Timestamp Speaker Transcript
Tony Fowler: And we're rolling.
Taylor Kruse: Welcome back to the Cruise Elite Podcast. What's up, Tony?
Tony Fowler: Good morning, Taylor.
Taylor Kruse: I am... I'm running a little behind. I apologize today.
Tony Fowler: No worries. No worries.
Taylor Kruse: Wait.
Tony Fowler: What's going on?
Taylor Kruse: It's just yeah, it's just a different kind of Different kind of morning. meaning we plan for our daughter to be in school, but she just started school. in the same week she or time frame anyway, she started school, she started... soccer and she started gymnastics and so Just like that she's got a cold.
Taylor Kruse: So she's home from school today. So. That basically means that Alicia and I have to... you know, recalibrate yeah our whole workday.
Tony Fowler: Tag team. ah
Taylor Kruse: and yeah so Um, Yeah, so that's... That's... That's what's new But it's hilarious because... her being sick is It's literally funny. she She has like the cold symptoms, but her energy is still amazing.
Taylor Kruse: so
Tony Fowler: A little different from when it happens to you and I, right?
Taylor Kruse: It's just... Yeah, yeah, totally, totally different. so um Yeah, so I'm just sort of crossing my fingers that... Alicia and I are out of the you know, we're gonna we're gonna not get sick i'm I'm also excited because i'm I'm practically one foot out the door right now for going to Maine with my with my good buddy.
Tony Fowler: Right.
Taylor Kruse: So every year. We do our main trip. It's a fly fishing trip. We leave Wednesday morning. So. When our daughter got sick, I was like, oh no. ah you know.
Taylor Kruse: Am I going to escape this? But I think I will. I don't think it's going to be. I don't think it's going to be too bad. Brooklyn's not. Really really sick.
Tony Fowler: Um... Are you flying up to Maine? Oh I guess you're pretty close. You're driving right?
Taylor Kruse: Yeah, yeah, so... It's like well We're close-ish to Maine, meaning like... maybe two hours to the
Tony Fowler: mm-hmm
Taylor Kruse: To the border, but then we go we go up quite a ways so it'll be It'll be like a six hour. when it's all said and done it'll be like five and a half maybe hours up Yeah. So it's it's a bit of a haul.
Tony Fowler: It's funny because I'm also preparing for a trip to Maine. I think I mentioned this to you.
Taylor Kruse: That's right.
Tony Fowler: Yeah, I'm doing a little.
Taylor Kruse: But you're on the coast? Are you on the coast or something?
Tony Fowler: Yeah, it's going to be like outside of Portland, like 45 minutes outside of Portland.
Taylor Kruse: Nice.
Tony Fowler: um So that actually last time I drove up to Maine, I went up to like ah the Acadia. area and like Bar Harbor and stuff and
Taylor Kruse: Mm hmm.
Tony Fowler: you know That's another two hours.
Taylor Kruse: Yeah.
Tony Fowler: But coming from D .C., that extra two hours makes a difference. So I was like, oh, it's close to Portland.
Taylor Kruse: Big time.
Tony Fowler: Thank goodness. But it's still going to be like a 12 hour.
Taylor Kruse: Brutal, yeah
Tony Fowler: 12-hour drive.
Taylor Kruse: It's a long ride.
Tony Fowler: Yeah.
Taylor Kruse: port Portland is basically my meetup location with my with my buddy, and then we'll...
Tony Fowler: Mm hmm.
Taylor Kruse: we'll leave one car and and head up
Tony Fowler: Are you much of a...
Taylor Kruse: So I'm excited.
Tony Fowler: of a coffee drinker?
Taylor Kruse: I just took a sip, yeah
Tony Fowler: I think one of my friends told me there's good coffee in Portland.
Taylor Kruse: Um,
Tony Fowler: Is that a thing?
Taylor Kruse: Um... Yeah, I could see that. I didn't, I'm not, specific like, I don't specifically. know it for being like the coffee location. But yeah, I could see how that could be the case.
Taylor Kruse: Yep.
Tony Fowler: Well, very cool. Very cool. Your yearly. pilgrimage
Taylor Kruse: Yeah.
Tony Fowler: Um... You're gonna be you're gonna be using your body you're gonna be moving because there's a lot of like trekking and and
Taylor Kruse: Yes.
Taylor Kruse: But yeah. Lots of hiking.
Tony Fowler: hiking and
Taylor Kruse: Yeah, lots of bushwhacking and it's a really, really dense. you know, area, meaning... It's pretty remote where we go.
Taylor Kruse: We do a lot of hiking. You've got to really walk. to get to good areas and get away from other people who are doing the same thing. and it's so the the vegetation is so thick in maine it's crazy like There's really no trails And every year, the trails that do kind of exist just from the foot traffic. that happens from you know fishermen and stuff they'd kind of disappear from all the deadfall because there's just so...
Tony Fowler: Mm hmm.
Taylor Kruse: Much of it. So... It's a lot of bushwhacking. It's very physical. You know, it's it's tough. like there's Put it this way. In certain areas in Maine, if you had to run from somebody in the woods... You couldn't.
Taylor Kruse: Like. like you can't like there are some areas that are so Dense. that you have to turn your body. sideways to slide between two trees.
Taylor Kruse: it's It's like... really really thick so sometimes it's you know it's a lot of figuring out how are we going to get there and are we going to walk the river? Are we going to go in the woods? And yeah, it's, it's.
Taylor Kruse: it's pretty cool
Tony Fowler: ah Do you guys keep like a... physical maps on you or like do you have a compass or is there any stuff like that
Taylor Kruse: We've been building one Yeah, we've been building one with... ah you know, Basically. We have... an app. And. we we just pin different locations and stuff and we've been building a map for the last five years or so. And it's pretty cool. Like we're really dialed in now.
Taylor Kruse: We know exactly where we want to go. and how to get there. So it's fun.
Tony Fowler: man that's so cool
Taylor Kruse: Yeah. Yep.
Tony Fowler: Awesome, dude. Awesome. Well... Before you head out... We're getting another Q and &A episode in.
Taylor Kruse: That's right.
Tony Fowler: And we've got a lot of great questions. So thanks to everybody who submitted those.
Taylor Kruse: Yeah, thank you.
Tony Fowler: Let me see where I want to start with this.
Tony Fowler: All right, this is from...
Tony Fowler: My well.
Tony Fowler: And they say... Left-sided. Pain issue.
Taylor Kruse: Mm-hmm.
Tony Fowler: shoulder, neck, and hip. horizontal vision deficit. not knowing where to start.
Taylor Kruse: Hmm. Too bad we don't have more info on the visual deficit.
Tony Fowler: Yeah. Yeah.
