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    VitalStim® Plus - NMES and sEMG Biofeedback

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    Add to Calendar 06/01/2024 08:00 AM 06/01/2024 03:00 PM America/Chicago VitalStim® Plus - NMES and sEMG Biofeedback Hotel: Home2Suites by Hilton
    Phone: 850-203-6700
    CIAO Studios CIAO Seminars, Inc mail@ciaoseminars.com false MM/DD/YYYY


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    Appropriate Disciplines


    • Occupational Therapist
    • Speech Language Pathologist

Course Description

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.


ATTENDANCE:

  1. Attend as part of the LIVE STUDIO AUDIENCE in Gulf Breeze, Florida - Studio audience seats are limited - so register today!
  2. 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.

COMPLETION REQUIREMENTS:

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

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.
.

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

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

Looking for a VitalStim Renewal course?

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

Jodie Dacy

M.S. CCC-SLP, NDC

Jodie graduated from Nova Southeastern University in Fort Lauderdale, FL with a Master of Science degree in Communication Disorders. She has been a practicing speech language pathologist since 1995 with extensive experience in the private sector, school settings and clinical experience in hospital settings which include long term care and outpatient rehab. Jodie became a VitalStim® Provider in 2005. Since then she has utilized this modality in the treatment of dysphagia with both her pediatric and adult patients. Jodie is also a licensed NOMAS® practitioner and certified in NDC (NMES for Dysphagia), MDTP (McNeil Dysphagia Therapy Program) and Myofascial Release. She has presented locally and nationally on various topics such as Best Practices, The Benefits of Oral Motor/Feeding Therapy on Articulation/Speech Clarity amongst others. Currently, Jodie serves the Speech Language Pathology profession as a therapist at Val Verde Regional Hospital in TX and as a certified instructor of the VitalStim® Therapy and DINES Specialty Certificate Program for CIAO Seminars.

Financial Disclosure: Jodie 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: Jodie uses VitalStim Therapy in her practice.

Day 1

08:00 - 03:15
Live Stream 8:00 AM Central (9:00 Eastern; 7:00 AM Mountain; 6:00 Pacific)
08:00 - 08:15
Knowledge inventory
08:15 - 09:15
NMES core concepts
09:15 - 10:00
Review of the literature – What do we know?
10:00 - 10:15
Break
10:15 - 12:00
sEMG biofeedback – lecture & lab
12:00 - 12:30
Lunch
12:30 - 01:30
sEMG triggered stimulation – lecture & lab
01:30 - 02:30
Advanced NMES application – lecture & lab
02:30 - 02:45
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

    It was easy to understand and follow along.

    - Live Streaming or Studio Audience, FL / Feb 2024

    Labs were very helpful.

    - Live Streaming or Studio Audience, FL / Feb 2024

    Excellent Presentation. Very informative & practical.

    - Live Streaming or Studio Audience, FL / Feb 2024

    Jon is a great trainer. Really enjoyed his approach and how he explained the material.

    - Live Streaming or Studio Audience, FL / Feb 2024

    This was very helpful. Thanks.

    - Live Streaming or Studio Audience, FL / Dec 2023

    perhaps consider giving participants more than 2 weeks to complete course as it is difficult to manage with FT work schedule/other obligations, perhaps 3-4 weeks if possible?

    - Live Streaming or Studio Audience, FL / Sep 2023

    The early slides on explanation of dysphagia as a valve system, principles of exercise, and review of neuroanatomy were not needed in my case. I would have liked the entire session to focus on the research and use of the VitalStim Plus device.

    - Live Streaming or Studio Audience, FL / Sep 2023

    PLEASE MAKE SURE THAT LEARNERS KNOW TO HAVE THE REGULAR VITALSTIM ELECTRODES AND MORE THAN ONE PAIR TO PRACTICE ON THEMSELVES OR FAMILY MEMBERS

    - Live Streaming or Studio Audience, FL / Sep 2023

    Wonderful presentation overall! Some of the sEMG portion went quickly (i.e., as she was changing the targets quickly I was having trouble keeping up!) but I just plan to go back and rewatch it again. Very worthwhile course, and I look forward to using the device in my clinical practice!

