Format Online Meeting
Experience Level: Beginner
Contact Hours: 15
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Resource documents will also be provided for preview that will cover history taking with pregnant clients; obstetric red flags and medical screening; and positioning considerations with the pregnant client.
During online live interactive portions of this course, we will open with general examination considerations and modifications specific to pregnancy, including discussion of modalities and manual therapy techniques considered safe or precautioned during pregnancy. Further discussion of pelvic girdle examination, diagnosis, and treatment strategies will be provided, followed by “lab” time with assessment and treatment techniques for the lumbopelvic region. Review of key concepts related to core muscle and diastasis rectus abdominis will lead to “lab” time with assessment and treatment techniques. Progression of stabilization exercises during pregnancy will be practiced. Break out cases will allow time for both small and large group discussion for diagnosis and treatment progression for pregnant clients with lumbopelvic dysfunction or with diastasis rectus abdominis. Finally, to prepare the pregnant client for labor and birth, instruction in perineal stretching, hip and trunk flexibility activities, and TENS for labor will be discussed. “Lab” practice will include labor and birthing positions, with a focus on consideration for positional strategies for women with pre-existing musculoskeletal problems.
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.
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.
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086.
Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc.
Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41.
Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Pre- Recordings: Watch Before the Course
Overview of the Pregnant Client (60 mins)
Hormonal and System Changes During Pregnancy (75 mins)
Lumbopelvic Examination: Review of Anatomy and Terminology (45 mins)
Core Concepts, DRA, and PFM Overview (60 mins)
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
There is a considerable amount of treatment pictures and examples in supine, it would align with the supine precautions to have examples in modified positions.
- Jessa Brooks - Whitefish, MT
Longer lab time would always be great! Goal list & review goals – this was super helpful. Helpful information and thorough discussions.
- Claudia Chaloner, DPT - San Diego, CA
Great course and lots of great tips & good articles verifying patients for recommendations. Thank you!
- Sarah Olson, MSPT, DMT, OCS, FAAOMPT - Bothell, WA
A lot of great info, clinical pearls were given in this course. I’m excited to have the material needed to provide community prenatal classes; better treat my patient who are pregnant.
- LaRyn Martin, DPT, CMT - Helena, MT
This information presented in class will be incredibly beneficial for my practice. I look forward to putting all of the concepts of exam consideration and treatment/intervention strategies into use. I also enjoyed the information regarding hormonal, cardiovascular and general physiological changed presented. This was my favourite H&W course to date.
- Alison Bierbower, OTR/L, CLT - Lincoln, NE
Organized and educational course. Great guidance from lab assistants!
- Ellen Forslund, PT, DPT - Seattle, WA
Thank you for a ground work fir a great course into treating the pregnant patient.
- Jessica Yeager, PT, DPT - Dallas, TX
Great information to allow me to better serve this patient population!
- Kayla Varnado - Jefferson, LA
Sara, Emily and Lacey brough a rich variety of knowledge to the course, providing many resources that have the capacity to immediately effect positive change in the caliber of care provided to this patient population.
- Carli Cormier, PT, DPT, CSCS - Baton Rouge, LA
This was a very helpful course; I feel like I can educate/treat women who are pregnant with more confidence in PT.
- Heidi Anne Ilan, PT - Benicia, CA
Such a great course! Excited to take this knowledge with me.
- Myra Addenbrooke, PT, DPT - Kailua, HI
Loved all the content and the additional info about immediately after birth. I already treat pregnant ladies, but feel so much more confident now.
- Carly Soltman, PT, DPT - Camarillo, CA
I felt like it taught me so much for myself and my patients.
- Heather Hunt, PTA - Mission Viejo, CA
Excellent course. Looking forward to next course!
- Sara Kotschi, DPT - Milwaukee, WI
Great information – hoping to learn more information about approaches to treatment vs evaluation.
- Erin Epperly, DC - Maplewood, MN
Pam was an amazing instructor who was current with the literature and was able to explain with good detail so that everyone could understand. I feel comfortable with this to help me treat on Monday morning.
- Helene Strange PT, DPT - Alexandria, VA
This course has a good learning for me, reminds one that pain in pregnancy does not only happen in the back or pelvis and to treat the body as a whole for optimal outcomes.
- Megan Gottlieb,PT, DPT - Endicott, NY
What a great class and very knowledgeable instructor! It was great seeing the biofeedback lab and experiencing.
- Jessica Shepler MOTR/L - Superior, NE
Even after the 1st day I already had a lot of valuable information I could apply to current patients. I texted a co-worker and my student about interventions because I was so excited, at the end of the 1st day.
- Emily Deno, DPT - Owatonna, MN
Such a comprehensive, well rounded course.
- Sarah Cornwell, PTA - West Lafayette, IN
Very well presented, Informative course.
- Jennie Murray, DPT - Santa Rosa, CA
I feel so much more confident and excited to work with women who are expecting now that. I took this course. I also feel much more comfortable and prepared going into my own pregnancy.
- Amanda Jordan PT, DPT - ALBANY, OR
I really like Jenni’s mindfulness of protecting our bodies! Joints and manual work but it’s always a good reminder.
- Lisa English, PT, DPT - Livermore, CA
I thought the course was very thorough relevant to include with of my patients. It was a great experience for me as well being 27 wks pregnant when I took the course. It is always great to be able to experience what our patients may not be feeling. Great course, great group of PT’s, great teacher!
- Summer Lamborn PT, DPT - Wilmington, NC
Allison is really knowledgeable and provide great information!
This is my 3rd how course live attended and it did not disappointed!
The care of the pregnant patient was a well crafted lecture series that has provided increased knowledge to better treat the pregnant women.On another notw Allison ariail is a gem of a presenter,good knowledge and was willing to have her personal knowledge + experience. Thank you Herman & Wallace for providingsuch quality instructors!