The NOGGINS AND NEURONS Podcast

NOGGINSANDNEURONS

NOGGINS & NEURONS

  • 1 hour 19 minutes
    Play Without Barriers: Inclusive Playgrounds with Ingrid Kanics, OTR, MIA
    24 October 2025, 11:42 am
  • 54 minutes 9 seconds
    Winning the Fight Against ALS-Part 2

    EPISODE TITLE: Winning the Fight Against ALS - Part 2

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb continue to talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease with Dr. Tedone, the founder of the Deanna Protocol and his daughter, Deanna, who was diagnosed with ALS 13 years ago. 

    In this podcast, Dr. Vincent Tedone and Deanna Tedone discuss:

    • Introduction and Purpose of the Podcast 0:01

    • Pete Levine's Absence and Podcast Continuation 1:46

    • Discussion on ALS Diagnosis and Neurofibrillary Tangles 3:01

      • Dr. Tedone explains that it takes at least two years for a definitive ALS diagnosis due to reluctance from the medical profession.

      • Neurofibrillary tangles are found in the cerebral spinal fluid, indicating cellular energy deficiencies.

      • Gene mutations are linked to abnormal protein formation, which can cause cancer.

      • Dr. Tedone argues that infections, not gene mutations, may be the root cause of cancer.

    • Borrelia Infection and Its Impact on Health 6:05

      • Dr. Tedone discusses the role of Borrelia infection in various diseases, including arthritis, rheumatoid arthritis, psoriatic arthritis, lupus, and cancer.

      • Cortisone suppresses inflammation but does not address the underlying infection, leading to disease progression.

      • Treatment for Borrelia includes opening cysts with metronidazole, using oregano oil or artemisinin to open biofilms, and administering antibiotics.

      • The treatment protocol involves alternating antibiotics every three months to prevent resistance.

    • Testing for Borrelia Infection and Case Studies 10:01

      • Dr. Tedone mentions the Accu Dart infectious disease test and the need for provocative tests before serology tests.

      • Dr. Tedone shares two case studies: one where a patient's worsening condition was linked to his wife's co-infections, and another where an emergency room doctor's wife's condition was attributed to Borrelia.

      • The discussion highlights the importance of consistent treatment and the challenges of finding accurate tests for Borrelia.

    • Deanna's Protocol and Its Benefits 18:54

      • Dr. Tedone and Deanna discuss the Deanna Protocol, which includes caprylic acid and coenzyme Q10, and its benefits in maintaining mental acuity and energy.

      • Dr. Tedone shares personal experiences of using the Deanna Protocol and its positive effects on his and his wife's health.

      • The protocol is designed to support nerve cell communication and improve cognitive function.

      • Dr. Tedone emphasizes the importance of consistency in following the protocol for effective results.

    • Advice for Newly Diagnosed Patients 20:31

      • Doro asks Deanna for advice for newly diagnosed patients.

      • Deanna advises maintaining a regimented medication regimen and surrounding oneself with supportive, informed individuals.

      • The importance of challenging oneself and maintaining a positive attitude is highlighted.

      • Dr. Tedone shares a quote from his book, emphasizing the importance of persistence and continuous learning.

    • Challenges and Research in ALS Treatment 33:15

      • Dr. Tedone discusses the challenges of conducting research and the need for clinical feedback to guide research efforts.

      • The Deanna Protocol has shown promising results in ALS patients, with an 80% approval rating in a study by USF.

      • The protocol is compared favorably to dorozolamide, which blocks glutamate, in terms of symptom management and disease progression.

      • The discussion includes the need for better tests and the importance of funding for research.

    • Funding and Support for Research 42:28

      • Deanna mentions the challenges of funding and the importance of donating to organizations that directly support research.

      • The Winning the Fight Foundation is highlighted as a reliable organization for donations, with 99% of funds going directly to research.

      • The foundation is a 501(c)(3) organization, making donations fully tax-deductible.

      • Doro encourages listeners to visit the foundation's website for more information and to support the research efforts.

    • Conclusion and Final Thoughts 48:33

      • Deb thanks the guests for sharing their stories and research, emphasizing the importance of spreading awareness.

      • Dr. Tedone and Deanna express their gratitude for the opportunity to share their experiences and research findings.

