NEURO-MUSCULARELECTRICALSTIMULATION:

A Comparative AnalysisT. B. Maberry

Nova Southeastern University

WHAT DOES ASHA THINK?

• SCOPE OF PRACTICE• ASHA CODE OF ETHICS • PRINCIPLE I, RULE F• PRINCIPLE I, RULE G• PRINCIPLE II, RULE B

•CURRENT LITERATURE

HISTORY & BACK-GROUND

TREATMENT MODALITY OVERVIEW

•MODALITIES UTILIZED SOLO AND EN TANDEM• HISTORY OF ELECTRICAL STIMULATION• PREDOMINANT UTILIZATION

• FDA

REPUTABLE AVAILABLE NMES MODALITIES FOR

SPEECH-LANGUAGE PATHOLOGISTS

•METHOD OF CERTIFICATION• COST OF CERTIFICATION• PROTOCOLS UTILIZED•ONGOING CERTIFICATION

•METHOD OF CERTIFICATION• COST OF CERTIFICATION• PROTOCOLS UTILIZED•ONGOING CERTIFICATION

•METHOD OF CERTIFICATION• COST OF CERTIFICATION• PROTOCOLS UTILIZED•ONGOING CERTIFICATION

COMPARE/CONTRAST

BARRIERS TO TREATMENT

• BILLING• ELECTRODE PLACEMENT• TIME CONSUMPTION• INTENSITY

• DISADVANTAGES• OUTCOMES• TRAINING• EQUIPMENT• COST

(SHUNE & MOON, 2012)

PERSONAL REFLECTION

•WHAT PROGRAM(S) HAVE I USED•WHERE DID I OBTAIN CERTIFICATION•WHO HAVE I USED IT WITH•WHEN IS IT A GOOD IDEA, WHEN IT IS A BAD IDEA•WHY ADVOCATE FOR NMES

QUESTIONS

?

REFERENCES• AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (2015). FREQUENTLY ASKED QUESTIONS REGARDING THE USE OF

ELECTRICAL STIMULATION TO TREAT FEEDING AND SWALLOWING DISORDERS IN THE PEDIATRIC POPULATION. RETRIEVED FROM HTTP://WWW.ASHA.ORG/UPLOADEDFILES/SLP/CLINICAL/DYSPHAGIA/ELECTRICALSTIMULATIONFAQS.PDF

• BEACHCOMBING (2010) ELECTRIC EEL [DIGITAL IMAGE] RETRIEVED FROMHTTP://WWW.STRANGEHISTORY.NET/2010/12/08/GERMAN- NATURALISTS-AND-ELECTRIC-EELS/

• CIAO SEMINARS (2015). VITALSTIM. RETRIEVED FROM HTTP://WWW.CIAOSEMINARS.COM/VITALSTIM.CFM• CLARK, H. M. (2003). NEUROMUSCULAR TREATMENTS FOR SPEECH AND SWALLOWING: A TUTORIAL. AMERICAN JOURNAL OF

SPEECH- LANGUAGE PATHOLOGY, 12(4), 400-415• CLARK, H., LAZARUS, C., ARVEDSON, J., SCHOOLING, T., & FRYMARK, T. (2009). EVIDENCE-BASED SYSTEMATIC REVIEW:

EFFECTS OF NEUROMUSCULAR ELECTRICAL STIMULATION ON SWALLOWING AND NEURAL ACTIVATION. AMERICAN JOURNAL OF SPEECH- LANGUAGE PATHOLOGY, 18(4), 361-375.

• COMPASSIONATE SOLUTIONS (2013) CRYING BABY WITH HANDS ON HEAD [DIGITAL IMAGE]. RETRIEVED FROM HTTP://COMPASSIONATESLEEPSOLUTIONS.COM/HOW-DO-I-GET-MY-CRYING-BABY-TO-SLEEP/

• THE ELECTRICITY FORUM. (2015). ELECTRICITY HISTORY. RETRIEVED FROM HTTP://WWW.ELECTRICITYFORUM.COM/ELECTRICITY- HISTORY.HTML

REFERENCES• ESWALLOW. (2015). ABOUT US. RETRIEVED FROM HTTP://WWW.ESWALLOWUSA.COM/HOME.HTML• FOLEY, N., TEASELL, R., SALTER, K., KRUGER, E., & MARTINO, R. (2008). DYSPHAGIA TREATMENT POST STROKE:

A SYSTEMATIC REVIEW OF RANDOMISED CONTROLLED TRIALS. AGE & AGEING, 37(3), 258-264• LEELAMANIT, V., LIMSAKUL, C., & GEATER, A. (2002). SYNCHRONIZED ELECTRICAL STIMULATION IN

TREATING PHARYNGEAL DYSPHAGIA. LARYNGOSCOPE, 112(12), 2204-2210.• LIM, K. B., LEE, H. J., YOO, J., & KWON, Y. G. (2014). EFFECT OF LOW-FREQUENCY RTMS AND NMES ON

SUBACUTE UNILATERAL HEMISPHERIC STROKE WITH DYSPHAGIA. ANN REHABIL MED, 38(5), 592-602.

• MCCAULEY, R. J., STRAND, E., LOF, G. L., SCHOOLING, T., & FRYMARK, T. (2009). EVIDENCE-BASED SYSTEMATIC REVIEW: EFFECTS OF NONSPEECH ORAL MOTOR EXERCISES ON SPEECH. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 18(4), 343-360.

• PENSENSTADLER (2015) ELECTRIC PAIN [DIGITAL IMAGE] RETRIEVED FROM HTTP://WWW.BASICSPINE.COM/BLOG/SPINAL-CORD-NEUROMODULATION-STIMULATION/

REFERENCES• SHUNE, S. & MOON, J.B. (2012). NEUROMUSCULAR ELECTRICAL STIMULATION IN DYSPHAGIA

MANAGEMENT: CLINICIAN USE AND PERCEIVED BARRIERS. CONTEMPORARY ISSUES IN COMMUNICATION SCIENCES AND DISORDERS, 39, 55-68.

• SPECTRAMED ONLINE (2015) THE GUARDIAN WAY. RETRIEVED FROM HTTPS://SPECTRAMEDONLINE.COM/

• SUN, S.-F., HSU, C.-W., LIN, H.-S., SUN, H.-P., CHANG, P.-H., HSIEH, W.-L., & WANG, J.-L. (2013). COMBINED NEUROMUSCULAR ELECTRICAL STIMULATION (NMES) WITH FIBEROPTIC ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) AND TRADITIONAL SWALLOWING REHABILITATION IN THE TREATMENT OF STROKE- RELATED DYSPHAGIA. DYSPHAGIA, 28(4), 557-566