The Pathways Toward Recovery with Jessica Miller – Episode 10

Henry Hoffman
Monday, November 28th, 2022
Last modified on November 29th, 2023


Hello everyone and welcome to another episode of the No Plateau Podcast. I’m your host Henry Hoffman and I’m happy to be here with you. I am excited to have back Jessica Miller, who is a fellow OT and the owner of Pathways and Neurorehabilitation Education. Welcome Jessica.

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7 Common Questions Answered About Walking with Foot Drop 

Henry Hoffman
Wednesday, October 26th, 2022
Last modified on May 15th, 2023


Walking with foot drop blog cover showing an elderly couple walking their dog on the beach

Foot drop (commonly known as drop foot) is a condition in which the front part of the foot fails to rise up due to weak or paralyzed muscles. It can happen temporarily or permanently and is a common side effect of medical conditions such as stroke, spinal cord injury, MS, and diabetes to name a few. After diagnosis, patients can expect to understand their symptoms, but sometimes are left with questions about walking with foot drop and what that may look like.

Resuming normal activity can be very difficult once you start experiencing symptoms associated with foot drop. Living with foot drop can be an emotional experience for those trying to adapt to the new lifestyle that comes with managing this condition. It is important to seek treatment from a medical professional quickly after you start experiencing signs of foot drop to help mitigate your symptoms and increase your chance of recovery. However, even with professional help, many patients are often left wondering about their limitations and how their ability to walk will be affected. 

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Is Robotic Therapy Overrated?

Henry Hoffman
Friday, June 24th, 2022
Last modified on May 15th, 2023


Robot-assisted therapy has become increasingly popular over the last two decades.

In fact, it is so well-known that out of the 1,300 RCT’s (Randomized Controlled Clinical Trials) in UE stroke recovery, robotic research leads the pack with 112 RCT’s!

There is no doubt robotic therapy, in some form or fashion, is here to stay. However is it a must-have or a nice-to-have intervention?

Spoiler Alert: looking at the latest research, the jury is still out.

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Achieving Neuroplasticity: How Many Reps Does It Take?

Henry Hoffman
Wednesday, May 11th, 2022
Last modified on May 15th, 2023


The damage inflicted by a stroke is unique to every patient, and so is the recovery process. It is not a one-size-fits-all proposition. The brain consists of 100 billion neurons and 200 trillion synapses. It’s nearly impossible to grasp the complexity and power of this amazing organ!

During a stroke, 32,000 neurons die every second, totaling around 1.2 billion for the entire event. That’s a lot, but consider the total neurons in the brain, it’s around one percent. That means 99 percent of the brain is still intact!

A variety of exercises and movements can be used to provide cues to the brain and achieve neuroplasicity. Thanks to pioneers like Dr. Merzenich, who conducted landmark studies in the 1980’s that confirmed the adult brain is not hard-wired, practitioners have an opportunity to “rewire the brain”.

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Neurotherapists: Stop shouldering the blame. It’s time to rethink electrode placement for treating subluxation.

Henry Hoffman
Thursday, April 28th, 2022


Shoulder subluxation, defined as a partial or incomplete dislocation that usually stems from changes in the mechanical integrity of the joint (muscles, tendons, ligaments) is a common issue with hemiplegic stroke survivors. There are several protocols for treating subluxation, such as electrical stimulation, but it’s often done improperly due to misconceptions about what’s considered “standard practice.” 

Studies suggest that the supraspinatus and posterior deltoid muscles are the primary muscles to target when using electrical stimulation. Contrary to popular belief, this may not be the case. This blog aims to revisit what we already know about subluxation and proximal migration and challenge traditional beliefs many of us have embraced throughout our careers. 

Let’s dive into when to use electrical stimulation and what the optimal muscles are for targeting. 

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OT Month Spotlight: Shelley Waller, OTR/L

Thursday, April 21st, 2022
Last modified on April 28th, 2022


For this year’s Occupational Therapy Month, we couldn’t help but interview one of our very own Saebo therapists, Shelley Waller OTR/L. Waller has worked in neuro rehab for the past 25 years and has been advocate of Saebo since the very beginning. Now, she works with us to teach other clinicians about Saebo devices.  

We caught up with Waller to learn about her story, to get her advice for transitioning patients into a home setting, and to talk about Saebo and patients’ continuum of care.  

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OT Month Spotlight: Gina Kim, MOT, OTR/L, CBIS, Where is She Now?

Friday, April 15th, 2022


Last year for OT Month, we chatted with Gina Kim, MOT, OTR/L, CBIS, to learn about her OT career and journey. Kim graduated Cum Laude fromthe University of Tennessee Health Science Center in 2015 with a Master’s degree in Occupational Therapy and is currently a board member for the Neuro-Optometric Rehabilitation Association. Since we last spoke, Kim has started a new position with Johns Hopkins’ Sheikh Khalifa Stroke Institute as a Neuro Occupational Therapist Clinical Specialist.  

We caught up with Kim to talk about how her previous experiences shaped her current role as an occupational therapist at Johns Hopkins Hospital (see part one of her story here).  

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OT Month Spotlight: Alina Tupchyk, OTR/L

Thursday, April 7th, 2022


April is OT Month. To celebrate, we met with some of the most influential therapists in the field such as Alina Tupchyk, OTR/L. Tupchyk graduated with a Master’s degree in Occupational Therapy from Tufts University in 2011, and currently works at Cottage Rehabilitation Hospital in Santa Barbara, CA.  Tupchyk sat down with us to shed light on her Ukrainian roots, her inspiration to become an OT, and her mission to serve those who are underprivileged.

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Best Stroke Hand Recovery Exercises Using Pens

Henry Hoffman
Tuesday, March 29th, 2022
Last modified on May 15th, 2023


Strokes can be one of the leading causes of serious long-term disability. A stroke can lead to a reduction in mobility in more than half of stroke survivors from the age of 65 and older. Loss in hand function, strength, and dexterity can result from a stroke. These conditions and impairments are determined by the location and severity of the stroke. Today, there are many ways to regain hand function after a stroke or neurological injury.

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New, Improved SaeboStep Foot Drop Brace: Testimonial

Monday, January 17th, 2022
Last modified on September 13th, 2022


Person wearing SaeboStep adjustable AFO foot drop brace with bands attached to blue sneaker for walking.

The SaeboStep, a wonderful product, that has been greatly improved.

I have been wearing the SaeboStep every day for several years. I have raved about it to many people, including doctors and therapists. For my foot drop situation, nothing else is as convenient. The SaeboStep is light, well-made, strong, unobtrusive, comfortable, and does not affect the fit of my shoes.

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