or perfusion of tissue C. Reduced or controlled edema D. Infection control LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/thepthustle/support
In this episode, Antonia and Andrew a selection of articles from the September 21, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Top of the Pile What’s New in Hip Replacement, by Morgan Host Perspectives of High-Income Country Orthopaedic Resident Rotations in Low and Middle-Income Countries, by Roberts et al. Deep Learning and Imaging for the Orthopaedic Surgeon. How Machines “Read” Radiographs, by Hill et al. What's Important: Dealing with Gun Violence, by Lachiewicz New Beginnings and Revealing Invisible Identities, by Bellamy et al. Diversity and Inclusion in Orthopaedic Surgery from Medical School to Practice, by Lamanna et al. Headlines Spontaneous Lumbar Curve Correction Following Vertebral Body Tethering of Main Thoracic Curves, by Catanzano et al. Applying Deep Learning to Establish a Total Hip Arthroplasty Radiography Registry. A Stepwise Approach, by Rouzrokh et al. Your Case is On Hold Serum Glucose Variability Increases the Risk of Complications Following Aseptic Revision Hip and Knee Arthroplasty, by Goh et al. Honorable Mention Defining Minimally Important Differences in Functional Outcomes in Musculoskeletal Oncology, by Gazendam et al.
In this episode of the podcast, we discuss the management of Acute Ischemic Stroke (AIS). Our guest is Dr. Fred Rincon, a neurologist and critical care specialist with expertise in the resuscitation and management of acute brain injured patients. He is a Professor of Neurology at Cooper Medical School of Rowan University and Director of the Neuro-ICU at Cooper University Health Care in Camden, New Jersey. Additional Resources Management of Acute Ischemic Stroke. F. Herpich and F. Rincon: https://pubmed.ncbi.nlm.nih.gov/32947473/ AHA Guidelines for the Management of Acute Ischemic Stroke (2019): https://pubmed.ncbi.nlm.nih.gov/31662037/ Link to NIHSS Certification Course: https://www.nihstrokescale.org/ The intensive care management of acute ischemic stroke. D. Sharma and M. Smith: https://pubmed.ncbi.nlm.nih.gov/35034076/ Association of Neurocritical Care Services with Mortality and Functional Outcomes for Adults With Brain Injury. Meta-analysis. JAMA Neurology 2022: https://pubmed.ncbi.nlm.nih.gov/36036899/ Book Recommendations: The Servant: A Simple Story of About the True Essence of Leadership. By James C. Hunter: https://amzn.to/3U6u6SI How to Be a Leader: An Ancient Guide to Wise Leadership. By Plutarch: https://amzn.to/3eMBxhU
https://psychiatry.dev/wp-content/uploads/speaker/post-9661.mp3?cb=1663283398.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Association Between Childhood Adversity and Functional Outcomes in People With Psychosis: A Meta-analysis – PubMed Angeline Christy et al. Schizophrenia Bulletin. 2022.Full EntryAssociation Between Childhood Adversity and Functional Outcomes in People With Psychosis: A Meta-analysis – PubMed
• In-person course: October 13-15, Rosemont, IL (Course #2203252), Learn more and register at aaos.org/courses • Hosts Kevin Plancher, MD, MPH, FAAOS; Nicholas A. Sgaglione, MD, FAAOS; Jon F. Dickens, MD, FAAOS; Rachel Frank, MD, FAAOS; and Seth Sherman, MD, FAAOS, discussing: o Review article “Functional Outcome and Return to Sport After Cartilage Restoration of the Knee in High-level Athletes” from the November 1, 2021 issue (https://journals.lww.com/jaaos/Fulltext/2021/11010/Functional_Outcomes_and_Return_to_Sport_After.2.aspx) o Review article “Meniscal Salvage: Where We Are Today” from the July 15, 2021 issue (https://journals.lww.com/jaaos/Fulltext/2021/07150/Meniscal_Salvage__Where_We_Are_Today.3.aspx) o Review article “Distal Femoral Varus Osteotomy for the Management of Valgus Deformity of the Knee” from the May 1, 2018 issue (https://journals.lww.com/jaaos/Fulltext/2018/05010/Distal_Femoral_Varus_Osteotomy_for_the_Management.3.aspx) The JAAOS Journal Club podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
Interview with Andrew A. Udy, BHB, MBChB, PhD, author of Association of Neurocritical Care Services With Mortality and Functional Outcomes for Adults With Brain Injury: A Systematic Review and Meta-analysis. Hosted by Cynthia E. Armand, MD.
Interview with Andrew A. Udy, BHB, MBChB, PhD, author of Association of Neurocritical Care Services With Mortality and Functional Outcomes for Adults With Brain Injury: A Systematic Review and Meta-analysis. Hosted by Cynthia E. Armand, MD.
In this episode, Antonia and Andrew discuss a selection of articles from the August 17, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Top of the Pile What’s New in Limb Lengthening and Deformity Correction, by Bafor et al. An Introduction to the Orthopaedic Diversity Leadership Consortium. Advancement of our Orthopaedic Leaders of Diversity, Equity, and Inclusion Through Networking, Strategy, and Innovation, by Taylor et al. The Table I Fallacy: P Values in Baseline Tables of Randomized Controlled Trials, by Pijls et al. Evidence-Based Orthopaedics In Patients with Displaced Type-II Distal Clavicle Fractures, Operative and Nonoperative Therapies Did Not Differ for Functional Outcomes at 1 Year, by Hall et al. (commentary by Chen) In Adults Aged
Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner, a faculty member in the department of Communication Sciences and Disorders at the University of Wisconsin – Eau Claire. Today, I'm joined by Becky Khayum. Biosketch: Becky is a speech-language pathologist and specializes in providing person-centered care for people living with different dementia syndromes. Over the past 15 years, she has held leadership positions in rehabilitation centers, assisted living communities, memory care communities and home health environments. In 2009, Becky co-founded MemoryCare Corporation, a therapy company specializing in providing care for families coping with dementia. Becky currently serves as the President of MemoryCare. In 2020, she co-founded Cognitive Concierge, which provides digital services and programs for people living with cognitive challenges. She has been involved in research initiatives in Primary Progressive Aphasia at the Northwestern Mesulam Center for Cognitive Neurology & Alzheimer's Disease. Becky speaks nationally to train healthcare providers and families on how to creatively apply the life participation approach for people living with dementia. Take aways: Learn about applications of the LPAA framework to individuals with dementias, including primary progressive aphasia (PPA). Learn about tools you can use to implement LPAA interventions with individuals with Alzheimer's disease and PPA. Learn about several key authors/researchers/clinicians in the areas of dementia interventions that should serve as starting points for learning about person-centered care in dementias. Learn how to frame person-centered, LPAA goals for persons with dementias, including PPA. Learn how to document so that LPAA interventions are reimbursable for Medicare and other insurance providers. Interview Transcript: Jerry Hoepner: Hi Becky so glad to have you with me today and really looking forward to this conversation. Becky Khayum: Well, thanks for having me Jerry I'm looking forward as well to our discussion. Jerry Hoepner: You know, I was mentioning to our listeners that if they weren't familiar with your work, they really need to explore your work, because there's just so many important connections about the life participation approach applied to individuals with progressive diseases like dementias and so forth. We know that, at least in the Aphasia Access circles you're well known for your person-centered life participation approach for individuals with dementia, including the individuals with primary progressive aphasia. Can you share just a little bit about how you got connected with Aphasia Access and the life participation approach? Becky Khayum: So, so I'm sure others have the same story, but I was going about my ordinary day and I get a call from Audrey Holland and she's so excited and says there is this summit, and you have to go and begins to tell me all about it, and you know, of course, said Aphasia Access you know this is new and I had you know, the summit is new and I had actually hadn't heard of Aphasia Access at that point, which was surprising considering I tried to you know base my clinical work on person centered care and I was so sad because I actually couldn't make of the first [Aphasia Access Leadership] Summit but of course, I went to the Aphasia Access website at that point and signed up, and it was startling and I was so delighted because, “Oh, my goodness, everything that I am trying to think about as the clinician and train other you know speech language pathologist on is completely captured and this one group with so many leaders in our field,” so that is how I first got connected. Jerry Hoepner: Oh that's fantastic I didn't know that story but I kind of figured that was one of the connections, I know that I had spoken to Audrey I don't know if it was that the first or the second Aphasia Access Leadership Summit and she just spoke so she raved about you and the great work that you were doing and was just so excited that you were a part of the