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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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My Failed Swallow: A Disability, Not a Mindset

Byline: Samantha Anderson, AustraliaSamantha working at an instore event in one of her galleries

I could have written this from so many different angles. The fear I faced waking up in an unfamiliar body. The frustration of struggling to find help in a medical system so geared to common ailments and diseases and learning that there is no one who can help. The disgust at how women are treated and pigeonholed as “emotional” or “depressed” – being told “Sweetheart, you’ve just forgotten how to swallow” is so demeaning and disrespectful. Being an outsider in your own life – not taking part in family meals or celebrations. Work functions and events that all center around food and champagne. Friends that don’t know how to catch up if not over coffee, and family that can’t come to visit without planning a barbecue. Or how to deal with food, food and more food being shoved in your face everywhere: magazines, billboards, TV, in the streets, friend’s houses, supermarkets, restaurants, cafés, even in your own home. And how when you’re starving, it’s pure torture.

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Welcome to the NFOSD Community Forum!

Already Registered?
Click Here to Log inWelcome to the NFOSD Community Forum! The purpose of this online discussion board is to connect those impacted by dysphagia with others  – this includes patients, families, caregivers, friends, and professionals who help treat swallowing disorders. This forum allows you to easily share your stories, resources, questions, answers, and support with others.

We have created several topics, including Head and Neck Cancer and Pediatric Dysphagia, to help you get started. The forum allows you to search for specific content. If you don’t see what you’re looking for, email us at info@nfosd.com, and we will start another topic!

So, how does it work? First, you will need to register. Registration is free and requires a user name and a valid email address. Why? This helps prevent spam from being posted on our site.

The NFOSD Community Forum is designed to be a safe and comfortable place to share your thoughts. To help keep it this way, you must agree to our Terms of Use to register.

We have tried to make the Forum as user-friendly as possible. If you are unsure how to write or respond to a comment on the Forum, please email us at info@nfosd.com and we would be happy to explain the process. Please note that you can only post a new comment or response every 5 minutes. Make a typo? You will have 5 minutes to edit your post. After that time, if you want to change the content, you will need to contact us.

Do you have ideas to help improve the NFOSD Community Forum? We’d love to hear about them! Email us your feedback at info@nfosd.com.

Ready to get started? Click Here To Register!

Already registered? Click Here To Sign In!

 



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Swallowing Apps for Patients and Clinicians

By: Elizabeth Lipton, CCC-SLP

Picture this: It’s your first day as a clinical fellow in the Speech Pathology department. You look up the information on your first patient; 55 year-old male with base of tongue cancer experiencing difficulty swallowing 4 weeks into his radiation treatment. You review his swallow study results and consider the best plans for swallowing treatment.

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Breaking news – A potential game changer for patients with profound oropharyngeal dysphagia

Breaking news – The Swallow Expansion Device (SED) – a potential game changer for patients with profound oropharyngeal dysphagia. In early January 2015 the SED was implanted into Jeff Mauerman, a cancer survivor who is feeding tube dependent due to oropharyngeal dysphagia. This is the first FDA Approved Clinical Trial that allows a Medical Piercing to Control a Body Sphincter (Part 1 of 2)

Byline: Ed Steger, President, National Foundation of Swallowing Disorders

Disclosure: Dr. Peter Belafsky is the Medical Director of the National Foundation of Swallowing Disorders.

[Editor’s note. This story is based on an interview between Jeff Mauerman and Ed Steger that was conducted on February 4, 2015.  This is five weeks after surgery and two months before he will know the extent, if at all, to which he will be able to swallow again.]

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