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    Strength Training for the Respiratory System

  • RESOURCES & DISCIPLINES       Bring This Course to You!

    Appropriate Disciplines

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

Course Description


  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.


  • 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.


  • 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.
  • OT/PTs - 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.


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

Respiratory Muscle Strength Training is an important addition to our treatment program. Often our treatment programs do not include this modality. This course builds on our basic knowledge of respiration and its connection to speech and swallowing. However, respiration also ties into cardiovascular function and our immune system. These connections will be investigated. We will identify signs and symptoms occupational therapists, physical therapists and nurses should look for during interactions with their clients that would indicate the presence of respiratory muscle weakness. Various diseases and disorders contributing to respiratory muscle strength weakness including COVID-19 will be discussed as well as the use of respiratory muscle strength training in patient recovery and therapy programs. Inspiratory and Expiratory muscle strength training tools and their protocols will be discussed These will be presented with comparisons of similarities and differences. Studies relating to the efficacy of respiratory muscle strength training will be presented for numerous diseases, including COVid-19 throughout the course.

Course Objectives

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

  • discuss muscles and their function in inspiration and respiration
  • educate other disciplines on signs and symptoms of respiratory muscle weakness to generate referrals
  • identify specific disorders and diseases that would impact respiration including COVID-19
  • determine the most appropriate tool for patients who need respiratory muscle strength training
  • discuss efficacy of respiratory muscle strength training in three patient populations

Denise Dougherty


Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

Day 1

09:00 - 10:00
Overview of Respiration and connection to cardiovascular health and healthy immune system
10:00 - 10:15
Training of other disciplines on signs and symptoms of respiratory muscle weakness
10:15 - 10:30
10:30 - 11:50
Diseases and Disorders impacting respiration including COVID-19 and evidence- based practice for including respiratory muscle strength training
11:50 - 12:20
12:20 - 01:00
Inspiratory and Expiratory Muscle Strength Training – what is the difference?
01:00 - 02:15
Tools and Protocols for Use
02:15 - 02:30
02:30 - 03:00

Delivery VIA:

  • Live By Request - This course is available to come to you! Contact us to see how easy that can be. mail@ciaoseminars.com
  • 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:

  • 5 Hrs
  • CIAO is an ASHA Approved Provider (0.5 ASHA CEUs) bubble sheet submission required
  • CIAO is an AOTA Approved Provider (0.5 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (5 PDUs)
  • CIAO is an Approved Provider for the Florida Board of Occupational Therapy
  • Approved for:
  • 5.0 Hours Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN
  • 6 Hrs. OT/COTAs in FL (CE Broker #(#20-780534)
  • 6 Hrs. PT/PTAs in NY

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

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

Intermediate Level


I greatly appreciate "mixing up" the teaching modalities. Maybe consider adding video or other methods, rather than just lecture. But, very informative.

- Live Streaming or Studio Audience, FL / Jan 2022

It would have been nice to have more suggestions for alternative ways to do RMT instead of just using the devices. There was a lot of research, but more clinical recommendations would have been nice.

- Live Streaming or Studio Audience, FL / Jan 2022

So glad i took course , new info since took first time! Another GREAT course!

- Live Streaming or Studio Audience, FL / Jan 2022

Thank you for providing this course. It was very helpful, informative, and stimulating.

- Live Streaming or Studio Audience, FL / Jan 2022

the CIAO team was very responsive to AV issues and were very interactive and capable to evaluate and intervene in fixing them while keeping the course on schedule. Thank you very much for that!

- Live Streaming or Studio Audience, FL / Jan 2021

Overall, wonderful presentation! Denise if very knowledgeable in this area of practice. I would have liked a little time at end of session for Q&A with presenter. I appreciate the work that went into making sure the seminar could still be presented today.

- Live Streaming or Studio Audience, FL / Jan 2021

Excellent information. Enjoyed the speaker...very confident and knowledgeable.

- Live Streaming or Studio Audience, FL / Jan 2021

Excellent course and presenter. I can always count on Ciao to provide the highest quality CE.

- Live Streaming or Studio Audience, FL / Jan 2021

Thank you very much for information. I feel the seminar info was very timely and appropriate.

- Live Streaming or Studio Audience, FL / Jan 2021

Can't say enough about how much I enjoy, appreciate, and admire Denise's very comprehensive, useful information and materials, as well as her clear and concise presentation style! I look forward to continuing to take her courses in the future.

- Live Streaming or Studio Audience, FL / Aug 2020

Thank you, so well presented in terms of technical webinar streaming format, the presenter's knowledge and ability to keep me engaged!

- Live Streaming or Studio Audience, FL / Aug 2020

This workshop was packed with useful information, and also provided a much-needed review of the pulmonary system.

- Live Streaming or Studio Audience, FL / Aug 2020

The course was well organized and presented. I was appreciative of the information on COVID-19 as this is a situation/reality that we are currently facing.

- Live Streaming or Studio Audience, FL / Aug 2020

Really appreciated the seamless and reliable technological platform that you provided to deliver this seminar. I have experienced some online live streaming seminars that have had repeated tech problems which affected the ability to learn from the seminar.

- Live Streaming or Studio Audience, FL / Aug 2020

Great course. Thanks for discussing the ramifications of COVID as well.

- Live Streaming or Studio Audience, FL / Aug 2020

Denise is adorable and very knowledgeable in the SLP field. I enjoyed her presentation and I was concerned that she was only going to talk about utilizing "commercial" tools like many CEU courses do in the beginning; however, she was able to provide SLPs with real world application training and tips. Thank you so much! Hopefully I can come to a live course in the future!

- Live Streaming or Studio Audience, FL / Aug 2020

Great course, enjoyed the breaks from the screen as well as times when she shared and demonstrated use with the tools

- Live Streaming or Studio Audience, FL / Aug 2020