(646) 355-8777

Darla Cathcart, PT, DPT, WCS, CLT

Darla Cathcart, PT, DPT, WCS, CLT

Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

Courses Instructed by Darla Cathcart

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    Care of the Postpartum Patient - Houston, TX - October 17-18, 2020

    {dtregister}890{/dtregister}
    Houston
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Beginner
    Contact Hours: 15

    The postpartum woman 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 will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. 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 and lab. 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.

    Day One:
    7:30 Registration
    8:00 Introduction, Goals, and Objectives
    8:15 Overview of the Postpartum Client
    9:00 Hormonal and System Changes and Recovery During Postpartum
    9:45 Break
    10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean
    11:00 LAB: Abdominal Wall Assessment and Scar Treatment
    12:00 Lunch
    1:00 General Examination Considerations for the Postpartum Client
    1:30 General Treatment Considerations for the Postpartum Client
    2:15 Pelvic Floor Postpartum
    3:15 Break
    3:30 LAB: Deep Core and DRA Rehabilitation Progression
    4:45 Upper and Lower Quarter Concerns in the Postpartum
    5:30 Day 1 Post Test and Wrap Up
    6:00 Adjourn

    Day Two:
    8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum
    9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment
    10:00 Break
    10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client
    11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client
    11:45 Lunch
    12:30 Psychosocial Considerations During Postpartum
    1:30 Postpartum Exercise and Fitness 2.06
    2:30 Interactive Case Studies
    3:15 Marketing and Billing
    3:45 Day 2 Post Test and Wrap Up
    4:00 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.

     NameStreet Address (Links to Map)
    Course Location

    Memorial Hermann Health System

    929 Gessner Rd,
    12 Orthopedic conference rooms A and B
    Houston, TX 77024
    Recommended Lodging

    The Westin Houston, Memorial City
    (281) 501-4300

    945 Gessner Rd
    Houston, TX 77024
    Nearest Airport

    George Bush Intercontinental Airport
    Airport Code: IAH

    2800 N Terminal Rd
    Houston, TX 77032

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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".


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    Care of the Postpartum Patient - Livingston, NJ - May 18-19, 2019 (SOLD OUT)

    {dtregister}748{/dtregister}
    LosAngeles
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instrutors

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Beginner
    Contact Hours: 15

    The postpartum woman 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 will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. 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 and lab. 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.

    Day One:
    7:30 Registration
    8:00 Introduction, Goals, and Objectives
    8:15 Overview of the Postpartum Client
    9:00 Hormonal and System Changes and Recovery During Postpartum
    9:45 Break
    10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean
    11:00 LAB: Abdominal Wall Assessment and Scar Treatment
    12:00 Lunch
    1:00 General Examination Considerations for the Postpartum Client
    1:30 General Treatment Considerations for the Postpartum Client
    2:15 Pelvic Floor Postpartum
    3:15 Break
    3:30 LAB: Deep Core and DRA Rehabilitation Progression
    4:45 Upper and Lower Quarter Concerns in the Postpartum
    5:30 Day 1 Post Test and Wrap Up
    6:00 Adjourn

    Day Two:
    8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum
    9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment
    10:00 Break
    10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client
    11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client
    11:45 Lunch
    12:30 Psychosocial Considerations During Postpartum
    1:30 Postpartum Exercise and Fitness 2.06
    2:30 Interactive Case Studies
    3:15 Marketing and Billing
    3:45 Day 2 Post Test and Wrap Up
    4:00 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.

     NameStreet Address (Links to Map)
    Course Location

    RWJJH Ambulatory Care Center

    200 S. Orange Ave
    Livingston NJ 07039
    Recommended Lodging

    Westminster Hotel
    973-533-0600

    550 W. Mt Pleasant Ave
    Livingston NJ, 07039
    Nearest Airport

    Newark Liberty International Airport
    Airport Code: EWR

    3 Brewster Rd
    Newark, NJ 07114

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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".


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    Care of the Postpartum Patient - Washington, DC - March 7-8, 2020

    {dtregister}852{/dtregister}
    WashingtonDC
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Beginner
    Contact Hours: 15

    The postpartum woman 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 will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. 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 and lab. 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.

