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    VitalStim® Therapy and Beyond: DINES Specialty Certificate Program

    Learning the Options, Mastering the Modality - An ICE Accredited Certificate Program

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    Add to Calendar 05/30/2020 08:00 AM 05/31/2020 03:30 PM America/New_York VitalStim® Therapy and Beyond: DINES Specialty Certificate Program Hotel: TBA
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    TBA CIAO Seminars, Inc mail@ciaoseminars.com false MM/DD/YYYY


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    Appropriate Disciplines


    • Speech Language Pathologist
    • Occupational Therapist

Course Description

This is an ADULT FOCUSED COURSE. Click HERE for Pediatric Focus.


Welcome to the UPDATED VitalStim Therapy course!
The VitalStim Certificate Program was introduced to the professional dysphagia community in 2003 as the competency course for the only FDA-cleared NMES device for dysphagia treatment. The program, then known as the VitalStim Certification Program, revolutionized dysphagia therapy! The popular course has gone through multiple revisions since its inception, incorporating the latest findings from the research and clinical communities. This new course update is the most significant to date. It is the result of several converging trends in the field of NMES for dysphagia treatment. The new content reflects significant growth of scientific research, an increase in available treatment protocols and an expansion of available equipment options.

Course Description
VitalStim Therapy and Beyond: DINES (Dynamic Integration of NMES and Exercise for Swallowing) This accredited hands-on competency course will focus on the muscle physiology, kinesiology, and pathology of the normal and abnormal swallowing mechanisms. The principles of NMES will be taught in tandem with active dysphagia exercise therapy. NMES for Dysphagia protocols, using FDA cleared devices, will be covered against the backdrop of neurophysiology of the swallowing mechanism and available research. Adjustments to NMES parameters - frequency, phase duration, duty cycle, and more - will be incorporated in specific treatment protocols and extensively practiced in hands-on lab sessions. Cases will be evaluated using the impairment model (pathology; symptoms; signs; dysfunctions; and impairments) and treatment planning will be practiced.

Participants will receive one-on-one attention from two experienced instructors, a dysphagia expert and an electrical stimulation expert. Instructors will deliver relevant information on FDA clearance and clinical options relevant to different equipment options available today to better equip clinicians in the ever-changing world of NMES for dysphagia.

Participants who successfully complete this course will leave as a skilled VitalStim Provider and DINES Provider with the confidence and building blocks needed to implement a successful NMES for dysphagia therapy program.

"I learned more about dysphagia in this course than I did in all of grad school!"

Conflict of Interest
None. This is the only NMES for Dysphagia training course not affiliated with the sale of any equipment or electrode. The content and administration of this course is wholly independent of any manufacturer.

Provider Benefits
  • A Specialty Certificate from the only acreditted NMES for Dysphagia course
  • VitalStim Provider designation
  • DINES Provider designation
  • Access to dedicated NMES Clinical Consultant
  • Access to the VitalStim/DINES Provider Facebook group - a private network of THOUSANDS of active Providers
  • Listing on the official VitalStim/DINES Registry
  • Access to the official VitalStim/DINES Provider Document Library
  • Access to continuing education specifically for VitalStim/DINES Providers
  • $50 discount voucher towards the NDC Examination application
This is course is not affiliated with the sale of any equipment or electrode. The content and administration of this course is wholly independent of any manufacturer.

This is an intermediate level course. Requirements for the course are as follows:
  • Successful completion of online anatomy and MBS review course (click link for more details) MBS Course Instructions
  • Prior knowledge and experience in dysphagia management
  • Dysphagia as a significant portion of active caseload
  • SLP or OTR with current licensure in state of practice
  • SLP or OTR in compliance with state and national practice acts
DINES Specialty recognition will be awarded to those who:
  • Online Course: pass written assignments. pass multiple choice quizzes with a minimum 80% accuracy
  • Live Course - pass written exam with 80% accuracy. Pass practical labs demonstrating safe and accurate application of NMES for dysphagia therapy as determined by both instructors.
NOTE: If these criteria are not met at the course, additional opportunities to successfully complete the process will be available.

