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Pelvic Floor Level 1 - Maywood, IL - Feb. 21-23, 2014 (SOLD OUT!)

Audience: This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Level: Beginner
Contact hours: 22.5 (CEUs vary by state)
Price: $695 (Early registrant price of $675 for registrations received one month before course start date)
Required Assignments and Readings


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This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.


Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Male course attendees may participate fully in the entire course if they bring their own lab model for examination. Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice.

Labs will be conducted under ther supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.


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Upon completion of this continuing education seminar, participants will be able to:

1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions


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Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Female Pelvic Floor (PF) Anatomy and Function
10:00 Break
10:15 Pelvic Floor Internal Muscle evaluation: Indications/Contraindications
10:45 Lab: Pelvic Floor Internal Muscle Exam: Observation, Identification, Muscle Layers
12:15 Lunch
1:15 Pelvic Floor Manual Muscle Testing (MMT), Prolapse Exam and Treatment
2:15 Lab: MMT of the Pelvic Floor, Laycock Technique, Prolapse Examinations
3:15 Break
3:30 Evidence Based Pelvic Floor Exercise Prescription with Abdominal Lab
5:00 Test
5:15 Adjourn

Day Two:
8:00 Events of Continence/Normal Bladder Function
Urinary Incontinence Types, Evaluation, ICD-9 Codes
10:15 Break
10:30 Overview of Biofeedback and Electrical Stimulation for Incontinence
Lab: Biofeedback/SEMG for the Pelvic Floor
Lab: Electrical Stimulation for Incontinence
12:15 Lunch
1:15 Bladder Retraining and Behavioral Treatments with Bladder Diary Lab
2:00 UI Treatment Protocols/Case Studies / Outcome Measures/Billing
3:45 Break
4:00 Female Pelvic Pain Intro
Lab: Anatomy/Pelvic Clock/Surface Anatomy Exam/Bony Landmarks
5:00 Test
5:15 Adjourn

Day Three:
7:45 Intro to Pelvic Pain Conditions, External Exam Techniques
Lab: Adductors/Obturator Internus/Pelvic Rim Palpation
9:15 PT Evaluations for Pelvic Pain Conditions, Outcome Measures and Sexual Abuse
10:15 Break
10:30 Lab: Complete Pelvic Floor Internal/ External Exam
11:30 PF Pain Specific Diagnoses
12:00 Lunch
1:00 Continue PF Pain Specific Diagnoses/ Treatment Overview
2:00 Break
2:15 Pelvic Pain Treatment /Case Studies
4:00 Resources and Test
4:15 Adjourn


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Course Location
Recommended Lodging
Loyola University Stritch School of Medicine

Street Address:
Stritch School of Medicine, room 160
2160 S 1st Ave
Maywood, IL 60625
(Map will open in a new window)

Residence Inn Oakbrook
There is a discounted rate under Herman & Wallace

H&W makes a best effort to find recommended lodging for participants. However, our primary focus is the excellence of the course itself. Participants are encouraged to explore travel options and make the best choice to fit their needs. Hotels.com, Hotwire.com and similar sites may also offer excellent deals to save on travel costs.

Nearest Airport:
Chicago Midway International Airport (map will open in a new window)

Transportation to the course:
The hotel will provide a free shuttle to and from the course on a first-come, first-served basis


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Tina Allen

Tina Allen, PT, BCB-PMD

Tina Allen, PT, BCB-PMD has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.

Tina currently practices at Olympic Physical Therapy in Seattle, where she is the clinical supervisor. She has presented at professional medical conferences ontopics such as lymphedema, pelvic pain and musculoskeletal examinationof the pelvic floor. She is currently a physical therapist provider in collaboration with the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques.

Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.

Teri Elliott-Burke

Teri Elliott-Burke, PT, MHS

Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biologyand psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunctfaculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical TherapySystems, and lectures on women’s health and pelvic dysfunction. She is a memberof the APTA Section on Women’s Health, the Private Practice Section, the InternationalPelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groupson topics related to pelvic dysfunction for men and women. She strives to maintaina balance between work, her family (1 husband, 2 sons), her church and community.