EMILIA MICHOU

Position: Assistant Professor
Knowledge Subject: Communication Disorders – Dysphagia

PHONE: (+30) 2610-962811
E-MAIL:   
emiliamichou@upatras.gr                 

emilymichou@gmail.com

 

ACADEMIC TITLES

  • PhD Translational Medicine – Medical School – The University of Manchester, United Kingdom (2010)
  • Postgraduate Diploma Speech Language Therapy (Speech in Cleft Lip Palate) University of Sheffield, United Kingdom (2012)
  • BSc Speech Language Therapy – School of Health Professions, Technological Institution of Patras (2005)

RESEARCH INTEREST

  • Dysphagia Evaluation and Therapy, Videofluoroscopy, Fiberoptic Endoscopic examination of swallowing, Laboratory examinations of dysphagia
  • Swallowing Rehabilitation, neurostimulation, neurorehabilitation and biofeedback
  • Neurosciences: Neurophysiology, Transcranial Magnetic Stimulation, functional MRI, Diffusion Weighted Imaging, Tractography, Spectroscopy.
  • Communication difficulties, voice disorders, language disorders (aphasia, bilingualism)

MODULES  2019-2020

Undergraduate

  • Clinical Placement Β1 Β2
  • Ethics in Speech Language Therapy (2nd Semester
  • Swallowing Disorders – Dysphagia (4th Semester )
  • Evidence Based Practice in Speech Language Therapy (8th Semester)
  • Medical Sciences II in Speech Language Therapy (8th Semester)

Postgraduate

  • MSc in Physiology of Aging and Geriatric Syndromes, (Φυσιολογία της Γήρανσης και Γηριατρικά Σύνδρομα), Medical School, National and Kapodistrian University of Athens
  • MSc Nutrition and Health, Harokopio University, Department of Nutrition and Dietetics
  • MSc in Swallowing Disorders (European Society for Swallowing Disorders)
  • Postgraduate Diploma in Swallowing Disorders (European Society for Swallowing Disorders)
    Dysphagia in neurodegeneration and neurogenic population
    Clinical Decision Making in Dysphagia Rehabilitation

Clinical Education to SLTs

  • FEES Accreditation Course (European Society for Swallowing Disorders)
  • VFS Accreditation Course (European Society for Swallowing Disorders)
  • Νeurostimulation (TMS, tDCS, etc)
  • Swallowing screening
  • Neurorehabilitation of Dysphagia

Doctoral Supervisor

  • Academic Supervisor for the doctoral thesis of Mrs Claire Mills (National Institute of Health Research Doctoral Fellow) titled:‘The ACoUSTiC study – Exploring the potential benefits of Above CUff VocaliSation in TraCheostomy: communication, swallowing, decannulation and cost savings’. ICA-CDRF-2017-03-036 Total grant: £420.000. (2018-2023, 60% WTE).

Editorial Board Membership

  • Associate Editor: Frontiers in Neurology: Neurorehabilitation (2018 – present)
  • Associate Editor: Speech, Language and Hearing (Taylor and Francis) (2017- 2019)

Honorary Clinical and Research Positions

  • Honorary Research Fellow, GI Sciences, Division of Diabetes, Endocrinology and Gastroenterology, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester
  • Academic & Clinical communication via: emilia.michou@manchester.ac.uk or 0044 7789165731 (UK)

International and National Committee Membership

  • Vice – President – European Society for Swallowing Disorders 2016-2020
  • Board Member Elected- European Society for Swallowing Disorders 2020- present

Research Grants

2014-present – Co-PI
Title: Exploring Novel Neurostimulation Based Therapies for Swallowing Impairments in Parkinson’s Disease.
Income: £185442
Source: Parkinson’s UK

2014-2015 – Co-PI
Title: Piloting an algorithm segmentation assisted portable sensor-system for objective oropharyngeal swallowing assessment at the bedside.
Income: £3000
Source: Sense-Health priming scheme

2014-2015 – Co-PI
Title: Dysphagia in early stage Huntington’s disease: A multimodal imaging approach to target stimulation based therapies.
Income: £55137
Source: Medical Research Council Confidence in Concept