CIAO offers the VitalStim Specialty course for two populations (adult and pediatric). Either course may be taken to become a VitalStim Provider. VitalStim Providers may treat either or both populations.
VitalStim Therapy and Beyond is now a Specialty Certificate Program!
This program is the only accredited NMES for Dysphagia program. After successful completion of this program, participants receive their Specialty Certificate as a specialist in the use of NMES for the treatment of dysphagia. On April 3, 2015, the Institute for Credentialing Excellence (ICE) granted accreditation to CIAO Seminars' VitalStim Therapy Specialty Program for demonstrating compliance with ICE 1100 - Standard for Assessment-Based Certificate Programs. ICE 1100 was first published in January 2009 to ensure that assessment-based certificate programs adhere to modern standards of practice for the credentialing industry. More information about ICE is available online at www.credentialingexcellence.org.
Course Pricing
$775
$350 (Renewal at Live Course - earn 16 hrs. of continuing education credit)

Renewal Options (Maintain your Specialty Certificate by completing a renewal course once every 3 years)

Live Renewal
Attend the live 2 day VitalStim course again (no online MBS required for renewal)
16 hrs. of continuing education credit will be awarded for successful completion of course.
Entire live course is required for this option.
Register above by selecting the date/city and clicking register.
Choose the price option labeled "Renewal (no online MBS course required)"

Online Renewal
7 hrs. of continuing education credit will be awarded for successful completion of course.
Activate course within 6 months of purchase
30 days to complete once activated

The VitalStim® Therapy and Beyond: DINES Specialty Certificate Program includes the online course, MBS: The Clear Picture (12hrs) and the two day hands-on "VitalStim® Therapy and Beyond: DINES Specialty Certificate Program" (16hrs) for a total of 28 hours of continuing education credit.

VitalStim is a registered trademark of VitalStim, LLC.
VitalStim Therapy and Beyond: DINES Specialty Certificate Program© CIAO Seminars

AOTA Classification Codes
Domain of OT: Client Factors, Context Environment
OT Process: Intervention
Vital Stim, VitalStim, Vital Stem, VitalStim Certification, Vitastim, NMES for Dysphagia, ESwallow, Guardian, Tim Carrigan

Course Objectives

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

  • Identify and describe the anatomical structures relevant to the swallowing function
  • Demonstrate accurate palpation of accessible structures in the head and neck region as relevant to the use of NMES
  • Describe relevant neurological and physiological aspects of normal and abnormal swallowing, including cranial nerve function and muscle fiber types
  • Describe the swallowing disorder based on the results of the evaluation in terms of impairments and dysfunctions
  • Formulate the theoretical rationale for using NMES in the treatment of dysphagia
  • Describe the characteristics of neuromuscular electrical stimulation (NMES) and the influence of electricity on muscle tissue
  • Describe the parameters of pulsed waveforms – pulse duration, phase duration, frequency, duty cycle – commonly used in NMES in dysphagia therapy
  • Describe and demonstrate common problem-solving approaches used in a typical NMES treatment session, including preparing the skin, (re)positioning the electrodes, and adjusting NMES parameters
  • Describe the physiological impact of modifying the various pulsed waveform parameters on muscle fiber recruitment, fatigue, patient tolerance and exercise intensity
  • Identify the pathological conditions for which NMES is indicated
  • List precautions and contraindications to the use of NMES in the head and neck region
  • Describe the role of regulatory bodies in clearing NMES devices to market and its impact on clinical use of NMES by dysphagia clinicians
  • Describe the characteristics of typical NMES units and self-adhesive electrodes commonly used in dysphagia therapy
  • Describe, differentiate and demonstrate the execution of common NMES treatment protocols described in the peer-reviewed literature
  • Identify appropriate outcome variables to track and measure patient progress
  • Discuss and demonstrate correct electrode positioning based on patient presentation and anatomical location of target tissues to treat, including the use of one or more stimulation channels and applying electrodes in the facial, suprahyoid and in
  • Discuss and demonstrate the use of swallowing exercise during and after the application of NMES

Day 1

07:30 - 08:00
Registration (snack/refreshments provided)
08:00 - 08:15
Introduction, program overview, objectives
08:15 - 08:45
Physiology, anatomy, neurology review
08:45 - 10:00
Palpation of head and neck structures (lab)
10:00 - 10:15
Break
10:15 - 12:00
Exercise and Dysphagia
12:00 - 01:00
Lunch (on your own)
01:00 - 02:30
Electrical stimulation: theory & lab demonstration
02:30 - 02:45
Break
02:45 - 05:30
Electrical stimulation: theory & lab demonstration continued
05:30 - 06:30
Written Exam