Taylor Kruse: Yeah, you can only write so much in that box, you know.
Tony Fowler: Yeah, I think we should move to to DMs, honestly, so that people can...
Taylor Kruse: Sub.
Taylor Kruse: Yeah.
Tony Fowler: you know. uh give us a little more info but But yeah.
Taylor Kruse: Yeah. Yeah, so...
Tony Fowler: No.
Taylor Kruse: ah ill I'll kind of... Yeah. i'll I can think up a couple of... think possibilities here and That is enough information to at least get some ideas out. So this is all left-sided pain, was it?
Tony Fowler: Mm hmm.
Taylor Kruse: Okay.
Tony Fowler: shoulder, neck, and hip. and then the horizontal vision deficit.
Taylor Kruse: All right. Okay, so... Yeah, horizontal vision deficit. We don't... We don't have enough information to know exactly what's meant with that. It could be that.
Taylor Kruse: An eye position. is Challenging, meaning, you know, I... When I when I do stuff with my eyes over to my right side or my left side like I i have problems with that I'm also wondering if they meant...
Taylor Kruse: Possible peripheral vision. deficit in In the horizontal. Kind of. quadrant there. Um, field A couple ideas. you know we'll We'll guess. We'll guess and we'll see.
Taylor Kruse: what we can come up with. But first, so... when When somebody says... And I'm going to kind of talk. through this as if we're I'm talking more to...
Taylor Kruse: One of our... one of our students or somebody who's who's doing applied neuro. Um, When. When you take a history... And. Someone is describing all one-sided pain.
Taylor Kruse: Like this. in this case on the left side. There are different reasons why a person could have all one-sided pain. The first one that we like to discuss. is it could be more related to a PMRF pattern.
Taylor Kruse: Okay, so that's when we're talking about the brainstem. Brainstem has a left side. Brainstem has a right side. typically the more dysfunctional side or the side that's not doing its job appropriately.
Taylor Kruse: will present with the chronic pain issues on that side. So... If this person's... pm or f pattern If this person really does have a PMRF pattern.
Taylor Kruse: we would at least guess right now with the information that we have that it's on the left side of their body. Because that's where they're having the chronic pain. issues. Typically, at that point, I want to know more about the chronic pain because when a person says that they're having More joint pain.
Taylor Kruse: Or. Maybe they tell you. its tendons, or maybe they've had injuries to ligaments. where there's actually been like tissue trauma.
Taylor Kruse: Usually it's not once. It's more than once. Sometimes it's like, hey, I've... I've sprained or... Or... Tor.
Taylor Kruse: tendons or ligaments on this side of my body, and they have a list of them. That is one of your indicators that... Things might be... more related to the PMRF.
Taylor Kruse: Because with with the PMRF pattern... we typically see... A lot of difficulty in. The balance of muscle tone.
Taylor Kruse: And when you have muscle tone issues on one side, Sometimes the result of that can be... Ligament. uh injury tendon injury muscle injury Right?
Taylor Kruse: So that's one idea based on the information that we have. Perhaps this is... a left. PMRF. issue. Now... There's no... so like there's no rule there's no absolute here so i will address another idea but before i even do that Back to the vision comment. about uh a deficit.
Taylor Kruse: horizontally i think what they mean is on one side but not the other So if somebody has a left... PMRF pattern. I might at least guess at this point that this person is describing a right-sided Let's say...
Taylor Kruse: peripheral. vision. deficit. So let's just say like the The outer part. of the right visual field.
Taylor Kruse: is problematic. That could make sense. with what we're We're kind of you know working through here because of our basic rule that we talk about a lot where all sensory input goes to the contralateral cortex except smell.
Taylor Kruse: So if this person's having difficulty in the outer part of that right side of the visual field, That is actually going to be... A left-sided.
Taylor Kruse: cortical issue. if we're being really simple Now that matters here because If we look at just basic pathways.
Taylor Kruse: and you know where sensory inputs end up. The left cortex, if it's doing its job well, will Fire down into the left PMRF.
Taylor Kruse: So this is significant because if they have a right-sided visual. issue on that outer field. That could be causing... decrease activation to the left cortex.
Taylor Kruse: which would then possibly be negatively influencing the left side of the brainstem. So that... you could at least... Guess.
Taylor Kruse: that that visual problem is one of the more underlying kind of... root causes. of the left PMRF pattern. which is pretty wild to consider.
Taylor Kruse: It's like you're getting muscle tone issues on one side of your body that's leading to chronic pain because of a vision problem. on the right side of the of the visual field.
Taylor Kruse: and that's And that's a possibility. That's a possibility so So that's kind of how I would think through that and I do want to say that it's not it's not a rule that all one-sided pain.
Taylor Kruse: is going to be... a PMRF pattern You could have all one-sided pain. from a Sarah Beller pattern too.
Tony Fowler: Mm hmm.
Taylor Kruse: So the the cerebellum. is we We like to say it's it's where our movement ABCs come from. accuracy, balance, and coordination. in the cerebellum is also involved in calibrating or setting muscle tone.
Taylor Kruse: So... if they have decreased cerebellar. activation ipsilaterally. So on that left side, the left cerebellum. problems with Accuracy, balance, and coordination.
Taylor Kruse: can also cause pain. All right, just because... threat levels become elevated from not being accurate, not having good rhythm with in coordination with movement.
Taylor Kruse: so So it is a possibility. It's just that I see. More PMRF. mediated Pains. chronic pain.
Taylor Kruse: that maybe also involved the cortex. I see that more. I would say.
Tony Fowler: Mm-hmm
Taylor Kruse: then I see the cerebellar pattern causing all one-sided pain anyway. So some things to keep in mind when you're... taking history and... sometimes we have to guess right we we only have so much information um This is you know an example of not having a lot of information, but using what we know with theory.
Taylor Kruse: to kind of think through things. So... Where do you go from there? Let's just assume that this is the... PMRF pattern.
Taylor Kruse: Okay. on the left side in this case. It is entirely possible. to stimulate maybe that right side of the visual field. and get some improvement on that left side of the body.
Taylor Kruse: Okay, so that's that's one idea if it is a peripheral awareness type of problem. then we can literally start. stimulating the right side of the person's peripheral vision And that might be a really good thing to start with.
Taylor Kruse: So... There's lots of ways to do that. It could be... It could be you're going for a walk. Right. Are you just walking? in the gym and Your goal is to only focus on things that you pick up in your periphery on the right side.
Taylor Kruse: And it's kind of a fun little game. You know, you're walking along. You're like, okay, you're you're looking straight ahead. and You're not looking. at what you're trying to be aware of you're walking along and.
