$74.00 USD

87% rating - reviews

0.35  ASHA CEUs

Redeveloping Procedural Memories To Address Deficits In Swallowing, Communication And Rapid Decision Making #e209


Presenter: Mike Studer, PT, MHS, DPT

Learn to apply Procedural Learning and Dual Task Training to help individuals become skilled and automatized again.


"This was an excellent course. The presenter was very knowledgeable and gave many functional examples on ways to implement with speech/swallowing/cog and how to introduce the idea of DT to my OT and PT co-workers."

– K.K., prior course participant

Read more comments about this course!

This course explains how to reduce or eliminate the need for constant monitoring to maintain communication and swallowing goals. At the highest level, athletes have stored procedural memories ready to use in their sport. They can adjust these movements in the context of the game with consideration of fatigue, situation, environmental conditions and opponent. Can your patients do this with more basic activities in life – find the right word, count, swallow, make a normally automatized decision? If not, why not?

Are our current rehabilitative approaches encouraging patients to re-automatize these skills, or are we encouraging patients to "think about" rather than subconsciously process skills that were once procedural memories? After a stroke, concussion, MS exacerbation – can we help our patients to become skilled and automatized again?

In this course, we will review, apply, and advance the science of procedural learning and learn how to use dual task (DT) testing and training to decide when recovery is feasible and facilitate recovery. SLPs are in the optimal position to test, prescribe and deliver this approach – and lead the rehabilitative team in the same. Get ready for a course full of applications more than theories!

Course is offered for 0.35 ASHA CEUs – 3.5 Contact Hours.

Course Overview – Run Time: 3:30:42

  • The Physiology of Attention and Learning, Including Pathophysiologies of:
    • AD
    • MCI
    • PD
    • Stroke
    • Concussion
    • TBI
  • The Relevance of Dual Task Tolerance for the Entire Team:
    • Decision-Making
    • Communication
    • Swallowing
    • IADL/ADL
    • Fall Risk
    • Automaticity

  • The Physiology of Dual Task Tolerance in the Brain
  • Dual Task Testing and Training
  • Measurement and Documentation for Dual Task
  • Applications in:
    • Communication
    • Dysphagia
    • ADL
    • Mobility Insights for Fall Prevention
    • Automaticity

    "I work as a SLP in an outpatient cognitive rehabilitation facility. This course was a good refresher and I really enjoyed the examples provided. It'll help make educating clients and their families easier. I liked the real-life examples provided."

    – L.H., prior course participant

    Read more comments about this course!

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. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.

Reviews

"I liked the treatment interventions and the videos." K.A. (Oct. 2023)

"The foundations of memory encoding, retrieval, and repair were beneficial. This course gave good examples." S.V. (Mar. 2023)

"Applies to the rehab patients that I work with daily." J.L. (Dec. 2022)

"Excellent info to improve my therapy." B.C. (Dec. 2022)

"I liked the concept of engaging patients in participation in tasks that are relevant to them and teaching self-awareness and insight." M.K. (Nov. 2022)

"Explanation of systems of attention and definition of dual tasking was beneficial. It confirmed what I knew intuitively." S.N. (Nov. 2022)

"Great combination of neuroscience with practical application." M.D. (Nov. 2022)

"New information to me. This course made me think about how it is important to increase the use of DT to increase pts rate of improvement." C.L. (Aug. 2022)

"The importance of dual attention in the recovery process and daily living safety was good information. I liked having the ability to speed up the presentation." B.P. (Aug. 2022)

"I work as a SLP in an outpatient cognitive rehabilitation facility. This course was a good refresher and I really enjoyed the examples provided. It'll help make educating clients and their families easier. I liked the real-life examples provided." L.H. (Jul. 2022)

"I liked the application of increasing demands to allow the basal ganglia to increase in procedural tasks which allows for that skill set to decrease the overall cognitive demands on other areas of the brain allowing for increase in independence. The video demonstrations for application were beneficial." A.R. (Mar. 2022)

"I liked how this course of treatment can be used across multiple areas and really can be applied to many types of patients. The organization and clarity with which the information was presented and the level of detail was very good." E.O. (Dec. 2021)

"I learned how adding even a simple cognitive/auditory task can affect motor tasks." K.M. (Dec. 2021)

"I benefited from having a refresher on parts of the brain responsible for memory and processing. The discussion of dual task training was very informative." B.S. (Nov. 2021)

"I liked the information reviewed on viewpoints re dual tasks - the logical outline." V.G. (Nov. 2021)

