35 Burst results for "Group"

Strikers protest Haiti's lack of security after kidnappings

AP News Radio

00:36 sec | 14 hrs ago

Strikers protest Haiti's lack of security after kidnappings

"U. S. officials are working with Haitian authorities attempting to secure the release of twelve adults and five children with a U. S. based missionary group police say they were abducted Saturday by a gang notorious for killings kidnappings and extortion the western hemisphere's poorest nation is again struggling with a spike in gang related kidnappings and other crimes the streets of Haiti's capital were quiet and largely empty Monday as thousands of workers angry about the nation's lack of security went on strike the kidnapping of the missionaries comes just days after high level American officials visited Haiti and promised more resources to help reduce gang violence I Walter Ratliff

U. Haiti Walter Ratliff
Sinclair Broadcast Says It Was Hit by Cyberattack

AP News Radio

00:45 sec | 20 hrs ago

Sinclair Broadcast Says It Was Hit by Cyberattack

"Sinclair broadcast group says it suffered a data breach and is still working to determine what information the data contained the company said it started investigating the potential security incident over the weekend and identified certain servers and workstations that were encrypted with ransomware it also found that certain office and operational networks were disrupted data was also taken from the company's network the Maryland based company owns and or operates twenty one regional sports networks and owns operates and or provide services to a hundred and eighty five television stations Sinclair said it currently can determine whether or not the data breach will have a material impact on its business operations or financial results I'm

Sinclair Maryland
U.S. religious group says 17 missionaries kidnapped in Haiti

AP News Radio

00:44 sec | 1 d ago

U.S. religious group says 17 missionaries kidnapped in Haiti

"A group of seventeen missionaries most of them American including some children were kidnapped by a gang in Haiti Saturday the missionaries from the Ohio based Christian aid ministries were in Haiti building an orphanage according to messages they left with the other religious missions alerting them of the kidnapping the seventeen members were on their way back from the orphanage when they were abducted the missions field director had stayed behind at their base and is working with the U. S. embassy a senior U. S. official says they are in touch with Asian authorities trying to resolve this kidnappings are on the rise in Haiti since the assassination of the country's president gangs in recent months have demanded ransoms ranging from a couple hundred dollars to more than a million according to authorities I'm

Ohio Based Christian Aid Minis Haiti U. S. Embassy
 AP review: At least 13 auto safety rules are years overdue

AP News Radio

00:47 sec | 2 d ago

AP review: At least 13 auto safety rules are years overdue

"The pandemic has the federal agency in charge of auto safety struggles with the backlog of safety rules that are years overdue an Associated Press review of the national highway traffic safety administration's rulemaking activities under the past three presidents finds at least thirteen safety rules estimated to save thousands of lives past due these include a warning indicator to drivers a passenger in the backseat is on buckled that was to be implemented by twenty fifteen the agency has not had a permanent leader for the past four years and auto safety groups say president Biden should act on the nomination advocates worry the agency has lost focus and risks getting bogged down at a time of increasing road accidents and reckless driving during the covert nineteen pandemic Ben

National Highway Traffic Safet Associated Press President Biden
How Critical Race Theory Is Drenched in Marxist Principles

The Charlie Kirk Show

01:58 min | 2 d ago

How Critical Race Theory Is Drenched in Marxist Principles

"There was a group of legitimate marxists that left Germany came to America. They found a safe haven here. They believed in economic Marxism, so they believed in their own personal opinion, the abolition of private property, the rights of the workers, all these sorts of things, and ushering in a utopia, the destruction of the American family, and they realized that bringing Marx has been communism to America has proven to be rather difficult. And so a specific thinker, if you could call them that, but he was pretty smart, strong about everything. Herbert Marcus came, and he had a disciple by the name of Angela Davis, who is a black woman communist who lives in California still. She's 77 years old, and they believe that race is the most important thing. They believe that all power dynamics are not economic. It's not about character. It's not about who you are. It's about the color of your skin. That everything around you is racist and that we must do everything we possibly can to try to organize society try to upheave the white supremacist colonialist imperialistic misogynistic bigoted culture and try to usher in some sort of indigenous people, people of color type revolt. This is where you started to get terms like people of color, minority ethnic groups, soon after you've got affirmative action, admission standards in college, all these sorts of things that came through kind of post that era. And then in the 1980s, 1990s, there was kind of a cooling off period where the predominant viewpoint I was born in 1993 was that, hey, we're not going to care about skin color. We're going to care about the content of people's character. Martin Luther King said that famously in his address at the speech of the Washington mall, and that was something that was repeated many, many times, which is, hey, it's not good. In fact, it's racist to care about people's skin color to organize them based on ethnocentric tribes. Instead, we are all made of the image of God. We are complex human beings and your skin colors, the most immaterial part of you. In fact, that is a sloppy, lazy and dare I say divisive way to actually try and say, this is the most important way to even think about your fellow human

Herbert Marcus America Angela Davis Marx Germany California Martin Luther King Washington
Dozens killed in suicide attack at mosque in southern Afghanistan

AP News Radio

00:40 sec | 2 d ago

Dozens killed in suicide attack at mosque in southern Afghanistan

"The Islamic state group claimed responsibility for a deadly suicide bombing on a Shiite mosque in southern Afghanistan that killed forty seven people and wounded scores more relatives have laid the bodies of the victims to rest and called on the Taliban to protect them I said in a statement posted late Friday on social media the two of the group's members shot and killed security guards manning the entrance of the foot to my mosque in Kandahar province one detonated his explosives at the entrance of the mosque and the other inside ISIS news agency Amaq in a statement gave the names of the attackers who were both Afghan nationals I'm

Islamic State Group Afghanistan Taliban Kandahar Amaq
Superman Comes Out of the Closet, Gets Woke

America First with Sebastian Gorka Podcast

01:29 min | 2 d ago

Superman Comes Out of the Closet, Gets Woke

"I see we've triggered the libs. They can't stand it that I think having a gay Superman isn't the best business move. I guess they understand much better because they did so well with the work efficacy of Star Wars didn't they, and I dread the next Indiana movie. Oh my gosh, Indiana Jones. We shall see. But let's listen to the logic behind what they're doing. This is super van writer Tom Taylor on CNN. He's so excited about woke you find the most famous superhero cut in. And you said, man, if you're going to make a new Superman, what should that look like? And it struck me as it would be a real opportunity lost if we had another we had clock replaced by another straight white savior. So here was an opportunity to create a Superman who could represent a whole new group of people. And I think that was one that we had to leave them. And will be addressing modern day issues like. The climate crisis like refugees, John in the last issue has just been arrested attending a protest trying to stop the reform of asylum seekers. Yeah, who needs a white heterosexual superhero? I mean, that's not really what western civilization needs. And we've got to fight. The next super villain is going to be what the weather?

