ndta feedingconference09.qxd 12/11/08 8:18 am page 1€¦ · impact on the feeding and swallowing...

� Primary Influences on Feeding &Swallowing & Their Relationship to NDTRona Alexander, PhD, CCC-SLP, BRS-S

� The Foundation of Feeding: Alignment,Respiration & Swallowing Across the LifespanRona Alexander, PhD, CCC-SLP, BRS-SRobert Beecher, MS, CCC-SLP, BRS-SLyndelle Jones Owens, MS, CCC-SLP

� Oral & Pharyngeal Strategies to ImproveFeeding & Swallowing FunctionGay Lloyd Pinder, PhD, CCC-SLP & Monica Wojcik, MA,CCC-SLP (Pediatrics Track)Lyndelle Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP (Adult Track)

� Strategies to Improve Respiratory Coordination forFeeding & Swallowing FunctionRona Alexander, PhD, CCC-SLP, BRS-S & Ann Heavey, MS, CCC-SLP (Pediatrics Track)Lyndelle Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP (Adult Track)

� The Sensory ExperienceJudy Michels Jelm, MS, CCC-SLP & Lezlie Adler, OT (Pediatrics Track)Lyndelle Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP (Adult Track)

� Non-Oral Feeding: Considerations for Making Difficult DecisionsLoren Arnaboldi, MA, CCC-SLP

� Mealtimes: A Partnership with FamiliesSuzanne Evans Morris, PhD

PLAN NOW TO ATTEND THIS EXTRAORDINARY WEEKEND PROGRAM!

MARCH 13-15, 2009DoubleTree Hotel & Conference Center • Chicago North Shore

A C R O S S T H E L I F E S P A N� FROM AN NDT PERSPECT IVE

REGISTER EARLY! SPACE IS LIMITED!Neuro-Developmental Treatment Association • (800) 869-9295 • www.ndta.org

NDTA_FeedingConference09.qxd 12/11/08 8:18 AM

PRIMARY INFLUENCES ON FEEDING AND SWALLOWING AND THEIR RELATIONSHIP TO NDT

Rona Alexander, PhD, CCC-SLP, BRS-SFriday, March 13 • 1:00 pm - 2:00pm

A variety of factors influence feeding and swallowingfunction. Oral, pharyngeal, gastrointestinal, respiratory/airway, and behavioral issues may all have a significantimpact on the feeding and swallowing function of aninfant, child, adolescent, or adult. Procedures for theassessment of feeding and swallowing and techniques todirectly address oral motor and oral sensory issues whichcan negatively impact feeding and swallowing have longbeen part of the NDT speech curriculum. However, usingan NDT foundation for intervention can have a positiveinfluence on pharyngeal, gastrointestinal, and respiratory/airway problems as well. This session will focus on therelationship between NDT intervention and the primaryinfluences on feeding and swallowing function in individualswith significant neuromotor, musculoskeletal, and sensorysystems impairments.

OBJECTIVES:

• Identify five primary areas of influence on feeding andswallowing function

• Describe a minimum of two specific issues within eachprimary area of influence that may result in problemsin feeding and swallowing

• Discuss how NDT-based intervention can positively impactoral, pharyngeal, gastrointestinal and respiratory/airwayproblems influencing feeding and swallowing function inindividuals with neuromotor, musculoskeletal and sensorysystem impairments

THE FOUNDATION OF FEEDING: ALIGNMENT, RESPIRATION, AND SWALLOWING ACROSS THE LIFESPAN

Rona Alexander, PhD, CCC-SLP, BRS-S,Robert Beecher, MS, CCC-SLP, BRS-S, Lyndelle Jones Owens, MS, CCC-SLPFriday, March 13 • 2:00-3:30pm and 4:00-6:00pm

Feeding and swallowing function changes in the typicalpopulation from the full term infant at birth through thegeriatric adult. Whether working with a pediatric popula-tion only, an adult population only, or with both pediatricand adult populations, it is essential to have an under-standing of the modifications that occur over time in typi-cally functioning individuals in order to have a morecomplete understanding of individuals with atypical feed-ing and swallowing function. This presentation will focuson the elements of change that occur in the key areas ofswallowing, postural alignment as it relates to feeding,and respiration across the lifespan. The relationship ofthese typical changes in function to those seen in individualswith atypical feeding and swallowing function across thelifespan will be noted.

