Effective Diagnosis and Treatment of Dysphagia in the 21st Century
 APPROPRIATE DISCIPLINES:
• Speech Language Pathology
• Occupational Therapy


Enrollment Form
 
Private Course: 
Course Description
Dysphagia evaluations and treatment have evolved beyond simple bedside evaluations, compensatory strategies and diet modification. This intermediate level course for SLPs and OTs presents a structured approach to evaluating and treating dysphagia based on neuro-physiological processes. Emphasis on kinesiology takes a front row seat in the diagnosis and treatment of dysphagia. As clinicians, our working understanding of form and function of this swallow system becomes the foundation of our decision making process in both the evaluation and treatment process; the more we understand this system, the better the outcomes for our patients. This course reviews the impact of pressure regulation, hyolaryngeal excursion, pharyngeal stripping waye, the role of the UES and the involvement of type I vs type II muscle fibers. In addition, the esophageal phase of the swallow is examined and discussed as to its importance and impact on the overall system. This course shows the therapist how to take the treatment approach from that of a Symptom approach to a System approach. Exercises, Research Diet Modification and Progression and outcome tracking will all be discussed. The treatment approaches discussed in this course represent the future of the field of dysphagia as a more measurable diagnostic process.
NOTE: attendees must have a strong knowledge of anatomy/physiology prior to course.
Instructor(s)
Mary Simmons, MA, CCC-SLP
Mary Simmons, MA, CCC-SLPis a Speech-Language Pathologist currently instructing dysphagia therapists throughout the USA. Mary has been instrumental in developing a Dysphagia program in outpatient and inpatient departments and was involved in developing the speech department of Pediatric Rehab facilities. Currently, Mary is the Senior Clinical Specialist in the VitalStim division at Empi. In her role as Clinical Specialist, she spends her time speaking to physician groups, administrators, and Speech-Language Pathologists on Dysphagia management and the implementation of NMES into Dysphagia therapy. Mary also fields clinical questions from therapists around the country..
Course Objectives
Upon completion of this course, participants will::
  • Name the anatomical structures relevant to the swallowing function
  • Discuss the kinesthetic events during normal swallow movements
  • Describe the various phases of the normal swallowing movement
  • Describe the involvement of UES and the esophageal phase of the swallow
  • Describe the neuro-physiological processes involved in normal swallowing
  • Discuss Hyolaryngeal excursion and epiglottic deflection and the significance during swallowing
  • Discuss the role of timing in the swallow
  • Interpret the results of a modified barium study as applicable to treatment planning
  • Describe the need and affects of pressure regulation during a normal swallow
  • Discuss the involvement of types I and II muscle fibers during a swallow
  • Discuss the results of disuse atrophy
  • Discuss the difference between treatment verses compensation and the role of each in rehabilitation
  • Discuss the concept of Cortical Reorganization and what it means to dysphagia rehab potential
  • Discuss the decision making process for both diet modification and diet progression
  • Discuss the components of a functional goal as an outline to the treatment process
  • Describe the components of an effective treatment session that yields outcomes
  • Describe the impairment based model to treatment
  • Discuss how to choose the effective treatment plan and exercises
Agenda
DAY 1
07:30 - 08:00
Registration (Continental breakfast provided)
08:00 - 08:45
Review of a Normal Swallow
08:45 - 09:30
Pressure Regulation and timing in swallowing
09:30 - 10:00
Swallowing kinesiology
10:00 - 10:15
Break
10:15 - 11:00
UES and Gastroesophageal phase of the swallow
11:00 - 12:00
Neurophysiology
12:00 - 01:00
Lunch (on your own)
01:00 - 02:00
Effective Assessment
02:00 - 02:30
Effective Treatment
02:30 - 02:45
Break
02:45 - 04:00
Effective Treatment (continued)
04:00 - 04:15
Planning your treatment
04:15 - 04:30
Tracking your outcomes
04:30 - 05:00
Future of Dysphagia
05:00 - 05:30
Q&A
CEU's
 Contact hours pre-approved for:
  • CIAO is an AOTA Approved Provider #4119 (OTs)
  • CIAO is an ASHA Approved Provider #AAWA (SLPs)
  • This course is offered for 0.8 ASHA CEUs (Intermediate level, Professional area).
  • 0.8 CEUs (8 Hours) for OTs and SLPs (unless otherwise noted)
  • CIAO is an IACET Approved Provider of CEUs
  • This course meets PDU requirements for NBCOT
  • 9.5 hrs for OTs in FL (CE Broker #20-155671)
  • Approved for 8 hrs (CA Board of OT) in the advanced practice area of swallowing
 
Contact hours applied for:
•  CA Occupational Therapy Board for Advanced Practice in Swallowing
 
Course meets requirements for:
•  Call CIAO 888-909-CIAO(2426) if you have questions about CE Approval
•  Therapists in states that do not require pre-approval of courses can check with their State Board for rules
 
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
CIAO is regognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)
CIAO has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102
 
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