The clinical and scientific communities are showing interest in new avenues for dysphagia rehabilitation. Electrical stimulation for the treatment of swallowing impairments is among the most studied of swallowing interventions in the published literature, yet many unanswered questions reamin about its efficacy. Many speech-language pathologists who treat dysphagia are attending educational and training sessions to obtain certifications to use this technique.
This online course provides a review of swallowing anatomy and physiology and the fundamentals of electrical stimulation. Also, the values and limitations of electrical stimulation for swallowing are reviewed, based on the published literature, to assist clinicians in decision-making for their clinical practice. Overall, learners will be able to use information obtained from this course to facilitate their independent critique of past and future studies, which is crucial for evaluating the possible effects of electrical stimulation. Offered for 0.1 CEUs – 1 contact hour.
Run Time: 1:05:01
•Electrical Stimulation - What Is It Good For?
•Research On Effects Of Electrical Stimulation
•Therapeutic E-stim Studies In Patients
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.
Ianessa A. Humbert, PhD, CCC-SLP, is an Associate Professor in the Department of Communication Sciences and Disorders at The University of Iowa. She is an accomplished researcher, having studied the effects of electrical stimulation on hyo-laryngeal movement in healthy and dysphagic adults. Dr. Humbert's research focuses on swallowing neurophysiology and Alzheimer's disease.
Financial — Ianessa Humbert is an author of online CE courses sponsored by Northern Speech Services; receives royalty payments.
Financial— Ianessa Humbert is the 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.
This program is offered for 0.1 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 NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
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.
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 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.
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"I enjoyed the discussion on the patient's selection of SES. I expected the electrical stimulation protocols to be covered." – M.S. (May 2020)
"I appreciated the review of the studies." – B.M. (Apr. 2020)
"The lecture was thorough and easily followed the slides. I especially appreciated the discussion on the interaction of various intrinsic and extrinsic muscles and the impact SES has on them." – G.M. (Mar. 2020)
"The diagrams and overview of A&P for normal swallow were excellent. However, I think more recent studies should be added to the presentation." – A.L. (Jan. 2020)
"I appreciated the discussion of electrical stimulation vs sensory stim, therapeutic and its impacts - research - patient selection." – J.S. (Dec. 2019)
"Excellent review of anatomy and physiology and relevant research in regards to normal and abnormal swallowing. I liked the pragmatic and efficient approach for a short course." – G.E. (Nov. 2019)
"I enjoyed the review of muscle function and how estim affects these muscle groups. I liked the literature review." – C.M. (Sept. 2019)
"I liked the helpfulness of the visuals of the layers of muscles/skin/adipose tissue that are stimulated as well as the muscles with opposing direction of force. The details regarding the perceived/reported vs actual research findings related to estim outcomes were most beneficial." – J.M. (Aug. 2019)
"I enjoyed the scientific studies and review of anatomy and physiology. The video was very clear and easy to follow. I liked that the speaker spoke slowly and distinctly." – L.H. (July 2019)
"The explanation of how e-stim affects muscles and why this is complicated in the head and neck areas was most helpful. Her diagrams complimented the narration well, and reviewing literature was useful/evidence based. I would've liked to hear more about how e-stim became so well accepted and popular, despite the presenter's critiques." – H.H. (June 2019)
"Findings from the research studies was helpful. I liked that it was presented in sections. This allowed me to do each section at my pace and to go back over a section to review the information or take better notes." – K.T. (Mar. 2019)
"It hit the basics as an introductory course on E-Stim for those who do not work with it on a regular basis." – A.B. (Dec. 2018)
"I use vital stim but this inservice gave me more evidence based outcomes for pt selection and how this approach may not be beneficial for everyone. The power point was excellent." – D.A.S. (Nov. 2018)
"I appreciated the discussion about safety of airway protection via hyoid elevation with SES. I liked the presentation of research articles to support the author's point of view." – C.B. (June 2018)
