Finding the Driver in Pelvic Pain

PEDS TABS - Objectives

Upon completion of this continuing education seminar, participants will learn:

  1. List 2 muscles groups and describe 3 functions of the pelvic floor 
  2. Understand the development of normal urinary control in pediatrics
  3. Understand medical red flags for abnormal voiding and when to refer to medical doctor
  4. List the 4 phases of defecation and describe the rectal anal inhibitory reflex
  5. Identify 2 common causes of constipation and its’ relationship to bladder dysfunction
  6. Observe and describe 2 soft tissue techniques for constipation via video
  7. Describe the pelvic floor relationship to 2 voiding reflexes.
  8. Understand pediatric urology terminology and investigative tools used for testing the pediatric patient for differential diagnosis
  9. Discuss education and treatment related to diet including listing 5 bladder irritants for good bladder health and 2 bladder retraining strategies
  10. Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function and list 3 common findings on SEMG
  11. Identify the need for referral based on SEMG findings and visual PFM assessment
  12. Observe and assess the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
  13. Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal incontinence and know when to refer to appropriate practitioners.
  14. Describe 3 behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
  15. Understand the use of surface electromyography (SEMG) in the pediatric patient.
  16. Develop 4 treatment progressions for children with pediatric bowel and bladder dysfunction.
  17. Perform verbal instruction of pelvic floor activation
  18. Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis rectus abdominis assessment with examples of core activation.
  19. Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation and instruct in at least 3 methods of pelvic floor elongation for proper elimination on the toilet
  20. Understand pediatric terminology and trauma informed care
  21. Synthesize pediatric play techniques for functional purposes
  22. Considerations when working with the neurodivergent population with bowel/bladder dysfunction