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    Addressing the Burden of Dysphagia

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    • Activity Coordinator
    • Certified Occupational Therapy Asst
    • Nurse
    • Occupational Therapist
    • Speech Language Pathologist
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Course Description

This video can be viewed for free. CE Credit available for only $35 Click here for a Sneak Peek of this video
Dysphagia is a frequently under reported and under-diagnosed condition present in over 15 million American adults. The condition occurs mostly after stroke but other disease states and even normal aging may contribute to its onset. The impact of dysphagia on patients, families and healthcare settings is significant. Treatment options to date are limited but recently a new approach has proven very successful. Neuromuscular Electrical Stimulation (NMES) has received significant attention by dysphagia professionals ever since the FDA cleared VitalStim Therapy for the treatment of dysphagia. Thousands of therapists have received training and numerous positive reports are received but lots of misconceptions and questions remain among therapists. How does it work? Is there data to support its use?
This presentation will analyze the financial, emotional and social consequences of dysphagia. It will review current use of NMES by Speech Language Pathologists in the treatment of dysphagia. A background will be presented on the physical properties of electrotherapy and a working model will be presented that explains some of the neurophysiological aspects of electrotherapy used to strengthen the muscles of the swallowing system. Published and emerging research efforts will be reviewed and discussed. Indications, precautions and contraindications will be reviewed and the pros and cons of using this modality in dysphagia management will be discussed.

Disclosure: This course will only discuss information regarding the use of VitalStim Therapy. When this course was created there was no other similar device available.

Course Requirements:
  • Computer with internet and working speakers/sound are required for this course.
  • Course must be completed within 30 days of activation (activate course within 6 months of purchase).
  • An online multiple-choice quiz (80% passing score) and submission of an online evaluation form are required for successful completion.
  • A certificate of completion will be available to print immediately after course is successfully completed.
  • ASHA CEUs may be requested by completing the online ASHA form and choosing Yes for "Report to ASHA" question.

Course Objectives

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

  • Describe the financial, social and emotional impact of dysphagia
  • Describe the use of NMES (VitalStim) and the main neurophysiological mechanisms that might explain its benefits
  • Discuss published and emerging research efforts in this field

Yorick Wijting

PT, DPT

Yorick received his Physical Therapy degree in the Netherlands and his DPT at the University of St. Augustine, Florida. He has extensive training and practical experience in biophysical agents and teaches nationally and internationally to medical professionals on their therapeutic use. Yorick has been instrumental in developing the use of electrical stimulation by Speech Language Pathologists in the treatment of dysphagia. Yorick currently lives in California and runs his private practice in Gilroy, CA.

Financial Disclosure: Yorick receives honoraria from CIAO Seminars for the presentation of his live course(s) and royalties for the sale of his recorded course(s). Yorick is the author and an instructor for the VitalStim Therapy Specialty Program.
Non-Financial Disclosure: no relevant relationships exist

33 Minutes
Impact of Dysphagia
23 Minutes
VitalStim Therapy
10 Minutes
NMES in Dysphagia Treatment
1.1 Hours
Total

Delivery VIA:

  • Online - This course is offered in an online, on demand format.
  • Club CIAO - Club CIAO: This course is also part of Club CIAO, our all-you-can-eat buffet of online courses for one low price. Club CIAO Members also receive 25% off of all Live Stream courses!

Contact hours pre-approved for:

  • 1.0 Hour
  • CIAO is an ASHA Approved Provider #AAWA (0.1 ASHA CEUs) bubble sheet required
  • ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
  • CIAO is an AOTA Approved Provider #4119 (0.1 AOTA CEUs)
  • This course meets PDU requirements for NBCOT (1 PDU)
  • As an IACET Authorized Provider, CIAO offers CEUs for its programs that qualify under the ANSI/IACET Standard
  • CIAO is authorized by IACET to offer 0.1 CEUs for this program
  • Approved for:
  • 1.0 Hour OT/COTAs in FL(CE Broker #20-439592)

Course meets requirements for:

  • 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

    • CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.