    - Live Streaming or Studio Audience, FL / Sep 2023

    Good presenter. Thank you. The djo website and downloads are a bit confusing from past experience. They need to date the new versions. VS/NMES is a good tool to use in dysphagia tx in conjunction to exercises and PO intake trials. SWALLOW SWALLOW SWALLOW .

    - Live Streaming or Studio Audience, FL / Sep 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.

    - Live Streaming or Studio Audience, FL / Feb 2021

    Excellent upgrades

    - Live Streaming or Studio Audience, FL / Feb 2021

    excellent course as usual by ciao seminars. very clear, professional and competent. many thanks.

    - Live Streaming or Studio Audience, FL / Feb 2021

    The course was great. John did a great job of showing how to use the VitalStim Plus machine and reviewing it multiple times to make sure we understood.

    - Live Streaming or Studio Audience, FL / Feb 2021

    excellent course as usual by ciao seminars. very clear, professional and competent. many thanks.

    - Live Streaming or Studio Audience, FL / Feb 2021

    The course was great. John did a great job of showing how to use the VitalStim Plus machine and reviewing it multiple times to make sure we understood.

    - Live Streaming or Studio Audience, FL / Feb 2021

    very informative course and helpful staff

    - Live Streaming or Studio Audience, FL / Feb 2021

    No suggestions -- I really enjoyed this course. Than you so much!

    - Live Streaming or Studio Audience, FL / Feb 2021

    very informative course and helpful staff

    - Live Streaming or Studio Audience, FL / Feb 2021

    No suggestions -- I really enjoyed this course. Than you so much!

    - Live Streaming or Studio Audience, FL / Feb 2021

    Julie always does a great job presenting information.

    - Live Streaming or Studio Audience, FL / Nov 2020

    I wish I had a VitalStim unit to try at home for lab work during the course!

    - Live Streaming or Studio Audience, FL / Nov 2020

    Good course that can be put into practice immediately with wide variety of patients

    - Live Streaming or Studio Audience, FL / Nov 2020

    very educational, thank you!!!1

    - Live Streaming or Studio Audience, FL / Sep 2020

    very educational, thank you!!!1

    - Live Streaming or Studio Audience, FL / Sep 2020

    Instructor was excellent!

    - Live Streaming or Studio Audience, FL / Jul 2020

    I enjoyed the course. Jodie did a great job!

    - Live Streaming or Studio Audience, FL / Jul 2020

    Great presenter & Chique. Glad to be an in-studio audience.

    - Live Streaming or Studio Audience, FL / Jul 2020

    During the lab maybe have a countdown timer when the participants are working independently. It was very difficult to determine if my computer was frozen or if it was still independent lab time because it was just silent.

    - Live Streaming or Studio Audience, FL / Jul 2020

    I'd like to hear more about how it relates to the pediatric population. It was very heavily adult-based.

    - Live Streaming or Studio Audience, FL / Jul 2020

    Fantastic course and instructor. Very happy to learn about the features of the new and enhanced Vitalstim Plus device. Thanks for providing this course online

    - Live Streaming or Studio Audience, FL / Jul 2020

    Instructor was excellent!

    - Live Streaming or Studio Audience, FL / Jul 2020

    The course manual contains very beneficial information. The presenter was very effective and thoroughly answered all questions. She provided helpful information and functional hands-on practice. I greatly appreciate the opportunity to participate in this course. Thank you!

    - Live Streaming or Studio Audience, FL / Jul 2020

    Fantastic course and instructor. Very happy to learn about the features of the new and enhanced Vitalstim Plus device. Thanks for providing this course online

    - Live Streaming or Studio Audience, FL / Jul 2020

    Love this course!

    - Live Streaming or Studio Audience, FL / May 2020

    Course was great, thank you!

