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In this episode of Say Yes to NMES, Craig is joined by Joanna Fyffe, Speech Pathologist at Cerebral Palsy Alliance in Australia, to explore how neuromuscular electrical stimulation (NMES / VitalStim) is changing outcomes for children with complex disabilities and severe dysphagia.

Joanna shares real clinical cases demonstrating how intensive NMES therapy can dramatically improve secretion management, swallow frequency, hydration, and quality of life—not just for children, but for their families as well. From reducing 24-hour suctioning needs to helping a child avoid feeding-tube surgery altogether, this conversation highlights the broad and often unexpected benefits of NMES across the pediatric population.

This episode is essential listening for therapists, clinicians, and families seeking evidence-based, practical insights into dysphagia management beyond traditional feeding goals.

Key Topics Covered

• NMES as a “green-light” intervention for swallowing in cerebral palsy and similar conditions
• Intensive NMES delivery models (3×/week for 3 weeks)
• Managing secretions as a critical dysphagia outcome
• Reducing aspiration pneumonia risk
• Improving hydration and oral intake
• Avoiding PEG/G-tube placement
• Quality-of-life impact on families and caregivers
• Multidisciplinary coordination in pediatric dysphagia care

Why This Episode Matters

Dysphagia impacts far more than eating—it affects respiratory health, safety, comfort, social participation, and family stress. This episode demonstrates how NMES can be a powerful tool not only for feeding progression, but for long-term health and quality-of-life outcomes across the lifespan.

Notable Quotes

• “There is now at least one full day a week where she doesn’t need suctioning at all.”
• “The best exercise for swallowing is swallowing.”
• “Thickened fluids have a huge correlation with decreased quality of life.”
• “This therapy impacts the whole family, not just the client.”