organization so that's fantastic and like you said a lot of people have that connection. So it was fabulous that a few weeks back to have a conversation with her again on a podcast and recognize her lifetime of just brilliant work so she's been a mentor and an encourager for so many of us so fantastic. Becky Khayum: Absolutely 100% yep. Jerry Hoepner: Well, you found a perfect fit and a perfect home in Aphasia Access and I, as someone who loves working with individuals with aphasia my passion is really with people with cognitive disorders, with traumatic brain injuries and so forth, as well, and I just think the life participation approach has so many applications that are much broader than aphasia and certainly we're excited to talk with you today about those applications as they're made to individuals with dementia and including your work on primary progressive aphasia as well. Becky Khayum: sure. Jerry Hoepner: Absolutely you you've done some great interdisciplinary work with a team of professionals about dementias I'm really interested, I have been reading your work on the care D model and just want to get your thoughts on the relevance of that model to dementia care and maybe talk us through some of the different types of dementia syndromes and their typical symptoms and the way that they present themselves I guess. Becky Khayum: Sorry, Sir absolutely so I'm during my you know collaboration in research at the Northwest Western Mesulaum Center for Cognitive Neurology and Alzheimer's disease, I had some amazing mentors there who developed this care pathway model: Darby Morhardt, you know Sandy Weintraub, Dr. Mesulaum, and Emily Rogalski. Really learned everything there that from them that I now know about the different types of dementia syndromes you know, and so they developed the care pathway model, you know for people living with dementia and really the model highlights that there are different types of dementia syndromes with very specific symptoms depending on where that neurodegenerative disease starts in the brain and it was really trying to promote awareness that you know Alzheimer's dementia, with the memory loss isn't the only type of dementia syndrome and therefore there really needs to be tailored care and interventions for the different types of dementia syndromes and really, how do you adapt those interventions over time. How, you know just that huge need for psychosocial you know, support and so anyways that's the basis for the care pathway model so they you know in that paper they describe. Some of the different dimension syndromes that have very distinct symptoms, so of course we know you know Alzheimer's dementia, with the hallmark you know deficit of that short term episodic memory loss that you first see but then, you know you may have language reading and writing symptoms that first appear and get worse over time and, as in primary progressive aphasia. Another example would be for those neurodegenerative diseases that more cause deficits in behavior and personality changes, as in the behavioral variant of frontal temporal dementia and then also another syndrome, that I don't think is as well known, is where the neurodegenerative disease starts in the occipital lobes so you have you know vision difficulties that's caused by you know cortical deficit and so that is posterior cortical atrophy so you know this, the care pathway model then describes and I know we'll talk about more of this podcast. Okay, how do you can tailor the interventions given those different types of symptoms right? Jerry Hoepner: Right and that's a big part of that that care model right that tailoring not only to the type of dementia, but to the individual that you're working with, and as I read the article I think the word tailor comes up about 100 times. Becky Khayum: Absolutely right and that's such a good point it's not just to the symptoms. It is to that actual individual and the way their symptoms impact their daily life so completely corresponding with the LIFE participation approach yeah. Jerry Hoepner: Absolutely, well that's actually a really good lead into my next question. We have a lot of information out there about the LIFE participation approach for aphasia but are there differences in the way that an LP might apply the LIFE participation approach for people living with a progressive condition. Becky Khayum: Sure, absolutely you know, so I think in terms of how you might evaluate and write goals for someone with a progressive condition. The overall philosophy, with the LIFE participation approach you know, in my experience that doesn't change too much you know you're really doing that motivational interview you're learning. How their whether it's aphasia or memory loss or behavior you know behavioral changes. How was that preventing them from participating in the activities and conversations, they want to participate in, so I feel like that that part isn't you know. Really distinctly different. What is different? One thing is in terms of how people develop these symptoms, over time, so it's obviously for many people very gradual. That their first noticing the symptoms and then they're getting worse over time, so they do have the ability to already developed some different compensatory strategies that they find or helpful too. Their care partners also find that are helpful to manage some of these symptoms so compared to having a stroke, where it's just suddenly everything it has changed so that's important to consider as you're forming your goals, but what goes along with, that is, the risk of social withdrawal, so you know it's kind of the opposite usually have someone with a stroke, you know, we have all this social withdrawal and in the beginning, but then as they're going. Through the rehabilitation process and then long term the goal is to reintegrate them, you know into the Community with those social interactions with different dimensions syndromes it's quite the opposite, you know at first there perhaps staying pretty connected and then, as things get worse. Then we're starting to see that withdrawal So how do we help to prevent that? Um I think another difference in terms of therapy is that you really need to anticipate that they are going to progress in their symptoms. And how do we anticipate those future needs, so we may or you know actually need to introduce strategies, especially compensatory strategies? Before they're actually needed and then also knowing over time that we have to be realistic in the goals that we're setting and knowing. That you know, increasing care partners support, increasing the use of visual aids and whatnot those will likely be needed for them to meet that life participation goal. The goal should not be getting them more independent, it should be understanding that they're going to need some more support so Those are some of the key differences, I think, with a progressive condition. Jerry Hoepner: And I think that makes sense, and I know you talk a lot in your work, about the importance of counseling and education, as you know, to let people know not just the individual with dementia, or whatever the progressive condition is, but their partners that are care partners as well. Becky Khayum: Right absolutely. Jerry Hoepner: You know, as you as you think about those differences and I, like the way that you said from your standpoint it's not a whole lot different, right? I know that you've written a little bit about the focus on debilitation versus rehabilitation and I'm thinking about how that might apply more broadly to even stroke-based aphasia right. So, I know Michelle Bourgeois writes about the flip the rehab model, and it seems like a lot of those principles of you know, focusing on the positives and keeping people engaged are really pretty shared I don't know if you have thoughts about that. Becky Khayum: I know, and certainly with the flip the rehab model, you know, Dr. Bourgeois has been my mentor you know I remember first attending one of her talks at ASA and of course Audrey had already told me, you know you need to connect with Michelle and I was just so energized you know and it completely changed the way that I thought about assessment in terms of really yes flipping that around and how that goes right along with the from you know live participation model because we're having more of a client directed assessment and goal formation, rather than yeah the clinician doing that yeah absolutely. Jerry Hoepner: Well you're really natural with transitions between questions because I was just gonna talk to a little bit about goal setting, I know that you've written about this in a couple of really nice papers and one of the things I value about them is that they are so practical and so easy to digest for everyday clinicians and all of us, to be honest and you wrote a paper in 2015 with me Emily Rogalski and then he wrote another in 2015 with Rachel Wynn and talked a lot about goals for individuals with dementia or primary progressive aphasia from an LPAA standpoint and just really interested in your suggestions and thoughts about that goal writing process. Becky Khayum: Oh, absolutely and I, we certainly already touched upon this and the last question where you know I tell us if you aren't using a