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Myofascial Release and Treatment of Dysphagia

Angela Hein Ciccia, PhD, CCC-SLP

March 16, 2009

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Question

What is the current thinking and/or clinical research on the effectiveness of myofascial release when used with dysphagia patients?

Answer

Myofascial Release can help with speech, dysphagia, TMJ, breath support/respiration, voice disorders, aphasia, just to name a few. There are hyoid releases, thoracic techniques, cervical techniques, as well as intra-oral techniques which help open up the intraoral structures, allowing for ease of swallowing, improved swallow reflex, improved tongue mobility for increased ability to manage food and mastication.

The drag that can be created on the fascial system can transmit excessive pressure (2,000 lbs per square inch) into the hyoid, cervical, and TMJ apparatus. Neurologically the downward drag can put pressure on the trigeminal nerve that innervates the TMJ area and muscles of mastication and/or glossopharyngeal and hypoglossal nerves, producing symptoms in the regions that Speech Pathologists treat everyday.

More and more Speech Pathologists are coming to the John F. Barnes' Myofascial Release Seminars. They are reporting back to us that after taking the seminars that their patients are doing significantly better, making incredible gains in their progress and these SLP's are now doing only Myofascial Release in their practice. For more information, please call 1-800-327-2425 (1-800-FASCIAL), and visit our website www.myofascialrelease.com.

Donna Killion, MS, CCC/SLP, LMT received her Masters of Science in Speech Language Pathology from James Madison University in 1992 and her Bachelor of Science in Mathematics from Allegheny College in 1988. She is currently a senior instructor with the John F. Barnes Myofascial Release Seminars along with her work as a Speech Pathologist and Licensed Massage Therapist at the Myofascial Release Treatment Center in Paoli, Pennsylvania and Therapy on the Rocks in Sedona, Arizona.


angela hein ciccia

Angela Hein Ciccia, PhD, CCC-SLP

 Angela Hein Ciccia, Ph.D., CCC-SLP is an assistant professor in the Department of Psychological Sciences. Dr. Ciccia's research focuses on factors that impact children's ability to recover/develop in the presence of a diagnosis of an acquired (i.e., new onset) and/or developmental neurogenic communication disorder. Dr. Ciccia is also interested in the use of novel service delivery models (including telemedicine) to enhance access to rehabilitation/support services for these children. She is the current Co-Chair of the Pediatric Networking Group of ACRM and a member of the Pediatric/Adolescent TBI Task Force of ACRM. 


Related Courses

Supporting Students with Traumatic Brain Injury
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  'presenter offered good suggestions for various treatment options and what to be aware of'   Read Reviews
Needs and challenges of students with traumatic brain injury (TBI) related to the return-to-learn process and long-term management are described in this course. SLPs' role in the TBI interdisciplinary team, and their ability to provide support for this population by capitalizing on the skills and techniques they already use in daily clinical practice, are also discussed.

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This course will focus on the prevalence of traumatic brain injury (TBI) and concussion in children and teens, the communication issues that can occur as a result, and recovery patterns. Current treatment guidelines - including return-to-learn protocols - and the role of the speech-language pathologist in the rehabilitation process will also be discussed.

Adverse Childhood Experiences: Effects on Brain, Behavior and Clinical Practice
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  'The knowledge of the presenter and the expansion on additional ACEs was very helpful'   Read Reviews
This course provides a brief review of conventional and expanded adverse childhood experiences and discuss their implications. Specifically, the impact of Adverse Childhood Experiences (ACEs) on brain and behavior and the importance of this information to clinical practice for speech-language pathologists are described. This course is presented in partnership with the American Board of Child Language and Language Disorders (ABCLLD).

Thickened Liquids in Clinical Practice: The Plot “Thickens”
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  'Very knowledgeable'   Read Reviews
Clinicians who utilize thickened liquids in their clinical practice are aware of their benefits, but what about the risks and contraindications? Advantages and disadvantages of thickened liquids are reviewed in this course with a focus on clinical outcomes, including impacts on medication administration, lung health, and hydration. Product types are evaluated to facilitate appropriate choices for individual clients.

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Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.

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