    - Live Streaming or Studio Audience, FL / May 2020

    Love this course!

    - Live Streaming or Studio Audience, FL / May 2020

    Great course! Lots of information! I would have enjoyed a case study at the end or "mock' treatment session of how this would apply during treatment sessions.

    - Live Streaming or Studio Audience, FL / Mar 2020

    Great course! Lots of information! I would have enjoyed a case study at the end or "mock' treatment session of how this would apply during treatment sessions.

    - Live Streaming or Studio Audience, FL / Mar 2020

    Prior to the course a checklist of materials to have on hand (e.g device, types of electrodes, etc) would be helpful Allowing participants time to place electrodes before beginning examples/labs Exam did not seem to correspond with what was focused on during the lectures

    - Live Streaming or Studio Audience, FL / Mar 2020

    I wish I would've had VitalStim plus unit present during course, but we did not have it available to us yet. I liked John's style of presentation!

    - Live Streaming or Studio Audience, FL / Jan 2020

    Really enjoyed John as a presenter.

    - Live Streaming or Studio Audience, FL / Jan 2020

    This course was intensive. Definitely would have be easier to have a device in hand for the labs. However I am grateful the instructor offered contact information for follow up after the course.

    - Live Streaming or Studio Audience, FL / Jan 2020

    When purchasing VitalStim Plus clinicians should be made aware that they need to take this training. Otherwise the manual that the machine comes with is not helpful.

    - Live Streaming or Studio Audience, FL / Jan 2020

    Great course! Thank you for making it so easily accessible!

    - Live Streaming or Studio Audience, FL / Jan 2020

    I wish I would've had VitalStim plus unit present during course, but we did not have it available to us yet. I liked John's style of presentation!

    - Live Streaming or Studio Audience, FL / Jan 2020

    This course was intensive. Definitely would have be easier to have a device in hand for the labs. However I am grateful the instructor offered contact information for follow up after the course.

    - Live Streaming or Studio Audience, FL / Jan 2020

    When purchasing VitalStim Plus clinicians should be made aware that they need to take this training. Otherwise the manual that the machine comes with is not helpful.

    - Live Streaming or Studio Audience, FL / Jan 2020

    Great course. I so appreciate the ability to Live Stream with Ciao.

    - Live Streaming or Studio Audience, FL / Nov 2019

    This type of course may have been better to attend LIVE. I encountered minor technical difficulties and had to log in/out several times missing a few answers to questions.

    - Live Streaming or Studio Audience, FL / Nov 2019

    Great course. I so appreciate the ability to Live Stream with Ciao.

    - Live Streaming or Studio Audience, FL / Nov 2019

    This type of course may have been better to attend LIVE. I encountered minor technical difficulties and had to log in/out several times missing a few answers to questions.

    - Live Streaming or Studio Audience, FL / Nov 2019

    I love that this class was online and I didn't have to travel. Although, I still get more out of classes in person and having a partner for the labs-especially for this seminar. The end of the seminar went too fast? trying to get done? Still an awesome class to take.

    - Live Streaming or Studio Audience, FL / Sep 2019

    I stated neutral in self assessment because I know I need some practice before being truly capable; however, I am confident that I have been given the tools to become capable. Appreciate the research provided, please don't reduce that portion of the course, it is essential. Since completion of the basic course is a pre-requisite, I think a handout of current placements/other significant changes should be provided for optimal use of the training provided. Obviously, that information will be covered when we renew, but for those of us caught in between, it would be very helpful.

    - Live Streaming or Studio Audience, FL / Sep 2019

    thank you for offering as Live stream

    - Live Streaming or Studio Audience, FL / Sep 2019

    My original vitalstim course was in Dallas (May 2018) with Jodie as the presenter. I was so thrilled to find out she was the instructor for this course as well. She has a wealth of dysphagia knowledge across all population/ages and I feel like that is so important for teaching others! Thank you!