OBJECTIVES:

• Discuss key elements of change that occur in swallowingacross the lifespan in the typical population

• Discuss key changes in postural alignment that signifi-cantly impact on feeding function across the lifespan inthe typical population

• Discuss key changes in respiratory function that signifi-cantly impact on feeding function across the lifespan inthe typical population

NDTA 2009 SPECIALTY CONFERENCE: FEEDING & SWALLOWING ACROSS THE LIFESPAN

CONFERENCE PROGRAMThis intermediate level conference is geared toward Speech-Language Pathologists (SLP) and Occupational

Therapists (OT) looking for more advanced continuing education opportunities. Expand your knowledge

and treatment skills by attending this exceptional program offering a unique combination of information-

al and hands-on lab sessions presented by an outstanding faculty.

FRIDAY GENERAL SESSIONS

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ORAL AND PHARYNGEAL STRATEGIES TOIMPROVE FEEDING AND SWALLOWINGFUNCTION IN PEDIATRICSGay Lloyd Pinder, PhD, CCC-SLP 8:30-10:00am (Track A) and 10:15-11:45am (Track B)

Monica Wojcik, MA, CCC-SLP 8:30-10:00am (Track B) and 10:15-11:45am (Track A)

Saturday, March 14 • 8:30-10:00am and 10:15-11:45am

This pediatric session will focus on treatment strategies basedon the evaluation of a variety of children with neuromuscularproblems that impact their oral-motor, feeding and swallowingfunctions. The session will include hands-on treatment labsfocusing on positioning and a variety of NDT techniques thataddress atypical movement patterns and tone impacting on theoral-motor/feeding and swallowing systems. Discussion ofways to create a more accessible mealtime environment for theactive participation of the child within his social environmentwill be presented during the session.

OBJECTIVES:• Identify atypical oral-motor and feeding patterns seen in the

pediatric population with different neuromuscular disorders• Demonstrate treatment strategies to address positioning

and oral-motor components for feeding and swallowingfunction

• Demonstrate a knowledge of and be able to select the appro-priate tools, utensils and textures for the individual child

• Demonstrate knowledge of how to maximize the child’sparticipation within a variety of mealtimes, includinghome, school and daycare settings

ORAL AND PHARYNGEAL STRATEGIES TOIMPROVE FEEDING AND SWALLOWINGFUNCTION WITH ADULTS Lyndelle Jones Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP Saturday, March 14 8:30 – 10:00am and 10:15 – 11:45 am

This morning session will bridge the concepts of align-ment, respiration and swallowing presented on day oneof this conference into hands-on treatment strategies fororal motor and pharyngeal impairment. Receive newstrategies to deal with issues related to oral motordysfunction as the recovery process evolves. The sessionwill include facilitation of alignment of the head/neck inorder to align the laryngeal system for voicing and asafer swallowing. We will discuss the difference betweencompensatory strategies and therapy strategies as wellas how to use each in the most effective and efficientmanner for the treatment of adult patients.

