Thanks to this Postgraduate diploma, you will increase your skills to identify Dysphagia and Voice Physiology in an advanced way"

Swallowing difficulties and voice disorders are the result of neurological alterations or Acquired Brain Injury that cause diverse consequences not only at a nutritional level, but in general, reducing the quality of life of those who suffer from them. In addition to malnutrition or dehydration problems, there are also respiratory and communication problems.

Although these pathologies are common in adults, especially stroke or geriatric patients, there is a considerable percentage of school-age patients affected by dysphagia and voice disorders that require rehabilitation. So industry personnel must understand its implications and how to approach it.

In this Postgraduate diploma, the professional will update their skills to give an answer from a holistic point of view to work in collaboration with other specialists, in an integral and complete way. It will delve into the anatomy and physiology of the voice and swallowing to identify their features and be able to conduct an appropriate procedure in each case of affectation. 

A curriculum that will deepen the knowledge of the most current diagnostic and treatment techniques, to analyze the different possible vocal pathologies and achieve scientific rigor in the treatments. Therefore, they will be able to raise awareness of the need for vocal care, assess the nutritional status of patients with dysphagia and the consequences of poor hydration and malnutrition, among other multiple skills that will be enhanced with the study of this program.

It will be 6 months of study that will include the best content, the advice of a technical and teaching team always ready to guide the student and the most varied multimedia resources, available completely online from the most modern, secure and intuitive virtual platform. 

An advanced curriculum that will help you implement a correct and complete assessment of vocal function in daily practice"

This Postgraduate diploma in Dysphasia and Voice Rehabilitation contains the most complete and up-to-date educational program on the market. The most important features include:

• The development of practical cases presented by experts in Speech Neurorehabilitation and Orofacial Therapy
• The graphic, schematic, and practical contents with which they are created, provide scientific and practical information on the disciplines that are essential for professional practice
• Practical exercises where self-assessment can be used to improve learning.
• Its special emphasis on innovative methodologies 
• Theoretical lessons, questions to the expert, debate forums on controversial topics, and individual reflection assignments
• Content that is accessible from any fixed or portable device with an Internet connection

Stay informed the functional basis of dysphagia to classify it and know the pathologies associated with this disorder”

The program’s teaching staff includes professionals from the industry who contribute their work experience to this program, as well as renowned specialists from leading societies and prestigious universities. 

The multimedia content, developed with the latest educational technology, will provide the professional with situated and contextual learning, i.e., a simulated environment that will provide immersive education programmed to learn in real situations. 

This program is designed around Problem-Based Learning, whereby students must try to solve the different professional practice situations that arise throughout the program. For this purpose, the students will be assisted by an innovative interactive video system created by renowned and experienced experts. 

The pedagogical methodology of this program will allow the graduate to combine their daily activities with the new academic goal without complications and in a comfortable way"

A specific and complete Postgraduate diploma that will open new paths toward professional development"

In 3 study modules, the most important aspects and new developments in the rehabilitation of Dysphagia and Voice are grouped together, so that the professional from the point of view of the educational sector can address the situations that arise in an appropriate manner. An academic program with the most complete content, chosen by experts and designed under the Relearning methodology, which offers the comfort and quality that the student needs. From a completely online modality, the most updated theoretical and practical material will be available, presented in a variety of multimedia resources: video summaries, complementary readings, case studies, Testing, Restesting, among others. Undoubtedly, an avant-garde way of catching up with the latest scientific evidence.

You will delve into the most specific nutrition screening scales for more effective assessments"

Module 1. Anatomy and Physiology of the Voice. Vocal Chord Status

1.1. Voice Anatomy 

1.1.1. Laryngeal Anatomy 
1.1.2. Respiratory Structures Involved in Phonation 

1.1.2.1. Chest 
1.1.2.2. Airway 
1.1.2.3. Respiratory Musculature 

1.1.3. Laryngeal Structures Involved in Phonation 

1.1.3.1. Laryngeal Skeleton 
1.1.3.2. Cartilage 
1.1.3.3. Joints 
1.1.3.4. Musculature 
1.1.3.5. Innervation 

1.1.4. Structures of the Vocal Tract Involved in Phonation 

1.1.4.1. Linear Source-Filter Model 
1.1.4.2. Non-Linear Source-Filter Model 

1.2. Voice Physiology 

1.2.1. Histology of Vocal Folds 
1.2.2. Biomechanical Properties of the Vocal Folds 
1.2.3. Myoelastic Mucoondulatory Theory and Aerodynamic Theory 

1.3. Pathological Voice

1.3.1. Euphonia vs. Dysphonia
1.3.2. Vocal Fatigue
1.3.3. Acoustic Signs of Dysphonia
1.3.4. Classification of Dysphonia

1.4. Medical- Surgical Treatment

1.4.1. Phonosurgery
1.4.2. Laryngeal Surgery
1.4.3. Medication in Dysphonia

1.5. Physical and Acoustic Aspects 

1.5.1. Physical Aspects of the Voice 

1.5.1.1. Types of Waves 
1.5.1.2. Physical Properties of Sound Waves: Amplitude and Frequency 
1.5.1.3. Transmission of Sound 

