This presentation will focus on obtaining diagnostic information during a cranial nerve exam, which can be used to diagnose and assist in planning therapeutic interventions specifically for swallowing disorders. Cranial nerve examination can be used to assist the medical team with differential diagnosis and contributes essential information to the clinician that will improve dysphagia assessment and treatment planning. Presenters will provide instructions and case studies that will assist clinicians in performing, interpreting and developing a dysphagia treatment plan based on the deficits noted during the oral mechanism/cranial nerve assessment. Therapeutic strategies targeting swallow function based on the results of the exam will be presented, specifically sensory-based treatments and the use of swallow maneuvers and/or exercises. Best practice will be supported by current research. Offered for 0.25 ASHA CEUs – 2.5 contact hours.
Run Time: 2:39:21
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, Performance Skills
OT Process: Evaluation, Intervention
Yvette McCoy, MS, CCC-SLP, BCS-S, is a speech-language pathologist with over 23 years experience, specializing in adult neurological rehabilitation with a special interest in dysphagia and stroke rehabilitation. She owns Speak Well Solutions, LLC. She is certified by the American Speech-Language-Hearing Association, a board certified swallowing specialist, six-time ACE Awardee, mentor and CFY supervisor. She currently serves on the Adult Services Committee for the Maryland Speech-Language and Hearing Association. She is a member of the Dysphagia Research Society where she serves on the Website Communications and Public Relations Committee. She is co-creator/author of the mobile app 'Dysphagia Therapy', and published author for the ASHA Leader. Additionally, she is an adjunct instructor at the University of Maryland, College Park.
Financial — Yvette McCoy is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Nonfinancial — Yvette McCoy is a member of the Dysphagia Research Society Website Public Relations Committee; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a board member of the Dysphagia Group Advisory Board-Facebook; receives no compensation in this role.
Nonfinancial — Yvette McCoy is a member of the Adult Services Committee Maryland Speech Hearing Association; receives no compensation in this role.
Tiffani L. Wallace, MA, CCC-SLP, BCS-S, has been a Speech-Language Pathologist for over 16 years. She holds her Board Certified Specialty in Swallowing and Swallowing Disorders (BCS-S). Tiffani enjoys working with patients of all ages; however, she has a special interest in working with the adult head and neck cancer population. She is the co-author of the app Dysphagia2Go by SmartyEars, the author of the app iScreen Aphasia by SmartyEars and the co-author of the app Dysphagia Therapy by Tactus Therapy. Tiffani is the administrator and creator of several Facebook dysphagia groups and the owner and author of Dysphagia Ramblings.
Financial — Tiffani L. Wallace is the presenter of online CEU courses sponsored by Northern Speech; receives royalty payments.
Financial — Tiffani L. Wallace receives royalties for the Dysphagia2Go app; receives royalty payments.
Nonfinancial — Tiffani L. Wallace is a member of the Smarty Ears Advisory Board; receives no compensation in this role.
Nonfinancial — Tiffani L. Wallace is the author of the blog "Dysphagia Ramblings"; receives no compensation in this role.
Nonfinancial — Tiffani L. Wallace is the creator of the Dysphagia Therapy Group: Professional Edition and Dysphagia Support on Facebook; receives no compensation in this role.
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.
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.
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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.
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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.
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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.
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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 appreciated the treatment recommendations for deficits noted on CN exam and the benefit of specific exercises." – J.B. (Apr. 2020)
"I liked the treatment applications as it relates to cranial nerve damage." – S.E. (Mar. 2020)
"I liked the CN evaluation techniques and handouts." – B.W. (Jan. 2020)
"I appreciated going over how to complete a cranial nerve exam and what those findings could indicate as appropriate treatments. I liked the education on roles of cranial nerves in regards to the swallow mechanism." – K.C. (Dec. 2019)
"Going over how to incorporate therapy guided toward each cranial nerve deficit was most helpful. VERY APPLICABLE to daily interactions in acute setting and SNF." – K.H. (Nov. 2019)
"I loved the order of presentation. It was a very logical flow and really supported my learning! The organization of content, again was very critical for making the connections between lesion area, impact, and treatment recommendation. It was a great course!" – J.K. (Oct. 2019)
"I enjoyed the pairing of the specific cranial nerve with the expected clinical symptoms upon damage, followed by the appropriate evidenced based treatment. The manner in which the information was presented was easy to follow in its step by step progression through the nerves." – R.M. (Sept. 2019)
"It was a very informative and well-done course. The cranial nerve review and anatomy images were especially helpful." – M.R. (Aug. 2019)
"I liked the combination of information and case studies/therapy tools." – L.H. (Aug. 2019)
"I appreciated the discussion of cranial nerve anatomy and function as well as the muscle and nerve images." – R.K. (July 2019)
"Going over the treatment associated with noted deficits was most beneficial. Good case studies, examples, and pictures." – D.W. (June 2019)
