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Pediatric Functional Gastrointestinal Disorders - Minneapolis, MN - October 12-14, 2018 (SOLD OUT)

  • Description

  • Schedule

  • Objectives

  • Instructor

  • Location/Lodging

  • Discounts

Price: $625 (Early Registrant Price $600)
Experience Level: Intermediate
Contact Hours: 17.5

This two-and-a-half day class is the next step for therapists those who focus on the pediatric pelvic floor patient population. It is designed to expand your knowledge of development of normal bowel patterns in children, introduce the new Rome IV criteria (Zeevenhoovenet al. 2017), and review the anatomy and physiology of the GI system with emphasis pediatric Functional Gastrointestinal Disorders (FGID).

According to van den Berg et al, up to 30 percent of children suffer from constipation and account for approximately 3% to 5% of all visits to pediatricians. Early intervention can avoid stool-withholding patterns with worsening constipation leading to prolonged bowel issues into adulthood (Chase, Lewina, 2017) with psychosocial consequences.

This course will delve into the most common types of functional constipation and tests and measures used to assess it. Special emphasis on constipation with coexistence of fecal incontinence (Nurko, Scott. 2011) and the psychological effects of these disorders will also be presented.

Additionally, participants who have not yet been trained will learn external and internal anorectal PFM evaluation of the pediatric perineum. Indications for rectal balloon training and determining the appropriate patient will be instructed with lab. Functional defecatory positions for breathing and PFM relaxation, manual therapy techniques of the abdominal wall and viscera will be taught. Video demonstrations of pediatric patients are also presented. Treatment techniques and progressions, including management of supplements and dietary influences will be discussed.

This course is appropriate for physical therapists, occupational therapists, pediatric nurse practitioners and medical doctors.

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.


This course is available to pelvic health physical therapists interested in expanding their practice as well as pediatric therapists. It requires Pediatric Pelvic Floor Dysfunction and Incontinence live class or completed MedBridge online training in addition to internal anorectal exam training. Participants should have a basic knowledge of biofeedback and pelvic floor muscle anatomy.

What to Bring:

For the lab please bring TheraBand medium resistance 4-5 feet long and 10 cuff pound weight or equivalent.
Be sure to wear loose fitting pants for external PFM palpation. Jeans and tight fitting yoga pants are not acceptable.

References: Zeevenhooven, J, Koppen I, Benninga, M. The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatric gastroenterology, Hepatology and Nutrition. January 2017.
Nurko S, Scott S. Coexistence of constipation and incontinence of children and adults. Best practice & research Clinical gastroenterology. 2011;25(1):29-41. doi:10.1016/j.bpg.2010.12.002.
van den Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol 2006; 101:2401.
Loening-Baucke V. Prevalence, symptoms and outcome of constipation in infants and toddlers. J Pediatr 2005; 146:359.
Chase J, Lewina S. childhood incontinence and pelvic floor muscle function; can be learned from adult research? JPUrol (2017) 13, 94-101

Day One
5:30 Registration
6:00 PFM Anatomy as it related to bowel bladder function with visual assessment of pediatric PFM function video demonstration  
6:30 Internal anorectal exam lab
7:30 Review and discussion

8:00 Adjourn

Day Two:
8:00 Introduction 
8:30 Digestive anatomy and physiology
10:00 Break
10:15 Anatomy palpation Lab – identifying the digestive structures and related sphincters
11:30 The Brain-Gut Axis
12:00 Lunch
1:00 Normal bowel patterns from infancy through early childhood
1:30 Functional Gastrointestinal Disorders (FGID) in children, abdominal pain, IBS, vomiting disorders; organic causes of constipation –such as Hirshsprungs disease, neurologic bowel and imperforate anus
3:00 Break 
3:15 SEMG of the pediatric patient for coordination of the PFM with defecation video demonstrations and lab(not sure we will have EMG units or not for each participant)
4:45 Questions and review

5:00 Adjourn

Day Three:
8:00 Types of constipation and treatment for constipation and fecal incontinence including; medication/supplements and titration for long-term bowel management.
9:30 Anorectal Disorders
10:15 Break
10:30 Rectal balloon training lab
12:00 Lunch
1:00  Diagnostic Testing for bowel dysfunction- anorectal manometry, radiographic studies – indications and assessment. Psychological &QoL Scores
2:00 Manual treatments of bowel dysfunction- Lecture/lab connective tissue releases, sphincter release and bowel massage
3:00 Break
3:15 Case studies
4:15 Questions and review

4:30 Adjourn

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

1. Understand digestive anatomy and physiology

2. Understand the function of the pelvic floor muscles as it relates to defecation

3. Understand functional gastrointestinal disorders in children and be able to identify potential medical “red flags” requiring referral to the physician.

4. Review tests and measures for functional gastrointestinal disorders

5. Understand medications used for bowel dysfunction and titration for long term bowel health

6. Assess bowel diaries and provide education for diet/medication/supplement titration

7. Recognize the psychosocial and behavioral component for proper referral and rectal balloon treatment

8. Observe use of perianal surface electromyography (sEMG) and identify pelvic floor muscle discoordination in the pediatric patient

9. Understand how to use sEMG biofeedback to increase or decrease pelvic floor muscle activity

10. Complete an evaluation of a pediatric patient diagnosed with bowel disorders

11. Assess and provide exercises and techniques for diastasis recti.

12. Learn techniques to stimulate BM and rectal sensation using rectal balloon training and OTC medications

13. Treatment progressions for children with pediatric bowel disorders using manual therapy and breathing techniques

14. Implement an appropriate plan of care based on a patient’s symptoms and physical examination


Dawn Sandalcidi

Dawn Sandalcidi PT, RCMT, BCB-PMD specializes in orthopedic manual therapy, and pelvic muscle dysfunction (incontinence and pain) treatment. She has trained medical professionals in manual therapy since 1992 both nationally and internationally. She owns a private practice in Denver, Colorado. Dawn received her BS in physical therapy in 1982 from SUNY Upstate Medical Center in Syracuse, New York. Over the next four years, she participated in extensive international postgraduate studies in manual and manipulative therapy of the spine and extremities in Germany, Switzerland and New Zealand. Over 17 years ago, Dawn became the first physical therapist to treat pelvic muscle dysfunction in the Denver area. Since then she has developed a pediatric dysfunctional voiding treatment program in which she lectures on nationally. She has further studied pediatric conditions in post graduate work at Regis University. Dawn has published articles in the Journal of Urologic Nursing, the Journal of Manual and Manipulative Therapy, and the Journal of Women’s Health Physical Therapy.

 NameStreet Address (Links to Map)
Course Location

Mercy Hospital - Coon Rapids

4050 Coon Rapids Blvd
Coon Rapids, MN 55433
Recommended Lodging

Best Western Plus

3420 Northdale Blvd NW
Coon Rapids, MN 55448
Nearest Airport

Minneapolis Saint Paul International Airport
Airport Code: MSP

4300 Glumack Drive
St. Paul, MN 55111


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.