4D: Deep Dive into Degenerative Diseases - ANPT

In this episode, host Parm Padgett interviews Dr. Sarah Milne about different rehabilitation strategies for physical therapists working with people with degenerative cerebellar ataxias. Dr. Milne shares results from her clinical trials, as well as tips and treatment approaches from her time in Friedreich Ataxia Clinic.  If you’re curious about components of effective rehabilitation for degenerative ataxias, this episode is for you!  For questions about this podcast, please contact neuroddsig@gmail.com. Show notes available at: https://app.box.com/s/1c3b6g4jgih64skasv1kxrwg3gji9nko

This episode of 4D highlights results and implications from an article in the July 2025 Journal of Neurologic Physical Therapy special issue on walking in people with neurological health conditions. Host Parm Padgett interviews two authors, Michael (Mike) VanNostrand and Patrick (Paddy) Monaghan, about their recent study examining the role of proprioception in backward walking in people with multiple sclerosis, as well as previous work related to backward walking. If you’re curious about how to interpret backwards walking and incorporate it into your clinical practice, this episode is for you!    Show notes available: https://app.box.com/s/0om94igfagb23nzm8v7ck18gx3mkj5l7   The Degenerative Diseases Special Interest Group is part of the Academy of  Neurologic Physical Therapy – www.neuroPT.org  For questions about this podcast, please contact neuroddsig@gmail.com.  

In this insightful episode, host Parm Padgett sits down with Dr. Alice Nieuwboer, a leading expert in Parkinson’s rehabilitation, to unpack the complex and frustrating phenomenon of freezing of gait (FOG). From the role of dopamine loss and neural "overload" to the influence of stress, motor challenges, and cognitive demands, Dr. Nieuwboer explains what we know about the factors influencing FOG. She also shares the latest research on freezing subtypes, how medication impacts symptoms, and why defining FOG remains a moving target. Full of clinical pearls and research updates, this conversation offers fresh hope and practical strategies for therapists and clinicians navigating the challenges treating people with FOG. Show notes available: https://app.box.com/s/gcyeiq1xk326ltqxj6zgemlfqtkgoooa   The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org For questions about this podcast, please contact neuroddsig@gmail.com.

Tune in to the first episode of our new series, Navigating the Path: Resources for Patients with Neurodegenerative Diseases, which highlights organizations that provide resources and information to people with neurodegenerative diseases. In this episode, Lauren Corley, a National MS Society representative, joins our host Christina Burke to explore the many resources and programs offered by the society. From financial assistance for assistive devices to continuing education opportunities for clinicians, learn how the National MS Society is making a meaningful impact in the MS community. They are both joined by Gregory Brusola, a board member of the DD SIG and coordinator of the DD SIG liaison program, who discusses the role of DD SIG liaisons and connections for PTs with the National MS Society.  The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org For questions about this podcast, please contact neuroddsig@gmail.com. Show notes available Visit the National MS Society website for more information on their programs

Join our podcast team members, Sara Zoeller and Parm Padgett, as they discuss the in-person and on-demand degenerative diseases programming (and some DD-adjacent talks) at this year’s CSM in Houston, TX. This podcast highlights talks and authors to help you plan your best CSM experience, complete with fun haikus and a CSM song at the very end of the bloopers - listen for that! The DD SIG committee and members of the 4D podcast team will be visible at the poster session on Friday from 1-3 pm and at the Myelin Melter on Friday evening. Please come find us and introduce yourself, we'd love to hear your ideas for our podcast (comments, future topics, etc). Happy CSM! The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org  For questions about this podcast, please contact neuroddsig@gmail.com. Show notes available at: https://app.box.com/s/9zeyy65ft2pdksilfh28orw5dworu6vu

In this episode, host Parm Padgett welcomes Taylor Takla to discuss her article, "Motor and Non-Motor Factors of Concern About Falling and Fear of Falling in Multiple Sclerosis” published in the October 2024 issue of JNPT. Taylor’s research delves into the complexities behind fear of falling and contributing factors among individuals with MS. Join the conversation to explore the clinical implications of her findings and how they can influence therapy approaches for those living with MS.  The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org  For questions about this podcast, please contact neuroddsig@gmail.com. Show notes available at: https://app.box.com/s/95du2gsslgm6xl0pzyitqv3zrpwpxybc

In this episode, host Ken Vinacco talks with Bobby Hand about the role and intricacies of skilled maintenance therapy for individuals with degenerative diseases. Skilled maintenance therapy is the care that physical therapists can provide to individuals who have conditions with no curative treatment. Bobby and Ken delve into how PTs can provide therapy that impacts the individual’s quality of life, even when they are not expected to make improvements. Bobby shares examples from his clinical practice, and tips for making it work for your practice.    The Degenerative Diseases Special Interest Group is part of the Academy of  Neurologic Physical Therapy – www.neuroPT.org  For questions about this podcast, please contact neuroddsig@gmail.com   Show notes available here: https://app.box.com/s/h12shsaxu8lpaaxabxk798qd96rpud41

In this installment of our series on rare neurologic diseases, host Ken Vinacco talks with Claudia Senesac about physical therapy for people with Duchenne Muscular Dystrophy (DMD) and Becker Muscular Dystrophy (BMD). DMD and BMD are both disorders that cause progressive muscle weakness, with BMD often presenting with less severe weakness and later in life. Claudia covers the medical management and prognosis, PT assessment, and PT treatment for people with these unique diagnoses.  The Degenerative Diseases Special Interest Group is part of the Academy of  Neurologic Physical Therapy – www.neuroPT.org  A link to the show notes will be posted here when available