      • The episode concludes with a call to action for listeners to share the podcast with others who may benefit from the information.

      • Contact information for the podcast and the foundation is provided for further inquiries and support.

    • Resources and References:
      • Maintaining Optimal Quality of Life
        • Support groups
        • Proper equipment & Knowledge of use
        • RESOURCES:
          • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
          • Community support groups & counseling
          • Transportation assistance
          • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
          • Assistance finding & obtaining community & government resources
          • Multidisciplinary medical care under one roof
          • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
            • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
          • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
            • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
            • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
          • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
            • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
          • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
            • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
          • University of North Carolina Wilmington Center for Assistive Technology
          • Miami University Center for Assistive Technology Oxford, OH
          • Assistive Technology Center New Jersey
          • Utah Center for Assistive Technology
          • University of South Carolina Assistive Technology Program

      We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

       

      THERAPY PRACTICE RESOURCES:

      DEB’S RESOURCES

      PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

       

      DORO’S OT PRACTICE – The Neuro Hub

      REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

      • Guest Request Form
      • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

       

    26 August 2025, 10:21 pm
  • 56 minutes 39 seconds
    Winning the Fight Against ALS-Part 1

    EPISODE TITLE: Winning the Fight Against ALS-Part 1 (with Deanna Tedone and Dr. Vincent Tedone) 

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease with Dr. Tedone, the founder of the Deanna Protocol and his daughter, Deanna, who was diagnosed with ALS 13 years ago. 

    In this podcast, Dr. Vincent Tedone and Deanna Tedone discuss:

    • The development of the Deanna Protocol
      • Dr. Vincent Tedone describes his research and the development of the Deanna Protocol, which includes AKG and GABA.
      • Deanna experienced significant improvements in muscle symptoms and functional abilities after receiving the AKG and GABA combination.
      • The Deanna Protocol was tested on ALS mice, showing suppressed muscle symptoms, slowed disease progression, and increased energy production.The findings were documented in a paper and a book, "The Deanna Protocol: Winning the Fight for Neurodegenerative Diseases."
    • Discovery of Borrelia Infection
      • In 2015, Deanna was tested for a Borrelia infection, which was positive, despite previous negative results from commercial laboratories.
      • Deanna developed severe meningitis, and Dr. Vincent Tedone convinced the infectious disease doctor to treat her with IV antibiotics.
      • The IV antibiotics successfully treated Deanna's pain, and she continued the post-antibiotic regimen until 2018.
      • Dr. Vincent Tedone believes that all neurodegenerative diseases are caused by infections, primarily Borrelia.
    • Challenges and Resistance in Medical Research
      • Dr. Vincent Tedone discusses the challenges and resistance he faced when trying to get academic institutions to fund clinical trials for the Deanna Protocol.
      • He emphasizes the importance of treating the cause of the disease rather than just the symptoms.
      • Dr. Vincent Tedone shares anecdotal evidence of the Deanna Protocol's effectiveness in treating Alzheimer's disease and other neurodegenerative diseases.
      • He highlights the need for further research and the potential for the Deanna Protocol to be effective in treating various neurodegenerative diseases.
    • Clinical Experience and Intensive Therapy
      • Doro, shares her clinical experience working with Deanna and the intensive therapy program they designed.
      • Deanna's progress and improvements were significant, and the traditional ALS progression did not occur.
      • Doro emphasizes the importance of not treating Deanna like she has ALS and the positive changes observed in Deanna's muscle building and overall function.
      • The discussion shifts to the role of glutamate, AKG, and GABA in the Deanna Protocol and their impact on nerve cell communication.
    • Impact of Borrelia Infection and Immune System
      • Dr. Vincent Tedone explains the impact of Borrelia infection on the immune system and the body's response to inflammation.
      • He describes the role of the gut microbiome in controlling the brain and the potential link between vaccines and autism.
      • The conversation touches on the importance of the immune system in maintaining health and the potential impact of mRNA vaccines on the immune system.
      • Dr. Vincent Tedone discusses the common denominator in neurodegenerative diseases and the potential for the Deanna Protocol to be effective in treating various conditions.
    • Conclusion and Future Research
      • Dr. Vincent Tedone expresses his frustration with the lack of focus on the cause of diseases and the need for further research.
      • He shares anecdotal evidence of the Deanna Protocol's effectiveness in treating Alzheimer's disease and other conditions.
      • The discussion highlights the importance of treating the cause of diseases rather than just the symptoms.
      • The episode concludes with a call for further research and the potential for the Deanna Protocol to revolutionize the treatment of neurodegenerative diseases.
      Resources and References:
    • Maintaining Optimal Quality of Life
      • Support groups
      • Proper equipment & Knowledge of use
      • RESOURCES:
        • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
        • Community support groups & counseling
        • Transportation assistance
        • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
        • Assistance finding & obtaining community & government resources
        • Multidisciplinary medical care under one roof
        • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
          • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
        • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
          • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
          • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
        • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
          • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
        • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
          • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
        • University of North Carolina Wilmington Center for Assistive Technology
        • Miami University Center for Assistive Technology Oxford, OH
        • Assistive Technology Center New Jersey
        • Utah Center for Assistive Technology
        • University of South Carolina Assistive Technology Program