Tom Taylor Indiana Jones Indiana CNN John
US vows to pay relatives of Afghans killed in drone strike

AP News Radio

00:49 sec | 3 d ago

US vows to pay relatives of Afghans killed in drone strike

"The U. S. says it will pay relatives of Afghans killed in a drone strike in August Pentagon spokesman John Kirby said in a statement Friday the U. S. defense department will offer condolence payments to relatives of ten people killed in Afghanistan in an errant U. S. drone strike in Cabool on August twenty ninth the hellfire missile struck a car that it just pulled into a driveway of a family compound ten members of the family including seven children were killed the U. S. central command called the strike a tragic mistake Kirby says they're also working with the state department to help surviving family members relocate to the United States the U. S. military originally said it had targeted an Islamic state group facilitator but the Associated Press and other news organizations quickly reported that the driver of the targeted vehicle was a long time employee at a humanitarian organization Jennifer king Washington

U. S. John Kirby U. S. Defense Department Cabool U. S. Central Command Pentagon U. S. Military Afghanistan Kirby The Associated Press United States Jennifer King Washington
Climate Rioters Committed an Insurrection at Interior Department

Mark Levin

01:38 min | 3 d ago

Climate Rioters Committed an Insurrection at Interior Department

"Well ladies and gentlemen there was an attempted insurrection at the department of interior And I want to make you aware of it The Washington compost has reported on this Ellie silverman of course they don't call it an insurrection but that's what it was A department spokesperson said security personnel sustained quote multiple injuries on one officer was taken to a hospital Police and climate activists clashed yesterday during protests at the interior department With security personnel sustaining multiple injuries and one officer being taken to a hospital agency spokeswoman Melissa Schwartz said climate demonstrators were attempting to occupy the interior department with dozens entering the Stuart Liu main interior building on C street northwest Those who remained outside clash with police as they tried to keep the one unlocked door open At times protesters attempted to push past the police line The protesters were here for people versus fossil fuels 5 days of demonstrations by a coalition of groups known as build back fossil free That is included indigenous leaders from across the country The coalition's name is a nod to Biden's Bill back better agenda Now people versus fossil fuels send in a statement that 55 people were arrested during the protest including indigenous leaders and said police acted aggressively by using tasers on at least two people and batons to hit others A spokesperson for the federal protective service which Schwartz said responded to the protest to mitigate the situation Did not immediately respond to requests for comment on police tactics and arrests

Department Of Interior Ellie Silverman Interior Department With Secur Melissa Schwartz Stuart Liu Washington Biden Federal Protective Service Schwartz
How Democrats Rigged a Presidential Election with Mollie Hemingway

The Charlie Kirk Show

01:48 min | 4 d ago

How Democrats Rigged a Presidential Election with Mollie Hemingway

"But kind of walk through some of the things that you found in researching this because this is one of the most under research topics in the history of news. You have the entire news media just not just uninterested, but they're invested in making sure you don't talk about it. Exactly right. So one of the things that I think is very interesting is that the same democratic operative who ran the Russia lie. That was the lie that Donald Trump stole the 2016 election by colluding with Russia. His name is Mark Elias. He was at Perkins cooey which is this big democratic firm. He recently left to start his own firm at more money and have more power and control. And he was the one that funneled the secretive Russia lie. That was where Hillary Clinton paid for opposition research. It was just inventions, lies, that Donald Trump was planning to steal the 2016 election and that he did steal the 2016 election. They actually have kept it going, this entire time. His name is Marc Elias. He's also the guy who ran the democratic operation to change all voting laws leading up to the 2020 election. And that meant different things in different states. So that could be about watering down the integrity of mail in balloting, that could be expanding the period of time in which you vote so that you're not really sure how many people voted or when they have to get their ballots in by. And he has this array of different groups that he works with, whether they're democratic operatives or nonprofit nonpartisan groups that are actually just kind of arms of the Democratic Party, who would have them file lawsuits. And so it was just this wide ranging operation to weaken the integrity of the election system. And because of COVID, you know, this is something that he had been wanting to do for decades, but because of COVID, suddenly all these judges or other people were more amenable

Russia Mark Elias Perkins Cooey Donald Trump Marc Elias Hillary Clinton Democratic Party
Caller and Mark Levin Discuss Gender From 'American Marxism'

Mark Levin

01:55 min | 4 d ago

Caller and Mark Levin Discuss Gender From 'American Marxism'

"I am I'm in chapter four of American Marxism I'm actually in Chicago I listen to it on tape in my office so turn several people out to it which is great because they're all very liberal where I work But I love I love the way it really meant something to me the way you came at the gender issues in American Marxism Because it made me realize something I grew up ten to 70s high schools in the 80s era When I was ten 11 years old I played ball with the boys I could hold my own And then puberty hit they got big and strong and I'd say to anybody Right And it really made me mad They're gonna tell that girl that she's a boy trapped in a girl's body and go take steroids and mutilate yourself I don't destroy my life Now I'm an adult woman and I have children I have a husband I have a nice house I would have destroyed everything because at 11 years old I wanted to throw a temper tantrum because I couldn't hit the ball as far as the boys that I played with the summer before And you'll notice in that chapter this is being pushed by the United Nations It's being pushed by all kinds of radical groups It's now in our school systems You have elementary school children learning about this stuff Elementary school children It's unbelievable You know what are these kids going to do I mean we're seeing anger now from these people Let's say let's see how the Democrats conduct themselves in Virginia if they're just going to vote party line which they tend to do Not given a damn what goes on in their schools and all the rest of it They slobber They go to the voting slobber Who's dynamic Terry McCall good

Chicago United Nations Virginia Terry Mccall
Byram gets first NHL goal, Avalanche beat Blackhawks 4-2

AP News Radio

00:42 sec | 5 d ago

Byram gets first NHL goal, Avalanche beat Blackhawks 4-2

"The avalanche scored three times in the game's first nine minutes opening their season with the fortitude decision over the Blackhawks that early advantage made things easy for netminder Darcy Kemper who made thirty two saves in his Colorado debut a lot of fun to finally play a real game of this group sh you know a lot of talent in this locker room so it's fun to be a part of them are always fun to have to start off with a big win with the season I'm just going to keep building now Jack Johnson Gabriel Landeskog and Bowen Byram each beat Marc Andre Fleury to give the avs the early three nothing lead well Nazim Kadri added a fourth goal in the second period much to the delight of the sellout crowd at ball arena Bruce Morton Denver

Darcy Kemper Avalanche Blackhawks Gabriel Landeskog Bowen Byram Marc Andre Fleury Colorado Jack Johnson Nazim Kadri AVS Bruce Morton Denver
 Film TV workers union says strike to start next week

