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Myofascial Release and Other Manual Techniques in Dysphagia Management

CIAO Seminars


Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy / Speech-Language
Contact Hours:   12
Registration Fee:   $315


Objectives
At the completion of this course participants will be able to:
  • Review the anatomy and physiology pertaining to myofascia specific to deglutition and discuss the kinesiology of a successful swallow
  • Explain abnormal pathophysiology and myofascial restrictions as they relate to dysphagia; radiation fibrosis, surgical scarring, tracheostomy, etc.
  • Describe consequences of muscular and soft tissue dysfunction and their effects on swallowing; spasticity, imbalance, etc.
  • Discuss the indications, precautions and contraindications for myofascial mobilization in the context of dysphagia
  • Identify postural dysfunction and complications as they relate to dysphagia
  • Demonstrate evaluation and basic mobilization skills and modifications for intra- and extra-oral soft tissue, hyolaryngeal motion and postural dysfunction
  • Identify and relate the significance of myofascial pain in trigger points to deglutition and apply specific manual techniques in approach to treatment
  • Describe basic structure and dysfunction in the temporomandibular joint with specific application to trismus and mastication
  • Identify a proper treatment approach utilizing manual techniques through multiple case study based on the significant findings in evaluation
  • Discuss appropriate documentation and reimbursement issues

    Target Audience
    APPROPRIATE DISCIPLINES:
    • Physical Therapy
    • Occupational Therapy
    • Speech Language Pathology
    • Speech Language Pathology Asst
    • Physical Therapy Asst
    • Certified Occupational Therapy Asst

    Confirmation Notes
    Contact hours pre-approved for:
    12.0 hours (1.2 CEUs) PT/PTAs; OT/COTAs; SLP/SLPAs (unless otherwise noted)
    CIAO is an AOTA Approved Provider #4119 (OT/COTAs)
    CIAO is an ASHA Approved Provider #AAWA (SLP/SLPAs)
    CIAO is an IACET Approved CE Provider

    This course meets PDU requirements for NBCOT (12 PDUs)
    This course is offered for 1.2 ASHA CEUs (Intermediate level, Professional area) CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT

    CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
    This activity is provided by the TBPTE Accredited Prov. #CIAO032010TPTA2013009
    This activity meets the continuing competence requirements for PT/PTA license renewal in TX
    12.0 Hrs PT/PTAs in AL, CA(CERS#11-30044-2),IL,LA,MD,MS,NC,NJ(346-2012),NY,OH(10S0826)
    12.0 Hrs PT/PTAs in PA(PTCE001778),TX(12CCUs)
    14.5 hrs. PT/PTAs and OT/COTAs in FL (CP120718573) CE Broker #20-200645

    Course meets requirements for:

    Call CIAO 888-909-CIAO(2426) if you have questions about CE Approval
    12.0 hrs SLP/SLPAs in all states
    12.0 hrs OT/COTAs in GA, MO, NC, OH, TX(type 2)
    Cancellation Policy A full refund will be given if CIAO cancels the seminar for any reason or if you request cancellation of your paid registration at least two weeks before the seminar. Cancellations within two weeks of the seminar will be refunded by a voucher for 80% or 50% of the paid registration*. Refunds will not be provided to those who do not cancel or for those who begin a course but do not complete it.
    Registered participants that do not show, do not cancel and have not paid will be required to pay the total course fee before registering for any other CIAO event. CIAO reserves the right to cancel a conference in the event of an unforeseen circumstance, or if the minimum acceptable registration is not attained. In the event of a cancellation, CIAO is obligated to refund the registration fee only. However, should any course be cancelled, CIAO will reimburse the airline change fee up to $100 only (with documentation) for registrants only.
    For VitalStim Registrants - if the MBS portion is begun or completed, then the refund policy will cover the onsite portion only.
    *For Refreshers/Auditors - "No Shows" or failure to cancel at least 2 weeks in advance of course date are not eligible for a refund. A $50.00 fee will be charged to participants who transfer to another course within 2 weeks of the original course.