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

     

    THERAPY PRACTICE RESOURCES:

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

     

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

     

    3 July 2025, 8:43 pm
  • 37 minutes 23 seconds
    ALS: The Classic Medical Perspective

    EPISODE TITLE: ALS: The Classic Medical Perspective

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about Amyotrophic Lateral Sclerosis (ALS) or, Lou Gehrig’s Disease. We covered:

    • What is ALS?
    • Signs & symptoms of ALS including:
      • Affects voluntary muscles-hands, forearms, legs.
    • Early symptoms include:
      • Fasciculations- spontaneous, uncontrolled discharges of motor neurons; irregular twitchings: Muscle twitches in the arm, leg, shoulder, or tongue
      • Muscle cramps
      • Tight and stiff muscles (spasticity)
      • Muscle weakness affecting an arm, a leg, or the neck
      • Slurred and nasal speech
      • Difficulty chewing or swallowing
      • Difficulty walking, picking up objects, fine motor tasks
    • Ongoing/Later symptoms:
    • Chewing food and swallowing (dysphagia)
    • Drooling (sialorrhea)
    • Speaking or forming words (dysarthria)
    • Breathing (dyspnea)
    • Unintended crying, laughing, or other emotional displays (pseudobulbar symptoms)
    • Constipation
    • Maintaining weight and getting enough nutrients
    • Frontotemporal dementia
      • Dementia that affects the frontotemporal lobe.
      • Affects thinking, talking, walking, and socializing.
      • FTD and other frontotemporal disorders are a common cause of early-onset dementia, often appearing when people are in the prime of life.
        • Families often suffer, as they struggle to cope with the person's daily needs as well as changes in relationships and responsibilities.
    • Risk Factors (National Institute of Neurological Disorders & Stroke)-Having a risk factor does not mean a person will or will not get a disease
      • Age—Although the disease can strike at any age, symptoms most commonly develop between the ages of 55 and 75.
      • Biological sex—Men are slightly more likely to develop ALS than women. However, at older ages, men and women are equally likely to be diagnosed with ALS.
      • Race and ethnicity—Whites and non-Hispanics are most likely to develop the disease, but ALS affects people of all races and ethnic backgrounds.
    • National Institute of Neurological Disorders & Stroke/ALS.org
    • Some studies suggest military veterans are about one and a half to two times more likely to develop ALS, although the reason for this is unclear. Possible risk factors for veterans include exposure to lead, pesticides, and other environmental toxins. Some studies have also shown that head injury can be associated with higher risk for ALS, but more research is needed to understand this connection.
    • For about 90% of all cases, there’s no known family history of the disease or presence of a genetic mutation linked to ALS.
    • For 5-10% of all cases, there’s a known family history of the disease. This is often called familial ALS.

