Category: speech-language therapy

Cost effective treatment, dysphagia research, Dysphagia Therapy, Singapore, speech therapy singapore, speech-language therapy, Swallowing Problem, Teaching, Uncategorized

Second Publication on Chin Tuck Against Resistance (CTAR)

Yoon Wai Lam

We are happy to announce that the follow up study on CTAR has been published online (online first version) in Dysphagia Journal.

Original Paper

Dysphagia

pp 1-11

First online: 02 February 2016

Evaluating the Training Effects of Two Swallowing Rehabilitation Therapies Using Surface Electromyography—Chin Tuck Against Resistance (CTAR) Exercise and the Shaker Exercise

  • Wei Ping Sze 
  • , Wai Lam Yoon
  • , Nicolas Escoffier
  • , Susan J. Rickard Liow

Abstract

In this study, the efficacy of two dysphagia interventions, the Chin Tuck against Resistance (CTAR) and Shaker exercises, were evaluated based on two principles in exercise science—muscle-specificity and training intensity. Both exercises were developed to strengthen the suprahyoid muscles, whose contractions facilitate the opening of the upper esophageal sphincter, thereby improving bolus transfer. Thirty-nine healthy adults performed two trials of both exercises in counter-balanced order. Surface electromyography (sEMG) recordings were simultaneously collected from suprahyoid muscle group and sternocleidomastoid muscle during the exercises. Converging results using sEMG amplitude analyses suggested that the CTAR was more specific in targeting the suprahyoid muscles than the Shaker exercise. Fatigue analyses on sEMG signals further indicated that the suprahyoid muscle group were equally or significantly fatigued (depending on metric), when participants carried out CTAR compared to the Shaker exercise. Importantly, unlike during Shaker exercise, the sternocleidomastoid muscles were significantly less activated and fatigued during CTAR. Lowering the chin against resistance is therefore sufficiently specific and intense to fatigue the suprahyoid muscles.

Details of the journal can be found at http://link.springer.com/article/10.1007%2Fs00455-015-9678-2

We are happy to announce that we are starting our third CTAR research at the National University of Singapore.

CTAR research 3
CTAR research 3 in progress
materials for CTAR 3
Materials used in CTAR 3
Cost effective treatment, Dysphagia Therapy, speech therapy singapore, speech-language therapy, Teaching

Beckman Oral Motor Assessment and Intervention © Course

Yoon Wai Lam

beckman OM

About the Workshop:

Oral motor impairment presents a variety of challenges for both the individual affected, and for the care team providing intervention. Often the individual experiencing oral motor difficulties is not able to follow commands. The person may not be eating or taking fluids orally, which reduces the opportunities for observation of oral movement patterns. The majority of baseline protocols currently available require at least minimal direction-following skills. The protocol developed by Beckman uses mechanical muscle responses, which are not mediated cognitively, to baseline the response to pressure and movement, range of movement, variety of movement, strength of movement and control of movement for the lips, cheeks, jaw, and tongue. In this two day course, participants will actively participate in hands-on practice for compensatory handling techniques for the following concerns: tonic bite, tonic bite on a utensil, slow oral transit, tongue thrust, cough, gag and vomit. The participants will complete an oral motor protocol with each other, analyze the results, and discuss data tracking. The participants will also complete hands-on practice for specific oral motor interventions to address the deficit areas discovered during baseline assessment. Additional topics of discussion may include: goal writing, diet texture progression, tube to oral issues, adaptive mealtime utensils, oral hygiene issues, medication administration issues, oral function for individuals with tracheotomy, facilitating improved articulation through oral motor techniques, research issues, videofluroscopy issues for motorically involved individuals.

