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Phone646.355.8777

PF2B - Seattle, WA - April 27-29, 2012 (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: Intermediate

Contact hours: 22.5 (CEUs vary by state)
Price: $695 (Early registrant price of $675 for registrations received one month before course start date.)
Prerequisites: Pelvic Floor 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to enquire about such exceptions please contact us.
Required Readings

 

Have a question about this course? Contact Us.

This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.

 

Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.

 

Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed. 


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. If the attendee insists on lab participation, then a clearance letter from her 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.

 

References


De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.

 

 


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

1.  Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma. 

 

Have a question about this course? Contact Us.

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. 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.

 

Have a question about this course? Contact Us.

Day One:
7:30 Registration
8:00 Objectives, Introductions and Pretest
8:30 Review of Pelvic Floor Dysfunctions Terminology
9:00 Break
9:15 Anatomy Review: Pelvis, Hip and Pelvic Floor
10:15 Origins and insertions of the pelvic floor
10:30 External pelvic palpation of muscles, ligaments, soft tissues in lithotomy/pelvic clock
11:00 Urogynecologic Pain Conditions Examinations
11:30 Lab 1: External Exam: Palpation and Pelvic Clock, Perineum, Vestibulitis Q-tip test, perineal body assessment, cutaneous innervations
12:30 Lunch
1:30 Vaginal Assessment: Pelvic Floor Muscles
Lab 2: Palpation/ Identification of specific muscles and landmarks of the pelvic floor and wall
2:30 Break
2:45 SEMG Biofeedback: Evaluations for Pain Conditions
3:15 Lab 3: SEMG Biofeedback
Evaluations for Pain
4:45 Post test
5:00 Adjourn

Day Two:
8:00 Review Day 1 test questions, Pretest day 2
8:30 History taking, outcome measures for dyspareunia and vaginismus
9:15 Vulvodynia Update: Classification and Outcome Measures
10:15 Break
10:30 Treatment Techniques for Pain Conditions, Pelvic floor internal MFR techniques
Lab 4: Stretching and internal vaginal treatment for vulvodynia, dyspareunia, vaginismus and IC and urgency/frequency overactive bladder
12:15 Lunch
1:15 Stress and Neuromuscular Relaxation Training
2:00 Lab 5: SEMG Relaxation Techniques
3:15 Break
3:30 Treatment Guidelines: Vulvodynia, Vaginismus and Dyspareunia
4:15 Post test
5:00 Adjourn

Day Three:
8:00 Pre test, Interstitial Cystitis: Medical Update, Treatment Guidelines
9:30 Break
9:45 Abdominal Wall Evaluation and Treatment: Surface anatomy and palpation, soft-tissue treatment techniques and therapeutic exercise for transversus abdominus
Lab 6: Abdominal Wall Evaluation and Treatment
11:45 Lunch
12:30 Pelvic Organ Prolapse Anatomy and Treatment
Lab 7: Prolapse testing and complete pain examination review
2:30 Break
2:45 Case Studies
3:30 Questions and Post test
4:00 Adjourn

 

Have a question about this course? Contact Us.

Instructors: Elizabeth Hampton and Kathe Wallace
Dates: Friday April 27, 2012 ~ Sunday April 29th 2012
Location: Northwest Hospital TCU Auditorium
1550 North 115th Street
Seattle , WA 98133 (map)

Reservations: Hotel Nexus
(206) 365-0700