          ALS.org

    • In families with familial ALS, there is a 50% chance each offspring will inherit the gene mutation and may develop the disease.
    • Medical treatment-involves medications
    • Common PT & OT interventions
      • Assistive technology & Communication devices
        • OBI – independence with feeding
        • Battery-operated salt & pepper shakers
        • Steady spoon if tremors are present
        • Built up handle utensils
        • Eazy Hold grip aids
        • Universal cuff
        • Divided Dish
      • GUS communication devices
    • Maintaining Optimal Quality of Life
      • Support groups
      • Proper equipment & Knowledge of use
      • RESOURCES:
        • ALS Association-enter zip code to find assistance in your state. In FL: General Inquiries 
        • Community support groups & counseling
        • Transportation assistance
        • Equipment loan bank-people with ALS can borrow assistive equipment on long term basis
        • Assistance finding & obtaining community & government resources
        • Multidisciplinary medical care under one roof
        • FAAST-FLORIDA ALLIANCE FOR ASSISTIVE SERVICES & TECHONOLGY: org
          • FAAST is a program designed to provide assistive technology to Floridians with disabilities and their loved ones. This program offers a range of activities, including device loans, demonstrations, reutilization, and training, to ensure Floridians have access to the latest in assistive technology. Additionally, FAAST provides information and assistance, as well as a financing program available state-wide. With a commitment to accessibility and innovation, FAAST is leading the way in assistive technology in the state of Florida.
        • CENTER FOR ASSISTIVE TECHNOLOGY-University of Buffalo
          • The Center for Assistive Technology (CAT) is a non-profit organization that conducts research and provides educational and service programs to increase consumer knowledge related to assistive technology for persons with disabilities.
          • CAT is also the Western New York Regional Center for the New York State TRAID Program, for which it coordinates information on technology-related expertise and resources for people with disabilities.
        • SHEPHERD CENTER-CENTER FOR ASSISTIVE TECHNOLOGIES Atlanta, GA
          • The Center for Assistive Technologies at Shepherd Center helps individuals regain independence after a neurological injury or condition. Challenges with mobility and cognitive function can impact daily activities like using devices, controlling home environments, and driving. Our team develops, tests, and customizes assistive technologies to support rehabilitation, empowering you to navigate life with greater ease and autonomy.
        • UPMC CENTER FOR ASSISTIVE TECHNOLOGY-Pittsburgh, PA
          • The CAT is an interdisciplinary center comprising multiple outpatient clinics that offer a variety of services to assist you.
        • University of North Carolina Wilmington Center for Assistive Technology
        • Miami University Center for Assistive Technology Oxford, OH
        • Assistive Technology Center New Jersey
        • Utah Center for Assistive Technology
        • University of South Carolina Assistive Technology Program

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

     

    THERAPY PRACTICE RESOURCES:

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

     

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

    ✨Google Podcasts  ✨iTunes    ✨Spotify

    28 May 2025, 12:47 pm
  • 49 minutes 42 seconds
    A Battle In The Mind: Exploring Emotions of Survivors, Caregivers, and Loved Ones-Part 2

    EPISODE TITLE: A Battle In The Mind: Exploring Emotions of Survivors, Caregivers, and Loved Ones

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb and Doro talk with D’Youville University students Christin Chan and Sophie Turner about the psychosocial impact of stroke and brain injury. We covered:

    • Mental health challenges post-stroke, ABI, and TBI
    • The role of occupational therapy in addressing mental health
    • Improving psychosocial support for survivors and caregivers
    • Best practices for supporting survivors
    • Post-injury affective symptoms and disorders
    • Non-pharmacological treatment for behavioral disturbances among TBI/ABI patients

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

     

    Show References

     

    Faircloth, C. A., Boylstein, C., Rittman, M., & Gubrium, J. F. (2005). Constructing the stroke: Sudden-onset narratives of stroke survivors. Qualitative Health Research, 15(7), 928. doi:10.1177/1049732305277842

     

    Goldfinger, J. Z., edmondson, D., kronish, I. M., fei, K., balakrishnan, R., tuhrim, S., & horowitz, C. R. (2014). Correlates of post-traumatic stress disorder in stroke survivors. The official journal of stroke and cerebrovascular diseases : The official journal of national stroke association, 23(5), 1099–1105. https://Doi.org/10.1016/j.jstrokecerebrovasdis.2013.09.019.