    Day One:
    7:30 Registration
    8:00 Introduction, Goals, and Objectives
    8:15 Overview of the Postpartum Client
    9:00 Hormonal and System Changes and Recovery During Postpartum
    9:45 Break
    10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean
    11:00 LAB: Abdominal Wall Assessment and Scar Treatment
    12:00 Lunch
    1:00 General Examination Considerations for the Postpartum Client
    1:30 General Treatment Considerations for the Postpartum Client
    2:15 Pelvic Floor Postpartum
    3:15 Break
    3:30 LAB: Deep Core and DRA Rehabilitation Progression
    4:45 Upper and Lower Quarter Concerns in the Postpartum
    5:30 Day 1 Post Test and Wrap Up
    6:00 Adjourn

    Day Two:
    8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum
    9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment
    10:00 Break
    10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client
    11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client
    11:45 Lunch
    12:30 Psychosocial Considerations During Postpartum
    1:30 Postpartum Exercise and Fitness 2.06
    2:30 Interactive Case Studies
    3:15 Marketing and Billing
    3:45 Day 2 Post Test and Wrap Up
    4:00 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.

     NameStreet Address (Links to Map)
    Course Location

    GWUH Outpatient Rehabilitation Services

    2131 K St. NW, Suite 620
    Washington, DC 20037
    Recommended Lodging

    Avenue Suites Georgetown
    (202)-333-8060

    2500 Pennsylvania Ave NW
    Washington, DC 20037
    Nearest Airport

    Ronald Reagan Washington National Airport
    Airport Code: DCA

    Arlington, VA 22202

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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".


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    Care of the Pregnant Patient - Houston, TX - March 28-29, 2020

    {dtregister}889{/dtregister}
    Houston
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $475 (Early Registrant Price $450)
    Experience Level: Beginner
    Contact Hours: 15

    Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)

    This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.

    Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.

    Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.

    With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.

    .

     

    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.

    Day One:
    7:30 Registration
    8:00 Introduction, goals, and objectives
    8:15 Overview of the Pregnant Client
    9:15 Hormonal and System Changes During Pregnancy
    10:30 Break 
    10:45 General Examination Considerations and Modifications for the Pregnant Client
    11:30 General Treatment Considerations and Modifications for the Pregnant Client
    12:15 Lunch
    1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy
    2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy
    3:15 Break
    3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction
    4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment
    5:30 Day 1 Post Test and Wrap Up
    6:00 Adjourn

    Day Two:
    8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy
    9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle
    10:00 Break 
    10:15 Preparing for Labor and Birth
    11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems
    12:00 Lunch
    1:00 Introduction to High Risk Pregnancy
    2:00 Fitness and Exercise During Pregnancy
    3:00 Marketing and Billing
    3:30 Day 2 Post Test and Wrap Up
    4:00 Adjourn

    Upon completion of this continuing education seminar, participants will be able to:
    1. Understand common definitions and medical testing used in obstetrics.
    2. Avoid all contraindications for evaluation and treatment of the pregnant patient.
    3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy.
    4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy.
    5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities.
    6. Instruct in safe exercises and activities for the low-risk and high-risk patient.
    7. Educate the patient in methods to prepare physically for birth.
    8. Complete medical screening for referral for the pregnant patient.
    9. Apply and utilize surface EMG with external sensors for pelvic floor muscles.
    10. Market a program of physical therapy care for the pregnant patient.

     NameStreet Address (Links to Map)
    Course Location

    Memorial Hermann Health System

    929 Gessner Rd,
    12 Orthopedic conference rooms A and B
    Houston, TX 77024
    Recommended Lodging

    The Westin Houston, Memorial City
    (281) 501-4300

    945 Gessner Rd
    Houston, TX 77024
    Nearest Airport

    George Bush Intercontinental Airport
    Airport Code: IAH

    2800 N Terminal Rd
    Houston, TX 77032

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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".