2014-2017 – Co-PI
Title: Evaluating brain stimulation for dysphagia after stroke.
Income: £249288
Source: NIHR Research for Patient Benefit

2012-2014 – PI
Stepping Stones Award Fellowship.
Income: £20000
Source: University of Manchester

07/2011 – PI
Title: Exploring the cerebral control of swallowing in patients with Parkinson’s disease and brainstem stroke’.
Income: £11000
Source: Neuroscience Research Institute

2010/2013 – Co – PI
Title: Characterising the neurophysiological basis for swallowing dysfunction in patients with Parkinson’s disease: a transcranial magnetic stimulation study.
Income: £16000
Source: Parkinson’s Disease Society (reference: K0910)

 

Abstracts Published in Journals in 2018-2019

  • Sasegbon A., Simons A., Michou E., Hamdy S. Cerebellar rTMS prevents swallowing dysfunction induced by a cortical virtual lesion. Dysphagia (2019) 34:720–819
  • Kobylecki C, Shiderova I, Michou E. Is there a relationship between the presence of dysphagia and gait disturbance in Parkinson’s?. Dysphagia (2019) 34:720–819
  • Geronikou E., Michou E., Kyriazis V. Narrative skills of bilingual school-aged English-Greek children: Preliminary results. Proceedings of the International Symposium on Monolingual and Bilingual Speech 2019, E. Babatsouli (ed.), Chania, Greece, ISBN: 978-
  • Everton L., Benfield J., Hamdy S., Michou E., Bath P. Establishing inter-rater reliability scores for timing measures in Videofluoroscopy in Stroke. Dysphagia (2019) 34:720–819
  • Barampati E., Bentevi P.,Giannopoulou I., Kazani P., Kotsia E, Malachati A., Mitrogiorgou S., Papadatos P., Perdikogianni M., Politi-Ghemulet M.C., Tselentis A., Michou E. The use of thickened fluids in dysphagic patients in Greece: an internet-based survey of SLT practice. Dysphagia (2019) 34:720–819.
  • Politi Ghemulet MC, Michou E. Short-term effects following combined isometric motor training and sensory stimulation on dysphagic stroke patients. Dysphagia (2019) 34:720–819.
  • Mills C., Hudson-Evans L., Winfield A., Pattison C., Michou E. Intensive care unit and ward length of stay reduction following SLT-led changes to tracheostomy management in a cardiac intensive care unit. Dysphagia (2019) 34:720–819
  • Everton L., Benfield J., Hamdy S., Michou E., Bath P. Establishing the minimal clinically important difference for the dysphagia severity rating scale and functional oral intake scale. Dysphagia (2019) 34:720–819
  • Ghemulet Politi C., Hamdy S, Papathanasiou I., Michou E. Effects of a sensorimotor short-term rehabilitation programme on dysphagia after cerebral infraction. a comparative study. European Stroke Journal 2019, Vol. 4(1S) 3–95
  • Everton L., Benfield J., Hamdy S., Michou E., Bath P. Validating the Dysphagia Severity Rating Scale. RCSLT Conference 2019. https://www.rcslt.org/-/media/docs/events/rcslt-conference-2019-parallel-session-info-25-and-26-september.pdf?la=en&hash=31EC1D703622EAABBA7D2E2DA7E4268641216EF9
  • Mills C., Hunter K., Hudson-Evans L., Timmins H., Michou E., Bellamy M. The development and introduction of the Leeds Post-Extubation Dysphagia Screen. Journal of the Intensive Care Society 2019, Vol. 20(2) Supplement 1–253. “

