
Join our podcast team members, Sara Zoeller and Parm Padgett, as they discuss the in-person and on-demand degenerative diseases programming (and some DD-adjacent talks) at this year’s CSM in Houston, TX. This podcast highlights talks and authors to hel...
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This is for informational and educational purposes only. It should not be used as a substitute for clinical decision making. The Academy of Neurologic Physical Therapy and its collaborators disclaim any liability to any party for any loss or damage by errors or omissions in this publication. The views or opinions expressed are those of the individual creators and do not necessarily represent the position of the Academy of Neurologic Physical therapy. Welcome to 4D Deep Dive into Degenerative Diseases, Gaining insights through casual and amusing clinical conversations welcome to 4D, a podcast brought to you by the Degenerative Diseases Special Interest Group of the Academy of Neurologic Physical Therapy, a component of apta. I'm Parm Padgett, a physical therapist in the Outpatient Neuro Clinic at Dartmouth Hitchcock Medical center and I'm on the Podcast Committee of the DD sig. And we are here to bring you our annual CSM preview. And I am very lucky to be joined by Sarah Zoller. So Sarah, would you please introduce yourself?
B
Hi Parm, nice to be on the podcast with you tonight. I'm Sarah Zoller. I am the secretary of the DD SIG and and I'm usually the editor of the podcast, but we needed someone to talk to you tonight, Parm, so here I am.
A
Yes, and it's very exciting and I will be going to csm. And what about you, Sarah?
B
I am not going this year. Not because I don't love it, just because I've been for the past few years and have a lot going on right now. So I'm skipping this one. But I am hoping to be there next year.
A
Okay, sounds good. So we are going to just go through kind of the offerings that pertain to degenerative diseases and talk about what we're excited to see. And you know, we might have some fun little additions along the way. So for, for folks who are new to csm, there's multiple kinds of talks that you could go to or ways to get information. There's posters, there's platforms which are short kind of 20 minute presentations that can be a great way to really get a lot of good information kind of quickly. And you know, it's often very relevant and fun. And then there are the longer kind of two hour lectures. So let's just start with the poster session. So there's a poster session, when is that, Sarah?
B
Our degenerative diseases posters will be on Friday the 14th, Valentine's Day from 1 to 3pm so that's usually in the exhibit hall, they have a section set up for posters and each day the posters rotate. So there's some neurology posters every day. And our section specifically will be on Friday. And we do give out poster awards from the DD sig. So you might see our little awards team rotating around, or if you yourself are manning a poster, you may be lucky enough to get interviewed by our awards team.
A
Well, that's exciting. I will be there. I will have a poster. So I hope to see the awards team. Yeah, and always fun. It's just a good way to kind of mingle and meet people. So, you know, it's also often nice to get a little bit of a break in the middle of the day. But plan on Friday checking out the posters for sure. The other days you can take a break. All right. And then what about the platform session? There's usually one that's sort of focused on DD stuff, correct?
B
That's right. And it looks like this year ours is on Saturday from 8 to 10am so last day of CSM, Saturday morning. You've done Saturday, six educational sessions already. You're kind of ready for a break. Something a little bit different. That's a great opportunity for that. There are these little snippets from all different areas, and looks like there's some really interesting ones related to degenerative diseases. This year there's eight total in the two hours. But I see relationships between clinical measures of function and reactive balance and people with Ms. There's one about ataxia. Does fatigue limit motor and cognitive gains in people with spinocerebellar atax? Amplifying real world walking and Parkinson's disease related to ras. So looks like fun.
A
Yeah.
B
I love the platforms. I always go to the platforms.
A
Yeah, the platforms, they are fun because, you know, they get a lot of good information in a quick kind of in a quick way. And I have to say, generally when I go to a platform, there's like one or two that the. The titles don't grab me, but for this particular platform, like, I want to see all of these. So one other thing, Sarah did a fun thing, which is this is what.
B
Maybe are like, fifth year doing this preview podcast. It's been.
