Continuing Education Courses > Pelvic Floor Level 1 Satellite Lab Course > Pelvic Floor Level 1 - Satellite Lab Course - March 1-2, 2021 > Self Hosted - March 1-2, 2021
Experience Level: Beginner
Contact Hours: 23.75 hours
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the 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, 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.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
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. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
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. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
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.
Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)
"Relative" Hourly schedule of live Zoom meetings.
Day One (includes lab learning - meet at a satellite location or in pairs/triples):
0:00 Log on to Zoom meeting and call roll
Day Two (includes lab learning - meet at a satellite location or in pairs/triples):
0:00 Questions from Day 1
Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.
Hourly Schedule - Pacific Time
|Day||Component Name||Start Time||End Time|
|1||Registration||7:30 AM||8:00 AM|
|1||Lecture: Introduction, goals, objectives, questions||8:00 AM||8:15 AM|
|1||Lecture: Pelvic Floor (PF) Anatomy and Evaluation||8:15 AM||8:45 AM|
|1||Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring||8:45 AM||10:15 AM|
|1||Break||10:15 AM||10:30 AM|
|1||Lecture: Pelvic Floor Evaluation (Continued)||10:30 AM||11:00 AM|
|1||Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus||11:00 AM||12:00 PM|
|1||Lunch||12:00 PM||1:00 PM|
|1||Lecture: Urinary Incontinence Examination & Interventions Part II||1:00 PM||2:30 PM|
|1||Break||2:30 PM||2:45 PM|
|1||Lab 3: Bladder Diary Activity||2:45 PM||3:30 PM|
|1||Questions||3:30 PM||4:00 PM|
|2||Questions, Post-test Day 2||7:30 AM||7:45 AM|
|2||Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction||7:45 AM||8:30 AM|
|2||Break||8:30 AM||8:45 AM|
|2||Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation||8:45 AM||10:00 AM|
|2||Lecture: Specific Diagnoses in Female Pelvic Pain||10:00 AM||11:15 AM|
|2||Lecture: Managing Movement Part II: Pressures & Load Transfer||11:15 AM||12:00 PM|
|2||Lunch||12:00 PM||1:00 PM|
|2||Lecture: Managing Movement Part II: Pressures & Load Transfer||1:00 PM||1:45 PM|
|2||Lecture: Final Lab Preparation||1:45 PM||2:00 PM|
|2||Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment||2:00 PM||3:15 PM|
|2||Break||3:15 PM||3:30 PM|
|2||Lecture: Case Studies||3:30 PM||4:00 PM|
|2||Questions (Resources, Billing, Marketing, Etc.), Wrap-up||4:00 PM||4:15 PM|
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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 ﬂ. Oz.)
Lube for labs
Rivka Chudnoff, MSPT
Rivki is a Midwesterner at heart, born and raised in Chicago. At her private practice, Hamakom Physical Therapy, in Bogota, NJ, she focuses on women’s health and pelvic health rehabilitation for women and children. Rivki graduated from Stern College with a BA in Biology and from the University of Medicine and Dentistry of New Jersey (Rutgers) in 1999 with a Masters of Science in Physical Therapy. Rivki started her physical therapy career in pediatrics working with children with severe disabilities.
In her practice, Rivki is privileged to work with women at different stages of life. Rivki uses a biopsychosocial approach to guide her patients through the many challenges that they encounter along their journey to healing. Rivki has written extensively on women’s health issues and has presented on pelvic health internationally to sex educators, at community events, and at marriage retreats. In her free time, she enjoys vacationing at Trader Joe’s, burning dinner, and trying to figure out new ways to embarrass her children with her professional life.