Episode

Rewiring the Dizzy Brain: Insights on Neuroplasticity, Dual Tasking, and Fear

Podcast
Talk Dizzy To Me
Published
Oct 1, 2025
Duration seconds
3326
Processing state
not_requested
Canonical source
https://podcasters.spotify.com/pod/show/talkdizzytome/episodes/Rewiring-the-Dizzy-Brain-Insights-on-Neuroplasticity--Dual-Tasking--and-Fear-e38spf7
Audio
https://anchor.fm/s/27130e6c/podcast/play/108995495/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-8-30%2F691a18d2-269d-015e-b018-d211cd6d88b3.mp3
JSON
/v1/public/podcasts/talk-dizzy-to-me-156850/episodes/rewiring-the-dizzy-brain-insights-on-neuroplasticity-dual-tasking-and-fear
Markdown
/podcast/talk-dizzy-to-me-156850/rewiring-the-dizzy-brain-insights-on-neuroplasticity-dual-tasking-and-fear.md

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Summary

In this Talk Dizzy to Me episode, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. Mike Studer, DPT, MHS, NCS, CEEAA, CWT, CSST, CSRP, CBFP, FAPTA to unpack neuroplasticity —what it is, how it works, and how to apply it in vestibular rehabilitation . We cover dual tasking , prediction error , fear-avoidant vs. fear-adapted movement , motivational interviewing , and patient-directed dosage using the OPTIMAL theory of motor learning. Mike shares practical clinic and real-life examples (driving, grocery stores, cooking), mic-drop lines you’ll quote to patients, and how to talk to insurers using objective measures . If busy visuals or movement bother you, consider listening on Apple Podcasts/Spotify. -Neuroplasticity = learning. It’s not just more pathways; it’s stronger, faster, better-fed pathways that consolidate during sleep . -Dose the meaningful. Intensity, repetitions, salience, and task specificity drive consolidation (“put a post-it on that memory”). -Exposure works. Habituation/adaptation creates prediction error (“that wasn’t as bad as I expected”), reinforcing change via dopamine . -Fear shows up in movement. Beyond fear-avoidant behavior, watch for fear-adapted movement (reduced head turns, co-contraction, slow/over-intentional strategies). -Dual tasking is two goals, not ‘think-and-move’ toward one goal. Use cognitive+motor or visual+motor loads that are personally salient. -Autonomy accelerates progress. Let patients choose dosage (keep, dial down, or push), using motivational interviewing and OPTIMAL theory. -No expiration date. Neuroplastic change remains possible well beyond 1 year—set expectations and use objective measures to justify care. Episode Resources: Email: [email protected] Website: mikestuder.c…