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Free Webinar — Dysphagia Grand Rounds: To E-stim or Not to E-stim

The NFOSD is excited to collaborate with Dysphagia Grand Rounds to offer a free webinar on a hot topic. Read the article below and attend/register today!

Register

 

 

Date and Time: Thursday, May 11th , 2017 8:00 PM – 9:30 PM EDT

No CEUs will be offered for this webinar.

Webinar Description:

Evidence-Based Practice (EBP) is the integration of clinical expertise, patient values, and the current best research evidence, into the clinical decision-making process for patient care. Learning how to access, appraise and apply scientific evidence to clinical practice significantly enhances the opportunity for optimal patient outcomes and quality of life. Dysphagia Grand Rounds (DGR) is an online monthly journal club for speech-language pathologists, which focuses on swallowing and swallowing disorders across the lifespan. The goal of DGR is help clinicians learn how to critically appraise dysphagia research literature and to apply research evidence to clinical practice, with greater confidence and critical thinking. In this webinar, swallowing researcher and expert Dr. Ianessa Humbert and speech-language pathologist Rinki Varindani Desai introduce clinicians to Dysphagia Grand Rounds. Using the DGR format, they further discuss a research study regarding the effects of surface electrical stimulation on swallow function in patients with chronic pharyngeal dysphagia in detail. Clinicians are encouraged to read the open-access journal article below before viewing this webinar, to maximize their learning experience.

Article Details:

Title:​ Effects of Surface Electrical Stimulation Both at Rest and During Swallowing in Chronic Pharyngeal Dysphagia

Download Link​ (open-access): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1790908/

Abstract: We tested two hypotheses using surface electrical stimulation in chronic pharyngeal dysphagia: that stimulation 1) lowered the hyoid bone and/or larynx when applied at rest, and 2) increased aspiration, penetration or pharyngeal pooling during swallowing. Bipolar surface electrodes were placed on the skin overlying the submandibular and laryngeal regions. Maximum tolerated levels of stimulation were applied while patients held their mouth closed at rest. Videofluoroscopic recordings were used to measure hyoid movements in the superior-inferior (s-i) and anterior-posterior (a-p) dimensions and the subglottic air column (s-i) position while stimulation was on and off. Patients swallowed 5 ml liquid when stimulation was off, at low sensory stimulation levels, and at maximum tolerated levels (motor). Speech pathologists blinded to condition, tallied the frequency of aspiration, penetration, pooling and esophageal entry from videofluorographic recordings of swallows. Only significant (p=0.0175) hyoid depression occurred during stimulation at rest. Aspiration and pooling were significantly reduced only with low sensory threshold levels of stimulation (p=0.025) and not during maximum levels of surface electrical stimulation. Those patients who had reduced aspiration and penetration during swallowing with stimulation had greater hyoid depression during stimulation at rest (p= 0.006). Stimulation may have acted to resist patients’ hyoid elevation during swallowing.

Note: Participants are encouraged to read this article, prior to attending the NFOSD Dysphagia Grand Rounds webinar. Questions can be asked live or emailed to dysphagiagrandrounds@gmail.com.

Meet the Presenters: 

Dr. Ianessa Humbert, Ph.D., CCC-SLP​ is an Associate Professor at the University of Florida in the Department of Speech, Language, and Hearing Sciences. She has expertise in swallowing and swallowing disorders. Dr. Humbert’s research program is focused on the physiological mechanisms of swallowing disorders and development of rehabilitation strategies for dysfunction. More recently, a major interest of her program has been to understand the neural mechanisms underlying normal and disordered swallowing and how principles of motor learning can be applied to examine these as well as swallowing interventions. Dr. Humbert’s research has been steadily supported by grants from the National Institutes of Health, The American Heart Association, and The American Speech Language Hearing Association since 2006. Dr. Humbert is a widely sought after invited speaker at several national and international clinical and scientific meetings. She has created online courses for CEU credit on swallowing physiology and clinical practice, for which hundreds of clinicians have registered to date and is also the author of the Swallowing Pocket Guide: A Quick Reference for Muscles and Innervation, which has sold several hundred copies nationally and internationally.

