Course Description

The Normal Swallowing module will provide clinicians with a thorough understanding of normal swallowing anatomy, physiology and function in adults. It will identify and discuss barriers to clinicians' current understanding of normal swallowing physiology and factors leading to misdiagnoses, over referrals and inappropriate treatment targets. This course will also review normal swallowing VFSS and FEES videos and discuss research related to the differences seen in normal swallow function across different adults.

Normal Swallowing Curriculum

  • 1

    Welcome

    • Welcome

  • 2

    SNAPS: Swallowing Neuro Anatomy and Physiology Shorts

    • Hyolarynx

    • Tongue

    • Palate

    • Pharynx

    • Larynx

    • Nerves

    • Upper Esophageal Sphincter

    • Normal Swallowing Events

    • SNAPS Learning Assessment

  • 3

    CTDM Courses: Critical Thinking in Dysphagia Management

    • Redefining Normal Swallowing

    • CTDM Learning Assessment

  • 4

    Normal Swallow 101: Clinical Workshop Courses

    • The Missing A&P Course: Normal, Functional and Dysfunctional Swallowing

    • Oral sensory-motor integration for planning the movements of a swallow: What is necessary?

    • The best thing about swallowing is the part we will never see

  • 5

    FOUNDATIONS

    • Presbyphagia: The Aging Swallow

    • Presbyphagia Handout

    • Supplemental Reading: Dysphagia in the Elderly (Humbert and Robbins, 2008)

    • Foundations Learning Assessment

  • 6

    DGR: Dysphagia Grand Rounds

    • DGR 1 Article: Logemann, Pauloski, Rademaker, & Kahrilas (2002)

    • DGR 1 Webinar: Oropharyngeal Swallow in Younger and Older Women - A Videofluoroscopic Analysis

    • DGR 2 Article: Kamarunas, McCullough, Mennemeier, & Munn (2015)

    • DGR 2 Webinar: Oral Perception of Liquid Volume Changes with Age

    • DGR Learning Assessment

  • 7

    DtH: Down the Hatch Podcast

    • What is Normal?

  • 8

    DC: Dysphagia Cafe Blog Posts

    • Normal Newborn Development

    • Swallowing Difference v/s Disorder: Power of Perspective

  • 9

    STEP Snippets: Mini-Tutorials

    • Vallecular Aggregation

    • Swallowing with Tongue Markers

    • Sequential Water Swallows: LVC Patterns

    • Normal People Aspirate

    • Variations of Normal

    • Central Control of Swallow Functions

    • All About Epiglottic Inversion

    • Role of the Aryepiglottic Folds

  • 10

    Final Steps

    • ASHA CEU Information

    • Post-Course Evaluation

Course Overview

1.4 ASHA CEUs

About: The Swallowing Training and Education Portal (STEP) Normal Swallowing learning module offers 1.4 ASHA CEUs to all those enrolled in the STEP CEU Membership Plan. It will provide clinicians with a thorough understanding of normal swallowing anatomy, physiology and function. It will identify barriers to clinicians' current understanding of normal swallowing physiology and discuss factors leading to misdiagnoses, over referrals and inappropriate treatment targets. It will also review normal swallowing VFSS and FEES videos and discuss research related to the differences seen in normal swallow function across different adults. Financial Support Disclosure: ASHFoundation provided funding to create components of this course.

Target Audience: Speech-language pathology students and clinicians 

Learning Objectives: As a result of this course, participants will be able to: 

  • Describe the anatomy of the muscles and structures of the oropharynx 
  • Identify the physiology of the muscles and structures of the oropharynx
  • List at least two potential barriers to the understanding of normal swallow function 
  • Discuss insufficiencies in traditional SLP training in normal swallowing physiology 
  • Explain the normal variability in oropharyngeal swallowing in adults

Completion Requirements: The entirety of this course must be completed in order to earn 1.4 ASHA CEUs. Partial credit is NOT available for this course. Please Note: ASHA CEUs are only offered to all those who are enrolled in our CEU Membership Plan. ASHA CEU credit is not being offered for this course for those enrolled in our monthly Starter and Plus plans. 

About the Instructors: 

Ianessa Humbert, Ph.D.CCC-SLP is an accomplished scientist, professor, and highly sought-after speaker with expertise in swallowing and swallowing disorders. Dr. Humbert’s innovative training style has been funded by ASHFoundation and extends to non-traditional learning formats. She is the co-creator of the popular Down the Hatch podcast, has co-founded online learning tools including STEP (Swallowing Training and Education Portal) and has developed high-quality, no-cost learning tools available on her YouTube Channel and website www.ianessahumbert.com. Dr. Humbert has demonstrated her gift for creating images that depict the dynamism of swallowing via her Swallowing Pocket Guide and Swallowing Neuro Anatomy and Physiology Shorts or SNAPS (on STEP). Dr. Humbert has been on faculty at the Johns Hopkins School of Medicine, the University of Florida, and the University of Iowa. The content from Dr. Humbert’s courses are supported by scientific evidence from her laboratory and from the larger body of research literature.

