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    9 Courses

Catriona Steele

PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Dr. Catriona M. Steele is the director of the Swallowing Rehabilitation Research Laboratory at the Toronto Rehabilitation Institute. She also teaches in the graduate department of speech-language pathology at the University of Toronto. Prior to completing her PhD, Dr. Steele worked as a medical speech-language pathologist for 10 years.

Dr. Steele is known for her commitment to pursuing theoretically driven research that underpins clinical interventions with sound empirical evidence. She has received particular recognition for her work on tongue function in swallowing. Dr. Steele holds research funding from the National Institutes of Health in the United States, a Canadian Institutes of Health Research New Investigator Award, and funding from the Heart and Stroke Foundation of Ontario. She has published more than 80 peer-reviewed publications. Dr. Steele is in demand as a teacher around the world and has given workshops and invited lectures across North America, Europe, Japan, China, Korea, Chile, New Zealand, and Australia.

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Videofluoroscopy Part 1: Indicators for the Exam

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 1: Indicators for the Exam

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Video Runtime: 37 Minutes; Learning Assessment Time: 32 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for persons experiencing dysphagia. However, a lack of standardized VFSS practice currently exists, and many clinicians lack knowledge regarding best practice. In this course, we review the rationale for VFSS and the questions that it can answer.

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Videofluoroscopy Part 2: How to Design the Exam

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 2: How to Design the Exam

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 41 Minutes; Learning Assessment Time: 31 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for persons experiencing dysphagia. However, a lack of standardized VFSS practice exists, and many clinicians lack knowledge regarding best practice. In this course, we will review protocols for VFSS, explore the tasks that may be most informative, and discuss procedural aspects that may alter swallowing behavior or exam results.

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Videofluoroscopy Part 3: Contrast Media

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 3: Contrast Media

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Video Runtime: 39 Minutes; Learning Assessment Time: 32 Minutes

A videofluoroscopic swallowing examination (VFSS) requires the use of radiopaque contrast media to make the bolus visible. Historically, there were no specific contrast agents designed for the oropharyngeal VFSS examination. This led to off-label practices where clinicians used barium designed for gastrointestinal imaging and prepared it in different consistencies, including mixing with food. We will discuss the importance of using standard barium and the risks that off-label mixing practices may have for altering exam results.

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Videofluoroscopy Part 4: Equipment and Pulse Rate

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 4: Equipment and Pulse Rate

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Video Runtime: 34 Minutes; Learning Assessment Time: 34 Minutes

This course explores the technical aspects of videofluoroscopy, including continuous versus pulsed fluoroscopy, frame rate, and loops. In particular, we will discuss how reductions in frame rate impact the information that is obtained and the relationship between frame rate, radiation exposure, exam length, and diagnostic accuracy.

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Videofluoroscopy Part 5: Evaluation of Swallowing Safety

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 5: Evaluation of Swallowing Safety

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 35 Minutes; Learning Assessment Time: 31 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for people experiencing dysphagia. However, a lack of standardized VFSS practice currently exists, and many clinicians lack knowledge regarding best practice. In this course, we review the 8-point Penetration-Aspiration Scale and how it should be used to rate swallowing safety.

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Videofluoroscopy Part 6: Evaluation of Swallowing Efficiency

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 6: Evaluation of Swallowing Efficiency

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 35 Minutes; Learning Assessment Time: 32 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for persons experiencing dysphagia. However, a lack of standardized VFSS practice currently exists, and many clinicians lack knowledge regarding best practice. In this course, we review metrics for rating swallowing efficiency, i.e., pharyngeal residue. We will review both visuoperceptual and quantitative pixel-based methods for capturing residue severity.

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Videofluoroscopy Part 7: Using Videofluoroscopy for Treatment Planning

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Videofluoroscopy Part 7: Using Videofluoroscopy for Treatment Planning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 31 Minutes; Learning Assessment Time: 24 Minutes

A videofluoroscopic swallow study (VFSS) is an important tool for speech-language pathologists to leverage during assessment and treatment planning for people experiencing dysphagia. However, a lack of standardized VFSS practice currently exists, and many clinicians lack knowledge regarding best practice. In this course, we will explore how videofluoroscopy can be used for treatment planning, using texture modification, the chin-down posture, and the effortful swallow as example interventions.

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Tongue Pressure Resistance Training Part 1: Rationale and Steps for Measuring Tongue Strength

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Tongue Pressure Resistance Training Part 1: Rationale and Steps for Measuring Tongue Strength

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.

This course is the first of a two part series that provides the learner with the knowledge and skills to implement tongue pressure strength training as a treatment for dysphagia. The course begins with an overview of tongue anatomy and the role of the tongue in the swallowing process. This installment delves into the research behind tongue strength training and it's effect on dysphagia as a therapy, including the prevalence of aspiration in individuals with reduced tongue strength, and reduced tongue strength in aging adults. The course concludes with an introduction to the principles and tools needed to measure tongue strength in adults, including a demonstration of key concepts with a patient.

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Tongue Pressure Resistance Training Part 2: Designing a Training Program

Presented by Catriona Steele, PhD, CCC-SLP, S-LP(C), Reg. CASLPO, ASHA Fellow

Tongue Pressure Resistance Training Part 2: Designing a Training Program

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.

This course is the second of a two part series that provides the learner with the knowledge and skills to implement tongue pressure strength training as a treatment for dysphagia. Applying the skills developed in the first course to measure tongue strength, this course begins by training the participant to design a tongue strength training program by evaluating existing training regimens. The course then moves to a discussion of the effectiveness of tongue strength training for a variety of populations, and concludes with a discussion session around the efficacy and research needs on the topic of tongue pressure strength training.

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