person-centered kind of the flip the rehab model assessment. Overly for anyone with any type of cognitive deficit, but particularly for those living with dementia syndrome. If you're not doing the right type of assessment then you're not going to be able to formulate the right types of life participation goals. So, certainly, I think, in some graduate training and externship you know, say, a fly training I think some clinicians are very used to having to give a standardized test and a score and certainly that's where Dr. Bourgeois really says well that should come last you know really develop. You know, what are their needs? What are their goals? and then investigate what specific impairments. Auditory comprehension memory loss might be impacting their ability to meet those goals. So, the first you know suggestion is it's that purpose product mismatch if you're diagnosing someone that's great you know use your impairment, a standardized test, but you will not be able to form a life participation goal. If you're using an impairment based standardized tests and then the other barrier, I think that we've talked about recently on an Aphasia Access panel on documentation. Was the electronic health record systems are designed for it and impairment based goal writing? I mean you just click, click, click. Okay, they have aphasia well great here's generative naming you know and whatnot if they have memory loss will are they oriented, and so it leads clinicians to automatically form and pyramid vehicles so that's where we'll talk, maybe. Later in the podcast about how can you secure reimbursement, you know for people living with a progressive condition, but as far as goal writing you know. Certainly, again very similar to anyone with TBI or stroke and just aphasia what are their goals, how did they want to increase participation in life activities? Writing out those goals with them, and a lot of times I use, who are the people you want to talk with you know, following a from where are the environments that you want to talk with people. Or that you can't participate in because of your memory loss, because your behavioral or visual deficits. And then, what are you know what specific topics or activities, you know, do you want to talk about our participate in so. Really, I use those prompts to help write the goals and then the only real difference than is making sure that the level of care partners support and the accuracy and the use of aids and supports that it's realistic that we're not trying to say 90% accurate in Japan it so that would be the biggest tip about goal writing you gotta be realistic, especially over time. Jerry Hoepner: Absolutely, and I appreciate carrying that through that idea of the flip the rehab model into the goal writing in I know you're a big proponent of motivational interviewing as am I, and one of the things that William Miller always says is don't ever do an impairment based assessment on your first interaction with someone and that's what we in so many times that's what people do right they begin with that and it's like. The biggest killer of relationship build building that you could you know, and when you're trying to find out what does this person want and need to do and what kinds of things will help support that yeah so beginning with those questions as a better place, then. Becky Khayum: Yes, for sure Jerry Hoepner: yeah absolutely. So, how would you apply the life participation approach for someone living in long term care with behavioral challenges things like that? Becky Khayum: Certainly, yeah and I think that's a tough one, you know, and certainly one where you absolutely need collaboration with occupational therapists, social workers, counselors you know that are also involved in the individuals care and certainly also you, it is sometimes difficult to directly in you know intervene with the person, you know, in terms of this is an intro you know intervention that directly changes the person in their behaviors. It's really more we're changing the environment around them and we're educating staff members in more you know memory care communities or Assisted Living and family members to provide the environmental supports and communication strategies visual supports and certainly that's difficult, you know. Dr. Natalie Douglas, as you know, done a lot of research on caregiver support in long term care. And so that's certainly another topic, but yeah for someone with behavioral challenges in terms of utilizing the life participation approach I think Jennifer Brush. You know just another lady, you know expert in long term care, using the Montessori approach um she always says, you know a lot of times whether it's Alzheimer's dementia or behavioral difficulties. People have a lack of a role, you know, and in some you know you have to get to the root of what's causing the behavioral challenges but oftentimes they don't feel like they have a role anymore, and a purpose in life, so I always like to start there and then also certainly do the environmental assessments, working with OT. Really training family members and staff members keep a behavior log you know let's actually see what the triggers might be so we can better think about interventions. But then again holistically will what sorts of activities and passions did they have prior to coming to the long term care community, and how can we figure out a way to modify that activity and if we allow them to participate in that? And you know, certainly, we often will see a reduction and those behaviors we don't need pharmacological management, which is so often what you know places do and just a quick example of that you know one. I met a professor, who had just been moved to a memory care community separated from his wife and was just so confused about why he was there, and you know incredibly respected expert in in so many different areas, people and so he was hitting you know people at the front desk asking to call his wife, you know every five minutes. And so, when I came in, you know they said always an artist we've been trying to get them involved in art activities and whatnot but he doesn't want to. Um so talking with the family, you know, I was able to quickly learn know people address them is Dr., you know, a professor, first of all, second of all he realizes how his art isn't the same and the quality of what he used to do so, he doesn't want to participate in that he loves to teach. That's what he wants to do. And so we were able to create a PowerPoint with him on topics art and travel that he loved to talk about, and you know he had memory loss. Actually, Alzheimer's dementia with behavioral you know challenges related to this lack of a role and we had signs, you know that Professor so and so is our guest lecturer today, we had a letter inviting him to be the guest lecturer at the community and then he gave his lecture I think three days a week, and so it didn't completely solve all of the challenges that came up but it drastically reduced you know his behavioral challenges, because we use that light participation approach for him. Jerry Hoepner: I love that story for a few reasons, one that you know they identified that he was an artist, but that he went beyond that recognizing that. That was even a challenge for him, because it was not the same art that he was able to produce before and just reengaging him in a meaningful way giving him purpose and that, like you said that role. That's the LIFE participation approach in terms of engaging in something meaningful and scaffolding, the environment and the people around him so that could be accomplished yeah that's fantastic. Becky Khayum: Yes, absolutely. Jerry Hoepner: Terrific, I'm so glad you mentioned Jennifer Brushes name, too, because she and Natalie Douglas because they've contributed so much to that context. Becky Khayum: I learned so much from them. Jerry Hoepner: Absolutely yeah, yeah. Okay um so I know that one of the common things that comes up in discussions and Aphasia Access panels and when we're talking about return to group kinds of context is how a person with primary progressive aphasia might best participate in and aphasia Center and or a group over time, as we know that you know symptoms are going to continue to worsen and more cognitive challenges arise, and what are your thoughts on that and how to make that work. Becky Khayum: Yes, that that is certainly a tricky, tricky topic, you know, and again I think one that probably doesn't have one answer. Becky Khayum: In every person may be different, you know just talking about tailored approaches it's likely going to be the case in this situation. On the first question, you know will, should they should they participate in groups or centers that are predominantly made up of people living with stroke and aphasia. Knowing that they're going to get worse over time for some people, the psychological impact of that watching themselves get worse, you know, during the groups, you know people with PPA. Most tend to be very cognizant you know of their deficits of their predicament and so psychologically, how are they doing? And I've worked with some people who they don't they don't, mind you know they they're just so happy to be talking with other people who