Effective strategies employed in the management of swallowing dysfunction in adult populations involve compensations, rehabilitation and prevention. Recognizing the appropriate domain of intervention and utilizing the appropriate tools within each category are vitally important. This course provides an overview of these domains of intervention and defines principles and rationale for food and liquid modifications. Dr. Crary describes the various maneuvers and postural adjustments that are employed in therapy and discusses the role of oromotor exercises in dysphagia treatment with emphasis on principles of motor learning and exercise.
For students interested in learning more about the future of swallowing evaluation and treatment, consider attending the Florida Dysphagia Institute 2.0 - a week long course featuring Dr. Michael Crary and Dr. Giselle Carnaby. The course takes place in Orlando, FL, and includes 32 Hours of CEUs with practical application, exhibitors and receptions. For more information visit the course WEBSITE or download the course BROCHURE.
Dr. Michael Crary is a professor in the Department of Communication Sciences and Disorders and Director of Swallowing Research Laboratory at the University of Central Florida, Orlando, FL. Dr. Crary specializes in disorders of swallowing in adults. He has published and lectured extensively, including internationally on these topics. He has received research funding from multiple sources including the NIH, Florida Department of Health, Shand’s Healthcare System, and corporate research sponsors. He is the lead investigator on a patent for an automated technology to identify dysphagia in acute stroke patients. Dr. Crary’s clinical achievements were recognized in 1994 with the Florida Speech-Language and Hearing Association’s Clinical Achievement Award, and in 1995 with the American Speech-Language-Hearing Association’s Outstanding Clinical Achievement Award. In 1998 he was recognized as a Fellow of the American Speech-Language-Hearing Association. In 2005 he was awarded the Medal of Merit from his alma mater, Ohio University. In 2012, he was awarded the University of Florida Inaugural Diversity and Inclusion Award. He is a member of the American Speech-Language and Hearing Association and the Dysphagia Research Society. Dr. Crary remains active in patient care.
In the first chapter of this course, Dr. Crary describes the theoretical and practical components of dysphagia management impacting prevention, compensation, and rehabilitation. Participants will learn to define and identify various management approaches that impact prevention, compensation, and rehabilitation.
This chapter identifies common food and liquid modification practices in dysphagia management, including benefit and risk factors with each. Dr. Crary demonstrates how to incorporate advanced practices of modified foods and liquids into dysphagia management.
Dr. Crary explains the intended applications and benefits for various swallowing maneuvers and postural adjustments employed in traditional dysphagia management. Participants will learn the proper application of each maneuver and adjustment, including appropriate patient selection and potential risk factors for each.
This chapter presents oromotor exercises that have traditionally been applied to swallowing rehabilitation. Participants will gain an understanding of the strengths and limitations of traditional oromotor exercises for swallowing rehabilitation.
Participants will gain an understanding of basic exercise principles as applied to dysphagia rehabilitation. Dr. Crary discusses current exercise-based dysphagia rehabilitation programs with reference to applied exercise principles. Participants will be able to demonstrate appropriate application of exercise-based rehabilitation approaches and compensatory approaches to dysphagia management.
Speech-language pathologist Dr. Robert Miller joins Dr. Crary for a question and answer session. The discussion covers key issues in dysphagia therapy, including alternatives to the standardized dysphagia diet and how studying groups of young healthy individuals can present limitations when you extend that research to wider patient populations.