    Agenda
    Day 1
    07:30 - 08:00 Registration and continental breakfast
    08:00 - 08:15 Introductions and program overview
    08:15 - 10:00 Anatomy refresher and kinesiology of deglutition
    10:00 - 10:30 Review normal and abnormal swallow, dysphagia problem set
    10:30 - 10:45 Morning Break
    10:45 - 11:00 Laboratory: palpation and myofascial assessment
    11:00 - 12:00 Normal and abnormal physiology of the myofascial system, dysphagia focus
    12:00 - 01:00 LUNCH (on your own)
    01:00 - 03:00 Laboratory: myofascial assessment and techniques of the anterior neck and oral cavity
    03:00 - 03:15 Afternoon Break
    03:15 - 03:30 Special topics: Salivation and lymphatics
    03:30 - 04:00 Laboratory: enhancing salivation
    04:00 - 04:30 Case study; incorporating manual therapy into dysphagia treatment; Questions and closing comments

    Day 2
    07:30 - 08:00 Registration (continental breakfast)
    08:00 - 09:00 Postural dysfunction and its influence on swallowing with MBS review
    09:00 - 09:15 Laboratory: palpation posterior cervical, thoracic and shoulder girdle
    09:15 - 09:30 Anatomy and biomechanics of the TMJ and cervical spine
    09:30 - 10:00 Laboratory: gentle mobilization of the TMJ, dysphagia focus
    10:00 - 10:15 Morning Break
    10:15 - 12:00 Laboratory: myofascial assessment and techniques for seated positioning
    12:00 - 01:00 Lunch (on your own)
    01:00 - 01:30 Muscular trigger points and myofascial pain syndrome, dysphagia focus
    01:30 - 02:00 Laboratory: myofascial assessment and trigger point release
    02:00 - 02:15 Case study; incorporating manual therapy into dysphagia treatment
    02:15 - 02:30 Topics in documentation, successful goal setting and reimbursement: Questions and closing comments


    Description
    This interactive two-day workshop for rehabilitation teams will address evaluation and current treatment techniques appropriate for soft tissue and joint limitations that contribute to an abnormal swallow. The lecture reviews muscular and fascial anatomy tying kinesiology into a discussion that relates specific soft tissue mobilization techniques appropriate to improving all stages of the swallow; oropharyngeal, hypopharyngeal and pharygoesophageal. A thorough discussion will relate the impact of scar tissue formation and immobility on mechanical and neurological aspects of the functional swallow. Interpretation of common pathology and symptomatology on both bedside exam and MBS review are introduced. Additional course objectives include postural impairment, functional anatomy and biomechanics of the temporomandibular joint with an informative and focused laboratory component providing OTs, PTs and SLPs with basic practical skills in palpation, seating and positioning and soft tissue assessment and mobilization as it pertains to dysphagia in clinical practice. The majority of this course will be in functional, hands-on application with frequent case study discussion to identify impairments and exemplify the use of manual therapy through myofascial release techniques. The emphasis of this practical seminar is placed on the relationship of soft tissue and joint articulations whereby applying theory to practical intervention with manual therapy adds a whole new dimension to patient care.

    Note: Registration for this course includes the pre-requisite online course "Anatomy of Swallowing" (you will receive an additional 4 hours for completion of this online course) All course registrants must successfully complete the online Anatomy of Swallowing course prior to attending the live Myofascial Release course so it is fresh in your mind.

    Dates and Locations
     
    Register Address:   , Detroit, Michigan
    Location:   Detroit Airport Marriott
    Dates:   07-13-2013 - 07-14-2013
    Instructor(s):  
    Accommodation(s):  

    Register Address:   , Irvine, California
    Location:   Crowne Plaza Costa Mesa Orange County
    Dates:   08-03-2013 - 08-04-2013
    Instructor(s):  
    Accommodation(s):  

    Register Address:   , Biloxi/Gulfport, Mississippi
    Location:   Courtyard by Marriott Gulfport Beachfront
    Dates:   08-17-2013 - 08-18-2013
    Instructor(s):  
    Accommodation(s):