have aphasia and that social interaction is so meaningful to them that they don't really think too much about the fact that maybe they're getting a little you know worse over time, but that's different you know, certainly for everyone, others, you know, certainly will get very anxious. I think, from the beginning it's good to have a good relationship with their family members as well, and just having that talk, you know from the get go, you know we just want to be open with you, this is a group that's predominantly people living, you know with stroke and just aphasia. Just knowing with PPA you know conversation can get a little more challenging over time, it might be, you know emotionally difficult for them. If we ever find that we think that they're not enjoying the group or it's challenging for them, they don't seem to be getting. The social interaction out of it that they need, and maybe documenting that you know and kind of a systematic way over time being open with the family and saying we just don't think they're getting out of this, the meaning that they did before, but the critical thing is to have other programs or groups to refer them to so it's because that's the meaning that's behind the groups who want to continue that role for them, and so that's where, if you have a local aphasia center, day programs, or whatnot that may hopefully have activities and whatnot that are stimulating and then certainly with coven I think the number of virtual groups for just people living with PPA has really grown, I found and so it's allowed people to participate in an efficient group and I certainly in the ones that I lead, I found a broad range of people with different abilities and those who have more difficulties you know their care partners help jump in so you know those certainly there's no one answer to that, but those are just some. And lastly, I guess, I forgot to mention we're so great at thinking of different types of compensatory strategies and so certainly before. Making that decision, you know that Okay, they just can't participate in the group anymore trialing a lot of different interventions, you know that we might use with someone who has memory loss or whatnot I'm trying those first before we decide that maybe they're not the best fit. Jerry Hoepner: Right so as long as it's working keep going with it is what I'm hearing you say, but when that no longer becomes a viable option looking for other options, where they can participate, and where they have the scaffolding and support to do that. Becky Khayum: Yes, that's usually what I would typically recommend for this situation yeah. Jerry Hoepner: And one thing I'm thinking about the people with primary progressive aphasia that are tend to our groups here and also our aphasia camp that connection that's established for the care partners becomes really a close bond to so thinking about what the next step is for them, maybe. Becky Khayum: that's you know that's such a good point. In the other in the PPA chats that I run a lot of them, we have a whole separate breakout room just for care partners and yeah, there doesn't even need to be a facilitator in that room, I mean they I've been told, over and over again, the benefit that they get from just having a chance to connect with other care partners and I'm so glad you brought that up because I do think for them meeting with care partners of people who had stroke induced aphasia would probably not, and this is just me again my personal opinion, I don't think it would be very helpful because a lot of the discussion is about the fear as things get worse, not knowing what's down the road and then for those who are further down the road what they've learned what they've tried and sharing information about that so I'm so glad you brought that point up about care partner support yeah. Jerry Hoepner: yeah equally as important as those connections for the person with primary progressive aphasia for sure. I mean, what are the common threads that we've been talking about in this conversation, you know, are the things that you're engaging people with our real-life meaningful engagement figuring out creatively how to accomplish that, like the exam the example you gave of the teacher and so forth. I'm wondering if you can walk us through an example of applying life participation to someone with living with Alzheimer's dementia and how that might be a little bit different for someone who, at least initially starts with more of a language focus and PPA. Becky Khayum: Sorry sure yeah so again, you know with Alzheimer's dementia now we're thinking about with that memory loss the short-term memory loss. How, you know again we're going to identify an activity that's important to them so just give me one example of a woman who really love birdwatching and that was something that she said over and over again, you know I am would repetitively asked her spouse, you know. I want to go look at the birds because it's been something that they've done for a long time, but just forgetting that they've already just earlier in the day, maybe gone and seen the birds, you know and not knowing whether they're going to go do that next and then having difficulty telling others about the experience, because she didn't remember what they saw what verse she saw and whatnot. So, thinking about you know really documenting from her perspective, what she wants to do and it's mainly you know would love to see the birds would love to share that with others. And then from the communication partner standpoint, just as important, was interviewing them about what is their experience what are their frustrations, you know, and for them, it was these repetitive questions all the time figuring out how to talk about you know, allowing her to talk about birdwatching with other people, so they aren't dominating that whole conversation, you know that she can remember with you know with supports and do that herself. So, really, in that case it's again, you see a lot of Dr bourgeoise work, you know it versus thinking about Okay, how do we use visual aids to help her come up with more of a routine and schedule and the answers to her repetitive questions in a memory station and a memory wallet you know so in the hall, and we created a little memory station, you know with the dry eraser, it clearly has the dates and when they're you know going birdwatching that day, where if they're going in the backyard if they're going somewhere, but then, also in that memory station really having collecting pictures and experiences to put in a memory book also I love the bird watching walks where you can just stated, and put Okay, these are the birds, I saw today, this is where they were. And then being able to use those visual aids to communicate with others. Certainly, care partner, helping to take videos and pictures, you know so they can scroll through the phone and show others and then Lastly, you know for people who are more impaired, you know and would benefit from simple bird Montessori activities, you know, and so it might be bird matching and they have so many on Amazon, like so many neat bird large picture books and Bingo and matching cards and whatnot so really kind of maybe sorting feathers or whatnot you know there's so many different activities, you could do with birds and showing them videos online pretending like you're going bird watching online they have all these virtual bird feeders now, so I think again it's thinking about here's the memory loss here is what they and their care partner once for the school and then, using the appropriate supports and carrot partner training to get there. Jerry Hoepner: yeah, that's fantastic I, you know as you were talking through that I was just kind of anticipating thinking. You know, in some of the papers that you've written you talk about the use of photo stream and how easy, that is to flip through post photos, but that is just the kind of the antidote to you know the behavioral challenges that come about when someone isn't engaged in something meaningful. And in these are ways and you have such creative and practical ways to accomplish that like you said as a person is progressing, to be able to use the video resources that are out there to keep that person engaged. The same videos that I have my cat watch right? that's right same kind of thing like a rare bird at my birth feeder today, so that one occasionally, yeah I mean I just think that's so powerful and such a such a stark contrast to an approach, where you do decontextualize things that you know I said I would get this in there at some point, you know the “throw out the memory books” paper that you wrote for the ASHA Leader and I just think as a mantra that's a pretty good mantra right throughout that. Becky Khayum: Throw out the workbooks. Jerry Hoepner: Excuse me that's what I meant, “throw out the workbooks” because right meaningful engagement is what's going to change that. So, I really just you know appreciate your perspective on that and I do encourage our readers to go to those resources that will have linked to the show notes. There are a couple of articles that really have some good, practical suggestions for exactly that kind of stuff so I'm excited for people to check that out. So, you said