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Webinar Recording: High-Resolution Manometry

When Images Aren’t Enough: High-Resolution Manometry in Complex Dysphagia

Presented by Molly Knigge, MS, CCC-SLP, BCS-S

Click Here for recording of the live webinar broadcast on April 7, 2015

Description: This presentation will review how high-resolution manometry transitioned from a research technology to a clinical tool. The opportunity to measure pressures may provide the clinician a more complete profile for planning treatment for patients with complex dysphagia. Case examples will be presented demonstrating the opportunities that manometry offers to investigate pressure events during swallowing.

Bio: Molly A. Knigge, MS, CCC-SLP, BCS-S, specializes in evaluation and treatment of swallowing disorders, as well as laryngectomy rehabilitation at the University of Wisconsin Hospitals and Clinics in Madison, Wisconsin. She was awarded board specialty recognition in swallowing (BCS-S) in 2009. Practice areas of interest include clinical application of high-resolution manometry and instrumental biofeedback in treatment of oropharyngeal swallowing disorders.

 



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Nutrition and Dysphagia

fruitPresented by Laura Michael

Click here for a recording of the live webinar broadcast on January 27, 2015.

Description: Managing and maintaining nutritional and hydration needs for someone with dysphagia can be especially challenging.  In this presentation, Laura Michael will discuss the importance of meeting one’s nutritional needs and how to make foods and beverages safe, palatable, and pleasing. Ms. Michael will discuss her first-hand experience of caring for her father when he developed dysphagia due to Lewy Bodies Dementia and how she was able to translate all her industry knowledge and cooking skills to help her mother and others care for her ailing father.

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How To Thicken Liquids

Laura Michael, nutritionist and NFOSD board member, shows us various ways to thicken your liquids. Watch the video below!

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Oropharyngeal Strengthening to Improve Swallowing

Presented by Dr. JoAnne Robbins and Jackie Hind.

Click here for a recording of the live webinar broadcast on December 2, 2014.

Description: Age-related muscular atrophy, or sarcopenia, is linked to the decline in head and neck muscle strength observed with advancing age and is a key cause of dysphagia.  Reduced muscle strength leads to lower oropharyngeal pressure generation for safe propulsion of food and liquid through the mouth and throat. This decline in pressure generation has important clinical implications in that older individuals are at increased risk for dysphagia when they have acute or chronic medical conditions such as stroke, head and neck cancer or Parkinson’s disease. Isometric Progressive Resistance Oropharyngeal (I-PRO) therapy for the muscles of the oropharynx is an emerging rehabilitation technique for dysphagia that strengthens the muscles of the mouth and throat. The purpose of this presentation will be to review I-PRO therapy and present data from recent studies that support its clinical use.

Dr. JoAnne Robbins, PhD, CCC-SLP, BCS-S

Bio: JoAnne Robbins, PhD, CCC-SLP, BCS-S is a Professor at the University of Wisconsin-Madison in the School of Medicine and Public Health with affiliations in the Departments of Medicine, Radiology, Nutritional Sciences, Food Science and Biomedical Engineering and is Associate Director of Research for the Geriatric Research Education and Clinical Center (GRECC) at the William S. Middleton Memorial Veterans Hospital.  Dr. Robbins is the founder and director of the UW/VA Swallowing Speech And Dining Enhancement (SSWAL-ADE) program and is known nationally and internationally as a leader in the area of swallowing disorders and dysphagia rehabilitation. She has received continual federal funding for innovative clinical research from the National Institutes of Health (NIH), the Department of Veterans Affairs and the United States Department of Agriculture since 1984 while continuing a clinical practice, as it is the patients who fuel Dr. Robbins’ research program. More than 70 peer-reviewed publications demonstrates the immense impact that Dr. Robbins’ science has had not only on the profession of speech pathology, but also on the fields of neurology, otolaryngology, gastroenterology, gerontology, neuro-rehabilitation, nutrition and food science.

 
Jacqueline Hind, MS, CCC-SLP, BCS-S

Bio: Jacqueline Hind is the Program Manager for the Swallowing Speech and Dining Enhancement Program and Senior Speech Pathologist at the University of Wisconsin-Madison School of Medicine and Public Health and the Madison VA Geriatric Research, Education and Clinical Center and the Director of Clinical Development for Swallow Solutions, LLC. She is a Board Certified Specialist in Swallowing, has more than twenty publications in peer-reviewed journals and holds a US patent through the Wisconsin Alumni Research Foundation.

 



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The role of electrical stimulation in the treatment of dysphagia

Presented by Dr. Christy Ludlow, Ph.D.

Click here for a recording of the live webinar broadcast on August 27, 2014. This video includes a 13 minute opening introduction and then a one hour presentation by Dr. Ludlow.

Description: Elevation of the hyoid and larynx help to close the vestibule to protect the airway during swallowing. Individuals with dysphagia sometimes have reduced or delayed hyo-laryngeal elevation, which can put them at risk for aspiration. Surface electrical stimulation is currently used during therapy for dysphagia.  Dr. Ludlow’s presentation will provide recent information about the physiological effects of surface electrical stimulation during swallowing and what evidence is available on whether it is effective as a therapy for patients with dysphagia.

Presenter: Dr. Christy Ludlow is currently a Professor at James Madison University (JMU) in the Department of Communication Sciences and Disorders where her research interests include manipulating neural control for dysphagia rehabilitation.  Dr. Ludlow received a B.S. degree in physiological psychology and an M.S. degree in speech pathology and audiology from McGill University. After completing her clinical training, she received her Ph.D. in speech pathology and psycholinguistics from New York University. Dr. Ludlow then moved to the National Institute of Neurological Disorders and Strokes (NINDS) in 1974 where she supervised grants and contracts on voice and speech research. In 1988 she moved fulltime to the intramural program and developed a laboratory program studying the neural control of voice, speech and swallowing.  Dr. Ludlow received Honors of the American Speech-Language-Hearing Association in 2005 and the 2006 Award of the American Laryngological Association. Dr. Ludlow’s research covers the neurological organization and control of laryngeal function in voice, speech and swallowing, the pathogenesis of idiopathic voice and speech disorders, and the effects of functional electrical and sensory stimulation in severe swallowing disorders.