Provides a thorough overview of dysphagia, focusing on detailed evidence of sensorimotor learning while examining reflexes and voluntary control. Examines neural control in depth with a focus on sensorimotor nerves and neural plasticity. Discusses the effects of aging and sarcopenia on healthy swallowing then moves to detailed analysis of disordered swallowing, using examples from research with stroke and Alzheimer's patients. Explains strengthening and resistance training using electronic equipment to show how the physiological and clinical outcomes provide the most novel and effective rehabilitative treatments for improved swallowing. The strengthening protocol is shown to improve adaptation in the brain and reduce aspiration, pneumonia, length of hospital stay and readmissions. Offered for 0.25 CEUs – 2.5 contact hours.
This course was included in the material of a previously offered eCourse – #e108: Charleston Swallowing Conference Home Study: Evidence-Based Dysphagia Management.
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.
Video PowerPoint presentation with author narration & downloadable handout.
JoAnne Robbins, PhD, CCC-SLP, BCS-S, is an internationally known researcher, lecturer, author and inventor. She is a Professor in the Department of Medicine in the University of Wisconsin School of Medicine and Public Health, and she also serves as Associate Director of Research for the Geriatric Research, Education, and Clinical Center (GRECC) at the William S. Middleton Memorial Veterans Hospital in Madison, WI. Dr. Robbins has over 20 years of experience in treating dysphagic patients. Her work is known worldwide and published in numerous international and national peer-reviewed journals. She is also coauthor of the "Easy-To-Swallow, Easy-To-Chew Cookbook."
Financial — JoAnne Robbins is the author of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — JoAnne Robbins has ownership interest in Swallow Solutions, LLC; Board Member and Owner.
Financial — JoAnne Robbins is the co-Author of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.
Nonfinancial — JoAnne Robbins has no relevant nonfinancial relationships to disclose.
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.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
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:
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.
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What is an Online Course? Our Online Courses include text, audio, or video formats 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 computer, via your Northern Speech 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 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 online 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 Online Courses tab on your profile screen. Click View next to the course you’d 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.
Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.
Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.
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.
Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. 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: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.
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 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.
Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.
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.
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, Internet Explorer, etc) and newest version of Flash Player. 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.
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"I liked the demonstration and implication of exercise on head and neck musculature. The discussion of progressive resistance exercise training was most beneficial." – K.L. (Mar. 2018)
"I enjoyed the new therapy tools. Interesting course, but I expected traditional exercises for dysphagia therapy to be covered." – C.C. (Dec. 2017)
"Simply having greater research-based support for what I am doing in my practice each day is invaluable. I would have loved some very specific approaches for lingual strengthening the old-fashioned way. I have no budget for some of the tools presented here, although biofeedback for pressure would be fabulous." – K.M. (Nov. 2017)
"I liked the case study and the MRI and videofluoroscopy examples. I enjoyed going over how exercise can improve swallowing if done systematically. Thanks." – S.G. (Oct. 2017)
"It was interesting to learn about the tools currently being utilized to strengthen and improve swallowing. Unfortunately these tools are not accessible or affordable to many patients." – T.S. (Oct. 2017)
"The discussion on the future of the use of devices to support exercises with objective data was most beneficial. I liked the statistics showing how important it is we continue to do more. However, I was under the impression more exercises currently being utilized in clinical practice would be covered." – J.T. (Sept. 2017)
"I appreciated the specific types of strength training." – A.G. (Sept. 2017)
"I liked the model of the head showing changes in oropharynx from young to old. However, I expected more examples of exercises I could do with my patients - especially those that do not require expensive equipment." – S.J. (July 2017)
"I enjoyed the discussion on use of exercise to treat dysphagia and the evidence of its effectiveness." – L.H. (July 2017)
"This was too clinical and not practical." – M.L. (July 2017)
"I enjoyed the exercise components and the review of literature from other fields as it relates to exercise physiology and applies to swallow function. I expected greater coverage of oral motor exercises when devices are not available." – A.O. (July 2017)
"I like the overview of the swallow and the review of the neurons and parts of the brain. I was hoping for strategies to use for treating swallowing." – J.S. (June 2017)
"Going over the importance of swallow tx was most beneficial. I liked all of it, though." – C.B. (June 2017)
"The discussion on healthy older adults having such weakened swallow systems was most helpful. I liked the treatment information." – J.G. (June 2017)