A
Yeah, I think we've done this, like every year, this preview podcast.
B
We needed something to jazz it up a little.
A
Yes. So Sarah used her creative juices to type into chat GPT and come up with a haiku.
B
So tell us an exaggeration, because I copy and pasted the information.
A
Okay. Right.
B
Except for this one, the platform one. I did tell it, like, what platform sessions are and Then I asked it to please make me a haiku.
A
Okay. All right, so you typed in. Generally speaking, though, you typed in the title and the description and asked for a haiku.
B
Correct.
A
Okay, so we might not read all these haikus, but I think we should read some of them. This one's pretty good.
B
All right, first one up. New voices emerge. 15 minutes. Insights bloom. Research fuels the path.
A
Love it. All right, so let's move on to the sessions. So Thursday morning, everybody's totally excited to be at csm. Get in line with a million other.
B
People for your breakfast in your badge. Don't forget your badge.
A
But one of the. One of the first talks that looks really good and something that we have featured on our podcast in the past is Fatigue and Fatigability, targeting specific physical therapy, examination, differential diagnosis, and interventions for neurologic populations. And it's an interesting concept and something if people have not had exposure to that Fatigue versus fatigability. I think it's a good thing to check out. Our speakers for that one are Kirsten Potter, Evan Cohen and Herb Kropatkin. And I think it'll be a good one.
B
And Herb and Evan have both been on our podcast before, I think, talking about this and related topics. And Herb is actually a former board member of the DD sig, so it's fun to see him out there.
A
Yeah. Here's the haiku. Ms. Clouds the path. Fatigue and strength intertwine. Steps to clarity. Okay, so another one at 8 o'.
B
Clock is beyond time, which is such a bummer.
A
I know. Well, that's the problem that the true problem with CSM is that there's good stuff opposing and you have to choose what to go to. And so if you have a buddy sometimes, you know, or someone from the same practice, sometimes the divide and conquer is the way to go.
B
Oh. And I think it tells you by now what's virtual and what's not. So that's another strategy.
A
Oh, right. Because then if there are two opposing and one is available later, you could always go to the one that's not available later and then watch the on demand one after csm. So the one we just spoke about, fatigue versus fatigability is on demand. There's another interesting talk at that same time, but also on demand. So that is called beyond the cpg Adapting to apply the Parkinson's Physical therapy guidelines to advanced Disease, which I think is interesting and something that, you know, I certainly kind of try to contend with in the clinic, but also often hear other clinicians talking about is like how Do I apply some of these principles of particularly the higher intensity exercise to people who have advanced Parkinson's? And a lot of good speakers on that one. But Miriam Rafferty has been on our podcast before and will be one of the speakers for that talk.
B
And that CPG team has done such a good job. So if you haven't looked already, the Neuropt website, they have resources for clinicians and for patients. So they've developed so many good resources and they're continuing, it seems like, in terms of hosting this presentation to expand and develop more outreach for clinicians. So well done. Knowledge Translation Task force for the CPG and the original CPG team.
A
Yes. Yeah, a lot of good information there. So I think you're up for the haiku, Sarah.
B
Guidelines take new form. Adapting to complex needs. Hope shapes every step.
A
All right, so at 11 o' clock, we have some of my personal favorites. Talking. This talk is called Novel Perspective Perspectives in the Rehabilitation of Gait in Parkinson Disease over the continuum of Care. So also talking about the continuum of care. So I, you know, probably late stage. This one is not on demand. Also the speakers, Terry Ellis, who of course has been on our podcast and is a supporter, has been a supporter of 4D from the beginning. So it would be great to check that out. But then also, Alice Neubauer is unique to be able to hear. Is has done a lot with freezing of gait and is just very, very knowledgeable. And it's a treat to be able to hear her talk. So highly recommend that talk.
B
Yeah, that sounds really interesting.
A
It's a little bit of a dream to have Alice Neubauer on our podcast.
B
Well, maybe if you're at csm, you go to her talk, say hello.
