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Postpartum Rehabilitation - Remote Course - October 15-16, 2022

Pacific Time Day 1 8:45am-2:30pm Day 2 9:00am-2:30pm

postpartum
  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Instructors

  • Discounts

Price: $425
Experience Level: Beginner
Contact Hours: 14

The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course take place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will be roughtly three hours of prerecorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.

This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.

Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.

Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.

Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.

 

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.


Prerequisites: None

 

Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.


References

Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155.
Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.

Pre- Recordings: Watch Before the Live Component of the Course

  1. Overview of the Postpartum Client (~1 hour)
  2. Hormonal and System Changes and Recovery During Postpartum (~1 hour)
  3. Abdominal Wall: Postpartum Diastasis Rectus Abdominis and Post-Cesarean (~1 hour)
  4. Pelvic Floor Postpartum (~45 minutes)
  5. Examination, Evaluation, and Treatment Considerations for the Lumbar Spine and Pelvic Girdle in the Postpartum (~45 minutes)

Day One:


8:45 Log in, Zoom Basics
9:00 Introductions and Q&A/Review of Pre-Recorded Lectures
9:15 General Examination and Treatment Considerations for the Postpartum Client
10:00 Review of Key Concepts related to Postpartum Abdominal Wall
10:30 Lab: Abdominal Wall Assessment and Scar Treatment (Participants: please have calipers, medical tape measure, and felt tip pen; kinesiology tape (1 partial roll should be enough))
12:00 Break
12:30 Review of Key Concepts related to Postpartum Pelvic Floor and Deep Core Group Activities
1:00 Break out Cases: Postpartum Abdominal and Pelvic Floor Dysfunction
1:45 Lab: Postpartum DRA Rehabilitation Progression (Participants: optional – have large exercise ball and yoga mat)
2:15 Recap of Key Concepts and Q&A
2:30 Adjourn

Day Two:


9:00 Q&A, Review of Previous Day
9:15 Upper and Lower Quarter Concerns in the Postpartum
10:00 Rib Cage Postpartum
10:30 Lab: Rib Cage Postpartum (Participants: please have a towel, sheet, belt, OR yoga strap; kinesiology tape (1 partial roll should be enough))
11:15 Break Out Cases: Upper and Lower Quarter Concerns in Postpartum
11:45 Break
12:15 Psychosocial Considerations During Postpartum
1:15 Postpartum Exercise and Fitness 2.06
2:15 Recap of Key Concepts and Q&A
2:30 Adjourn

Upon completion of this continuing education seminar, participants will be able to:
1. Define common terminology of the labor and delivery and the postpartum period.
2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state.
3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period.
4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags.
5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction.
6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery.
7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period.
8. Instruct the postpartum patient in safe return to fitness activities.
9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery.
10. Complete medical screening for conditions in postpartum that require referral.

Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.

 

Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

Rachel Kilgore, DPT, OCS, COMT, PRPCC

Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

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 credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


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 Student2021. (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 who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


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".