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Urogynecologic Topics for the Pelvic Rehab Therapist - Remote Course - June 7-8 and 14-15, 2020 - 9:00am-2:00pm Pacific Time

Urogynecologic Topics for the Pelvic Rehab Therapist
  • Description

  • Objectives

  • Schedule

  • Remote Course Info

  • Instructor

Price: $500
Format: Remote Course
Experience Level: Intermediate
Contact Hours: 18

This live, interactive remote course covers the didactic and lecture components of the Pelvic Floor Level 2B course, and is intended for the practicing pelvic rehab therapist who was registered for one of the courses postponed due to COVID19 or who is looking for remote-learning opportunities to further define skills and knowledge learned in the foundational Pelvic Floor Level One course. This course is an excellent opportunity for those who want to "stay on track" with growing their intermediate knoweldge and skill set while we all practice social distancing. 

With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on health. Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.

Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.

Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010). This course also covers abdominopelvic nerve dysfunction and relaxation training - strategies that the clinician can employ immediately following completion of this remote course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.

Participants should come prepared to discuss their own complex patient case studies and to ask questions of the instructor from their own clinical experience with pelvic rehab patietns. 

 

Prerequisites:

Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

 

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.

 

Assignments:

In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials prior to attending. Please complete this assignment prior to the first day of the seminar.

Prerequisite Skills Review

 

Required Readings

1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.


References

De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.

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

1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
3. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
4. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
5. Develop treatment plans for pelvic pain syndromes.
6. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.

Day One: 

9:00 Objectives, introductions, overview, How to ZOOM with questions
9:15 Pelvic rehabilitation concepts, anatomy and specific palpation
10:15 Prolapse anatomy, evaluation and treatment
11:00 Questions and Break
11:15 Prolapse anatomy, evaluation and treatment (continued)
12:15 Medical and multidisciplinary management of pelvic pain
1:15 Questions and Case Studies
1:45 Adjourn

Day Two:

9:00 Opening Questions
9:15 Examination Skills with Pelvic Pain
10:15 Specific conditions: Vulvar pain, dyspareunia and vaginismus
11:15 Questions and Break
12:00 Neuromuscular relaxation training
1:00 Questions
1:30 Adjourn 

Day Three:

9:00 Review and Questions from course session
9:15 Specific conditions: Vulvar pain, dyspareunia and vaginismus
10:45 Questions and Break  
11:00 Neuromuscular relaxation training
12:00 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
1:30 Questions
2:00 Adjourn

Day Four:

9:00 Questions so far? 
9:15 Pelvic Pain Manual Skills
10:15 Trauma Informed Care
11:15 Questions and Break
11:30 Breathing and Pressure Management
12:30 Case Studies, treatment progressions, resources and Telehealth
1:30 Wrap up, summary, final questions 
2:00 Adjourn

Remote courses require Zoom video conferencing software. You can create an account and download the software to your computer at https://zoom.us/

We use the Pacific Time Zone for all of our start and end times. 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

Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD

 Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD

Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD certified, received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.