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Autism is Not Separate From What We Treat: Why Sensory-Aware Physical Therapy Matters
Lisa Brekke, PT, DPT April is Autism Awareness Month, and we continue our discussion on sensory awareness and modifications. In clinical practice, it’s easy to fall into the trap of compartmentalizing diagnoses. Vestibular dysfunction. Concussion. Migraine. Dysautonomia. Orthopedic pain. We build treatment plans around these labels, often guided by protocols, research, and clinical experience. But what happens when we overlook something that fundamentally shapes how a person
Lisa Brekke
2 days ago4 min read


Heart Rate Variability (HRV): Why Nervous System Readiness Matters in Physical Therapy and How Mentorship Shapes Better Clinicians
Lisa Brekke, PT, DPT Modern rehabilitation has moved far beyond treating isolated impairments. Pain, dizziness, concussion, migraine, and chronic symptoms frequently reflect deeper nervous system dysfunction rather than simple musculoskeletal limitations. As our understanding of these conditions evolves, one concept continues to rise in importance: nervous system readiness. One of the most powerful tools we use to assess and train this readiness is heart rate variability (HRV
Lisa Brekke
Feb 134 min read


Is Nutrition Really That Important for Migraine + Dysautonomia?
The importance of nutrition for management of neurological disorders including migraine and dysautonomia.
Lisa Brekke
Jan 63 min read


Supporting Yourself Through the Holidays: Stress, Grief, and Pacing
Pacing and finding joy through self-care during the holidays.
Lisa Brekke
Dec 20, 20253 min read


The Role of Collaborative Care in Vestibular Disorders
Lisa Brekke, PT, DPT Vestibular disorders rarely exist in isolation. Dizziness, imbalance, migraine, visual sensitivity, autonomic dysregulation, cognitive fatigue, and persistent symptoms can span multiple systems. Because of this complexity, patients often find themselves navigating a maze of providers including neurology, ENT, primary care, physical therapy, behavioral health, cardiology, optometry, and more. True progress happens most consistently when these disciplines f
Lisa Brekke
Nov 16, 20252 min read


The October Slide: What Seasonal Changes Mean for Neurological Symptoms
By Lisa Brekke, PT, DPT Have you ever noticed that your dizziness, migraines, brain fog, or other neurological symptoms seem to worsen...
Lisa Brekke
Sep 26, 20252 min read


Hormones and Dizziness: What’s the Connection?
By Lisa Brekke, PT, DPT Dizziness is one of those symptoms that can feel vague, unsettling, and frustrating to pin down. While balance...
Lisa Brekke
Sep 1, 20252 min read


Medication Overuse Headache: When Relief Becomes the Problem
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurologic Physical Therapy Headaches are one of the most common health...
Lisa Brekke
Aug 2, 20253 min read


Navigating the Storm: Understanding Vestibular Migraine During Migraine Awareness Month
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy June is Migraine Awareness Month , a time...
Lisa Brekke
Jun 29, 20252 min read


Mentoring in Vestibular Rehabilitation: Building Confidence and Clinical Excellence
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy Vestibular rehabilitation is a complex, nuanced...
Lisa Brekke
May 26, 20252 min read


Regaining Balance: How Vestibular Rehabilitation Can Help You Steady Your World
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy Do you ever feel dizzy, unsteady, or like the...
Lisa Brekke
May 1, 20252 min read


Early Access to Physical Therapy After a Concussion: Why Timing Matters
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy Concussions are often misunderstood as injuries...
Lisa Brekke
Apr 1, 20252 min read


Mentoring for Critical Thinking in Physical Therapy: Building Clinicians, Not Just Technicians
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy In today’s fast-evolving healthcare...
Lisa Brekke
Dec 14, 20242 min read


Vestibular Rehabilitation After Concussion: Restoring Balance, Reducing Dizziness, and Managing Migraine
Lisa Brekke, PT, DPT Board-Certified Clinical Specialist in Neurological Physical Therapy After a concussion, many people expect...
Lisa Brekke
Dec 14, 20242 min read
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