Jessica Teply

Congrats Lindsey!! So proud of you! Excited for your new adventure.🐱🎓🎉 #Catgrad21

@RecarteAdabelle Effective patient communication is a skill that evolves with practice. I think it is most important to remind ourselves of the goal of each conversation before engaging with the pt. Here are some other tips as well! northeastern.edu/graduate/blog/…

@JessicaTeply Thank you for sharing this article! How would you then transfer the evidence based knowledge you have to pt friendly language to try to dismantle beliefs about physical therapy that have been engrained in our field for years? #PT582 #ARF

This review of EBM in pt. care had great tips: Seek out pre-appraised evidence (systematic reviews/meta-analyses) & integrate w/ clinical experience + considerations specific to the pt. To empower informed pt. choice: establish trust & educate. #PT582 #ARF bmcmededuc.biomedcentral.com/articles/10.11…

@AlexJacobs_SPT From what we have learned & the evidence @ColleenDrisSPT & @NathanTurley4 shared, I would use NMES to prevent atrophy in immobilized areas or with SEVERE weakness. Otherwise, I’d choose ther ex to encourage hypertrophy and neurological adaptation in the 🧠 & at the NMJ #AJ #PT582

@JessicaTeply #PT582 #AJ Would you use this technique with patients who have general weakness rather than difficulty with neural activation?

Shoulder NMES in combo w/ PT has been shown to have positive effects on pts. w/ post-stroke hemiplegia. A good technique for start of rehab to⬆️muscle hypertrophy & ⬇️subluxation risk in pts. who have difficulty w/ neural activation of muscles. #AJ #PT582 ncbi.nlm.nih.gov/pmc/articles/P…

@BiesemeyerEllie @NAUPT582 The concussive gait of a horse promotes velocity change & improves reactive and anticipatory balance in riders. This is a fun activity w/ benefits for stimulating postural muscle engagement/adjustment in pts. w/ DS who demonstrate low tone. #EB #PT582 #AN=54493474&db=a9h" target="_blank" rel="nofollow noopener">web.a.ebscohost.com.libproxy.nau.edu/ehost/detail/d…

Looking forward to a great Twitter Thursday discussion! Let's talk hippotherapy and balance! #PT582 #EB #TwitterThursday

This research suggests that a forefoot or midfoot-strike pattern can increase the load on the Achilles tendon by 48x per mile vs. a rearfoot-strike pattern. Something to consider when treating runners and prescribing dosage for return to sport. #PT582 #AS jospt.org/doi/10.2519/jo…

For inexperienced pts., preconceived ideas of exercise being too difficult or "scary" might hinder their progress. Our role is to help show pts. what they are capable of and that small changes can make a huge difference. Patience is🔑#PT582 #RT …med-ncbi-nlm-nih-gov.libproxy.nau.edu/29413948/

This article contains recommended creatine supplementation protocols for both increasing and maintaining muscle creatine stores. The research also suggests that creatine may aid in the recovery from more intense training bouts. #KD #PT582 …med-ncbi-nlm-nih-gov.libproxy.nau.edu/28615996/

Thank you for the engagement this #TwitterThursday as we discussed the many applications of neuroplasticity within physical therapy treatment! #PT582 #JT

@SaraKni80449195 Yes! Warm-ups are great to induce an environment suited for motor learning to take place. I also like how this source recommends rest between cognitive exercises. It is just as important for our brain to recover as our muscles!

#PT582 #JT This clinic finds that neuroplasticity treatment sessions have better outcomes if they start with a cardio-based warmup to increase blood flow and tissue response within the body. cognitivefxusa.com/blog/neuroplas…

@JordynMaxwell2 Great evidence for the use of neuroplasticity in post-stroke pts! To supplement this Tx., a technique called CIMT involves restricting the use of the uninvolved upper extremity in order to increase function of the involved side in stroke pts. #PT582 #JT pubmed.ncbi.nlm.nih.gov/18780885/

Fast muscle activation and step training show improvement in motor planning and motor performance in individuals post-stroke. Clinical measures of motor impairment and function suggest evidence of neuroplasticity. #PT582 #JT pubmed.ncbi.nlm.nih.gov/32168159/

@DBlair_NAUSPT Super interesting find, Dylan! Do you think this could also translate into the development of functional skills (i.e. object manipulation) for pts. with stroke? #PT582 #JT

@JessicaTeply #JT #PT582 The article below found 4 weeks of piano lessons to yield significant cognitive improvement in people aged 60 - 84, this could be very effective neuroplasticity training for people with limited physical ability who can use their hands and arms.

Excited to see some interesting perspectives and evidence as we discuss #neuroplasticity this Twitter Thursday! #PT582 #JT

@HaydenHoekstra @manderslat #JT #PT582

@HaydenHoekstra @manderslat also mentioned the fact that so many variables can be changed to target neuroplasticity. How much variability is effective within one session? Within the course of treatment?

#JT #PT582 I find neuroplasticity fascinating and there can be so many variables we can change. We could manipulate the surface they are on to make it more challenging or easier. Same can be said for the complexity of the motions, we can add more motions as the pt's grow.

@Riley_shae98 A great point! Are there any specific aspects of neuroplasticity you have seen that you are excited to try with your future patients? #PT582 #JT

@JessicaTeply #PT582 #JT Neuroplasticity is a concept we should tell all of our pts about to teach them the growth of their mind is life-long...that they have so much potential. A 2019 SR showed that dance influenced neuroplasticity in mature brains #rad

@RobertGorman18 Agreed! All pts. can benefit from neuroplastic training! It is up to us to modify the Tx. for specific pt. goals. This article talks about the psychological side of neuroplasticity for athletes returning to sport. An interesting read! #PT582 #JT link.springer.com/article/10.100…

@JessicaTeply ...injury. For example, breaking down sport-specific tasks and having them repeat these tasks may promote neuroplasticity that will help better prepare this athlete for return to sport versus strengthening only.

@TsaiJames_ Great point! Timing is key for us to provide healthcare at indispensable value for our pts. #PT582 #JT

@JessicaTeply Neuroplasticity is key in stroke recovery. Animal studies have shown that timing is vital in recovery. Research is being done to observe this phenomenon in humans, but of course human RCTs are not possible. Either way, we must be vigilant! #PT582 #JT bit.ly/3qkuqx7

@HubbertKaytlin This was an awesome study that looked at task-variability and PT feedback in a locomotor training program overground vs. treadmill training. This combines many ideas we have been covering as we learn to design a rehab program. Check it out! #PT582 #JT link.springer.com/content/pdf/10…

#PT582 #JT I liked the locomotor training we saw in class & Neuro. This benefits the pt & creates a good environment for pts to gain correct sensory input to be processed by the spinal cord. Another benefit seen was the inc. excitability & improvement in overground tasks (1/2)

@kolbyareed @KristenD_SPT #PT582 #JT

@kolbyareed @KristenD_SPT Check out this article considering the duration and intensity of aerobic exercise shown to contribute to neuroplasticity. What kind of patients would you try this with? Would high intensity be appropriate for stroke pts?