A
Yeah. All right, we'll invite her. Okay, I'll do it. All right. Are we ready for the haiku?
B
I'm ready.
A
Steps falter yet hope early strides to freezing feet. Care spans every stage.
B
All right, then in the afternoon from 3 to 5, you can come back after lunch. There is a prescription for slowing the progression of Parkinson's disease. Results from the cycle 2 clinical trial. And that is Anson Rosenfeld J. Alberts Lee Dibble, who's been on our podcast at least once, at least twice. And then, Selita Lopez Lennon, do you know much about this cycle 2 trial verb?
A
I actually, I don't, but I am interested, certainly to learn about it. How about you? Is it something you've followed?
B
I'm just looking at the description and it looks big. 250 people with Parkinson's disease for 12 months doing home based aerobic exercise or no exercise. And then the exercise being exercise bike.
A
Yeah, yeah. Looks great. So we are interested in us for sure and excited to hear the results.
B
Yeah. And it looks like they're gonna touch on the CPG as well.
A
Right. And that session is also on demand.
B
Exactly.
A
Okay, I think you're up for reading the haiku.
B
Petals Turn with strength. Progress slows, a steady stride. Motion reshapes fate.
A
Motion reshapes fate. That's good. So that those are the talks that are really sort of DD specific. But there's other talks also on Thursday that are probably worth just giving a quick sort of shout out to. And so one on Thursday is spinning new perspectives, reframing the mindset of either walking or wheeling into a both and discussion.
B
You know, I think this is meant to apply most specifically to wheelchair prescription and use and discussion. And it talks mostly about in the description acquired brain injury, spinal cord injury and limb loss. But I think the sort of art of these discussions makes sense a lot of times in our degenerate populations too as people progress thinking about someone maybe with Ms. And when they might start to use wheel mobility or even applying some of this both like a walker or something like that even.
A
Right. Like when you use that and when you don't in order to really help people to be as mobile and functional as possible.
B
Exactly.
A
Yeah. And you know, I think we're super hard discussions to have with people and people feel like defeated when. When really these things are tools to kind of help us and trying to frame it that way for people can be hard. So this, I think this will be a really interesting talk to check out.
B
And I feel like it cycles back to one of our favorite discussion points which is participation. Right. Of like what actually gets people doing the things they want to do.
A
Right. Yeah. So I think this one is on demand.
B
Oh no, it's not such a bummer, but definitely want to think about. I'd be interested in this one.
A
All right, so then also on Friday or. No, we're ready.
B
Moving on Friday. I think we're ready.
A
Yeah, moving on.
B
Thursday was jam packed.
A
Right. I'm tired already.
B
Friday is our day with no DD specific programming other than the posters. But that does not mean there's not a lot of good neuro programming. So we actually have a whole list here of DD related options to check out, starting with Early Birds, the NCS breakfast, which the title this year is Cast a wider Net. Adopting a fitness mindset and model. And that is led by Megan Brown, who is a co founder of something called Mind the Mat, which is a Pilates and yoga studio studio in the Virginia area.
A
Great. And I think such a relevant topic. So it should be really fun to check out. Also on Friday, expanding the clinic walls, implementing remote therapeutic monitoring in neurologic practice, which again is, you know, sort of something that people are starting to do and it would be great to just learn more about how that's going on. And Miriam Rafferty is also a speaker in for this talks.
B
Should be really good. And that one is not virtual, but it's listed as a hot topic.
A
Hot topic.
B
Check out the CSM app or website, which it is. I believe it. Yeah. All right, same time slot, 8 to 10am on Friday is moving towards precision rehabilitation part one. There are two parts. The part one is applying phenotyping and neurologic physical therapy. And that has a bunch of our 4D favorites on it. We've got Colin Grove, who's kind of overlapped between the vestibular world and ms, I believe. Lee Dibble we talked a little bit about already, Mike Studer and Lori Quinn and then Elizabeth Ulanuski. So it's kind of a star studded group.
A
Yeah.
B
And an interesting topic.
