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Bowel Pathology and Function - Remote Course - November 13-14, 2021 8:00 AM - 1:30 PM *Pacific Standard Time

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  • Objectives

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  • Instructor

Price: $275 
Experience Level: Intermediate 
Contact Hours: 9.5

This intermediate, two-day remote course covers the details of normal gut motility, bowel function, medical tests and medications relating to diagnosing and treating the medical side of bowel dysfunction. Main topics discussed are fecal incontinence, chronic constipation and abdominal pain and how they relate to pelvic floor muscle dysfunction and physical therapy interventions. Topics relating to basic foods along with over-the-counter and prescription products are explained in aiding or to increase or slowing gut motility.

Visualization of biofeedback, intra-rectal electrical stimulation use is discussed. Each participant will purchase a rectal balloon set to practice inflation/deflation in order to be ready for use in clinic.


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.


It is required that the participants have a working experience with evaluating and treating patients with pelvic pain inclusive of both vaginal and rectal examination. Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is strongly recommended.


Day One:

8:00 Introduction and Zoom basics
8:15 Introduction to digestive system function and dysfunction
9:45 Break
10:00 Digestive and palpation lab demo; myofascial release of sphincters; self-palpation
11:30 Lunch
12:00 Medical side of fecal incontinence: tests, medications and treatment
1:00 Questions/Wrap-up
2:00 Adjourn

Day Two:

8:00 Questions & Answers
8:15 Physical therapy evaluation for the bowel dysfunction patient
9:30 Break
9:45 Physical therapy treatment for the bowel dysfunction patient
11:45 Lunch
12:15 Rectal balloon training
1:15 Patient Cases/Questions
1:30 Adjourn

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

1. Identify the structures and functions of the digestive system, and have a general understanding of bowel disease.
2. List general medical assessment, medical tests and outcomes, medications given and how they relate to pelvic floor function/dysfunction.
3. Perform self-abdominal palpation to address myofascial abdominal restrictions around the area of the duodenal sphincter and ileocecal valves along with instruction of home bowel massage.
4. Analyze the use of sEMG biofeedback, intra-rectal stimulation to increase or decrease pelvic floor muscle activity along with anorectal ballooning explanation and demonstration of technique.
5. Create an appropriate plan of care based on a patient’s symptoms and physical examination.


Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

Lila Abbate, PT, DPT, MS, OCS, PRPC

Lila Abbate, PT, DPT, MS, OCS, PRPCLila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.

Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.

Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.