AP News Radio

00:32 sec | 5 d ago

Film TV workers union says strike to start next week

"Hollywood crews are threatening to strike studios are at odds with the union representing film and television crews which says it's sixty thousand members will begin a nationwide strike on Monday if it doesn't reach a deal a strike would bring a halt to filming on a broad range of productions union leaders say catching up on production is delayed by the pandemic is resulting in worse working conditions union members say they're forced to work excessive hours and are given reasonable rest or meal breaks and that the lowest paid crass get a livable wages a publicist for the group representing the studio's Gerry Gonzalez says

Hollywood Gerry Gonzalez
Mark Zuckerberg Spent $400 Million to 'Improve' Election Infrastructure

The Eric Metaxas Show

01:56 min | 6 d ago

Mark Zuckerberg Spent $400 Million to 'Improve' Election Infrastructure

"There folks I'm talking to Mark. Hemingway, AKA Molly Hemingway. Mark, you mentioned Zuckerberg. He spent 400 million dollars to do something. The question is, was that wrong? Was that illegal? Can we blame him? What went So, in this case, Mark Zuckerberg spent in excess of $400 million on what was supposed to be improving the election infrastructure in America. Ostensibly, these were largely COVID grants like they were supposed to be going to the pay for PPE for election workers and things like that. In reality, he funded this money went through liberal groups where there were strings attached. And all of a sudden these liberal groups, this wasn't just like outside spending or liver groups were going in to try and have an impact on election. These people were embedded in election offices with public officials that were supposed to be bipartisan or non partisan. And as a result, you know, Zuckerberg's own people, essentially, we're doing everything from designing ballots to having access to state voter data is this illegal. No, and that's the crazy thing about it. This is like so insane that anyone would have tolerated this that no one ever even thought to pass any laws against it. You know, right now there's a bill in Congress, for instance, where they want to stop the private funding of deploying of National Guard troops at the border, which is something a bunch of rich people in Texas did recently. And I think there are, I agree with that. I think there are certain functions that are so important that should not be funded privately because of the risk of tainting them. And this is a classic example of that when but Democrats and by the way, this money was by Mark Zuckerberg was deployed in such a way that was extremely partisan, for instance, you know, Trump counties in Pennsylvania received 59 cents in Zuckerberg money per voter, whereas, you know, Biden counties averaged 2.85 per voter in terms of the money they got from

Molly Hemingway Mark Mark Zuckerberg Zuckerberg Hemingway America National Guard Congress Texas Donald Trump Pennsylvania Biden
Your Kids Aren't Safe Consuming Tom Taylor's Comic Work

Mark Levin

01:56 min | 6 d ago

Your Kids Aren't Safe Consuming Tom Taylor's Comic Work

"You've never heard of Tom Taylor either Tom Taylor is a writer for the new Superman comic book To new Superman comic book And he's very proud of what they're going to be doing with Superman now Isn't Superman Marvel Comics are my wrong about that D.C. I'm sorry DC Comics That wouldn't be marvel That's right And I think what this will demonstrate is your kids aren't safe watching anything They're reading anything You got to be very careful what you introduce them to The sky Tom Taylor is on CNN Why Because CNN likes what he's going to do What's he going to do Well let's listen Here's Tom Taylor Cut 18 go And I think the first question I had to ask myself was what does Superman what should Superman represent today And you said man if you're going to make a new Superman what should that look like And it struck me as it would be a real opportunity lost if we had another We had clock Kent replaced by another straight white savior So here was an opportunity to create a Superman who could represent a whole new group of people And I think that was one that we had to leave them And we'll be addressing modern day issues like The climate crisis like refugees John in the last issue has just been arrested attending a protest trying to stop the refound of asylum seekers He kept us 45 minutes of hard time is how he puts it But as a stand it's a very powerful thing Is it Superman going to be bisexual did I hear that too mister

Tom Taylor CNN D.C. Kent John
The Iron Triangle: Whenever You See These 3 Things, Run for the Hills

The Dan Bongino Show

01:22 min | 6 d ago

The Iron Triangle: Whenever You See These 3 Things, Run for the Hills

"To those whenever you see these three things three things run for the hills it's a trap It is a trap It's a hallmark of a trap Every single time Whatever you see the iron triangle at tip Fred Siegel in his book revolt against the masses Run for the hills The mountains the ocean anything just get away from where you are It's a trap And here are the three things and this is why the Facebook whistleblower thing was so obviously a scam When you see activist groups this is the iron triangle Congressional committees and the media all pushing the same narrative it's a trap It's a scam Thank you admiral It is a trap This is how the left advances BS nonsense gaslighting narratives and a bunch of anti liberty anti freedom crap And somehow swamp brats always fall for this crap Think about it right The iron triangle I'll get to the Facebook thing and say and how the iron triangle was all over this He had the media 60 minutes Congressional committee you saw that And then you had activist groups fake fact checkers and everything trying to get conservatives banned from Twitter Hit it all the home of Twitter and Facebook And at all the hallmarks of

Fred Siegel Facebook Congressional Committee Twitter
Advice shifting on aspirin use for preventing heart attacks

AP News Radio

00:44 sec | 6 d ago

Advice shifting on aspirin use for preventing heart attacks

"Advice on aspirin use for preventing heart attacks has changed a bit an influential health guidelines group now says older adults without heart disease should not take daily aspirin to prevent a first heart attack or stroke the draft guidance posted online by the U. S. preventive services task force backtracks a bit and puts the panel more in line with other medical groups the recommendations explained bleeding wrist for adults in their sixties and outweigh any potential prevention benefits from aspirin it's different for adults in their forties though the panel says they may want to consider taking daily aspirin if they have no bleeding risks since there is a potential small benefit I actually out there

Heart Attack U. S. Preventive Services Task Heart Disease
Climate activists call for investigation of Bolsonaro

AP News Radio

00:54 sec | Last week

Climate activists call for investigation of Bolsonaro

"A group of climbers lawyers he's calling for the international criminal court to launch an investigation into Brazil's president for possible crimes against humanity over his administration's Amazon poses legalize group has filed a dossier with the global court alleging that giant bowls and all rose administration is responsible for a widespread attack on the Amazon its dependence on this defenders that affects the global population since taking office Bolsonaro who's in college development within the Amazon and dismissed the global complains about its destruction as a plot to hold back Brazil's agribusiness the lawyers cool comes less than three weeks before the U. N.'s twenty six climate change conference of the parties known as the cop twenty six which starts in Glasgow Scotland I'm Charles de Ledesma

Global Court Rose Administration Amazon International Criminal Court Bolsonaro Brazil U. Glasgow Scotland Charles De Ledesma
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