OBJECTIVES:• Discriminate between compensatory strategies versus

treatment strategies• Demonstrate NDT strategies for optimal alignment of

the oral motor and pharyngeal systems for feedingand swallowing

• Demonstrate treatment strategies to addresshead/neck and oral motor components related tofeeding and swallowing

• Integrate adjunct therapies such as DPNS, electricalstimulation into a NDT theory base

MARCH 13-15, 2009 • DOUBLETREE HOTEL & CONFERENCE CENTER, CHICAGO NORTH SHORE

SATURDAY MORNING CONCURRENT SESSIONS

STRATEGIES TO IMPROVE RESPIRATORY COORDINATION FOR FEEDING AND SWALLOWING FUNCTION (PEDIATRIC & ADULT TRACKS)

Rona Alexander, PhD, CCC-SLP, BRS-S & Ann Heavey, MS, CCC-SLP (Pediatric Track)Saturday, March 14 • 1:00 – 3:00 pm (Pediatric Track A)Session repeats from 4:00 – 6:00 pm (Pediatric Track B)

Respiratory/airway issues have a significant impact on feeding and swallowing function at any age. When neuromotor, musculo-skeletal, and respiratory systems impairments exist, problems in the coordination of respiration within the upper respiratorysystem, within the lower respiratory system, or between the upper and lower respiratory systems may result. In this session, wewill briefly review problems in upper and lower respiratory function which can negatively affect respiratory coordination duringfeeding and swallowing. Strategies directed toward modifying aspects of these upper and lower respiratory system

Lyndelle Jones Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP(Adult Track)Saturday, March 14 • 1:00 – 3:00 pm

SATURDAY AFTERNOON CONCURRENT SESSIONS

(continued)


problems will be discussed. Through group lab experiences you will learnand practice procedures that can be implemented to address these issues.

OBJECTIVES:• Identify a minimum of three upper respiratory and/or lower respiratory

system issues that directly impact respiratory coordination during feedingand swallowing function

• Describe at least two factors that influence thoracic cage and respira-tory musculature activities in individuals with neuromotor, musculo-skeletal and respiratory systems impairments

• Formulate strategies directed toward improving thoracic cage andlower respiratory system musculature activity

• Discuss the incorporation of strategies focusing on thoracic cage andrespiratory musculature activity into feeding and swallowing treatmentplans of care

THE SENSORY EXPERIENCE (PEDIATRIC & ADULT TRACKS)

Judy Michels Jelm, MS, CCC-SLP & Lezlie Adler, OT (Pediatric Track)Saturday, March 14 • 1:00 – 3:00 pm (Pediatric Track B) Session repeats from 4:00 – 6:00 pm (Pediatric Track A)

Lyndelle Owens, MS, CCC-SLP & Marybeth Trapani-Hanasewych, MS, CCC-SLP (Adult Track)Saturday, March 14 • 4:00 – 6:00 pm.

The central nervous system processes sensory information that is managedin the autonomic and regulatory systems and seen in patients’ feeding andswallowing behaviors. We hypothesize that the central nervous systemneeds to be in the most homeostatic state to be available for intervention.Throughout our interactive session, sensory systems will be analyzed andevaluated. Through task analysis, you will learn to recognize the nuances ofthe sensory experience for your patients, and will be given the opportunityto modify your own expectations and belief systems related to mealtime.

OBJECTIVES:• Identify a minimum of four issues related to the sensory system’s

impact on feeding and swallowing behaviors

• Identify a minimum of five sensory systems that may be modifiedduring feeding and swallowing

• Describe a minimum of three considerations related to mealtimemanagement within the NDT enablement/ disablement model

• Apply a minimum of five functional intervention strategies to improvethe child’s, the adolescent’s or the adult’s mealtime experiencerelated to their sensory needs

NON-ORAL FEEDING: CONSIDERATIONS FOR MAKINGDIFFICULT DECISIONSLoren Arnaboldi, MA, CCC-SLPSunday, March 15 • 8:00 – 9:15 am

Few decisions about the care of a loved oneare as difficult as whether or not to use a non-oral feeding strategy for nutritional support.The issues related to this decision extend farbeyond the results of a videoflouroscopicswallowing exam. The considerations rangefrom thoughts regarding specific bodysystems (e.g., GI, Respiratory, Neuromotor)to families’ beliefs related to quality of life.There are no easy answers. The purpose ofthis presentation is to propose how the NDTclinical decision making framework can aidintervention teams as they seek to organizeand prioritize these issues and arrive atdecisions about managing an individual’snutritional needs, either with or without anon-oral feeding strategy.