    Howlett, J. R., Nelson, L. D., & Stein, M. B. (2022). Mental health consequences of traumatic brain injury. Biological Psychiatry, 91(5), 413–420. https://doi.org/10.1016/j.biopsych.2021.09.024

    Kumar, R., Kumar, A., & Singh, A. (2019). Psychosocial impact of Brain Injury: A Review. Indian Journal of Neurosurgery, 08(01), 011–015. https://doi.org/10.1055/s-0039-1687713

    Raya-Ruiz, M. A., Rodríguez-Bailón, M., Castaño-Monsalve, B., Vidaña-Moya, L., Fernández-Solano, A. J., & Merchán-Baeza, J. A. (2022). Study protocol for a non-randomised controlled trial: Community-based occupational therapy intervention on mental health for people with acquired brain injury (COT-MHABI). Plos One, 17(10) doi:10.1371/journal.pone.0274193

    Ritter, J., Dawson, J., & Singh, R. K. (2021). Functional recovery after brain injury: Independent predictors of psychosocial outcome one year after TBI. Clinical Neurology and Neurosurgery, 203, 106561. https://doi.org/10.1016/j.clineuro.2021.106561

    Simpson, E. K., Ramirez, N. M., Branstetter, B., Reed, A., & Lines, E. (2018). Occupational therapy practitioners’ perspectives of mental health practices with clients in stroke rehabilitation. OTJR: Occupational Therapy Journal of Research, 38(3), 181. doi:10.1177/1539449218759627

    Terrill, A. L., Schwartz, J. K., & Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 1. doi:10.1155/2018/6187328

     

    Tjokrowijoto, P., Kneebone, I., Baker, C., Andrew, N. E., Stolwyk, R. J., & Stolwyk, J. (2023). Supplemental material for mental health support after stroke: A qualitative exploration of lived experience. Rehabilitation Psychology, doi:10.1037/rep0000527.supp

     

    Wenzel, R. A., Zgoda, E. A., St. Clair, M. C., & Knecht-Sabres, L. J. (2021). A qualitative study investigating stroke survivors’ perceptions of their psychosocial needs being met during rehabilitation. The Open Journal of Occupational Therapy, 9(2), 1. doi:10.15453/2168-6408.1691

    Wiart, L., Luauté, J., Stefan, A., Plantier, D., & Hamonet, J. (2016). Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations. Annals of Physical and Rehabilitation Medicine, 59(1), 31–41. https://doi.org/10.1016/j.rehab.2015.12.001

    THERAPY PRACTICE RESOURCES:

    DEB’S RESOURCES

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

     

    ✨Google Podcasts  ✨iTunes    ✨Spotify

     

    20 May 2025, 12:57 pm
  • 41 minutes 33 seconds
    A Battle In The Mind: Exploring Emotions Of Survivors, Caregivers, and Loved Ones - Part 1

    EPISODE TITLE: A Battle on the Mind: Exploring Emotions of Survivors, Caregivers, and Loved Ones

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb and Doro talk with D’Youville University students Christin Chan and Sophie Turner  about the psychosocial impact of stroke and brain injury. We covered:

    • Mental health challenges post-stroke, ABI, and TBI
    • The role of occupational therapy in addressing mental health
    • Improving psychosocial support for survivors and caregivers
    • Best practices for supporting survivors
    • Post-injury affective symptoms and disorders
    • Non-pharmacological treatment for behavioral disturbances among TBI/ABI patients

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

     

    Show References

     

    Faircloth, C. A., Boylstein, C., Rittman, M., & Gubrium, J. F. (2005). Constructing the stroke: Sudden-onset narratives of stroke survivors. Qualitative Health Research, 15(7), 928. doi:10.1177/1049732305277842

     

    Goldfinger, J. Z., edmondson, D., kronish, I. M., fei, K., balakrishnan, R., tuhrim, S., & horowitz, C. R. (2014). Correlates of post-traumatic stress disorder in stroke survivors. The official journal of stroke and cerebrovascular diseases : The official journal of national stroke association, 23(5), 1099–1105. https://Doi.org/10.1016/j.jstrokecerebrovasdis.2013.09.019.