Taylor Kruse: Like okay, there's a chair. all right there's a blue sign I think that's someone's shoes There's a person. And you're just walking.
Tony Fowler: This is secret agent training.
Taylor Kruse: and being aware. Yes, exactly.
Tony Fowler: you know
Taylor Kruse: And that's actually quite a good. awareness drill. And then you could retest that and see. Okay, am I getting any clues? was Is stimulating that part of the visual field useful? for for this issue.
Taylor Kruse: And if you wanted to be more specific, you could test something on the left side of your body. So. That could be left pain that you're experiencing. It could be range of motion. Maybe you you feel tight and restricted in your...
Taylor Kruse: Um, I'm sorry, what did they say? Hip. Was it hip, shoulder, neck?
Tony Fowler: Hip shoulder hip shoulder neck
Taylor Kruse: Yeah, so you could take...
Tony Fowler: Yeah.
Taylor Kruse: one or more of those joint areas and test them. You know, how's my neck feeling? How's my shoulder feeling? oh okay a little improvement nice okay this is going to become a drill for me You can also stimulate that side of the visual field using...
Taylor Kruse: Light. So turn on your trusty flashlight on your smartphone. Shine it. uh on that right side not directly into your eye. so that it's kind of uncomfortable but off to the right side And you can move the phone around. and again you're not looking directly at it you're using you know You're using light input.
Taylor Kruse: into that. outer right part of the visual field.
Tony Fowler: And are you holding it sort of like just straight 90 degrees out to the side?
Taylor Kruse: Yeah. Yeah, well Yeah, so you can start there and then I like to just move it a bit, make it a little more interesting, change the light. So move it up, move it down, but you're still off to the right in this case.
Taylor Kruse: Yeah. Yeah, that's that's how you would do that. And you might do that for 15, 20 seconds. Put the light down. retest something on the left side of the body Okay, nice. Better.
Taylor Kruse: better shoulder range of motion nice okay this is This is now looking like it could be an input. So that's one idea. they're There are...
Taylor Kruse: um The neurology gets a lot more complicated when we start looking at visual skills.
Tony Fowler: Right.
Taylor Kruse: So that's kind of a different thing in itself. Um, Not all visual skills are going to activate the right the cortex that we're after here. So it's it's not as simple as saying, do vision exercises.
Taylor Kruse: on the right side It just... Visual pathways get wacky. all right but Um, You know, there's there's some, so so here's a couple easy ones.
Taylor Kruse: that could be tested in this case. If this pattern is what we're... Guessing it might be? You could try smooth pursuits. but you would do them to your left.
Taylor Kruse: And that is going to be a stronger stimulus for the left.
Tony Fowler: Interesting.
Taylor Kruse: parietal lobe. So that's one idea. You could also do visual saccades. So those are our rapid eye jumps from one target to another. And you could do your saccades.
Taylor Kruse: going to your right. That would be a stronger stimulus for the left cortex again. um we look at it as a pretty strong stimulus for the frontal lobe Okay, so a couple of vision ideas there where you're...
Taylor Kruse: Choosing a specific direction. to match a certain possible pattern. And the last thing here would be... are you We say this all the time on the podcast, complex nonlinear movements.
Taylor Kruse: So this is the type of joint mobilization that we really like that is very much centered around motor control. where a lot of the drills look like circles or figure eights or curved lines.
Taylor Kruse: What we're trying to do there is not only... Mobilize a joint to its fullest potential with range of motion. but we're training the cerebellum. Right, we're using curved lines because they're more complex in nature and they're good at stimulating the cerebellum.
Taylor Kruse: this is a funny one because if in fact this is a right or sorry a left-sided pmrf pattern we would start our efforts with complex nonlinear movement.
Taylor Kruse: on the right side of the body because of the basic neurology of voluntary movement. When we move the right side of our body, We're going to stimulate the right cerebellum. but also stimulate the left cortex.
Taylor Kruse: Then, of course. Um, the downstream effect of that. onto that left PMRF. So... We might have some ideas here. We've got...
Taylor Kruse: Peripheral awareness on the right side. We've got smooth pursuits left, saccades right. And then we've got complex nonlinear movement. on the right side of the body.
Taylor Kruse: All while... continuously testing. how things are. going with the left side. check your neck check your shoulder check your hip Are things moving better? Are you experiencing less pain?
Taylor Kruse: If the answer is yes, then you've got, you've Got it. Like. is Like, if the answer is yes... You just need more of these training inputs.
Taylor Kruse: Probably before. You do any more? like really direct localized work On. your neck, shoulder, and hip. which eventually you will want to do.
Taylor Kruse: I want to be clear on that because sometimes people are like, well, opposite you know do the opposite side of the body. But that means nothing? on the side that hurts well at first the answer might be yes But then we need to continue the training process. people who have been in chronic pain for a long time generally have blurry proprioceptive maps.
Taylor Kruse: With those joint areas that have been in a pain for a long time. So yeah, we want to train them eventually. um When are... Brain will be okay with it. All right.
Taylor Kruse: So the last piece of this is if in fact everything I said is completely wrong then Maybe we would. We would look at this and approach it. as a left cerebellar pattern after all.
Tony Fowler: h
Taylor Kruse: in which case your complex nonlinear joint mobilizations will be on the left side of your body provided you can. Find those drills without causing yourself pain.
Taylor Kruse: And you don't necessarily need to move those joints that are causing you pain in order to target your left cerebellum. You could start with your ankle and your foot.
Taylor Kruse: and your knee Those are areas that you can move. where you're not experiencing pain. and start that process. Assess, reassess as always. specifically to your neck shoulder and hip and see Which of these ideas?
Taylor Kruse: Either left PM or F. Or... left cerebellar pattern which of these ideas is moving the needle in the right direction?
Tony Fowler: What a fantastic answer. I mean from taking... Very limited. sort of history information. Coming up with a neuro-based theory. And then...
Tony Fowler: you know.
Taylor Kruse: Yeah. It's...
Tony Fowler: Acknowledging, okay, this might work, this might not, but what you have to do.
Taylor Kruse: Yeah.
Tony Fowler: is a cess. And... figure out where where you're seeing improvements.
Taylor Kruse: Yeah. and And this is why when people ask me, because every day on social media. People ask me. what to do for this issue. And. um i just it i mean how long did i just talk about that it's it's a lot it's a long Yeah, it's a long answer.
Tony Fowler: 15 minutes.
Taylor Kruse: Which is why I often can't really give people... The answer, I have to... you know I have to point them towards our content. that's already you know been created about this stuff because with short form content on Instagram, it it looks like I just have all these hacks.
Taylor Kruse: um and And that's not what it is. It's just that short form content looks like a hack because it's like, here's a drill, try it. And a lot of people get. a good result from it so it looks like i have a magic trick I don't have a magic trick. All I did was.