OBJECTIVES:• Identify at least five issues related to the

decision about whether to use a non-oralfeeding strategy to support nutrition

• Identify the five domains included withinthe NDT enablement/disablement model

• Describe where at least three considerationsrelated to mealtime management fit withinthe NDT enablement/ disablement model

• Describe how the NDT enablement/disablement model can aid in arriving at adecision about whether to use a non-oralfeeding strategy to support nutrition


CONTINUING EDUCATION

C R E D I T SContinuing Education Credits have been

applied for and will be available for attendance at the conference.

� �

SATURDAY AFTERNOON CONCURRENT SESSIONS SUNDAY GENERAL SESSIONS



MEALTIMES: A PARTNERSHIP WITH FAMILIESSuzanne Evans Morris, PhDSunday, March 15 • 9:30 – 10:30 am & 10:45 am – 12:00 pm

Children and adults with feeding and swallowing challengesare often viewed predominantly through the eyes of thefeeding therapist, who provides primary guidance inhelping them make changes in their eating and drinkingproficiency. The focus is typically placed on developingthe sensorimotor and oral-motor skills that would enablethe child or adult to progress along a continuum ofincreasingly competent feeding skills. We assume thatthese new skills will be useful to the person in some way,but often fail to ask the most important question: “Howdoes improvement in oral feeding enhance the quality oflife for this individual and family?” Ultimately we havethe choice of working on isolated skills, or of seeingthese skills in the broader and deeper picture of lifewithin a family and a series of multiple mealtime commu-nities that will be part of the child’s or adult’s experienceacross the lifespan.

The presentation focuses on mealtimes for an infant,young child and young adult using a video case-studyapproach. For each individual the focus of therapeuticintervention is on the full engagement in a partnershipthat emphasizes comfort, confidence, and competence.Specific feeding skills are developed as tools for buildingthe ability to participate fully at mealtime at each stageof the journey. The feeding therapist becomes a facilitatorand coach for all family members and provides input thatsupports the evolving personal journey and mealtimepartnership within the family across the lifespan frominfancy to adulthood.

OBJECTIVES:• Describe the differences between a “feeding

program” and a “mealtime program”• Identify the components of a partnership that leads

toward inner-directed mealtimes• List ways in which sensorimotor and oral-motor skills were

incorporated into the daily activities of the individual witha feeding problem whose videotapes were used to illus-trate the principles of a partnership-based program

G E N E R A L C O N F E R E N C E

InformationCONFERENCE REGISTRATION Register Early! Space is limited!Your registration fee includes admission to the educationalsessions and exhibit hall as well as program materials for thesessions you will be attending. Continental Breakfasts, Breaksand Saturday Lunch are also included.

CONCURRENT SESSIONSThe conference program on Saturday offers concurrentsessions for therapists working with either Adult or Pediatricclients. In order to keep course sizes down for lab experi-ences, there will be two pediatric tracks. Please be sure to signup in advance for your preferred track—Adult or Pediatric.

EXHIBITOR SHOWCASE The NDTA Conference, as always, features our ExhibitorShowcase as an integral and important part of the conferenceprogram. Our exhibitors understand the needs of therapistsand are here prepared to offer the best products and servicesavailable in the marketplace today. We encourage you to takethe time to meet with these knowledgeable suppliers who arededicated to helping you make the right purchasing decisions.

Saturday, March 1411:45 am – 1:00 pm . . . . . . . . . . . . . . . . . . . Exhibits & Lunch3:00 pm – 4:00 pm . . . . . . . . . . . . Exhibits & Afternoon Break

RECOMMENDED DRESSWe suggest informal, comfortable attire and recommendbringing a jacket or sweater, as meeting room temperaturesand personal comfort levels vary widely.

SPECIAL ASSISTANCENDTA staff will be glad to help you with any special needs,i.e. physical, dietary, etc. Please indicate your request forassistance on the registration form.

