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RUSK Insights on Rehabilitation Medicine

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation as well as leaders from other rehabilitation programs around the country. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.
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Now displaying: 2019
May 15, 2019

Dr. Joel Stein is Physiatrist-in-Chief at New York-Presbyterian Hospital, as well as Professor and Chairman of the Department of Rehabilitation Medicine at the Columbia University College of Physicians and Surgeons, and Professor and Chairman of the Department of Rehabilitation Medicine at Weill Cornell Medical College. His clinical and research interests are in the area of stroke rehabilitation. He has had a particular focus on the use of exercise as a treatment, and on the use of robotic and other technologies to facilitate recovery of motor function after stroke. He has authored or co-authored two books on stroke recovery and rehabilitation for stroke survivors and their families, and edited a multi-authored medical textbook on this subject entitled “Stroke Recovery and Rehabilitation.” His undergraduate degree is from Columbia University and his medical degree is from the Albert Einstein College of Medicine. He completed a residency in Internal Medicine at Montefiore Hospital in the Bronx, followed by a residency in Physical Medicine and Rehabilitation at New York-Presbyterian Hospital. He is board certified in both internal medicine and physical medicine & rehabilitation.

This is part 2 of a 2-part series. In this episode, Dr. Stein discusses: measures to predict neurological recovery and stages when they are applied most effectively; periods of time when most rehabilitations interventions take place; success of efforts to achieve the translation of clinical findings and evidence-based research to the bedside in a timely manner; and many other exciting topics.  

 
 
 
 
 

 

May 1, 2019

Dr. Joel Stein is Physiatrist-in-Chief at New York-Presbyterian Hospital, as well as Professor and Chairman of the Department of Rehabilitation Medicine at the Columbia University College of Physicians and Surgeons, and Professor and Chairman of the Department of Rehabilitation Medicine at Weill Cornell Medical College. His clinical and research interests are in the area of stroke rehabilitation. He has had a particular focus on the use of exercise as a treatment, and on the use of robotic and other technologies to facilitate recovery of motor function after stroke. He has authored or co-authored two books on stroke recovery and rehabilitation for stroke survivors and their families, and edited a multi-authored medical textbook on this subject entitled “Stroke Recovery and Rehabilitation.” His undergraduate degree is from Columbia University and his medical degree is from the Albert Einstein College of Medicine. He completed a residency in Internal Medicine at Montefiore Hospital in the Bronx, followed by a residency in Physical Medicine and Rehabilitation at New York-Presbyterian Hospital. He is board certified in both internal medicine and physical medicine & rehabilitation.

This is part 1 of a 2-part series. In this part of the discussion, Dr. Stein discusses: estimates of stroke incidence and prevalence in the U.S.; stroke occurrence among young individuals; impairments commonly resulting from a stroke; factors such as age that can affect the degree and speed of recovery; sleep apnea as a possible risk factor for stroke; relationship between sleep disorders and stroke recovery and possible contributions to cognitive decline post-stroke; whether screening for post-stroke depression and cognitive impairment can predict long-term patient outcomes; and whether persistent symptoms of anxiety can develop after a stroke.

 

Apr 17, 2019

Dr. Susan Maltser is Director of Cancer Rehabilitation and oversees the comprehensive Cancer Rehabilitation program for Northwell health. She is a practicing physiatrist and an assistant professor of Physical Medicine and Rehabilitation at Zucker School of Medicine. She also serves as Chief, Physical Medicine and Rehabilitation at Long Island Jewish Hospital. A graduate of the New York College of Osteopathic medicine, her residency in Physical Medicine and Rehabilitation was completed at the Rusk Institute at NYU Langone Medical Center. She is a fellow of the American Board of Physical Medicine and Rehabilitation, and holds membership in both the American Academy of Physical Medicine and Rehabilitation and the National Cancer Rehabilitation Physician Consortium.

This interview is a two-part series. In Part 2, Dr. Maltser discusses: the extent of post-surgical care aimed at social and emotional functions; from the perspective of patient-reported outcomes, steps taken to identify the felt needs of patients in conjunction with the needs identified by the health care team; whether demographic factors, such as age influence whether a woman wants to remain in the labor force and what can be done to assist women in this aspect of their lives; the degree to which sexual function affected by breast cancer treatment is discussed with patients; whether older women who undergo treatment for breast cancer are vulnerable to experiencing a balance problem that increases the risk of falling; if technological approaches, such as the development of wearable sensors and cloud-based apps are being used after patients leave the clinical setting to enable them to provide daily feedback on their condition and successes they are experiencing in self-care; and areas where improvements in diagnostic measures and rehabilitation treatment would be warranted.