    - Live Streaming or Studio Audience, FL / Sep 2019

    I thought the class was great and John did a great job at answering questions and explaining information. I am so glad to be able to take this course online and did not feel that I missed out on any information or experience by not seeing the instructor in person.

    - Live Streaming or Studio Audience, FL / Jul 2019

    great live webinar

    - Live Streaming or Studio Audience, FL / Jul 2019

    This was a fabulous course and I am so glad I took it! Thank you!!

    - Live Streaming or Studio Audience, FL / Jul 2019

    Great learning opportunity.

    - Live Streaming or Studio Audience, FL / Mar 2019

    Really enjoyed the knowledge of the speaker and her flow of delivery. She was very informative and educated in a calm, clear manner.

    - Live Streaming or Studio Audience, FL / Jan 2019

    Kelly did a great job, this is the first time I took a life stream webinar, I will do it again. Thank you

    - Live Streaming or Studio Audience, FL / Jan 2019

    Kelly Salmon was a very effective Vital Stim Instructor. I will seek out courses she teaches in the future. Post Vital Stim courses I do not feel I am as competent as post other courses. I strongly believe Vital Stim is beneficial (I order a lot of Vital Stim products for our hospital) I would like to breeze through testing because I have already learned the material. However, a lot of my learning is studying from the test questions POST the courses. I avoid Vital Stim courses for this reason but would love to feel more competent with its use. I would appreciate initials of muscles, techniques, measurements, etc be more clearly spelled out in all Vital Stim courses. Especially in testing, please use initials and also spell out to clarify the questions.

    - Live Streaming or Studio Audience, FL / Jan 2019

    Thanks for a great course

    - Live Streaming or Studio Audience, FL / Jan 2019

    Jodie was great, very personable, patient and receptive to questions.

    - Live Streaming or Studio Audience, FL / Nov 2018

    Great course. Thanks for offering it live stream.

    - Live Streaming or Studio Audience, FL / Nov 2018

    great instructor! she is very knowledgeable and presented information clearly and organized

    - Live Streaming or Studio Audience, FL / Nov 2018

    Jodie did an excellent job of answering questions, giving examples, and demonstrating concepts visually and verbally. It was sometimes difficult to follow her instructions for how to sequence selection options from the device. It might take more practice to coordinate showing the device screen for the online students, and walking through the steps more slowly to give us time to follow along. It would have also been nice to discuss the different features and pros and cons of using each in more depth, but it seems maybe there isn't enough research to discuss this yet? Overall- this course was a very good experience.

    - Live Streaming or Studio Audience, FL / Nov 2018

    I loved being able to take this as a live course from the comfort of my own home. I realize that some courses are more hands on and can't have this option, but for when it's appropriate, I am happy to see that it is offered. You all did a great job fielding and answering questions.

    - Live Streaming or Studio Audience, FL / Nov 2018

    GREAT COURSE!!! The set up was great, the presenter....everyone involved did a great job! It has been many years since I have taken a CIAO course but loved this one so much I will be back!!! I love the live streaming option.

    - Live Streaming or Studio Audience, FL / Aug 2018

    Yorick was the best. A lot of information gone over but he made it understandable.

    - Live Streaming or Studio Audience, FL / Aug 2018

    Thank you for making my first live webinar experience a good one!!!

    - Live Streaming or Studio Audience, FL / Aug 2018

    This was so helpful, an excellent balance of review and new learning. The webinar style was convenient and very appropriate for the information and labs.

    - Live Streaming or Studio Audience, FL / Aug 2018

    very good. Yorick is a fluid speaker; certainly brings the PT perspective to the course and program, which ST has needed for years. He uses examples well and clearly knows the device! starting off with such advanced questions from the audience: gave a picture of audience knowledge however I wonder if all participants were able to keep up/ follow along; perhaps save some ?? for after lunch break> Im trained since 2004: This was a great review and showed the advancement of NMES in our field. well done.