Day 2

07:00 - 07:30
Sign-In (snack/refreshments provided)
07:30 - 08:00
Review of material day 1, Q&A
08:00 - 08:30
Exam review and scoring
08:30 - 10:00
NMES protocols (lab)
10:00 - 10:15
Break
10:15 - 11:30
NMES protocols (lab) continued
11:30 - 12:30
Lunch (on your own)
12:30 - 03:15
Integration: case studies, problem solving
03:15 - 03:30
Resource Network for Registered Providers
03:30 - 03:45
Q & A

Delivery VIA:

  • Live On Tour - This course is now being offered live on location throughout the United States.
  • Live By Request - This course is available to come to you! Contact us to see how easy that can be.

Contact hours pre-approved for:

  • 16 Hours
  • CIAO is an Approved Provider for ASHA #AAWA (1.6 ASHA CEUs) bubble sheet submission is required
  • CIAO is an Approved Provider for AOTA #4119 (1.6 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (20 PDUs Clinical Lab Assessment)
  • CIAO is authorized by IACET to offer 1.6 CEUs for this program
  • This course is approved by the CA Board of OT for Advanced Practice
  • - 11.25 hrs Physical Agent Modalities CABOT#25-P4
  • - 7.0 hrs Swallowing CABOT#25-S1
  • 16 hrs. OTs in FL (CE Broker #20-515988)


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



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



This course is offered for 1.6 ASHA CEUs (Intermediate level, Professional area)..



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.



Reviews

"Amazing course! A must-take course for all SLP's seeking to expand their knowledgable in the area of dysphagia and NMES with incredible professors. I LOVED this educational experience. "

- Houston, TX / Jul 2019

"Awesome! This course is marvelous. The presenters did a wonderful job in delivering the subject matter. Lesley and Maddie are very assistive and heart-warming. More power to CIAO. Thank you Dayna."

- Jackson, MS / Jul 2019

"I was on the edge of my seat to hear the information. Please come back to Jackson, MS and do a PED's course! Y'all rock!! MS <3's y'all!"

- Jackson, MS / Jul 2019

"Great courrse! Information gained exceeded my expectations! Thank-you!"

- Boston, MA / Jun 2019

"Great course! The instructors were very knowledgable and I feel comfortable implementing course information in my clinical practice. "

- Pittsburgh, PA / Jun 2019

"I retained even more information this time as a renewal course. I was able to focus on the theory and reasoning behind placement overall use because I had prior experience with the unit."

- Detroit, MI / Jun 2019

"Great course! Appreciate the realism and honesty. Also, love all of the visual descriptions. "

- Dallas, TX / May 2019

"The BEST course I have ever taken. The presentation of material was fantastic. I really enjoyed the practical application."

- Chicago, IL / May 2019

"This course was EXCELLENT! I really feel confident to use Vitalstim and this has greatly increased my knowledge."

- Orlando, FL / Apr 2019

"Presenters were engaging and knowledgeable. They were able to answer all questions and very approachable."

- Orlando, FL / Apr 2019

"Thank you for the great book/manual, references an article summary of articles."

- Orlando, FL / Apr 2019

"Both presenters were great! Very knowledgeable & helpful. I especially was inspired by Jon's ability to teach this class & relate to SLPs given his background was PT. It's not always easy to code switch between PT/SLP!"

- Columbus, OH / Mar 2019

"The explanations of anatomy and physiology were explained very well. I very much enjoyed every single one of the analogies explained, the information just made sense after the explanation of analogy. The test questions could be revamped. Course binder and hands on labs were great!"

- Columbus, OH / Mar 2019

"This is going to dramatically impact the quality of care I give my dysphagia patients!!!"

- San Diego, CA / Feb 2019

"Absolutely awesome instructors! I learned so much and was so impressed with the knowledge this course provided! Thank you CIAO!"

- Houston, TX / Jan 2019

"Utilize previous vitalstim unit for facilities w/old unit. Amazing course! Best dysphagia course since grad school."

