Continuing Education Courses > Pelvic Floor Level 1
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|Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
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.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
*Lab includes internal evaluations
This was a great course. The instructors are very helpful and knowledgeable.
-Rachel Russo, DPT - Aldie, VA
A fantastic experience that equipped the main hands on tools in a safe, comfortable environment that I could apply immediately.
-Olga Mezhebovsky - Baltimore, MD
This was by far the best continuing education course I’ve had. I felt comfortable asking questions and I feel I’ve “Levelled up” as a clinician.
- Deidra C. Morrison PT, DPT - Windermere, FL
One of the best courses I’ve attended! Lots of information but thoroughly covered and built lots of confidence.
- Erin Chapman DPT - Charlottesville, VA
Great course, Lots of info fast talking large lab class size w/ limited time w/ instructors and TA’s
- Tara Collins, PT, DPT - Hanover, MD
Dustienne and Kim are excellent instructors. They are knowledgeable and conveyed the information is an interesting and understandable manner. I hope to learn from both of them in the future. I will be tae more Herman Wallace courses in the future.
-Holly Kantor, PT, DPT - Swampscott, MA
This course exceeded all my expectations. Looking forward to level 2A.
-Anna Grant, PT, DPT, OCS - San Diego, CA
Considering the intensity of this topic, Dustienne and Kim as well as the numerous and well experienced TAs, provided a relaxed and comfortable environment in which to learn.
-Alicia Brown, MPT -Nashua, NH
Such a great class! I was very nervous and anxious about the internal labs but the instructors and TAs made it a safe. And comfortable learning environment.
- Erin Mannion PT, DPT, CLT - Worcester, MA
Thank you for the binder of wealth of resources! Dustienne and Kim were knowledgeable, relevant, and so much fun!
- Stacey Lillios, PT, DPT - Concord, NH
This was such an amazing course. I felt I learned a lot but also have so many things I want to learn more about. The presenter’s enthusiasm for this pt population was contagious and I can’t wait to put what I have learned into practice.
-Hannah Olstad – Concord, NH
This was the best continuing education course I’ve ever taken. I felt more confortable and appreciative of the instructors and lab assistants than some of my DPT program faculty. I’m so excited to start my specialization in this area. I can’t wait to help my patients in this new dynamic way. Everyone was wonderful Thank you!
- Amy Doepker, PT, DPT - Marshall, MI
Well designed course full of information and use of variable learning style.
-Irene Gordon PT, DPT, CMTPT, Cert. VRS – Hooksett, NH
Instructors were great engaging and knowledgeable. This experience was eye opening and put all reservations at ease.
-Katherine Domenici - Concord, NH
I was beyond impressed with the knowledge, experience, and personable demeanours of the instructors and TA. An invaluable learning experience.
-Rachelle Gayle PTA, SDPT - Pittsfield, MA
I loved this course. No ego’s Instructors and lab assistant passionate about Woman Health. Highly recommend this course.
-Brooks Mullen, MSPT, CLT - Boxford, MA
Thanks I feel very prepared to start evaluating and treating this patient population
-Alison A Hayman - Chicago, IL
This course was amazing! I was impressed with how well the instructors stayed an task kept to the schedule. The instructors and lab assistants were very knowledgable helpful. They all were energetic, which helped to sky focused.
-Jennifer L Kruger, DPT, PT - Boscobel, WI
This was a very helpful class, not only to learn new skills for PF dysfunctions specifically but for the help of my low back pain patients. All instructors/Assist, were so helpful and knowledgeable .
-Megan Sievers PT, DPT - Holland, MI
Thank You so much! This course was an incredible experience!
-Molly Robbins – SPT - Washington, MI
Jessica and Susannah are both excellent communicators from the very first and could sense their excitement for PFM treatment. Both of them and all of the lab assistants were wonderful as they assisted in lab time as well as offering feedback while in the classroom setting. I learned so much!
-Deanna Davis - Fort Smith, AR
Going to this course has really changed the way I want to practice PT.
-Danielle Mckinney, PT, DPT - Shalimar, FL
11. I am so grateful for the opportunity to be a part of this course Susannah and Jessica are so amazing, sensitive, compassionate and knowledgeable forces of Nature. I have learned so much and can’t wait to start using in practice.
-Jo Lee Erickson, OTR/L - Mena, AR
Thank You for a very informative course presented in a comfortable and supportive environment. I have learned so much and have knowledge and skills I can use.
-Mary Jo Nice, PT, COMT - Redwood City, CA
Fantastic Course! Thank you! I cannot wait to take the Pelvic 2A,2B and capstone.
-Haley Lovich, PT, DPT - Phoenix, AZ