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Check out the multiple muscles and structures that are involved in the process of swallowing.
Something you take for granted until it doesn't work right anymore! Credit to Brian Wagner for animation.
Not all electrical stimulation for dysphagia is NMES. Here are the key features in distinguishing NMES from other protocols.
This is how neuromuscular electrical stimulation works. It evokes action potentials by replicating the electrical signals that normally occur. In a deficient neuromuscular system, NMES, combined with functional tasks, can restore what has been lost.
All credit for this video goes to Brainfacts.org
Lecture on the basic principles of NMES and the scientific rationale for using NMES to treat dysphagia
The origin story of The Biber Protocol®. How it all started in 1999!
Interview in Greece with an ENT Surgeon and my esteemed colleague Marissa Barrera
The one and only placement for NMES for dysphagia
Brief animation of NMES and electrode placement. Credit for animation to Brian Wagner.
Electrode care is an essential part
of NMES treatment.
There are 4 important concepts
anyone using NMES should know.
Understanding the role of amplitude
as it relates to muscle contraction.
Learn about monophasic and biphasic
waveforms via a simple analogy.
Pulse duration is a critical parameter for NMES. Here's one simple way of understanding it as it relates to waveforms.
The step by step process for setting up
an NMES treatment for a patient.
Animation not only showing electrode placement but also cortical activation and simultaneous swallowing with stimulation for true neuromuscular
re-education and cortical organization.
Interview about GERD on The Balancing Act
Short film produced to create awareness
of Head and Neck Cancer
Check out this great interview with Teresa and learn more about The Biber Protocol®
The Biber Protocol®