This presentation will focus on obtaining diagnostic information during a cranial nerve exam, which can be used to diagnose and assist in planning therapeutic interventions specifically for swallowing disorders. Cranial nerve examination can be used to assist the medical team with differential diagnosis and contributes essential information to the clinician that will improve dysphagia assessment and treatment planning. Presenters will provide instructions and case studies that will assist clinicians in performing, interpreting and developing a dysphagia treatment plan based on the deficits noted during the oral mechanism/cranial nerve assessment. Therapeutic strategies targeting swallow function based on the results of the exam will be presented, specifically sensory-based treatments and the use of swallow maneuvers and/or exercises. Best practice will be supported by current research. Offered for 0.25 ASHA CEUs – 2.5 contact hours.
Run Time: 2:39:21
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 in the Presenter & Disclosures area.
Video PowerPoint Presentation with author narration & downloadable handout.
Domain of OT: Client Factors, Performance Skills
OT Process: Evaluation, Intervention
Yvette McCoy, MS, CCC-SLP, BCS-S, is a speech-language pathologist with over 23 years experience, specializing in adult neurological rehabilitation with a special interest in dysphagia and stroke rehabilitation. She owns Speak Well Solutions, LLC. She is certified by the American Speech-Language-Hearing Association, a board certified swallowing specialist, six-time ACE Awardee, mentor and CFY supervisor. She currently serves on the Adult Services Committee for the Maryland Speech-Language and Hearing Association. She is a member of the Dysphagia Research Society where she serves on the Website Communications and Public Relations Committee. She is co-creator/author of the mobile app 'Dysphagia Therapy', and published author for the ASHA Leader. Additionally, she is an adjunct instructor at the University of Maryland, College Park.
Financial — Yvette McCoy is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Nonfinancial — Yvette McCoy is a member of the Dysphagia Research Society Website Public Relations Committee; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a board member of the Dysphagia Group Advisory Board-Facebook; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a member of the Adult Services Committee Maryland Speech Hearing Association; receives no compensation in this role.
Tiffani L. Wallace, MA, CCC-SLP, BCS-S, has been a Speech-Language Pathologist for over 16 years. She holds her Board Certified Specialty in Swallowing and Swallowing Disorders (BCS-S). Tiffani enjoys working with patients of all ages; however, she has a special interest in working with the adult head and neck cancer population. She is the co-author of the app Dysphagia2Go by SmartyEars, the author of the app iScreen Aphasia by SmartyEars and the co-author of the app Dysphagia Therapy by Tactus Therapy. Tiffani is the administrator and creator of several Facebook dysphagia groups and the owner and author of Dysphagia Ramblings.
Financial — Tiffani L. Wallace is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Financial — Tiffani L. Wallace receives royalties for the Dysphagia2Go app; receives royalty payments.
Nonfinancial — Tiffani L. Wallace is a member of the Smarty Ears Advisory Board; receives no compensation in this role.
Nonfinancial — Tiffani L. Wallace is the author of the blog "Dysphagia Ramblings"; receives no compensation in this role.
Nonfinancial — Tiffani L. Wallace is the creator of the Dysphagia Therapy Group: Professional Edition and Dysphagia Support on Facebook; receives no compensation in this role.
This program is offered for 0.25 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
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.
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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.
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“I enjoyed the therapy ideas and the “how-to” aspect of the presentation.” K.D. (Sep. 2020)
"I enjoyed the review of the cranial nerves, what happens when there are lesions, and the assessment.” – I.C. (Jun. 2020)
"The theory and underpinning knowledge will provide excellent reference material and increase awareness of ideas for specific assessment and therapy." – D.C. (May 2020)
"I appreciated the treatment recommendations for deficits noted on CN exam and the benefit of specific exercises." – J.B. (Apr. 2020)
"I liked the treatment applications as it relates to cranial nerve damage." – S.E. (Mar. 2020)
"I liked the CN evaluation techniques and handouts." – B.W. (Jan. 2020)
"I appreciated going over how to complete a cranial nerve exam and what those findings could indicate as appropriate treatments. I liked the education on roles of cranial nerves in regards to the swallow mechanism." – K.C. (Dec. 2019)
"Going over how to incorporate therapy guided toward each cranial nerve deficit was most helpful. VERY APPLICABLE to daily interactions in acute setting and SNF." – K.H. (Nov. 2019)
"I loved the order of presentation. It was a very logical flow and really supported my learning! The organization of content, again was very critical for making the connections between lesion area, impact, and treatment recommendation. It was a great course!" – J.K. (Oct. 2019)
"I enjoyed the pairing of the specific cranial nerve with the expected clinical symptoms upon damage, followed by the appropriate evidenced based treatment. The manner in which the information was presented was easy to follow in its step by step progression through the nerves." – R.M. (Sept. 2019)
