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Week One at Kenya Medical Training College in Nairobi, Kenya

This post was written by the teaching team of Nancy Cullinane, PT, MSH, Kathy Golic, PT, and Terri Lannigan DPT, who took their talents to Nairobi, Kenya to teach a modified version of Herman & Wallace's Pelvic Floor Level 1 course.

At the end of week 1 of Kenyan Pelvic Floor Level 1, we are pleased to report that 35 physiotherapists are embracing pelvic health physical therapy. Our students are primarily from the Nairobi area, however a handful have traveled from rural areas. The majority of them have some aspect of women's health in their job duties, however, only two have previously performed internal pelvic floor muscle techniques. On the first day of class, we spent significant introductory time discussing course objectives, students' clinical experience, Kenyan healthcare delivery, and what they hoped to gain from us. One student described teaching herself skills she is using in her clinical practice from watching YouTube videos. Another student commented, "the only tool I have to treat my patients is the kegel exercise and it isn't working for many of my patients. I know I'm missing something and I hope to find it here." The concept of internal pelvic floor muscle evaluation and treatment is new in Kenya and this is the first presentation of this coursework. There was significant anxiety surrounding internal pelvic muscle examination lab in the course. Several participants were not aware what "internal examination" meant in the course description when they registered. One student did not return on day two because of it. Nonetheless, as soon as the first internal assessment lab was completed, the pace picked up considerably.

These pioneering physiotherapists have developed new skills this past week for treating overactive bladder, mixed urinary incontinence, overactive pelvic floor muscles, prolapse, and diastasis recti. We have delved into discussion regarding sexual trauma and how cultural differences here in Kenya will impact the students' potential strategies in initiating conversations with their patients. Nine of our students are employed at Kenyatta National Hospital, the largest public hospital in Nairobi. Several are employed in private hospitals, who serve those citizens who pay to receive care in their respective systems. Many of our students are under-employed and some see patients privately in their homes, often for cash.

We have additional Herman & Wallace Pelvic Floor Level 1 curriculum planned for week two, but we will also present the additional curriculum we have written specifically for these Kenyan physiotherapists. We will dedicate ample time toward connecting these motivated students with global mentoring resources, but we will also lay groundwork in helping them to set up a support network for pelvic health PT with each other.

We are honored and grateful to Herman & Wallace for donating Pelvic Floor Level 1 curriculum and to The Jackson Clinics Foundation for its history in changing physical therapy delivery in Kenya, including the financing of travel for this course. We are also thankful to Kenya Medical Training College for covering the cost of instructor lodging. At the half way mark of level 1, we feel we have already received so much more than we have given. We are especially grateful to the 35 course participants who will be changing the face of women's health physical therapy in Kenya from here on. Improving the quality of life for women improves the quality of life for families, and has an overall positive impact on the community.

The photography from this course is the creation of Marielle Selig, who acted as both technical support and official photographer for the Kenya Pelvic Floor Level 1 course. More of her work will be posted at https://mariselig.pixieset.com/.

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Upcoming Continuing Education Courses

Athletes & Pelvic Rehabilitation - Remote Course

Jul 24, 2021 - Jul 25, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2B - Self-Hosted (SOLD OUT)

Jul 24, 2021 - Jul 25, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Lisle, IL Satellite Course (SOLD OUT)

Jul 24, 2021 - Jul 25, 2021
Location: Ivy Rehab Physical Therapy

Acupressure for Optimal Pelvic Health - Remote Course

Jul 24, 2021 - Jul 25, 2021
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Pelvic Floor Level 2B - Belle Chasse, LA Satellite Course

Jul 24, 2021 - Jul 25, 2021
Location: Rehab Access Belle Chasse

Pelvic Floor Level 2B - Warwick, RI Satellite Course

Jul 24, 2021 - Jul 25, 2021
Location: Performance Physical Therapy

Pelvic Floor Level 2B - New York City, NY Satellite Course

Jul 24, 2021 - Jul 25, 2021
Location: KNOSIS Center for Physiotherapy & Wellness

Pelvic Floor Level 2B - East Norriton, PA Satellite Course

Jul 24, 2021 - Jul 25, 2021
Location: Core 3 Physical Therapy

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Jul 25, 2021 - Jul 26, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Self-Hosted

Jul 25, 2021 - Jul 26, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - Berrien Springs, MI Satellite Location (SOLD OUT)

Jul 25, 2021 - Jul 26, 2021
Location: Andrews University

Pelvic Floor Level 1 - Chamblee, GA Satellite Location (SOLD OUT)

Jul 25, 2021 - Jul 26, 2021
Location: Revelle Physical Therapy Atlanta

Pelvic Floor Level 1 - Meridian, ID Satellite Location (SOLD OUT)

Jul 25, 2021 - Jul 26, 2021
Location: Idaho State University

Yoga for Pelvic Pain - Remote Course

Jul 31, 2021 - Aug 1, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Marietta, GA Satellite Location (SOLD OUT)

Aug 14, 2021 - Aug 15, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 1 - Smyrna, TN Satellite Location (SOLD OUT)

Aug 14, 2021 - Aug 15, 2021
Location: Benchmark Physical Therapy - Smyrna, TN

Pelvic Floor Level 1 - Hilo, HI Satellite Location

Aug 14, 2021 - Aug 15, 2021
Location: Big Island Physical Therapy

Pelvic Floor Level 1 - Portland, OR Satellite Location (SOLD OUT

Aug 14, 2021 - Aug 15, 2021
Location: Bridgetown Physical Therapy & Training Studio

Pelvic Floor Level 1 - Bradenton, FL Satellite Location (Sold Out)

Aug 14, 2021 - Aug 15, 2021
Location: Children's Therapy Solutions

Pelvic Floor Level 1 - Findlay, OH Satellite Location (SOLD OUT)

Aug 14, 2021 - Aug 15, 2021
Location: Quality PT

Sexual Interviewing for Pelvic Health Therapists - Remote Course

Aug 14, 2021 - Aug 15, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Tulsa, OK Satellite Location (SOLD OUT)

Aug 14, 2021 - Aug 15, 2021
Location: Physical Therapy of Tulsa

Pelvic Floor Level 1 - Self-Hosted

Aug 14, 2021 - Aug 15, 2021
Location: Self-Hosted Course

Oncology of the Pelvic Floor Level 1 - Remote Course

Aug 15, 2021 - Aug 16, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A - Troy, NY Satellite Course

Aug 21, 2021 - Aug 22, 2021
Location: The Green Room Physical Therapy

Pelvic Floor Level 2A - Lakeland, FL Satellite Course (SOLD OUT)

Aug 21, 2021 - Aug 22, 2021
Location: Leading Edge Physical Therapy

Pelvic Floor Level 2A - Wichita, KS Satellite Course

Aug 21, 2021 - Aug 22, 2021
Location: Summit Physical Therapy

Pelvic Floor Level 2A - Baldwin, WI Satellite Course

Aug 21, 2021 - Aug 22, 2021
Location: Western Wisconsin Health

Pelvic Floor Level 2A - Jonesboro, AR Satellite Course

Aug 21, 2021 - Aug 22, 2021
Location: Arkansas State University

Pelvic Floor Level 2A - East Norriton, PA Satellite Course (SOLD OUT)

Aug 21, 2021 - Aug 22, 2021
Location: Core 3 Physical Therapy