    - Live Streaming or Studio Audience, FL / Aug 2018

    Always appreciate how professional and kind all of the staff is at Ciao! What a wonderful team!

    - Live Streaming or Studio Audience, FL / Aug 2018

    IT was nice to learn about the new device and how to utilize it. However as an advanced, practicing clinician, it is frustrating to ask a clinical question and the instructor not to be able to answer since he is unfortunately not an SLP. Please consider having a clinical SLP join him or give the class. I look forward to the clinical follow up with an SLP/ NMES advance group thanks!

    - Live Streaming or Studio Audience, FL / Aug 2018

    Thoroughly enjoyed, as I do all CIAO courses! The speakers are always AMAZING!!!

    - Live Streaming or Studio Audience, FL / Jun 2018

    Excellent course with strong focus on content paired with meaningful definitions. thank you!

    - Live Streaming or Studio Audience, FL / Jun 2018

    Very well organized course. LOVE being able to learn new treatment modalities without getting on an airplane and leaving my kids. THANK YOU!

    - Live Streaming or Studio Audience, FL / Jun 2018

    I thoroughly enjoyed this course today. Learned alot of great information. This is definitely something that could benefit my outpatient dysphagia patients.

    - Live Streaming or Studio Audience, FL / Jun 2018

    Staff was very helpful with problems that arose during the live streaming session. I experienced some difficulty with my laptop during the session and the staff contacted me with the information I had missed! So very helpful throughout the course.

    - Live Streaming or Studio Audience, FL / Apr 2018

    The livestream option for this one day course was great! I could not have afforded to travel for this course which means we would have likely not purchased the unit (would have stuck with our traditional VitalStim units). But when I was able to take the course right from my office and have the course fee credited for purchasing the new VitalStim Plus unit, my hospital was in favor of purchasing the more advanced equipment!

    - Live Streaming or Studio Audience, FL / Apr 2018

    Thank you awesome course, awesome presentation.

    - Live Streaming or Studio Audience, FL / Apr 2018

    In general a good course, but I was disappointed that it was not offered as a live course that I could physically attend. I found that watching the course on a computer did not facilitate my learning of the material anywhere near as much as I would have learned if I had been physically present.

    - Live Streaming or Studio Audience, FL / Apr 2018

    I appreciated the opportunity to take the course without traveling. I would suggest offering a pre-recorded version to give people more flexibility and the ability to go back and review the steps to implement the new skills as needed.

    - Live Streaming or Studio Audience, FL / Apr 2018

    Great course! Loved being able to Live-Stream!!

    - Live Streaming or Studio Audience, FL / Apr 2018

    Would have loved some more detailed information regarding specific pt populations.

    - Live Streaming or Studio Audience, FL / Apr 2018

    Overall EXCELLENT presentation with Yorick! Thank you. Please consider having another trained clinician to quickly answer duplicate questions or simple tech issues. Please have the questions to be related to the the use of the device or material being presented..

    - Live Streaming or Studio Audience, FL / Apr 2018

    I enjoyed the course. I learned new skills. As a mother of 3, I would choose to use Live stream again in the future.

    - Live Streaming or Studio Audience, FL / Apr 2018

    I could not get rid of noise in the EMG signal during the session, was very frustrated, and unable to absorb all the information. During break, I went to a different room, away from computer, and was able to get it to work. Would be useful to use polls to know when participants have completed a task, so you know we are all ready to move forward, or how many are having trouble!

    - Live Streaming or Studio Audience, FL / Jan 2018

    I needed bigger course slides (they were difficult to read)-especially since the instructor didn't review them all.

    - Live Streaming or Studio Audience, FL / Jan 2018

    Keep up the great work . Love the LIVE CEU's. This is something that needs to be continued.

    - Live Streaming or Studio Audience, FL / Jan 2018

    I think the course could be cut much shorter. The first half was review from the VitalStim Course. Only the second half of the course was beneficial for new learning.

    - Live Streaming or Studio Audience, FL / Jan 2018