- Houston, TX / Jan 2019

"Excellent review and I really enjoyed the hands on and new outlined agenda. A great review and I loved the new VitalStim machine. Course was very organized. Thank you so much!!"

- Houston, TX / Jan 2019

"Very comprehensive. I am also trained in Ampcare - I like this protocol much more and am excited to apply to my caseload."

- Houston, TX / Jan 2019

"Awesome course! I could not be more satisfied with the knowledge that I gained! "

- Tampa, FL / Dec 2018

"Instructors had great collaboration to the presentation, knowledgeable on their presented information and good experience. Instructors provided adequate hands-on training to enhance learning."

- Columbus, OH / Nov 2018

"Wonderful, much needed refresher for swallow anatomy that made it functional and beyond the classroom "origin and intention" that isn't very functional. I feel I look at swallow in a new and improved way that will better serve my patients. "

- Dallas, TX / Oct 2018

"AWESOME COURSE! I feel like I learned more than my grad school course (smiley face) Thank you!"

- Atlanta, GA / Oct 2018

"I've been an SLP for 13 years. By far, this is the best continuing ed/certification course I have ever participated in. Outstanding job!"

- Atlanta, GA / Oct 2018

"Instructors were extremely knowledgeable, shared their experience, & very professional - really great course. Gina and Tom are excellent teachers."

- Newark, NJ / Aug 2018

"Loved Tammy!!! CIAO presented the information with a cohesive learning experience.Loved the hands on component."

- Newark, NJ / Aug 2018

"Excited to take what I learned back to my facility and patients! Feel as if I have doubled my knowledge of dysphagia in one weekend!"

- St Louis, MO / Aug 2018

"Presenters were thorough in introducing info & build upon it throughout the course. Use of experiences, case studies, and anecdotes were extraordinarily helpful in tying principles together."

- St Louis, MO / Aug 2018

"The presenters did a fantastic job with teaching complicated course content in an understandable manner! Wonderful teachers!"

- St Louis, MO / Aug 2018

"Appreciated the increased palpation techniques, review of placement strategies impacting specific muscles."

- Houston, TX / Jul 2018

"Instructors were able to present information in a practical and fun way. It only took two days to learn and review what would have taken a full semester of school with this awesome team. Will be coming back for more CIAO corses. Oh, Maddie is GREAT! Keep her forever!"

- Houston, TX / Jul 2018

"Maybe another break or two. The days are so long!"

- Houston, TX / Jul 2018

"Wish I had completed this this LONG ago! Clarifies swallowing function so well! Love the motivation to heal patients!"

- Kansas City, MO / Jun 2018

"Amazing course! I feel completely capable to begin using this Monday! Far exceeded my expectations!"

- Kansas City, MO / Jun 2018

"Awesome! Best swallowing conference I’ve attended in a long time! Thank you!!"

- Kansas City, MO / Jun 2018

"I would recommend this course to my co-workers. My knowledge base regarding VS has improved as well as my confidence in implementing VS during therapy sessions. The instructors were phenomenal. "

- Dallas, TX / May 2018

"Great course, very helpful in teaching the use of NMES. I would have enjoyed more case studies."

- Dallas, TX / May 2018

"Wow! Talk about passionate presenters. I loved this course and I feel I got prepared to take on dysphagia therapy with the use of vitalstim "

- Dallas, TX / May 2018

"Course was very thorough and provided great materials with information applicable for all dysphagia tx. This course exceeded my expectations."

- Baltimore, MD / Apr 2018

"The muscle training and electrical stim portion was highly informative and drove home the importance of NMES."

- Baltimore, MD / Apr 2018

"Presenters were highly educated and clearly conveyed information in an interesting manner!"

- Philadelphia, PA / Mar 2018

"Wonderful course that not only helped me understand NMES but increased my knowledge of the swallow and dysphagia in general."

- Philadelphia, PA / Mar 2018

"Tammy rocked! Jon very funny and passionate about his work! Tammy was awesome - outgoing, supportive, and fun (smiley face). The instructors were great and informative. I became more confident and comfortable!"

- Schaumburg, IL / Mar 2018

"The most engaging and knowledgeable/informative CEU I've ever been to! I feel with practice and having the "binder" in my toolbox, I will be okay!"

