Special thanks to Mr Ahmet Erkut, The President of Speech Therapy Association of Turkey for invited Mr Yoon from Singapore Swallowing Specialists to present on this Zoom Workshop (2 & 9 April 2023) on “Dysphagia Management in Adult” for the Speech Therapy Association of Turkey. Attended by more than 140 enthusiastic Speech Therapists. Lots of great questions and discussions. We hope to have more collaboration in future.
Category: speech therapy singapore
Our Online Speech Therapy or Telepractice Experience in Singapore during Covid-19
According to ASHA definition: https://www.asha.org/Evidence-Maps/
‘Telepractice is the application of telecommunications technology to the delivery of speech language pathology and audiology professional services at a distance by linking clinician to client or clinician to clinician for assessment, intervention, and/or consultation.’
Telepractice for Speech Therapy has been proven to be effective and has been practiced in countries like the United States, Canada and Australia.
Since Covid-19 outbreak started, the acceptance of telepractice for speech therapy in Singapore has increased significantly especially during the circuit breaker period.
Our experience shows that it benefits most of our clients who require speech and language therapy, and to some of our clients who require swallowing therapy. We prefer to use Zoom Meetings for our telepractice. We find it easy to be used for 1-to-1 session as well as for group therapy sessions. Therapy tasks can to be shared and be viewed easily by our client(s). Clients are able to respond easily by indicating their answers on the screen by using the writing/drawing function. The Zoom file sharing function has allowed us to still customize and personalize each therapy sessions for our clients.
However, we need to take into consideration client’s proficiency level in technology. For clients who are less tech proficient, our experience shows that simple apps such as Facetime and Whatapp video call can work as well.
LATEST: On 24/4/2020, Facebook has just announced their videoconferencing function that allows video meeting up to 50 people without downloading any apps. That will open up another platform for telepractice.
For Speech-Language Therapists who would like to adopt Telepractice, you may refer to the following links for resources:
- SALTS guidance on telepractice https://salts.org.sg/telepractice/
- MOH National Telemedicine Guidelines https://www.moh.gov.sg/resources-statistics/guidelines/national-telemedicine-guidelines
- ASHA Evidence Map: Telepractice https://www.asha.org/Evidence-Maps/
- ASHA article: Weidner & Lowman, (2020). Telepractice for Adult Speech-Language Pathology Services: A Systematic Review. https://pubs.asha.org/doi/10.1044/2019_PERSP-19-00146
- The Informed SLP: Information on EBP and telepractice https://www.theinformedslpmembers.com/free-telepractice-research-reviews
Merry Christmas & Happy New Year
Singapore Swallowing Specialists would like to wish everyone a Merry Christmas and A Happy New Year.
May everyone be happy and healthy always.
Second Publication on Chin Tuck Against Resistance (CTAR)
We are happy to announce that the follow up study on CTAR has been published online (online first version) in Dysphagia Journal.
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
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.
Merry Christmas & Happy New Year
Warmest greetings from Singapore Swallowing Specialist.
Merry Christmas & Happy New Year!!!!
Eat wisely and be active. 🙂
Beckman Oral Motor Assessment and Intervention © Course
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
- 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 email@example.com or (852) 3628 3443
SHAS SIG : Sharing on Paediatric Feeding Services Available in Singapore
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
If you are interested in attending the session, please email the completed registration form to firstname.lastname@example.org by 20 November 2015 (Friday).
Workshop on Dysphagia Management: NMES / sEMG Guardian Way in Hong Kong
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.
Dysphagia Journal Reviewer for 2014
Feeling happy and honoured to see my name listed as one of the reviewer along side with all the world reknown dysphagia experts on the acknowledgment of reviewers page in the Dysphagia Journal for 2014. It has a great experience being a reviewer for this distinguished international journal for the very first time. Hope to have the opportunity to review more papers in future.