There is increasing interest in the clinical application of Respiratory Muscle Training (RMT) by speech-language pathologists. This course provides critical background and foundational knowledge for developing and improving clinical RMT programs including:
This course is offered for 0.4 ASHA CEUs – 4 contact hours.
Run Time: 4:10:26
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.
Domain of OT: Client Factors, Activity Demands, Performance Skills; Body Functions/Structures
OT Process: Evaluation, Intervention; Develop intervention plan
Harrison Jones, PhD, CCC-SLP, is Associate Professor, Division of Head and Neck Surgery & Communication Sciences, Department of Surgery, Department of Speech Pathology & Audiology, Duke University. Dr. Jones spends his professional effort in seeing patients in the clinic and conducting research. He has over 20 years of experience working with medically complex children and adults with communication and swallowing disorders. Dr. Jones has led the training and implementation of the Duke Speech Pathology respiratory muscle training (RMT) program in pediatric and adult inpatient and outpatient settings. His research interests include the use of RMT in diverse patient populations, including individuals with neuromuscular disease.
Financial — Harrison Jones is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Harrison Jones receives financial support from the Genzyme Corporation related to RMT in patients with Pompe disease; receives grant funding, travel support, and honoraria.
Financial — Harrison Jones receives grant support from the National Institute of Arthritis, Musculoskeletal, and Skin Diseases (NIAMS) of the National Institutes of Health (NIH) (R21AR069880).
Financial — Harrison Jones is a consultant for Aspire LLC makers of the EMST 150; receives consulting fee.
Financial — Harrison Jones has US Patent Applications (No. 15/900,036 and 15/900,091) filed 2/20/2018 for RMT-related intellectual property, optioned by Aspire LLC; has intellectual property rights, holds a patent on equipment, receives royalties.
Nonfinancial — Harrison Jones has no relevant nonfinancial relationships to disclose.
This program is offered for 0.4 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.
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.
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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"Excellent course!!! Dr. Jones was so informative and I liked his laid back style. I especially enjoyed the video demonstrations (especially the ones of him performing MIP/MEP testing on his kids). I also liked that he had video demonstrations regarding how to calibrate the machines. I also really appreciated Dr. Jones showing the various devices you can use for RMT treatment - and noting the prices of various devices. He was very kind to demonstrate how to test for MIP/MEP using a more cost effective devices. Excellent course overall. Aside from addressing treatment with COVID recovery patients, he covered everything. Thank you!!! This was time well spent!" E.D.-T. (Nov. 2021)
"The specific information to obtain MIP/MEP values and RMT information was good." R.O.G. (Nov. 2021)
"Measuring MIP/MEP and setting up treatment program was beneficial for my daily practice. I like that it is an treatment with specific measurements for patients to see progress." S.G.-L. (Oct. 2021)
"The explanation of how to measure MIP & MEP. Also the functional use of it in daily practice. The video demonstrations were very helpful." T.S. (Oct. 2021)
"When discussing how to administer RMT, cliental that will benefit from it most, and testing for MIP and MEP. The length, the videos and easy to listen to lecturer were good." B.B. (Aug. 2021)
“I appreciated the research grounding throughout the entire presentation.” – J.L. (Mar. 2021)
“Learning about a therapy technique that I did not know much about. I knew about measuring different volumes and strategies for improving dysarthria but not this specific intervention.” – S.M. (Dec. 2020)
“I appreciated the use of videos incorporated to demonstrate how to take MIP/MEP measures and how to use/calibrate the different devices. I also liked the discussion of applications of RMT and RMT devices for a variety of populations, including non-disordered populations.” – A.M. (Nov. 2020)
“While I found all of it useful, I particularly appreciated the defining and explanations of MIP/MEP and the different RMT devices. It was very thorough and organized for someone new to using RMT or wanting more information.” – S.C. (Aug. 2020)
"This entire course on RMT will be beneficial in my daily practice. I liked the research provided and the detailed explanation of each part that comprises RMT. I feel confident in implementing this in my practice." – E.C. (July 2020)
"I appreciated the pt education on use of device. I liked that the topic explained thoroughly." – S.W. (June 2020)
"The instructor provided functional information and problem solving solutions for practicing SLPs in the acute setting. I especially enjoyed the discussion on populations/rationale for MIP/MEP training. Excellent course." – T.S. (May 2020)
"I liked the video examples included within the presentation. The discussion on establishing RMT program based upon MIP and MEP results and reviewing the various RMT devices was most beneficial." – L.T. (Apr. 2020)
"Excellent on data for respiration/inhalation." – T.H. (Mar. 2020)
"Going over the information regarding the difference between resistance devices and pressure threshold devices and the different types of RMT devices available was most beneficial. I liked the demonstrations for obtaining the MIP/MEP and the research behind the benefits of RMT." – L.M. (Feb. 2020)
"I liked the functional implications of this course and the review of the different devices and the patient populations that would be appropriate for use." – A.R. (Feb. 2020)
"I enjoyed the specific treatment protocol guidelines and the review of the various RMT devices. The videos were helpful." – B.P. (Jan. 2020)
"The course content was succinct but included video examples of actual RMT trials. The various equipment pro/con discussion and the calibration of equipment discussion were most beneficial." – D.S. (Dec. 2019)
"Very comprehensive course. Very organized. Benefitted from the video demonstrations. I especially enjoyed going over how to set candidacy on objective measures and normative data." – S.P.R. (Dec. 2019)
"I appreciated the detailed information regarding the field of respiratory muscle training including its history, variety of devices, and potential populations that could benefit. However, I expected the presenter to go over incorporating RMT into geriatric practice and various benefits or risks that could occur with this specific population." – L.K. (Nov. 2019)
"I enjoyed the explanations of MIP and MEP and indications of use and contraindications. I use EMST but rarely at this point, but I'm looking to expand." – J.D. (Oct. 2019)
"Thorough presentation with applicable components for daily implementation." – A.B. (Oct. 2019)
"The details and information were organized. I appreciated the discussion of literature, evidence-based practice, and recommendations for references. I found the overview of RMT/EMST devices helpful." – J.D. (Sept. 2019)
"The whole course I find extremely relevant, especially purpose and methodology for obtaining and measuring MIP and MEP and review of various RMT training devices. Fabulous course. I've already recommended it to other colleagues." – C.M. (Aug. 2019)
"The discussion on acquiring baseline MIP / MEP was most useful. The overview of A&P was helpful." – B.B. (Aug. 2019)
"The lit review was very helpful as well as information on the differences between the devices. I liked all of it - great course." – S.T. (Aug. 2019)
"All of the presentation was applicable to my patients and was a great learning experience." – B.P. (July 2019)
"I enjoyed the discussion of MIP and MEP and how to measure this as well as the review of respiratory physiology and discussion of devices. I liked the confirmation of how important respiratory function is to speech, swallowing, and voice. It would be have been much more helpful to have video of how the devices were used with patients, instead of simply showing the device as a static object. I was disappointed that there was not even a brief video of an RMT device in practice." – L.B. (July 2019)
"I found the physiology of the respiratory system, specific disorders associated, and MIT/MET all helpful discussions. I appreciated the appropriate visual support and the discussion about other products on the market, their strengths, and weaknesses." – D.B. (July 2019)
"I liked the practical information contained in the course, especially the discussion on the different RMT trainers. Going over the measurement of MIP and MEP with the demonstration videos was most beneficial." – M.P. (June 2019)
"Very valuable information - should be part of grad SLP programs. This course/content is so valuable for SLPs working with dysphagia, dysarthria, voice disorders, and more." – B.G.L. (May 2019)