Continuing Education

NMES and sEMG in Dysphagia  Management: The Guardian Way® Course Description

The Guardian Way® is a fundamentally different approach to dysphagia treatment that combines NMES (neuromuscular electrical stimulation) with sEMG (surface electromyography) biofeedback for objective and quantifiable outcomes in an engaging, interactive format.

Our mission at Spectramed is to lead the way in the advancement of rehabilitation tools to restore function to the highest level possible to improve the quality of life for all patients. We believe clinicians and patients alike should have access to the most comprehensive therapy suite in a global market.

The Guardian Way® is a program designed to train speech-language pathologists in a protocol, which utilizes fundamental electrophysiological principles of (NMES) combined with (sEMG) that have been used successfully for over thirty years in neurorehabilitation and applies these principles to the treatment of dysphagia across the lifespan.

Developed by expert speech-language pathologists, Guardian Therapy is a fundamentally different approach for the treatment of dysphagia. Guardian Therapy uses NMES and sEMG to promote improved strength, timing and reeducation of swallowing musculature.

Participants will understand and learn how to apply the fundamental principles of NMES and sEMG for the treatment of dysphagia as independent entities and as the therapeutic fusion of ETS which combines NMES and sEMG biofeedback. The price of the course includes the latest device for not only a tremendous value of CEUs plus state of the art equipment but also for the immediate practical application of the Guardian Way® the next time you treat patients!

The course will teach underlying key scientific principles including  electrophysiology, neuroplasticity, neuromuscular retraining and biofeedback, anatomy/physiology, etiological concerns, efficacy data supporting treatment outcomes, details of treatment, including hands-on practice, and practical considerations. The impact of NMES treatment on cortical re-organization from pre/post neural imaging data will be presented. An analysis of the historical and current evidence will also be shared.

This highly efficacious treatment technique is safe, affordable, painless and can prevent the occurrence of deadly complications. The additional component of sEMG biofeedback provide clear objective, normative date for evidence based practice and supportive documentation for reimbursement. The use of gaming technology through bluetooth apps provides an interactive, engaging format for optimal physiological change.  NMES and sEMG/biofeedback are excellent tools for the clinician with hopes of affecting a positive change in swallow function.

This training is offered for 1.35 ASHA CEUs (advanced level, professional area)

Learning Objectives:

Define NMES and describe the properties of electrical stimulation and its impact on muscle tissue.

Define sEMG and describe its function in analyzing and recording the electrical     energy of  muscle movement

Identify the medical conditions for which NMES is indicated for the treatment of dysphagia

Determine the candidacy criteria for the use of NMES in the treatment of dysphagia

Identify the characteristics of NMES stimulation and discuss the importance of the    properties of electrodes

Discuss and demonstrate the application of the  The Guardian Way® therapeutic protocol in the treatment of dysphagia

Describe and justify why there is a continued need for traditional swallowing exercises in conjunction with NMES

Explain why adjustable electrical stimulation parameters maximize therapeutic outcomes

Demonstrate effective communication skills for patient education regarding the treatment of dysphagia and the use of NMES and sEMG.  

Spectramed, Inc. has developed and patented licensed technology trademarked as the The Guardian Way®. Because there are no other like-kind protocols available, course offerings will only cover information that pertains to the effective and safe use of the above named intellectual properties.

Spectramed,-Inc-logo-short

This course is offered for 1.35 ASHA CEUs (Advanced level, Professional area)

Course Instructors:

 

 

marissa_headshot

Marissa A. Barrera, MS, MPhil, MSCS, TSHH, CCC-SLP, PHD

Co-founder of The Guardian Way®

Dr. Barrera is an internationally recognized Speech-Language Pathologist and Multiple Sclerosis Certified Specialist.  Marissa is also the co-founder of The Guardian Way® as well as a certified Guardian Way® course instructor.  She has extensive training in the evaluation and treatment of individuals with neurological conditions and is a leading expert on the Guardian NMES swallowing treatment.

As an respected researcher and author, Dr. Barrera has lectured around the globe on a wide range of clinical care topics ranging from dysphagia, NMES, motor speech disorders, cognition and neurogenerative diseases.  She is a professor of adult neurogenic and swallowing disorders at Yeshiva University in NYC. She is a member of the prestigious Clinical Advisory Committee of the National MS Society and the Multiple Sclerosis Foundation Advisory Board.

Dr. Barrera is also the founder and owner of the New York Neurogenic Speech-Language Pathology PC, with offices both in New York City and Brooklyn.  She graduated college summa cum laude, received her Masters of Science from Columbia University, as well as her Masters of Philosophy and PhD from the CUNY Graduate Center.

Disclosure:

Financial: Dr. Barrera receives compensation as a course instructor.

Non-financial: No royalties or proceeds are provided as Co-founder of the Guardian Way
 

 

Nancy Calamusa, MA, CCC-SLP, is a speech-language pathologist and internationally recognized clinician specializing in the pediatric population (Neonatal Intensive Care Specialist, Pediatric Feeding / Swallowing Specialist). Ms. Calamusa is the Director of Pediatrics for The Guardian Way® and a certified Guardian Way® course instructor.