Financial disclosures: Ianessa Humbert is a co-owner of Swallowology LLC and Elemint LLC. Non-Financial disclosures: Ianessa Humbert is the co-creator of Down the Hatch and STEP. 


Rinki Varindani Desai M.S.,CCC-SLP  is an ASHA-certified medical speech-language pathologist, certified brain injury specialist and certified dementia practitioner; specializing in the assessment and treatment of cognitive-linguistic and swallowing disorders in adults. Rinki is the co-founder of the Swallowing Training and Education Portal, founder of the Medical SLP Forum and co-creator of the Dysphagia Therapy mobile app. She currently serves as Associate Coordinator of ASHA’s Swallowing and Swallowing Disorders Special Interest Group (SIG 13) and as Co-Chair of the Dysphagia Research Society's COVID-19 Task Force. She is also a part of ASHA’s Scientific Professional Education Board and on the Board of Directors for Burgundy and White, a non-profit for the head neck cancer community. Originally an SLP from Mumbai, India; Rinki has practiced for nearly a decade in acute, sub-acute and long-term care medical settings. She is currently the adult outpatient lead of the Voice and Swallowing Center and a clinical instructor in the Department of Otolaryngology – Head and Neck Surgery at the University of Mississippi Medical Center in Jackson, Mississippi. 

Financial disclosures: Rinki Varindani Desai receives a royalty for her contributions to the STEP website. Non-Financial disclosures: Rinki volunteers with the American Speech-Language Hearing Association (ASHA SIG 13) and Dysphagia Research Society. Rinki is the founder of the Medical SLP Forum and the co-creator of the Dysphagia Therapy mobile app.

 

 This course is offered for 1.4 ASHA CEUs (Intermediate level, Professional area)

Reviews

5 star rating

LOVED IT!!

Cristina Vargas

I learned so much and it has helped me to become a more confident clinician. I am so excited to continue learning!!!! :) Thank you so much!!!

I learned so much and it has helped me to become a more confident clinician. I am so excited to continue learning!!!! :) Thank you so much!!!

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5 star rating

More than what I was looking for!

Kla Wymbs

I am the type of student who learns best on my own, especially with videos that I can pause, go back, and replay many times over. I have finished this course and am surprised to say that I do not feel as anxious about the swallowing mechanism cont...

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I am the type of student who learns best on my own, especially with videos that I can pause, go back, and replay many times over. I have finished this course and am surprised to say that I do not feel as anxious about the swallowing mechanism content as I previously did. The material is presented in an appealing manner. It is concise and yet manages to provide all of the high-yield information a student needs to begin thinking critically. Thank you so much for all of the hard work you put into this course. I am truly appreciative!

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5 star rating

Amazing course

Maria Schwab

Fabulous course on normal swallowing! Thank you for presenting research in a clear manner and relating research to clinical practice.

Fabulous course on normal swallowing! Thank you for presenting research in a clear manner and relating research to clinical practice.

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4 star rating

Excellent review of all anatomy and physiology in a short amount of time

Jessica Rubinstein

Great review of fundamental Anatomy and Phys I haven't thought about since grad school. I will confess that I joined this platform expecting it to be full of Dr. Humbert's engaging personality that you hear on Down the Hatch that make learning thr...

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Great review of fundamental Anatomy and Phys I haven't thought about since grad school. I will confess that I joined this platform expecting it to be full of Dr. Humbert's engaging personality that you hear on Down the Hatch that make learning through the podcast so enjoyable. This was much more dry and to the point compared to her podcast discussions, but the information that she reviewed was still thorough, and I enjoyed the animations being broken down and labeled to aid in comprehension. ***Addendum: LOVED the section on Presbyphagia! I loved the use of the side by side fluoros where you also highlighted specific things of note (i.e., location of bolus at initiation of hyoid burst, location/presence of penetration, etc.). See these side by side for age, as well as both being healthy/WFL, is extremely helpful! I work in a SNF and don't often get to watch MBS regularly, so I would LOVE more side-bye-side/highlighted videos like this!

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5 star rating

hyolarynx, tongue and palate

LisaRose McCabe

This is the type of review I have been craving for years! Slow but effective pace, visual representation and review at the conclusion of each section permits higher retention of the information for me. I am planning on reviewing each one a few m...

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This is the type of review I have been craving for years! Slow but effective pace, visual representation and review at the conclusion of each section permits higher retention of the information for me. I am planning on reviewing each one a few more times to solidify the information for use in my clinical practice and documentation. Thank you, thank you thank you!!!

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