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    Pelvic Floor Level 1 - Canton, OH - April 24-26, 2020 (Rescheduled)

    Update 3/16/2020: As a precaution against the spread of COVID-19, this course has been postponed. This course is now taking place on June 5-7, 2020. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}842{/dtregister}
    Canton
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Aultman North

    6100 Whipple Ave NW
    North Canton, OH 44720
    Recommended Lodging

    Hampton Inn & Suites Canton
    (330)-491-4335

    5256 Broadmoor Cir NW
    Canton, OH 44709
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Rd,
    North Canton, OH 447204

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

     

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).


    Amanda Hayes-Fugate, MPT

    Amanda Hayes-Fugate, MPT

    Amanda Hayes Fugate MPT is a pelvic health physical therapist specializing in urinary, bowel and pain conditions for men and women. She went to Western Carolina University in 2007 with the unique goal of being a pelvic health therapist and even won a national scholarship because of her passion in this area. Upon graduation she created a pelvic health program, from the ground up, for a outpatient physical therapy practice in the Asheville, NC area. She has continued to expand her expertise over the past 10 years and has recently started her own pelvic health practice Pelvic Forward PT to provide more comprehensive and patient directed care in the changing medical climate. Using her unique perspective as a lifelong runner and athlete, Amanda has a made treating athletes with pelvic floor dysfunction, pain, or desires for optimal performance a cornerstone of her practice.

    She has built her business on the core values of education, embodiment and empowerment for all. As an tireless educator and in her goal to start a global conversation around pelvic health, Amanda has been involved with many community-based education programs, including lectures and demonstrations to crossfit gyms, the YMCA and pilates studios, providing instructor trainings to DONA, REI, pre-postpartum support groups, and many more.

    Amanda truly loves and is interested in all things pelvic and is so grateful to have joined the Herman and Wallace team. Outside of the clinic she loves all things food, outdoors and spending time with family.

    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).

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    Pelvic Floor Level 1 - Canton, OH - June 5-7, 2020 (RESCHEDULED)

    Update 5/13/2020: As a precaution against the spread of COVID-19, this course has been postponed. Here is a link to the new date, https://hermanwallace.com/continuing-education-courses/pelvic-floor-level-1/canton-oh-october-3-4-2020. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

     

    {dtregister}1023{/dtregister}
    Canton
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Aultman North

    6100 Whipple Ave NW
    North Canton, OH 44720
    Recommended Lodging

    Hampton Inn & Suites Canton
    (330)-491-4335

    5256 Broadmoor Cir NW
    Canton, OH 44709
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Rd,
    North Canton, OH 447204

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

     

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).


    Amanda Hayes-Fugate, MPT

    Amanda Hayes-Fugate, MPT

    Amanda Hayes Fugate MPT is a pelvic health physical therapist specializing in urinary, bowel and pain conditions for men and women. She went to Western Carolina University in 2007 with the unique goal of being a pelvic health therapist and even won a national scholarship because of her passion in this area. Upon graduation she created a pelvic health program, from the ground up, for a outpatient physical therapy practice in the Asheville, NC area. She has continued to expand her expertise over the past 10 years and has recently started her own pelvic health practice Pelvic Forward PT to provide more comprehensive and patient directed care in the changing medical climate. Using her unique perspective as a lifelong runner and athlete, Amanda has a made treating athletes with pelvic floor dysfunction, pain, or desires for optimal performance a cornerstone of her practice.

    She has built her business on the core values of education, embodiment and empowerment for all. As an tireless educator and in her goal to start a global conversation around pelvic health, Amanda has been involved with many community-based education programs, including lectures and demonstrations to crossfit gyms, the YMCA and pilates studios, providing instructor trainings to DONA, REI, pre-postpartum support groups, and many more.

    Amanda truly loves and is interested in all things pelvic and is so grateful to have joined the Herman and Wallace team. Outside of the clinic she loves all things food, outdoors and spending time with family.

    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).

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    Pelvic Floor Level 1 - Canton, OH - October 3-4, 2020

    Due to concerns about COVID19, this course has been converted to satellite lab offering. Registration for the satellite lab course is available here

    {dtregister}1080{/dtregister}
    Canton
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Aultman North

    6100 Whipple Ave NW
    North Canton, OH 44720
    Recommended Lodging

    Hampton Inn & Suites Canton
    (330)-491-4335

    5256 Broadmoor Cir NW
    Canton, OH 44709
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Rd,
    North Canton, OH 447204

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

     

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).


