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Pelvic Floor Level 3 - Seattle, WA - June 21-23, 2013 (SOLD OUT!)

Audience: 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.
Level: Advanced
Contact hours: 22.5 (CEUs vary by state)
Price: $695 (Early registrant price of $675 for registrations received one month before course start date.
Prerequisites: Pelvic Floor Level 1 with instruction in internal vaginal pelvic floor muscle examination. Pelvic Floor Level 2A with instruction in internal colorectal pelvic floor muscle examination.
Suggested Pre-reading: Many participants find it helpful to review the anatomy of the pelvis and perineum. We also suggest The Truth About Hormone Replacement Therapy


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This continuing education course is a three-day advanced-level seminar created to further improve the clinicians’ ability to evaluate and treat pelvic floor dysfunctions by integrating ideas from many of the existing models of pelvic floor rehabilitation into comprehensive and cohesive programs. The participant will learn more specific examination and treatment interventions for female and male pelvic floor conditions. Current medical evaluation, management, evidence-based references and case studies will be presented.

Topics include in-depth information regarding hormones and their effect on the female body through the life cycle, specific pelvic floor concerns for the different phases of the female life cycle, female sexual dysfunction, specific surgical procedures for urinary and fecal incontinence, vestibulectomy, hymenectomy, hemorrhoidectomy, anal sphincter repair and TVT post-surgical protocol ideas. The labs are directed toward refining and adding new evaluation and treatment techniques for the pelvis and pelvic floor muscles. An integration of core stabilization, joint stabilization, treatment for short pelvic floor syndromes and treatments for high and low tone pelvic floor muscles.

Participants are encouraged to submit a case study on a complex patient with specific questions for the class to discuss and generate ideas collectively. 

Special Considerations:

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. Male course attendees may participate fully in the entire course if they bring their own lab model for examination. Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination. 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.

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

1. Demonstrate a complete pelvic floor muscle examination with external and internal identification of structures, muscles and bony landmarks.
2. Discuss three different female sexual dysfunctions and the physical therapy evaluation and treatment protocols appropriate for each dysfunction.
3. Describe the different types and forms for application of estrogen, progesterone and testosterone for the common complaints of: vaginal dryness, atrophy of the genitalia, diminished libido, pain dysfunctions of vulvodynia, dyspareunia, urinary and fecal incontinence and post hysterectomy/oopherectomy osteoporosis.
4. Demonstrate two manual techniques to treat the ”short” pelvic floor.
5. Demonstrate three therapeutic exercises to correct for pelvic girdle instability and pelvic floor muscle hypertonus.
6. Describe the surgical procedures for hymenectomy, vestibulectomy, TVT, hemorrhoids, anal sphincter repair and two possible physical therapy post surgical treatment techniques.


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Day One:
8:00 Registration
8:15 Introductions and Course Objectives
8:30 Lecture Pelvic Floor Update
10:00 Break
10:15 Lab 1A: Review Bony Landmarks
Lab 1B Review External (Contraction, Pelvic Clock, Q-Tip Testing)
Lab 2 Review Internal Vaginal Muscle Assessment
11:30 Case Studies
12:00 Lunch
1:00 Lecture Introduction to Hormones
2:00 Case Studies
2:45 Break
3:00 Lab 3 Anorectal Exam
4:00 Case Studies
5:00 Finish

Day Two:
8:00 Lecture - Hormones
10:00 Break 10:15 Case Studies
11:00 Lecture – Female Sexual Activity
12:00 Lunch
1:00 Lecture – Female Sexual Activity continued
1:45 Lab 4 SCS Positional Release
Lab 5 Short Pelvic Floor
3:00 Break
3:15 Lecture: Hysterectomy
5:00 Finish

Day Three:
8:00 Lecture/Videos: Surgery
10:00 Case Studies
10:30 Break
10:45 Lecture/Lab 6 Lee
11:30 Case Studies
12:00 Lunch
1:00 Lecture/Lab 7 Hodges/Jammett
Lecture/Lab 8 – Therapeutic Exercise
4:00 Finish


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Lila Abbate, PT, DPT, MS, OCS

Lila Abbate, PT, DPT, MS, OCS

Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.

Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.

Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.


Hollis Herman, PT, DPT, MS, OCS, WCS, BCB-PMD

Hollis Herman, DPT, PT, OCS, BCIA-PMDB

Dr. Hollis (Holly) Herman has been a physical therapist for 35 years. She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction..

Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


Course Location
Recommended Lodging
Northwest Hospital TCU Auditorium

Street Address:
1550 North 115th Street
Seattle , WA 98133
(Map will open in a new window)

Hotel Nexus
(206) 365-0700

H&W makes a best effort to find recommended lodging for participants. However, our primary focus is the excellence of the course itself. Participants are encouraged to explore travel options and make the best choice to fit their needs. Hotels.com, Hotwire.com and similar sites may also offer excellent deals to save on travel costs.


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