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McNeill Dysphagia Therapy Program.

McNeill Dysphagia Therapy Program MDTP ASHA CEUs Course

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McNeill Dysphagia Therapy Program (MDTP)

The McNeill Dysphagia Therapy Program (MDTP) is an exercise based therapy for swallowing disorders.

The McNeill Dysphagia Therapy Program will be taught by Drs. Michael A. Crary and Giselle Carnaby.

Michael Crary
Dr. Michael Crary
Giselle Carnaby
Dr. Giselle Carnaby



Due to rapid growth of MDTP and the presence of non-certified clinicians who have taken the course but not completed the certification process, Drs Crary and Carnaby-Mann can only respond to email queries from certified MDTP providers. Soon, we will establish a queries link on our website that will allow certified MDTP providers to ask questions and receive timely answers. In the meantime we ask all who have taken MDTP courses, certified and non-certified, to be patient and that only certified providers email Mike and Giselle to ask MDTP relevant questions. Thank you for your patience.

McNeill Dysphagia Therapy Program Course Objectives:

Upon completion of this course participants will be able to:

  1. Describe the components of MDTP therapy and differentiate this approach from more traditional therapy.
  2. Describe current clinical research supporting MDTP therapy.
  3. Explain how MDTP uses exercise principles to improve swallow function.
  4. Explain physiologic changes in swallowing that may result from various foods/liquids.
  5. Use specific clinical tools in the evaluation of patients for participation in MDTP therapy
  6. Conduct MDTP therapy sessions and monitor patient progress and outcomes.

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The McNeill Dysphagia Therapy Program (MDTP) FAQs

What is MDTP (McNeill Dysphagia Therapy Program)?
MDTP is a systematic exercise-based approach to dysphagia therapy in adults. Rather than a specific technique, MDTP is a framework from which to provide individualized therapy to adultpatients. This one day intermediate course introduces participants to the conceptual basis of MDTP, provides the results of initial clinical studies documenting functional and physiologic benefits from MDTP intervention, describes in detail the components of MDTP, and provides step by step instruction for the evaluation and treatment of patients receiving the MDTP approach.
What are the basic components of MDTP?
MDTP is based on exercise principles. These are reviewed and explained in this course. MDTP components include a structured and validated clinical and instrumental assessment, applicationof food hierarchy with clinical decision strategies, and specific recommendations for monitoring patient performance and advancing safe oral intake.
Are modalities used with MDTP?
Though we have used MDTP with NMES and sEMG biofeedback, MDTP is a stand alone clinical approach to dysphagia therapy in adults. While some patients might benefit from application ofadjunctive modalities in dysphagia therapy, this course will not address the inclusion of adjunctive modalities.
Who benefits from MDTP?
Our clinical research to data has focused on adult patients who have chronic dysphagia (a minimum of 6 months) and who have ‘failed’ at prior dysphagia interventions (no improvement insafe oral intake). We have used MDTP with patients who survived stroke, head/neck cancer treatment and traumatic brain injury. While not every patient has improved following MDTP intervention, our success rate is over 90% for increased safe oral intake and nearly 70% for removal of feeding tubes in these chronic, treatment refractory patients.
Will I be able to use the MDTP approach after this one-day course?
Yes, the one day course will provide you will all the basics that an experienced clinician needs to conduct MDTP therapy. If you have questions once you start using MDTP, the courseinstructors are available via email to respond to your questions.
Who is McNeill?
MDTP has been tested in clinical research since 2005. Hannibal McNeill was one of the first patients who volunteered to participate in this line of clinical research.


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