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NSS - Northern Speech Services Speech-Language Pathology Continuing Education
and Treatment Resources
speech pathology continuing education email alerts
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Evidence-Based Practice In Adult Dysphagia Management: What The Evidence Says About Commonly Selected Rehabilitation Interventions

# e125   Evidence-Based Practice In Adult Dysphagia Management: What The Evidence Says About Commonly Selected Rehabilitation Interventions

by multiple expert presenters

0.25 CEUs

$ 44.00

Course Faculty: Ianessa A. Humbert, PhD, Phoebe Macrae, PhD, and Catriona M. Steele, PhD

Course Description: This course provides an advanced tutorial about evidence-based practice for SLPs working with adult dysphagia. Primary goals of this course include: present the evidence for frequently prescribed swallowing rehabilitation techniques, examine common swallowing pathophysiologies that contribute to aspiration and how they are measured, and discuss levels of research evidence relative to their contribution to the current state of dysphagia rehabilitation.

Participants will learn to incorporate swallowing physiology into diagnosis and management of dysphagic patients. Participants will also learn how evidence-based practice in dysphagia is limited, and how to interpret and critique the scientific literature given these limitations. This is critical to ensure that the clinical tools used to impact swallowing ability are based on physiology.

Case studies are used to discuss the evidence behind widely-used dysphagia interventions, including: chin tuck, effortful swallow, Mendelsohn maneuver, and Shaker exercise. This course will provide a roadmap for clinical decision making and a framework for evaluating any swallowing treatment used in therapy. Offered for 0.25 SLP CEUs – 2.5 contact hours.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab. 

Course Format: Video PowerPoint presentation with author narration & downloadable handout.  

At eCourse conclusion, participants will be able to:

  1. Discuss the evidence for frequently prescribed swallowing rehabilitation techniques.
  2. Examine common swallowing pathophysiologies that contribute to aspiration and how they are measured.
  3. Discuss levels of research evidence relative to their contribution to the current state of dysphagia rehabilitation.
A score of 80% or better must be received on the post-test in order to 
receive a certificate of completion.

Ianessa A. Humbert, PhD, CCC-SLP, is an Assistant Professor in the Department of Physical Medicine and Rehabilitation at Johns Hopkins University in Baltimore, MD. She is an accomplished researcher, having studied the effects of electrical stimulation on hyo-laryngeal movement in healthy and dysphagic adults. Dr. Humbert's current research focuses on swallowing neurophysiology and on Alzheimer's disease.

 

Speaker Disclosures:

Financial  Ianessa Humbert is author of online CE courses sponsored by Northern Speech Services; receives royalty payments.

Financial — Ianessa Humbert is presenter of CE seminars sponsored by Northern Speech Services; receives honorarium. 

Financial — Ianessa Humbert is author of the text, "The Swallowing Pocket Guide" published by Northern Speech Services; receives royalty payments.

Financial — Ianessa Humbert is an inventor for Passy Muir, Inc; holds a patent on equipment. 

Nonfinancial — Ianessa Humbert has no relevant nonfinancial relationships to disclose. 

 


Phoebe Macrae, PhD, is the Deputy Director of the newly formed Rose Centre for Stroke Recovery and Research, a subsidiary of the University of Canterbury in Christchurch, New Zealand. Her role at the Rose Centre is focused on multidisciplinary stroke research development. Her area of research is swallowing neurophysiology and dysphagia, with a focus on neural control mechanisms and motor learning in swallowing. Dr. Macrae completed her undergraduate degree in Speech and Language Pathology, and her PhD in dysphagia rehabilitation at the University of Canterbury. She then embarked on a two-year post-doctoral fellowship at Johns Hopkins University, before returning to the University of Canterbury in 2014.

Speaker Disclosures:

Financial — Phoebe Macrae is the author of online CEU courses sponsored by Northern Speech Services; receives royalty payments.

Nonfinancial — Phoebe Macrae has no relevant nonfinancial relationships to disclose. 


Catriona M. Steele, PhD,  is a clinician scientist working in the area of swallowing and swallowing disorders. She has a background as a medical speech-language pathologist, and is Director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute - University Health Network. Dr. Steele is a Professor in the Department of Speech-Language Pathology at the University of Toronto, a past board member of the Dysphagia Research Society, a board-certified specialist in Swallowing, an ASHA Fellow and past Coordinator of ASHA's Special Interest Group 13 (Swallowing and Swallowing Disorders).

Speaker Disclosures:

Financial  Catriona Steele is author of online CE courses sponsored by Northern Speech Services; receives royalty payments.

Financial Catriona Steele is employed by Toronto Rehabilitation Institute - University Health Network; receives salary. 

Financial — Catriona Steele’s research is supported in part by National Institutes of Deafness & Other Communication Disorders; receives grant funding.

Financial — Catriona Steele’s research is supported in part by Nestle Health Science; receives grant funding.

Financial — Catriona Steele’s research is supported in part by Bracco Canada; receives grant funding.

Nonfinancial — Catriona Steele has no relevant nonfinancial relationships to disclose. 


Intended Audience

  • SLP

This program is offered for 0.25 CEUs (Advanced level; Professional area).

Offered for 2.5 CEEs. Northern Speech Services’ continuing education activities are eligible for Speech-Language and Audiology Canada (SAC) Continuing Education Equivalents (CEEs) in speech-language pathology. An activity’s eligibility for CEEs does not imply SAC’s endorsement of its content or any associated products or procedures.

