I Love Neuro

• 95: What Clinicians Should Know About ENT Vestibular Testing With A Neuro-Otologist

  This week's episode is a little different. We wanted to give you a full view inside a VestiBesties mentorship call where Christina Garrity, PT, DPT, NCS interviewed a neuro-otologist she works with in Ohio, Dr. Jimmy Prueter. Dr. Prueter was invited to the conversation to help clinicians better understand when, why and which tests people with vestibular conditions should be getting. The conversation-style interview is between Christina and Dr. Preuter, taken straight from a VestiBestie webinar so you can have exclusive access! In the discussion they outlined the challenges associated with diagnosing dizziness, noting that ENT residency programs don't always adequately prepare physicians for complex vestibular cases. Dr. Prueter stressed that while some tests—such as VNG with calorics or VEMP—can be helpful in specific scenarios, the decision to order them should be driven by whether the results would actually impact clinical management. Particularly for acute vestibular hypofunction, a strong clinical suspicion based on history and examination might mean that testing is less essential, and prompt referral to vestibular rehab can prevent unnecessary delays. They highlighted that clear documentation from therapists AND teaching physicians how to find what they need in it can provide valuable context for physicians. Plus, educating primary care doctors about early referral to vestibular therapy might streamline the diagnostic process.  Send us a DM on IG if you want to join VestiBesties! @neurocollaborative Follow Christina @vestibular_neuro_pt

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• 294: Myoelectric Functional Orthosis: Myomo And Upper Extremity Rehabilitation

  In this episode of the I Love Neuro podcast host Erin Gallardo, PT, DPT, NCS talks to Christian Leonakis, PT, DPT, Alanna Wathen, PT, DPT, and Danielle Parmenter, MOT, OTR/L, SCLV about Myomo and the MyoPro upper extremity myoelectric orthosis.  The world of neurological rehabilitation, innovation continues to push the boundaries of what's possible for patients recovering from stroke, traumatic brain injury, and other neurological conditions. Enter Myomo, a groundbreaking myoelectric orthosis that's changing lives one arm movement at a time. This isn't just another medical device—it's a personalized technology that acts like a "helping hand" for individuals struggling with upper extremity mobility. Weighing approximately three and a half pounds, the Myomo device uses advanced EMG sensors to amplify even the smallest voluntary muscle contractions, allowing patients to regain functional movement. What sets Myomo apart is its commitment to patient-centered care. The device isn't a one-size-fits-all solution but a custom-fitted orthosis that patients take home after approximately 10 weeks of specialized training. Designed to look almost like something out of a sci-fi movie—think Iron Man's arm technology—the device comes in customizable colors and helps patients perform everyday tasks like opening doors, carrying groceries, or even walking their dog. The team behind Myomo, including clinical experts like Christian Leonakis, Alanna Wathen, and Danielle Parmenter, are passionate rehabilitation professionals who understand that recovery is a complex journey. They emphasize that while the device can be transformative, patients need realistic expectations: some might see compensatory improvements, while rare cases might experience significant neurological recovery. With Medicare coverage now available and ongoing technological developments promised for 2026, Myomo represents more than just a medical device—it's a beacon of hope for those seeking to reclaim independence and functionality after neurological challenges. For clinicians and patients interested in learning more, Myomo's website offers comprehensive resources and screening processes to determine individual suitability for this innovative technology. https://myomo.com/ LinkedIn.com/in/alanna-wathen linkedin.com/in/danielle-parmenter

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• 293: Navigating Dystonia With Leann Vitale, MS, OTR/L

  Is treating dystonia making you stuck? Dystonia remains one of the most challenging neurological conditions for clinicians to understand and treat. In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk to occupational therapist Leanne Vitale, MS, OTR/L about her holistic approach that goes far beyond traditional treatment methods. Dystonia isn't just a movement disorder; it's a complex interplay of neurological, psychological, and sensory experiences. Leanne emphasizes that understanding dystonia requires looking beneath the surface—much like an iceberg, where visible motor symptoms represent only a tiny portion of the underlying condition. The path to managing dystonia is not about finding a quick cure, but about comprehensive, patient-centered care. It involves addressing not just physical symptoms, but also psychological factors like stress, anxiety, and personal history. Leanne's approach integrates sensory retraining, nervous system regulation, and personalized strategies that help patients gradually reclaim control. Crucially, treatment success depends on collaboration—between healthcare providers, and between the clinician and patient. It's a journey of patience, understanding, and gentle, consistent intervention. By recognizing dystonia's complexity and treating the entire person, not just the symptoms, clinicians can offer hope and meaningful improvement to those struggling with this challenging condition.

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• 292: Balance Reimagined Using The Gibbon SlackBoard With Derek Mikulski

  Are you looking for tools to challenge dynamic balance? Duh! Check out what makes the Gibbon SlackBoard different and how it can transform balance outcomes. In the episode, host Erin Gallardo, PT, DPT, NCS interviews Derek Mikulski, BS, CSCS, CPT, National Director of Commercial Sales for Gibbon about what makes the SlackBoard different from other balance tools clinicians use, like foam pads and BOSU balls. Derek described his entrepreneurial journey that led him to Gibbon. The SlackBoard was born from a passion for fitness and personal transformation, and brings slack lining technology into clinics, schools, and homes. The SlackBoard offers an engaging, fun approach to improving body awareness and stability. With adjustable lines and scientific research underway, the board supports everything from rehabilitation to performance training for everyone from stroke survivors to professional athletes.  Check them out at www.gibbon-USA.com and save 10% with our affiliate code "neurocollab" GIBBON North America, Inc.

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• 291: Let's Have A Chat About Your Biz Finances With Emily Duval Ledger

  On today's episode hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS talk with NeuroBiz coach Emily Duval Ledger about a topic many clinicians and business owners find intimidating: Money. This is exactly why we need to talk about it!  Are you investing, saving, or putting systems into place in your business for money management and your future? If not, we understand. And we also want to help make this less overwhelming. Learn how to break down your financial goals and understand your true needs so you can create a business that supports both your professional passion and personal aspirations. In the episode we'll discuss some surprising and easy ways you can understand your business finances and explore retirement savings options, health insurance costs and other necessities. While not legal or financial advice, learn about retirement options like SEP IRAs and 401(k) plans, high-yield savings accounts, and index fund investments. We'll walk you through it and show you how to build a business that supports your life in all the ways!

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