PLEASE NOTE: Conference sessions will be presented in the English language.

SUNDAY GENERAL SESSIONS


Register online today! www.ndta.org

SCHEDULE AT A GLANCEFRIDAY, MARCH 13, 200912:00pm – 1:00pm . . . . . Registration Opens1:00pm – 2:00pm . . . . . . Primary Influences on Feeding & Swallowing . . . . . . . . . . . . . . . . . . . . Rona Alexander2:00pm – 3:30pm . . . . . . The Foundation of Feeding: Alignment, Respiration & Swallowing Across the Lifespan

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rona Alexander, Robert Beecher, Lyndelle Owens3:30pm – 4:00pm . . . . . . Break4:00pm – 6:00pm . . . . . . The Foundation of Feeding (continued) . . . . . . Rona Alexander, Robert Beecher, Lyndelle Owens

SATURDAY, MARCH 14, 20098:00am – 6:00pm . . . . . . Registration Desk Open8:00am – 8:30am . . . . . . Continental Breakfast8:30am – 10:00am . . . . . C O N C U R R E N T S E S S I O N SNote: There are three tracks: one Adult and two Pediatric. NDTA will assign Pediatric track participants to Track A or Track B.

Oral & Pharyngeal Strategies to Improve Feeding & Swallowing• Pediatric Track A: Gay Lloyd Pinder• Pediatric Track B: Monica Wojcik• Adult Track: Lyndelle Owens & Marybeth Trapani-Hanasewych

10:00am – 10:15am . . . . Break10:15am – 11:45am . . . . C O N C U R R E N T S E S S I O N SNote: There are three tracks: one Adult and two Pediatric. NDTA will assign Pediatric track participants to Track A or Track B.

Oral & Pharyngeal Strategies to Improve Feeding & Swallowing• Pediatric Track B: Gay Lloyd Pinder• Pediatric Track A: Monica Wojcik• Adult Track: Lyndelle Owens & Marybeth Trapani-Hanasewych

11:45am – 1:00pm . . . . . Exhibits & Lunch1:00pm – 3:00pm . . . . . . C O N C U R R E N T S E S S I O N SNote: There are three tracks: one Adult and two Pediatric. NDTA will assign Pediatric track participants to Track A or Track B.

Strategies to Improve Respiratory Coordination for Feeding & Swallowing• Pediatric Track A: Rona Alexander & Ann Heavey• Adult Track: Lyndelle Owens & Marybeth Trapani-HanasewychThe Sensory Experience• Pediatric Track B: Judy Jelm & Lezlie Adler

3:00pm – 4:00pm . . . . . . Exhibits & Break4:00pm – 6:00pm . . . . . . C O N C U R R E N T S E S S I O N SNote: There are three tracks: one Adult and two Pediatric. NDTA will assign Pediatric track participants to Track A or Track B.

Strategies to Improve Respiratory Coordination for Feeding & Swallowing• Pediatric Track B: Rona Alexander & Ann HeaveyThe Sensory Experience• Pediatric Track A: Judy Jelm & Lezlie Adler• Adult Track: Lyndelle Owens & Marybeth Trapani-Hanasewych

SUNDAY, MARCH 15, 20097:30am – 12:30pm . . . . . Registration Desk Open7:30am - 8:00am. . . . . . Continental Breakfast8:00am – 9:15am . . . . . . Non-Oral Feeding: Considerations for Making Difficult Decisions . . . Loren Arnaboldi9:15am – 9:30am . . . . . . Break9:30am – 10:30am . . . . . Mealtimes: A Partnership with Families . . . . . . . . . . . . . . . . . . . . . Suzanne Evans Morris10:30am – 10:45am . . . . Break10:45am – 12:00pm . . . . Mealtimes: A Partnership with Families (continued) . . . . . . . . . . . . . . Suzanne Evans Morris



