This session is part of two comprehensive series:
Birth to Three Annual Conference PROGRAM B – ON-DEMAND
and
Birth to Three Annual Conference – ON-DEMAND
COURSE DESCRIPTON:
This session will introduce the science behind sleep-disordered breathing (SDB), it’s impact to functions within a whole-child/whole-family framework, integration of orofacial myofunctional disorders as clinical markers for SDB, use of sleep questionnaires, how to form interdisciplinary teams for diagnosis and management, how to cultivate a sleep mindset, and implement sleep wellness practices.
LEARNING OBJECTIVES:
- Identify the signs and symptoms of sleep disordered breathing (SDB)
- Recognize the orofacial myofunctional disorders that are clinical markers for SDB in a child
- Select a therapeutic method in which we can impact functional limitations related to childhood SDB
- Identify 3 neurobehavioral sequela of SDB that mimic clinical characteristics of ADHD
- Choose appropriate referrals and management of orofacial functions in children with SDB
- Apply sleep hygiene practices that include the whole-child/whole family framework
AUDIENCE:
Birth to three therapists including OTs, PTs, SLPs, and Special Educators.
SCHEDULE/OUTLINE
1. Sleep-disordered breathing (SDB)
- Definition, prevalence, & etiology
- Impact on health, development, & function
- Impact on areas relevant to the pediatric therapist’s scope of practice
- Whole-child/whole family impact
2. Neurophysiology of SDB and the autonomic nervous system
- Sympathetic vs. parasympathetic nervous system
- Limbic Lockdown
- Impacts to the prefrontal cortex & executive function skills
- The therapy triad
3. Nasal breathing & nighttime sleep breathing
- Importance & optimization of functions
- What is “normal”
- Sleep recommendations/guidelines
4. Pediatric therapist’s role in screening for signs and/or symptoms of potential SDB
- Orofacial Myofunctional Disorders as clinical markers (i.e., bruxism, tongue thrust, tongue-tie, malocclusion, restricted palate, tongue scalloping, etc)
- Friedman & Mallampati Scores
- Brodsky tonsil grading
- Oral Functions (i.e., speech, chewing, swallowing, feeding, etc.)
- Postures
- Fairest 6 validated screening protocol
- Intakes & integration of sleep questionnaires
5. Interdisciplinary team management and appropriate referrals
- Who gives the diagnosis?
- Gold standard for diagnosis
- Roles of various disciplines in team management
- The role of orofacial myofunctional therapy
6. Prevention of sleep & airway issues in the birth-3 population
- What parents need to know
7. Sleep wellness practices
- Definition of sleep mindset
- Cultivating a sleep mindset
- Sleep hygiene practices within a whole-child/whole family framework
Nicole is an ASHA board certified speech-language pathologist, airway & sleep literacy advocate, and certified lactation educator/counselor. In addition to obtaining BA and MS degrees in Speech & Hearing Sciences, she also holds an advanced graduate level degree (EdS) in Brain Research (Educational Neuroscience). Currently, Nicole is the Secretary for the Academy of Applied Myofunctional Sciences (AAMS) and is the myofunctional therapy Section Leader for the American Academy of Physiological Medicine & Dentistry (AAPMD).
With a passion for teaching and writing, Nicole is a national and international speaker, as well as a published author on the topics of educational neuroscience, orofacial myofunctional therapy, airway function disorders and the autonomic nervous system, and sleep wellness in pediatrics. Her first article for The ASHA Leader (2015) on sleep-disordered breathing and tongue-ties garnered a Bronze Excel Award from Association Media & Publishing for Best Column. In 2019, Nicole presented her Capstone project from Johns Hopkins University at the World Sleep Society titled: Oral Dysfunction and Sleep Meet Education: A Four-Part Collaborative-Model for Screenings.
She is a 2019 recipient of the Rising Star Investigator Award from the AAMS for great promise in the advancement of medicine via myofunctional sciences and an eight-time recipient of the ACE award from ASHA. Nicole is an active clinical researcher, as well as a passionate advocate for interdisciplinary collaboration and public health awareness on airway health and sleep. Alongside an interdisciplinary team of colleagues, her research on nasal breathing screening and tongue mobility has been published in the International Journal of Otorhinolaryngology and the Journal of Oral Rehabilitation respectively.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
This course meets the criteria for 3 contact hours (0.3 CEUs) Intermediate Level. License #_________.
Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID#09073. This Distance Learning-Independent course is offered at 3 contact hours 0.3 CEUs. (Intermediate level, OT Service Delivery & Foundational Knowledge). AOTA does not endorse specific course content, products, or clinical procedures. This course can be used toward your NBCOT renewal requirements for 3 units. Approved Provider for the FL Occupational Therapy Association CE Broker for 3.5 CE Hours - CE Broker #20-1214890. This course meets the approval of the TX Board of OT Examiners. ASHA CE Provider (Intermediate level)This session applies 0.3 ASHA CEUs toward approval but must be combined with all Part B Sessions to receive ASHA CEUS. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures. ASHA credits are accepted by the TX Department of License and Renewal. This course has been approved by the MD State Board of Physical Therapy Examiners for __ Continuing Education Hours. Approval #_____ by the NJ State Board of Physical Therapy Examiners for _____ CEC's. Approved sponsor by the State of IL Department of Financial and Professional Regulation for Physical Therapy for 3.5 contact hours. Application has been made to IL EI Training Program. Approved provider by the NY State Board of Physical Therapy for 3.5 contact hours (0.35 CEUs). Education Resources Inc. is an Approved Agency by the Physical Therapy Board of CA, PTs will receive 3 CEUs. Approved by the Kentucky Physical Therapy Association for 3 Category 1 contact hours, expiration Date: 3/6/25, approval # CS61-2023-APTAKY. Approved Provider for OK State Board of Medical Licensure & Supervision #BAP202310003.This activity provided by the Texas Board of PT Examiners accredited provider Approval #2210017TX for 3 CCU's and meets continuing competence requirements for PT's and PTA's licensure renewal in Texas. The following state boards of physical therapy accept other states’ approval: AK, AR, AZ, DC, DE, GA, HI, ID, IN, KS, MA, MI, MO, MS, NC, OR, PA, RI, SC, UT, VA, VT, WI, WY. The following state boards of physical therapy either do not require course pre-approval or do not require CEUs for re-licensure: AL, CO, CT, IA, ME, MT, NE, ND, NH, SD, WA. 3 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification.
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