She has more than 20 years of experience in pediatric dysphagia and has been utilizing NMES for the treatment of feeding and swallowing disorders for over 10 years. Certified in the use of neuromuscular taping, Ms. Calamusa uses a wide array of modalities apart of her specialized treatment approach. Over the past 25 years, she has worked in both hospitals (Robert Wood Johnson University Hospital & Bristol Meyers Squibb Children’s Hospital) and specialized private clinics (Douglass Developmental Disabilities Center, Woodbridge Developmental Center). Ms. Calamusa is the owner of New Jersey Pediatric Feeding Associates & Therapy Center which actively treats children from all over the world. 

Disclosure:

Financial: Ms. Calamusa receives compensation as a course instructor.

Non-financial: No royalties or proceeds are provided as Co-founder of the Guardian Way
 
 
 

 

 

NMES AND SEMG IN DYSPHAGIA MANAGEMENT:

THE GUARDIAN WAY®

WEBINAR

Day 1

7:45am – 8:00am Pre-Test

8:00am – 8:15am Introduction to course

8:15am – 9:00am Fundamentals of Swallowing

9:00am – 9:30am Prevalence and Management of Swallowing Dysfunction

9:30am – 9:45am Introduction to Electrotherapy

9:45am – 10:15am Examining the Evidence Historical Research Current Evidence Challenges of Interpretation

10:15am – 10:30am Break

10:30am – 11:45am NMES Fundamental Principles of Electrotherapy (waveforms, hertz, pulse duration, ramp, amplitude etc.) Neuroplasticity and cortical reorganization The Guardian Way® Protocol Implementing the Protocol, Electrode placement and Rationale Determining Candidacy, Contraindications, Cautions Goals of treatment, Typical session, Demonstration

11:45am – 12:45pm Facial Stimulation Etiology of Facial Nerve Dysfunction Anatomy/Physiology Scoring Asymmetry Electrode Placements, Rationale and Demonstration

12:45pm – 1:00pm Electrode Facts Materials and Construction Impedance and Independent Testing 1:00pm – 1:30pm Competency, Documentation, Goals and Professional Issues

1:30pm – 1:45pm Questions and Answers

NMES AND SEMG IN DYSPHAGIA MANAGEMENT:

THE GUARDIAN WAY®

WEBINAR

Day 2 8:00am – 8:30am Review of Electrotherapy, Questions and Answers

8:30am – 9:30am sEMG Fundamental Principles Current Evidence

9:30am – 11:30am Lab 1 – NMES for the Submental Skilled introduction of NMES Placing and securing the electrodes Introducing the current Assessing for contraction Adjusting the parameters

11:30am – 12:30pm Lab 2 – Facial Stimulation Placing and securing the electrodes Facial Placement 1 Facial Placement 2 Assessing for contraction

12:30pm – 1:30pm Lab 3- sEMG Placing and securing the electrodes Data Collection and Interpretation Use of the Guardian Suite App

1:30pm – 2:00pm Case Studies

2:00pm – 2:15pm Review, Questions and Answers

Scheduled by appointment for each participant later the same day or at another mutually agreeable time:

1.5 hour Lab 4 – Competency and Skills Assessment Post test

NMES AND sEMG IN DYSPHAGIA MANAGMENT:

THE GUARDIAN WAY

ON SITE SCHEDULE

Day 1

5:30pm Registration

6:00 – 6:15pm Pre-Test

6:15 – 6:30pm Introduction to Course

6:30 – 7:15pm Fundamentals of Swallowing

7:15 – 7:45pm Prevalence and Management of Swallowing Dysfunction

7:45 – 8:00pm Introduction to Electrotherapy

8:00 – 8:30pm Examining the Evidence

Historical Research

Current Evidence

Challenges of Interpretation

8:30 – 9:00pm NMES

Fundamental Principles of Electrotherapy (waveforms,

hertz, pulse duration, ramp, amplitude etc)

Neuroplasticity and cortical reorganization

9:00 – 9:30pm Questions and Answers

Free access to light food and drinks will be available during entire evening course

Day 2

7:45 – 8:45am NMES continued

The Guardian Way® Protocol

Implementing the Protocol, Electrode placement and Rationale

Determining Candidacy, Contraindications, Cautions

Goals of treatment, Typical session, Demonstration

8:45 – 10:45am Lab 1 – NMES for the Submental Region

Skilled introduction of NMES Placing and securing the electrodes

Introducing the current

Assessing for contraction

Adjusting the parameters

Free access during this time for bathroom breaks and provided snacks

10:45 – 11:45am Facial Stimulation

Etiology of Facial Nerve Dysfunction Anatomy/Physiology

Scoring Asymmetry

Electrode Placements, Rationale and Demonstration

11:45 – 12:00pm Electrode Facts

Materials and Construction

Impedance and Independent Testing

12:00 – 12:30pm Lunch – on your own, on site

12:30 – 1:30pm Lab 2 – Facial Stimulation

Placing and securing the electrodes

Facial Placement 1

Facial Placement 2

Assessing for contraction

1:30 – 2:30pm sEMG

Fundamental Principles

Current Evidence

2:30 – 3:30pm Lab 3- sEMG

Placing and securing the electrodes

Data Collection and Interpretation

Use of the Guardian Suite App

Free access during this time for bathroom breaks and provided snacks

3:30 – 4:00pm Competency, Documentation, Goals and Professional Issues

4:00 – 4:30pm Case Studies

4:30 – 6:30pm Review, Questions and Answers

Lab 4 – Competency and Skills Assessment Post Test

Register Now