"It was a very informative and well-done course. The cranial nerve review and anatomy images were especially helpful." – M.R. (Aug. 2019)
"I liked the combination of information and case studies/therapy tools." – L.H. (Aug. 2019)
"I appreciated the discussion of cranial nerve anatomy and function as well as the muscle and nerve images." – R.K. (July 2019)
"Going over the treatment associated with noted deficits was most beneficial. Good case studies, examples, and pictures." – D.W. (June 2019)
"I found the discussion on implementation of therapy techniques once cranial nerve deficit is noted especially useful. The course seemed a little disorganized at times and as if things were out of order but perhaps it is how I processed things." – C.M. (May 2019)
"I enjoyed the review of cranial nerves and going over the impact on swallowing." – L.W. (Feb. 2019)
"I liked the fact that the background of cranial nerves was clear and then the treatment was directly afterward and not at the end of the course." – T.M. (Jan. 2019)
"The course improved my understanding to integrate cranial nerve testing into clinical swallow evaluation. Well organized course." – L.H. (Dec. 2018)
"I particularly enjoyed the specific ways to treat each aspect of dysphagia as it related to the specific cranial nerve. I also appreciated the detail of the impairments we would likely see depending on uni/bilateral UMN/LMN lesion. The course was very well organized! I liked having 2 speakers." – E.R. (Dec. 2018)
"The review of anatomy LMN and UMN and various anatomical changes was most beneficial. However, I expected more research-based exercises." – M.C. (Nov. 2018)
"I liked the application to therapy, especially the sections on exercises and treatment strategies." – C.K. (Oct. 2018)
"The discussion on how to specifically target cranial nerve deficits in therapy was most helpful. I liked the diagrams of the nerves and the muscles they innervate." – L.C. (Sept. 2018)
"I liked the clinical application information. Going over how to assess and treat the deficits caused by CN damage was the best part. I expected more case studies, though." – S.B. (July 2018)
"I enjoyed the review of upper motor neuron and lower motor neurons and respective differences in symptoms associated with each." – A.T. (June 2018)
"I liked the therapy strategies and the testing of the cranial nerves." – J.M. (Apr. 2018)
"Linking deficits with lesion sites was beneficial. The initial explanation of UMN and LMN was helpful. I think it was well done." – S.J. (Dec. 2017)
"Going over how to test all the nerves and the treatments for each was excellent." – S.A. (Nov. 2017)
"e139: The Cranial Nerve Examination: Integrating Assessment And Treatment In Dysphagia Management from Northern Speech Services with Yvette Mccoy and Tiffani Wallace is a must! So...pay 45 bucks to take this course and you will be on your way to better assessment and treatment of your dysphagia patients." – FB Post (Oct. 2017)
"Not only the thorough review of the Cranial Nerve functions, but the corresponding testing and treatment of each was extremely helpful. The format was conducive to improved recall." – P.F. (Aug. 2017)
"The study of cranial nerves is beneficial to every area of my clinical practice as a medical speech pathologist." – A.C. (Aug. 2017)
"Going over what to look for with each cranial nerve damage and how to test for it was most beneficial. I liked the real-world quick ideas to test for cranial nerve damage." – J.F. (May 2017)
"The course was excellent, but you might want to warn people that this course is very difficult! I like it; it was a challenge, but very detailed." – T.H. (May 2017)
"How to test each cranial nerve and treatment options for each specific cranial nerve were really helpful discussions." – K.M. (Mar. 2017)
"I liked the discussion of interventions. The treatments/interventions for difficulties found on cranial nerve exam were very useful." – R.H. (Feb. 2017)
"The discussions on anatomy, speech sound disorders, and dysphagia were excellent. I liked the course format, explanations, and diagrams." – J.M. (Jan. 2017)
"Great application to practical use in the clinic. This was an excellent course at a challenging level. One of the best online courses I have completed." – H.S. (Dec. 2016)
"I loved that you gave the specific treatment methods. Courses usually breeze over the treatments. The information was presented in a way that was good for everyday use." – L.W. (Oct. 2016)
"Extremely educational and a fabulous refresher! I loved this course!!" – E.C. (Sept. 2016)
"The discussion on the symptoms to look for and what types of deficits you will see with specific lesions was most beneficial. I liked applying therapy techniques to improve swallowing therapy." – C.L. (Aug. 2016)
"Excellent review of anatomy of cranial nerves." – R.F. (Aug. 2016)
"I really liked how it explained deficits in this area would cause this and treatment ideas. I loved that it had handouts to review and take notes. A lot of e-courses do not have handouts, and I find it harder to take notes, review info, and understand." – C.V. (Aug. 2016)
"I appreciated the review on nerves and how to test for them." – H.R. (July 2016)
"I really benefitted from the treatment methods and reminders about cranial nerve anatomy. More case studies would have been helpful." – N.A. (July 2016)
"I enjoyed the specific exercises related to deficits / cranial nerve damage." - A.K. (July 2016)