Question
I am interested in implementing SEMG for dysphagia. First, has SEMG been FDA approved for dysphagia treatment? What units would you recommend? I would like one that can be connected to a laptop to provide a large screen for visual feedback with a variety
Answer
Surface electromyography (SEMG) has been used for decades in swallowing treatment and research (including research at NIH clinicaltrials.gov/). I couldn't find specific information on FDA-approval for its use in swallowing, but am presuming with its use by NIH that we can assume that. Several other informative articles are:
I can only tell you that we have a unit from The Prometheus Group, Pathways MR15 (an old model as we've used it for some time). It does hook to a laptop or desktop for a nice display (or can be used with only the LED display if you don't have a computer handy). Regarding convincing your administrator to spend the money, I think you find as many scholarly articles as you can, see if the improvements cited in those articles (SEMG is used for biofeedback of laryngeal elevation and effortful swallow) match the needs of your population. Consider if your patient population can participate in this therapy. Then it's a cost-benefit discussion: can you get patients off your caseload more quickly and for example, off tube feeding. These are things that would save the facility money.
Nancy Swigert, M.A., CCC/SLP, BRS-S is the Director of Speech-Language Pathology and Respiratory Care at Central Baptist Hospital in Lexington, KY. She is also Chair of the ASHA Health Care Economics Committee.
Nancy Swigert ., M.A.,CCC
Related Courses
1https://www.speechpathology.com/slp-ceus/course/thickened-liquids-in-clinical-practice-10497Thickened Liquids in Clinical Practice: The Plot “Thickens”Clinicians who utilize thickened liquids in their clinical practice are aware of their benefits, but what about the risks and contraindications? Advantages and disadvantages of thickened liquids are reviewed in this course with a focus on clinical outcomes, including impacts on medication administration, lung health, and hydration. Product types are evaluated to facilitate appropriate choices for individual clients.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comThickened Liquids in Clinical Practice: The Plot “Thickens”Clinicians who utilize thickened liquids in their clinical practice are aware of their benefits, but what about the risks and contraindications? Advantages and disadvantages of thickened liquids are reviewed in this course with a focus on clinical outcomes, including impacts on medication administration, lung health, and hydration. Product types are evaluated to facilitate appropriate choices for individual clients.10497OnlinePT60M
Clinicians who utilize thickened liquids in their clinical practice are aware of their benefits, but what about the risks and contraindications? Advantages and disadvantages of thickened liquids are reviewed in this course with a focus on clinical outcomes, including impacts on medication administration, lung health, and hydration. Product types are evaluated to facilitate appropriate choices for individual clients.
2https://www.speechpathology.com/slp-ceus/course/dysphagia-in-neurodegenerative-disease-9732Dysphagia in Neurodegenerative DiseaseDysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comDysphagia in Neurodegenerative DiseaseDysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.9732OnlinePT60M
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.
3https://www.speechpathology.com/slp-ceus/course/20q-in-thick-it-international-1075620Q: In the Thick of It - The International Dysphagia Diet Standardization Initiative (IDDSI)The importance of using IDSSI to provide standardized language when speaking about texture modification is discussed in this course. Comparisons of IDDSI and the National Dysphagia Diet (NDD), as well as IDDSI standards for pediatric vs. adult patients are presented. Additionally, potential barriers, solutions, and frequently asked questions related to implementation of IDDSI are described.textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.com20Q: In the Thick of It - The International Dysphagia Diet Standardization Initiative (IDDSI)The importance of using IDSSI to provide standardized language when speaking about texture modification is discussed in this course. Comparisons of IDDSI and the National Dysphagia Diet (NDD), as well as IDDSI standards for pediatric vs. adult patients are presented. Additionally, potential barriers, solutions, and frequently asked questions related to implementation of IDDSI are described.10756OnlinePT60M
The importance of using IDSSI to provide standardized language when speaking about texture modification is discussed in this course. Comparisons of IDDSI and the National Dysphagia Diet (NDD), as well as IDDSI standards for pediatric vs. adult patients are presented. Additionally, potential barriers, solutions, and frequently asked questions related to implementation of IDDSI are described.
4https://www.speechpathology.com/slp-ceus/course/back-to-basics-swallow-screening-8969Back to Basics: Swallow Screening: How, When, and WhoScreening of swallow function is a well-regarded tool to identify individuals who are potentially at risk of dysphagia and in need of full swallow assessment, but the options are many and varied. This "back to basics" course teaches participants to make informed, evidence-based choices regarding appropriate screening tools specific to their particular patient populations and settings.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comBack to Basics: Swallow Screening: How, When, and WhoScreening of swallow function is a well-regarded tool to identify individuals who are potentially at risk of dysphagia and in need of full swallow assessment, but the options are many and varied. This "back to basics" course teaches participants to make informed, evidence-based choices regarding appropriate screening tools specific to their particular patient populations and settings.8969OnlinePT60M
Screening of swallow function is a well-regarded tool to identify individuals who are potentially at risk of dysphagia and in need of full swallow assessment, but the options are many and varied. This "back to basics" course teaches participants to make informed, evidence-based choices regarding appropriate screening tools specific to their particular patient populations and settings.
5https://www.speechpathology.com/slp-ceus/course/als-medications-and-oral-care-8717ALS: Medications and Oral CareThis is Part 1 of a three-part series on amyotrophic lateral sclerosis (ALS). This course will identify medication and complementary alternative medicine that may be used by patients to treat ALS. The importance of saliva management and mouth care as a critical component of their daily care will be discussed, along with strategies. (Part 2: Course #8719, Part 3: #8720)auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlySpeechPathology.comwww.speechpathology.comALS: Medications and Oral CareThis is Part 1 of a three-part series on amyotrophic lateral sclerosis (ALS). This course will identify medication and complementary alternative medicine that may be used by patients to treat ALS. The importance of saliva management and mouth care as a critical component of their daily care will be discussed, along with strategies. (Part 2: Course #8719, Part 3: #8720)8717OnlinePT60M
This is Part 1 of a three-part series on amyotrophic lateral sclerosis (ALS). This course will identify medication and complementary alternative medicine that may be used by patients to treat ALS. The importance of saliva management and mouth care as a critical component of their daily care will be discussed, along with strategies. (Part 2: Course #8719, Part 3: #8720)