    Amanda Hayes-Fugate, MPT

    Amanda Hayes-Fugate, MPT

    Amanda Hayes Fugate MPT is a pelvic health physical therapist specializing in urinary, bowel and pain conditions for men and women. She went to Western Carolina University in 2007 with the unique goal of being a pelvic health therapist and even won a national scholarship because of her passion in this area. Upon graduation she created a pelvic health program, from the ground up, for a outpatient physical therapy practice in the Asheville, NC area. She has continued to expand her expertise over the past 10 years and has recently started her own pelvic health practice Pelvic Forward PT to provide more comprehensive and patient directed care in the changing medical climate. Using her unique perspective as a lifelong runner and athlete, Amanda has a made treating athletes with pelvic floor dysfunction, pain, or desires for optimal performance a cornerstone of her practice.

    She has built her business on the core values of education, embodiment and empowerment for all. As an tireless educator and in her goal to start a global conversation around pelvic health, Amanda has been involved with many community-based education programs, including lectures and demonstrations to crossfit gyms, the YMCA and pilates studios, providing instructor trainings to DONA, REI, pre-postpartum support groups, and many more.

    Amanda truly loves and is interested in all things pelvic and is so grateful to have joined the Herman and Wallace team. Outside of the clinic she loves all things food, outdoors and spending time with family.

    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).

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  • Pelvic Floor Level 1 - Canton, OH - October 3-4, 2020 (Postponed)
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    Pelvic Floor Level 1 - Fayetteville, AR - May 1-3, 2020(Rescheduled)

    Update 04/08/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}888{/dtregister}
    Fayetteville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

     NameStreet Address (Links to Map)
    Course Location

    Washington Regional Medical Center

    12 East Appleby Road
    Fayetteville, AR 72703
    Recommended Lodging

    Courtyard by Marriott Fayetteville
    (479)-571-4900

    600 E Van Asche Dr,
    Fayetteville, AR 72703
    Nearest Airport

    Northwest Arkansas Regional Airport
    Airport Code: XNA

    1 Airport Blvd
    Bentonville, AR 72712

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    Instructors - Reale

    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

    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).

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    Pelvic Floor Level 1 - Fayetteville, AR - November 8-10, 2019 (SOLD OUT)

    {dtregister}776{/dtregister}
    Fayetteville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

     NameStreet Address (Links to Map)
    Course Location

    Washington Regional Medical Center

    12 East Appleby Road
    Fayetteville, AR 72703
    Recommended Lodging

    Courtyard by Marriott Fayetteville
    (479)-571-4900

    600 E Van Asche Dr,
    Fayetteville, AR 72703
    Nearest Airport

    Northwest Arkansas Regional Airport
    Airport Code: XNA

    1 Airport Blvd
    Bentonville, AR 72712

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    Instructors - Reale

    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

    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).

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    Pelvic Floor Level 1 - Greenville, SC - March 8-10, 2019 (SOLD OUT)

    {dtregister}756{/dtregister}
    Greenville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Bon Secours St. Francis Health System

    1 St. Francis Drive,
    Greenville, SC 29601
    Recommended Lodging

    Aloft Greenville Downtown
    (864) 297-6100

    5 N Laurens St.
    Greenville, SC 29601
    Nearest Airport

    Greenville–Spartanburg International Airport
    Airport Code: GSP

    2000 GSP Dr
    Greer, SC 29651

     

    Directions from Recommended Lodging to Course Location:

     

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    Instructors - Reale

    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

    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).

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    Pelvic Floor Level 1 - Jonesboro, AR - August 15-16, 2020 (Rescheduled)

    Update 6/11/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}968{/dtregister}
    Jonesboro
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

      Name Street Address (Links to Map)
    Course Location

    Arkansas State University
    College of Nursing and Health Professions

    104 N Caraway Rd
    Jonesboro, AR 72401
    Recommended Lodging

    Embassy Suites by Hilton Jonesboro Red Wolf Convention Center
    (870) 619-4482

    223 Red Wolf Blvd.
    Jonesboro, AR 72405
    Nearest Airport

    Memphis International Airport
    Airport Code: MEM

    2491 Winchester Rd
    Memphis, TN 38116

     

    Directions from Recommended Lodging to Course Location:

     

    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).