07:15 min | 3 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"And seven she enjoys treating a wide range of stickler disorders especially concussion of this tubular migraine. Her clinic has been seen patients via tele help. Since two thousand seventeen. Sarah received her competency certification from the emory university in atlanta georgia and american physical therapy association in vestibular rehabilitation in two thousand and nine in addition to her clinical practice. Sarah is a member of the leadership team of the vestibular special interest group through the gi. Sarah has presented both locally and nationally on various topics including stigler therapy in telehealth. So sarah the last time we had a discussion about telehealth was in december of two thousand eighteen. And there's been a lot of changes that have occurred in telehealth sense son which is leaving us to have bring up in did discuss the topic again. Also sarah is part of the telehealth certificates series. That has been produced through the ti in his available for people within abt learning center. So sarah welcome and can you tell us a little bit about the health certificate series in particular the stickler elective so like you said a lot has changed in the last year since we last spoke and the pandemic kind of really accelerated the need for all physical therapists to get some training until so the telehealth certificate series is really where Therapists can get the latest and greatest information. He'll learn about ethics. You'll learn about regulations implementation latest research. We now have of a similar and neural active. So you need to take the six core courses and then that he thinks pick and choose your elective of which there are six electives. Currently they will be adding more electives from time to time based on need and where there's gaps But right now there are. There is a similar and neural. Elective out there. That participants can take. After the six core courses. The really appeared to lean telehealth. You should take this course the ap to send a great job playing together experts. Who have been doing this for a long time. Experts around the nation All different settings to really develop really really great carson i. I'm looking forward to people being able to think it sounds like a really great resource for people out there who are going to be practicing in this manner so to start us off. Tell me a little bit about some diagnosis that you feel To treat through telehealth and some pre pandemic we kinda limited what we are treating the how we with folks that were coming from far away. We wanted to offer high quality access now high-quality to stipulate care to those who are close to our clinic the pandemic really kinda forced us to say you know. Some therapy is better than no therapy so we started really seeing any diagnoses that we cut to get patients in. We had to get creative and try to treat as many patients as makeover over telehealth. Certainly those who are out of forests we. We tried to ask to come into the clinic. we did see some patients with fee was kinda either. Do this earth and urgent care which nobody really wanted to do. That was still a pretty small percentage that we did treat for vp tv over. Tell health we did have success but currently that's probably diagnosing that we really want patients to come into the clinic so we have gone back to some of our pre pandemic protocols which includes seeing those with with ep those at a fall risk and those who need manual therapy and play the fall risk is something that we can work if if patients have a caregiver at home and depending on their level fall risk that we can work with a little bit but otherwise gone. Back to some of those those protocols if if balances heavily involved there the cervical spine. It's heavily involved. We'll we'll think about that. But really i'd vestibular. Therapy is typically pretty hands off so we've got a good patient population that we can see telehealth. I feel like three is a diagnosis. That truly benefits from telehealth fees. Patients have a tough time driving to the clinic and sometimes the time they get here. They're so busy we can't do a lot so those are patients we might actually from push to telehealth versus in person especially when we're starting off and same with the severe migraines one thing i've learned through the pandemic is nice really see patients home. Set up where they're doing exercises in modifying what we might give them at home based on their home set up in their home setups contributing to any other issues as well. So sounds like there's definitely some areas that you may not want to treat through health and Other areas at be probably benefit to the patient. Treat that way so from like a screening standpoint. When you're you get the referral for a patient to come in for an evaluation like how do you. How are you making that determination to all your patients come in to see you for initial about first and then you scream in figure out who's appropriate for their or do you do it before they even come in right now. So we again. In the pandemic we are seeing some patients for evaluation through telehealth the only streaming we were doing is asking about technology than did they have a good disabled wi fi device. The camera a space at home that has a corner to corner for safety purposes. Set free from clutter and then do they have a hallway slogan kind of our our real basic minimum requirements and. Then we get on this session really have to kinda take it step by step. So we'd a lot more cautious with our evaluation telehealth than we were in person. Like for example. I might just make sure they could even go sit to stay out safely before. I'd even think about testing any standing static balance for here. I'm kinda guard right into my traditional testing measures I might only do a four eight. Bgi over telehealth eve l. Were here. I do in my clinic. Dutiful digi i've currently though we're of back to our motto. Where we really want them to come in for an interest in evaluation so at our clinic in the twin cities we do see people from all over the midwest And we encourage them to come in for the evaluation and then up for telehealth or for a hybrid model that really doing any formal screening ahead of time at the current moment. Mostly seeing patients you know in person first and then just determining from there who's appropriate or would ask from treating through help telehealth definitely so. Do you have patients who are you know. Because they may be feeling well not welling travel. Distance are some of them. Were blocked it to come in in to the clinic for an evaluation and then do you find any barriers to using.

Sarah vestibular special interest gr sarah stigler abt learning center migraines american physical therapy asso emory university atlanta georgia carson ap Bgi midwest
"group" Discussed on ANPT Stroke Special Interest Group

ANPT Stroke Special Interest Group

01:46 min | 6 months ago

"group" Discussed on ANPT Stroke Special Interest Group

"I this is pierce boeing. The new digital media editor for the journal of neurologic physical therapy. I'm excited to welcome you. To the second episode of author interviews from the journal of neurologic physical therapy performed by special interest groups of the.

"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

05:55 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"Just probably two or three days ago. I have been seeing this patient. Who refuses to see anyone. she's she has had asper her diagnose as an intractable migraine without aura and she has had migraines as a child. And she's in her late sixties now and She said this to me. She's like i go anywhere. They make me more dizzy. And i just don't wanna do it anymore so That was that was a red flag for me. And i was like okay. She's someone we need to really start from scratch from the bottom but there was a very interesting thing She mentioned and it came across my mind. And i thought. I'm speaking with you. And i'll probably ask you this question. She has been extremely sensitive to light throughout her life but now she has been getting a little bit more sensitive to light and i Randomly answered the question of she has cataract so she does have cataract but they're not ready for surgery yet. Have you come across And hypersensitivity in people if cataract if they have cataract or like Things like that. Yeah so this is a very important point when caring for somebody with the subaru migraine. Vision is the key word here. You must be very aware of their visual abilities. And whether or not they have any vision diagnoses. May you mentioned cataracts. That's of course very common in older individuals but even in younger individuals were seeing people who are wearing contact lenses and they may have unusual. Contact lenses like bifocals. Contact lenses hor one near lands in one farland's we also were seeing patients who have progressive lenses And these progressive lenses multi. Focal lenses can be particularly challenging or obviously patients but in but especially for patients with migraine and In this patient you mentioned it while it's true that Early cataracts can be problematic particularly people who have sensory sensitivity I also would one know whether or not this patient has any visual issues. Such as are they wearing multi focal lenses or say are okay and then is there any strong business or oculus alignments now okay. So soon as i see a patient who's older with the her migraine. I sort of break the bad news to them which is in my opinion. They should be wearing multi focal lenses. And of course it's bad news because they look nice and they're expensive and if patients already have them they like the way they look and they don't want to buy new ones but I think it's really important to have a conversation with your patients about their vision. Multi focal lenses are challenging. Because they're only infocus more or less in an hourglass pattern and upper right and upper left. Gaze is blurred by design. That's the way they're designed and.

