Success in ALS/HD: How Do We Measure Progress When Decline Is Expected?

Presented by J.J. Mowder-Tinney and Matthew Caraher

Success in ALS/HD: How Do We Measure Progress When Decline Is Expected?

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Neuro Naviagtors: Success in ALS/HD: How Do We Measure Progress When Decline Is Expected? (Episode 26)

Audio Runtime: 62 Minutes; Learning Assessment Time: 21 Minutes

Join host J.J. Mowder-Tinney, PT, PhD, as she sits down with Matthew Caraher, PT, DPT, NCS, a board-certified specialist with extensive experience in multidisciplinary ALS and Huntington’s disease care. Together, they explore how to move past a “fear-based” clinical mindset and toward intentional, staged rehabilitation when working with neurodegenerative conditions. You’ll discover practical, evidence-based strategies for dosing moderate-intensity exercise, using objective assessment tools and subjective reports to guide treatment, and recognizing when “skilled maintenance” is the ultimate clinical win. Learn how to shift your focus from impairment correction to maximizing participation and quality of life for patients and their caregivers.

Learning Outcomes
  • Analyze the evidence regarding exercise and rehabilitation dosing across disease stages in amyotrophic lateral sclerosis (ALS) and Huntington’s disease (HD), including strength, aerobic, and respiratory training
  • Apply evidence-based, practical strategies to select outcomes and dose interventions across the disease continuum while balancing fatigue, fall risk, and respiratory decline
  • Solve patient case scenarios involving clinical decision-making for ALS and HD related to staging, dosing, equipment, and interdisciplinary coordination

This is an audio-only course. Additional materials are available for download within the course. To receive continuing education credit, complete the course and the accompanying quiz.

Meet your instructors

Smiling person with long blonde hair in a blue top on a gray background.

J.J. Mowder-Tinney

Dr. J.J. Mowder-Tinney holds a bachelor of science degree in psychology from the University of Colorado Boulder, a master of science in physical therapy from the University of Miami, and a doctorate in physical therapy from Nova Southeastern University. With nearly three decades of diverse clinical experience, her expertise…

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Smiling man with short brown hair in a black collared shirt, with a blurred background; professional at medbridge.

Matthew Caraher

Matthew Caraher, PT, DPT, NCS, is a board-certified neurologic clinical specialist and director of clinical operations for outpatient physical and occupational therapy at UHealth SoLé Mia. He has extensive clinical experience in multidisciplinary ALS care and Huntington’s disease rehabilitation and previously cofounded and…

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Chapters & learning objectives

Success in ALS/HD: How Do We Measure Progress When Decline Is Expected?

1. Success in ALS/HD: How Do We Measure Progress When Decline Is Expected?

Host J.J. Mowder-Tinney and physical therapist Matthew Caraher empower you to move past a "fear-based" mindset and embrace evidence-based, staged rehabilitation strategies to maximize quality of life for patients with ALS and Huntington’s disease.

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