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    Manual Therapy for Muscle Tension Dysphonia

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    Appropriate Disciplines

    • Physical Therapist
    • Certified Occupational Therapy Asst
    • Occupational Therapist
    • Physical Therapy Asst
    • Speech Language Pathologist
    • Speech Language Pathology Asst
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Course Description

Muscle Tension Dysphonia (MTD) is a voice disorder where abnormal muscle tension in the laryngeal and peri-laryngeal regions interfere with normal phonation. While behavioral voice therapy is the cornerstone of treatment, manual therapy offers a highly effective adjunctive approach, helping to alleviate muscle tension, improve flexibility, and enhance voice quality. This comprehensive course provides SLPs, PTs, voice coaches/trainers and other healthcare professionals a deeper understanding of how muscle tension affects the voice and how to address the musculoskeletal components of MTD. The instructor will explore pathophysiology, clinical presentation, and evidence-based manual therapy interventions for managing this voice disorder. Participants will learn how to incorporate manual therapy into a comprehensive treatment plan, combining it with voice therapy techniques such as vocal warm-ups, resonance exercises, and breathing exercises. Gain an understanding of when manual therapy should be integrated into the treatment process and how it complements traditional voice therapy methods. Course material will include voice anatomy, postural training, breath function, stress management, interpretation of voice dysfunction and selected case studies in the manual approach to treatment of muscle tension dysphonia. NOTE: A basic understanding of voice anatomy, physiology, and common voice disorders is recommended, although the course is designed to be accessible for both experienced clinicians and those newer to the field of voice therapy.

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Interpret pertinent anatomic structure and physiology pertaining to oropharyngeal and laryngeal myofascial and structure
  • Describe kinematic consequence of muscular and soft tissue dysfunction with their effects on functional activity, voice focus
  • Identify postural dysfunction and upper quadrant instability and relate to an interdisciplinary approach to rehabilitation in the management of vocal impairment
  • Identify postural impairment and basic craniomandibular dysfunction and their relationship to phonation
  • Summarize precautions and contraindications in a preparatory voice screen
  • Demonstrate evaluation and application for cervical, craniomandibular, upper quadrant and rib cage in voice treatment
  • Identify a proper treatment approach utilizing manual techniques through selected case study based on evaluation findings

John Kelly

M.P.T.

A graduate of the University of St. Augustine’s graduate Physical Therapy Program. John has over 17 years’ experience with acute inpatient and hospital-based outpatient rehabilitation and currently an outpatient clinical director for Siskin Rehabilitation Hospital in Chattanooga, Tennessee. John continues to balance full time patient care with administrative responsibilities. John is NDT certified and an experienced manual orthopedic therapist working toward his clinical doctorate and manual therapy certification. John is a certified VitalStim® Instructor and has taught orthopaedic and electrotherapy courses across the country. John is an accomplished clinical instructor and consistently is recognized for his exceptional patient rapport and strong evaluations from course participants.

Financial Disclosure: John is a salaried employee for his position at Siskin Rehabilitation Hospital. John Kelly receives honoraria from CIAO Seminars for the presentation of his live courses. He also receives royalties for the purchase of his recorded course(s)
Non-financial Disclosure: No relevant non-financial relationship exists.

Day 1

07:30 - 08:00
Registration
08:00 - 08:15
Introductions and program overview
08:15 - 08:30
Anatomy and kinematics; oropharyngeal, laryngeal and diaphragm breathing patterns
08:30 - 09:30
Integrating postural instability; influence on breath patterns, hyolaryngeal instability & the relationship of upper quadrant dyskinesia in phonation
09:30 - 10:00
Laboratory: hyolaryngeal palpation and myofascial/postural assessment
10:00 - 10:15
Break
10:15 - 10:30
Manual therapy application guidelines and treatment considerations
10:30 - 11:00
Laboratory and discussion: tissue preparation with oral and facial myofascial release technique
11:00 - 12:00
Laboratory: soft tissue mobilization for the face and jaw; craniomandibular hypertonus
12:00 - 01:00
Lunch
01:00 - 01:15
Laboratory and discussion: tissue preparation with anterior neck myofascial release technique
01:15 - 03:00
Laboratory: soft tissue application for the anterior neck; enhancing hyolaryngeal recruitment and stability, muscular hypertonus
03:00 - 03:15
Break
03:15 - 03:30
Laboratory and discussion: tissue preparation with trunk lateral wall, diaphragm and rib cage, myofascial release technique
03:30 - 04:45
Laboratory: soft tissue application for the posterior neck and upper quadrant; enhancing postural stability and diaphragmatic breathing
04:45 - 05:00
Case study and discussion; incorporating contemporary techniques into treatment, clinical reasoning and decision paradigm

Delivery VIA:

  • Live On Tour - This course is now being offered live on locations throughout the United States.
  • Live By Request - This course is available to come to you! Contact us to see how easy that can be. mail@ciaoseminars.com

Contact hours pre-approved for:

  • 7.5 Hours
  • CIAO is an ASHA Approved Provider #AAWA (0.75 ASHA CEUs) bubble sheet submission required
  • ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
  • This course meets PDU requirements for NBCOT (7.5 PDUs)
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • This activity is provided by the Texas Board of PT Examiners Accredited Prov #2502009#TX
  • This activity meets continuing competence requirements for PT/PTA license renewal in TX
  • The assignment of Texas PT CCUs does not imply endorsement of specific course content, products or clinical procedures by TPTA or TBPTE
  • The Physical Therapy Board of California recognizes CIAO Seminars as an Approval Agency to Approve Providers Offering Continuing Competency Courses
  • The Physical Therapy Board of California has determined that CIAO meets the standards set forth in section 1399.95 of the CA Code of Regulations
  • CIAO is a Rule Approved Provider for the Florida Board of Physical Therapy
  • CIAO is an Approved Provider for the Florida Board of Occupational Therapy
  • Approved for:
  • 7.5 Hrs. PT/PTAs in IL, TX (APTA TX #2502009 for 7.5 CCUs), CA(XXXX)
  • 9 Hrs. OT/COTAs, PT/PTAs in FL (CE Broker #20-xxxxxxx)
  • 9 Hrs. PT/PTAs in NY
  • 7.5 Hrs. Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN
  • 7.5 Hrs. Registered with CEBroker for PT/PTAs in AZ, GA, OK, SC, TN

Course meets requirements for:

  • PT/PTAs in AL, AK, AZ, AR, CO, CT, DC, DE, GA, HI, ID, IN, IA, KS, KY, ME, MD, MA, MI, MO, MT,
  • PT/PTAs in NE, NH, NC, ND, OR, PA, RI, SC, SD, TN, UT, VT, VA, WA, WI, WY
  • OT/COTAs in AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, LA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT,
  • OT/COTAs in NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

    • Introductory Level
    0.75 ASHA CEUs


    CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)



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