Entrevista Luis Miguel Dominguez, superviviente de un ictus y naturalista español

Entrevista Luis Miguel Dominguez, superviviente de un ictus y naturalista español

Entrevista con Luis Miguel Dominguez a raiz de la publicación de su ultimo libro "Manual de resistencia para personas de vida jodida". En esta entrevista tratamos temas relacionados con el ictus, la resiliencia, las frustraciones y la superación

Neurorehabilitation at a crossroads: John Krakauer on recovery, dosage, technology, and artificial intelligence

In this episode, we sit down with John Krakauer for a deep, critical conversation about the foundations and future of neurorehabilitation. We explore the reductionist bias that still shapes much of modern rehabilitation, the crucial distinction between true neurological recovery and behavioral compensation, and the ongoing dosage crisis in human rehabilitation. We also examine the real value of technology, contrasting approaches like neuroanimation with traditional therapy models. Finally, we turn to one of the most pressing questions in the field: the role of artificial intelligence in neurorehabilitation, and how human cognition compares to large language models (LLMs) when it comes to understanding recovery, learning, and motor behavior. A conversation that challenges assumptions and invites clinicians, researchers, and innovators to rethink what recovery really means.

Should stroke patients train like athletes?

What you’ll learn in this episode: * The Athlete Model: Why the nervous system deserves the same 24/7 high-performance care given to NBA players or Red Bull athletes, rather than "factory-style" 45-minute sessions. * The Critical Window: The biological "clicking clock" of plasticity that makes the first 1.5 to 3 months after a stroke the most vital period for recovery. * Technology as an "Infected Behavioral Experience": How immersive gaming, motion capture, and force sensors are being used to fill "dead hours" in hospital rooms with high-intensity training. * The "Chosen Ones": Why therapists are the most important profession in the hospital and why technology will never—and should never—replace human-to-human contact. This is more than a discussion about medicine; it is an audacious call to action to move beyond "magical thinking" and pills, toward a scalable, science-backed revolution in human behavior and care.

El paciente neurológico como atleta de élite

A través de una charla provocativa y visionaria, exploramos por qué debemos dejar de tratar la rehabilitación como un proceso pasivo y empezar a tratar a cada paciente con el rigor de un atleta de alto rendimiento. El sistema nervioso exige respeto y dosis masivas de entrenamiento para recuperarse, pero el modelo actual de "fábrica" y los códigos de facturación limitados a menudo lo impiden. Puntos destacados de este episodio: * La Ventana Crítica: Por qué los primeros tres meses tras una lesión son vitales para la plasticidad cerebral y cómo el sistema suele desperdiciar ese tiempo precioso. * Tecnología Inmersiva: Cómo los videojuegos y sensores de fuerza pueden transformar las "21 horas muertas" que los pacientes pasan inactivos en sus habitaciones en entrenamiento intensivo. * Terapeutas como "Los Elegidos": El papel fundamental de los profesionales de la salud aliada como líderes de la intervención conductual, más allá de la farmacología. * Más allá de la "Pastilla Mágica": Un desafío al pensamiento reduccionista que busca soluciones simples para problemas neurológicos complejos. * Discapacidad y Nuevos Mundos: Una reflexión sobre cómo la tecnología puede tanto "reparar" como crear nuevas formas gozosas de vivir la discapacidad. Acompáñanos en este viaje hacia una visión audaz y disruptiva de la medicina, donde la ciencia, la tecnología y el contacto humano se unen para devolver la esperanza y la funcionalidad a quienes más lo necesitan

Brain vs. Muscle: the great neurorehabilitation debate

In neurorehabilitation, many guidelines remain "contentious" among healthcare professionals. This audio dives into the heart of these controversies: * The "neural vs. structural" battle: Does early recovery come almost exclusively from the nervous system reorganizing itself, or does muscle hypertrophy play a role sooner than we think? * Breaking the ceiling: Is High-Intensity Interval Training (HIIT) a risky approach, or is it the only way to break the "neurorehabilitation ceiling" and trigger true brain plasticity through BDNF? * The power of "forced" effort: New data suggests that "forced" exercise—using external assistance to reach higher intensities—might actually outperform traditional voluntary exercise in stroke and Parkinson's recovery. We explore how these competing models impact treatment for stroke, multiple sclerosis, parkinson’s, and spinal cord injury. Understanding this debate is crucial for clinicians and patients alike because questioning traditional paradigms is the only way to ensure rehabilitation evolves as fast as the brain can learn