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    Pelvic Floor Level 1 - Little Rock, AR - September 19-20, 2020 (SOLD OUT)

    {dtregister}921{/dtregister}
    LittleRock
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner
    Contact Hours: 24.0

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book 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.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location University of Arkansas for Medical Sciences- Northwest Campus 1125 N. College Avenue
    Fayetteville, AR 72703
    Recommended Lodging

    Courtyard by Marriott Fayetteville
    (479)-571-4900

    600 E Van Asche Dr,
    Fayetteville, AR 72703
    Nearest Airport

    Northwest Arkansas Regional Airport
    Airport Code: XNA

    1 Airport Blvd
    Bentonville, AR 72712

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).


    Susannah Haarmann, PT, CLT, WCS

    Susannah Haarmann

    Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.

    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).

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    Pelvic Floor Level 1 - Satellite Lab Course - October 23-24, 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

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  • Pelvic Floor Level 1 - Satellite Lab Course - October 23-24, 2021
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    Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - October 23-24 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    {dtregister}1809{/dtregister}
    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.

    What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people). 

    Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - October 23-24 2021
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    Pelvic Floor Level 1 Satellite Lab Course - Ann Arbor, MI - October 3-4 2020

    {dtregister}1287{/dtregister}

    Eastern Time: Oct 3rd: 10:30am-7:00pm /Oct 4th: 10:30am-7:15pm

    Ann Arbor
    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Probility Physical Therapy/St. Joseph Mercy

    4350 Jackson Rd Ste 360
    Ann Arbor, MI 48103
    Recommended Lodging

    Hampton Inn & Suites Ann Arbor-West
    (847) 872-4000

    2910 Jackson Ave
    Ann Arbor, MI 48103
    Nearest Airport

    Ann Arbor Municipal Airport
    Airport Code: ARB

    801 Airport Dr
    Ann Arbor, MI 48108

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Ann Arbor, MI - October 3-4 2020
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    Pelvic Floor Level 1 Satellite Lab Course - Birmingham, AL - October 23-24, 2021

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}2049{/dtregister}

    Birmingham

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    TherapySouth

    1280 Columbiana Rd #160
    Birmingham, AL 35216
    Recommended Lodging

    Courtyard by Marriott Birmingham Homewood
    (205) 879-0400

    500 Shades Creek Pkwy
    Birmingham, AL 35209
    Nearest Airport

    Birmingham-Shuttlesworth International Airport
    Airport Code: BHM

    5900 Messer Airport Hwy
    Birmingham, AL 35212

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Birmingham, AL - October 23-24, 2021
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    Pelvic Floor Level 1 Satellite Lab Course - Burlington, WA - December 5-6 2020 (SOLD OUT)

    {dtregister}1327{/dtregister}

    Pacific Time: Dec 5th:7:30am-4:00pm /Dec 6th: 7:30am-4:15pm

    Burlington
    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Northwest Physical Therapy

    135 W Fairhaven Ave Suite 101
    Burlington, WA 98233
    Recommended Lodging

    Hampton Inn & Suites Burlington
    (360)-757-7100

    1860 S Burlington Blvd
    Burlington, WA 98233
    Nearest Airport

    Bellingham International Airport
    Airport Code: BLI

    4255 Mitchell Way
    Bellingham, WA 98226

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Burlington, WA - December 5-6 2020 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course - Canton, OH - December 5-6 2020 (SOLD OUT)

    {dtregister}1384{/dtregister}

    Eastern Time: Dec 5th:10:30am-7:00pm /Dec 6th: 10:30am-7:15pm

    Canton
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Canton, OH - December 5-6 2020 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course -Canton, OH - October 3-4, 2020

    {dtregister}1263{/dtregister}

    Eastern Time: October 3rd 10:30am-7:00pm / October 4th 10:30am - 7:15pm canton

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Aultman North

    6100 Whipple Ave NW
    North Canton, OH 44720
    Recommended Lodging

    Hampton Inn & Suites Canton
    (330)-491-4335

    5256 Broadmoor Cir NW
    Canton, OH 44709
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Rd,
    North Canton, OH 447204

