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    VitalStim® Plus - NMES and sEMG Biofeedback (Live Stream)

  • RESOURCES & DISCIPLINES      

    Appropriate Disciplines


    • Speech Language Pathologist
    • Occupational Therapist

Course Description

There are two ways to participate in this live event, as either part of the live studio audience in Gulf Breeze, Florida or via live stream around the world. Live stream participants will receive instructions in the confirmation e-mail on how to access the event from their computer and interact with the instructor. Studio audience seats are limited - so register now! Please contact our office if you have any questions. 850-916-8886.
Course begins: 9:00 AM Central (10:00 AM Eastern; 8:00 AM Mountain; 7:00 AM Pacific)


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.

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
  •       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
  • Demonstrate the ability to operate the controls and software of the VitalStim Plus device

Kelly Salmon

MA, CCC-SLP, BCS-S,

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.


Tom Holland

PhD, PT

Dr. Tom Holland received his physical therapy education and his PhD degree from the Physical Therapy Program of NYU. He is an Assistant Professor at the City University of New York - Hunter College/Program in Physical Therapy. In addition, he is an Adjunct Instructor at New York University, Columbia University, and Dominican College. His practice includes per diem work at Kessler Institute (Saddle Brook NJ). Tom's physical therapist practice and specialty areas include physical modalities and kinesiology. Tom has been a Certified VitalStim Instructor since 2002 and has co-taught dozens of VitalStim Certification Courses across the country.

Financial Disclosure: Tom receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s)
Non-Financial Disclosure: no relevant relationships



Jon Rose

MS, PT, SCS, ATC

Jon received his Master of Science from Eastern Illinois University in 1992 and his Certificate of Physical Therapy from Ohio State in 1997. Jon currently holds an academic appointment as an Assistant Professor at the University of Tennessee Health Science Center in Memphis, TN. He teaches courses in anatomy, pathology, orthopedics, and sports medicine. He continues to treat patients and conduct research at Campbell Clinic. He is pursuing a Ph.D. in educational research at the University of Memphis. Formerly the director of rehabilitation for Samaritan Regional Health System in Ashland, Ohio, Jon has also worked as the Director of Physical Therapy and Sports Medicine Coordinator for Campbell Clinic in Memphis, TN. Jon is currently a Certified Instructor for the VitalStim® Certification Course teaching NMES for the treatment of dysphagia. Jon’s professional appointments include Team Physical Therapist and Rehab Consultant for several semi-professional and professional sports teams. He is an NATABOC certified Athletic Trainer and a member of the APTA, Ohio PT Association, and Tennessee Athletic Trainers Association.

Financial Disclosure: Jon receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s).
Non-financial Disclosure: There are no financial relationships to disclose.


Carole R. Roth

PhD, CCC-SLP, BC-NCD

Dr. Carole Roth holds a doctorate degree in Communication Disorders from the University of Colorado. She completed postdoctoral training at the Mayo Clinic in the Departments of Neurology and Otolaryngology. She has extensive clinical experience in diagnosing and treating neurologic communication disorders as well as voice, swallowing and fluency disorders. Dr. Roth has authored journal articles in the field and has lectured in the United States, Australia, and Europe. She has directed medical speech pathology programs and has participated on interdisciplinary clinics including: stroke, ALS, neuromuscular disorders and Huntington’s disease. She has sat on medical ethics committees and worked for the University of California, San Diego research ethics program. Dr. Roth holds board certification by the Academy of Neurologic Communication Disorders and Sciences. She teaches part-time at San Diego State University and works as a full-time clinician in a medical center and in private practice. Dr. Roth is married and has two daughters.

Financial Disclosure: Dr. Roth 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: Dr. Roth uses VitalStim Therapy in her practice.



Jen Carter

M.Ed. CCC-SLP, BCS-S

Jen is a medically-based speech pathologist with 24 years of experience evaluating and treating dysphagia and is a board certified specialist in swallowing and swallowing disorders. She currently lives in Denver and has a private practice, the Carter Swallowing Center, solely focused on dysphagia. She frequently presents at the local, state, and national level on the topic of swallowing treatment. When she’s not working, Jen enjoys hiking and backpacking in Colorado.