Content Disclosure: The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found by clicking on the Presenter & Disclosures tab.

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of CEUs is noted above. Note that 0.1 CEU = 1 contact hour = equals 1 CEE.

Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.

ASHA CE Registry:  During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

ASHA CEUS: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

  • Current ASHA Member
  • ASHA Certificate of Clinical Competence (CCC) Holder
  • Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology
  • Credentialed by a state regulatory agency to practice SLP or audiology
  • Credentialed by a national regulatory agency to practice SLP or audiology
  • Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC
  • Currently enrolled in a masters or doctoral program in SLP or audiology

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.

Additional accrediting agencies by which Northern Speech is an approved CE provider:

  • California: NSS is approved as a provider of continuing education by the California Speech-Language Pathology & Audiology Board. Provider #PDP4. Online CEU limits may apply; please contact SLPAHADB for current online CEU acceptance policies.
  • Iowa: NSS is approved as a provider of continuing education by the Iowa Board of Speech Pathology and Audiology Examiners. Provider #169.
  • Kansas: NSS is approved as a provider of continuing education by the Kansas Department of Health and Environment. Provider #LTS-S0005.
  • Peer Reviewed: This course was peer reviewed and registered with ASHA on 03/31/2015.

  • Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.

  • Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.

  • Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).

  • ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.

  • Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.

  • More FAQ: Please click here.

More Offerings by: Ianessa Humbert

Ecourses

  E-Course # Course Title & Author CEUs Price  
e06 Electrical Stimulation In The Normal And Impaired Swallow
Ianessa Humbert, PhD, CCC-SLP
0.1 $24.00
e07 Dysphagia Practice: Moving Toward More Comprehensive Treatment Protocols
Robert Arnold, SLP.D., CCC-SLP, BCS-S and Jennifer Brush, MA, CCC-SLP and Roxann Gross, PhD, CCC-SLP and Ianessa Humbert, PhD, CCC-SLP and Cathy Lazarus, PhD, CCC-SLP, BCS-S and Kathy Panther, MS, CCC-SLP
1.2 $149.00
e90 Swallowing Physiology: Understanding Its Relationship To Traditional Swallowing Treatments
Ianessa Humbert, PhD, CCC-SLP
0.1 $24.00

Products

  Title Price  
The Swallowing Pocket Guide $29.00

"The research studies of documented changes before and after implementation of techniques was incredible beneficial." - D.A., 8/29/2016

"I enjoyed the evidence for the rehabilitation exercises. I liked the mix of literature review and practical case examples." - N.A., 8/18/2016

"Informative course - I liked going over how each technique specifically works to target specific areas and deficits." - B.G., 6/30/2016

"It was all very helpful. I liked the moving videos and nice graphics." - L.R., 6/29/2016

"It was great & very thorough! All topics discussed were extremely helpful. Specifically, the review of anatomy and current research on all techniques/rehabilitation approaches. The case studies I did not find as new or eye opening, however good to see real life review after the presentation of the literature." - C.D., 6/29/2016

"The actual strategies and use of MBS clips were very useful." - S.C., 6/24/2016

"Rich in information, excellent research support, and good examples of MBS and diagrams. The pre- and post-treatment comparisons of dysphagia exercises with MBS visuals was most beneficial." - T.G., 6/14/2016

"I appreciated updating my knowledge so I offer more customized therapy." - D.S., 5/18/2016

"Very detailed and practical." - K.C., 5/16/2016

"I enjoyed the anatomy, physiology, and overview of the exercises. The course had clear graphics and good pace." - M.R., 4/28/2016

"I liked seeing the case studies after each discussion of research results and discussion of the choice of treatment and outcomes. The application of research results to actual cases was great." - T.O.P., 4/24/2016

"The review of literature on effectiveness of swallowing techniques / exercises was really helpful. I liked the course images and organization." - V.G., 4/7/2016

"The discussion of effectiveness of swallow maneuvers was most beneficial. I liked the practical application of information." - M.M., 3/6/2016

"I liked the variation and realization that swallowing is still a fairly "new" topic and far more research is needed (and cumulative research)." - L.G., 2/26/2016

"I found the treatment options and outcomes most helpful." - J.S.B., 2/16/2016

"I appreciated the discussion on the difference in Chin tuck, Shakers, and Mendelsohn Man. I liked that the course was not wordy and had a lot of relevant information." - C.W., 12/29/2015

"The rationale for treatment techniques was really beneficial." - K.B., 12/21/2015

"The explanations of the pharyngeal exercises were good for a newer rehabilitative therapist." - K.K., 12/17/2015

"I really liked the individual case studies." - K.M., 12/11/2015

"The discussion of the 4 swallowing interventions commonly used was most beneficial. I liked that MBSS shots were used and explained." - D.W., 12/9/2015

"I appreciated they comparing of FEES and MBS." - L.L., 12/8/2015

"The specific techniques to give more detail in positive affects of tx were really helpful." - J.M., 12/5/2015

"The application of techniques to real cases was very beneficial." - S.G., 12/4/2015

"The review of current evidence was very beneficial." - K.K., 6/21/2015

"I liked that it encourages critical thinking and not just "tells you what to do in therapy." I liked the relevance of the case studies included with the evidence base." - T.W., 6/20/2015

"The course provided background information that should have been a review; however, I believe it was very helpful and essential to the course. The course will be highly beneficial for clinicians hoping to learn more about current research in the area of dysphagia." - M.M., 4/11/2015

 

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