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Pregnancy Rehabilitation - Remote Course (SOLD OUT)

September 19-20, 2020 9:00am-2:30pm Pacific Time

pregnancy
  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Instructors

Price: $425
Format Online Meeting
Experience Level: Beginner
Contact Hours: 15

In this online version of the Pregnancy Rehabilitation course, methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients will be considered. 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.

 

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

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 (45 mins)
Hormonal and System Changes During Pregnancy (45 mins)
Lumbopelvic Examination: Review of Anatomy and Terminology (30 mins)
Core Concepts, DRA, and PFM Overview (30 mins)

Day One:
8:45 Log in to Zoom meeting; audio-visual check and trouble-shooting
9:00 Introductions and Q&A/Review of Pre-Recorded Lectures
9:15 General Examination & Treatment Considerations and Modifications for the Pregnant Client
10:00 Pelvic Girdle Examination and Diagnosis
10:30 Lab: Self-Assessment of Lumbopelvic Region (participants will need a belt, yoga strap, or gait belt)
11:30 Break out case studies
12:00 Lunch
12:30 Review of Key Concepts related to the Core, DRA, and PFM
1:00 Lab: Deep Core and DRA
2:00 Recap of Key Concepts and Q&A; Day 1 Post-Test
2:30 Adjourn

Day Two:
8:45 Log in to Zoom meeting; audio-visual check and trouble-shooting
9:00 Q&A, Review of previous day
9:15 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy
9:45 Lab: Treatment Techniques for Lumbar Spine and Pelvic Girdle (ask participants to have certain props available, such as tennis balls, pillow, etc.)
10:45 Lab: Progression of Lumbopelvic Stabilization During Pregnancy
11:15 Break out cases
12:00 Lunch
12:30 Preparing for Labor & Birth
1:00 Lab: Labor & Birth Preparation
2:00 Recap of Key Concepts and Q&A; Day 2 Post-Test
2:30 Adjourn

Upon completion of this continuing education seminar, participants will be able to:
1. 1. Describe basic terminology related to pregnancy, including fertilization, trimesters, and medical testing/interventions.
2. Perform medical screening for obstetric red flags that may require further referral.
3. Differentiate between progressive labor onset and Braxton-Hicks contractions.
4. Describe pregnancy-related hormonal effects throughout the body systems.
5. Differentiate pelvic girdle pain and pregnancy-related low back pain.
6. Safely perform lumbopelvic examination, diagnosis, and treatment with the pregnant client.
7. Differentiate the terms diastasis rectus abdominis and inter-recti distance.
8. Safely perform diastasis rectus abdominis examination, diagnosis, and treatment with the pregnant client.
9. Instruct a pregnant client through a progression of core muscle training.
10. Instruct a pregnant client in labor & birth preparation techniques, including perineal massage, use of TENS, and positioning to minimize impact on pre-existing musculoskeletal conditions.

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: 

- 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

Jenni Gabelsberg, DPT, WCS, MSc, MTC

Jenni Gabelsberg  DPT, MSc, MTC

Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.