Taylor Kruse: I thought about 15 years of experience in all the... common patterns. that I typically see with people. And then I pick a body area that people are commonly complaining about.
Taylor Kruse: And I go. What kind of... neurologic drill could you create? In theory. for this. pattern. And then I create. content That's 30 seconds long.
Taylor Kruse: right and and that's why it looks like a uh it looks like a hack but and it's not it's like okay there's there's a lot of thinking that goes into it And of course. In real life, we do.
Taylor Kruse: neuro testing. We sit down with a person, we take a history. there's a there's a lot to it but Um, Yeah, that's... Important for... People to hear, just because everyone...
Taylor Kruse: Everyone thinks it's just like handing out a... There's gotta be a... it's got to be a quick hack for me not necessarily and it always ends up being a training process most of the time.
Tony Fowler: Yeah, and and edge and an education process, right?
Taylor Kruse: Yeah. Yes, for sure. For sure.
Tony Fowler: Um,
Tony Fowler: Yeah, his question I found interesting because he said where to start.
Taylor Kruse: Right.
Tony Fowler: And... um I think he was already. well on his way i'm um' i'm assuming he but i don't know um he or she was well on their way um
Taylor Kruse: Mm hmm.
Tony Fowler: With giving a history that included. The Vision.
Taylor Kruse: Well, you know what's cool about that?
Tony Fowler: aspect.
Taylor Kruse: Yeah, what's cool about that is they actually knew that would be important information.
Tony Fowler: Yeah. Yeah.
Taylor Kruse: most Most people... I have no idea that that would be important information.
Tony Fowler: Yeah, those would be two unrelated issues, right?
Taylor Kruse: Yeah, which is cool
Tony Fowler: Like, oh, there's an eye thing but that has nothing to do with my hip.
Taylor Kruse: Yeah.
Tony Fowler: you know.
Taylor Kruse: Exactly, yeah.
Tony Fowler: Um...
Taylor Kruse: Exactly.
Tony Fowler: So so clearly this person has some some background maybe with with uh applied neurology they've been exposed So where to start, you know? to Take the history. Then make some educated guesses.
Taylor Kruse: Great.
Tony Fowler: And then. Test it. Test your theories.
Taylor Kruse: That's right.
Tony Fowler: And. this whole thing kind of reminds me of like uh 20 questions did you ever play that game
Taylor Kruse: No.
Tony Fowler: So 20 questions is a game where it's like, all right, you might be in the car. with the family And you need to pass the time. And so you play 20 questions. Someone thinks of something. Let's say I'm thinking of an object like a spoon.
Taylor Kruse: Mm hmm.
Tony Fowler: And they have the other people in the car have 20 questions amongst them to guess what that object is. And so if you're thinking strategically, you're going to try to narrow it down.
Taylor Kruse: Right.
Tony Fowler: Is it? uh an animal is it a plant is it an object Right. then you can narrow it down. Okay, it's an object. Is it bigger than... ah my shoe.
Tony Fowler: No, it's not bigger than your shoe. Okay, now you've narrowed it down, is it? uh made of metal like yes it is made of metal and so so you're slowly narrowing it down and then you can get really specific and if you know the person you might think know what they're thinking about but with neuro you're like okay
Taylor Kruse: Right, right.
Taylor Kruse: Sure.
Tony Fowler: is this pointing to a pattern that I've seen before. Are there any clues that say, okay, this might be a PMRF thing? or a cerebellar thing.
Taylor Kruse: Right. So it's like the with that game, it's like the quality of your question. kind of dictates how quickly you can get to that right answer. which definitely reminds me of taking a history.
Tony Fowler: Exactly.
Tony Fowler: Yep.
Taylor Kruse: Yeah, it blows my mind when people don't because then it's like
Tony Fowler: Yeah.
Taylor Kruse: Well, we've talked about it before, right? I get all fired up over it because If you don't take a history... All it ends up telling me is you already have a plan. For using one thing And one thing never is the thing.
Taylor Kruse: So I mean, it never is the thing. Even with two people complaining of this of the same... Pain. You know I've Two people, their right shoulder hurts in the same exact spot. I guarantee you the solution will not be the same.
Tony Fowler: mm-hmm
Taylor Kruse: which is You know, it's. Could sound overwhelming, but it's just how it works. you know um but to me it's not overwhelming anymore because it's very freeing that you You have options, right? you can There's options and it's It's good to have those options, but if you're over devoted to one methodology...
Taylor Kruse: You don't have to take a history. And and that's how it was for me. I'm thinking about one thing that I spent a lot of time with early on in my career, one methodology. it was a It was a fascial stretch.
Taylor Kruse: type of technique. We didn't take histories. We didn't take a history. We didn't need it. Why didn't we need it? Because we planned on doing the same thing. every time.
Taylor Kruse: didn't matter. So yeah. Yeah. ask quality questions and you can. You know, that's I probably I think that's probably where the best.
Taylor Kruse: the The people doing the best work. are. taking the best history.
Tony Fowler: Yeah, I found it really interesting last week. uh when alicia was on And you guys. Both were talking about having a right-sided PR. PMRF issue.
Taylor Kruse: Right. Yeah.
Tony Fowler: But the drills, the high payoff drills that worked for each of you were completely different.
Taylor Kruse: Completely.
Tony Fowler: um but they were both targeting the same part of the brain.
Taylor Kruse: Yeah.
Tony Fowler: you know. um
Taylor Kruse: Yeah.
Tony Fowler: So, yeah, you gotta... it sounds like you really got to experiment and be willing to... Be a guinea pig. ah for yourself, you know?
Taylor Kruse: Yeah.
Tony Fowler: I'm looking for...
Taylor Kruse: isn
Tony Fowler: I flag these kind of ahead of time, which ones I want, but then I have to find them again.
Taylor Kruse: Yeah.
Tony Fowler: All right, this is from SarahGiles93.
Tony Fowler: If bumping into things and poor spatial awareness is a common sign of ADHD, Can neuro training help someone? with ADHD.
Taylor Kruse: Definitely. Definitely. Um, Yeah, bumping into things, and we've talked about this actually a little bit. in some previous episodes.
Tony Fowler: Well, he had a whole whole episode on on clumsiness was kind of the the hook.
Taylor Kruse: kind of
Taylor Kruse: Yes. Yeah. And we kind of made this, yeah, that's right. We made this kind of distinction that there's. There's kind of a couple. types of clumsiness if we had to break it down there's There's clumsiness sort of related to the cerebellum.
