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Effects of Transcutaneous Electrical Stimulation during Dysphagia Management: What it does and whether it alters recovery

Presenter	Course	Action
Christy L. Ludlow	The Effects of Transcutaneous Electrical Stimulation During Dysphagia Management: What it does and whether it alters recovery CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Text Course: #5162 · Duration: 1 hour Dr. Ludlow will review what is known about the effects of using electrical stimulation on the surface of the neck and how it affects swallowing in patients with dysphagia. She will then discuss the evidence to date on whether adding e-stim to a therapeutic regimen benefits patients’ recovery to a greater degree than traditional therapy alone and in which types of patients. Finally, recent research will be reviewed regarding the use of e-stim in the pediatric population and caveats concerning the use of smaller electrodes in these patients will be discussed with recommendations.	Register Now!

November 2, 2011

Communication access realtime translation (cart) is provided in order to facilitate communication accessibility and may not be totally verbatim. The consumer should check with the moderator for any clarifications of the material.

>> Amy Natho: I would like to welcome you to this week's SpeechPathology.com Virtual Conference on Dysphagia Management. We're very pleased that all of you would join us today and hopefully you'll be joining us throughout the week to hear the latest on dysphagia management from a really fantastic group of presenters. Today's seminar is entitled, “Effects of Transcutaneous Electrical Stimulation during Dysphagia Management: What it does and whether it alters recovery.” It is presented by the very talented Dr. Christy Ludlow. My name is Amy Natho and I'll be your moderator today for this online course. At this time it is a very great honor to introduce Dr. Christy Ludlow. Dr. Ludlow is Professor of Communication Sciences and Disorders at James Madison University and Director of the Laboratory of the Neural Bases of Communication and Swallowing. Dr. Ludlow has conducted research on the neurophysiology of voice, speech and swallowing and disorders for over 35 years. She has received the honors of the American Speech‑Language Hearing Association and the American Laryngological Association. Recently Dr. Ludlow has been investigating the use of motor and sensory stimulation in the rehabilitation of dysphagia and has developed new treatment regimens for the intensive retraining of swallowing. So welcome, Christy. Thank you so much for being here today.

>> Christy Ludlow: Thank you very much. I'm delighted that some of you are spending your lunch hour with me. We have got a fair amount to get through so in order to spend time on your questions I'm going to go ahead. Hello from the Shenandoah Valley. I have some pictures of our locale and hope you're enjoying your day.

Background

I'm going to start with the background on transcutaneous surface stimulation. It is currently being used by many as a tool to augment dysphagia therapy. Electrical stimulation as it is used as part of the commercial system VitalStim^® is placed on the patient and the level is turned up on the current that is being applied to the neck until the patient feels a tug. Then the stimulation is left on throughout an hour of dysphagia therapy.

I want to emphasize that one of the things you are told when you take the course and do certification, as I did in order to do some research on this, is to have the patient do effortful swallows throughout the hour. So a lot of what is going on, besides the electrical stimulation, is the patient doing a great deal of effortful swallowing. To determine the effectiveness of this treatment, then, we need to compare the dysphagia therapy with and without the use of electrical stimulation. Ideally, it would be when the patient is also doing effortful swallowing for a full hour but without electrical stimulation. Unfortunately, to date we don't have published studies doing just that, so we have to keep that in mind when we look at the literature, which we'll do a little later.

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Christy L. Ludlow, Ph.D., CCC-SLP

Dr. Ludlow is Professor of Communication Sciences and Disorders at James Madison University and Director of the Laboratory on the Neural Bases of Communication and Swallowing. Dr. Ludlow has conducted research on the neurophysiology of voice, speech and swallowing and disorders for over 35 years. She has received the Honors of the American-Speech-Language-Hearing Association and the American Laryngological Association. Recently Dr. Ludlow has been investigating the use of motor and sensory stimulation in the rehabilitation of dysphagia and has developed new treatment regimens for the intensive retraining of swallowing.

Categories: Veteran Affairs (VA) courses, Dysphagia/Feeding Problems

Presenter	Course	Action
Christy L. Ludlow	The Effects of Transcutaneous Electrical Stimulation During Dysphagia Management: What it does and whether it alters recovery CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Recorded Course: #5105 · Duration: 1 hour Dr. Ludlow will review what is known about the effects of using electrical stimulation on the surface of the neck and how it affects swallowing in patients with dysphagia. She will then discuss the evidence to date on whether adding e-stim to a therapeutic regimen benefits patients’ recovery to a greater degree than traditional therapy alone and in which types of patients. Finally, recent research will be reviewed regarding the use of e-stim in the pediatric population and caveats concerning the use of smaller electrodes in these patients will be discussed with recommendations.	Register Now!
Michelle Tristani	Clinical Excellence in Dementia-Dysphagia Management CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Recorded Course: #3861 · Duration: 1 hour The Speech Pathologist is often challenged clinically and professionally when the diagnoses of Dementia and Dysphagia is combined. Nutrition, hydration and quality of life are at stake. Assessment overview of Dementia and Dysphagia focuses on oral apraxia, oral acceptance, and oral preparatory skills. The SLP must uphold clinical recommendations based on bedside dysphagia and instrumental exams while simultaneously supporting the patient's right to refuse, preservation of dignity and quality of life. This seminar generates innovative diagnostic and treatment techniques, modifications and tools to effectively manage this powerful combination of disorders.	Register Now!
Nancy Swigert	Ethics & Dysphagia Management CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Recorded Course: #3281 · Duration: 1 hour When evaluating and treating adult patients with dysphagia, the SLP is often confronted with ethical dilemmas. A review of pertinent case law and principles of medical ethics will introduce a discussion about the SLP's relationship to the patient, payer, and physician in regards to decision making about quality of life issues. An example of one hospital's Speech-Language DepartmentL	Register Now!
Cynthia R O’Donoghue	Putting the Pieces Together: From research to practice in dysphagia management CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Recorded Course: #5110 · Duration: 1 hour This course will develop the participants' understanding of recent advancements in dysphagia management. This speaker provides a cumulative review of the Dysphagia Virtual Conference series with particular focus to implementation in clinic practice. Considerations for changing practice patterns through an informed, evidence based perspective are highlighted. Case scenarios as well as opportunities for organizational improvement will be discussed.	Register Now!
Eric Blicker	Dysphagia in the Trach and Vent Population CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; CASLPA/1.0 Text Course: #4159 · Duration: 1 hour The presentation is designed to guide the clinician through the process of assessment and treatment of patients with tracheostomy tubes and/or those patients who are ventilator dependent. The presentation will focus on tracheostomy tube sizing, speaking valve use, multidisciplinary team approach, trach cuff status, clinical assessment, and instrumental dysphagia assessment as components of patient care.	Register Now!

Effects of Transcutaneous Electrical Stimulation during Dysphagia Management: What it does and whether it alters recovery

November 2, 2011

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