The Neuro Power Hour

Join your host and neurological navigator, Dr. Michael Powers, in a discovery of neurologic physical therapy!

The Neuro Power Hour is a education podcast hosted by Unknown Host, with 14 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Unknown Host hosts The Neuro Power Hour, a education show with 14 episodes published.

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  Episode #14

  Neuroplasticity

  Aug 10, 202641 minS1

  Intensity matters! In the fourth and final of a multi-part series on stroke, Dr. Michael Powers explores best current evidence in stroke interventions including task-oriented training, clinical practice guidelines to improve locomotor function, and clinical practice guidelines on the use of ankle foot orthoses and functional electrical stimulation. He highlights the importance of keeping intensity, salience, and repetitions high during stroke rehabilitation to drive neuroplasticity. He discusses the importance of emphasizing interventions at the participation and activity level, and how treatments which overly emphasize body function and structure are not consistent with the best current evidence nor the recommended approach to examination which was discussed last episode. He hopes that by the end of this episode you will start thinking of your patients as athletes who benefit from high intensity practice! Key Takeaways Neuroplasticity mechanisms Adaptive vs maladaptive neuroplasticity Lifestyle facts impacting neuroplasticity Experience-dependent neuroplasticity Factors impacting neuroplasticity The importance of exercise and intensity Aerobic exercise and brain-derived neurotrophic factor Non-locomotor outcomes improved with high intensity gait training References The Neuroplastic Brain: Current Breakthroughs and Emerging Frontiers The Combined Influences of Exercise, Diet and Sleep on Neuroplasticity Neuroplasticity After Stroke: Adaptive and Maladaptive Mechanisms in Evidence-Based Rehabilitation Promoting Neuroplasticity for Motor Rehabilitation After Stroke: Considering the Effects of Aerobic Exercise and Genetic Variation on Brain-Derived Neurotrophic Factor Principles of Experience-Dependent Neural Plasticity: Implications for Rehabilitation After Brain Damage Moving Forward Effect of Exercise on Brain-Derived Neurotrophic Factor in Stroke Survivors: A Systematic Review and Meta-Analysis Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury Clinician Resources for Locomotor CPG Increasing the Amount and Intensity of Stepping Training During Inpatient Stroke Rehabilitation Improves Locomotor and Non-Locomotor Outcomes All music courtesy of Free Music Archive and used via attribution 4.0 international license. Intro and Outro: Stylin' by JMHBM Transitional: Our Reality by Ketsa Connect email: neuropowerhour@drmichaelpowers.com LinkedIn

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  Episode #13

  Stroke Part 4: Evidence-Based Interventions

  Jul 27, 202636 minS1

  Intensity matters! In the fourth and final of a multi-part series on stroke, Dr. Michael Powers explores best current evidence in stroke interventions including task-oriented training, clinical practice guidelines to improve locomotor function, and clinical practice guidelines on the use of ankle foot orthoses and functional electrical stimulation. He highlights the importance of keeping intensity, salience, and repetitions high during stroke rehabilitation to drive neuroplasticity. He discusses the importance of emphasizing interventions at the participation and activity level, and how treatments which overly emphasize body function and structure are not consistent with the best current evidence nor the recommended approach to examination which was discussed last episode. He hopes that by the end of this episode you will start thinking of your patients as athletes who benefit from high intensity practice! Key Takeaways Task-Oriented Training and Neuroplasticity Movement is at the intersection of the individual, the task, and the environment Key features to consider at the levels of the individual, the task, and the environment Improving Locomotor Function Clinical Practice Guideline Importance of high intensity in improving walking function Intensity, repetitions, and salience more important than normalizing gait kinematics Clinical Practice Guideline for Use of AFOs and FES Post Stroke AFOs and FES with multiple benefits across ICF domains References O'Sullivan & Schmitz's Physical Rehabilitation, 8th ed. Shumway-Cook and Woollacott Motor Control, 6th ed. Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury Clinician Resources for Locomotor CPG A Clinical Practice Guideline for the Use of Ankle-Foot Orthoses and Functional Electrical Stimulation Post-Stroke Clinician Resources for AFO and FES CPG All music courtesy of Free Music Archive and used via attribution 4.0 international license. Intro and Outro: Stylin' by JMHBM Transitional: Our Reality by Ketsa Connect email: neuropowerhour@drmichaelpowers.com LinkedIn