migraine farland
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

05:24 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"And helping with medication manage. We're unfortunate that in pittsburgh. We have a very close relationship with our physical therapy network and they have access to the scene medical record that i do and almost every day. I'm getting a note from physical therapist. Who says i saw one of your patients. And there's this issue often medication related. That's their medication. Needs to be adjusted or we need to find a different medication and It's really Very much a team effort so the more the physical therapist understand about the different medications that are used the better I understand that some physicians aren't as welcoming of input from physical therapists as other physicians. But i'm not one of those it's for me. It's it's a team. I'm just one person on the team and I actually rely on the physical therapists. I'll sometimes put in a note. I think the patient might benefit from medication. But i wanna see how they respond to physical therapy. I and that's sort of coded message that when the physical therapist reads that. They know that they're on the alert to see how that patient is doing and to help decide whether or not we might want to start. Medication does is very uplifting to know that The have physicians who are in close contact with physical therapists. I am very lucky to be in one of the teams where my physicians rely on my input and whenever things change They are more than willing to see the patient again and Modify things or guide me. And what i can do further But i understand. And i agree with you. Not everybody's lucky and We don't always tend to get the patients from one particular relativist and challenge can be meant But i've i've noticed that in my practice It's just the way we approach. Sometimes if we approach the problem and we seek suggestion from the neurologist. They're usually kind enough to like take a consideration. But at times i agree. It can be extremely challenging now. You have been working very closely with your physical therapy team at pittsburgh. When do you usually recommend patients with migrant to begin rehab or Dad group of patient population..

pittsburgh
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

05:43 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"Almost always we help people even if we only tell them. What's wrong with them. It helps because then they're not worried they have something else and they stop looking around for somebody to tell them what's wrong with them so I think we always help some. What as you point out there are some patients who we help more than others and But if a patient comes in. And i tried The diet supplements in various Pharmacologic agents and. I'm still not really getting ahead of it. I often consider that something else is going on either a different medical diagnosis that that i missed that is stipulated disorder that i've missed or a psychological component such as an anxiety disorder. Or what's more recently been Described this persistent pastoral. Perceptual business triple p. day. Were increasingly aware that this triple p. d. exists and in my patients who really are responding appropriately to vestibular migraine. I always try to think of something else. I missing rather than just say well. I'm sorry this is your diagnosis. But i really can't help you. It's very good to know That we continue to give hope to our patients moving from that. Have you seen these patients. Use these medications for a very long time over their life course. This is a good question When i tell my patients is is just the opposite that it's most unlikely that they will require medications. Long-term now i tell them. It could be months or even years but in my experience. It's extremely unusual that a patient is maintained on an anti migrant us Pharmaceutical agents for snippy their migraine for. Let's say ten years so some very long period of time. Just it's just not the nature of the condition. We mentioned earlier that that the condition is seen five times more frequently in women than men and one of the.

anxiety disorder migraine us
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

04:04 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"With this disorder that is reciprocated migraine. One of the things that i like to do and and this too is is controversial. Because there's no literature about it is. I like to ask my patients to avoid triggers and their certain food triggers that i found with my patients to be particularly helpful to avoid things like caffeine red wine problems aged cheese with tyrrhenian artificial sweeteners. Artificial colors and i ask my patients to avoid those things. It least as part of an elimination diet for some period of a couple of weeks. The makes a difference. Because i have a patient who's Consuming energy drinks or lots of caffeine. Sometimes i can have them stop that. And then they feel better. And then i've avoided giving them medications the other intervention that's controversial or supplements now magnesium is considered an anti migrant ac- agen As is rival flavin and coenzyme q ten many neurologists prescribed these for migraine. You look at the literature. Are we certain that they work. No but it's my practice to ask my patients to consider taking these supplements along with Modifying their diet and other lifestyle Issues that may arise particularly sleep We haven't mentioned sleep but The role of sleep is becoming increasingly recognized in vestibular disorders and particularly in migraine. I find if i have A healthcare worker Who's on doing shifts That's the most common That can really be problematic for patients with libya migraine So non pharmacologic remedies. Always what i try. I i did i do share with you. the use of Lifestyle diary and i have been giving that to my patients. I had one patient was interesting. She was using this certain dressing in her salad and had asked her to put a diary. She's like yeah. I said biden to dig that out and just switched her different Providence olive oil for now and it was very interesting. She stopped the dressing and her migrants improved so Do just like my readings and like you have shared we. We continue to share that with our patients and It's always good to know as a physical therapist that there are certain Things that are non pharmacological and we. If we don't suggested the patient at least we can discuss it with our md's and They can decided further. I also wanted to ask you. Do you find a spot migraine intractable. Unfortunately there are patients who we don't help as much as others Intractable you know. Has its own meanings.

migraine libya biden Providence
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

02:55 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"These patients for a certain amount of time. dr ferman. oh definitely. These are the patients where we try to get the note and understand what their problem is asking the keep a diary of how often they're getting their symptoms and which symptoms are getting especially if we start them on treatment for nine years disease or for migraine or both And then we try to see them every several months to adjust their medications and see how they're doing. You've taken us to our next segment. That is Intervention so once a diagnosis established What are the different kinds of interventions that are initiated If you can differentiate between an acute to a migraine versus more Between the episode of interventions. I provided that that time. Yeah the treatment is This is a challenging copper. And you know why. See many patients with this disorder. And i say well this is what you've got and of course they go. Well thank you. But what are you going to do about art. And there's so much variability you've mentioned acute and international but there's a lot of room in between those two because some patients can have hours or even days of sin that come and go. Sometimes people come in and they save for weeks at a time. I just don't feel right so you have to adjust the treatment depending on the time course and severity of your patients complaints and the easiest detroit really or the patients with well defined acute time limited symptoms because you can give them of snoopy they're suppressant or anti nausea agents and they're less miserable for a few hours and then it's okay and then make a decision as to whether or not to put them on preventative medication. They're having several episodes a week. Of course you seriously consider it. And if they're having one or two a month then you're probably not going to put them on prophylactic medication So you really have to tailor the treatment to the individual patient.

dr ferman migraine detroit nausea
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