A
Yeah, for sure.
B
This is On Demand.
A
Yes, should be great. And Lori Quinn is the new editor in chief of jnpt. So excited. It will be exciting to hear from her. Also on Friday is regenerative medicine and neurologic rehabilitation. Can we do more together? And that's at 11 o'. Clock. And Pru Plummer, who has been on our podcast, is one of the presenters. This is On Demand and a hot Topic. So pretty exciting.
B
And it looks like it includes both ms, which Pru is an expert in, and also als. Als, yeah, which would be pretty interesting. And I feel like that's an area that we don't really see a lot of programming for. So.
A
Right.
B
You're involved in that area of specialty or in an ALS clinic. This might be a great option for you.
A
Yes, for sure. Okay, what else do we have on Friday?
B
Same time frame, 11 to 1. We have markerless motion capture tools for outcome assessment, expanding capacity and diversity for next generation neurorehabilitation. And so this is looking at movement assessment and I think the idea is kind of to bring some of these more research based motion sensors into the clinic.
A
Yeah, I mean I'm really interested in this markerless motion capture because that is so limiting, you know, in terms of being able to use any of that clinically.
B
So hopefully they'll give us an update on some of those things. Also on demand.
A
Exciting. Okay. And then I'm so excited. I'm so excited about this. Also on Friday, 3 to 5, afternoon after lunch. No sleeping through this one. It is the Ann Shumway Cook Lectureship Learning and Relearning Human Movement with Amy Bastian, who has been on our podcast, which was very exciting and just is great and knows so much about the cerebellum and how it works and all that stuff. And it will be on demand. So even if you're not going to csm, sign up for the virtual conference and check this out. Anything from her. I think, you know, the potential to learn so much is.
B
It's so great. As good as that talk is, there is another talk at that time which is also on demand. Level up your clinical reasoning as a movement expert. Standardized movement analysis and balance diagnoses that is led by Lois Hedman. And I think they also have a knowledge translation task force for that group.
A
Yeah. So I think that, you know, that for people who haven't had exposure to these concepts, I think this could be really informative about, you know, what is this framework for movement analysis and you know, what is the movement system particularly related to the balance diagnoses. So again, if you haven't seen talks on this or read extensively or it, it might be a good one to check out.
B
And as we talked to Kathy Gilbody about this right when it was in the works originally. So if you're interested, you can always go back to one of our podcasts, listen to it a little bit more. They have some great resources out, but they're kind of bringing it back around and it'll be interesting to hear what that group has to say. All right. Is Friday night officially the myelin melter?
A
I can only imagine. Would they change it?
B
There it is. Friday night, 6:30 to 9:00pm what better.
A
Way to spend Valentine's Day than at the Mylan melter? It's always a good time. There's a business meeting, there's awards, and then there's a little bit of, like, partying, which is. It's fun.
B
Hey, wait a minute. There's also tables where you can connect with your favorite special interest group. Exactly. And we will have some representatives from the digital diseases thing at a table, perhaps with some really nice giveaways, perhaps promoting the clinician locator map where you could sign up. So come visit us. There will be stickers, there will be candy, there'll be other giveaways which I am not allowed to talk about yet, so come visit the SIG table. You won't be disappointed.
A
Sounds great. Always a good time and good time to connect with us. Generally the podcast team is there and happy to talk to people and hear your ideas. All right, Saturday. Saturday so nothing spec DD SIG specific first thing, but at 11 o' clock there is a talk on multiple sclerosis called Multiple Sclerosis Rehabilitation and Focus Building a Comprehensive Physical Therapy Care Model. So for this talk the speakers are Greg Bersola, who's on the nominating committee of the DD sig, Evan Cohen and Herp Karpatkin, who have both been guests on 4D and as we mentioned, Herb has served in the past on the DD sig. So some great folks to hear from and should be a interesting topic. This talk is also on demand, so if you happen to miss it, it's something that you can check out later if need be.