"I liked that the course was concise, and I especially enjoyed the research findings." – K.R. (Apr. 2018)
"I loved it. The graphics were helpful for concrete understanding why this technique is complex and requires a solid knowledge of physiology before determining if a patient is appropriate. Looking at the types of patients appropriate for consideration of ES was most beneficial." – C.C. (Mar. 2018)
"It was helpful to hear it outlined that clinicians need to think about physiology when addressing impairment and how one impacts physiology. Critical thinking is important, often under-valued. I liked that there didn't appear to be an overt presenter bias." – K.S. (Dec. 2017)
"I enjoyed the review of anatomy and use of MBS visualizations." – L.A. (Nov. 2017)
"It was a great review of the current evidence on using electrical stimulation for dysphagia treatment." – M.D. (Sept. 2017)
"This course offers insight and analysis of research beyond what is typically addressed in graduate course work. It details differences of surface vs. intramuscular stimulation, which is an important aspect of understanding the benefits and desired outcomes with this treatment plan. Critical analysis of this treatment protocol relative to anatomy/physiology of the swallow and projected outcomes." – A.G. (Aug. 2017)
"The review of anatomy and physiology and a better understanding of appropriate patients for SES were very beneficial. We do not currently perform this procedure at my place of employment." – J.R. (June 2017)
"The discussions on motor speech issues and attention/processing issues were most helpful." – K.U. (Apr. 2017)
"I appreciated gaining better critical thinking of opposing muscles and effect of stim placement." – B.V. (Feb. 2017)
"Good critique of research studies. The focus on opposing muscles and really thinking through the intended goal were helpful discussions. Also, considering sensory input, not just motor, was useful." – A.R. (Feb. 2017)
"The presentation was excellent, and I really enjoyed the research aspect." – C.C. (Jan. 2017)
"Most beneficial was the studies that have been completed on specific patient populations and allowing me to critically think if a patient may benefit from treatment. I liked that the slides were very helpful to follow along with and I was able to take notes to refer to at work." – K.S. (Dec. 2016)
"It was an excellent presentation. I enjoyed the review of the muscle functions, the recent research on the efficacy of e-stim and criteria for candidates that are most likely to benefit from e-stim. Research as it relates to the various electrode placements was also very enlightening. The visuals were good and helpful for optimal understanding. The speaker was articulate and easy to understand. I also liked being able to pause and go back and review the material provided. It was very relevant to my work setting because I use e-stim on my patients daily." – K.S. (Dec. 2016)
"I liked the E-stim studies and comparisons of surface stimulation vs. intramuscular stimulation." – S.L. (Dec. 2016)
"I liked the review of anatomy and physiology of swallowing, as I have not reviewed it in quite some time." – N.T. (Dec. 2016)
"I enjoyed the brief review of anatomy and physiology and the recommended patient populations who would benefit most from SES." – L.G. (Nov. 2016)
"I appreciated the extensive explanation about the opposing forces of the muscles of the ant neck. I liked the research presented with visual supports explaining anatomy and physiological implications." – A.W. (Nov. 2016)
"Learning more of the basics of how e-stim works and some of the information from specific studies that have been done was really helpful. I like that it is a topic of interest/debate." – M.J. (Sept. 2016)
"All of the content was excellent and beneficial." – B.S. (Aug. 2016)
"The review on the anatomy and physiology and balanced view of pros/cons for Vital Stim was helpful. I liked that the speaker was easy to understand." – K.G. (July 2016)
"I appreciated the research implications discussed." – F.B. (June 2016)
"Excellent narration and visuals." – J.G. (June 2016)
"The entire course was beneficial for me. I liked the amount of detail." – D.M. (June 2016)
"The research studies were the best part." – J.S. (June 2016)
"I really enjoyed the muscle group review and interactions." – K.B. (May 2016)
"How to explain overall VS was excellent. I liked that the course was intense, had a lot of info, and helped explain it well." – K.J. (Apr. 2016)
"The coverage of the anatomy with target muscles for swallowing was the best part." – B.S. (Apr. 2016)
"I liked the anatomy diagrams." – E.U. (Mar. 2016)
"The effects of SES was most beneficial." – L.M. (Feb. 2016)
"Presented in an organized manner with examples and studies. I especially appreciated the specific effects of e-stim on laryngeal elevation." – S.D. (Feb. 2016)
"The information regarding recent studies was most helpful." – S.S. (Feb. 2016)