04:03 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"To ask you about manila's of migraine. They are very difficult to differentiate specially in the early phases. I read somewhere where it mentioned that. Especially if you see someone. In an early phase both of them You cannot differentiate patient me have near estimate migrant but the presence of audiometric tests Usually points towards meteors too many talks on that so that is true now. We did a study many many years ago and found that about ten percent of patients with vestibular mike grain have tennis Were some other minor hearing complaint but if we already graham what a patient and they have a low frequency sensory neural hearing loss. That that's what we think of as many years disease and i don't think anybody would argue that those are the kind of patients who might have both conditions but certainly have been years disease more often than not receive patients. Who have normal audio graham audio grams and we think well maybe they still have a menuires type. Picture may be the only miniere so it's not officially manure z's but it's menuires disease varies and this is very controversial And as you point out early on It can be absolutely impossible to differentiate between these two conditions. And what i tell my patients is or anything is the truth. Which is you may have many errors. That looks like migraine. you may have migraine. That looks like miniere's or you may have both in which case some of your attacks on the years of ex- and summer migraine and it's even more complicated. Because in some patients with migraine maybe not even smaller migraine when they get a many years attack. It acts as a migraine trigger so they ended up getting a migraine attack. Excuse me many years attack and then suffer from a migraine so it it can be very confusing and what i often do is used treatments. That make a diagnosis Now there are some new types of imaging that are becoming available particularly in some asian countries to image the inner ear and look for physical evidence of endo lymphatic hydrates which is the underlying pathophysiology considered for years disease but though scans are not readily available everywhere and they're still controversy as to how they should be interpreted so now we have two diagnoses that as many as disease in vestibular migraine that are primarily. Aside from his. I mention some patients with a low frequency censoring hearing loss on an already graham. And if you have to disorders and they overlap clinically possible to tell one from another. Do you tend to follow.

migraine mike grain graham miniere manila migraine attack tennis vestibular migraine
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

03:12 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"And I would like to ask you this question. If some of these Auckland motor signs like an a stag mus present inbetween do attacks off Basra migraines That's very interesting patient. You're presenting and you brought up an important point which is that vestibular migraine and other Their diagnoses are not mutually exclusive. And in fact what we know is that dual That that is to diagnoses two different distributor diagnoses in the same patients Is fairly common. You mentioned the patient who had either migraine and benign irks positional vertigo. Some patients have vestibular. Migraine and minneapolis disease. Another common overlap. And the other point that you brought up was the concept of what we call inter. It'll signs and symptoms that is in between attacks. Can patients have abnormalities on their physical examination or mild symptoms that they would not categorize as an attack but would still be present particularly with certain head movements and the obvious answer is yes. I mean you saw patient with that and frequently. When i'm seeing patients almost always in fact they are not in the midst of a vestibular migraine attack because of their having attack. They don't come to clinic that say if they don't feel well and yet despite seeing patients when they're not having an attack we often find laboratory abnormalities Particularly as you just mentioned positional stagnant that may be A symptomatic we also see abnormalities on rotational chair testing where patients have an asymmetric response. And we now know that vestibular evoked by jack potentials maybe bilaterally reduced not severely but still outside of normal limits So we see. The vestibule accurately reflects symmetry position on a snag mus possible central suppression of olympic responses and. These are all findings that we're seeing in patients with migraine in between the tax. Yes i think that adds to more confusion especially for someone who starting off new i wanted.

migraine Basra migraine attack Auckland minneapolis confusion
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

03:26 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"You test them. You might see a persistent rather than paroxysm l- position on the status. That might be low amplitude but again persistent and that might be related to migraine. that is miss nebula migraine. And you so much for bringing that up dr ferman because i was gonna ask you that because that is one of the most challenging things that i've come across man i am seeing my patients for be. Ppv and i have often seen that. Sometimes patients can have this underlying non fatiguing stagnant and sometimes it does fatigue and could be purely towards now and i miss A vertical component to it or patients can present for the pure horizontal stagnant and often leads to confusion in making a diagnosis tv. Or it's migraine. And i've had cases where they were being peavy and a migraine and they were two different sets of the segments that i saw i wrote a given example. I had this patient. She was diagnosed with to a migraine Two years prior to coming to me and She had migrants as adolescent and she was in her mid thirties and She presented with episode vertigo. Which would last just for a few seconds and she would get better and then she would have days where she was not experiencing any any vertigo. her go was not associated with the headaches. Now the neurologist todd was migraine. So as a result they would continue to increase her medication however it would not resolve her problem she came across somewhere that there was something called rehab and she wanted to try it she comes to me and i see an up beating left towards malysz diagnosis. So i taught was a left procedure canal Be ppv i treat her for that. It was complete failure. I see her again I still see the But this time. I'd try Dusting even in sideline test position And it was very interesting to see that it was during the sideline test on her left side that an up beating right torsion analyst agnes was and i could not provoke it in the dick salt lake position and it turned out that she had a right sided be. Ppv and i out of curiosity asked her to come back to me when she was fine and she should come back to me anytime she would like to and she came back to me about six months later she had no reoccurrence of peavy. And i just wanted to see if Another misdiagnose was present or not and was very interesting that aleph torsion and a stag moose and the patient was non symptomatic was present and did not fatigue and That has always confused me.

migraine dr ferman confusion dick salt lake headaches todd agnes
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

03:45 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"Who have a diagnosis of migraine based on the criteria. And then ask well what types of. I'm movement or vestibular laboratory abnormalities. They have so we can talk about that. Reflect that is if you look at a population of patients who have either migraine. What abnormalities might we see. But if you look at the situation in the opposite direction. That is okay. My patient has a particular abnormality that tell me. They have this nuclear migrant. That doesn't work. That helps a lot. So would you discuss later. Further on what would you see. In case we are differentially. diagnosing them from other conditions. We'll there are several disorders. that are relatively common. Mike benign positional vertigo in years disease. Even they've learned a riotous or what's now called mckee distributor syndrome and then there are more unusual conditions like some strokes Taxi as malformations. Are there many different diagnoses for patients with the stabler disorders. If we're looking for the common disorders testing for benign positional. Vertigo is fairly straightforward. Either they have The findings consistent with a post ear or lateral canal kilo vices canal if isis and we think okay that's what they have Herman years disease. There's a typical history And if there's an acute onset with a circumscribed course it's less likely to be distributed migraine one of the overlaps that i think is worth talking about. Particularly for physical therapists is positional dizziness and even positional misdiagnosis as mentioned earlier. One of the buehler symptoms. That can be seen in patients with migraine is positional dizziness and positional vertigo. And there's a term migrants positional vertigo distinct from benign paroxysm all positional vertigo the findings the physical findings are different in these conditions. Typically and the complaints are often different though. They may overlap. If you see a patient with typical up eating tour general time-limited magnus with the dick's hall pike maneuver. That's benign. perks. Is more positional vertigo. When a patient comes in and they're positional complaints are more nonspecific..

migraine mckee positional vertigo Mike Herman dizziness dick's hall pike
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