Apr 3, 2019

Dr. Susan Maltser is Director of Cancer Rehabilitation and oversees the comprehensive Cancer Rehabilitation program for Northwell health. She is a practicing physiatrist and an assistant professor of Physical Medicine and Rehabilitation at Zucker School of Medicine. She also serves as Chief, Physical Medicine and Rehabilitation at Long Island Jewish Hospital. A graduate of the New York College of Osteopathic medicine, her residency in Physical Medicine and Rehabilitation was completed at the Rusk Institute at NYU Langone Medical Center. She is a fellow of the American Board of Physical Medicine and Rehabilitation, and holds membership in both the American Academy of Physical Medicine and Rehabilitation and the National Cancer Rehabilitation Physician Consortium.

This interview is a two-part series. In Part 1, Dr. Maltser discusses:  what cancer rehabilitation is and some conditions that commonly are treated in breast cancer patients; measures employed to assess patients who have undergone breast surgery regarding the scope of rehabilitation interventions to pursue; the adverse effect of reconstructive surgery for breast cancer on shoulder function and the kinds of rehabilitation that prove effective in dealing with this problem; debilitating side effects, such as difficulty sleeping and fatigue, associated with breast cancer surgery; the risk of developing lymphedema after undergoing surgery for breast cancer; the role of self-care in treating lymphedema; and the role that physical exercise might play and when it should occur pre- and post-surgery.

Mar 20, 2019

Dr. Mitchell Elkind is a Professor of neurology at Columbia University College of Physicians and Surgeons as well as an attending neurologist in the stroke service at New York Presbyterian Hospital. His areas of expertise are cerebrovascular disease and stroke. He completed his medical school training at Harvard Medical School. His internship was at Brigham and Women’s Hospital in Boston, MA and was followed by a residency in neurology at the Massachusetts General Hospital where he served as chief resident. Dr. Elkind subsequently obtained a master’s degree in epidemiology at the Columbia University School of Public Health and also completed fellowship training in cerebrovascular diseases. 

In the second of a two-part Grand Rounds, Dr. Elkind reviews occult atrial fibrillation, monitoring devices, and other relevant areas after which there is a Q&A. 

Mar 6, 2019

Dr. Mitchell Elkind is a Professor of neurology at Columbia University College of Physicians and Surgeons as well as an attending neurologist in the stroke service at New York Presbyterian Hospital. His areas of expertise are cerebrovascular disease and stroke. He completed his medical school training at Harvard Medical School. His internship was at Brigham and Women’s Hospital in Boston, MA and was followed by a residency in neurology at the Massachusetts General Hospital where he served as chief resident. Dr. Elkind subsequently obtained a master’s degree in epidemiology at the Columbia University School of Public Health and also completed fellowship training in cerebrovascular diseases.  

In Part 1, Dr. Elkind focuses on unexplained stroke and potentially how to prevent it, especially based on some new developments; cryptogenic stroke and embolic stroke of undetermined source; various cardiac sources of stroke and PFO (patent foramen ovale) closure; and how RoPE (Risk of Paradoxical Embolism) scores are used.

Feb 20, 2019

Dr. J.R. Rizzo is a physician scientist at NYU Langone Medical Center’s Rusk Rehabilitation Institute, where he is an Assistant Professor of Physical Medicine and Rehabilitation with a cross-appointment in the Department of Neurology. He leads the Visuomotor Integration Laboratory where his team focuses on eye-hand coordination as it relates to acquired brain injury and the Technology Translation in Medicine Laboratory, where the focus is on assistive technology for the visually impaired and benefits from his own personal experiences with vision loss.  He recently completed an R03 grant through the National Institute of Aging, as a GEMSSTAR Scholar, focusing his research goals on eye-hand coordination in elderly stroke, and is completing a K12 award, as an RMSTP Fellow, focusing on visuomotor integration in brain injury. He has funding at the federal, state, municipal and foundational levels. He has numerous peer-reviewed publications and book chapters, in addition to domestic and international patents filed for his rehabilitation tools. An honors graduate in neuroscience at NYU, hcompleted medical school on scholarship at New York Medical College and was elected to the Alpha Omega Alpha Honor’s Society Iota Chapter. He completed his residency, including a chief year, at NYU’s Physical Medicine & Rehabilitation Program where he subsequently was awarded funding to complete a clinical research fellowship at Rusk.

In the second part of this Grand Rounds presentation Dr. Rizzo continues his description of a pilot research project involving chronic stroke patients who were recruited from outpatient clinics. The investigation included eye tracking while simultaneously recording motion capture of patients’ limbs. He indicates how eye errors correlate with limb errors in this study and mentioned some cognitive implications derived from the project. A question and answer period followed his presentation.