Taylor Kruse: So remember that's... i said it earlier That's where our accuracy, balance, and coordination comes from. And so if you're having a cerebellar issue. you may be clumsy in terms of making accuracy type mistakes with your movement.
Taylor Kruse: A lot of times when the cerebellum is not doing its job properly, it it is having a difficult time detecting errors and correcting those errors with movement. So. um you know it through kind of a more subtle lens which is what we often are are experiencing when we're running tests you might see that as Dysrhythmic looking movement or having a tough time returning to a starting position or
Taylor Kruse: Making contact with a certain target. That type of thing. So that's kind of the cerebellar end of things. The other type of clumsiness that we talk about is more related to the parietal lobe.
Taylor Kruse: And I think... in this case because this person used the word spatial awareness
Tony Fowler: here
Taylor Kruse: My mind is More towards this end. where it's more parietal lobe. because the parietal lobe is so involved in well lots of sensory processing but Pride of Loeb is very much involved in...
Taylor Kruse: spatial awareness. Um, where things are in the environment. and And this is kind of neat because it's like physical, like you with your body.
Taylor Kruse: Almost like... Part of proprioception. but also visually. which is neat. We've got... visual, a visual stream dedicated.
Taylor Kruse: because remember all There's so many. parts of the brain involved in visual processing. it's ah It's not just one. area. So... Um, with the parietal lobe with visual inputs.
Taylor Kruse: We do have a dedicated stream. that helps us kind of map things in the environment visually, like where are they? We just refer to it as the where is it stream. of vision.
Taylor Kruse: Yeah, so Anyway, is I'm not an expert or anything on... Uh, Was it ADHD that she mentioned?
Tony Fowler: Mm hmm.
Taylor Kruse: Yeah.
Tony Fowler: Mm hmm.
Taylor Kruse: It's certainly not something I'm an expert on. um I will say that. A lot of times, I think... Some people are getting that diagnosis.
Taylor Kruse: And there are more underlying things actually going on. One of those things. is often vision problems. Okay, I was probably that student in school.
Taylor Kruse: That. was you know the feedback was you know Is it ADHD? perhaps you need to Be medicated so that you can focus in school.
Taylor Kruse: Blah blah blah. you know.
Tony Fowler: Mm hmm.
Taylor Kruse: You know, i so I heard it all. At the end of the day I had a vision problem Right? Um, And. Nobody was able to see that. Nobody was able to ask the right questions to understand that.
Taylor Kruse: That's Very common still. Right? So I think that covering some bases. there. is important. But the question is... Can neurotraining...
Taylor Kruse: Help. with uh With ADHD. and And yes, I absolutely think it can. And I do think a large ah large part of the training for this would be. vision exercise.
Tony Fowler: Interesting.
Taylor Kruse: Yeah. Yeah, because... Typically, we look at... you know, ADHD as a difficulty with things like planning. an organization. and focus.
Taylor Kruse: attention. things like that. These are all executive functions. Coming from the cortex. A lot of areas of the cortex, but we look at the executive functions as being housed in the frontal lobe.
Taylor Kruse: Right. So, yes, theoretically, you could do a lot of training. For the cortex, you could target the frontal lobe. You could target the... the parietal lobe.
Taylor Kruse: and you could potentially see improvements. So...
Taylor Kruse: How do we do that? We do have... an episode on each part of the cortex that I just mentioned. I believe we have a dedicated frontal lobe. episode is that is that right We've got one on frontal lobe training.
Tony Fowler: It's hard to keep track.
Taylor Kruse: yeah we've got one on frontal lobe training actually i'm sure of it i'm sure of it
Tony Fowler: Okay.
Taylor Kruse: And then we have the parietal lobe that wasn't too long ago. And so that's those will be wonderful resources because you'll get a sense for the... type of training that can be directed to each one of those parts of the cortex.
Taylor Kruse: okay so But i'll I'll give you some good ideas. for the frontal lobe training. that could be useful here Because I think it would be... I think it could be powerful Alright.
Taylor Kruse: um Any vision exercise, technically. Could be. quite useful. in this in this case. If we want to direct the inputs... More at the frontal lobe.
Taylor Kruse: We might choose to do... Visual saccades. an exercise. which is the rapid eye jumps from one target to another. So that might be good, and there's different directions in there to explore.
Taylor Kruse: So that's maybe the key vision exercise here. Next. The next key vision exercise is still a saccade, but it's called an anti-saccade. In an anti-saccade,
Taylor Kruse: is challenging because... Let's say we're... visually guiding the saccades. And what that means is... Maybe I'm using an app and there's two dots on the app and those are my vision targets.
Taylor Kruse: Okay, there are apps like this too that people can find. Um, An anti-saccade... would start your eyes in the center position.
Taylor Kruse: and in the Outer part of the... In this case, if we're doing an app, the screen. there would be a dot, and those are your visual targets. But you're not looking directly at those visual targets. You're staring at the dot in the middle.
Taylor Kruse: And what would happen is, in an unpredictable way, one of the dots in the periphery would flash. And you would sense that. using peripheral vision. And as soon as you sense that, your goal would be to as quickly as you can.
Taylor Kruse: Do your visual saccade. but in the opposite direction. of the flashing target.
Tony Fowler: Mm hmm.
Taylor Kruse: So if I'm looking at the screen. or a coach is guiding this, and this is how I using an app, I'm the coach in front of them holding targets, and I just have them look at my nose as the middle target, which is the starting position.
Taylor Kruse: So if the person's performing the exercise in the right dot or target. flashes or moves Then I would saccade my eyes to the left.
Taylor Kruse: And then I would come back to center and reset. If the left one flashes, then I would saccade my eyes to the right. So I'm going in the opposite direction. And the key here is, this is why we call it an anti-saccade.
Taylor Kruse: The key is that you're trying to inhibit. the impulse to look at where the movement came from. This is very challenging sometimes in life for...
Taylor Kruse: like kids that do have. focus and attention. Difficulty? They're going through life in all of the movement that Should not.
Taylor Kruse: overstimulate them and cause them to let's say look in that direction is getting them to look in that direction. Okay, this is like one of the reasons this would be a real a reason why like a kid might quit playing a certain sport because sports are chaotic.
Taylor Kruse: when you don't have the Inhibition. skill. to not look at everything that's moving around you and only look at what is important.
Taylor Kruse: You take this for granted. So imagine you're running down the athletic field. There's players all around you. Those players have jerseys on with colors. There's a moving ball. There's people in the crowd on each side. There's coaches running up and down the sidelines. There's a lot of movement happening.
Taylor Kruse: If you didn't have the Reflex. to inhibit Bringing your attention to all those little things all the time. then it would feel like a total mess. it would overwhelm you and you would probably make a lot of mistakes.