- Metairie, LA / Mar 2018

"Very good presenters, both are very good at watching learners, then intervening to teach clinical skills in a positive manner."

- Irvine, CA / Feb 2018

"Very thoughtfully covered material. Good exchange of questions and answers throughout presentation; excellent examples with videos. Adequate supplies, excellent feedback to students. Would be less confusion if lecture handouts matched sequences of slides presented. (I think some new slides added.) Would love to take additional courses from him. Yes, would recommend to others without hesitation."

- Irvine, CA / Feb 2018

"Excellent class! Thank you for your patience and willingness to answer all our questions! Great review of anatomy/physiology also!"

- Irvine, CA / Feb 2018

"It was an intensive program but the instructors did a great job of reviewing the material every so often and checking to make sure we understood everything. Loved the labs. "

- Nashville, TN / Feb 2018

"Although my head feels like it is going to explode, I'm super excited to utilize this new knowledge. I've enjoyed all the speakers (including Ann Marie). What a great class!"

- Nashville, TN / Feb 2018

"Kelly, Ann Marie and Penny were all very approachable, knowledgeable and helpful. They provided the information, tools and resources to help me feel competent as a clinician using this program."

- Nashville, TN / Feb 2018

"Instructors were great. Provided very knowledgable information w/ personal experiences tied in! Also thought the course did a good job alternating hands on/book learning"

- Houston, TX / Jan 2018

"Great course! I enjoyed the in-depth discussion of dysphagia/review of anatomy of the swallowing muscles. "

- Houston, TX / Jan 2018

"Excellent conference with practical application. Presenters were highly knowledgable and info was well organized."

- Houston, TX / Jan 2018

"Loved this course! I can't wait to get back to work and apply what I've learned."

- Houston, TX / Jan 2018

"Maddie did a great job of making us feel welcomed; gave clear instructions. I appreciate the hands-on aspect of training and feel much more confident in my ability"

- Houston, TX / Jan 2018

"Great Course! Very informative, easy to follow along and presenters did a great job in teaching how to apply all the knowledge/info. "

- Houston, TX / Jan 2018

"1) Would love to see a video (case study) of a patient actually receiving treatment t see it all come together, from case HX-> Targeting Decision Making-> TX Video -> Results 2) give us time to independently (or small group) process a case study from start to finish, then review the case with the whole group"

- Houston, TX / Jan 2018

"I feel like many clinicians still have reservations about using carbonated beverages because of the controversy so maybe providing alternative options besides carbonation. "

- Houston, TX / Jan 2018

"Both presenters were available for all questions, provide very good examples, atmosphere in hotel very good, Thank you!"

- Charlotte, NC / Dec 2017

"So glad that I took my first renewal course live. This would be recommended for all first time renewal. There should be a no cell phone usage policy during this course. It was so much great information. I feel sorry for SLP who used her cell phone throughout this course. "

- Charlotte, NC / Dec 2017

"Great course/Awesome Instructors!"

- Charlotte, NC / Dec 2017

"Very knowledgable and experienced instructors, personalized instruction, well organized and good pacing/use of time. Attentive and answered all questions."

- Tampa, FL / Nov 2017

"Great course! I felt that I gained so much knowledge regarding dysphagia tx as well as NMES. "

- Tampa, FL / Nov 2017

"Excellent course! Jen and Tom did a great covering a lot of complex information in a short period of time. Materials were well organized and helpful"

- Tampa, FL / Nov 2017

"Thorough explanation and hands-on training was wonderful."

- Tampa, FL / Nov 2017

"The best course I've ever taken. Highly interesting & informative! Wonderful presenters!!"

- Louisville, KY / Aug 2017

"This is a spectacular program. I've been doing this a long time (6 years), but my practice will greatly improve after this renewal!"

- Louisville, KY / Aug 2017

"Very engaging & educational. Was very beneficial."

- Louisville, KY / Aug 2017

"The overall lectures were delivered very well (each and every word was understood) The best part was the hand-on clinical practice which boost up the confidence to apply NMES directly to pts after this course. I would like to request CIAO Seminars to visit my country (Pakistan) for their courses. Looking forward! (R. B. S.)"

