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4D: Deep Dive into Degenerative Diseases - ANPT

Academy of Neurologic Physical Therapy
Parkinson's Disease
Physical Therapy
Multiple Sclerosis
Normal Pressure Hydrocephalus
Degenerative Diseases
Myotonic Dystrophy
ALS
Assistive Technology
National MS Society
Seating Solutions
Cognitive Impairment
Neurological Disorders
Freezing Of Gait
Power Mobility
Insurance Coverage
Muscular Dystrophy
Cardiovascular Health
Skeletal Muscle Health
Exercise
Support Groups

The Academy of Neurologic Physical Therapy Degenerative Disease Special Interest Group (DDSIG) is a component of the American Physical Therapy Association. The DDSIG is comprised of physical therapists, physical therapist assistants, and students in physical therapy programs that have an interest in neurodegenerative disorders including Parkinson’s disease, multiple sclerosis, amyotropic lateral s... more

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Artwork for 4D: Deep Dive into Degenerative Diseases

Latest Episodes

In this episode, we’re sharing an edited audio recording of our DD SIG educational session from March 2026, during which we talked to 3 experts about fatigue in neurodegenerative diseases. Our panel includes Vanina Dal Bello-Haas who focuses on fatig... more

In this episode, host Ken Vinacco is joined by CSM 2026 DD SIG Poster Award winner Paria Darbandsari. They discuss her study on the effects of telerehabilitation on Parkinson’s Disease including what telerehabilitation methods have been studied, and ... more

In this episode, host Ken Vinacco interviews Mission MSA CEO Joe Lindahl, and DD SIG liaison physical therapist Lindsay Beatty to share how the organization champions connection, education and research related to Multiple System Atrophy. Join us to l... more

In this episode, created in collaboration with ANPT’s Assistive Technology and Wheeled Mobility (ATSWM) SIG, host Chris Buke is joined by AT/SWM SIG Chair Wendy Koesters and special guest Pam Glazener to discuss wheeled seating considerations for peo... more

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Recent Guests

Vanina Dal Bello-Haas
Retired professor, McMaster University
McMaster University
Episode: DD SIG Episode 61: Beyond Tired: Understanding and Managing Fatigue in Neurodegenerative Disorders
Herb Karpatkin
Professor and clinician
Based in New York City
Episode: DD SIG Episode 61: Beyond Tired: Understanding and Managing Fatigue in Neurodegenerative Disorders
Maggie Abbott
Director of Outreach for the Parkinson's Society in Houston
Parkinson's Society, Houston
Episode: DD SIG Episode 61: Beyond Tired: Understanding and Managing Fatigue in Neurodegenerative Disorders
Paria Darbandsari
PhD student at the University of Connecticut; physical therapist and researcher on tele-rehabilitation for Parkinson's disease
University of Connecticut
Episode: DD SIG Bonus Episode: CSM 2026 Poster Award: Telerehabilitation and Parkinson’s Disease with Paria Darbandsari
Joe Lindahl
Chief Executive Officer of Mission MSA
Mission MSA
Episode: DD SIG Navigating the Path Episode 8: Mission MSA
Wendy Koester
Assistive Technology Professional specializing in mobility solutions.
Seating and Wheeled Mobility Special Interest Group
Episode: DD SIG Episode 60: AT/SWM SIG Collaboration: Seating for People with ALS
Pam Glazer
Occupational therapist and ATP with a focus on ALS patients.
Houston Methodist
Episode: DD SIG Episode 60: AT/SWM SIG Collaboration: Seating for People with ALS
Jessica Shurer
Director of Clinical Affairs and Advocacy for CurePSP
CurePSP
Episode: DD SIG Navigating the Path Episode 7: CurePSP
Brooke Smith
Senior Director for the Resource Center at the Muscular Dystrophy Association.
Muscular Dystrophy Association
Episode: DD SIG Navigating the Path Episode 6: The Muscular Dystrophy Association

Hosts

Christopher Burke
Chair of the Degenerative Diseases Special Interest Group and experienced physical therapist.
Kenneth Vinacco
Host of 4D: Deep Dive into Degenerative Diseases and podcast committee member.
Parm Padgett
Host of 4D Deep Dive into Degenerative Diseases; outpatient neuroclinic clinician.