 

Rinki Varindani Desai, M.S.,CCC-SLP is an ASHA-certified Speech-Language Pathologist and a BIAA-certified Brain Injury Specialist, specializing in the assessment and treatment of cognitive-linguistic and swallowing disorders in adults. She has extensively treated adults with dysphagia in the acute care and long-term care medical settings. She is trained in the use of Fibreoptic Endoscopic Evaluation of Swallowing (FEES), Myofascial Release for swallowing disorders and certified in the use of NMES (Vitalstim) for dysphagia management. Rinki founded the Medical SLP Forum and co-developed the mobile app Dysphagia Therapy . She serves on ASHA’s SIG 13 Editorial Review Committee as the CE Editor of Perspectives and on the Dysphagia Research Society’s Website, Communications and Public Relations Committee . She has spoken at several national and international conferences on topics related to dysphagia in adults. Her articles have been featured in popular SLP blogs such as The ASHA Leader , Medbridge Education , Tactus Therapy and Dysphagia Café . Originally an SLP from Mumbai, India; Rinki currently practices in Rochester, New York. You can follow her Medical SLP Blog on Facebook or reach out to her via LinkedIn or Twitter.

 

Learn more here (Resources)

● DGR Website: www.dysphagiagrandrounds.com

● DGR webinars can be downloaded at: http://dysphagiagrandrounds.yondo.com/ .

● Clinicians can earn 1.0 ASHA CEUs for participating in Dysphagia Grand Rounds by

downloading the DGR ASHA CEU bundle here:

http://dysphagiagrandrounds.yondo.com/playlist/dgr-ceu-bundle-2017/163

● Follow Dysphagia Grand Rounds on Facebook , Twitter and Subscribe to the email list

● Watch Dysphagia Grand Rounds Research 101 free webinar here:

http://dysphagiagrandrounds.yondo.com/playlist/freebie-research-methods-101/156

● Additional reading references will be provided during the course of the webinar related

to e-stim and swallowing

 

Medical disclaimer. This Webinar is for informational purposes only and should not be used as a substitute for consultation with an appropriate health care professional, as each individual’s medical situation is unique. It is important that you consult with your medical professional (e.g., physician, SLP) before implementing any course of treatment. Experiences that are new to you should be done with the help of a caregiver and when access to emergency medical care is available.



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Dysphagia and Multiple Sclerosis

Dysphagia was recently mentioned in the news, featuring its impact on patients with multiple sclerosis. Everyday Health, an online interactive blog, explains the most common causes of dysphagia in patients with MS, such as weakness and reduced coordination in a recent post titled, “Bite, Chew, Swallow: How to Deal with Dysphagia When You Have MS.”  Dysphagia expert, Dr. Martin Brodsky, answers questions related to the assessment, treatment, and management of swallowing disorders in this patient population.

To Read the Original Article: http://www.everydayhealth.com/multiple-sclerosis/symptoms/deal-with-dysphagia-when-you-have-ms/



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New Bedside Swallow Assessment Technique

University of Pittsburgh’s Swanson School of Engineering researcher, Dr. Sejdić, developed a new screening method for swallowing to be performed at the bedside. According to Dr. Sejdić, the assessment includes comparing and contrasting the sound and vibrations of normal swallows against swallows of patients with dysphagia to determine abnormalities. The goal of this is research is to provide a non-invasive method to detect dysphagia that could help to reduce patient risk and hospitalization.

Read the Original Article: http://www.engineering.pitt.edu/News/2017/Ervin-Sejdic-2017-NSF-CAREER/

 



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Dysphagia in the News

A recent article written by Megan Shea at the Gainesville Scene, “Hope is in the Science,” continues to raise awareness of swallowing disorders and their negative impact on the lives they affect.

Shea reviews a recent “Think Tank” gathering hosted by Drs. Emily Plowman and Ianessa Humbert at the University of Florida. Here, expert swallowing clinicians and researchers convened to discuss the future of the treatment and management of swallowing disorders.

Also mentioned in the article, is awareness being raised by those affected by dysphagia including Lisa Ingrassia’s fund established in memory of her father, who suffered from Stage IV head and neck cancer and recently passed away due to complications from dysphagia.

Read the Article: http://gainesvillescene.com/2017/01/30/science-behind-swallowing/

 



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Your Cancer Game Plan

Pro Football Hall of Famer Jim Kelly is sharing his personal experience as part of “Your Cancer Game Plan.” This new awareness campaign focuses on tackling the emotional, nutritional and communication needs of those facing cancer. To help address these challenges the campaign aims to provide support and resources, including Kelly’s video on how to remain positive along with healthy recipes for those with head and neck cancer.  Jim’s hope in sharing his experience is to inspire others to act and know their game plan.

Your Cancer Game Plan is a collaboration between U.S. and International industry and patient advocacy groups. Click here for further information.