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    Myofascial Release and Other Manual Techniques in Dysphagia Management    SNEAK PEEK

  • Appropriate Disciplines


    • Physical Therapist
    • Occupational Therapist
    • Speech Language Pathologist
    • Speech Language Pathology Asst
    • Physical Therapy Asst
    • Certified Occupational Therapy Asst

Course Description



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 pharyngesophageal. 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 pre-requisite online course "Anatomy of Swallowing" (you will receive an additional 4 hours for completion of this online course)
All course registrants must successfully complete the online Anatomy of Swallowing course prior to attending the live Myofascial Release course so it is fresh in your mind.

AOTA Classification Codes
Domain of OT: Context and Environment
OT Process: Intervention
Professional Issues: Legal, Legislative, & Regulatory Issues

Course Objectives

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

John Kelly

M.P.T.

A graduate of the University of St. Augustine’s graduate Physical Therapy Program. John has over 17 years’ experience with acute inpatient and hospital-based outpatient rehabilitation and 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. 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.

Financial Disclosure: John is a salaried employee for his position at Siskin Rehabilitation Hospital. John Kelly receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s)
Non-financial Disclosure: No relevant non-financial relationship exists.

Day 1

07:30 - 08:00
Registration (snack/refreshments provided)
08:00 - 08:15
Introductions and program overview
08:15 - 10:00
Anatomy refresher and kinesiology of deglutition
10:00 - 10:30
Review normal and abnormal swallow, dysphagia problem set
10:30 - 10:45
Morning Break
10:45 - 11:00
Laboratory: palpation and myofascial assessment
11:00 - 12:00
Normal and abnormal physiology of the myofascial system, dysphagia focus
12:00 - 01:00
LUNCH (on your own)
01:00 - 03:00
Laboratory: myofascial assessment and techniques of the anterior neck and oral cavity
03:00 - 03:15
Afternoon Break
03:15 - 03:30
Special topics: Salivation and lymphatics
03:30 - 04:00
Laboratory: enhancing salivation
04:00 - 04:30
Case study; incorporating manual therapy into dysphagia treatment; Questions and closing comments

Day 2

07:30 - 08:00
Registration (snack/refreshments provided)
08:00 - 09:00
Postural dysfunction and its influence on swallowing with MBS review
09:00 - 09:15
Laboratory: palpation posterior cervical, thoracic and shoulder girdle
09:15 - 09:30
Anatomy and biomechanics of the TMJ and cervical spine
09:30 - 10:00
Laboratory: gentle mobilization of the TMJ, dysphagia focus
10:00 - 10:15
Morning Break
10:15 - 12:00
Laboratory: myofascial assessment and techniques for seated positioning
12:00 - 01:00
Lunch (on your own)
01:00 - 01:30
Muscular trigger points and myofascial pain syndrome, dysphagia focus
01:30 - 02:00
Laboratory: myofascial assessment and trigger point release
02:00 - 02:15
Case study; incorporating manual therapy into dysphagia treatment
02:15 - 02:30
Topics in documentation, successful goal setting and reimbursement: Questions and closing comments

Contact hours pre-approved for:

  • 12.0 hours (1.2 CEUs)
  • CIAO is an ASHA Approved Provider #AAWA (SLP/SLPAs) Bubblesheet required
  • This course is offered for 1.2 ASHA CEUs (Intermediate level, Professional area)
  • CIAO is an AOTA Approved Provider #4119 (OT/COTAs)
  • This course meets PDU requirements for NBCOT (15 PDUs Clinical Lab Assessment)
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • This activity is provided by the TBPTE Accredited Prov. #1902009TX
  • This activity meets the continuing competence requirements for PT/PTA license renewal in TX
  • 12.0 Hrs PT/PTAs in IL, KY (CS104-2017-KPTA), NY, OH (#18S0988), TX (12CCUs)
  • 14.5 Hrs PT/PTAs in FL (FLPT #CE18-475620)
  • 12.0 Hrs OT/OTAs in FL (CE Broker #20-475620)

Contact hours applied for:

  • PT/PTAs in MD, NJ, TN, PA

Course meets requirements for:

  • SLP/SLPAs (covered through ASHA)
  • PT/PTAs in AK, AL, AZ, AR, CO, CT, DC, DE, GA, HI, ID, IL, IA, KS, ME, MO, MA, MI, MO, MT, NE, NY, NC,NH, ND, OR, RI, SC, SD, UT, VT, VA, WA, WI, WY
  • Call CIAO 888-909-CIAO(2426) if you have questions about CE Approval
  • Participants who successfully complete this course will receive CEU Certificate at the end of the course.
  • OT/COTAs (covered through AOTA and/or NBCOT)


  • 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 Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


    Reviews

    "I loved this course. It's very pertinent! Swallowing is about muscles and this is that this class is about."

    - Baltimore, MD / Jun 2018

    "Very functional - I can use this in practice daily. Great to have another tool to use."

    - Baltimore, MD / Jun 2018

    "I'd love an advanced course. I also love that its multidisciplinary--Makes questions so educational!"

    - Gulf Breeze, FL / May 2018

    "Very informative and helpful!"

    - Gulf Breeze, FL / May 2018

    "Good mix to appeal to all disciplines."

    - Gulf Breeze, FL / May 2018

    "Awesome course & instructor! Thanks!"

    - Columbus, OH / Apr 2018

    "Very well versed on the course topics"

    - Columbus, OH / Apr 2018

    "A lot of new material for me and I learned a lot. Majority of visual aid were great but some photos a little dark or hard to see."

    - Columbus, OH / Apr 2018

    "Excellent course and great instructor. "

    - Chattanooga, TN / Mar 2018

    "Great teacher! Great class!"

