I Love Neuro

In this episode of the I Love Neuro podcast, host Erin Gallardo, PT, DPT, NCS interviews physical therapist and neuro rehab residency coordinator Jennifer Lazaro, PT, DPT, NCS about evaluating and treating people with long COVID and dysautonomia. Jennifer notes the similarities in presentation for individuals who have post-COVID those with other conditions affecting the autonomic nervous system, like concussion with cognitive fog, severe fatigue, post‑exertional malaise, dizziness, and orthostatic intolerance. She walks through practical assessment strategies such as active stand testing, symptom‑mediated exercise testing, and multi‑system screening to differentiate vestibular, cardiac, pulmonary, and autonomic drivers. Jennifer outlines how she starts with education on the autonomic nervous system, diaphragmatic breathing, and strict pacing, then progresses patients from supine conditioning through graded dysautonomia protocols like the Adapt protocol, emphasizing heart rate parameters, symptom monitoring, and buy‑in to "doing less to do more." She highlights the importance of interdisciplinary care with OT, speech, cardiology, neurology, and mental health, shares a powerful success story of a college student who returned to school after structured rehab, and offers real‑world strategies for self‑management using wearables, pacing tools, and lifestyle changes in sleep, hydration, and daily routines.

In this 300th episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS invited long-time collaborator JJ Mowder-Tinney, PT, PhD, NCS to join so we could recap the best takeaways from Dendrite Expansion Days (DED), NeuroSpark's three-day, fully experiential education event for OTs and PTs. We share how Naomi Castro's "falling well" course progressed clients from floor work to standing falls in one session, describe hands-on equipment stations featuring frictionless sheets, BlazePod, Rifton, Saebo, UprightVR, and more, and highlight real client stories—especially Connor, a young man with severe ataxia who gained new independence and freedom using a transfer pole and the Rifton Pacer overground gait trainer. The conversation emphasizes why equipment can be a powerful ally in neuro rehab, the importance of collaborating with vendors and fellow clinicians, and how community events like DED spark practical, immediately applicable ideas for improving outcomes and patient autonomy. You'll gain insights to use in your practice today!

Do you feel ready for that next big step? A transition in your career like leaving your job to start your own business, or transitioning your side gig to full time, or hiring your first employee. Neither did any of us! In this episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS have a discussion with NeuroBiz coach Emily Duval Ledger about what it really means to be "ready" for big transitions like starting a business, leaving a job, or hiring your first team member. We share our stories like Claire and Emily opening brick-and-mortar gyms, Erin and Claire starting and building NeuroCollaborative, Erin transitioning from working in the clinic to going full time in NeuroCollaborative, and all of us navigating business entities, taxes, and imperfect systems. This discussion will help you see the way we worked through fear, uncertainty, and messiness. Learn from the mistakes we share and how we fixed them like when Claire's corporation paperwork was filed wrong. The episode closes with encouragement for listeners who are "ready-adjacent" to take the next step and an invitation to connect, join our biz group, or come on the podcast to talk through your ideas with us. 
Join the NeuroBiz Besties free slack group!
Set up a discovery call with Emily here!
DM us on IG if you want to discuss your business questions

In this episode of the I Love Neuro podcast, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss a major Lancet Public Health systematic review and meta-analysis on daily steps and health outcomes in adults, shared from a post by movement disorders neurologist Dr. Michael Okun. Claire explains that the study, which pooled data from multiple cohorts using device-measured steps, found the number of steps per day that is associated with substantial health benefits, including about a 47% lower risk of all-cause mortality compared to less steps. This amount also demonstrated reductions in cardiovascular disease, dementia, depressive symptoms, type 2 diabetes, and falls, with some benefits even for people already living with chronic conditions like cardiovascular disease or cancer. Although 10,000 steps can still be a good target, the number revealed is both evidence-based and more realistic for many people, especially those with Parkinson's or other comorbidities that limit high-intensity exercise. We offer practical coaching strategies such as using wearables or phones to track steps, first establishing a baseline, then increasing by roughly 500–1,000 steps per day over weeks rather than rushing, and using accountability systems, step challenges, and percentage-of-goal metrics to keep motivation high and inclusive. Walking is our top exercise recommendation—accessible, adaptable, socially engaging, and powerful for long-term health and functional mobility—and we encourage clinicians to share the article with patients and help them set individualized, achievable step goals.
Find the full text article here: https://www.thelancet.com/action/showPdf?pii=S2468-2667%2825%2900164-1

In this week's episode, host Erin Gallardo, PT, DPT, NCS is joined by OT mentor Briana Elson, MS, OTR/L, BCPR, CBIS to dive into one of the most essential topics in spinal cord injury rehab: bowel and bladder care. We unpack why every rehab professional (not just nursing) plays a role, how unmanaged bowel and bladder can lead to serious health issues, and practical strategies to support independence, dignity, and community reintegration. Brianna shares equipment ideas, education tips, and real-world problem-solving for both bladder and bowel programs, plus how this all connects to intimacy, relationships, and quality of life after SCI.  
Resources:
Follow Mason Ellis on YouTube and share with your patients!

Find a peer mentor through Christopher and Dana Reeve Foundation

facingdisability.com

https://www.sexualitysci.org/

https://otafterdark.com/

https://msktc.org/sci/factsheets/sexuality-sexual-functioning-after-sci

https://craighospital.org/resources/sexual-function-for-women-after-spinal-cord-injury

**As a note there are a couple of corrections in the episode we wanted to make clear:
Bri may have misspoke… suprapubic catheters are placed below the belly button, not above.
She may have said you can wear a bag with it, but you don't always have to. Disclaimer would be to defer to urology.