Taylor Kruse: that's kind of this idea of not having the skill of inhibition in real life like It's like essentially having an overactive visual system. which is a nightmare. It's very difficult it makes things hard So...
Taylor Kruse: Anti. saccades, great vision exercise, but we can also take this inhibition idea. And we can work it into other exercises. It doesn't have to be a vision exercise. movement exercise. Everybody's familiar with the games.
Taylor Kruse: Like. Simon says, or red light, green light. or any kind of stop go. type of game. where you have to inhibit.
Taylor Kruse: the impulse to do something. it's It's an... Awesome. Training stimulus. And for... for kids that have ADHD, it certainly could be difficult.
Taylor Kruse: right like it could be really hard and you have to find the right dose and the right challenge and of course we want it to be fun because we usually get further when it is But it's an awesome training stimulus that can be. you know they can target the cortex and the frontal lobe.
Taylor Kruse: So there's a lot you can do there with that kind of an idea. And you know the last thing I'll say is hand-eye coordination skills are great. for this too. So we've Last couple episodes, I think juggling has come up.
Tony Fowler: Yeah.
Taylor Kruse: Juggling is a great thing to learn. Very strong cortical stimulus, very strong cerebellar stimulus. The hand-eye coordination pieces there, of course. It doesn't have to be hand eye. It could be foot eye.
Taylor Kruse: Right so we can be doing ball skills on the ground There's a lot of room for creativity. when you're trying to... Target the cortex. with these types of you know cognitive type loads and It can be a lot of fun. so So that's where my mind goes.
Taylor Kruse: um All movement is going to be... a stimulus for the parietal lobe too because ah you know i know in the question talking about like bumping into things So just mapping the body. in learning better proprioceptive skills.
Taylor Kruse: There's so much we can do there. That will also be part of this and that will help. So you know all movement It's going to be a strong cortical stimulus as well.
Tony Fowler: So Miriam. ass. She's a dojo member. Are there possibilities to integrate applied neurology into my lessons as a teacher? as a support for learning
Taylor Kruse: my gosh
Tony Fowler: Students with ADHD. And so I just wanted to. tag these two together since you just gave some great ones i was thinking in a classroom environment
Taylor Kruse: Yeah.
Tony Fowler: um If you have the space, like red light, green light. would be perfect for for younger students.
Taylor Kruse: Dude.
Tony Fowler: There's another one that you've mentioned, though, where like. ah You might put something I always forget the name you might put something on the screen like a word
Taylor Kruse: Yeah.
Tony Fowler: And the word is blue.
Taylor Kruse: oh thank you
Tony Fowler: but the color of the word is yellow.
Taylor Kruse: The Stroop Test.
Tony Fowler: the Stroop test, I feel like that could be really good in a classroom environment, right?
Taylor Kruse: Thank you.
Taylor Kruse: youre you You know a lot of neuro, Tony.
Tony Fowler: Because I don't know the names of things.
Taylor Kruse: You're killing it.
Tony Fowler: I don't know. there's There's probably neuro I should do to be. to be better at that.
Taylor Kruse: ah
Tony Fowler: Um... But yeah, I think that would be a really good one for like a classroom because then all the kids can shout it out together
Taylor Kruse: Totally. Dude, do you know what would happen in a school system?
Tony Fowler: And.
Taylor Kruse: If movement was worked into the actual learning.
Tony Fowler: Hmm.
Taylor Kruse: Oh my, I mean. This is what I was asking for in school. without actually asking for it. Instead I was getting in trouble. You know what I'm saying?
Tony Fowler: Yeah.
Taylor Kruse: It's like, why does this kid and these other kids, why are they acting out? Why are they always being physical?
Tony Fowler: Mm hmm.
Taylor Kruse: Why are they okay getting sent out of the classroom? because they don't want to be there why are they okay with then going into the hallways and doing everything they're not supposed to.
Taylor Kruse: Right. And it's like. When kids are sensory-seeking like that, there's a very specific reason. The way that traditional education is... is Taught is a complete joke to me.
Taylor Kruse: once you understand the brain and how learning happens. And some places I think are. They know this and they're using it, but it's such a small. in the grand scheme of things, is such a small percentage. It's frightening.
Taylor Kruse: But. Man, if you could. If you could work in small. small, um, Little movement snacks, we'll call them.
Tony Fowler: Mm hmm.
Taylor Kruse: into the classroom. Like imagine, okay, everybody get out of your chair. And we're just going to stand and... As a class, we're gonna do a coordination chart. And then boom, teacher puts on a. coordination chart on the overhead. projector And, you know, you're going through these little movements that you can do in a stationary position and everyone's laughing and making noise and, you know.
Taylor Kruse: trying to you know, go through it fast. and then it's like, all right, we'll put that down. Let's do some cross crawling. So now we're getting opposite hand, opposite leg type movement. um you know maybe we throw in something that's more hand-eye coordination.
Taylor Kruse: Everybody can do a pencil push-up now. Grab your pen. Let's do some sets of pen. You could work in little movement snacks here that are very activating for people. My goodness, I bet. I would love to see research done on that.
Taylor Kruse: Um,
Tony Fowler: mm-hmm
Taylor Kruse: where you could then... measure like how effective this was in grounding the student. and keeping them focused. You know, it'd be really cool. So yeah, the answer is yeah.
Taylor Kruse: If you want to be the next level. teacher. I think finding ways to... to work in these little things into The class would be amazing. And I think you would notice a difference for sure. And the cool thing is.
Taylor Kruse: These little breaks I'm envisioning. only have to be Two minutes.
Tony Fowler: here
Taylor Kruse: It's not like you're, it's not like, hey, we're taking time out for a 25 minute recess. It's like. two minutes here two minutes there could go a really long way
Tony Fowler: Yeah. Fascinating. um Miriam had also asked another question. How can you apply? Applied neurology with stroke patients.
Tony Fowler: or in general when parts of the brain are damaged.
Taylor Kruse: It's all the, so it's. So I don't do this. okay it's not it's not my It's not my space.
Tony Fowler: h
Taylor Kruse: It's not my expertise. It's not my scope. All right, so that being said. It's all the same right So we have people in our community, students.
Taylor Kruse: who do work within that arena. And they are applying. the material that we're teaching them. to work with people. that have had strokes or have some kind of known lesion, brain damage, whatever.
Taylor Kruse: all right Um, So it's all the same. you're You're still running you're doing everything the same. You're still running the same testing. Right? You're still... approaching it the same way we would anybody else.
Taylor Kruse: And then you are building your drills accordingly. So the answer is yes, it can be. amazingly effective and it actually it really blows my mind that the So there's certainly people out there doing amazing high-level work in in this arena using applied neurology for people that have had strokes. but Also what you see more of.