Publications

  • Sanaei Nezhad F, Lea-Carnall C, Anton A, Jung J, Michou E, Williams SR, Parkes LM. Number of subjects required in common study designs for functional GABA magnetic resonance spectroscopy in the human brain at 3 Tesla. Eur J Neurosci. 2019 Nov 9. doi: 10.1111/ejn.14618.
  • Virvidaki IE, Giannopoulos S, Nasios G, Dimakopoulos G, Michou E, Milionis H. Predictive value of a novel pragmatic tool for post-stroke aspiration risk: The Functional Bedside Aspiration Screen. Neurogastroenterol Motil. 2019 Oct;31(10):e13683.
  • Speyer R, Cordier R, Kim JH, Cocks N, Michou E, Wilkes-Gillan S. Prevalence of drooling, swallowing, and feeding problems in cerebral palsy across the lifespan: a systematic review and meta-analyses. Dev Med Child Neurol. 2019 Nov;61(11):1249-1258.
  • Raginis-Zborowska A, Cheng I, Pendleton N, Payton A, Ollier W, Michou E,Hamdy S. Genetic influences on the variability of response to repetitive transcranial magnetic stimulation in human pharyngeal motor cortex. Neurogastroenterol Motil. 2019 Jul;31(7):e13612.
  • Vasant DH, Sasegbon A, Michou E, Smith C, Hamdy S. Rapid improvement in brain and swallowing behavior induced by cerebellar repetitive transcranial magnetic stimulation in poststroke dysphagia: A single patient case-controlled study. Neurogastroenterol Motil. 2019 Jul;31(7):e13609.
  • Cabib C, Nascimento W, Rofes L, Arreola V, Tomsen N, Mundet L, Muriana D, Palomeras E, Michou E, Clavé P, Ortega O. Neurophysiological and Biomechanical Evaluation of the Mechanisms Which Impair Safety of Swallow in Chronic Post-stroke Patients. Translational Stroke Research. 2019 Apr 2. doi: 10.1007/s12975-019-00701-2
  • Sasegbon A, Watanabe M, Simons A, Michou E, Vasant DH, Magara J, Bath PM, Rothwell J, Inoue M, Hamdy S. Cerebellar repetitive transcranial magnetic stimulation restores pharyngeal brain activity and swallowing behaviour after disruption by a cortical virtual lesion. J Physiol. 2019 Mar 25. doi: 10.1113/JP277545. [Epub ahead of print]
  • Cordier, R., Speyer, R., Schindler, A., Michou Ε., Heijnen BJ., Baijens B., Karaduman A., Swan K., Clavé P., Joosten AV. Using Rasch Analysis to Evaluate the Reliability and Validity of the Swallowing Quality of Life Questionnaire: An Item Response Theory Approach. Dysphagia (2018). https://doi.org/10.1007/s00455-017-9873-4.
  • Sanaei Nezhad F, Anton A, Michou E, Jung JY, Parkes LM, Williams SR. Quantification of GABA, glutamate and glutamine in a single measurement at 3 T using GABA‐edited MEGA‐ NMR in Biomedicine. 2018;31:e3847. https://doi.org/10.1002/nbm.3847
  • Dziewas R., Baijens L., Schindler A., Verin E., Michou E., Clave P. European Society for Swallowing Disorders FEES Accreditation Program for Neurogenic and Geriatric Oropharyngeal Dysphagia. Dysphagia. 2017 Aug 4. doi: 10.1007/s00455-017-9828-9.
  • Essa H., Vasant D.H., Raginis-Zborowska A., Payton A., Michou E., Hamdy S. The BDNF polymorphism Val66Met may be predictive of swallowing improvement post pharyngeal electrical stimulation in dysphagic stroke patients. Neurogastroenterol Motil. 2017 Aug;29(8). doi: 10.1111/nmo.13062.
  • Nimmons D., Michou E., Jones M., Pendleton N., Horan M., Hamdy S. A longitudinal study of symptoms of oropharyngeal dysphagia in an elderly community dwelling population. Dysphagia 2016 Aug;31(4):560-6.
  • Magara J., Michou E., Raginis-Zborowska A., Inoue M., Hamdy S. Exploring the effects of synchronous pharyngeal electrical stimulation with swallowing carbonated water on cortical excitability in the human pharyngeal motor system. Neurogastroenterol Motil. 2016 Sep;28(9):1391-400.
  • Benfield J., Michou E.*. Dysphagia Screening and assessment in the stroke unit. British Journal of Neuroscience Nursing 2016 12(2).
  • Vasant D., Michou E., O’Leary N. Vail A., Mistry S., Hamdy S. and Greater Manchester Stroke Research Network. Pharyngeal electrical stimulation in dysphagia post-stroke: a prospective randomized single-blinded interventional study. Neurorehabilitation and Neural Repair 2016 Oct;30(9):866-75
  • Michou E., Raginis-Zborowska A., Watanabe M., Lodhi T., Hamdy S. Repetitive Transcranial Magnetic Stimulation – Novel Approach for Treating Oropharyngeal Dysphagia. Curr Gastroenterol Rep. 2016 Feb;18(2):10
  • Elshukri O., Michou E., Mentz H., Hamdy S. Brain and behavioural effects of swallowing carbonated water on the human pharyngeal motor system. Journal of Applied Physiology 2016 Feb 15;120(4):408-15.