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


Gina Gallo

M.S. CCC-SLP, NDC

Gina E. Gallo was educated at the University of Rhode Island where she received her B.S. in Communication Disorders and her M.S. in Speech-Language Pathology. Gina has worked as a medical Speech-Language Pathologist since 1998 across various levels of care, concentrating in swallowing and voice disorders. She is a Certified VitalStim Instructor and uses Neuromuscular Electrical Stimulation in her clinical practice at Spaulding Outpatient Center. Gina recently became one of the first SLPs to earn the NDC credential (NMES for Dysphagia Certified). She has worked extensively with patients diagnosed with head and neck cancer, and previously served on Head and Neck Tumor Board at Rhode Island Hospital. She has also served as a guest lecturer for the Southern New England Rehab Center annual conference, and as Adjunct Faculty at the University of Rhode Island in the area of Voice Disorders.

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



John Kelly

M.P.T.

A graduate of the University of St. Augustine’s graduate Physical Therapy Program. John has over 17 years’ experience with acute inpatient and hospital-based outpatient rehabilitation and currently an outpatient clinical director for Siskin Rehabilitation Hospital in Chattanooga, Tennessee. John continues to balance full time patient care with administrative responsibilities. John is NDT certified and an experienced manual orthopedic therapist working toward his clinical doctorate and manual therapy certification. John is a certified VitalStim® Instructor and has taught orthopaedic and electrotherapy courses across the country. John is an accomplished clinical instructor and consistently is recognized for his exceptional patient rapport and strong evaluations from course participants.

Financial Disclosure: John is a salaried employee for his position at Siskin Rehabilitation Hospital. John Kelly receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s)
Non-financial Disclosure: No relevant non-financial relationship exists.


Jodie Dacy

M.S. CCC-SLP

Jodie graduated from Nova Southeastern University in Fort Lauderdale, FL with a Master of Science degree in Communication Disorders. Mrs. Lujanschi has been practicing speech language pathology since 1995. Her experience is extensive in the private practice sector, but she also has clinical experience in hospital, long term care, outpatient rehab, and school settings. Mrs. Lujanschi has been a certified VitalStim® therapist for 7 years and has treated both pediatric and adult patients in treatment of dysphagia with the utilization of this modality. Additionally, she is certified in NOMAS, MDTP 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, she serves the Speech Language Pathology profession at a Golisano's Children's Hospital in Southwest Florida as an outpatient therapist and is instructor of the VitalStim® Therapy Certification course 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.



Yorick Wijting

PT, DPT

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 works for DJO Global as the Global Senior Director of Clinical Education. In this role he facilitates research initiatives, educational programs and the development of new rehabilitation methodologies and applications.

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


Julie DeVahl

PT, DPT, OCS

Julie DeVahl, PT, DPT, OCS, is an Assistant Professor and Director of Clinical Education in the Physical Therapy Department at the University of Texas Southwestern Medical Center in Dallas, TX. A physical therapist since 1979, Julie brings her experience with electrical stimulation in clinical practice to the classroom. She has been an instructor for CIAO since 2003 and has adds an inviting style of teaching to the VitalStim Therapy Specialty Program. Julie is board-certified in orthopaedic physical therapy and practices in an outpatient clinic at UT Southwestern. She is an active member of the APTA and TPTA. “I see my role as an instructor to enable the SLPs and OTs to feel as comfortable using electrical stimulation as they do giving verbal instructions for swallowing.”

Financial Disclosure: Julie 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: No relevant disclosures.

Day 1

09:00 - 04:15
Live Stream 9:00 AM Central (10:00 Eastern; 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

Contact hours pre-approved for:

  • 6 Hours (0.6 CEUs)
  • CIAO is an Approved Provider for ASHA #AAWA (SLPs) Bubble Sheet required
  • This course is offered for 0.6 ASHA CEUs (Advanced level, Professional area).
  • CIAO is an Approved Provider for AOTA #4119 (OTs)
  • This course meets PDU requirements for NBCOT (6.0 PDUs)
  • 6.0 Hrs OTs in FL (CE Broker #20-550157)


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



This course is offered for 0.6 ASHA CEUs (Advanced 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.



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


Reviews

"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

"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

"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 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