you wanted to return to this topic, a little bit earlier and I think I got off track, but is LPAA treatment for people with dementia reimbursed by Medicare and other insurances and, if so, how do you document that so that, how do you document status for someone who has a progressive disorder. Becky Khayum: Sure, sure, and I think this is one of the biggest barriers, you know in across the rehab settings you know whether it's outpatient or home health or in a sub-acute you know rehabilitation facility is the way the productivity, you know expectations, you know some places, you don't get paid for an evaluation, you know some in sub-acute care whatnot and so or it's you know, compared to the treatment portion they you know want you to do a very, very quick evaluation and then more focus on the treatment. And so, really, you have to think about how to get around some of these restrictions, you have to do a standardized tests, you only have this long to do the evaluation okay well how do we get around this you know so I think the first thought is that dispelling some myths, you know Medicare doesn't require a standardized test that's a myth most companies require that but they really don't they're looking for more what's in all the electronic health record systems and narrative so there's a whole section for a narrative where you can write that motivational interview what you discovered what their goals are where they're at right now and then. There, instead of using this standard, you know goals that they have that you just click you can create your own kind of gold bank with more LPAA goals just done a template and just copy and paste those. So, if you had a bird watching you know goal, you could easily then insert okay gardening you know instead or cooking into that and so there is a way to cut and paste goals meaningful goals into the electronic health, you know evaluation. And if you then make those realistic goals and can show progress because you're not going to be able to show progress for that long you know for someone with PPA. Okay generative naming, you know I always say you know you're working on generative naming with animals well unless they're a veterinarian or a zookeeper. You know that that may, they may not make the most progress on that goal and that may not generalize to other contexts. Rather, if you're working on words related to birdwatching and they love that you know you can then document improvement, you know with script training and whatnot. So, I getting off topic, but you know so that's how you would write the goals you can show the progress on a standardized impairment based test, if you think about it, if someone with a progressive dementia just got the same score over time, that would actually indicate improvement because they should be getting worse over time. So, and certainly using more functional tests, like the CADL (Communication Activities of Daily Living), you know, like the ALA (Assessment for Living with Aphasia) also go a long way, you have to use a test, you have to use self-test go to those you know more functionally based test um so that the answer is absolutely Medicare other insurances. Certainly, some you know united signal, or some of those you do have to get preapproval or whatnot that that can be more challenging but Medicare, BlueCross, and many of those it's all about your documentation and knowing how to write that narrative and use that goal bank of functional goals, so, in short, yes. Absolutely, you can get reimbursement. Jerry Hoepner: So that I mean it all comes back to those goals and like I said before, you've got a couple of really good resources on goals and, as you were talking It made me think of the addition that you have on your goals in order to do whatever right that is having that in mind, is connecting the LPAA to the goal right that in order to do what I do whatever happens. Becky Khayum: yeah, yeah exactly what, if you have a goal and it doesn't have that at the end you know, in order to participate in conversations about what birdwatching you know leisure activities, exactly is that helps it to directly target that life participation activity yeah. Jerry Hoepner: It comes down to just documenting that right and knowing that you're not bound to any of those other specific impairment-based measures yeah agreed. Well Becky, this has been a fabulous conversation, and I hope we get to have more conversations, but just to close things out today you've talked about some really strong influences and mentors like Michelle Bourgeois and influences of Jennifer Brush and obviously Audrey and Natalie Douglas but are there any kind of go to resources that you want to let our listeners know would be a good place to start if they're thinking about LPAA with progressive conditions. Becky Khayum: yeah, no. That's such a good question and you know off the top of my head certainly any articles, you know that any of the people that you just mentioned. Their articles just contain a wealth of information, you know about everything that we've talked about today, but much more you know and examples of therapy. You know Ellen Hickey as well, has published a lot I also forgot to mention earlier, I think the counseling component, you know to Audrey's counseling book. Counseling for people with a progressive diagnosis is also very different than someone who may be getting better over time so having that training and counseling is also critical so any resources on counseling. Certainly, just knowing for people who come to you, and they may be, or just diagnosed with a dementia syndrome. Being aware of where accurate information is because, when they get onto the web they're doing a Google search they're joining a Facebook group for PPA, they're getting all their information from other care partners, perhaps are people living with PPA and so um yeah we recently, I've done, you know surveys and one of the top ones is Oh, you know is we want one place where we can go or at least a list of accurate places, so you know going to giving them the links to Alzheimer's disease centers like Northwestern where you know, on their website that's accurate information I think those are also go to resources in terms of disease education for families and at the same time providing counseling and helping to explain their diagnosis and in an aphasia friendly way that's also a problem you know that I see come up quite a bit yeah. Jerry Hoepner: yeah, that's a really fantastic point in a in a great way to round things out anything else that we missed or you want to add just before we close things out today. Becky Khayum: Right. No Jerry, I think you've been very comprehensive, you know in in the range of topics we talked about today and yeah I mean my last thoughts would be, you know any speech language pathologist or other health professional you know, listening to this podcast today now hopefully learned a little bit about taking this beautiful model, you know LPAA and how it is so transferable to different types of dementia syndromes and it's certainly with knowing that especially with Alzheimer's dementia, the prevalence is only getting higher every year of people living with these progressive conditions it's critical that our field really steps up and says we can treat help work with these individuals we're trying and then provide that the interventions that are based upon LPAA philosophy. So yes, thank you for having me. Jerry Hoepner: Wonderful, it's been really my pleasure just a fun conversation, again, I look forward to catching up with you at other conferences and so forth, so thank you again Becky and we'll close things out for today. Becky Khayum: sounds great Jerry thanks so much. Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access. Articles & Resources: Rogalski, E. J., & Khayum, B. (2018, July). A life participation approach to primary progressive aphasia intervention. In Seminars in speech and language (Vol. 39, No. 03, pp. 284-296). Thieme Medical Publishers. Morhardt, D., Weintraub, S., Khayum, B., Robinson, J., Medina, J., O'Hara, M., ... & Rogalski, E. J. (2015). The CARE pathway model for dementia: psychosocial and rehabilitative strategies for care in young-onset dementias. Psychiatric Clinics, 38(2), 333-352. Rogalski, E. J., Saxon, M., McKenna, H., Wieneke, C., Rademaker, A., Corden, M. E., ... & Khayum, B. (2016). Communication Bridge: A pilot feasibility study of Internet-based speech–language therapy for individuals with progressive aphasia. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 2(4), 213-221. Rogalski, E., Roberts, A., Salley, E., Saxon, M., Fought, A., Esparza, M., ... & Rademaker, A. (2022). Communication Partner Engagement: A Relevant Factor for Functional Outcomes in Speech–Language Therapy for Aphasic Dementia. The Journals of Gerontology: Series B, 77(6), 1017-1025. Wynn, R., & Khayum, B. (2015, August). Developing personally relevant goals for people with moderate to severe dementia. In Seminars in Speech and Language (Vol. 36, No. 03, pp. 199-208). Thieme Medical Publishers. Khayum, B., & Rogalski, E. (2018). Toss the Workbooks! Choose treatment strategies for clients with dementia that address their specific life-participation goals. The ASHA Leader, 23(4), 40-42.