Feb 6, 2019

Dr. J.R. Rizzo is a physician scientist at NYU Langone Medical Center’s Rusk Rehabilitation Institute, where he is an Assistant Professor of Physical Medicine and Rehabilitation with a cross-appointment in the Department of Neurology. He leads the Visuomotor Integration Laboratory where his team focuses on eye-hand coordination as it relates to acquired brain injury and the Technology Translation in Medicine Laboratory, where the focus is on assistive technology for the visually impaired and benefits from his own personal experiences with vision loss.  He recently completed an R03 grant through the National Institute of Aging, as a GEMSSTAR Scholar, focusing his research goals on eye-hand coordination in elderly stroke, and is completing a K12 award, as an RMSTP Fellow, focusing on visuomotor integration in brain injury. He has funding at the federal, state, municipal and foundational levels. He has numerous peer-reviewed publications and book chapters, in addition to domestic and international patents filed for his rehabilitation tools. An honors graduate in neuroscience at NYU, hcompleted medical school on scholarship at New York Medical College and was elected to the Alpha Omega Alpha Honor’s Society Iota Chapter. He completed his residency, including a chief year, at NYU’s Physical Medicine & Rehabilitation Program where he subsequently was awarded funding to complete a clinical research fellowship at Rusk.

In the first part of a grand rounds presentation, Dr. Rizzo discussses eye-hand coordination or what is known as the eye-hand mystique. He describes perception, the ocular motor system, perception to action, and eye-hand control deficits as they relate to visual motor integration. He discusses visual crowding as it pertains to peripheral vision and the importance of material categorization. He also describes research involving chronic stroke patients recruited from outpatient clinics using eye tracking and simultaneously recording motion capture of their actual limbs. The session includes questions from attendees at the presentation and his responses.

In the second part of a grand rounds presentation by Dr. John Ross Rizzo on December 12, 2018 at the Rusk Institute of Rehabilitation at NYU Langone Health, he continued his description of a pilot research project involving chronic stroke patients who were recruited from outpatient clinics. The investigation included eye tracking while simultaneously recording motion capture of patients’ limbs. He indicated how eye errors correlated with limb errors in this study and mentioned some cognitive implications derived from the project. For example, in reaching for a cup of tea there could be an eye movement that has some computational load, meaning what is the cerebral load to complete that task and what is involved if the reaching is done using peripheral vision? In this context, it is worth considering what is occurring in the presence of an impaired brain, such as after a stroke. A central idea is that stroke interferes with cognitive resource sharing between eye and hand movement during eye-hand coordination. A question and answer period followed his presentation.

 
 
 
 
 

 

Jan 23, 2019

Rondel King is a certified strength and conditioning specialist and corrective exercise specialist. His programming aims to bring out the best in a person’s health and performance. He has a strong interest in postural asymmetries and the nervous system as it relates to biomechanics, human performance, and general health. Mr.King leads group fitness classes at NYU Langone Orthopedic Center and is a clinician with the Running Lab and the Golf Lab.

In his interview, Rondel discusses: the relationship between gaining muscle mass versus strength and stability and the topic of weight loss; kinds of patients who can benefit from losing weight; extent of eating disorders; influence of demographic factors on the attainment of successful outcomes; role of diet in weight loss reduction; kinds of lifestyle interventions that prove to be effective in achieving weight loss; role that wearable devices play in contributing to weight loss; whether poor nutrition can be out-trained; if crunches can produce flat abs; whether more sweat burns more calories; effect of running and squats on the knees; if more gym time always is better than less; the notion of No Pain, No Gain; whether yoga can help with back pain; if lifting heavy weights can make women “bulky;" and whether machines are better than free weights.

Jan 9, 2019

Heather Milton leads group fitness classes at NYU Langone Orthopedic Center and is a clinician with the Running Laboratory and Golf Laboratory. She is a board-certified exercise physiologist and strength and conditioning specialist. She is certified in Functional Movement Systems® and by the Titleist Performance Institute. She develops specialized programs to help athletes reach their maximum potential and ability. Ms. Milton creates unique and motivational programs to inspire health and fitness clients and designs injury prevention programs for at-risk athletes and youth sports teams. She also identifies limitations that may affect sport performance, including gait faults in running, swing faults in golf, and swing, kick, and throw patterns in rotational sports. Her undergraduate degree in cardiopulmonary science and her master’s degree in clinical exercise physiology are from Northeastern University.

In this interview, she discusses: kinds of patients who can benefit from building stability, strength, and muscle; measures to assess current physical abilities of patients; conditions where building stability, strength, and muscle can produce a preventive effect; impact of strength training on other abilities, such as improved balance and mobility; influence of demographic factors on the attainment of successful outcomes; the difference between stability and strength; progression of building stability, strength and muscle; difference between strength and mass; key components of a program to build stability, strength, and hypertrophy/muscle mass; common mistakes individuals make in their training programs; whether individuals naturally bulk up; gaining strength and avoidance of adding muscle mass; what to say when efforts to gain muscle for years fail; and who benefits from each type of training.

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