04:22 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"In those special brain scan Tests say this person has this person. So as a result we don't know precisely either the sensitivity or specificity of the criteria however the criteria were basically designed to be specific and not sensitive. That is if someone meets criteria. Based on the barrena society scheme they almost certainly have very little doubt however if someone does not meet these criteria they may or may not have distributor migraine. There's a category of probable distributor migraine. That's out there where they meet some of the criteria but not all of them. And i know in my practice. I see patients where i think nuclear migraine the most likely diagnosis. But the patients don't meet criteria because they haven't had enough episodes or they migrants features aren't prominence so one needs to have a high suspicion of distributor migraine and realize that even patients don't meet the criteria they still might have the disorder. Now you said we don't have lab tests send when we initially are seeing patients retaking the history now are any specific clinical signs that can help offset densify these patients. Are you Personally sending any of these patients for any vessel exams like via de exams or do you primarily rely just basic clinical exams auckland mortar signs and history. So as mentioned one of the criteria in the diagnostic scheme is that the patient's condition is not better explained by another disorder. And that's where laboratory testing comes in primarily snippy their laboratory testing and imaging. There's a lot of overlap in disorders regarding symptoms that is in vestibular disorders and performing or the metric testing. Still be there laboratory testing brain imaging or these have to be done thoughtfully and their main purpose is to identify other disorders that is disorders other than vestibular migraine. That are causing the patient's symptoms. Now you mentioned signs of course by signs when physical findings and there are no signs in the diagnostic criteria. You'll notice that they don't talk at all about the snag. Mass or mandatory test abnormalities and in my experience physical examination including looking for stagnates does not reliably help.

migraine vestibular migraine
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

03:43 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"A certain racial or ethnic group is more likely than the next. As far as now to develop migraine or vestibular migraine. Migraine's has been considered to be a head disorder and we do need a migraine underlying migrant. Do a diagnosis for vesper migraine. So if i understand correct that means people who will have migrated will also have a blow to have this as a henry disorder. You say is a headache disorder as headed etry. A ready so yeah. The hereditary factors here for for vis neither migraine. A really complicated. The genetics of migraine in general are complicated. What i tell my patients is that there isn't a single gene that causes or prevents you from having migraine or migraine and everybody of course is Product of the genes that they get from their from their parents so It's actually quite confusing. There seems to be some relative risk if somebody has a family history but it's quite frequent to see someone with distributor migraine. Who has no family. History whatsoever of migraine migraine and this seems to be especially true. If there is migraine on the The paternal side because the Because then may not manifest migraine as readily as women so if the genes coming through the paternal side there may be no family history And yet the patient still has the vestibular migraine. So it's a factor. I always think a family history. I'm always interested in it It can with diagnosis and and sometimes with treatment to know about family history but the The genetics are relatively unknown and uncertain data fervent. You have been doing and you've been seeing patients of this for a very long time now. Does the baroness society criteria for restaurant. Migraine identify patients while or there. Are these subset of patients in whom we may fail to identify. I know you mentioned earlier. It's it's difficult but some patients but how strong lead does the the joint a consensus statement. That came from both. I adjust barish. Society hold true for vascular migraine. So another good question. Let's talk about sensitivity and specificity. That is how good are the cry at making a diagnosis in someone who has it. And how certain can we be that. When we make a diagnosis they actually have it. Well there's no gold standard for vestibular migraine. It's all clinical. Because there's no laboratory tests no blood test.

migraine vestibular migraine Migraine's headache disorder barish vascular migraine
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

03:48 min | 10 months ago

"group" Discussed on ANPT Vestibular Special Interest Group

"Another good question they are theories and speculations about the pathophysiology of the stimuli grain. There's some research But obviously we more you mentioned vascular. There was pray prior to Recent thinking the concept that migraine headaches were vascular headaches but more recent Literature suggests that migraine is not a vascular disorder. It's a neuro disorder that has effects on electrical activity in the brain and one of the theories regarding the pathophysiology of this libyan migraine. Is that circuits. In the brain stem primarily that are important for migraine. Start to affect the balance circuits as well as the pain circuits In the central nervous system. There's something try. Jim vascular reflex which has to do with pain pathways in menendez and the fifth nerve trigem anal- nerve system there are well-known connections between stimuli pathways. And these paint circuits. There are two neuro chemicals that seem to be particularly important and these include europe navarine and sirott wrong five hour trip to me and via these two neuro chemicals. It appears that there are connections between the pain pathways and the vestibular pathways in patients. Who have mr bueller migraine. And are there any groups that are more susceptible to getting to a migraine or all ethnicities male female. They have equal chances forgetting a migraine. Another good question. So let's take what we know. I which is that females have a five to one likelihood As compared to males of developing vestibular migraine so fifteen percent male Approximately in the other eighty five percent are female so obviously In your clinic. You're going to see a bar for a larger number of females with the stipulation migraine than males. But that's where the data sort of ends we don't know about Ethnicity as a factor and So an you know in my experience personally and talking to other people I have never.

migraine vascular headaches vascular disorder Jim vascular mr bueller menendez europe
"group" Discussed on ANPT Balance and Falls Special Interest Group

ANPT Balance and Falls Special Interest Group

01:34 min | 11 months ago

"group" Discussed on ANPT Balance and Falls Special Interest Group

"Every session with my balanced patients is. What are you still struggling with at home. Making it very salient mike. What are you still having trouble with. What is causing you issues. What you not feel safe doing and then working specifically on those tasks because that makes it mean more to the patient than just. I'm gonna tap my foot on each cone and then step over it which i love intervention and do it quite frequently but You know if someone's like really hard ten going down my step in the garage will. Let's work on getting up and down curb or I have a hard time picking off the floor. So does do that repeatedly until i feel comfortable as opposed to just going through the continuing guessing on what Their balance needs so really. Having those spending the five minutes game the session really figure out what is causing that balance that the post to rushing right into treatment intensity matters but it also to be salient in order to make them want to do at home if it is intervention And i don't think enough people tell people the contract their course when they're doing balanced training if their core is not tight. They're not going to be stable so i've definitely taught my students in My pt and specifically how to teach an older adult who has no idea where call a motor more on get-out contract their core Says something to practice with your anything else alright. So with that. I was last in. So we're in a repertoire podcast. Thank you for listening to this interview. Brought to you by the balance and both special interest group. For more information on our special group or the academy of neurology. Pt please visit www dot neuro phd dot org..

mike academy of neurology
"group" Discussed on ANPT Balance and Falls Special Interest Group

