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Pelvic Floor Level 1 - Winter Park, FL - November 8-10, 2013 (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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Tracy Sher, MPT, CSCS

Tracy Sher

Tracy Sher, MPT, CSCS started working as an orthopedic and pelvic physical therapist in 2000. She currently owns her own private practice, Sher Pelvic Health and Healing in Orlando, FL. She sees patients locally as well as from out of state and country for a variety of pelvic/pelvic floor diagnoses, with a specialization in complex pelvic pain issues. Tracy is also the founder of the start-up, Pelvic Guru, a blog and social media entity that provides education, research, and humor in the area of Pelvic Health.

Prior to starting her own practice, Tracy successfully started or helped expand large hospital-based women’s health/pelvic physical therapy programs. She was Manager of the Pelvic Health Rehabilitation Program of Florida Hospital in Orlando, FL, where she was lead clinical practitioner for the outpatient clinics associated with the Pelvic Health program.

Tracy has presented for the International Pelvic Pain Society and the Canadian Physiotherapy Association. She has also been a speaker at the APTA’s Combined Section Meeting and the Annual Conference regarding the topics of Social Media for PTs and Women’s Health Diagnoses and Exercise. She regularly presented lectures to OB/GYN’s for Grand Rounds at Florida Hospital and GYN, Family Health and Colorectal Residents and Fellows, Urology- Prostate Surgery Teams and the Endometriosis Support Group. She started and managed a GYN Family Resident Pelvic PT observation program. She is currently completing her AASECT Sexuality Counseling Certification to complement her work

Tracy received her Bachelor’s degree from Emory University in Atlanta, GA. She completed her Master of Physical Therapy degree at Northwestern University in Chicago, IL, where she also received an award for clinical excellence.  She is a member of the APTA SOWH, American Association of Sexuality Counselors, Educators and Therapists, the National Vulvodynia Association, the International Pelvic Pain Society, and contributes to Pudendal Neuralgia networks.


Kathe Wallace, PT, BCB-PMD

Kathe Wallace, PT, BCIA-PMDBKathe Wallace, PT, BCB-PMD is an internationally recognized author, lecturer and consultant in women’s health and pelvic floor dysfunction evaluation and treatment. Since 1988, her clinical practice has specialized in the evaluation and treatment of the pelvis, pelvic floor and ob/gyn musculoskeletal conditions. Kathe has served as the Washington state representative for the Section on Women's Health of the American Physical Therapy Association (APTA). In 2006, she received the Washington State Physical Therapy Association (PTWA) Clinical Excellence Award.

Kathe graduated from UCLA with a BS in Kinesiology and received her PT certificate from Children’s Hospital School of Physical Therapy in 1976. She has an eclectic background of acute care, cardiopulmonary rehabilitation, neurological rehabilitation, outpatient pain management and movement based orthopedic treatment. Kathe's credentials include Level II Certification from the North American Institute of Orthopedic Manual Therapy (NAIOMT), Exercise Specialist Certification from the American College of SportsMedicine (ACSM), and Biofeedback Certifcation in Pelvic Muscle Dysfunction Biofeedback(BCB-PMD).

Kathe has developed educational materials for practitioners through ProgressiveTherapeutics and was a co-investigator for the development of a validated functional tool for vulvodynia.

Course Location
Recommended Lodging
Herzing University Orlando

Street Address:
1865 Florida 436
Winter Park , FL 32792
(Map will open in a new window)

Ramada Inn and Suites - Orlando Airport
(407) 240-3939

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.


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Herman & Wallace is not able to apply discounts retroactively! Please contact us BEFORE registering if you are eligible for one of the discounts below.

Discounts Currently Available for this Event:

Multi-Course Discount (10%)
Group Discount (10% - 20%)
JTA Survey Credit/Discount ($50)
Student Discount (10%)
Retake/Audit Discount ($100)