CIAO Seminars - VitalStim® Plus - NMES and sEMG Biofeedback

COURSE MENU

Course Description

TWO WAYS TO ATTEND:

Attend as part of the LIVE STUDIO AUDIENCE in Gulf Breeze, Florida - Studio audience seats are limited - so register today!
Attend via LIVE STREAM from anywhere around the world. Live stream participants will login to access the event from their computer

NOTE:

This live event is streamed in real time.
Course agenda is in Central time, please adjust for your time zone
Registrants who attend the live broadcast will be able to interact with instructor.
All registrants will have access to the broadcast recording for 14 days.
A group may view the course together, however each attendee must be individually registered in order to receive CE credit.

CEUs:

SLPs - this course is registered with ASHA as Blended Learning. ASHA CEUs may be earned by attending live, viewing the recording, or a combination of both.
OTs Participants who need live hours for state license renewal must attend in real time yet, will still have access to the recording for 14 days.

Exercise is the key ingredient to rehabilitation and dysphagia rehabilitation is no different. The skilled clinician must have a variety of treatment tools available to facilitate an effective exercise program. Ten years ago, VitalStim Therapy introduced NMES as such a tool and it has proven very effective. This course will take the VitalStim Provider to a new level using NMES for dysphagia therapy. The course will review the core concepts underpinning successful use of NMES in the dysphagic patient. Current research will be reviewed to explore how the NMES parameters such as frequency, phase duration and duty cycle can be changed to maximize impact. Participants will learn about the benefit of using up to 4 channels of stimulation and will learn how to sequence the stimulation between channels to mimic a normal swallowing sequence. In addition, two new modalities will be reviewed and practiced: sEMG Biofeedback and sEMG triggered electrical stimulation. This dynamic course will focus on hands on skills. The participants will work with the latest technology combining VitalStim, NMES, sEMG and sEMG triggered stimulation.
Disclosure: This course covers information that pertains to the effective and safe use of VitalStim Plus equipment. Participant must be a VitalStim Therapy Provider prior to attending this advanced level course.

COURSE LEVEL: ADVANCED
COMPLETION REQUIREMENTS:

Attend/view entire course
Pass multiple choice quiz (80% min score)
Complete online course evaluation

It is strongly recommended (although not required) for streaming participants to have the following:

VitalStim Plus device
Two packs of electrodes
Wrap to secure electrodes
A partner or family member if available
One reference electrode (this will have a pigtail and can be round or square)

Looking for a VitalStim Renewal course?

ONLINE RENEWAL Click Here for VitalStim Therapy DINES Renewal eCourse
LIVE RENEWAL Click Here for Adult Focus or Click Here for Pediatric Focus

Course Objectives

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

Verbalize the key neurophysiological and practical principles relevant to the use of VitalStim Therapy in the treatment of dysphagia
Summarize the key findings of recent publications on the topic of NMES in the treatment of dysphagia
Demonstrate appropriate selection and execution of NMES protocols with parameter settings that differ from the VitalStim protocol and verbalize their rationale
Modifying the pulse frequency
Modifying the phase duration
Modifying the duty cycle (e.g., 4 seconds ON, 12 seconds OFF)
Using up to 4 channels of stimulation
Sequencing the stimulation between channels (for example, start stimulation on the oropharyngeal sling and follow with stimulation of the submandibular muscles)
Describe the mechanism of action of sEMG Biofeedback in the treatment of dysphagia
Demonstrate the correct execution of sEMG Biofeedback used for common neuromuscular impairments present in dysphagia
Describe the mechanism of action of sEMG triggered stimulation in the treatment of dysphagia
Demonstrate the correct execution of sEMG triggered stimulation used for common neuromuscular impairments present in dysphagia
Demonstrate the replication of protocols described in key publications utilizing the VitalStim Plus technology

Kelly Salmon

SLPD, CCC-SLP, BCS-S, CLT-LANA, NDC

Kelly is a speech-language pathologist (SLP) specializing in the treatment of adults with communication and swallowing disorders across the continuum of care. She has been a Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S) since 2011 and is one of the only SLPs in the U.S. to earn designation in 2014 as a Lymphology Association of North America Certified Lymphedema Therapist (CLT-LANA) specializing in the treatment of head and neck lymphedema. Over the past several years of her career, Kelly has focused on becoming an expert in the treatment of swallowing disorders resulting from many medical conditions including head and neck cancer, stroke, and progressive disease and recently became one of the first SLPs to earn the NDC credential (NMES for dysphagia certified). She also works with individuals following total laryngectomy to rehabilitate and restore communication and swallowing function. Kelly was awarded her bachelors degree in speech pathology and audiology at Stockton University in New Jersey, her masters degree in speech pathology at New York University, and is currently completing her clinical doctorate in speech pathology at Nova Southeastern University. Kelly takes pride in contributing to the field of speech-language pathology through teaching a graduate-level dysphagia course at Temple University in Philadelphia, supervising speech-pathology students, presenting posters and lectures at national conferences, publishing articles on various topics related to swallowing and communication disorders, and engaging in multidisciplinary research initiatives. She is currently in the process of completing a clinical research study examining swallowing-related outcomes for individuals undergoing specialized robotic surgery for head and neck cancer. Kelly works in an otolaryngology practice at a large academic medical center in Philadelphia, PA and is dedicated to providing the highest level of evidence-based care for all of her patients.

Financial Disclosure: Kelly receives honoraria from CIAO Seminars for the presentation of this course. She also receives royalties for the purchase of her recorded course(s)
Non-Financial Disclosure: Kelly uses VitalStim Therapy in her practice.

