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SIG
Instructional Level
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: This quartet of SIG 13 articles provides information regarding managing and treating dysphagia in the adult population. Caileen Harvey, Rachel Flemming, Julia Davis, and Victoria Reynolds investigate International Dysphagia Diet Standardisation Initiative implementation issues by surveying health care professionals in health care facilities in rural Upstate New York. Ankita M. Bhutada, William A. Broughton, Brenda L. Beverly, Dahye Choi, Sandip Barui, and Kendrea L. (Focht) Garand aim to identify the prevalence of dysphagia and reflux reported symptoms in patients with obstructive sleep apnea syndrome and determine associations between symptoms and demographic and clinical variables. Stevie Marvin summarizes published research on screening, evaluating, and treating post-extubation dysphagia in the intensive care unit. Rebekah Guastella, Stefania Oppedisano, Luis F. Riquelme, and Ashwini M. Namasivayam-MacDonald study bolus location at swallow onset, stage transition, pharyngeal transition duration, pharyngeal response duration, and pharyngeal phase duration between cued and uncued swallowing conditions in patients with dementia.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: This assemblage of articles provides information on interesting topics encountered in adult dysphagia practice. Aarthi Madhavan, Nicole Shuman, Claire Snyder, and Nicole Etter provide insight on the comparative consistency of the Eating Assessment Tool and Sydney Swallow Questionnaire scores for self-reported swallowing difficulties in a group of community-dwelling older adults completing both questionnaires. Georgina Papadopoulos-Nydam, Jana Maureen Rieger, and Gabriela Constantinescu evaluate the usability of a mobile health (mHealth) system designed for dysphagia exercise in persons with a history of stroke. Renata Mancopes, Fernanda Borowsky da Rosa, Lidia Lis Tomasi, Adriane S. Pasqualoto, and Catriona M. Steele demonstrate concern for people with chronic obstructive pulmonary disease (COPD) and share information regarding dysphagia in people with COPD, synthesizing knowledge both from the literature and from studies performed in the context of a multidisciplinary clinical pulmonary rehabilitation program abroad. Additionally, Talia H. Schwartz brings to light the importance and utility of the clinical swallow evaluation while caring for patients with COVID-19.
Presenter(s): Lori Burkhead Morgan, PhD, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This video course will focus on using evidence-based exercise practices in swallowing rehabilitation. The speaker will discuss the theoretical background and evidence for exercise science and then present exercise-based techniques that SLPs can implement with patients. Specific topics will include motor learning, skill vs. strength training, and muscle structure and function. Specific exercises will be discussed, including isometric lingual strength training, expiratory muscle strength training, chin tuck against resistance, Lee Silverman Voice Treatment, and more.
Presenter(s): Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: A thorough cranial nerve examination is an essential part of the speech-language pathologist’s evaluation of every patient. When performed, it is useful in the diagnosis of speech and swallowing disorders, and accurate diagnosis is crucial for development of a targeted, individualized treatment plan. This video course provides an overview of the neuroanatomy and physiology of the cranial nerve examination. Participants will receive detailed instructions for testing and interpreting findings of the cranial nerve examination. The course also describes common abnormalities observed for patients with impairment of cranial nerve function.
Presenter(s): Joseph Murray, PhD, CCC-SLP
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: An information-rich videofluoroscopic assessment can help clinicians determine which components of the complex oropharyngeal swallow need to be targeted for intervention. Visualizing all of the elements that contribute to a well-integrated or disordered swallow mechanism requires an ordered and disciplined review. This video course demonstrates methods to enhance clinicians' ability to perform a videofluoroscopic assessment and discern the discrete elements of the oropharyngeal swallow. Participants can practice determining the integrity or disorder of the swallow mechanism by viewing and interpreting case study video.
Presenter(s): Carmin Bartow, MA, CCC-SLP, BCS-S
Credit(s): PDHs: 3.0, ASHA CEUs*: 0.3
Summary: Endotracheal tubes, tracheostomy tubes, and ventilator dependency can have adverse effects on communication and swallowing. SLPs who take the lead role in remediating these impairments need to have the knowledge and skills to provide appropriate, safe, and evidence-based interventions. This streaming video course is designed for the SLP who has an interest in post-extubation dysphagia and in communication and swallowing challenges associated with tracheostomy tubes and ventilator dependency. The course reviews the literature and presents a “how-to” guide for managing these medically complex patients. Medical SLPs will walk away with strategies to best manage their patients who are experiencing complications due to artificial airways.
Presenter(s): Joseph Murray, PhD, CCC-SLP
Credit(s): PDHs: 4.5, ASHA CEUs*: 0.45
Summary: This course describes the elements of a complete clinical dysphagia evaluation – from consultation to instrumental exam – so clinicians can determine the appropriate evaluation tools for the individual patient. The course covers the key points to address in a consultation, how to discern the salient parts of a medical record, how to conduct an informative interview with the patient or caregiver, how to determine what tests and tools to employ in the clinical examination – and how to conduct it – and when to employ instrumentation.