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  Episode #12

  Stroke Part 3: Examination Considerations

  Jul 13, 202646 minS1

  Begin with the end in mind! In the third of a multi-part series on stroke, Dr. Michael Powers advocates for starting the examination with collaborative goal setting focused on participation. He outlines how working backward from participation to activity and then body function and structure optimizes therapeutic alliance and helps drive neuroplasticity by emphasizing what is salient to the patient. He then discusses the importance of the review of systems and systems review (and how to distinguish these potentially confusing terms!), before concluding with an evidence-based framework for movement and task analysis.  Key Takeaways Importance of collaborative goal setting with emphasis on participation Biopsychosocial model and impact on salience and neuroplasticity Stroke Impact Scale Key factors impacting Quality of Life after stroke Prevalence and impact of depression after stroke Evidence-based screening for depression Review of systems and systems review Using the Movement Continuum to analyze tasks Standardizing terminology - glossary of terms for movement analysis References O'Sullivan & Schmitz's Physical Rehabilitation, 8th ed. ICF Health-Based Rehabilitation Program Promotes Activity and Participation Goal Setting with ICF and Multidisciplinary Team Approach in Stroke Rehabilitation Therapeutic Alliance in Physical Rehabilitation Stroke Part II: Examination and Evaluation Stroke Impact Scale Diagnostic and Clinical Utility of the PHQ-2 Prevalence and Natural History of Depression After Stroke Impact of Depression on Stroke Outcomes Among Stroke Survivors A Framework for Movement Analysis of Tasks: Recommendations from the Academy of Neurologic Physical Therapy's Movement System Task Force All music courtesy of Free Music Archive and used via attribution 4.0 international license. Intro and Outro: Stylin' by JMHBM Transitional: Our Reality by Ketsa Connect email: neuropowerhour@drmichaelpowers.com LinkedIn

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  Episode #11

  Stroke Part 2: Synergies and Spasticity

  Jun 29, 202637 minS1

  Not everything is weakness! In the second of a multi-part series on stroke, Dr. Michael Powers highlights the role of abnormal synergies and spasticity on movement and functional difficulties after stroke. Along the way, you'll learn about stereotypical synergy and spasticity patterns, motor recovery expectations, tools to examine synergies and spasticity, and how to consider synergies and spasticity within an evidence-based plan of care for stroke rehabilitation. Key Takeaways Acute stroke response and flaccidity Abnormal synergies and impact on movement Stages of motor recovery following stroke Outcome measures for synergies: STREAM and Fugl-Myer Spasticity as part of the upper motor neuron (UMN) syndrome Strongest spasticity components for the upper and lower extremity Examining spasticity: Modified Ashworth Scale and Tardieu Scale Moving Forward: contextualizing synergies and spasticity within best current evidence References O'Sullivan & Schmitz's Physical Rehabilitation, 8th ed. Stroke Rehabilitation Assessment of Movement Fugl-Meyer Assessment of Motor Recovery after Stroke Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity Moving Forward: State of Evidence in Neurologic Physical Therapy All music courtesy of Free Music Archive and used via attribution 4.0 international license. Intro and Outro: Stylin' by JMHBM Transitional: Our Reality by Ketsa Connect email: neuropowerhour@drmichaelpowers.com LinkedIn

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  Episode #10

  Stroke: Part 1

  Jun 15, 202636 minS1

  Time to talk stroke! In the first episode of a multi-part series on stroke, Dr. Michael Powers discusses stroke risk factors, the importance of early detection including the value of BEFAST and HINTS, and presentations of common vascular syndromes. Along the way, you'll learn about the differences between ischemic and hemorrhagic strokes, and how despite these differences the functional outcomes between these types of strokes is fairly similar. As 1 in 4 adults over the age of 25 will sustain a stroke in their lifetime, this is a vital topic for all physical therapists regardless of practice area! Key Takeaways Prevalence/incidence of stroke Stroke risk factors PT role in educating patients on modifiable risk factors Time is brain Early detection: FAST, BEFAST, and HINTS Ischemic vs hemorrhagic stroke - differences in medical management, similarities in functional outcomes Vascular syndromes: ACA, MCA, PCA, which is most common? Hemispheric differences References O'Sullivan & Schmitz's Physical Rehabilitation, 8th ed. WHO Global Stroke Fact Sheet 2025 Stroke Symptoms Systematic Review Comparing FAST and BEFAST HINTS Exam More Sensitive Than Early MRI TPA vs TNK in Acute Ischemic Stroke Within 4.5 Hours Hemorrhagic Stroke Overview Hemorrhagic Transformation of Ischemic Stroke Ischemic vs Hemorrhagic Stroke Functional Outcomes All music courtesy of Free Music Archive and used via attribution 4.0 international license. Intro and Outro: Stylin' by JMHBM Transitional: Our Reality by Ketsa Connect email: neuropowerhour@drmichaelpowers.com LinkedIn

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