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Biofeedback for Pelvic Muscle Dysfunction - Self-Hosted Satellite Lab Course
December 4-5, 2021

Pacific Time: 7:45am - 12:00pm


  • Description

  • Schedule

  • Objectives

  • Self-Hosted Course Info

  • Instructors

Price: $375 (Early Registrant Price $350)
Experience Level: Beginner
Contact Hours: 11

This continuing education seminar is a 2-day course that introduces the participant to the use of biofeedback when treating bladder, bowel, and pelvic floor disorders. Participants will become acquainted with an amazing tool to enhance their practice. In this course, we will discuss the history, background/basics, and benefits of biofeedback when used to treat bladder, bowel, overactive pelvic floor, and other pelvic floor disorders. We will also review case studies with EMG signal analysis with the help of audience participation. The focus of this course will be introducing biofeedback equipment and software, administering a biofeedback assessment, conducting a treatment session, and patient instruction/education utilizing live demonstrations with audience participation. In the live lab, participants will experience using a self-inserted vaginal or rectal sensor and will practice sEMG assessments and treatments. Resources for additional training and board certification in this area of practice will be provided. Lab instructors are board-certified through the Biofeedback Certification International Alliance in Pelvic Muscle Dysfunction. This course is also approved for BCIA’s recertification hours for board certification. There are 3 hours of pre-recorded lectures that are required prior to the live 8-hour lab (4 hours each day).


***Equipment required to participate in course: A 2-channel sEMG biofeedback hand-held unit with software on a laptop or computer. The participants who are self-hosting will need a vaginal and rectal sensor and abdominal leads. If you are attending at a satellite location, this equipment will be provided.
Self-Hosted participants do not need partners if they have the following items, all of which can be purchased on www.cmtmedical.com.

  1. Prometheus MR-20 Dual Channel sEMG Biofeedback Unit WITH Telesis Software
  2. Black Pathway Adaptor for internal sensors to connect to channel A (item PG-3660)
  3. Pathway Internal Vaginal or Internal Rectal Sensor (item PG 6330 or PG 6340)
  4. Pathway Surface EMG Electrodes for Abdominal Placement (PG 6750)

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.

Special Considerations: This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking. 


Required Readings

1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. IUGA/ICS report on female pelvic floor terminology
5. Many participants find it helpful to review the anatomy of the pelvis and perineum

Pre-Course Information and Lecture
The pre-recorded portion of the course should be viewed prior to the live lab course
Pre-recording: (3 hours total)

  • Introduction to Biofeedback: Definition/History of biofeedback, modalities, basic concepts of feedback and control in biological systems, overview of principles of human learning as they apply to biofeedback.
  • Surface EMG Instrumentation: Essential terms and concepts for EMG biofeedback
  • Sources of artifact: How to identify artifact and correct
  • Principles of EMG sensor placements and Assessment Considerations
  • Biofeedback and Distress: Stress and the biopsychosocial model of illness
  • Neuromuscular Relaxation Training: Relaxation techniques assisted by EMG biofeedback and overview of additional biofeedback modalities

"Relative" Hourly schedule of live Zoom meetings

Day One: 

00:00 Registration
00:15 Introductions, Goals, Objectives, Questions from Lecture
00:45 Surface EMG assessment and signal interpretation
1:15 Surface EMG assessment with lab partners
4:00 Answer questions
4:15 Adjourn

Day Two:

00:00 Questions from Day 1
00:15 Analyzing sEMG and interpreting graphs to patients
1:00 Treat the Screen – Underactive and Overactive Pelvic Floors
3:45 Resources for Training and Certification, Answer Questions
4:00 Adjourn



Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

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

1) Participants will be able to explain to patients the rationale for using biofeedback for the treatment of bladder, bowel, and pelvic pain disorders.
2) Participants will be able to describe a biofeedback assessment, and how patients with complex cases will benefit from this treatment.
3) Participants will be able to explain tasks of an EMG instrument, and assessment and treatments using sEMG.
4) Participants will experience treating and being treated with the use of a rectal or vaginal sEMG sensor.
5) Participants will be able to describe treatment applications, case studies, practical strategies for immediate clinical use, and resources for further training/certification in this area of practice.

This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

  1. Locate another therapist or small group of therapists who would like to register together as a unit
  2. Find a suitable location from which the pair/group can all view the zoom lectures together
  3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course

What to have on hand for self-hosted labs

Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs

Jane Kaufman PT, M.Ed, BCB-PMD

Jane Kaufman

Jane has been a practicing PT for more than thirty years. She is a graduate of the Ithaca College Physical Therapy program and earned her Masters Degree at the University of Vermont. In 2005, Jane became certified in the use of surface EMG biofeedback for pelvic floor muscle dysfunction (BCB-PMD) from the Biofeedback Certification International Alliance. Jane is President of Phoenix Physical Therapy, PLC in South Burlington, VT which she began in 2003. Jane’s clinic (including three other PTs with this treatment focus) specializes in the treatment of pelvic floor dysfunction, incontinence and pelvic pain for men, women and children. Additionally, Jane offers workshops for other healthcare providers worldwide in the use of biofeedback for pelvic muscle dysfunction, mentors healthcare professionals toward certification in this field through BCIA, and offers consultation to begin practices in this area of expertise through her involvement in Biofeedback Training and Incontinence Solutions. Jane’s career has included practice at Columbia Presbyterian Medical Center in New York City, Brattleboro Memorial Hospital in Vermont, and at the former Medical Center Hospital of Vermont where she supervised the Department of Physical Therapy. Jane may be reached through her website at www.phoenixpt.com.

Tiffany Ellsworth Lee MA, OTR, BCB-PMD, PRPC

tiffany lee

Tiffany holds a Bachelor of Science degree in Occupational Therapy from the University of Texas Medical Branch, and a Masters of Arts in Health Services Management from Webster University. She has worked as an occupational therapist and a manager in a variety of rehabilitation settings for the past 22 years. In 1996 she began specializing in the treatment of neurological disorders utilizing surface EMG biofeedback. She received her training at the University of Miami under the direction of Dr. Bernard Brucker, a world renowned rehabilitation psychologist. In 1997 she became the Director of Florida Hospital’s Biofeedback Clinic in Orlando, Florida. Her biofeedback clinic specialized in treating neurological conditions(CVA, TBI, CP, and SCI), and facial paralysis. In 2004, she received her certification in pelvic muscle dysfunction from the Biofeedback Certification International Alliance (BCIA). She is the owner of a continuing education company, Biofeedback Training and Incontinence Solutions and has a private practice in San Marcos, Texas exclusively dedicated to treatment of urinary and fecal incontinence, and pelvic floor disorders. She offers clinical consultation, training workshops, and she mentors health care professionals working toward their BCIA certification.