Speaker: Mr Stephen Chan (Occupational Therapist)

Target Participants: Licensed Occupational Therapists AND Speech and Language Pathologists/Speech Therapists

Date &Time:  9th & 10th March, 2016 (Wed & Thur) 9:30am – 5:30pm

Venue: Room 706, Peninsula Tower, No. 538, Castle Peak Road, Kowloon, HONG KONG

Seat Availability: 30 seats

Course Fee:

  • Early Bird registration by 9th January, 2016: HK$4,000 (including course materials)
  • Standard registration by 9th February, 2016: HK$4,500 (including course materials)

Certification: Upon 100% attendance, participants are awarded the Certificate of Completion by Beckman & Associates, Inc. And after the completion of the course, participants’ name can be listed (optional) on the website http://www.beckmanoralmotor.com.

Enquiry: To learn more about the course, please visit the website: http://www.beckmanoralmotor.com

Registration form can be downloaded from: http://www.crest.hk/wp-content/uploads/2014/07/Beckman-Certificate-Course-Information-by-CREST-2016.03-revised.pdf

For any enquiries, please feel free to contact Mr. Stephen Chan at stephen@crest.hk or (852) 3628 3443

dysphagia assessment, Dysphagia Therapy, SHAS, speech therapy singapore, speech-language therapy, Swallowing Problem

SHAS SIG : Sharing on Paediatric Feeding Services Available in Singapore

Yoon Wai Lam

Host: Speech-Language and Hearing Association Singapore (SHAS)

The SHAS will be holding a Special Interest Group : Sharing on Paediatric Feeding Services Available in Singapore

Date: 26 November 2015 (Thursday).

Venue: KK Women’s and Children’s Hospital, Women’s Tower (Level 1), Seminar Room 1, 100 Bukit Timah Rd, Singapore 229899

There will be sharing session by various representatives from different organisations:

  • Cerebral Palsy Alliance Singapore
  • KK Women’s & Children’s Hospital
  • National University Hospital
  • Rainbow Centre
  • Thomson Paediatric Centre

SHAS paediatric feeding
If you are interested in attending the session, please email the completed registration form to pd.shas@gmail.com by 20 November 2015 (Friday). 

Dysphagia Therapy, speech therapy singapore, speech-language therapy, Swallowing Problem

Workshop on Dysphagia Management: NMES / sEMG Guardian Way in Hong Kong

Yoon Wai Lam

Guardian Way Workshop

Workshop on Dysphagia Management: NMES / sEMG Guardian Way

Instructors: Teresa Biber, M.S., CCC-SLP

Nancy Calamusa, MA, CCC-SLP

Date: 26-27 September 2015 (NMES / sEMG Guardian Way)

Date: 28 September 2015 (Paediatric Workshop)

Venue: Kowloon Bay International Trade and Exhibition Centre (KITEC) Room 631, Hong Kong

Contact:  GSBE Company Ltd at 9190-0180 or or GSBECOMPANYLTD@GMAIL.COM

Co-organizer: SpectraMed, Inc. and GSBE Company Ltd

Please refer to attached registration forms for details.

pdf_SEPT2015_Form

pdf_SEP2015_GuardianWay

pdf_Paed_Workshop_SEP2015

SHAS, Singapore, speech-language therapy, Teaching

Talk on Traumatic Brain Injury ~ The Singapore Context

Yoon Wai Lam

TBI talk2

Traumatic Brain Injury ~ The Singapore Context

Speaker: Ms. Sajlia Binte Jalil

Hosted by Speech and Hearing Association Singapore  (SHAS)

Traumatic Brain Injury (TBI) commonly affects young people and can result in a lifelong disability. Singapore is unique compared to the commonly researched populations in Australia, UK and US – including our language background and healthcare system. In this talk, we will explore how bilingualism impacts TBI sequelae and discuss what we can learn from service delivery models in established TBI units in Australia. It will be a sharing and discussion session, so bring along your best thinking hats and come share your thoughts and experiences!

Outline of the talk:
– Brief overview of TBI

– Bilingualism and TBI: Assessment, management and sharing of PhD findings on code-switching behaviours in TBI

– The NSW BIRU experience and what we can learn from it

Please see below for more details and send all enquiries to Melissa from the SHAS Professional Development Team.

Click here to download the registration form then send it back to  prodevelopment.team@shas.org.sg to secure your place at the talk.

TBI talk
Please RSVP by the 26 May 2015 (Tuesday)