  • Sawan T., Harris ML, Kobylecki C, Baijens L., van Hooren M., Michou E*. Lung function testing on and off dopaminergic medication in PD patients with and without dysphagia. Movement Disorders Clinical Practice , 2016, Vol.3(2), p.146-150.
  • van Hooren M., Baijens L., Vos R., Pilz W., Kuijpers L., Kremer B., Michou E. Voice and Swallow –related quality of life in idiopathic Parkinson’s Disease. Laryngoscope 2016, 126:408–414.
  • Vasant D., Michou E., Mistry S., Rothwell J.C., Hamdy S. High-frequency focal repetitive cerebellar stimulation induces prolonged increases in human pharyngeal motor cortex excitability. Journal of Physiology 2015 Nov 15;593(22):4963-77.
  • Michou E.*, Williams, S. Vidyasagar R., Downey D., Mistry S., Edden R., Hamdy S. fMRI and MRS measures of neuroplasticity in the pharyngeal motor cortex. Neuroimage 2015 May 11;117:1-10.
  • Michou E., Hamdy S., Harris ML., Vania A, Dick J., Kellet M., Rothwell J. Characterization of Cortico-bulbar Pharyngeal Neurophysiology in Dysphagic Patients with Parkinson’s Disease. Clinical Gastroenterology and Hepatology 2014 12(12), 2037-45.e1-4
  • Mistry S., Michou E., Vasant D., Ghannouchi I., Verin E., Hamdy S. New Techniques-Future. Journal of Gastroenterology and Hepatology Research 2014 3(5): 1080-1087.
  • Michou E., Mistry S., Jefferson S., Tyrrell P., Hamdy S. Characterizing the mechanisms of central and peripheral forms of neurostimulation in chronic dysphagic stroke patients. Brain Stimulation 2014 Feb;7(1):66-73
  • Michou E.*, Baijens L., Rofes L., Sanz Cartagena P. & Clavé, P (2014). Oropharyngeal Swallowing Disorders in Parkinson’s Disease: revisited. International Journal of Speech & Language Pathology and Audiology 2014
  • Vasant D.H., Mistry S., Michou E., Jefferson S., Rothwell JC, Hamdy S. Transcranial direct current stimulation reverses neurophysiological and behavioural effects of focal inhibition of human pharyngeal motor cortex on swallowing. Journal of Physiology 2014; 592(Pt 4):695-709.
  • Michou E.*, Hamdy S. Neurostimulation as an Approach to Dysphagia Rehabilitation: Current Evidence. Current Physical Medicine and Rehabilitation Reports 2013, 1( 4):257-266.
  • Michou E., Mistry S., Rothwell J., Hamdy S. Priming Pharyngeal Motor Cortex by Repeated Paired Associative Stimulation: Implications for Dysphagia Neurorehabilitation. Neurorehabilitation and Neural Repair. 2013; 27(4):355-62.
  • Michou E., Mastan A., Ahmed S, Mistry S., Hamdy S. Examining the role of carbonation and temperature on water swallowing performance: a swallowing reaction-time study. Chemical Senses, 2012 Nov;37(9):799-807.
  • Mistry S., Michou E., Rothwell J., Hamdy S. Remote effects of intermittent theta burst stimulation of the human pharyngeal motor system. European Journal of Neuroscience 2012; 36(4):2493-9.
  • Verin E., Michou E., Leroi A.M., Hamdy S., Marie J.P. ‘Virtual’ lesioning of the human oropharyngeal motor cortex: a videofluoroscopic study. Archives of Physical Medicine and Rehabilitation. 2012; 93(11):1987-9
  • Humbert I., Michou E., MacRae P., Crujido L. Electrical stimulation and swallowing: how much do we know? Seminars in Speech and Language 2012;33(3):203-16
  • Michou E., Mistry S., Jefferson S., Singh S., Rothwell J., Hamdy S. Targeting Unlesioned Pharyngeal Motor Cortex Improves Swallowing in Healthy Individuals and After Dysphagic Stroke. Gastroenterology. 2012 Jan;142(1):29-38
  • Jayasekeran V., Pendleton N., Holland G., Payton A., Jefferson S., Michou E., Vasant D., Ollier B., Horan M., Rothwell J., Hamdy S. Val66Met in Brain-Derived Neurotrophic Factor Affects Stimulus-Induced Plasticity in the Human Pharyngeal Motor Cortex. Gastroenterology. 2011 Sep;141(3):827-836.e3.
  • Michou E., Hamdy S. Dysphagia in Parkinson’s disease: a therapeutic challenge? Expert Reviews Neurotherapeutics. 2010 Jun; 10(6):875-8.
  • Jayasekeran V., Singh S., Tyrrell P., Michou E., Jefferson S., Mistry S., Gamble E., Rothwell J., Thompson D., Hamdy S. Adjunctive functional pharyngeal electrical stimulation reverses swallowing disability after brain lesions. Gastroenterology. 2010 May;138(5):1737-46
  • Jefferson S, Mistry S, Michou E., Singh S, Rothwell JC, Hamdy S. Reversal of a virtual lesion in human pharyngeal motor cortex by high frequency contralesional brain stimulation. Gastroenterology. 2009 Sep; 137(3):841-9, 84
  • Michou E., Hamdy S. Cortical input in control of swallowing. Current Opinion in Otolaryngology and Head Neck Surgery. 2009 Jun; 17(3):166-71.
  • Jayasekeran V., Michou E.*, Hamdy S. (Joint-First Authorship) ‘Treatment of Oropharyngeal Dysphagia after stroke’, Chinese Journal of Stroke Medicine 2007:2 (3): 269-285.