    Howlett, J. R., Nelson, L. D., & Stein, M. B. (2022). Mental health consequences of traumatic brain injury. Biological Psychiatry, 91(5), 413–420. https://doi.org/10.1016/j.biopsych.2021.09.024

    Kumar, R., Kumar, A., & Singh, A. (2019). Psychosocial impact of Brain Injury: A Review. Indian Journal of Neurosurgery, 08(01), 011–015. https://doi.org/10.1055/s-0039-1687713

    Raya-Ruiz, M. A., Rodríguez-Bailón, M., Castaño-Monsalve, B., Vidaña-Moya, L., Fernández-Solano, A. J., & Merchán-Baeza, J. A. (2022). Study protocol for a non-randomised controlled trial: Community-based occupational therapy intervention on mental health for people with acquired brain injury (COT-MHABI). Plos One, 17(10) doi:10.1371/journal.pone.0274193

    Ritter, J., Dawson, J., & Singh, R. K. (2021). Functional recovery after brain injury: Independent predictors of psychosocial outcome one year after TBI. Clinical Neurology and Neurosurgery, 203, 106561. https://doi.org/10.1016/j.clineuro.2021.106561

    Simpson, E. K., Ramirez, N. M., Branstetter, B., Reed, A., & Lines, E. (2018). Occupational therapy practitioners’ perspectives of mental health practices with clients in stroke rehabilitation. OTJR: Occupational Therapy Journal of Research, 38(3), 181. doi:10.1177/1539449218759627

    Terrill, A. L., Schwartz, J. K., & Belagaje, S. R. (2018). Best practices for the interdisciplinary rehabilitation team: A review of mental health issues in mild stroke survivors. Stroke Research and Treatment, 2018, 1. doi:10.1155/2018/6187328

     

    Tjokrowijoto, P., Kneebone, I., Baker, C., Andrew, N. E., Stolwyk, R. J., & Stolwyk, J. (2023). Supplemental material for mental health support after stroke: A qualitative exploration of lived experience. Rehabilitation Psychology, doi:10.1037/rep0000527.supp

     

    Wenzel, R. A., Zgoda, E. A., St. Clair, M. C., & Knecht-Sabres, L. J. (2021). A qualitative study investigating stroke survivors’ perceptions of their psychosocial needs being met during rehabilitation. The Open Journal of Occupational Therapy, 9(2), 1. doi:10.15453/2168-6408.1691

    Wiart, L., Luauté, J., Stefan, A., Plantier, D., & Hamonet, J. (2016). Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations. Annals of Physical and Rehabilitation Medicine, 59(1), 31–41. https://doi.org/10.1016/j.rehab.2015.12.001

    THERAPY PRACTICE RESOURCES:

    DEB’S RESOURCES

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

     

    ✨Google Podcasts  ✨iTunes    ✨Spotify

    12 May 2025, 1:47 pm
  • 1 hour 25 minutes
    Harnessing Motivation: Unleashing Recovery Potential

    EPISODE TITLE: Harnessing Motivation: Unleashing Recovery Potential

    What really drives someone to keep going after a stroke — even when it’s hard?

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb dive deep into the heart of recovery: motivation. Whether you're a survivor, clinician, or care partner, this conversation is packed with insights to help you light (and maintain) that motivational fire. We explore:

    • 🔑 What motivation is and why it matters more than you think
    • 🔁 The proven process Doro’s team uses to help clients stay focused and forward-moving
    • 💪 How self-efficacy impacts momentum and long-term success
    • 🧠 A reminder that stroke recovery is a marathon (not a sprint)
    • 😴 Working with post-stroke fatigue for optimal success
    • 🧰 Tools that assess motivation and reveal strengths worth building on
    • 🤝 Why strong care partner training is a game-changer
    • 🧭 The power of adaptive planning — and why flexibility = success

    If you’ve ever felt stuck, unmotivated, or unsure how to keep yourself or someone you love moving forward, this episode will give you a fresh perspective and real-world strategies.

    🎙️ Tune in and let’s turn the recovery spark into a flame.

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

    Show References

    Research Articles

    Argent, R., Daly, A., & Caulfield, B. (2018). Patient Involvement With Home-Based Exercise Programs: Can Connected Health Interventions Influence Adherence?. JMIR mHealth and uHealth, 6(3), e47. https://doi.org/10.2196/mhealth.8518

    Driscoll, R., Fitzpatrick, L., Karsten, J., Scott, S., & Winters, E. (2021). Care Partner Carryover Day: A Formalized Training Program to Improve Care Partner Preparedness for Pt’s. with ABI Prior to D/C home. Archives of Physical Medicine and Rehabilitation, 102(10), e52

    Ghorbani, S. (2019). Motivational effects of enhancing expectancies and autonomy for motor learning: An examination of the OPTIMAL theory. The Journal of General Psychology, 146(1), 79-92.

