Fortbildungen 2018 > Rethinking Rehab of Dysphagia - From peripheral to central adaptation > Inhalt und Referentin (en)


Rethinking Rehab of Dysphagia: From peripheral to central adaptation

A survey of behavioural rehabilitation approaches for impaired swallowing reveals a strong historical bias toward muscle strengthening. Strength training is known to change peripheral muscle but is not considered to change the central neural drive of that muscle for functional tasks. More recently explored non-invasive brain stimulation (NIBS) approaches focus on maximizing central modulation of swallowing by enhancing mechanisms of neural plasticity. These approaches alter neural excitability but have limitations in task specificity. Skill-based training for swallowing impairment is targeted toward maximizing cortical modulation through behaviourally driven neural plasticity that is task specific in nature. This lecture will address the development of skillbased rehabilitation approaches for swallowing. The importance of biofeedback applications will be emphasized through the inclusion of a hands on session using the Biofeedback in Strength and Skill Training Software.

Day One:
  • Rehab of dysphagia
  • Changing Muscle
  • Changing Brain through non-invasive brain stim techniques
  • Changing brain through behavioural skill training: A task specific approach to neural change
  • Skill Training in Swallowing in more detail
  • Definitions, justification, theory, foundation research Biofeedback in Skill Training
Day Two:
  • Biofeedback in Strength and Skill Training: Hands on
  • Outcome measurement for rehabilitatione
  • Quantifying change: ultrasound, quantitative VFSS, NZIMES, TWST, TOMASS
For the hands on workshop, we will load the BiSSkiT software on your computer on Day One. Please bring this with you both days. Specifications: Windows XP / Vista / 7 / 8 / 10; Intel core i3 (or i5, i7 or more ): 1 GB RAM (32-bit) or 2 GB RAM (64-bit); 1.2 GB spare hard drive; Minimum resolution: 1280 x 720; **Apple Mac, iPad, Windows RT are not supported.


Maggie-Lee Huckabee Maggie-Lee Huckabee PhD
University of Canterbury Rose Centre for Stroke Recovery and Research Christchurch New Zealand

Prof Maggie-Lee Huckabee practiced as a clinical speech language pathologist for 15 years before the frustration of never knowing ‘the answers’ led her to an academic career. She is now Founder and Director of the University of Canterbury Rose Centre for Stroke Recovery and Research, and Professor in the Department of Communication Disorders in Christchurch, New Zealand. She still hasn’t found ‘The Answers’ but is trying, with research interests focusing on the complexities of behaviorally-driven neural adaptation and biomechanical change leading to swallowing recovery following neurological injury. In her 18 year academic career, Maggie-Lee has co-authored three books, one of which is going into its 3rd edition, 15 book chapters and has published 74 peer reviewed scientific papers. A recent research programme has resulted in a reduction in pneumonia rates from 27 to 10%, with a subsequent savings in health care costs for the regional health board of over $1.5 million in one year.. For this research, she was awarded one of the top research medals from the University of Canterbury – The Innovation Medal. Her research programme focuses primarily on development of neurorehabilitation approaches. She is well known as a clinical teacher and is an invited speaker by health systems worldwide to provide clinical training, particularly in rehabilitation practices.