I just got home from a full week of daily neurorehabilitation at the Kennedy Krieger Institute in Baltimore. By the end of today, we managed to get my ankle to an active -10 degrees of dorsiflexion (Monday was -25) and passive to +17 (Monday was 0). Since ankle tightness is my major problem, we’re considering that Continue Reading..
If you don’t have a significant injury or medical condition, you don’t need a physiatrist. You can stop reading. But if you do have one of the above things, a physiatrist can be one of the most valuable treatment partners you have. A physiatrist is like a physical therapist, except a medical doctor. His or Continue Reading..
Today was Day 2 of my 2 weeks at the Kennedy Krieger Institute in Baltimore, and I have to say, I felt a lot better about what we did today than what we did yesterday. Yesterday was a lot of measurements. Today, was a lot of work. Since I want to keep this as part Continue Reading..
Today marks Day 1 of a 2-week exploration of neurorehabilitation at The Kennedy Krieger Institute in Baltimore – one of the nation’s premier spinal cord rehabilitation centers. (Multiple sclerosis is, in case you’re wondering, considered a spinal cord injury). Most people with my functional ability would be happy with the mobility they have, especially after Continue Reading..
I had the great blessing of a childhood spent near a beach. It wasn’t the best beach. The water wasn’t clear, the tourist traps were tacky, and parking was a nightmare. But, I would bet that no one really fares better in childhood fun than those of us lucky enough to be raised near a Continue Reading..
Most neurological clients are on multiple medications, both to manage symptoms and in the cases of chronic diseases such as MS and Parkinson’s disease, to slow disease progression.What does that mean for you as a teacher?First, you need to understand that many of the medications for neurological symptoms cause… wait for it… neurological symptoms. That’s Continue Reading..
For some reason, I think the universe feels the need to:a. Teach me how to rehab nearly every injury conceivable through personal experience.b. Keep me humble.c. Remind me that when one body part isn’t working, you can always work something else.d. All of the above.In a recent non-MS-related fall straight down on my knee cap, Continue Reading..
Program design for clients with central nervous system problems is pretty similar, regardless of what the problem is – stroke, multiple sclerosis, Parkinson’s disease, head injury, etc. Sure, there are differences between the disease processes and treatments, but as exercise professionals, there are certain things that hold true for all of them. Here are my Continue Reading..
(photo from Pilates Anytime – Wobbly: A Balance workshop) If you’ve taken a workshop with me, you have probably heard me wax poetic on the importance of strengthening the gluteus medius (glute med). In the neurological as well as the normal populations, weakness here is one of the main problems in walking. In my Balance Tutorial on Pilates Continue Reading..
Damage to the sensory nerves or sensory nerve pathways can cause an extremely painful condition called neuropathy. It’s common in neurological conditions, as well as conditions such as diabetes and even damage from chemotherapy. What does it feel like? Depending on the person – it can present as burning pain, numbness, tingling, hypersensitivity, buzzing, and other weird sensations. Continue Reading..