On this month's NCS Podcast Series episode, Kassi Kronfeld interviews Dr. Vijay Kroshnamoorthy on his recent article, “Association of Vasopressor Choice with Clinical and Functional Outcomes Following Moderate to Severe Traumatic Brain Injury: A TRACK-TBI Study.” The NCS Podcast is the official podcast of the Neurocritical Care Society. Our senior producer is Bonnie Rossow. Our host is Fawaz Almufti, and our production staff includes Tareq Saad Almaghrabi, Andrew Bauerschmidt, Leonid Groysman, Atul Kalanuria, Lauren Koffman, Kassi Kronfeld, Holly Ledyard, Lindsay Marchetti, Alexandra Reynolds, Lucia Rivera Lara, Jon Rosenberg, Jason Siegel, Zachary Threlkeld, Teddy Youn, and Chris Zammit. Our administrative staff includes Bonnie Rossow. Music by Mohan Kottapally.
Dr. Art Combs, currently the president of FutureTech Strategies, Inc., speaks with host Dr. M Christine Stock, Managing Director of Medical Affairs at Health2047. Art is a physician executive and a serial entrepreneur who has served as an officer to five successful startup companies and as a Fortune 500 senior executive. They discuss his focus in non-invasive technologies, his expertise in digital biomarkers, and the use of wearable technology.
Hosts Katherine Raspovic and Jacob Wynes have discussions with award winning Systematic Review Format poster authors: 1st Place – Poster No. SR-907: Time to Revision After Periprosthetic Joint Infection in Total Ankle Arthroplasty: A Systematic Review, discussion with poster authors Samantha A. Miner, DPM, AACFAS, and John A. Martucci, DPM, AACFAS 2nd Place – Poster No. SR-902: Functional Outcomes and Complications Associated with Total Talus Arthroplasty: A Systematic Review, discussion with poster author Alex J. Bischoff, DPM 3rd Place – Poster No. SR- 301: Prevalence of Pseudomonas Aeruginosa in Diabetic Foot Infections in the United States: A Systematic Review and Meta-Analysis, discussion with poster author Tyler L. Coye, DPM For more educational resources, visit: https://www.acfas.org/ Release Date: April 26, 2022 Run Time: 12min 27sec
The Journal RETINA is devoted exclusively to diseases of the retina and vitreous. These podcasts are intended to bring to its listeners summaries of selected articles published in the current issue of this internationally acclaimed journal.
Gain expert insight on emerging treatment approaches for patients with head and neck squamous cell carcinoma, including the safety and tolerability of emerging treatments, survivorship care, and much more. This podcast is presented by leading experts, Barbara Burtness, MD, Professor of Medicine at Yale School of Medicine and Smilow Cancer Hospital, and Lynsey Teulings, NP, Nurse Practitioner at Yale New Haven Health. Listen now!
Commentary by Dr. Valentin Fuster
Summertime traditionally means getting out of the house, enjoying outdoor activities, and being active. But if you're living with MS, outdoor activity and summertime temperatures can raise red flags when it comes to your day-to-day quality of life. My guest is Dr. Colin Lenington, an Occupational Therapist and Clinical Specialist at the VA Long Beach Healthcare System and we're talking about getting outside, staying safe, and keeping cool while you enjoy your summer activities. We're joining the World Federation of Neurology and the global MS community on July 22nd, to celebrate World Brain Day 2021. This year's theme is Stop Multiple Sclerosis and we'll tell you where and how to register for the upcoming World Brain Day webinar. We're also talking about study results that show the impact of delaying an Ocrevus infusion in order to enhance the effect of a COVID-19 vaccination. We'll tell you about a study in the U.K. that followed 120 people with MS who received autologous hematopoietic stem cell transplantation (aHSCT). We'll share news about a new way to successfully cross the blood-brain barrier and deliver medicines to the central nervous system. (And we'll explain why that matters when it comes to treating MS) And we'll tell you about a study of veterans with MS that should convince anyone to adhere to their DMT treatment plan. We have a lot to talk about! Are you ready for RealTalk MS??! July 22nd is World Brain Day! :22 My live conversation with Dr. Victoria Leavitt takes place this Wednesday, on the eSupport Health Wednesday Workshop :55 Study shows the effect of extended interval dosing of Ocrevus 2:46 Study shows real-world outcomes for 120 people with MS who received aHSCT 5:49 Biopharmaceutical company successfully delivers an anti-inflammatory molecule across the blood-brain barrier 7:43 Study shows the benefits of adhering to DMTs 9:03 Dr. Colin Lenington talks about how to enjoy summertime activities while staying safe and staying cool 11:24 Share this episode 24:25 Catch my live conversation with Dr. Victoria Leavitt on Wednesday 24:48 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/203 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com National MS Society COVID-19 Vaccine Guidance for People Living with MS https://www.nationalmssociety.org/coronavirus-covid-19-information/multiple-sclerosis-and-coronavirus/covid-19-vaccine-guidance World Brain Day 2021 https://wfneurology.org/world-brain-day-2021 Register for the eSupport Health Wednesday Workshop: A Conversation with Jon Strum https://esupporthealth.zoom.us/meeting/register/tJEpc--rqT0vHdJ6FbPDH7S1enOrLYAIQG-K STUDY: Ocrelizumab Extended Interval Dosing in Multiple Sclerosis in Times of COVID-19https://nn.neurology.org/content/8/5/e1035 STUDY: Autologous Haematopoietic Stem Cell Transplantation in Active Multiple Sclerosis: A Real-World Case Serieshttps://n.neurology.org/content/early/2021/07/12/WNL.0000000000012449 Bioasis Announces Positive Results from Efficacy Study of xB3TM -1L-1RA in a Model of Multiple Sclerosis https://www.globenewswire.com/news-release/2021/07/07/2259430/0/en/Bioasis-Announces-Positive-Results-From-an-Efficacy-Study-of-xB3-IL-1RA-in-a-Model-of-Multiple-Sclerosis.html STUDY: The Impact of Adherence to Disease-Modifying Therapies on Functional Outcomes in Veterans with Multiple Sclerosis https://journals.sagepub.com/doi/pdf/10.1177/11795735211028769 Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Androidhttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 203 Guest: Dr. Colin Lenington Tags: MS, MultipleSclerosis, MSResearch, MSSociety, RealTalkMS Privacy Policy
Todd Milbrandt of Mayo discusses his recent research on vertebral body tethering and bending films from Spine Deformity. We also highlight papers from the newest editions of JBJS, JPO, JPO-B, and JPOSNA. Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Alto. Primary articles: 1. Defining the learning curve in CT-guided navigated thoracoscopic vertebral body tethering. Smitha Mathew, A Noelle Larson, D Dean Potter, Todd A Milbrandt. Spine Deformity May 2021. 2. Comparison of slot-scanning standing, supine, and fulcrum radiographs for assessment of curve flexibility in adolescent idiopathic scoliosis: a pilot study. Lauren M Swany, A Noelle Larson, A Fettah Buyuk, Todd A Milbrandt. Spine Deformity May 2021. Lightning Round: 1. Prolonged non-weightbearing treatment decreases femoral head deformity compared to symptomatic treatment in the initial stage of Legg-Calvé-Perthes disease. Jeffrey B Peck, Dustin A Greenhill, William Z Morris, Dang-Huy Do, Molly F McGuire, Harry K W Kim. Journal of Pediatric Orthopedics. Part B 2021 May 20. 2. Human Position Brace Versus Pavlik Harness for Infants Under 6 Months of Age With Developmental Dislocation of the Hip: A Comparison of Therapeutic Efficacy. Pan Gou, Yuan Zhang, Jun Wu, Jun Li, Xiang Li, Ming Li, Xing Liu. Journal of Pediatric Orthopedics 2021 May 13. 