    Rolls, E.T. (2023). Emotion, motivation, decision-making, the orbitofrontal cortex, anterior cingulate cortex, and the amygdala. Brain Structure and Function, 228, 1201-1257. https://doi.org/10.1007/s00429-023-02644-9

    Siegle, F. (2024). The role of synaptic plasticity in learning and memory: A neurophysiological perspective. The Cognitive Neuroscience Journal, (7)4.

    Yoshida, T., Otaka, Y., Osu, R., Kumagai, M, Kitamura, S., & Yaeda, J. (2021). Motivation for rehabilitation in patients with subacute stroke: A qualitative study. Frontiers in Rehabilitation, 2:664758. doi: 10.3389/fresc.2021.664758

    Assessments:

    Heart Rate Variability YouTube Videos:

    Scientific Explanation

    The Science of Heart Rate Variability (HRV): Health, Wellness & Performance by Dr Cailbhe Doherty

    Guided HRV Breathing Exercise

    Heart Coherence Breathing Exercise | HRV Resonant Cardiac Breathwork by Take A Deep Breath

    Previous Episodes Referenced

    Resources Mentioned in This Episode

    THERAPY PRACTICE RESOURCES:

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

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    23 April 2025, 5:34 pm
  • 43 minutes 57 seconds
    Tackling Spasticity Part 2

    EPISODE TITLE: Tackling Spasticity Part 2

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:

    • Strategies for addressing spasticity, how to descriptions and rationale for use
    • Difference between spasticity management and spasticity treatment
    • Specific techniques discussed
      • Stretching
      • Weight Bearing
      • Splinting
      • Intentional muscle fatigue
      • Proprioceptive Neuromuscular Facilitation (PNF) Principles
      • Neuromodulators
      • Surgery
      • Cryoneurolysis
      • Enzyme treatment-clinical trials ongoing
      • Visualization & Mirror Therapy
      • Extra corporeal shock wave therapy
        • Focused waves-sends waves into small area
        • Radial waves-delivers shock waves into broader areas
        • Contraindications to use
        • Adverse effects-transient discomfort, swelling, bruising
        • Works well in conjunction with neuromodulator use
    • Importance of interdisciplinary communication & using clinical communication notes
    • Spasticity & contracture predictors using traffic light system

    We hope you enjoyed this episode of Noggins And Neurons and found the information shared helpful. As always, we want to hear from you! Email us at [email protected]

    Show References

    Almufarah, Kausar, Humayun, & Tehsin (2023). Leveraging motor imagery rehabilitation for individuals with disabilities: A review. Healthcare, 11, 1-17. https://doi.org/10.3390/healthcare11192653. https://www.mdpi.com/journal/healthcare

    Bavikatte, Subramanian, Ashford, Allison & Hicklan (2021). Early identification and management of post-stroke spasticity: Expert consensus recommendations. Journal of Central Nervous System Disease, 13, 1-8.

    Brusola*, Garcia, Albosta, Daly, Kafes & Furtado (2023). Effectiveness of physical therapy interventions on post-stroke spasticity: An umbrella review.

    Guo, Hai & Ma (2022). Application of extracorporeal shockwave therapy in nervous system diseases: A review. Frontiers in Neurology DOI 10.3389/fneur.2022.963849

    Guo, Gao, Zhao, Sun, Wang & Li (2017). Positive effects of extracorporeal shock wave therapy on spasticity in post stroke patients: A meta-analysis. Journal of Stroke and Cerebrovascular Diseases, Vol. 26, No. 11 (November), 2017: pp 2470–2476

    Li (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 8, 120; 1-7. doi: 10.3389/fneur.2017.00120.

    Martinez, Sempere-Rubio, Navarro & Faubel (2021). Effectiveness of shock wave therapy as a treatment for spasticity: A systematic review. Brain Sciences, 11, 15-18. https://dx.doi.org/10.3390/brainsci11010015.