Day 1

09:00 - 04:15

Live Stream 9:00 AM Central (10:00 Eastern; 8:00 AM Mountain; 7:00 Pacific)

09:00 - 09:15

Knowledge inventory

09:15 - 10:15

NMES core concepts

10:15 - 11:00

Review of the literature – What do we know?

11:00 - 11:15

Break

11:15 - 01:00

sEMG biofeedback – lecture & lab

01:00 - 01:30

Lunch

01:30 - 02:30

sEMG triggered stimulation – lecture & lab

02:30 - 03:30

Advanced NMES application – lecture & lab

03:30 - 03:45

Q&A, Close

Delivery VIA:

Live On Tour - This course is now being offered live on locations throughout the United States.
Live Stream - This course is offered from our Live Stream studio. Watch and interact with the instructor from wherever you are or join us as part of the studio audience in sunny Gulf Breeze, FL. Included with each Live Stream registration is access to the course recording for the 14 days immediately following the broadcast.

Contact hours pre-approved for:

6 Hours
CIAO is an ASHA Approved Provider #AAWA (0.6 ASHA CEUs) bubble sheet submission required
ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
CIAO is an Approved Provider for AOTA #4119 (0.6 AOTA CEUs)
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 0.6 CEUs for this program
This course meets PDU requirements for NBCOT (0.6 PDUs)
CIAO is an Approved Provider for the Florida Board of Occupational Therapy
Approved for:
7.0 Hrs OTs in FL (CE Broker #20-550157)
6.0 Hours Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN

Course meets requirements for:

OT/COTAs in AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, LA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT,

OT/COTAs in NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

Advanced level
0.6 ASHA CEUs

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

CIAO is recognized 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.

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

"This was very helpful. Thanks."

- Live Streaming or Studio Audience, FL / Dec 2023

"Info on SEMG was helpful"

- Denver/Englewood, CO / May 2023

"Jon was a great instructor. I really feel like the way he presented info and the labs really helped me learn. "

- Denver/Englewood, CO / May 2023

"Jon is a great teacher!! Thank you! I always enjoy the breadth of info in these courses."

- Denver/Englewood, CO / May 2023

"Enjoyed it!"

- Denver/Englewood, CO / May 2023

"Time constraints due to size of group"

- Denver/Englewood, CO / May 2023

"This was a fantastic format. It is my first time doing a live course online and I loved it! No changes at all! Can’t wait to use this in real life. Glad I have notes to refer to??"

- Live Streaming or Studio Audience, FL / Oct 2022

"I thoroughly enjoyed the information and format. Julie did a great job of presenting the topic in an accessible way. Thank you!"

- Live Streaming or Studio Audience, FL / Oct 2022

"presenter was awesome and knowledgeable - would be more helpful to have a feeding therapist present/co-present as well to give additional examples related to what OT/SLP see in treatment versus PT examples and to be able to answer some of the more OT/SLP specific dysphagia questions that came up in Q&A"

- Live Streaming or Studio Audience, FL / Oct 2022

"I would love to watch videos of the instructor during an actual tx session using SEMG and especially SEMG/VMS. "

- Live Streaming or Studio Audience, FL / Aug 2022

"Very informative course material."

- Live Streaming or Studio Audience, FL / Jun 2022

"Excellent presenter - significant knowledge base - will take more courses because this one was excellent!"

- Live Streaming or Studio Audience, FL / Jun 2022

"Overall really great! So glad live steam was an option. I really appreciate all the CIAO does to support SLPs!!"

- Live Streaming or Studio Audience, FL / Jun 2022

"Wish there was more time focused on the lab aspect of the course and less on the background/refresher portion. Since this is an "advanced" level course, most people understand the principles behind NMES and I felt like we had to rush at the end to get through all the lab portions. "

- Live Streaming or Studio Audience, FL / Jun 2022

"Thank you so much! What a fantastic course. I learned so much!"

- Live Streaming or Studio Audience, FL / Jun 2022

"Great course!"

- Gulf Breeze, FL / Feb 2022

"good sense of humor-incorporating jokes into presentation. More time for practice with each of the different modalities, less time spent on research. Despite this having to be virtual, was still easy to see device and it's functions."

- Gulf Breeze, FL / Feb 2022

"Thank you for saying that about this course not being used in place of the renewal of Vital Stim. I would have been operating under that impression. "

- Gulf Breeze, FL / Feb 2022

"Include pediatric patients in Vital Stim plus course and reference “how to” step by step videos like in the course for future viewing. Thanks! Great presenter and good information. "

- Gulf Breeze, FL / Feb 2022

"Great course. Good pace of presentation. "

- Gulf Breeze, FL / Feb 2022

"The labs were very helpful to solidify my knowledge!"

- Live Streaming or Studio Audience, FL / Aug 2021

"Good course, I enjoy the course."

- Live Streaming or Studio Audience, FL / Aug 2021

"well done - smooth and informative, speaker interactive and engaging"

- Live Streaming or Studio Audience, FL / Aug 2021

"I would encourage all attendees to use FireFox! Google Chrome did not work well. "

- Live Streaming or Studio Audience, FL / Aug 2021

"Thank you for a very thorough course. "

- Live Streaming or Studio Audience, FL / Jun 2021

"excellent course"

- Live Streaming or Studio Audience, FL / Jun 2021

"Overall, I enjoyed the course and will be coming back for the revamped DINES portion. I do think review of the literature is very important and should not have been skipped. I would like to hear more about NMES theory and hope there is a course on that in the future. I am excited about NMES technology, but our field has a long way to go!"

- Live Streaming or Studio Audience, FL / Apr 2021

"I was not aware we needed a reference electrode (or what they even were!) prior to the course so I did not have one with which to participate in the final set of labs. In the future, especially for livestreams, it would be helpful to know that ahead of time to be fully prepared and able to participate to the fullest extent. "