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Michelle Troche

PhD, CCC-SLP

Dr. Michelle S. Troche is currently an Assistant Professor in the Communication Sciences and Disorders Program, Department of Biobehavioral Sciences at Teachers College, Columbia University. Additionally, she holds adjunct positions in the departments of Neurology and Otolaryngology. She completed her doctoral studies at the University of Florida, where she also served as a faculty member prior to joining Columbia University. She is director of the Laboratory for the Study of Upper Airway Dysfunction. Her research is aimed at improving health outcomes and quality of life associated with disorders of airway protection (i.e., swallowing and cough). To that end, she employs a two-pronged approach including both basic science and clinical research. Basic science research goals focus on developing a better understanding of the mechanisms underlying airway protection and its disorders. Clinical research goals are the development of novel and robust evaluation and treatment techniques for dystussia (deficits of cough function) and dysphagia (deficits of swallowing function). Current projects focus on multiple behaviors contributing to airway protection and the ability to modify those behaviors via non-pharmacological treatment paradigms. Research participants include healthy volunteers, people with Parkinson's disease, other movement disorders, ischemic stroke, and motor neuron disease. Her research has been funded by the National Institutes of Health, Michael J Fox Foundation, and CurePSP Foundation. She directs a collaborative, multidisciplinary, and productive laboratory which creates a rich environment for trainees of all levels.

Her clinical work has mainly been in the area of Movement Disorders where she has evaluated and treated the motor speech and airway protective function of hundreds of patients. She has expertise and has mentored students and taught in the areas of: cognitive-motor relationships, neural/myogenic adaptations to exercise and training, with emphasis on the swallowing, coughing and respiratory systems, and clinical disorders of motor speech, voice, and airway protection. Her research, teaching, and mentorship have been recognized by several awards and in her academic record.

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Assessment of Motor Speech in Patients with Complex Movement Disorders

Presented by Michelle Troche, PhD, CCC-SLP

Assessment of Motor Speech in Patients with Complex Movement Disorders

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Video Runtime: 77 Minutes; Learning Assessment Time: 23 Minutes

Acquired motor speech disorders in persons with Movement Disorders can cause significant decrements to quality of life, social isolation, and depression. Movement Disorders often cause deficits across the neuroaxis and for that reason result in marked difficulties when it comes to management. The goal of this course is to provide participants with the tools needed to complete a comprehensive assessment of motor speech dysfunction in the most complex Movement Disorders patients. It is recommended that this course be followed-up with the Motor Speech Management of Complex Movement Disorders Patients course.

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Motor Speech Management in Patients with Complex Movement Disorders

Presented by Michelle Troche, PhD, CCC-SLP

Motor Speech Management in Patients with Complex Movement Disorders

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 104 Minutes; Learning Assessment Time: 18 Minutes

Acquired motor speech disorders in persons with Movement Disorders can have a devastating impact to patients and their families. The management of motor speech issues in persons with Movement Disorders is complicated by the diffuse deficits across the neuroaxes which often result from these disorders. The goal of this course is to provide participants with the tools needed to develop holistic motor speech management plans for these complicated disorders.

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Assessing Swallowing & Cough Dysfunction in Patients with Parkinson's Disease

Presented by Michelle Troche, PhD, CCC-SLP

Assessing Swallowing & Cough Dysfunction in Patients with Parkinson's Disease

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 111 Minutes; Learning Assessment Time: 39 Minutes

Dysphagia is an inevitable consequence of Parkinson's disease (PD). In fact, aspiration pneumonia is a leading cause of death in PD. The goal of this course is to provide information related to the assessment of airway protection, including swallowing and cough dysfunction in people with PD. The following topics will be addressed: 1) mechanisms underlying airway protective dysfunction in PD, and 2) methods for comprehensive assessment of swallowing and cough in PD. This information will help inform treatment planning and decision making for improved airway protection in PD (See Managing Swallowing and Cough Dysfunction in Parkinson's Disease).

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Managing Swallowing & Cough Dysfunction in Patients with Parkinson's Disease

Presented by Michelle Troche, PhD, CCC-SLP

Managing Swallowing & Cough Dysfunction in Patients with Parkinson's Disease

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 110 Minutes; Learning Assessment Time: 23 Minutes

The management of dysphagia and dystussia in people with Parkinson's disease is critical, particularly given the fact that aspiration pneumonia is a leading cause of death in PD. The goal of this course is to provide information related to treatment planning and management of airway protection in people with PD. The following topics will be addressed: 1) empirically tested treatment approaches for dysphagia and dystussia in PD and 2) the many other complex factors which influence the development airway protection management plans in complex patients with PD.

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