B
All right. And this is, I think our last haiku. We're back in the realm of degenerative diseases. We have one more haiku nerve spray yet we move steps, adapt to MS's course care shapes steady ground.
A
What else on Saturday though that may be more in the realm of DD relevant or just interesting?
B
So this one from 8 to 10am is called High Fidelity Delivering Interventions as Designed to Optimize Rehabilitation outcomes. And this looks like it has some of the proponents of high intensity gait training. So Christopher Henderson and Jenny Moore. And it does look like it's talking about high intensity gait training, but that that could be applied sort of across diagnoses. This one is also available on demand.
A
Okay. And then a little later Saturday morning, 11 to 1 backward walking as a Mobility assessment and Exercise Intervention for Individuals with Neurologic disorders. One of the speakers of this primary speaker is Nora Fritz. One of our favorites has been on our podcast in the past, so certainly worth checking out, especially to keep up on what's most recent in terms of the research supporting backward walking, both for assessment and intervention. And also if it's something that you're not doing, this would be a really good way to kind of help you get some information about it and probably, you know, help increase your interest and confidence in using backward walking.
B
I loved the podcast we did with her where you talked to her about this and so it'll be really interesting to hear any updates on it. At that time she was doing more research on it. So. Right. It sounds like we'll hear some of that as well as from some other speakers. But I Just feel like that was one of those podcasts that was really fun to listen to and also not easy, but kind of conceptually easy. Right. To incorporate into clinical practice.
A
Yeah, totally.
B
I feel like this will be a good one. Yep.
A
Also on demand, so that's great.
B
All right, last one. Three to five on Saturday. This is called To Air is Divine. Harnessing the Therapeutic Role of Error in Neurologic Physical Therapy.
A
That's a great title. Just gonna.
B
They're talking about maybe some error augmentation.
A
Yeah. So I. I have to say, you know, that this is a tough stuff slot at csm, this last slot of C. You know, the Saturday from 3 to 5. Often a lot of these talks are things that you really want to check out in here. So, so great that this is on demand, because I think this is going to be really interesting. All right, well, good stuff to listen to. Thank you so much, Sarah. This has been fun and I'm actually really excited for csm. I think a lot of these talks are going to be great.
B
Thanks for chatting tonight, Farm. And I'm excited for you to go to CSM and come back and tell me all about it. And I am now pretty excited to go Sign up for the On Demand. And just one more shout out for podcast listeners if you want to talk to us. Or you can talk to PARV at csm. But also other members of the podcast team are members of the sig. You can find us at the Myelin Melter.
A
All right, we hope to see many of you there.
B
Happy csm.
A
Happy csm. Thanks for joining us. This podcast was produced and edited by the ANPT Degenerative Diseases Special Interest Group podcast team. For more information on this SIG and ANPT, visit www.neuropt.org. our podcast team includes Sarah Zahler, Christina Burke, Ken Monaco, Jeff Schmidt, Shannon Brown, Skyler Ross, and Ankaram Padgett. Thanks to Jimmy McKay for providing music. Please share this episode with my colleague today. Does anyone even listen to this podcast? I mean, if you have that kind of, like, energy. I don't know.
B
Isn'T there a character limit on these titles?
A
Well, I. I was actually just thinking, motion reshapes fate. Could be like a little saying on my wall at work or something.
B
Or it could be your first tattoo. You know, you never know. To the point where I was like, enough hope, Chad. Gbt. Tone it down.
A
There is hope in that one, too.
B
I know. I told you. It's everywhere. I feel like that might be a stretch for haiku. It's five, seven, five Right?
A
Yeah. Yeah, I think that's eight. I think you're right. So I have to say, not my favorite haiku, but.
B
And not even a haiku technically.
A
Not even technically a haiku, but kind of gets the job done.
B
So.
A
Okay, so 10 minutes. Is that what we're going for?
B
10 minutes?
A
We think you can cover the whole.
B
CSM in 10 minutes. I also took the liberty of going into the Suno app, which can create you your own songs. And I made a CSM song if you're interested. It titled it Rise and Heal. I don't know about that.
