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Myofascial Release and Other Manual Techniques in Dysphagia Management
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| APPROPRIATE DISCIPLINES: |
• Physical Therapy
• Occupational Therapy
• Speech Language Pathology
• Speech Language Pathology Asst
• Physical Therapy Asst
• Certified Occupational Therapy Asst
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| Private Course: |
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| Course Description |
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This interactive two-day workshop for rehabilitation teams will address evaluation and current treatment techniques appropriate for soft tissue and joint limitations that contribute to an abnormal swallow. The lecture reviews muscular and fascial anatomy tying kinesiology into a discussion that relates specific soft tissue mobilization techniques appropriate to improving all stages of the swallow; oropharyngeal, hypopharyngeal and pharygoesophageal. A thorough discussion will relate the impact of scar tissue formation and immobility on mechanical and neurological aspects of the functional swallow. Interpretation of common pathology and symptomatology on both bedside exam and MBS review are introduced. Additional course objectives include postural impairment, functional anatomy and biomechanics of the temporomandibular joint with an informative and focused laboratory component providing OTs, PTs and SLPs with basic practical skills in palpation, seating and positioning and soft tissue assessment and mobilization as it pertains to dysphagia in clinical practice. The majority of this course will be in functional, hands-on application with frequent case study discussion to identify impairments and exemplify the use of manual therapy through myofascial release techniques. The emphasis of this practical seminar is placed on the relationship of soft tissue and joint articulations whereby applying theory to practical intervention with manual therapy adds a whole new dimension to patient care.
Note: Registration for this course includes the online course "Anatomy of Swallowing" (you will receive an additional 4 hours for completion of this online course)
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| Instructor(s) |
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| John Kelly, MPT |
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| A graduate of the University of St. Augustine’s graduate Physical Therapy Program, John has over ten years experience with acute inpatient and hospital-based outpatient rehabilitation. Currently an outpatient clinical director for Siskin Rehabilitation Hospital in Chattanooga, Tennessee, John continues to balance full time patient care with administrative responsibilities. John is NDT certified and an experienced manual orthopedic therapist working toward his clinical doctorate and manual therapy certification carrying a primary caseload of neurologically impaired patients. John is a certified VitalStim® Instructor and has taught orthopaedic and electrotherapy courses across the country. John is an accomplished clinical instructor and consistently is recognized for his exceptional patient rapport and strong evaluations from course participants. . |
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| Course Objectives |
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| At the completion of this course participants will be able to:: |
- Review the anatomy and physiology pertaining to myofascia specific to deglutition and discuss the kinesiology of a successful swallow
- Explain abnormal pathophysiology and myofascial restrictions as they relate to dysphagia; radiation fibrosis, surgical scarring, tracheostomy, etc.
- Describe consequences of muscular and soft tissue dysfunction and their effects on swallowing; spasticity, imbalance, etc.
- Discuss the indications, precautions and contraindications for myofascial mobilization in the context of dysphagia
- Identify postural dysfunction and complications as they relate to dysphagia
- Demonstrate evaluation and basic mobilization skills and modifications for intra- and extra-oral soft tissue, hyolaryngeal motion and postural dysfunction
- Identify and relate the significance of myofascial pain in trigger points to deglutition and apply specific manual techniques in approach to treatment
- Describe basic structure and dysfunction in the temporomandibular joint with specific application to trismus and mastication
- Identify a proper treatment approach utilizing manual techniques through multiple case study based on the significant findings in evaluation
- Discuss appropriate documentation and reimbursement issues
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Agenda |
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DAY 1
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07:30 - 08:00 |
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Registration and continental breakfast |
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08:00 - 08:15 |
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Introductions and program overview |
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08:15 - 10:00 |
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Anatomy refresher and kinesiology of deglutition |
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10:00 - 10:30 |
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Review normal and abnormal swallow, dysphagia problem set |
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10:30 - 10:45 |
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Morning Break |
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10:45 - 11:00 |
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Laboratory: palpation and myofascial assessment |
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11:00 - 12:00 |
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Normal and abnormal physiology of the myofascial system, dysphagia focus |
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12:00 - 01:00 |
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LUNCH (on your own) |
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01:00 - 03:00 |
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Laboratory: myofascial assessment and techniques of the anterior neck and oral cavity |
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03:00 - 03:15 |
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Afternoon Break |
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03:15 - 03:30 |
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Special topics: Salivation and lymphatics |
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03:30 - 04:00 |
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Laboratory: enhancing salivation |
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04:00 - 04:30 |
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Case study; incorporating manual therapy into dysphagia treatment; Questions and closing comments |
DAY 2
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07:30 - 08:00 |
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Registration (continental breakfast) |
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08:00 - 09:00 |
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Postural dysfunction and its influence on swallowing with MBS review |
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09:00 - 09:15 |
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Laboratory: palpation posterior cervical, thoracic and shoulder girdle |
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09:15 - 09:30 |
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Anatomy and biomechanics of the TMJ and cervical spine |
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09:30 - 10:00 |
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Laboratory: gentle mobilization of the TMJ, dysphagia focus |
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10:00 - 10:15 |
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Morning Break |
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10:15 - 12:00 |
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Laboratory: myofascial assessment and techniques for seated positioning |
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12:00 - 01:00 |
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Lunch (on your own) |
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01:00 - 01:30 |
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Muscular trigger points and myofascial pain syndrome, dysphagia focus |
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01:30 - 02:00 |
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Laboratory: myofascial assessment and trigger point release |
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02:00 - 02:15 |
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Case study; incorporating manual therapy into dysphagia treatment |
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02:15 - 02:30 |
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Topics in documentation, successful goal setting and reimbursement: Questions and closing comments |
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| CEU's |
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Contact hours pre-approved for: |
- CIAO is an AOTA Approved Provider #4119 (OT/COTAs)
- CIAO is an ASHA Approved Provider #AAWA (SLP/SLPAs)
- CIAO is an IACET Approved CE Provider
- This course meets PDU requirements for NBCOT
- 12.0 hours (1.2 CEUs) PT/PTAs; OT/COTAs; SLP/SLPAs (unless otherwise noted)
- 12.0 hrs. PT/PTAs in AL, IL, LA, MD, MN(#3518), MS, NY, PA(PTCE000615), TN(#3316), TX
- 12.25 hrs. PT/PTAs in OH (#10S0826)
- 14.5 hrs. OT/COTAs and PT/PTAs in FL (#CE100114591) CE Broker #20-200645
- This course is offered for 1.2 ASHA CEUs (Intermediate level, Professional area)
- CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
- CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
- This activity is provided by the TBPTE Accredited Prov. #CIAO032010TPTA2013009
- This activity meets the continuing competence requirements for PT/PTA license renewal in TX
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Course meets requirements for:
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• Call CIAO 888-909-CIAO(2426) if you have questions about CE Approval
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• Therapists in states that do not require pre-approval of courses can check with their State Board for rules
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The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. |
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CIAO is regognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT) |
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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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design by (NS) |
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© 2004 CIAO Seminars |
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