1.5.2. Acoustic Voice Aspects 

1.5.2.1. Intensity 
1.5.2.2. Pitch 
1.5.2.3. Quality 

1.6. Objective Voice Assessment 

1.6.1. Morphofunctional Exploration 
1.6.2. Electroglottography 
1.6.3. Aerodynamic Measures 
1.6.4. Electromyography 
1.6.5. Videochemography 
1.6.6. Acoustic Analysis 

1.7. Perceptual Assessment 

1.7.1. GRBAS 
1.7.2. RASAT 
1.7.3. GBR Score 
1.7.4. CAPE-V 
1.7.5. VPAS 

1.8. Functional Assessment 

1.8.1. Fundamental Frequency 
1.8.2. Phonetogram 
1.8.3. Maximum Phonatory Times 
1.8.4. Velo-Palatine Efficiency 
1.8.5. VHI 

1.9. Assessing Vocal Quality 

1.9.1. Vocal Quality 
1.9.2. High Vocal Quality vs. Low Vocal Quality 
1.9.3. Vocal Quality Assessment in Voice Professi

1.10. Medical History 

1.10.1. The Importance of Medical History 
1.10.2. Characteristics of the Initial Interview 
1.10.3. Medical History Sections and Voice Implications 
1.10.4. Proposal of a Model of Anamnesis for Vocal Pathology 

Module 2. Vocal Rehabilitation

2.1. Speech Therapy Treatment for Functional Dysphonias 

2.1.1. Type I: Isometric Laryngeal Disorder 
2.1.2. Type II: Glottic and Supraglottic Lateral Contraction 
2.1.3. Type III: Anteroposterior Supraglottic Contraction 
2.1.4. Type IV: Conversion Aphonia/Dysphonia and Psychogenic Dysphonia with Arched Vocal Cords 
2.1.5. Transitional Adolescent Dysphonia 

2.2. Speech Therapy Treatment for Organic Dysphonias 

2.2.1. Introduction 
2.2.2. Speech Therapy in Congenital Origin Dysphonias 
2.2.3. Speech Therapy in Acquired Origin Dysphonias 

2.3. Speech Therapy Treatment for Organic-Functional Dysphonias 

2.3.1. Introduction 
2.3.2. Objectives in the Rehabilitation of Organic-Functional Pathologies 
2.3.3. Proposal of Exercises and Techniques according to the Rehabilitation Objective 

2.4. Voice in Acquired Neurological Problems 

2.4.1. Dysphonias of Neurological Origin 
2.4.2. Speech Therapy Treatment

2.5. Child Dysphonia 

2.5.1. Anatomical Characteristics 
2.5.2. Vocal Characteristics
2.5.3. Intervention 

2.6. Hygiene Therapy 

2.6.1. Introduction 
2.6.2. Harmful Habits and Their Effect on the Voice 
2.6.3. Preventive Measures 

2.7. Semi-Occluded Vocal Tract Exercises 

2.7.1. Introduction 
2.7.2. Justification 
2.7.3. TVSO 

2.8. Estill Voice Training 

2.8.1. Jo Estill and the Creation of the Model 
2.8.2. Principles of Estill Voice Training 
2.8.3. Description 

Module 3. Assessment and Intervention in Dysphagia of Neurological Origin in Adults

3.1. Swallowing: Definition and Anatomy 

3.1.1. Definition of Swallowing 
3.1.2. Swallowing Anatomy: Structures 

3.1.2.1. Oral Cavity 
3.1.2.2. Pharynx 
3.1.2.3. Larynx. 
3.1.2.4. Oesophageal 

3.1.3. Swallowing Anatomy: Neurological Control 

3.1.3.1. Central Nervous System 
3.1.3.2. Cranial Nerves 
3.1.3.3. Autonomic Nervous System 

3.2. Swallowing: The Swallowing Process 

3.2.1. Phases of Swallowing 

3.2.1.1.1.Pre-oral Phase 

3.2.1.2. Oral Phase 

3.2.1.2.1. Oral Preparatory Phase 
3.2.1.2.2. Oral Transport Phase 

3.2.1.3. Pharyngeal Phase
3.2.1.4. Esophageal Phase 

3.2.2. Valve System 
3.2.3. Biomechanics of Swallowing 

3.2.3.1. Swallowing Liquids 
3.2.3.2. Swallowing Semi-Solids 
3.2.3.3. Swallowing Solids: Chewing 

3.2.4. Breathing-Swallowing Coordination 

3.3. Introduction to Dysphagia 

3.3.1. Definition 
3.3.2. Etiology and Prevalence 

3.3.2.1. Functional Causes 
3.3.2.2. Organic Causes 

3.3.3. Classification 

3.3.3.1. Types of Dysphagia 
3.3.3.2. Severity of Dysphagia 

3.3.4. Differentiation Structural Dysphagia vs. Neurogenic Dysphagia 
3.3.5. Signs and Symptoms of Dysphagia 
3.3.6. Safety and Efficacy Concepts 