Book Chapters

  1. Sasegbon, A., Michou, E. & Hamdy, S., Swallowing. 6 Nov 2019, Encyclopedia of Gastroenterology . Kuipers, E. (ed.). 2 ed. Elsevier BV, Vol. 4. p. 602 611 p.
  2. Michou E., Nanousi V. Case report 4: Dysphagia in Parkinson’s Disease. Case Reports in Dysphagia.(Eds Wlashe M., Huckabee ML), 2018
  3. Michou, E., Kobylecki, C. & Hamdy, S., Dysphagia in Parkinson’s disease. 1 Jan 2019, Medical Radiology. p. 175-198 24 p. (Medical Radiology). DOI: 10.1007/174_2017_118
  4. Michou, E., Sasegbon, A. & Hamdy, S., Direct and indirect therapy: Neurostimulation for the treatment of dysphagia after stroke 2019, Medical Radiology. Springer-Verlag France, p. 731-761 31 p. (Medical Radiology; vol. 0).
  5. Μίχου Α., Ντάιος Γ. Δυσφαγία μετά το ΑΕΕ. Τίτλος Βιβλίου Αγγειακά Εγκεφαλικά Επεισόδια, Hellenic Stroke Organisation 2018
  6. Mistry S., Michou E., Vasant D., Hamdy S. Direct and indirect therapy: Neurostimulation for the treatment of Dysphagia after Stroke. Medical Radiology – Dysphagia: Diagnosis and Treatment (2011) edited by Olle Ekberg. Pages: 519—538
  7. Mistry S., Michou E., Jayasekeran V., Hamdy S. Chapter 3 – An exploration of human swallowing using transcranial magnetic stimulation and other non-invasive technologies. Horizons in Neuroscience Research Volume 4. Nova Science Publishers. 2010.