"I found the discussion on implementation of therapy techniques once cranial nerve deficit is noted especially useful. The course seemed a little disorganized at times and as if things were out of order but perhaps it is how I processed things." – C.M. (May 2019)
"I enjoyed the review of cranial nerves and going over the impact on swallowing." – L.W. (Feb. 2019)
"I liked the fact that the background of cranial nerves was clear and then the treatment was directly afterward and not at the end of the course." – T.M. (Jan. 2019)
"The course improved my understanding to integrate cranial nerve testing into clinical swallow evaluation. Well organized course." – L.H. (Dec. 2018)
"I particularly enjoyed the specific ways to treat each aspect of dysphagia as it related to the specific cranial nerve. I also appreciated the detail of the impairments we would likely see depending on uni/bilateral UMN/LMN lesion. The course was very well organized! I liked having 2 speakers." – E.R. (Dec. 2018)
"The review of anatomy LMN and UMN and various anatomical changes was most beneficial. However, I expected more research-based exercises." – M.C. (Nov. 2018)
"I liked the application to therapy, especially the sections on exercises and treatment strategies." – C.K. (Oct. 2018)
"The discussion on how to specifically target cranial nerve deficits in therapy was most helpful. I liked the diagrams of the nerves and the muscles they innervate." – L.C. (Sept. 2018)
"I liked the clinical application information. Going over how to assess and treat the deficits caused by CN damage was the best part. I expected more case studies, though." – S.B. (July 2018)
"I enjoyed the review of upper motor neuron and lower motor neurons and respective differences in symptoms associated with each." – A.T. (June 2018)
"I liked the therapy strategies and the testing of the cranial nerves." – J.M. (Apr. 2018)
"Linking deficits with lesion sites was beneficial. The initial explanation of UMN and LMN was helpful. I think it was well done." – S.J. (Dec. 2017)
"Going over how to test all the nerves and the treatments for each was excellent." – S.A. (Nov. 2017)
"e139: The Cranial Nerve Examination: Integrating Assessment And Treatment In Dysphagia Management from Northern Speech Services with Yvette Mccoy and Tiffani Wallace is a must! So...pay 45 bucks to take this course and you will be on your way to better assessment and treatment of your dysphagia patients." – FB Post (Oct. 2017)
"Not only the thorough review of the Cranial Nerve functions, but the corresponding testing and treatment of each was extremely helpful. The format was conducive to improved recall." – P.F. (Aug. 2017)
"The study of cranial nerves is beneficial to every area of my clinical practice as a medical speech pathologist." – A.C. (Aug. 2017)
"Going over what to look for with each cranial nerve damage and how to test for it was most beneficial. I liked the real-world quick ideas to test for cranial nerve damage." – J.F. (May 2017)
"The course was excellent, but you might want to warn people that this course is very difficult! I like it; it was a challenge, but very detailed." – T.H. (May 2017)
"How to test each cranial nerve and treatment options for each specific cranial nerve were really helpful discussions." – K.M. (Mar. 2017)
"I liked the discussion of interventions. The treatments/interventions for difficulties found on cranial nerve exam were very useful." – R.H. (Feb. 2017)
"The discussions on anatomy, speech sound disorders, and dysphagia were excellent. I liked the course format, explanations, and diagrams." – J.M. (Jan. 2017)
"Great application to practical use in the clinic. This was an excellent course at a challenging level. One of the best online courses I have completed." – H.S. (Dec. 2016)
"I loved that you gave the specific treatment methods. Courses usually breeze over the treatments. The information was presented in a way that was good for everyday use." – L.W. (Oct. 2016)
"Extremely educational and a fabulous refresher! I loved this course!!" – E.C. (Sept. 2016)
"The discussion on the symptoms to look for and what types of deficits you will see with specific lesions was most beneficial. I liked applying therapy techniques to improve swallowing therapy." – C.L. (Aug. 2016)
"Excellent review of anatomy of cranial nerves." – R.F. (Aug. 2016)
"I really liked how it explained deficits in this area would cause this and treatment ideas. I loved that it had handouts to review and take notes. A lot of e-courses do not have handouts, and I find it harder to take notes, review info, and understand." – C.V. (Aug. 2016)
"I appreciated the review on nerves and how to test for them." – H.R. (July 2016)
"I really benefitted from the treatment methods and reminders about cranial nerve anatomy. More case studies would have been helpful." – N.A. (July 2016)
"I enjoyed the specific exercises related to deficits / cranial nerve damage." - A.K. (July 2016)
"I liked the practice information to improve treatment." – B.B. (June 2016)
"I liked that I could go back and rewind/review - especially since Ms. McCoy was somewhat fast & it was hard to catch all of the details." – L.B. (May 2016)
"I appreciated the treatment discussions and the speakers' slower speech rate allowing processing time in an area that's a little (ok maybe a lot) rusty for me. The case study given was excellent." – C.A. (May 2016)
"The specific treatments for each cranial nerve were really beneficial." – C.W. (May 2016)
"This course really made me think and research some answers. I am retired now and this was a great refresher course for me." – S.P. (Mar. 2016)
"The format was very beneficial for learning. The review of terminology, UMN lesion, and LMN lesions was also beneficial." – S.F. (Mar. 2016)
"The discussions on dysphagia and aphasia were most beneficial. I liked the graphics and how informative the course was." – M.R. (Jan. 2016)