"Prior to this course I worked very part time in home health, and primarily used spaced retrieval therapy to improve patient independence with swallowing, mobility and ADL. In retrospect, I can see where a few of those clients would have really benefited from DT. This was a lot of new information for me and the methodical and thorough presentation of information really supported my comprehension of this new material." J.K. (Sept. 2021)

"The swallowing part was most beneficial. After this course, I found feeding and swallowing were also DT. One of my patients with dysphagia and cognitive deficits made progress in feeding himself and safe swallowing while I changed the level of distraction, the way of presentation of foods and cueing. This information can be applied to anything – walking, communication, swallowing. I will share the information from the course with PTs and OTs and work on the same goal with them." M.Y. (July 2021)

"The cognitive aspect of tasks as related to speech therapy were helpful. I enjoyed the relevance to my daily treatment." K.S. (July 2021)

"Going over swallowing and dual task performance was most helpful as 90% of my pts have dysphagia. I liked the specific suggestions on how to apply dual tasking during tx as well as when not to."  N.H. (July 2021)

"I appreciated the strategies for incorporating dual task tolerance into both assessment and treatment. I liked the use of video examples and relevance to multiple areas of speech therapy." M.B. (Apr. 2021)

“This was an excellent course. The presenter was very knowledgeable and gave many functional examples on ways to implement with speech/swallowing/cog and how to introduce the idea of DT to my OT and PT co-workers. The example list of goals was very helpful also.” K.K. (Jan. 2021)

Course Objectives

  1. Identify a SLP's leading role in cognition, attention screening, testing and treatment.
  2. Identify the 4 main modalities of distractions in clinical and real-world dual-task (DT) applications.
  3. List the three guiding principles of DT training.
  4. Identify the physiology of attention and DT in normal, rehabilitative, and impaired conditions.
  5. Identify compensatory strategies for those unable to improve DT.

Presenter & Disclosures

Mike Studer, PT, MHS, DPT, CEEAA, CWT, CSST, BFPCE, FAPTA, received his physical therapy degree from the University of Missouri-Columbia in 1991. He received his post-professional MHS degree in physical therapy with neurologic emphasis from the University of Indianapolis. He has been board-certified as a Clinical Specialist in Neurologic Physical Therapy since 1995 and has been designated a Certified Exercise Expert in the Aging Adult (CEEAA) by the Academy of Geriatric PT since 2011. Mike has served as the Vice-president of the Academy of Neurologic Physical Therapy of the APTA and has been the chair and vice-chair of several special interest groups at the national level in each of the Academies of Neurologic and Geriatric PT, including Balance and Falls, Stroke, and the Practice Committee in neurology. He is a full-time treating therapist at and founder of Northwest Rehabilitation Associates, in Oregon. Mike has presented courses and published articles on neurologic and geriatric rehabilitation since 1995 and has authored and co-authored over 25 articles on topics of neurology and geriatrics, as well as several book chapters on stroke, PD, and preventative care as well. Mike is now regularly a guest lecturer on a national and international basis at several universities and national meetings on the topics of balance, motor control, motor learning, cognitive impairment, and case management. He was awarded the 2011 Clinician of the Year by the Academy of Neurologic Physical Therapy – a section of the American Physical Therapy Association – and in 2014 the same award by the Academy of Geriatric PT making him the first to receive this national distinction from each entity.

Speaker Disclosures:

Financial — Mike Studer is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.

Nonfinancial — Mike Studer has no relevant nonfinancial relationships to disclose.

Intended Audience / Accreditation

asha ce approved provider

This program is offered for 0.35 ASHA CEUs (Intermediate Level; Professional Area).

Intended Audience

  • Speech-Language Pathologists

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.

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 master's 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.

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.

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.

Frequently Asked Questions



Customer Support: Please phone 888.337.3866 or email info@northernspeech.com.

Course Completion Timeframe:

You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.

However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.

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 My Online 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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.

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 currently not accepted for online orders, if you wish to submit a purchase order please do so at info@northernspeech.com or fax to 888-696-9655.

What is an Online Course?

Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.

Receiving CEUs:

Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.

Registering for an online course:

You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.

Accessing your purchased course or returning to a purchased course:

You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.

Testing requirements:

Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.

Number of CEUs offered:

We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.

State licensing boards and online CEUs:

NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs 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 CEU limits related to home-study courses prior to enrolling in an online course.

Course formats:

Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.

Course handouts:

Most of our online courses provide a link to download the accompanying handout as a PDF file. 

Group discounts:

Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.

Computer requirements:

For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.

Course Cancellation Policy:

A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded. 

Special Needs:

Please click here for any special needs requests, and we will do our best to accommodate them. 

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