    Poveda-Garcia, Moret-Tatay & Gomez-Martinez (2021). The association between mental motor imagery and real movement in stroke. Healthcare, 9, 1568; 1-11. https://doi.org/10.3390/healthcare9111568

    Spasticity: Can Anything Be Done. Blog article by Peter G. Levine

    Suputtitada, Chatromyen, Chen & Simpson (2024). Best practice guidelines for the management of patients with post-stroke spasticity: A modified scoping review. Toxins, 16, 98. https://doi.org/10.3390/toxins16020098

    THERAPY PRACTICE RESOURCES:

    NEW RESOURCES

    DEB’S RESOURCES

     

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

     

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    13 March 2025, 2:07 am
  • 31 minutes 42 seconds
    Tackling Spasticity Part 1

    EPISODE TITLE: Tackling Spasticity Part 1

     EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk about spasticity. We covered:

    • Definition of spasticity and spastic paresis
    • Underlying mechanisms of motor recovery and spasticity-they aren’t the same
    • Keys to promoting recovery
    • How to know if someone has spasticity
    • Creating an occupational profile as a treatment plan foundation
    • Measuring spasticity

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

    Show References

    Crow, J. L. & Harmeling-van der Wel, B. C. (2008). Hierarchical properties of the motor function sections of the Fugl-Meyer Assessment Scale for people after stroke: A retrospective study. Physical Therapy, 88(12): 1554-67. DOI:10.2522/ptj.20070186 Source-PubMed https://www.researchgate.net/publication/23389179

     

    Li, S. (2017). Spasticity, Motor Recovery, and Neural Plasticity after Stroke. Frontiers in Neurology; April 3:8:120.  DOI: 10.3389/fneur.2017.00120

    THERAPY PRACTICE RESOURCES:

    NEW RESOURCES

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

     

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

                                       ✨Google Podcasts  ✨iTunes    ✨Spotify

    24 February 2025, 12:25 am
  • 54 minutes 47 seconds
    Seeing Clearly Again: Occupational Therapy’s Impact After Mild TBI-Part 2

    NogginsAndNeurons: The Website

    EPISODE TITLE: Seeing Clearly Again: Occupational Therapy’s Impact After Mild TBI-Part 2

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with returning guest, Suzanne Briggs about vision rehab for individuals who’ve experienced mild TBI. We covered a lot of ground in the second half of our conversation. We discussed:

    • Impact of mood on self-report questionnaires
    • Example of remedial vision treatment session
    • The effects of the autonomic nervous system on participation and recovery
    • Strategies for regulating the nervous system
    • Understanding top down vs. bottom-up treatment approaches
    • Differences between low vision therapy and remedial vision therapy
    • Standardizing care and Hospital Based Interest Group (HBIG)
    • Using the Senaptec Sensory Station in vision rehab
    • Connect with Suzanne. Her email address is [email protected]
    • Learn more about vision rehab at VisCon 2025 March 7th through 9th. Attend live in Pensacola, FL or virtually. LEARN MORE HERE.

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

    Show References

    THERAPY PRACTICE RESOURCES

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

    ✨Google Podcasts  ✨iTunes    ✨Spotify

     

    11 February 2025, 8:04 pm
  • 46 minutes 29 seconds
    Seeing Clearly Again: Occupational Therapy’s Impact After Mild TBI-Part 1

    EPISODE TITLE: Seeing Clearly Again: Occupational Therapy’s Impact After Mild TBI-Part 1

    EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Doro and Deb talk with returning guest, Suzanne Briggs, OTD, OTR/L, Remedial Vision Certified, about vision rehab for individuals who’ve experienced mild TBI. We covered a lot of ground in this informative episode. We discussed:

    • Suzanne’s doctoral experience and some lessons she learned along the way
    • Why she’s chosen not to be called “doctor”
    • Symptoms experienced by mTBI survivors and the effect on occupational performance
    • Common symptoms of vision dysfunction
    • Assessments Suzanne uses to determine deficit areas and her reasons for using these assessments

    We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at [email protected]

    Show References

     

    THERAPY PRACTICE RESOURCES

    DEB’S RESOURCES

    PETE’S blog and book, “Stronger After Stroke: Your Roadmap to Recovery” 3rd edition:

    DORO’S OT PRACTICE – The Neuro Hub

    REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you’re passionate about stroke recovery and have information or a story you believe will help others, we’d love help you share it on the show. Complete the guest request form below and let’s see if we’re a good fit!

    • Guest Request Form
    • MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com

    ✨Google Podcasts  ✨iTunes    ✨Spotify

    3 February 2025, 11:35 pm
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