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?
In the most skilled athletes, these movements are resistant to environmental distractions (crowd, opponent taunting, pain). After a stroke, concussion, MS exacerbation, or other – can we help people 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 of the same. 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! This course is offered for 0.35 ASHA CEUs – 3.5 contact hours.
Course Run Time: 3:30:42
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.
Mike Studer, PT, MHS, NCS, 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.
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.
This program is offered for 0.35 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 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.
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 are currently not accepted for online orders, if you wish to submit a purchase order please do so at email@example.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.
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.
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.
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.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
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.
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.
Please click here for any special needs requests, and we will do our best to accommodate them.
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"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 cuing. It can be applied to anything, walking, communication, and swallowing. I can 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. (June 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. (Dec. 2020)
"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 2020)
"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. 2020)
"Going over the use of dual task in reautomizing swallowing function was most helpful. I liked the excellent speaking skills of the presenter. Easy to listen to." – K.M. (Dec. 2019)
"Good overview of some theory behind DT. I liked the video examples. I would have liked a couple of demos of swallowing tx." – J.D. (Nov. 2019)
"I enjoyed the specific swallowing and cognitive examples. The course is very applicable via case studies." – B.F. (Oct. 2019)
"I liked the videos of actual patients and going over the dual task with regards to dysphagia." – J.H. (Sept. 2019)
"I appreciated the examples of ways to incorporate dual attention into tx." – R.H. (Aug. 2019)
"I liked the specific examples of how to apply theory to treatment tasks. I would have liked more practical examples of tasks for a variety of settings." – D.B. (June 2019)
"I liked the visual demonstration as well as applications to all therapy types. Going over how to think about increasing awareness/insight into a patient's performance through dual task activities was most beneficial." – K.B. (May 2019)
"I enjoyed the presentation - especially the section on anatomy and physiology of attention and avenues for co-treating with other disciplines." – J.A.Y. (May 2019)
"Learning that it is not only the number of repetitions that form procedural memories but the process of dual tasking that moves the task into those memory centers was very helpful and applicable in my practice." – S.K. (Mar. 2019)
"The info about PD and dual tasks was most helpful since my husband, an MD, MPh, kind of guy has PD and we see changes in his ability to dual task. This helps to explain a lot. I liked that lots of examples were provided." – S.G. (Mar. 2019)
"I liked learning more about different areas of the brain responsible for attention." – L.S. (Mar. 2019)
"I appreciated the assessment information and therapy info." – E.G. (Mar. 2019)
"Great handouts and speaker. I liked the information; the beginning of the course seemed 'over my head' but practical examples helped solidify info for me." – M.C. (Jan. 2019)
"The discussion about how DT training can help increase automaticity of function was most beneficial. It was a novel topic for me and interesting. It will be a good challenge for me to apply this to the population for which I work." – M.C. (Dec. 2018)
"This is possibly my favorite course taken via NSS! All areas of the presentation were important for me as I work in an Acute Rehab facility." – C.B. (Nov. 2018)
"I liked the practical use of DT in testing and treatment - especially the application to swallowing." – M.R. (Oct. 2018)
"I enjoyed the relevance to swallow and memory tasks as well as the concrete activities for DT inclusion during speech/lang/cog/swallow tasks." – L.N. (Sept. 2018)
"This course is highly useful and exactly what SLPs need who have patients that cannot progress beyond needing constant supervision to maintain goals. This course has very good information for a variety of clients; there are multiple sources and references provided. I am already implementing this info for some of my patients who are having difficulty with the carryover of learned and relearned skills to see if this helps them be more automatic and in-depth for longer periods." – P.V. (Jul. 2018)