Presenters: multiple experts
– D.K., prior course participant
This course provides a tutorial about evidence-based practice for SLPs working with adult dysphagia. Primary goals of this course include: present the evidence for frequently prescribed swallowing rehabilitation techniques, examine common swallowing pathophysiologies that contribute to aspiration and how they are measured, and discuss levels of research evidence relative to their contribution to the current state of dysphagia rehabilitation.
Case studies are used to discuss the evidence behind widely used dysphagia interventions, including: chin tuck, effortful swallow, Mendelsohn maneuver, and Shaker exercise. This course will provide a roadmap for clinical decision making and a framework for evaluating any swallowing treatment used in therapy.
Participants will learn to incorporate swallowing physiology into diagnosis and management of dysphagic patients. Participants will also learn how evidence-based practice in dysphagia is limited, and how to interpret and critique the scientific literature given these limitations. This is critical to ensure that the clinical tools used to impact swallowing ability are based on physiology.
Course is offered for 0.25 ASHA CEUs – 2.5 Contact Hours.
Course Overview – Run Time: 2:32:46
– M.K., prior course participant
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.
"The review of research was helpful. I liked that the course was online and easily accessible." J.D. (Feb. 2024)
"Research outcomes for swallow physiology. I liked each procedure reviewed." J.G. (Jan. 2024)
"I liked the sliding door analogy. This course covered most if not all of the common treatments." T.O. (Dec. 2023)
"I liked the discussion of therapy techniques as they relate to actual clinical practice, which many seminars don't do." S.D. (Nov. 2023)
"I really found the whole course beneficial and liked the case examples that were included. Learning the need to look to literature to see what pathophysiology is best suited for specific strategy/maneuver/intervention, to be "prescriptive" based on the specific pathophysiology." V.O. (Nov. 2023)
"This course was a thorough review of the evidence. I really appreciated the practical evaluation of the evidence to determine which techniques actually work and how they work." C.N. (Oct. 2023)
"Oral sensation and chin-down information were beneficial. I liked that the speakers talked slowly and were easily understood." K.H. (Mar. 2023)
"I found that it's important to test pre and post-treatment regimen to be able to analyze the efficacy of modality approach/techniques." M.P. (Mar. 2023)
"I appreciated the review of the anatomy and physiology of the swallow mechanism. Also I was surprised by particular swallow treatment myths that were broken down by research." M.P. (Mar. 2023)
"Disputing so-called "acceptable" methods such as Mendelsohn and Shaker." L.L. (Feb. 2023)
"Good review of swallowing exercises for best practice." N.M. (Dec. 2022)
"I appreciated the focus on 2 common interventions (ie, chin tuck and effortful swallow). I feel that these are almost general/common aspiration suggestions for all patients and it was excellent to know the evidence about their actual results." Z.C. (Dec. 2022)
"I appreciated that the presenters focused on different types of outcomes. As mentioned multiple times in the presentation, functional outcomes are usually the primary concern for a clinician. I feel they emphasized what you measure is what you get and you need to be mindful that not all measures are equivalent in a clinical situation." Z.C. (Dec. 2022)
"Interpretation of normal vs disordered swallows. I liked the case studies." A.T. (Dec. 2022)
"I liked the review of the literature of the different rehab techniques. The visuals were helpful to understand." G.L. (Dec. 2022)
"Good review of physiology, research and case presentations." M.W. (Nov. 2022)
"Liked the breakdown of what different interventions do and don't achieve. I really liked looking at the body of research about a technique rather than just individual studies." J.C. (Oct. 2022)
"Very clear presentation. I liked the discussion of challenges with research studies in treatment decision making." B.S. (Sept. 2022)
"Liked the format of the course." J.M. (Aug. 2022)
"I liked the comparison of studies and reminders that we need to focus on the individual patient." P.O. (May 2022)
"Good review of anatomy and physiology." P.O. (May 2022)
"I liked the exploration of the four rehab techniques and their evidence base." M.W. (Feb. 2022)
"All the included visuals were very helpful for learning. I liked the videos." M.S. (Feb. 2022)
"I benefited from the long-term outcomes of different treatments/postures/exercises, and the inclusive review of studies." J.B. (Jan. 2022)
"I liked the layout of the course, and the research on swallow strategies for treatment and treatment outcomes." J.S. (Dec. 2021)
"Well organized and explained succinctly. I liked the research-based outcomes." H.B. (Dec. 2021)