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

     

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Canton, OH - October 3-4, 2020
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    Pelvic Floor Level 1 Satellite Lab Course - December 5-6, 2020

    Holly

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    Instructors - Reale

    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

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  • Pelvic Floor Level 1 Satellite Lab Course - December 5-6, 2020
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    Pelvic Floor Level 1 Satellite Lab Course - Elkhorn, NE - October 23-24, 2021 (SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1958{/dtregister}

    Elkhorn

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Midwest Movement

    2929 N 204th St
    Suite 117
    Elkhorn, NE 68022
    Recommended Lodging

    Holiday Inn Express & Suites West Omaha - Elkhorn, an IHG Hotel
    (402) 916-1800

    19040 Evans St
    Elkhorn, NE 68022
    Nearest Airport

    Fremont Municipal Airport
    Airport Code: FET

    1203 W 23rd St
    Fremont, NE 68025

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Elkhorn, NE - October 23-24, 2021
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    Pelvic Floor Level 1 Satellite Lab Course - Grandville, MI - October 3-4 2020

    {dtregister}1286{/dtregister}

    Eastern Time: Oct 3rd: 10:30am-7:00pm /Oct 4th: 10:30am-7:15pm

    Grandville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Apogee Therapy Center

    3010 Wilson Ave SW
    Grandville, MI 49418
    Recommended Lodging

    Holiday Inn Express Grand Rapids SW
    (616)-532-0202

    4651 36th St
    Grandville, MI 49418
    Nearest Airport

    Gerald R. Ford International Airport
    Airport Code: GRR

    5500 44th St SE
    Grand Rapids, MI 49512

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Grandville, MI - October 3-4 2020
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    Pelvic Floor Level 1 Satellite Lab Course - Laguna Niguel, CA - October 23-24, 2021 (SOLD OUT)

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    {dtregister}1930{/dtregister}

    Laguna_Niguel

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Rausch Physical Therapy

    30100 Town Center Dr. Y/Z
    Laguna Niguel, CA 92677
    Recommended Lodging

    Best Western Plus Marina Shores Hotel
    (949) 248-1000

    34280 Pacific Coast Hwy
    Dana Point, CA 92629
    Nearest Airport

    John Wayne Airport
    Airport Code: SNA

    18601 Airport Way
    Santa Ana, CA 92707

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Laguna Niguel, CA - October 23-24, 2021 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course - Little Rock, AR December 5-6 2020 (SOLD OUT)

    {dtregister}1267{/dtregister}

    Central Time: December 5th 9:30am-6:00pm / December 6th 9:30am - 6:15pm Little Rock

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Core Pelvic Physical Therapy

    2200 Ada Ave suite 200
    Conway, AR 72034
    Recommended Lodging

    Fairfield Inn & Suites by Marriott Conway
    (847) 872-4000

    2260 Sanders Rd
    Conway, AR 72032
    Nearest Airport

    Conway Municipal Airport at Cantrell Field
    Airport Code: CXW

    3250 Sand Gap Rd
    Conway, AR 72032

     

    Directions from Recommended Lodging to Course Location

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.

    Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.

    On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).

    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).

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  • Pelvic Floor Level 1 Satellite Lab Course - Little Rock, AR December 5-6 2020 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course - Medford, OR - December 5-6 2020 (SOLD OUT)

    {dtregister}1388{/dtregister}

    Pacific Time: Dec 5th:7:30am-4:00pm /Dec 6th: 7:30am-4:15pm

    Medford
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. 

     

    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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    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 and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook 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.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Asante Rogue Valley Medical Center

    Recommended Lodging

    Homewood Suites by Hilton Medford
    (541) 779-9800

    2010 Hospitality Way
    Medford, OR 97504
    Nearest Airport

    Rogue Valley International – Medford Airport
    Airport Code: MFR

    1000 Terminal Spur Rd
    Medford, OR 97504

     

    Directions from Recommended Lodging to Course Location:

     

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla Cathcart, PT, DPT, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus.

    Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).

    Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s hea