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    VitalStim Therapy DINES Renewal Ecourse



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    Appropriate Disciplines

    • Speech Language Pathologist
    • Occupational Therapist

Course Description

The updates in the 2019 VitalStim® Therapy and Beyond: DINES (Dynamic Integration of NMES and Exercise for Swallowing) Specialty Certificate Program are now included in this course!

This course is designed to renew competency for NMES Therapy Providers. Participants will receive up-to-date key concepts in research, safety and protocols during the course. Participants who successfully complete this course will be equipped with the required knowledge and skills to maximize the impact of the use of neuromuscular electrical stimulation (NMES) in the treatment of dysphagia. This renewal course will review topics such as muscle physiology, kinesiology of the swallowing mechanism and pathological swallowing mechanisms and processes. The basic principles and concepts of neuromuscular electrical stimulation as used in the treatment of dysphagia will be reviewed, as will the various NMES protocols described in the literature.

  • Registrants must be VitalStim Providers.
  • ANY VitalStim Provider can renew at ANY time, no matter when you became a Provider.
  • Completion of this renewal course will award the VitalStim Therapy Specialty Certificate and list the VitalStim Provider on the VitalStim Registry for 3 years.
  • Online renewal may be completed by Adult and/or Pediatric Providers

ONLINE Renewal Specifics:

  • Computer with internet connection and audio are required. 
  • Course must be completed within 30 days of activation (activate course within 6 months of purchase).
  • A PDF version of the updated VitalStim/DINES manual is available to print.
  • An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
  • ASHA CEUs may be requested by completing the online ASHA form and checking "YES" to the "Report to ASHA" question.
  • A certificate of completion will be available to print immediately after course is successfully completed.
  • The Specialty Certificate will be mailed to your home address. Please be sure to update your contact information, mailing address and facility information

Rather Attend In Person?

Go to any LIVE VitalStim® Therapy and Beyond: DINES Specialty Certificate Program. Select Renewal (no MBS required) price during registration.
Click Here for Adult Focus LIVE Renewal
Click Here for Pediatric Focus LIVE Renewal

Vitalstim recertification vital stim
Click for VitalStim Therapy Specialty Certificate Program Press Release

AOTA Classification Codes
Domain of OT: Performance Skills

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Accurately name the anatomical structures (muscular, articular, neurological) relevant to the swallowing function
  • Correctly and accurately palpate the structures mentioned under objective 1 that are accessible to palpation
  • Briefly describe the various phases of the normal swallowing movement
  • List the main pathological conditions affecting swallow function in the adult population (etiology, pathophysiology, signs and symptoms, severity of impact on swallowing, prognosis, social and economic impact)
  • Describe considerations in the use of NMES in the pediatric population
  • Describe the characteristics of electrical stimulation and the influence of electricity on muscle tissue (physiological versus evoked contraction, frequency of current, intensity, phase duration, treatment time, strength and endurance building, etc.)
  • Identify the pathological conditions for which electrical stimulation is indicated
  • Describe the characteristics of the NMES stimulation unit
  • Describe, differentiate and demonstrate the execution of common NMES treatment protocols described in the peer-reviewed literature
  • Discuss the use of swallowing exercise during and after the use of neuromuscular electrical stimulation
  • Briefly describe the principles of evidence based medicine and their application to the use of NMES in the treatment of dysphagia
  • Discuss ethical considerations around the use of NMES in the treatment of dysphagia

Yorick Wijting


Yorick received his Physical Therapy degree in the Netherlands and his DPT at the University of St. Augustine, Florida. He has extensive training and practical experience in biophysical agents and teaches nationally and internationally to medical professionals on their therapeutic use. Yorick has been instrumental in developing the use of electrical stimulation by Speech Language Pathologists in the treatment of dysphagia. Yorick currently lives in California and runs his private practice in Gilroy, CA.

Financial Disclosure: Yorick receives honoraria from CIAO Seminars for the presentation of his live course(s) and royalties for the sale of his recorded course(s). Yorick is the author and an instructor for the VitalStim Therapy Specialty Program.
Non-Financial Disclosure: no relevant relationships exist

94 Minutes
Physiology of the Normal Swallow
86 Minutes
Exercise Considerations
106 Minutes
Electrical Stimulation in the Treatment of Dysphagia
50 Minutes
DINES Treatment Protocols
24 Minutes
42 Minutes
21 Minutes
65 Minutes
Pediatric Considerations
22 Minutes
8.5 Hours

Delivery VIA:

  • Online - This course is offered in an online, on demand format.

Contact hours pre-approved for:

  • 8.5 Hours
  • CIAO is an ASHA Approved Provider #AAWA (0.85 ASHA CEUs) bubble sheet submission required
  • CIAO is an AOTA Approved Provider #4119 (0.85 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (8.5 PDUs)
  • As an IACET Accredited Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer 0.85 CEUs for this program

CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.

CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)

This course is offered for 0.85 ASHA CEUs (Intermediate level, Professional area) ASHA Bubble Sheet

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


"Great presentation and speakers. Would have loved to attend the renewal course in person as planned if COVID-19 was not a factor. "

- Lawrenceville, GA / Jun 2020

"I am so thrilled to be able to do this course at my own pace. Thanks"

- Corpus Christi,, TX / May 2020

"The presenters provided clear explanations and training. I appreciated having the page numbers from the manual on the slides to help with correlation and note taking."

- ALBUQUERQUE, NM / May 2020

"It was helpful to have the larger view slides as in the Pediatric section...perhaps continue that theme throughout."

- Flora, IL / May 2020

"Enjoyed the way the pediatric case study was presented by OT/SLP. Would have liked to seen a thorough case study presented in the same way. Great course.!"

- Nepean, ON / May 2020

"This course has been pivotal in my practice. The specificity, quality, and depth of the content shared in this course is exceptional. "

- Las Cruces, NM / May 2020

"Great course! Excellent!"

- Lakewood, OH / May 2020

"I truly appreciate the addition of the pediatric as well as ethic sections in this renewal course. "

- Madison, NJ / May 2020

"I really enjoyed the presenters. While I do miss the personal interaction from the live course, I really love taking the refresher course online so that I can listen to their explainations until I understand it or can write it down. This was a perfect set up!"

- Rochester Hills, MI / Apr 2020

"This was my favorite version of instruction for NMES to date."

- Mount Pleasant, MI / Apr 2020

"More support for pediatric population. This course always teaches me something new! Thank you for continuing to promote clinical growth."

- Eagle, ID / Apr 2020