This presentation will initially comprise a review of the common neuroanatomic and neurophysiologic bases of respiration, swallow and cough, as well as changes to these systems that may occur as a result of neurodegenerative and neurotraumatic disease states. The content focuses on the healthy elderly, as well as individuals who demonstrate neurological impairment. Conventional means of addressing respiratory swallow and cough impairment will be reviewed prior to an in-depth review of emerging research supporting respiratory muscle strength training procedures in patient groups. Changes in muscle strength result in a pattern of change characterized by both neural and structural modifications to targeted muscle groups. This presentation will review respiratory muscle strengthening programs and provide evidence of neurological and muscular adaptations associated with their intervention. Neural adaptations result in rapid strength gain. Muscular adaptation contributes to strength improvements over time. The content for intervention is backed with clinical research and will show learners how to implement a four- week training program to improve cough and swallow using an inexpensive device-driven therapy that can be flexibly carried out in the hospital, outpatient clinic, or even at home or via telerehab. Benefits, limitations, clinical trial designs, and clinical applications of strength training paradigms will also be presented.
Upon completion of this course, the participant will be able to:
1) Identify key anatomical and physiologic components of respiratory, swallow and cough 2) Identify which patient populations respiratory muscle strength is considered effective3) Demonstrate the ability to assess key measures of respiratory muscle strength and describe how these measures relate to the development of respiratory muscle strength training protocols 4) Demonstrate knowledge of available devices for respiratory muscle strength training and describe advantages & disadvantages of each, as well as applicability to specific patient groups5) Demonstrate the ability to plan and implement respiratory muscle strength training protocols for patients 6) Demonstrate the ability to assess respiratory muscle strength training outcomes in terms of measures of respiratory muscle strength, swallow and cough
A Workshop for Speech-Language Pathologists, Physical Therapists, Occupational Therapists, Respiratory Therapists and Related Healthcare professionals.
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