"I liked the video examples and education on widely used swallow strategies and research specific efficacy." C.C. (Dec. 2021)
"I liked the pace and case studies - analysis of the research and applied to the case study." C.G. (Dec. 2021)
"I enjoyed perspectives from multiple speakers, and the breakdown of the specific exercises, application, research behind it." S.W. (Dec. 2021)
"I liked the case studies that were shown – and review of the literature regarding several commonly used treatment techniques." C.C. (Dec. 2021)
“I enjoyed how the presenters went through each technique and identified what it was originally thought to target and how research has changed the way we use the technique. I liked how it was presented in a systematic way.” D.K. (Nov. 2021)
"Detailed information. I liked the studies of actual benefits of each swallow exercise." J.D. (Oct. 2021)
"I enjoyed the data on research and being able to follow and review at my own pace as well as the knowledge of the presenters. The course is great." Y.C. (Oct. 2021)
"I liked the discussion of evidence for different interventions. Lots of VF images as examples." C.G. (Sept. 2021)
"The review of the evidence of swallowing rehabilitation techniques and detailed review of anatomy of swallowing structures will benefit my daily practice." H.B. (Jun. 2021)
"I liked the very specific articles related to each treatment technique and how each article interpreted the data." M.M (May 2021)
“The explanation of the different comp swallow techniques and the purpose for use was helpful!” D.K. (Apr. 2021)
“I most enjoyed the research about the effortful swallow and all the muscles that are truly involved in all 4 of the dysphagia rehab techniques. It was a great refresher. I was engaged the entire session and learned a great deal from this course! It was highly applicable!” M.K. (Feb. 2021)
“I enjoyed the talk about different techniques and the overall effectiveness.” L.D. (Feb. 2021)
“The supporting evidence for physiologic changes of each intervention was very insightful.” D.M. (Jan. 2021)
Ianessa A. Humbert, PhD, CCC-SLP, is an accomplished scientist, professor, and highly sought-after speaker with expertise in swallowing and swallowing disorders. Her research has studied the effects of electrical stimulation on hyo-laryngeal movement in healthy and dysphagic adults. Dr. Humbert has been on faculty at the Johns Hopkins School of Medicine, the University of Florida, and the University of Iowa.
Financial — Ianessa Humbert is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial— Ianessa Humbert is author of "The Swallowing Pocket Guide" published by Northern Speech Services; receives royalties.
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.
Phoebe Macrae, PhD, is the Deputy Director of the newly formed Rose Centre for Stroke Recovery and Research, a subsidiary of the University of Canterbury in Christchurch, New Zealand. Her role at the Rose Centre is focused on multidisciplinary stroke research development. Her area of research is swallowing neurophysiology and dysphagia, with a focus on neural control mechanisms and motor learning in swallowing. Dr. Macrae completed her undergraduate degree in Speech and Language Pathology, and her PhD in dysphagia rehabilitation at the University of Canterbury. She then embarked on a two-year post-doctoral fellowship at Johns Hopkins University, before returning to the University of Canterbury in 2014.
Financial — Phoebe Macrae is the author of online CEU courses sponsored by Northern Speech Services; receives royalty payments.
Nonfinancial — Phoebe Macrae has no relevant nonfinancial relationships to disclose.
Catriona M. Steele, PhD, is a clinician scientist working in the area of swallowing and swallowing disorders. She has a background as a medical speech-language pathologist and is Director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute - University Health Network. Dr. Steele is a Professor in the Department of Speech-Language Pathology at the University of Toronto, a past board member of the Dysphagia Research Society, a board-certified specialist in Swallowing, an ASHA Fellow and past Coordinator of ASHA's Special Interest Group 13 (Swallowing and Swallowing Disorders).
Financial — Catriona Steele is an author of online CE courses sponsored by Northern Speech Services; receives royalty payments.
Financial — Catriona Steele is employed by Toronto Rehabilitation Institute - University Health Network; receives a salary.
Financial — Catriona Steele's research is supported in part by National Institutes of Deafness & Other Communication Disorders; receives grant funding.
Financial — Catriona Steele's research is supported in part by Nestle Health Science; receives grant funding.
Financial — Catriona Steele's research is supported in part by Bracco Canada; receives grant funding.
Nonfinancial — Catriona Steele 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 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 firstname.lastname@example.org 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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