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  • Week Intensive of Neurorehab – Review

    August 26th, 2017 by

    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..

    Determining an ASIA Score and the Role of a Physiatrist in Neurorehabilitation

    August 23rd, 2017 by

    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..

    Adventures in Neurorehab – Day 2: Gait, and Stairs, and Therapy Monkeys – Oh My!

    August 22nd, 2017 by

    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..

    Goal: 0 Percent Dorsiflexion (Adventures in Neurorehabilitation)

    August 21st, 2017 by

    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..

    Neurological Medications and Their Impact on Exercise

    November 17th, 2016 by

    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..

    That Time I Broke My Knee

    November 17th, 2016 by

    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..

    Ten Tips for Working with Neurological Clients

    November 17th, 2016 by

    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..

    Walking Funny? Here Are a Couple of Reasons Why

    July 5th, 2016 by

    (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..

    The Dilemma of Choice in Chronic Disease

    December 24th, 2015 by

    Over the summer, I had a massive liver tumor removed. My PT found it. I had a CT scan. I met with a liver surgeon. He said it had to come out a.s.a.p. The surgery was scheduled for the following week. A student later asked me if I learned anything from the situation. Nope, I thought. Continue Reading..

    Two Hours in an MRI Machine

    October 21st, 2015 by

    This blog post includes language that might be offensive to some people. Proceed at your own risk. I am generally a very mellow person. Someone cuts me off in traffic? Whatever. A client cancels at the last minute? Awesome – found time. I’ll read my book. Housekeeper breaks an irreplaceable statue my sister got me Continue Reading..