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Finding the Driver - Portland, OR - July 27-29, 2018

Portland
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  • Schedule

  • Objectives

  • Instructor

  • Location/Lodging

  • Discounts

Price: $725 (Early Registrant Price of $695 ends one month
before the first day of the course).
Experience Level: Intermediate
Contact Hours: 21.75

Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.

This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.

 

Audience:

Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics

 

Prerequisites:

Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.

 

What to Bring:

Joint Mobilization Belt

Day One:
7:30 Registration 
8:00 Introductions, objectives and overview
8:15 Core Concepts
8:45 Pelvic Floor Anatomy
9:45 Pelvic Floor TheraBand Demo
10:00 Break
10:15 External Bony Landmark Palpation and Perineal Exam
11:00 Lab 1: External Bony Landmark and Perineal Exam
12:00 Lunch
1:00 Intrapelvic Structural Mapping of Muscles and Nerves
1:45 Lab 2: PFM Mapping, Pudendal Nerve Pathway Identification
3:00 Break
3:15 Bowel and Bladder Norms vs. Your B and B Diary findings
4:00 Case Study: Finding the Driver
4:30 Post test and review
5:00 Adjourn

Day Two:
8:00 Questions and Answers
8:15
Pelvic Pain Drivers: Vulvodynia, IC/PBS, Pudendal Neuralgia
9:30 History Taking and FO Methods for Pelvic Pain
10:15 Break
10:30 Musculoskeletal Contributing Factors to Pelvic Pain
11:45 Musculoskeletal Scan Exam for Pelvic Pain
12:30 Lunch
1:30 Lab 3: Musculoskeletal Scan Exam for Pelvic Pain Lecture and Lab
3:00 Break
3:15 Case Study: Pelvic Pain with musculoskeletal condition as primary driver
4:30 Post Test and review
5:00 Adjourn

Day Three:
7:30 Lab 5: Cumulative Lab practicum: History, B and B Diary, Musculoskeletal Scan Exam
8:45 Case Study: Finding the Driver
9:30 Break
9:45 Lab 6: Cumulative Lab Practicum: Musculoskeletal and Pelvic Floor Scan exam
10:15 Case Study: Vulvar Pain with multiple Co-morbidities
11:30 Lunch
12:15 Lab 7: External PFM Techniques: Manual Therapy to Pelvic Ring for PFM Release and Joint Mobilization
1:45 Case Presentations: Clinical Reasoning
2:45 Post-Test, Questions & Gratitude!
3:30 Adjourn

Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:

1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.
2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.
3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.
4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.
5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.
6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.
7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain.
8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.
9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.

Elizabeth Hampton PT, DPT, WCS, BCB-PMD

Elizabeth Hampton PT, DPT, WCS, BCB-PMD

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.

Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."

Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!

 NameStreet Address (Links to Map)
Course Location

Legacy Health

19300 SW 65th Ave
Tualatin, OR 97062
Recommended Lodging

Holiday Inn Express Portland South - Lake Oswego
(503) 620-2980

15700 SW Upper Boones Ferry Rd
Lake Oswego, OR 97035
Nearest Airport

Portland International Airport
Airport Code: PDX

7000 NE Airport Way
Portland, OR 97218

 

Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one check or one envelop with multiple checks.


Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

 

To get this discount when checking out online, use the code Student2018. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount

This $50.00 discount is available to any therapist that has never taken a Herman & Wallace course. This discount may be used towards a registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).


Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".


JTA Survey Credit/Discount

Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.