3. Novel device for nonsurgical correction of rigid forefoot adduction in children. Daniel Freedman, Pavel Kotlarsky, Mark Eidelman. Journal of Pediatric Orthopedics. Part B 2021 May 14. 4. Improved Bowel Function With Oral Methylnaltrexone Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. Adrian J Lin, Andrew J Costandi, Eugene Kim, David L Skaggs, Lindsay M Andras, Neha Patel, Carl Lo, Kenneth D Illingworth. Journal of Pediatric Orthopedics 2021 May 18. 5. Surgical Treatment of Solitary Periarticular Osteochondromas About the Knee in Pediatric and Adolescent Patients: Complications and Functional Outcomes. Mark Wu, Evan T Zheng, Megan E Anderson, Patricia E Miller, Samantha A Spencer, Benton E Heyworth. Journal of Bone and Joint Surgery. American Volume 2021 May 24. 6. Hogue, G. (2021). Early Onset Scoliosis Series Announcement. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/286 7. Murphy, R., & Mooney, J. (2021). The First Generation of Early Onset Scoliosis Care. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/281 8. Welborn, M., Sanders, J., & D'Astous, J. (2021). The Evolution of EDF Casting. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/282
Dr. Louise Rodino-Klapac discusses her abstract, "Safety, β-sarcoglycan Expression and Functional Outcomes from Systemic Gene Transfer of rAAVrh74.MHCK7.SGCB in Patients with Limb-Girdle Muscular Dystrophy Type 2E (LGMD2E)". You can view her abstract and others here: https://index.mirasmart.com/AAN2021/
Today's Psyche Saturday we will delve into the last of the Cluster A personality disorders: Schizotypal Personality Disorder. According to the DSM-V, Schizotypal Personality Disorder is characterized as a pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior. REFERENCES: Diagnostic and Statistical Manual of Mental Disorders, 5th Ed., American Psychiatric Association. McClure, M.M., Harvey, P.D., Bowie, C.R., Iacoviello, B., and Siever, L.J., 2013, Functional Outcomes, Functional Capacity, and Cognitive Impairment in Schizotypal Personality Disorder. Johnson, J.G., Cohen, P., Smailes, E., Kasen, S., Oldham, J.M., Skodol, A.E., and Brook, J.S., 2000, Adolescent Personality Disorders Associated With Violence and Criminal Behavior During Adolescence and Early Adulthood. Sptizberg, B.H. and Veksler, A.E., 2007, The Personality of Pursuit: Personality Attributions of Unwanted Pursuers and Stalkers. Qi, S., Gao, Q., Shen, J., Teng, Y., Xie, X., Sun, Y., and Wu, J., 2018, Multiple Frequency Bans Analysis of Large Scale Intrinsic Brain Networks and Its Application in Schizotypal Personality Disorder. https://www.cnn.com/2009/CRIME/08/21/north.carolina.castillo.trial/index.html?eref=rss_us https://www.telegraph.co.uk/news/worldnews/europe/belgium/4359612/Belgiums-joker-killer-Kim-De-Gelder-admits-guilt.html https://www.pbs.org/newshour/show/colo-shooting-da-says-two-evaluations-found-holmes-sane https://news.yahoo.com/theater-shooting-verdict-colorado-jurors-decide-james-holmes-punishment-211031263.html https://www.nydailynews.com/news/national/aurora-shooter-james-holmes-loved-comedies-wanted-arrest-article-1.2240883 https://muse.jhu.edu/article/11140 https://www.healthyplace.com/personality-disorders/schizotypal-personality-disorder/famous-people-with-schizotypal-personality-disorder
Our COVID Clinical Practice Series continues with a review of the functional impact of COVID and strategies you can utilize to improve functional outcomes following the dramatic decline our industry experienced in March 2020
An Author Interview with Dr. Brian DeFeo.
A study reported that 85% of stroke survivors will have hemiparesis and 55% to 75% will have impaired upper extremity function. Numerous interventions to address these deficits have been used, such as compensatory and remedial strategies for Activities of Daily Living (ADLs), Neurodevelopmental Treatment (NDT), e-stim, bilateral integration, etc. Mirror Therapy is one relatively new intervention utilized to target restoring motor skills with the ideas that improving upper extremity function will also decrease disability.
Drs Sheean and Getgood discuss No Difference in Functional Outcomes When Lateral Extra-articular Tenodesis is Added to Anterior Cruciate Ligament Reconstruction in Young Patients: The STABILITY Study
Drs Sheean and Getgood discuss No Difference in Functional Outcomes When Lateral Extra-articular Tenodesis is Added to Anterior Cruciate Ligament Reconstruction in Young Patients: The STABILITY Study
Treatment for post-traumatic osteoarthritis (PTOA) of the ankle remains challenging. Distraction arthroplasty (DA) is an alternative for patients who are averse to or poor candidates for arthrodesis or joint replacement. The purpose of this study was to examine the role of microfracture (MFX) and concentrated bone marrow aspirate (CBMA) on the outcome of patients undergoing DA for end-stage PTOA of the ankle joint. The current study showed no benefit from MFX when combined with DA in the treatment of PTOA. CBMA may have helped mitigate the adverse effect of MFX but conferred no benefit when used with DA alone. DA remains a useful alternative to ankle arthrodesis and arthroplasty in patients with PTOA. However, MFX and biologic augmentation using CBMA appeared to have no additional benefit. To view the article click here.
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Kessler Foundation Disability Rehabilitation Research and Employment
Welcome to the 8th Annual Stroke Conference sponsored by Kessler Institute for Rehabilitation This conference “Breaking Barriers: There's More to Getting Home than Walking” In this lecture podcast, Gretchen March of Kessler Institute for Rehabilitation presents “Working SMARTAAR to Achieve Functional Outcomes: Using ICF Framework for Goal Writing and Treatment Planning“. View the transcript at https://kesslerfoundation.org/sites/default/files/2019-11/2019%20Kessler%20Institute%20Stroke%20Conference-Part%204%20of%208-Working-SMARTAAR-to-Achieve-Functional-Outcomes_FINAL.pdf This one-day event provided participants an understanding of the multi-disciplinary approach to rehabilitation that enables stroke survivors and their families/caregivers to rebuild their lives. Discussion will focus on communication, motivation, spatial neglect, sleep issues, bowel and bladder management and community integration. The podcast was recorded by Rob Gerth, Communications Director for Kessler Foundation on Friday, October 4, 2019 at Kessler Institute for Rehabilitation, Saddle Brook Campus, 300 Market Street, Saddle Brook, NJ and was produced and edited by Joan Banks-Smith, Creative Producer also of Kessler Foundation. To listen to more conference podcasts, go to https://soundcloud.com/kesslerfoundation/sets/stroke-research For more information about Kessler Institute for Rehabilitation, go to kessler-rehab.com (www.kessler-rehab.com) For more information about Kessler Foundation and our researchers, go to KesslerFoundation.org (www.KesslerFoundation.org). Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts. Bio: Gretchen March ================================= Gretchen March, OTR, is an advanced clinical specialist at Kessler Institute for Rehabilitation with close to 30 years of experience in neurorehabilitation. In addition to her clinical work, which includes cognitive skills training for individuals with brain injury in Kessler’s Cognitive Rehabilitation Program, Ms. March has pursued clinical research on medication management, EuroQol and REO for upper extremity motor control.