Reviews

5.0 out of 5 stars from 25 ratings
  • Great

    This is a great podcast showcasing up to date research across the field!

    Apple Podcasts
    5
    kathleen.!
    United States6 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Content regularly connects clinicians with patient advocacy and funding resources.
Guests provide practical, clinic-ready tips and resources.
Audience finds discussions insightful and research-forward.
High-quality expertise and up-to-date coverage across neurodegenerative topics.

Top Health & Fitness Podcasts

Talking Points

Recent interactions between the hosts and their guests.

DD SIG Episode 61: Beyond Tired: Understanding and Managing Fatigue in Neurodegenerative Disorders
Q: What about talking prognosis and expectations when fatigue is a major concern in neurodegenerative diseases?
Acknowledge that prognosis discussions are sensitive and may extend beyond fatigue; clinicians should listen with open-ended questions, focus on patient priorities, frame achievable short-term goals, and avoid over-promising about long-term outcomes, instead guiding patients step by step on what they can work on next.
DD SIG Episode 61: Beyond Tired: Understanding and Managing Fatigue in Neurodegenerative Disorders
Q: What measurement tools are commonly used for fatigue and how can they capture real-world fatigue outside the clinic?
Tools discussed include the Visual Analog Scale for fatigue (0-100 mm), Fatigue Severity Scale, Fatigue Impact Scale, and disease-specific scales like FADEQ (MS-derived) and the Neurological Fatigue Index (MND). Clinically, a simple VAS with daily logs helps track fluctuations and overwork signs; real-world tracking through daily journals and functional tests (e.g., six-minute walk) can reveal fatigue effects not seen in short clinic tasks.
DD SIG Navigating the Path Episode 8: Mission MSA
Q: Could you speak to resources available throughout the disease course and how clinicians can help patients access them quickly?
Resources span care planning from early to late disease stages, including will and power of attorney guidance, home retrofit checklists, and ongoing webinars about diagnosis and trials; clinicians can direct patients to the resource library for patient and clinician materials and use MSA Connect for community support.
DD SIG Navigating the Path Episode 8: Mission MSA
Q: What are some of the most commonly utilized resources for Mission MSA, especially for those newly diagnosed?
The resources include a licensed social worker available via phone or email, the resource library with webinars and an MSA 101 guide, online community MSA Connect, and practical printouts for clinicians and patients such as autonomic dysfunction handouts and a carers guide to prevent caregiver burnout.
DD SIG Navigating the Path Episode 8: Mission MSA
Q: Welcome Joe and tell us a little bit more about yourself and your role within Mission MSA.
Joe Lindahl explains he is the Chief Executive Officer of Mission MSA, a patient advocacy and research foundation focused on those living with MSA and those researching therapies, with a history of rebranding from the Multiple System Atrophy Coalition to emphasize action and community impact.

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Frequently Asked Questions About 4D: Deep Dive into Degenerative Diseases

What is 4D: Deep Dive into Degenerative Diseases about and what kind of topics does it cover?

Across recent episodes, the show concentrates on neurodegenerative disease care, rehabilitation, assistive technology, and multidisciplinary management. Guests and hosts explore practical strategies for seating and mobility, balance and gait, cognition integration in therapy, and patient/resources advocacy—from ALS to PSP, ataxia, Huntington's disease, and Parkinson's. A recurring emphasis is on early assessment, real-world funding and insurance considerations, and building networks among clinicians, researchers, and patient organizations. The program stands out for blending clinically actionable tips with insights from researchers and national patient advocacy groups, making it helpful for therapists, educators, and program developers seek... more

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2. Huberman Lab
3. I Love Neuro
4. Neuro Navigators: A Medbridge Podcast
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4D: Deep Dive into Degenerative Diseases launched 7 years ago and published 94 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on 4D: Deep Dive into Degenerative Diseases?

Recent guests on 4D: Deep Dive into Degenerative Diseases include:

1. Vanina Dal Bello-Haas
2. Herb Karpatkin
3. Maggie Abbott
4. Paria Darbandsari
5. Joe Lindahl
6. Wendy Koester
7. Pam Glazer
8. Jessica Shurer

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