    - Chattanooga, TN / Mar 2018

    "Class size for content is perfect (10 people). I didn't think I would feel confident if we had 30+ people in class - we wouldn't have received as much 1-on-1 attention as we did. "

    - Chattanooga, TN / Mar 2018

    "Videos during labs so we can watch as we practice. "

    - Sunrise, FL / Feb 2018

    "It would be nice to have workbook in color. I think it would be helpful to partner with an SLP to give presentation. Focus more on oral/pharyngeal exercises. "

    - Sunrise, FL / Feb 2018

    "I thought John did a good job answering questions related to lab/demonstration. "

    - Sunrise, FL / Feb 2018

    "Presenter was very knowledgeable in dysphagia topics. Research evidence for "k" and "g" under treatment for lingual elevation and BOT. "

    - Sunrise, FL / Feb 2018

    "Thank you for the course, I learned a lot."

    - Sunrise, FL / Feb 2018

    " Excellent conference. John is very knowledgeable! Excellent!! "

    - Phoenix, AZ / Dec 2017

    " Thank you! The review of the Nuro anatomy was very much appreciated. "

    - Phoenix, AZ / Dec 2017

    " John was an excellent speaker. Extremely knowledgeable. "

    - Phoenix, AZ / Dec 2017

    " Thank you. The review of day one at the beginning of day two was great. Online access versus CD would be great. "

    - Phoenix, AZ / Dec 2017

    "Treatment videos with case studies. Could have been a 3 day course. "

    - Schaumburg, IL / Sep 2017

    "More demonstrations, in front with speaker. The class had great case studies. "

    - Schaumburg, IL / Sep 2017

    "Clear, presentation, very accessible - loved the hands-on practice! Loved this presenter! Thank you John =)"

    - Schaumburg, IL / Sep 2017

    "John is a wonderful presenter- very informative, workbook has great illustrations and explanations. "

    - Schaumburg, IL / Sep 2017

    "The course was very informative and helpful in terms of hand on practice of each treatment strategy for affected muscular problems for a variety of disorders."

    - Irving, TX / Jul 2017

    "Everything was wonderful- very comfortable. Hotel and staff were cooperative and helpful."

    - Irving, TX / Jul 2017

    "REally enjoyed this class and presenter's teaching. Would have liked a 3rd day or follow-up class."

    - Irving, TX / Jul 2017

    "Excellent course"

    - Irving, TX / Jul 2017

    "Presenter was very knowledgeable and enthusiastic with information presented this course was interesting and enjoyable. "

    - Riverhead, NY / Jun 2017

    "Great course, very informative and has made me feel completely confident to perform these manual techniques and exercises with patients. I can't wait to get started!"

    - Miami, FL / May 2017

    "John was an excellent presenter, extremely knowledgeable and great at incorporating all aspects of the course to application - a patient example. I enjoyed all aspects of the course."

    - Miami, FL / May 2017

    "This course was very informative w/teaching the anatomy, hands on techniques & rationale for myofascial release for everyday SLP practice. This course is awesome! I would highly recommend it."

    - Atlanta, GA / Apr 2017

    "Wonderful course. Thank you for your time & wonderful information! Very applicable!"

    - Atlanta, GA / Apr 2017

    "This course was very informative and helped me to better assess my patients. "

    - San Antonio, TX / Feb 2017

    "I was so impressed with John and my first CIAO experience! I am already planning my next CIAO class in the near future."

    - San Antonio, TX / Feb 2017

    "John is highly knowledgeable and very effective in portraying the learning goals."

    - Birmingham, AL / Dec 2016

    "Excellent Course! I am always looking for new treatment options! The hand-on aspect was extremely helpful. Thank you for hosting in Birmingham, AL. We rarely are able to have such excellent courses in our location!"

    - Birmingham, AL / Dec 2016

    "This way a wonderful course. I would highly recommend it to other clinicians. "

    - Columbus, OH / Oct 2016

    "Hands-on practices are clear and useful. Videos and case illustrations are effective in facilitating learning."

    - Kowloon Tong Kowloon HK, 0 / Sep 2016

    "Loved the course, I gained a new perspective on my client participation and it's relation to dysphasia. "

    - San Antonio, TX / Sep 2016

    "Wonderful course! John is an amazing resource!!"

    - Houston, TX / Feb 2016

    "This was the most applicable course for dysphagia! This should be incorporated into graduate course work."

    - Charlotte, NC / Nov 2015

    "Thank you John! I learned more in this course than I have ever learned in any other course I have taken. Thanks for your time and love for our discipline! "

    - Jacksonville, FL / Feb 2015

    "I feel this information is so important. Wish I had come long ago!"

    - Jacksonville, FL / Feb 2015

    "Absolutely one of the best courses I have attended in my 32 years of practice."

    - Dallas (FRI SAT), TX / Oct 2013

    "Very organized and detailed presenter. Extremely knowledgeable! "

    - Dallas (FRI SAT), TX / Oct 2013

    "Presenter very professional, very knowledgeable. Presented info clearly and detailed."

    - San Antonio , TX / Sep 2013

    "Very informative course. Can’t wait to use in my long term setting and acute care practice."

    - Biloxi/Gulfport , MS / Aug 2013

    "John was so good and taught lecture material to therapist as though we are all his co-workers."

    - Biloxi/Gulfport , MS / Aug 2013

    "John Kelly is an excellent instructor! He is very knowledgeable, patient and clearly cares about patient outcome."

    - Irvine, CA / Aug 2013

    "I was so pleased with this course. It is wonderful to learn something new that will be meaningful in treating and helping so many patients."

    - Irvine, CA / Aug 2013