The Changing Face of Rehabilitation for
Swallowing Impairment and the Re-emergence
of Surface EMG Biofeedback.
Maggie-Lee Huckabee PhD
30-31 October 2014
Details
This course is designed for Speech and Language Therapists working with adults with
dysphagia (problems swallowing), with a focus on adult neurology. It will provide an in
depth look at use of surface electromyography (sEMG) biofeedback as an evidence-based
treatment modality for dysphagia management.
Learning outcomes include:




Describe concepts of strength and skill training paradigms and identify patient
populations for which each may be appropriate
Recognise the benefits and limitation of sEMG biofeedback as a treatment modality
Differentiate treatment plans which incorporate sEMG biofeedback as an adjunct to
skill and strength training
Identify additional instrumental modalities that may facilitate treatment
More from Maggie-Lee Huckabee…
‘Rehabilitation practitioners have devised a number of behavioural strategies to alter
biomechanical features of swallowing pathophysiology. These techniques have been
designed primarily for the purpose of peripheral muscle strengthening in response to the
presentation of pharyngeal residual on videofluoroscopic swallowing study (VFSS). Strength
training for swallowing rehabilitation, as is currently emphasised in clinical practice, may be
a very appropriate approach for some patient populations. But it may not always be an
appropriate approach, and indeed may sometimes be maladaptive and exacerbate
dysphagic presentation. An alternative approach of skill training has been emerging as a
potential approach to facilitate neural change in patients with neurogenic dysphagia and
represents a substantial shift in rehabilitative paradigms. The first morning of this two-day
workshop will evaluate standard diagnostic methods (VFSS, clinical assessment) but with an
emphasis on identifying pathophysiologic features that are key to defining specific and
refined rehabilitation plans. Practice on interpreting VFSS and linking to existing behavioural
rehabilitation approaches will be emphasised. The afternoon will explore definitions and
avenues for skill training in swallowing management. Emphasis will be placed on translating
the theories of skill training to the practice of dysphagia service delivery. sEMG biofeedback
as a treatment adjunct will be introduced within the context of skill training paradigms.
On day two, the utilisation of sEMG biofeedback as a treatment adjunct will be further
explored with treatment paradigms targeted toward relaxation, motor programming and
muscle strengthening. A series of clinical cases will provide the foundation for active
discussion and problem solving surrounding mechanisms of motor learning and skill
acquisition in swallowing recovery. Newly developed software for skill training in swallowing
rehabilitation will be presented. Alternative modalities for biofeedback will be discussed.
The afternoon sessions (limited registration) will provide an opportunity for clinicians to
explore instrumentation directly.’
Location
Greenwich, London (near Westcombe Park train station)
Further workshop details to be provided on receipt of payment
Cost (separate booking forms)
One and a half day course (all day Oct 30 and morning of Oct 31)
Option of additional half day practical workshop using sEMGdevices
(afternoon of Oct 31)
(Including lunch)
£210
£70
If you would like to book both sections of the course, we request you fill out and return both
booking forms, with your payment.
The practical portion of the course has limited enrolment; places will be reserved by receipt
of payment.
Contact
Helen Day
helen.day@oxleas.nhs.uk
Speech and Language Therapist, Greenwich Neuro-Rehabilitation Team, Memorial Hospital,
Shooters Hill, London, SE18 3RZ
The Changing Face of Rehabilitation for
Swallowing Impairment and the Re-emergence
of Surface EMG Biofeedback.
Maggie-Lee Huckabee PhD
30-31 October 2014
Booking Form 1
(one and a half day course, 30th October and morning of 31st) - £210
Please complete ALL sections of this application form in block capitals
Name (as you would like it to appear on the certificate)……………………………………………………………………
Address………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………
Telephone contact………………………………………… Email contact………………..……………………………………………
Place of work……………………………………………………………………………………………………………………………………….
Payment details
A receipt will be issued for all payments.

Payment by cheque
Trust)

Invoice
paper is attached.
I enclose a cheque for £210 (Payable to Oxleas NHS Foundation
Invoices can only be issued if an official order, or confirmation on headed
Requests for invoicing submitted without an order or confirmation will be
returned.
Named Person to invoice……………………………………………………………………………………………………………………
Address…………………………………………………………………………………………………………….....................................
Telephone Number: ………………………………… Email Address: ………………………………………………………………..
Signed: …………………………………………………………. Date …………………………………………..
Please note our cancellation policy: More than 4 weeks before the course a 10 per cent charge will
be made for administration purposes. 2-4 weeks before course, 50 per cent will be deducted for
administration purposes. Less than 2 weeks before course no refund will be given.
PLACES WILL BE CONFIRMED ONCE PAYMENT IS RECEIVED
Please send the form to Helen Day, Speech and Language Therapist, Greenwich Neuro-Rehab
Team, 2nd Floor Memorial Hospital, Shooters Hill, London, SE18 3RZ.
The Changing Face of Rehabilitation for
Swallowing Impairment and the Re-emergence
of Surface EMG Biofeedback.
Maggie-Lee Huckabee PhD
30-31 October 2014
Booking Form 2
(optional half day practical workshop, afternoon of 31 st October) – £70
Please complete ALL sections of this application form in block capitals
Name (as you would like it to appear on the certificate)……………………………………………………………………
Address………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………..………
Telephone contact……………………………………… Email contact………………………………………………..….……..….
Place of work…………………………………………………………………………………………………………………………...…………
Payment details
A receipt will be issued for all payments.

Payment by cheque

Invoice
paper is attached.
I enclose a cheque for £70 (Payable to Oxleas NHS Foundation Trust)
Invoices can only be issued if an official order, or confirmation on headed
Requests for invoicing submitted without an order or confirmation will be
returned.
Named Person to invoice …………………………………………………………………………………………………………………
Address…………………………………………………………………………………………………………….....................................
Telephone Number: ………………………………………… Email Address:………………………………………………………
Signed: …………………………………………………………. Date …………………………………………..
Please note our cancellation policy: More than 4 weeks before the course a 10 per cent charge will
be made for administration purposes. 2-4 weeks before course, 50 per cent will be deducted for
administration purposes. Less than 2 weeks before course no refund will be given.
WORKSHOP PLACES ARE LIMITED, PLACES WILL BE CONFIRMED ONCE
PAYMENT IS RECEIVED
Please send the form to Helen Day, Speech and Language Therapist, Greenwich Neuro-Rehab
Team, 2nd Floor Memorial Hospital, Shooters Hill, London, SE18 3RZ.