Jonathan Gravel, epidemiologist and family medicine resident at the University of Toronto, is hosting this week's episode of The Rounds Table alongside Bradley Kaplansky, academic primary care physician in Toronto and host of podcast Primary Care Spiel. This week they are covering the efficacy and safety of oral basal insulin versus subcutaneous insulin glargine in ... The post Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid on Functional Outcomes appeared first on Healthy Debate.
Jonathan Gravel, epidemiologist and family medicine resident at the University of Toronto, is hosting this week's episode of The Rounds Table alongside Bradley Kaplansky, academic primary care physician in Toronto and host of podcast Primary Care Spiel. This week they are covering the efficacy and safety of oral basal insulin versus subcutaneous insulin glargine in ...The post Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid on Functional Outcomes appeared first on Healthy Debate.
In this episode Dr. Smith speaks with Dr. David Conley. They will discuss the article: Utilization of a novel interactive mobile health platform to evaluate functional outcomes and pain following septoplasty and functional endoscopic sinus surgery. Read the article in International Forum of Allergy and Rhinology Listen and subscribe for free on Apple Podcasts, Google […]
Jax is being seen for a C7 ASIA B SCI. The patient has been participating in physical therapy for 2 months but continues to have functional limitations. The physical therapist is challenged with determining the highest level of function the patient MOST expected to achieve. How well do you understand SCI functional outcomes? Let's test your understanding in this excellent episode about SCI functional outcomes. If you need the reference text (Neurologic Interventions For Physical Therapy) for this information, pick up your copy at https://amzn.to/2Dbphn2 Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.
Dr. Lyn Weiss, Physical Medicine and Rehabilitation Department Chair at Nassau University Medical Center, interviews Dr. Andrea Cheville, Chair for Research in the Mayo Clinic's Department of Physical Medicine & Rehabilitation, whose interests include: cancer rehabilitation, pain management, palliative care, and lymphedema. During the podcast, Drs. Cheville and Weiss discuss the opportunities and paths for physiatrists in using EHR data for research, including: Current and emerging challenges to scholarly activity for academic physiatrists EHR based data and "Big Data" Extracting Electronic Health Record Data Evaluation and Utility of Functional Outcomes
Have an amputated finger present to emergency? Is the best outcome a replantation?..find out Zhu H, Bao B, Zheng X. A Comparison of Functional Outcomes and Therapeutic Costs: Single-Digit Replantation versus Revision Amputation. Plast Reconstr Surg.2018 Feb;141(2):244e-249
Introduction: Recent times have witnessed almost half, or sometimes more cardiac surgical procedures are performed in patients above 75 years of age. Traditionally, the EuroSCORE II and STS risk scoring systems have been widely used across the globe. Extensive reviews have shown that EuroSCORE II probably overestimates the perioperative risk at lower score levels while the STS score tends to underestimate the risk. Frailty is a broad term that encircles aspects of nutrition, lack of agility, inactivity, lack of strength and wasting; and is seen in 25-50% of elderly patients. It has been defined as a geriatric syndrome reflecting a state of reduced physiological reserve and increased vulnerability to poor resolution of homeostasis after a stressor event. Conversely, pre-frailty, which is potentially reversible, is associated with higher risk of older adults developing cardiovascular disease. Frailty assessment includes a variety of physical and cognitive tests, functional assessments and evaluating nutritional status. Literature has highlighted what is referred to as the ‘obesity paradox’, meaning obese patients with heart failure fair better than leaner patients, possibly because they have more metabolic reserve and also because weight loss in itself is a risk factor for frailty. Patient Selection: To comprehensively assess a patient, factors that describe the biological status of the patient should be incorporated. There are various methods of assessment and modified Fried criteria or comprehensive assessment of frailty are a couple of systems commonly used. Conclusion: Systematic reviews have shown that frail patients have higher chance of mortality, major adverse cardiac and cerebrovascular events and functional decline after cardiac surgery. A holistic assessment not only categorises patients into the apt risk category and hence match goals and treatments; but also, will pick up patients with pre-frailty who will benefit from multidisciplinary intervention and be better prepared for the intervention.
This podcast covers the JBJS issue for March 2018. Featured are articles covering Teaching Patients How to Reduce a Shoulder Dislocation; recorded commentary by Dr. Henn; Red Flags for Low Back Pain Are Not Always Really Red; Effect of Vancomycin Powder Use in Growing Spine Surgery; recorded commentary by Dr. Campbell; Effect of Postoperative Mechanical Axis Alignment on Survival and Functional Outcomes of TKA.
This podcast covers the JBJS issue for March 2018. Featured are articles covering Teaching Patients How to Reduce a Shoulder Dislocation; recorded commentary by Dr. Henn; Red Flags for Low Back Pain Are Not Always Really Red; Effect of Vancomycin Powder Use in Growing Spine Surgery; recorded commentary by Dr. Campbell; Effect of Postoperative Mechanical Axis Alignment on Survival and Functional Outcomes of TKA.
Interview with Richard John Harvey, MD, author of Association Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty
Listen to Dr. Graham interview Dr. Lindley Wall on her paper "Functional Outcomes of Thumb Trapeziometacarpal Arthrodesis With a Locked Plate versus LRTI", which appears in the September 2017 edition of the Journal.
In this interview recorded as part of the Physiopedia Plus stroke course (https://members.physio-pedia.com), Dr Janne Veerbeek explains the implications of her extensive research into stroke rehabilitation. In particular the use of outcome measures to predict likely outcomes relating to activities of daily living and the implications of these predictions on the approach to rehabilitation used. Learn more about Janne and her research: https://www.ncbi.nlm.nih.gov/pubmed/?term=Veerbeek%20JM%5BAuthor%5D&cauthor=true&cauthor_uid=25772900 https://www.researchgate.net/profile/Janne_Veerbeek https://www.linkedin.com/in/janne-veerbeek-4538b528/?ppe=1
This podcast covers the JBJS issue for January 2015. Featured are articles covering Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit; Physician Provider Type Influences Utilization and Diagnostic Utility of Magnetic Resonance Imaging of the Knee; recorded commentary by Dr. Kenter; A Prospective Evaluation of Survivorship of Asymptomatic Degenerative Rotator Cuff Tears; Isolated Gastrocnemius Recession for Achilles Tendinopathy - Strength and Functional Outcomes; recorded commentary by Dr. Shawen.
This podcast covers the JBJS issue for January 2015. Featured are articles covering Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit; Physician Provider Type Influences Utilization and Diagnostic Utility of Magnetic Resonance Imaging of the Knee; recorded commentary by Dr. Kenter; A Prospective Evaluation of Survivorship of Asymptomatic Degenerative Rotator Cuff Tears; Isolated Gastrocnemius Recession for Achilles Tendinopathy - Strength and Functional Outcomes; recorded commentary by Dr. Shawen.
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