REGISTRATION FORMNDTA 2009 SPECIALTY CONFERENCE

FEEDING & SWALLOWING ACROSS THE LIFESPAN FROM AN NDT PERSPECTIVE

Register today at www.ndta.org or return this form with full payment to:Neuro-Developmental Treatment Association1540 S. Coast Hwy, Suite 203 • Laguna Beach, CA 92651 (800) 869-9295 • Fax (949) 376-3456

ATTENDEE INFORMATION

First Name ____________________________________ Last Name ____________________________________________________

Member # ___________ Discipline: � PT � OT � SLP � Other ___________ Specialty: � Pediatrics � Adult Hemi

Company Name ______________________________________________________________________________________________

Address ____________________________________________________________________________________________________

City, State, Zip ______________________________________________________________________________________________

Telephone Number ( ) ____________________________________ Fax ( ) ____________________________________

Email Address ________________________________________ Website ______________________________________________

In case of Emergency call: ______________________________ Phone # ______________________________________________

NDTA 2009 SPECIALTY CONFERENCE REGISTRATION (please complete one registration form per person)

Description: On or before 2/13/09 After 2/13/09 On-Site (Space permitting)

NDTA Member. . . . . . . . . $399.00 . . . . . . . . $450.00. . . . . . . . . $500.00 . . . . . . . . . $__________

NDTA Non-Member . . . . . $450.00 . . . . . . . . $500.00. . . . . . . . . $550.00 . . . . . . . . . $__________

CONCURRENT SESSION SIGN-UP (REQUIRED)

Select the concurrent sessions you will attend. Please note that there are three tracks: one Adult and two Pediatric.NDTA will assign Pediatric track participants to Track A or Track B.

SATURDAY� Pediatric Track (You will be assigned either Track A or B)� Adult Track

Please assist us in planning by checking the applicable information:

� I will attend the Saturday Lunch

� I have special needs, including dietary. Please contact me.

NDTA 2009 PAYMENT INFORMATION

� Check. Make Check Payable to NDTA: Check# ______________ Amount Paid $ ____________

� Visa � MasterCard � American Express

Credit Card# _____________________________________________________________________________ Exp. Date __________

Authorized Signature (required) _____________________________________________________________ Date _______________

Cancellation Policy: Full refund, less a $50 administrative fee, will be granted only if written cancellationnotice is received by NDTA on or before February 6, 2009. No refund will be made for no-shows.

Register online today! www.ndta.org



Neuro-Developmental Treatment Association1540 S. Coast Hwy, Suite 203Laguna Beach, CA 92651

M A R C H 1 3 - 1 5

DoubleTree Hotel & Conference Center Chicago North Shore9599 Skokie Boulevard • Skokie, IL 60077(847) 679-7000 • www.chicagonorthshore.doubletree.com

REGISTER EARLY! SPACE IS LIMITED!Neuro-Developmental Treatment Association • (800) 869-9295 • www.ndta.org

The Doubletree Hotel & Conference Center, Chicago North Shore is located in the upscale Chicago north suburb of Skokie, Illinois.The European-styled high-rise combines richly appointed accommodations with a truly ambient setting. The hotel is convenientlylocated within 20 minutes of O’Hare Airport and downtown Chicago. Movie theatres, premiere shops and restaurants are all withinwalking distance, with the Westfield Old Orchard Shopping Center directly across the street.

The spacious guest rooms with generous amenities and work surfaces feature comfortable Sweet Dreams® beds and must-haves likedata ports, flat screen TVs and complimentary wireless high-speed Internet access. For recreation, enjoy the indoor-outdoor pool orwork out in the well-equipped Fitness Center. The Grill Restaurant & Bar serves breakfast, lunch and dinner daily.

The Doubletree Hotel is offering NDTA guests special rates of $110, plus tax, single or double occupancy. NDTA recommendsthat you make your reservations early. Reservations will be available until our group of rooms has sold out, which may be earlierthan the cut-off date of February 19, 2009.


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