Taylor Kruse: Is that like the general. rehab world on this is doing very poor work. They're not going deep at all. End. That's why a lot of people are not getting.
Taylor Kruse: great results. And I hear from individuals all the time. through our students, but also just on social media where... very resourceful people.
Taylor Kruse: Watch one of my YouTube videos or something and go and test something on themselves or... you know a friend or a loved one who had has who has had a stroke.
Taylor Kruse: And I get some really amazing feedback from people. and it ah The conversation always goes to a place where they say, Why? Did nobody know this or do this? when So and so was actually.
Taylor Kruse: in the rehab process. And my answer is... I don't know. But... It's... Kind of infuriating Um,
Taylor Kruse: We still have a long way to go. before before this kind of thing is You know. more well known, more universally accepted. I'll tell you what, we also have a long way to go before everyone who's in the rehab world wants to work this hard.
Taylor Kruse: That's the other part of it. that It's not like you learn this stuff. And it's easy. All right, you got to really... You want we gotta to really want to go after it. So. There's a lot of factors to it.
Tony Fowler: Yeah. I imagine there's some structural factor factors as well where it's like...
Taylor Kruse: Mm hmm.
Tony Fowler: You might only have so much time. uh, with the patient and
Taylor Kruse: That's a big problem
Tony Fowler: Yeah. and coverage and all sorts of things.
Taylor Kruse: That's a big problem.
Tony Fowler: Yeah.
Taylor Kruse: oh yeah bad coverage yeah like my the insurance companies will only allow me to
Tony Fowler: Okay.
Taylor Kruse: Do this.
Tony Fowler: yeah
Taylor Kruse: Right, that doesn't help. Yeah.
Tony Fowler: Um,
Tony Fowler: Let's see here.
Tony Fowler: This is from LisaLovely04. Going downstairs. Feet kick out. involuntarily before they land. Talk about the neurology of feet.
Taylor Kruse: Well... If it's specifically going downstairs... but Like, let's say it's going downstairs, but that's it. Because it sounds like that's kind of what they're getting at.
Taylor Kruse: They're not saying When I walk. you know, normally, you know, wherever straight ahead. Anywhere I am My feet are rotated out. They're saying It's when I go downstairs.
Taylor Kruse: So that kind of is... Makes me. kind of change my thinking slightly. typically what we would say during our neurologic gait testing.
Taylor Kruse: is that legs that are outwardly rotated are going to point more. at a bilateral PMRF pattern. So that's... the muscle tone the They kind of... um influence that muscle tone is having on our gate mechanics.
Taylor Kruse: typically does that. when the when the PMRF is needing. the the work. So... Perhaps. Right? Perhaps that pattern might be coming out going down the stairs.
Taylor Kruse: I think that people, so if someone's outwardly rotating more on the stairs, but it's not happening. when they're walking normally. I question their balance strategies.
Tony Fowler: Mmm.
Taylor Kruse: I mean, your your brain will typically widen your base and turn your feet out. to some degree when it senses that proprioception or balance is not as good as it could be.
Taylor Kruse: Right, so maybe there's something. Going on there. Because... Even so, like when someone's walking. or doing any kind of balance activity. You can kind of see that happening too. That's another reason why you might. Yep.
Taylor Kruse: the lower body might appear to be more outwardly rotated is just a full-on balance strategy. I've seen this. In a more extreme. A place to where.
Taylor Kruse: People who have really severe balance issues their legs will turn out They'll widen their base a little bit. This is a better... stability strategy and then they will also heavily pronate To the point where I've worked with somebody that had such severe balance issues that they were so pronated that like they're Medial.
Taylor Kruse: malleoli so like the inner, the inside of your ankle bones were almost on the floor.
Tony Fowler: Oh wow.
Taylor Kruse: Yeah, because they're... their brain was sensing so much danger from not being able to balance. pronation with like outward rotation of the feet is actually an excellent balance strategy so the pattern was like amplified.
Taylor Kruse: as a strategy right to help stabilize them obviously you don't want that over pronation you don't want this type of a compensation. But all of these compensations...
Taylor Kruse: are happening for a reason. right there's always there's always a reason for it. So you know not a lot of information to go by here. It's you know specific. to the stairs Maybe it's a balanced strategy. Perhaps it is a bilateral PMRF pattern.
Taylor Kruse: Um, If they're more likely to use the handrail on the stairs, I'm leaning more towards balance.
Tony Fowler: Yeah.
Taylor Kruse: Which is a question you can ask in history. You'd be amazed how many people... Don't. Recognize. that they used the handrail. Which, by the way, I should say this.
Taylor Kruse: This is just my opinion. If you use the handrail on stairs, you're compromised. End of story. So. You wouldn't believe how many 20 year olds, 30 year olds, 40 year olds, 50 year olds.
Taylor Kruse: People who don't think they have a balance issue actually... Immediately defer. to using the handrail on stairs. you should not Need a handrail on stairs.
Taylor Kruse: So you can ask this in history. um when you go When you use the stairs, or you do you use the handrails? People will be like, oh, yeah. Actually, yeah, it's weird you asked that. I do.
Taylor Kruse: It's like, okay, I know something more about your stability. your You just gave me a clue. So... Keep that in mind. It's another. question that I often will ask.
Taylor Kruse: So yeah, so it's... Not a ton to go by there, but... Some ideas.
Tony Fowler: Yeah, I think that's so fascinating, though, that. um you know, someone has a question about their feet. And you're talking about their vestibular system.
Taylor Kruse: Yeah.
Tony Fowler: And. It's... I just love that about. neural applied neurology, right?
Taylor Kruse: it Yes, I know. It's cool like that. It, it, it. it It really, it's sort of like. It takes what? has always seemed woo-woo and weird and out there, and it really starts...
Taylor Kruse: making some some solid connections i mean that's a big one right people that that have foot issues too A lot of times like flat.
Tony Fowler: Mm-hmm
Taylor Kruse: footed people just tone issues in the in the lower extremity and We hear a lot about that, a lot of people complaining about foot issues and stuff. The vestibular system does play a... A big role.
Taylor Kruse: in in that for sure.
Tony Fowler: So I've actually got a related question that I'll just tag on.
Taylor Kruse: Okay.
Tony Fowler: S'moria. And... Forgive my pronunciations. I have no idea sometimes. Sore feet. Inability to walk or stand for longer.
Tony Fowler: build up of thick skin in some places. What causes this?
Taylor Kruse: Sore feet. is really a metabolic problem. i mean if we kind of like Sure, you know, we can say, all right, you... You need stronger feet.
Taylor Kruse: You need more mobile feet. this This is all like everyone can benefit from stronger feet and more mobile feet.