- Houston, TX / Jul 2017

"Both presenters were fantastic- highly knowledgeable and equally as approachable with questions/ guidance. Truly enjoyed this course! "

- Boston, MA / Jun 2017

"Teaching of both instructors throughout the course had a synergistic effect on your learning the material. "

- Boston, MA / Jun 2017

"I feel guilty that I have not been trained for NMES before now to have helped the many dysphagia pts I've had in the past! Amazing teaching speakers! Incredible simplified explanations - THANK YOU!!! You're both gifts to our field!!!!"

- Kansas City, MO / Jun 2017

"Excellent course. All of the analogies used will be helpful in explaining medical concepts to my patients/families."

- Pittsburgh, PA / May 2017

"Best CEU I've taken so far, hands on was so helpful to the learning! Presenters were highly knowledgable and engaging. Thank you."

- Irving, TX / Apr 2017

"Very informative-great presenters-can't wait to start providing the service to my population!!"

- Houston, TX / Jan 2017

"This course was wonderful and very informative/entertaining. Will be recommending. I feel as though I can begin using these skills immediately."

- Houston, TX / Jan 2017

"The hands-on labs for VitalStim were really helpful. I gained a better sense of how it feels and I think it helps me to understand my patient's perspectives."

- Columbus, OH / Dec 2016

"Very good information! Made me think about dysphagia treatment "upside down". I wonder why this wasn't taught in graduate school."

- Charlotte, NC / Dec 2016

"Amazing course not just for vitalstim but for dysphagia in general! Wonderful instructors, organized & in-depth presentation!"

- Newark, NJ / Nov 2016

"This was a wonderful seminar that not only educated us on VitalStim but also provided so much additional education on evaluation; treatment for patients with dysphagia."

- Romulus, MI / May 2015

"The course was fantastic! I can not wait to benefit my pts at a greater level with this new information."

- Metairie, LA / Feb 2015

"Amazing! I gained not only more infor/knowledge about NMES but greater understanding of Dysphagia."

- Metairie, LA / Feb 2015

"Phenomenal course! I learned so much!! Can't wait to apply what I have learned!!"

- San Antonio, TX / Feb 2015

"Amazing course! I would recommend the course to anyone even those who remain skeptical of NMES in treating dysphagia. There was a wealth of info!!"

- Atlanta, GA / Feb 2015

"This course was excellent! I learned so much and will use this knowledge everyday in my practice to better my patients lives."

- Nashville, TN / Jan 2015

"I came to this seminar quite apprehensive and a bit stressed. Upon completion, I am now equipped with new knowledge and confidence - ready and eager to apply these skills! Loved this course! Excellent presenters."

- Tampa, FL / Nov 2014

"Especially liked cranial nerve review. Great info. Switching of speakers was helpful. Presenters answered all questions. Nice hotel/location."

- Nashville, TN / Feb 2014

"Wonderful intense, coursework. Labs were very helpful with direct feedback from presenters."

- Nashville, TN / Feb 2014

"Great presenters. Thorough explanations helped understand the course material with ease. 100% satisfied."

- Houston, TX / Jan 2014

"Jodie rocked! Jodie for President! :) Love & appreciated how Jodie used her arms & hands as visual aids to help us learn structurs concepts for anatomy. Was blown away by both Jodie's & John's vast applied knowledge & how well they taught us. Liked having PT perspective. Lynus has the best contagious smile & energy! Thank you!!!"

- Houston, TX / Jan 2014

"I can apply what I've learned immediately in therapy."

- Tampa, FL / Dec 2013

"Great class! Fun, interesting, thorough and functionally applicable. Thank you!"

- Tampa, FL / Dec 2013

"A Lot of material in a very short amount time."

- St Louis, MO / Oct 2013

"Fantastic diagrams that helped facilitate a greater knowledge of muscles and placements!"

- Richmond, VA / Sep 2013

"Course was very informative. I liked that case studies were presented as well as hypothetical patient cases - to help w/ application"

- Minneapolis, MN / Apr 2013

"Enjoyed the course. Presenters with excellent knowledge and teaching methods. Ready to put the VitalStim to use with patients."

- Little Rock, AR / Mar 2013

"Excellent course- the best CEU course I have taken. I can’t wait to start using VitalStim in my practice."

- Columbus, OH / Mar 2013