    The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


    Introductory Level
    0.1 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)


    Reviews

    excellent

    - Spanish Fort, AL / Dec 2024

    Great course with lots of useful information. Thank you for offering!

    - McCaysville, GA / Nov 2024

    Great Course

    - Glenside, PA / Oct 2024

    This was an excellent review for me and I enjoyed hearing about the studies of patients who were or were not diagnosed with dysphagia and knew/did not know it was treatable, and the reference to the Ludlow article. The latter study is one I’ve struggled with as the physical finding were contrary to expectation. I’m glad that this was addressed even if it was just a quick mention.

    - Watertown , SD / Aug 2024

    The statistics provided are good reinforcements to emphasize the need for intervetion.

    - CHICAGO, IL / Jul 2024

    Excellent review of nmes modality-how and why it works! Great speaker! Enjoyed how clear and practical he makes the information.

    - Derby, NY / Apr 2024

    Very interesting topics. I enjoyed the topics.

    - Clinton , MS / Mar 2024

    Made me think of the expenditures and outcome. Will be able to use with facility.

    - Lynchburg, TN / Mar 2024

    having recently been certified, this information was a great review, and increased my confidence

    - Wheat Ridge, CO / Feb 2024

    good introductory course

    - Wilmington, DE / Feb 2024

    Excellent course and topic.

    - Fulshear, TX / Feb 2024

    Thanks for the refresher!! Always good to know that I'm on the right path

    - Lockport, NY / Jan 2024

    Excellent course

    - Tulsa, OK / Jan 2024

    great summary with references

    - Alburtis, PA / Jan 2024

    Great use of data and great way of clearing explaining the benefits of NMES.

    - Carlisle, PA / Jan 2024

    Very clear and informative, easy to follow

    - Barnegat , NJ / Jan 2024

    Great course! Thank you!

    - Highland Park, NJ / Jan 2024

    This was a very practical and informative course. Thank you for offering it.

    - Conyngham, PA / Jan 2024

    Good presentation and information.

    - Milton , FL / Dec 2023

    it is great

    - Yangon, AL / Jul 2022

    This was a good review as I have been NMES certified for several years and using this modality of treatment with many of my patients, in conjunction with traditional Dysphagia therapies.

    - Springfield, IL / Jul 2022

    The presenter did a nice job of presenting this topic. I did not learn this depth of dysphagia and treatment in my school coursework and was very pleased to learn new things. I thought he had a very nice pace, and I found that a lot of information was still fairly relevant despite this video being 10+ years old now. Thank you!

    - Campbell, CA / Feb 2022

    Well presented!

    - Naples, FL / Jul 2021

    Very Informative

    - DILLON, SC / Mar 2021

    Very knowledgable instructor... Instructor was easy to listen to and follow Instructor made information easy to understand

    - Ormond Beach, FL / Mar 2021

    Very informative and well supported information

    - Cheney, WA / Mar 2020

    Great overview and information

    - Searcy, AR / Mar 2020

    Great info

    - Valparaiso, IN / Dec 2019

    Good information for working in long term care settings.

    - St.. Louis, MO / Sep 2019

    This is new information for me as my experience is in early intervention.

    - Gulfport, MS / Feb 2019

    Yorick was a fantastic presenter! I always learn information better with his approach because he is skillful at taking cumbersome or complex information and simplifying it down to a level that is more easily understood. However, two of the test questions were unfair or structured unfairly. For example one of the questions asked about the cost of a PEG tube for one year and this information was never discussed during the presentation whatsoever nor was there a slide for it on my course manual.

    - Rupert, ID / Dec 2018

    Great reinforcement for use of NMES

    - Lake View, NY / Dec 2018

    Great review of Dysphagia and NMES

    - Milton, FL / Nov 2018

    Great course!

    - Euless, TX / Dec 2017

    Great information! I enjoyed the statistics included in this lecture.

    - Jackson, MS / Dec 2017

    I am convinced that NMES is effective and safe in adults with dysphagia.

    - Arlington, TX / Sep 2017