Tony Fowler: That's immediately where my brain goes.
Taylor Kruse: Yeah.
Tony Fowler: it's like
Taylor Kruse: Yeah, so I'm not saying that that's not a... part of it like we we want to be doing healthy things for our feet A lot of people have. Some work to do, too, because they've been living in. you know.
Taylor Kruse: shoes that have kind of you know done Bad things to their feet over the years. and You know, people a lot of people struggle with their with their feet in general but here's the thing like when someone's saying that they have chronic soreness in their feet.
Taylor Kruse: It typically has a metabolic component. um you know you There could be blood flow issues involved there, so just you know fluid dynamic issues involved there.
Taylor Kruse: Um, A lot of times people will complain of this as... happening later in the day? So I get home from work. I seem fine I I hit the couch.
Taylor Kruse: Boom, I lay down 15 minutes before I got to get up again and do something. Oh, my feet are so sore. Yeah, that's um that's your metabolism failing you, stamina-wise.
Taylor Kruse: Yeah, so that's kind of where my mind goes first It doesn't mean movement's not a tool here. But... It means sometimes we got to look at lifestyle factors. Right. We got to look at nutrition.
Taylor Kruse: We got to look at. All the fuel capacity things that we talk about. sleep getting, you know, high quality sleep. I mean the list goes on, right?
Tony Fowler: Mm hmm.
Taylor Kruse: There's so many. There's so many reasons why you can... metabolically be suffering a little bit. And, you know, we got to get support for that, but that support can come.
Taylor Kruse: in so many different ways. forms depending on that person's you know specific issues But yeah, that's... That's the first thing that comes to mind. And then, of course, we want to back it up with solid movement, right?
Taylor Kruse: Back it up with solid movement practices. Move your feet. in a way that you have not moved them before Go to our YouTube channel. Start looking at some of those joint mobilization drills that we have.
Taylor Kruse: Some of the nerve glides could be very beneficial. in some very interesting ways. Um, especially if there are like circulation issues and like fluid dynamic issues sometimes peripheral nerves kind of suffer.
Taylor Kruse: from not getting adequate blood flow. So... I've seen a lot of people get really nice results from some of those lower body neuromechanic drills like tibial nerve, peroneal nerve. We've got mobilizations for all of those. and Those could be really powerful tools.
Tony Fowler: Yeah. yeah this is also where You know, more history is better, right? Like, what is their history with movement and strength training? like
Taylor Kruse: Right.
Tony Fowler: Yeah. Yeah. is is that Is that someplace to start? Do they need something more focused and higher order? Um,
Taylor Kruse: Yeah, and I guess the last... part there too is if if we are correct in sort of thinking more. Like, let's just get. globally healthier. right um the co2 tolerance work that we talk about is a very good tool for that
Tony Fowler: mm-hmm
Taylor Kruse: So just. Breathing exercises. nasal breathing work. Air hunger work. You take that and you stack it. with the right movement practice. and you can start to move the needle really well add in the nutrition. and You're on your way.
Tony Fowler: Yeah. Yeah, it turns out. Being healthier is healthier.
Taylor Kruse: Yeah.
Tony Fowler: We just got to figure out what that what that actually means sometimes.
Taylor Kruse: That's right. Yeah, there's a meaning to it for each person for sure.
Tony Fowler: So our last question of the day. This is from Ashley. She's ah also a NeuroDojo member.
Taylor Kruse: Oh, oh boy.
Tony Fowler: Hey.
Taylor Kruse: Is this going to be long? Because you should see you should see her question. she She's a wonderful student of ours. An unbelievable nerd. And. um she is She is deep.
Taylor Kruse: in the into this and so yeah i'm laughing because sometimes the
Tony Fowler: Well...
Taylor Kruse: the questions are are they're great questions and they're long
Tony Fowler: Well, buckle up, okay?
Taylor Kruse: Okay.
Tony Fowler: Hey, I was kind of hoping you guys could give me a protocol or a quick hack for my chronic tennis elbow.
Taylor Kruse: Oh my gosh.
Tony Fowler: Just kidding.
Taylor Kruse: Nice. nice she'll definitely hear this and laugh that's great
Tony Fowler: I thought that was fantastic
Taylor Kruse: That's great. That is good.
Tony Fowler: Yes.
Taylor Kruse: No comment. I...
Tony Fowler: Triggered. triggered
Taylor Kruse: Tennis elbow is outside of my scope of practice.
Tony Fowler: Oh, man. um Have we done a tennis elbow episode?
Taylor Kruse: Well, we talked about repetitive motion injuries
Tony Fowler: Weekend. That's right, we did.
Taylor Kruse: and yeah so and and it came up yeah
Tony Fowler: Okay, so so you have something to point to now.
Taylor Kruse: Yeah, yeah.
Tony Fowler: Please refer to my previous statements.
Taylor Kruse: So we...
Tony Fowler: On March 6th.
Taylor Kruse: yeah Yes. It's funny.
Tony Fowler: Awesome man. Awesome, well that's what we got for the day. um we still have plenty more questions to go through so
Taylor Kruse: Awesome.
Tony Fowler: Um, Yeah, looking forward to doing another one of these. These are always a lot of fun.
Taylor Kruse: Yeah, yeah, we're in a flow with these. Thank you, everybody. for submitting your questions. We'll we'll definitely keep this in the rotation. and I'll get some feelers out there from people on questions on Instagram and maybe even inside our our community.
Taylor Kruse: To kind of wrap things up here, one thing I wanted to remind you about is that... There is a possibility, and nothing is carved in stone at the moment, but there is a possibility that we might run...
Taylor Kruse: a small private enrollment for um our foundations course in the fall and this would be a self-paced version of neurofoundations.
Taylor Kruse: Again, we're not sure. It just comes down to honestly workload right now.
Tony Fowler: Mm hmm.
Taylor Kruse: Alicia is contemplating the idea. All this means is that... people who are extremely interested. and We have had a lot of people reach out and say, I want to get in now. I don't want to wait. And that's part of the.
Taylor Kruse: reason why we're considering it. Um, So this would be for that person that is okay, rather than taking the course live, they take it in a self-paced.
Taylor Kruse: um way. And then, you know, when the neuro dojo comes around. They can be. ready to rock with that. So that may happen this fall. all All that is to say, the best thing you can do with this... point if you feel like you might be interested in that is to put yourself on the waiting list. and You can do that using the show notes. You can also do that directly from our website.
Taylor Kruse: Once you're on the waiting list, you will be notified about any enrollments that we're planning. So that's the best way to kind of keep a pulse on what's going on. All right. Thank you, everybody, for your support. and for listening today. We'll be back soon.