A
We should have it like in as like the. At the end of the bloopers, just like fade out with like.
C
In the heart of Texas we unite with our hopes and dreams so bright February's fire burning strong Dancing to our own new song Step into our own new song sessions Stacked from wall to wall Learn and listen Hands on Call 40 podcast sets the stage Voices wise beyond their age Rise and heal we're gathering strength and numbers make it sing together in this lone starscape Combine sections Feeling great mobility and strength in tow Watch the miracles as they grow.
B
February.
C
Still won't hold us down In Texas warmth we found our crown.
DD SIG Bonus Episode: Combined Sections Meeting (CSM) 2025 Preview
Released: February 6, 2025
In this vibrant and witty annual tradition, host Parm Padgett and guest Sarah Zoller (both active in the DD SIG leadership) offer a comprehensive, insider’s preview of neurodegenerative disease–focused sessions at the upcoming 2025 Combined Sections Meeting (CSM) of the American Physical Therapy Association (APTA). They highlight program formats, must-attend sessions, notable speakers, networking events, and creative touches (including AI-generated haikus!). The tone is informal, encouraging, and rooted in practical clinical insight, making this essential listening for anyone planning their CSM agenda—or considering the robust virtual offerings.
(02:00–02:55)
When: Thursday, 8am (On Demand)
Focus on differentiating fatigue from fatigability in neurological disorders (e.g., MS).
Parm: “It’s an interesting concept and something if people have not had exposure to that Fatigue versus fatigability. I think it’s a good thing to check out.” (06:51)
Speakers: Kirsten Potter, Evan Cohen, Herb Karpatkin
Haiku:
“Ms. Clouds the path.
Fatigue and strength intertwine.
Steps to clarity.” (07:45)
When: Thursday, 8am (On Demand)
Tackles the challenge of applying high-intensity exercise recommendations to advanced PD.
Sarah: “That CPG team has done such a good job… they're continuing, it seems like, in terms of hosting this presentation, to expand and develop more outreach for clinicians.” (09:34)
Speaker highlight: Miriam Rafferty (previous podcast guest)
Haiku:
“Guidelines take new form.
Adapting to complex needs.
Hope shapes every step.” (10:13)
When: Thursday, 11am (Not On Demand)
Focus on late-stage Parkinson’s and continuity across care settings.
Featured speakers: Terry Ellis, Alice Neubauer, with a particular shout-out to Alice’s expertise in gait freezing.
Parm: “It’s a little bit of a dream to have Alice Neubauer on our podcast.” (11:20)
Haiku:
“Steps falter yet hope
Early strides to freezing feet
Care spans every stage.” (11:40)
DD SIG Poster Session is THE main event (1–3pm), but there’s much more for neuro PTs:
Parm, on platform sessions:
“They get a lot of good information in a quick way. And I have to say, generally when I go to a platform, there’s like one or two that…don’t grab me, but for this particular platform, like, I want to see all of these.” (04:57)
Sarah, about networking during posters:
“It’s just a good way to kind of mingle and meet people… plan on Friday checking out the posters for sure.” (03:32)
On tough session choices at CSM:
“That’s the problem with CSM, is that there’s good stuff opposing and you have to choose what to go to… sometimes the divide and conquer is the way to go.” (08:04)
Sarah, on assistive technology conversations:
“These things are tools to kind of help us and trying to frame it that way for people can be hard. So this, I think this will be a really interesting talk to check out.” (14:40)
Parm, encouraging attendees to connect at Myelin Melter:
“Generally, the podcast team is there and happy to talk to people and hear your ideas.” (22:29)
Just for fun:
Sarah experimented with AI (ChatGPT) to generate haikus for each session, adding a creative and light-hearted touch.
For more info, resources, and ways to connect, visit the ANPT Degenerative Diseases SIG at www.neuropt.org. If you’re seeking the latest in neurodegenerative PT, CSM 2025 and the DD SIG have you covered—in person and virtually!