3.3.6.1. Safety Complications 
3.3.6.2. Efficacy Complications 

3.3.7. Brain Damage Dysphagia 
3.3.8. Dysphagia in the Elderly 

3.4. Medical Assessment of Dysphagia 

3.4.1. Medical Anamnesis 
3.4.2. Scales of Assessment and Screening 

3.4.2.1. EAT-10 
3.4.2.2. V-VST. Volume-Viscosity Swallow Test 

3.4.2.2.1. How to Perform the V-VST 
3.4.2.2.2. Useful Tips when Using V-VST 

3.4.3. Instrumental Tests 

3.4.3.1. Fibroendoscopy (FEES) 
3.4.3.2. Videofluoroscopy (VFS) 
3.4.3.3. Fibroendoscopy vs. Videofluoroscopy 
3.4.3.4. Pharyngoesophageal Manometry 

3.5. Speech Therapy Assessment of Dysphagia 

3.5.1. Medical History 
3.5.2. General Patient Assessment 

3.5.2.1. Physical Examination 
3.5.2.2. Cognitive Examination 

3.5.3. Clinical Patient Exploration 

3.5.3.1. Structural Assessment 
3.5.3.2. Oral Motor and Sensory Examination 
3.5.3.3. Cranial Nerves Assessment 
3.5.3.4. Reflex Assessment 
3.5.3.5. Exploring Swallowing by Phases (without Bolus) 
3.5.3.6. Using Auscultation and Sound Assessment 
3.5.3.7. Respiratory and Phonation Assessment 

3.5.4. Tracheostomy Patient Assessment 
3.5.5. Severity and Quality of Life Scales

3.6. Assessment of Nutritional Status 

3.6.1. Importance of Nutrition 
3.6.2. Screening Scales in Nutrition 

3.6.2.1. Malnutrition Universal Screening Tool (MUST) 
3.6.2.2. Mini Nutritional Assessment (MNA) 
3.6.2.3. Nutritional Risk Screening 2002 (NRS 2002) 

3.6.3. Nutritional Assessment 
3.6.4. Undernourishment 
3.6.5. Dehydration 
3.6.6. Nutritional Supplements 
3.6.7. Alternatives to Oral Feeding 

3.6.7.1. Enteral Nutrition 

3.6.7.1.1. Naso/Oroenteral Tube Nutrition 
3.6.7.1.2. Nutrition by Gastrostomy 
3.6.7.1.3. Comparing Types of Enteral Nutrition 

3.6.7.2. Parenteral Nutrition 

3.7. Dysphagia Rehabilitation Using Compensatory Techniques 

3.7.1. Rehabilitation Treatment Objectives 
3.7.2. Postural Techniques 
3.7.3. Consistency Modifications 
3.7.4. Modifying Intake Volume and Speed 
3.7.5. Modifying Food at the Perceptual Level 
3.7.6. New Textures 
3.7.7.  Adapting Utensils for Intake 
3.7.8. Guidelines for Patients and Family 

3.7.8.1. Adaptation of Environment 
3.7.8.2. Administration of Drugs 
3.7.8.3.Oral Hygiene 

3.8. Dysphagia Rehabilitation Using Rehabilitation Techniques I 

3.8.1. Inclusion/Exclusion Criteria in Treatments Using Rehabilitation Techniques 
3.8.2. Swallowing Maneuvers 
3.8.3. Techniques to Exercise Swallowing Musculature 

3.8.3.1. Orofacial Myofunctional Therapy 

3.8.3.1.1. Soft Tissues Manipulation 
3.8.3.1.2. Sensory Enhancement Techniques 
3.8.3.1.3. Specific Exercises 

3.8.3.1.3.1. Tongue 
3.8.3.1.3.2. Lips/Buccinator Muscles 
3.8.3.1.3.3. Masticatory Muscles 
3.8.3.1.3.4. Palatal Veil

3.8.3.2. Techniques to Stimulate Swallowing Reflex 
3.8.3.3. Bolus Propulsion Exercises 
3.8.3.4. Laryngeal Elevation (Hyoid Excursion) Exercises 
3.8.3.5. Exercises to Improve Glottic Closure 

3.9. Dysphagia Rehabilitation Using Rehabilitation Techniques II 

3.9.1. Dysphagia Treatment based on Symptomatology 
3.9.2. Breathing Treatment 
3.9.3. Positioning 
3.9.4. Diet Implementation 
3.9.5. Use of Botulinum Toxin 
3.9.6. Neuromuscular Bandaging 

3.9.6.1. Rigid Bandages 
3.9.6.2. Flexible Bandages 

3.9.7. Electrotherapy in Swallowing 
3.9.8. New Technologies 

3.10. Useful Content for Speech Therapists Working in Dysphagia 

3.10.1. CPR in Diet 
3.10.2. Diet Rheology 
3.10.3. Additional Information 

A complete syllabus that you can download and consult at your own pace, thanks to the 100% online mode of this program"