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Are you maximizing the critical window of opportunity for neuroplasticity after a stroke, or are you unintentionally prioritizing compensation over true recovery? 🧠 👍 Earn 1 hour of AOTA-approved occupational therapy continuing education after watching this course: https://otpotential.com/ceu-podcast-c... Episode Description: Every occupational therapy professional faces a core dilemma during post-stroke sessions: should we focus on helping the client adapt to their current limitations (compensation), or should we push for true neurological restoration? Research shows that the first few weeks following a stroke are a "critical window" where the brain is at a heightened state of plasticity—craving feedback and ready to rewire. In this episode, we are joined by Henry Hoffman, MS, OTR/L, co-founder of Saebo and a relentless advocate for neuroplasticity-based treatment. Henry challenges the traditional "hands-on" NDT approaches of the past, urging therapists to embrace "hands-off" motor learning that prioritizes high-repetition, task-specific practice—even if the movements look "ugly" at first. You’ll learn why underdosing is the silent crisis in stroke rehab, why focusing too heavily on one-handed ADLs in the acute phase can actually "kill" brain cells through learned non-use, and how to use brain-priming tools like mental practice and e-stim to supercharge recovery. Henry’s mission is clear: there is "no plateau in sight" because there is no expiration date on the brain’s ability to change. 🎧 Topics Covered: • The "Ugly" Phase of Recovery: Why early, messy motor learning is superior to perfect, facilitated movement • The Underdosing Crisis: Why 32 reps or 15 minutes of active movement per session is "fraudulent" for neuro recovery • 10 Principles of Neuroplasticity: How to apply the Kleim and Jones (2008) framework to every session • Learned Non-Use: Why strengthening the "healthy" limb too early can lead to "neuronal murder" • Restorative vs. Compensatory: Knowing when to push for recovery and when to move to compensation • The Supporting Cast: Using e-stim, mirror box therapy, and action observation as brain primers • Patient Education: Explaining the penumbra and the "turbo drive" state of the acute brain to build client buy-in • The "Distal-Proximal" Shift: Why we should stop waiting and get the hand involved as early as possible 🎙 Guest: • Henry Hoffman, MS, OTR/L – Co-founder of Saebo, Host of the No Plateau Podcast, and Neuroplasticity Expert • Sarah Lyon, OTR/L – Host and Founder of OT Potential 📅 Episode No. 126 | Release Date: January 30, 2026 🎉 Earn CEU Credit Join the OT Potential Club to take a quiz and earn 1 hour of AOTA-approved occupational therapy continuing education: https://otpotential.com/ceu-podcast-c... Website & Social: Episode page: https://otpotential.com/ceu-podcast-c... Podcast page: https://otpotential.com/ceu-podcast-c... Support the show by using the "OTPotential" Medbridge Code: https://otpotential.com/blog/promo-co... Try 2 free OT Potential courses here: https://otpotential.com/free-ot-ceus Timestamps: 00:00 – The critical window of opportunity after a stroke 01:26 – Meet Henry Hoffman: From Burke Rehab to founding Saebo 08:33 – Shifting from orthopedic movement science to neuro rehab 12:34 – The birth of the Saebo Glide and Saebo Flex 15:02 – Why 80% of patients don’t qualify for traditional CIMT 19:51 – Neuroplasticity 101: The brain is software, not hardware 22:30 – The "Golf Swing" analogy: Why messy practice is necessary 26:45 – The problem of underdosing: Why 15 minutes of movement isn't enough 31:30 – There is no expiration date on neuroplasticity 32:49 – Learned Non-Use: Are we "neuronal murderers"? 33:45 – Should we ban one-handed ADL training in acute rehab? 38:48 – Explaining the Umbra vs. the Penumbra to patients 43:23 – Moving away from "Morning ADLs" to maximize repetitions 48:52 – High-impact, affordable tools: E-stim, Mirror Box, and Mental Practice 50:34 – Leading Actors vs. Supporting Cast in stroke treatment 53:49 – Why treatment plateaus, not patients 55:58 – Final takeaway: Making noise and following evidence #occupationaltherapy #strokerehab #neuroplasticity #saebo #neurorecovery #physicaltherapy #rehab #otpotential