ANPT Balance and Falls Special Interest Group

03:15 min | 11 months ago

"group" Discussed on ANPT Balance and Falls Special Interest Group

"The leadership of the balance in the fall. Special interest group conducted by myself. Jillian mclean and we're going to discuss Our goals as a special interest group for next year kind of introduced ourselves on who. Your leadership is. i'm going to start by having our fearless leader. Deborah introduce herself and what her rules are currently in how she got herself year. I own my. Pt education was at the medical college. Virginia which is actually now called on virginia commonwealth university. I worked for eighteen years at a major regional medical center in chicago. That allowed me to also work on my phd movement. Sciences was working on a been a part of an academic faculty for the past ten years. While i was working clinically in chicago. I worked in almost all settings in practice areas. But my focus was neuro rehab and that included Assistive technology might research now is in reactive balance stability balance exercise. Dosing it intensity. I'm also part of a research centre with our engineering college. That focuses on human machine systems to promote health and to further rehabilitation wonderful. You're not busy at all. So kind of view are the president of what would you like to contribute to the pd professional world. I would love for the sig and the members to be more conversational to be more of a two way communication. I'd really like for us to be able to provide resources to summarize current evidence to communicate changes in practice guidelines and to link clinicians and members with each other into the resources that are available out there but i also really like to have clinicians provide feedback to us on the ups and downs of the implementation of those guidelines in the best practices and to inform the translational efforts. That need to happen. So that that information can be taken both back to the the n. p. t. to the into researchers in the field it'd be a pretty great color there anything that we have started or kind of on the pipeline to come out to help start accomplishing some of these goals. Putting together a sort of two year plan to each quarter several quarters in a row tackle a certain aspect of balance balance and falls are interesting because they cut across all of the neuro practice areas and for that matter just geriatrics in general and other practice areas. So we'd like to Break down a little bit. The different aspects of balancing falls research training clinical practice efforts. That are out there. Everything from Screening assessment examination intervention reactive proactive on prevention resistance..

Jillian mclean chicago virginia commonwealth universi Deborah Virginia
"group" Discussed on ANPT Vestibular Special Interest Group

ANPT Vestibular Special Interest Group

08:59 min | 2 years ago

"group" Discussed on ANPT Vestibular Special Interest Group

"Paul was awarded a dsp by the university of chicago. He has published three books. And more than three hundred scientific papers and book chapters and is on the editorial boards of frontiers in urology neurology frontiers in neuroscience and frontiers in psychology the journal of still research and or nasr and larynx. Paul's main research interests. Lie in the effects of this function and stimulation on higher cognitive function especially the hippocampus also cognitive motor interaction in the strike them as well as the mechanisms of tinnitus. He's also interested in the application of multi buried and dating mining analysis to the best research. Hello and welcome professor spent. Hello thank you for having me so It's a very deep Near a science topic about hippocampus and it's There's more and more research to it so What is this connection about the dysfunction and cognitive deficits from from the nineteen sixties There were many animals studies published. That suggested that the stimulus system because of its role in detecting head movement Strictly speaking hick celebration was important in telling the brian Where the animal wasn't embalmment. And then in the light ninety nine. He's the first type is republished which suggested that that people the of dysfunction exhibited certain cons of coveted deficits colored distance related to special memory. Now they're may may studies published There's a wealth of data to shy. Stiegler dysfunction seems to be associated. Special memory jettisoned in particular. Now why is it so important to understand this connection as rehab specialist. Well i guess there. There are two nine reasons. The first is that the spatial memory deficits the distributor patients have an and other public services. So they might have as well My actually would rebuilding process that the specialist is trying to conduct You know for example if someone has trouble with special education than than some of the the rehabilitation exercises might be victim by Their inability to to navigate Accurately and even the time into motion about the special environment. I guess the other thing is that that evidence that stipulate rebuild itself can actually benefit cover deficits That occurs as a result of stimulus. Dysfunction in addition to benefiting visuals instability and and And postal services. Now i've been speaking about this evidence For cognitive changes are there any particular studies that are very strongly towards Telling us about These deficits that are present and mentioned specifically to their two papers. In general scientific reports published in the last few years The first one was by log and colleagues published in two thousand seventeen and i actually studied for opie subjects so they were ice between nine hundred and sixty five and like i said these were people who had noticed also just stipulates function but like i've been balanced training for about twelve weeks and they found that compared to a control group that have had relaxed version Trying to not only the group that has the balanced training actually shows and enhancement of special commission. That's one study and another study which was patients with intractable dizziness By sugaya it's hell published in two thousand. Eighteen also incentive reports These patients were given for rehabilitation experience for five days in hospital and then they were cyst at one in four months off to buy list. A nice shirt in improvements in a cognitive fiscal trial making taste as well as in the hamilton depression writing style and the dizziness handicap inventory but the trial making specific contests covenant function so. You know. This was a study that suggested that that the singular rehab actually help cognitive function In people who had covered Impairment as a result of the business now Professor smith are there any specific conditions That are strongly associated cognitive decline. And if there's any Stronger evidence in those conditions the Because because the the investigation of cognitive deficits associated with the st lucie is really only began Systematically in the nineteen nineties there are still many many taught to the studio disorders. That haven't been studied in this context. what we have at the moment is strong evidence from studies. People complete bilateral stephen. The loss of couse sets relatively uncommon. And then there are studies of people partial bilateral for stephen the loss and complete unit unilateralist And they're also studies of people vertigo and A group of epidemiological studies. Where there's a mixture of eulogies. But it's hot. There aren't very many studies specifically the as disease Nine position where to go with the mike ryan. The city of new is successful I think these will come but you know at the moment. They're on very many studies in all of these different categories. The other thing though is that Is strong evidence now published by you re aggravated and colleagues that. I used to get the stephen. The dysfunction is is linked to the decline in older people and Particularly To claudel degradation of elliptic function. So i think it's just a question tom. Before you know all the different types of the steam facilities investigated in this y and You know one would predict the specific times of coverage soon as we vary in type and grey depending on the specific the still sorta that's Very interesting and i agree that it's so early that it's Very strong evidence for bilateral were dysfunction. A prominent now. What are the chiefs struck. Gers that element understanding these effects of a spirit dysfunction. I suppose to the destruction has been studied the modest as they hit the campus but there are in fact many stretches that are important. The hippocampus was a natural place. Stop taught to believe now that you know beckham. Nearly two thousand to who really gases of epa canvas would be thanked Now it's it's it's very well accepted and homeless obvious but he became. This was a natural place to stop. Because it's known to be employed the fool Specially responsive cells like place cells that included places in the environment and the discovery. place else. one Join our tape other prize in two thousand fourteen in in the neighboring into ronald as another kind of socal grid cells which old service phones to to the special environment and the discovery of these Resulted in a motza and my most of the nobel prize in that year as well there are other cells like hey direction cells in dallas and elsewhere and together. It's believed that these different kinds specialist garlicy murals act as a condos are positioning system which gpa's.

Stiegler Paul sugaya university of chicago tinnitus st lucie stephen opie Professor smith claudel mike ryan vertigo chiefs tom beckham epa ronald