Course Information

Course Summary:

The tongue performs significant functions in the oral preparatory,  oral transit, and pharyngeal phases of swallowing. Besides oral processing and propulsion, the tongue is the major propulsive force in moving food and liquid through the pharynx. The Role of the Oral Muscular in Swallowing and the Therapeutic Benefits of IOPI will review the oral musculature and its essential functions. In addition, the course covers exercise principles and how IOPI can be integrated into a dysphagia treatment plan. 


Target Audience:

Speech pathologists interested in advancing their knowledge concerning the strengthening of the oral musculature.  


Successful completion of the course requires: 

  • Attending the entire session
  • 80% score on 6 questions multiple choice and true-false learning assessment (quiz) within 3 attempts 
  • Completion of the course evaluation


Content Area: Professional

Subject Code: 1040 swallowing and swallowing disorders

The course is available from August 21, 2022, until August 31, 2025. 


Ed Bice is currently a Clinical Consultant for IOPI Medical. His clinical experience includes acute care, outpatient, home health, and skilled nursing. He has held leadership positions such as a Regional Manager, VP of Clinical Services, and COO. Ed has been a guest on national and international dysphagia podcasts, written blogs concerning dysphagia-related topics, and published in peer-reviewed journals. He is adjunct faculty at the University of Maryland and East Tennessee State University. Ed is the co-developer of Appalachian-Zenith Training and Education Courses (A-ZTEC).


Financial Disclosure:  

The presenter receives a full-time salary from IOPI Medical, LLC. 


Non-Financial Disclosure:

Ed is the co-developer of Appalachian-Zenith Training and Education Courses (A-ZTEC).



Content Disclosure:

This presentation will focus exclusively on the Iowa Oral Performance Instrument and will not include information on other similar or related products.


Course Objectives:

The learner will:

  • Explain 3 characteristics of the tongue muscles
  • List 4 functions of the tongue during swallowing 
  • Describe the role of the tongue in swallowing
  • List the principles of exercise
  • Explain how IOPI allows the incorporation of exercise principles into the treatment of swallowing





Time Ordered Agenda 

  1. Introduction (0-1 minutes)
  2. Oral Musculature and the Role of Strength and Endurance (1- 6 minutes) 
  3. Benefits of Exercise  (6-13 minutes)
  4. History of the IOPI (13-119 minutes)
  5. Strengthening Using the IOPI (19-36 minutes)
  6. IOPI and Exercise Principles (36-44 minutes)
  7. Designing a Protocol (44-47 minutes)
  8. Example Exercise Protocol (47-48 minutes)
  9. IOPI Resources (48-60 minutes)


If you need accommodations to take the course, contact

To express concerns or grievances concerning the course, contact within 30 days of course completion