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Boundaries, Self-Care, and Meditation - Columbus, OH - May 29-31, 2020
{dtregister}884{/dtregister}

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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Understand neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

 Ohio State University
School of health and Rehab Sciences

453 W 10th Ave
Columbus, OH 43210


Recommended Lodging

 SpringHill Suites Columbus OSU
(614) 297-9912

 1421 Olentangy River Rd
Columbus, OH 43212


Nearest Airport

Port Columbus International Airport
Airport Code: CMH

4600 International Gateway
Columbus, OH 43219



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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 FirstTimer2019 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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{dtregister}685{/dtregister}

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Description
Schedule
Objectives
Location/Lodging
Instructors



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Understand neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

Sunset Athletic Club

13939 NW Cornell Road
Portland, OR 97229


Recommended Lodging

DoubleTree by Hilton Hotel Portland/Beaverton
503-614-8100

15402 NW Cornell Rd
Beaverton, OR 97006, USA


Nearest Airport

Portland International Airport
Airport Code: PDX

7000 NE Airport Way
Portland, OR 97218, USA



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


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{dtregister}855{/dtregister}

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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Understand neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement



 
Name
Street Address (Links to Map)


Course Location

Princeton Healthcare System

 1315 Whitehorse Mercerville Rd 
outpatient clinic Suite 100, 
 Hamilton, NJ 08619 


Recommended Lodging

Residence Inn by Marriott Hamilton
(609)-585-2111

559 Route 130 North,
 Hamilton, 08620


Nearest Airport

Newark 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)
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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 FirstTimer2019 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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Boundaries, Self-Care, and Meditation - San Diego, CA - November 9-11, 2019
{dtregister}673{/dtregister}

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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Understand neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

Comprehensive Therapy Services

5677 Oberlin Drive, Suite 106 
San Diego, CA 92121


Recommended Lodging

Holiday Inn Express Sorrento Valley 
(858) 731-0100

5925 Lusk Blvd 
San Diego, CA 92121


Nearest Airport

San Diego International Airport
Airport Code: SAN

3225 N Harbor Dr
San Diego, CA 92101



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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 FirstTimer2019 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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. 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.
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. 
 
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation


 
Name
Street Address (Links to Map)

Course Location

Bon Secours St. Francis Health System

 302- 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: (click here if no map appears below)
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instrutors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. 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.
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. 
 
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation


 
Name
Street Address (Links to Map)

Course Location

Mary Free Bed Rehabilitation Hospital

350 Lafayette Ave SE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza Hotel
(616) 774-2000

 187 Monroe Ave NW
Grand Rapids, MI 49503


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: (click here if no map appears below)
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. 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.
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. 
 
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation


 
Name
Street Address (Links to Map)

Course Location

The George Washington University

2000 Pennsylvania Avenue, NW
 Suite 2000
Washington, DC 20006


Recommended Lodging

Avenue Suites Georgetown 
(202)333-8060

2500 Pennsylvania Ave NW
Washington, DC 20037


Nearest Airport

Washington Dulles International Airport
Airport Code: IAD

Dulles International Airport, 1 Saarinen Cir
Dulles, VA 20166



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Instructors - Nazari
 Pany Nazari, PT, DPT, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and has been board certified in the use of Biofeedback for Pelvic Muscle Disorders since 2011.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
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
 
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 - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 



 
Name
Street Address (Links to Map)


Course Location

Summa Barberton Hospital
Conference Rooms A-D

155 Fifth Street N.E.
Barberton, OH 44203


Recommended Lodging

Holiday Inn Akron West - Fairlawn 
 1 (800)315-2621

 4073 Medina Rd, 
Akron, OH 44333 


Nearest Airport

Akron-Canton Airport
Airport Code: CAK

5400 Lauby Road
Canton, OH 44720



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (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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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
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
 
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 - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
 Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD

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


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Touro College: Bayshore

1700 Union Blvd. Room 327
Bay Shore, New York 11706


Recommended Lodging

Hampton Inn at Commack
(631)462-5700

680 Commack Rd.
Commack, New York 11725


Nearest Airport

LaGuardia Airport
Airport Code: LGA

New York, NY 11371



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
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 Student2019. (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 - Berrien Springs, MI - June 7-9, 2020
{dtregister}831{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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.
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. 
 
 
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 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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

Andrews University

8515 East Campus Circle Dr
Berrien Springs, MI 49104


Recommended Lodging

Andrews Guest Rooms 
(269)-471-3360

Andrews University
 Berrien Springs, MI


Nearest Airport

South Bend International Airport
Airport Code: SBN

4477 Progress Dr,
 South Bend, IN 46628



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (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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{dtregister}566{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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.
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. 
 
 
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 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
Teri Elliott-Burke, PT, MHS, BCB-PMD

Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Franciscan Health System

1201 S Main St
Crown Point, IN 46307


Recommended Lodging

Hilton Garden Inn Merrillville
(219) 769-7100

7775 Mississippi St
 Merrillville, IN 46410


Nearest Airport

Chicago Midway International Airport
Airport Code: MDW

5700 S Cicero Ave
Chicago, IL 60638



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
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 Student2019. (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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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
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
 
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 - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Susannah Haarmann, PT, CLT, WCS

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.


 
Name
Street Address (Links to Map)

Course Location

Duke University Medical Center
Suite A-210 Wing A

2200 W Main St
 Durham, NC 27705


Recommended Lodging

Hilton Garden Inn Durham/University Medical Center 
(919) 286-0774

2102 W Main St
 Durham, NC 27705


Nearest Airport

Raleigh–Durham International Airport
Airport Code: RDU

2400 John Brantley Blvd
 Morrisville, NC 27560



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
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 Student2019. (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 - Grand Rapids, MI - September 13-15, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instrutors
Discount



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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.
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. 
 
 
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 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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

Mary Free Bed Rehabilitation Hospital

350 Lafayette Ave SE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza Hotel
(616) 774-2000

 187 Monroe Ave NW
Grand Rapids, MI 49503


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: (click here if no map appears below)
Teri Elliott-Burke, PT, MHS, BCB-PMD

Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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.
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. 
 
 
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 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Teri Elliott-Burke, PT, MHS, BCB-PMD

Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.


 
Name
Street Address (Links to Map)

Course Location

Physical Therapy Services of Lansing

3937 Patient Care Dr #105 
Lansing, MI 48911


Recommended Lodging

Courtyard by Marriott Lansing
(517) 482-0500

2710 Lake Lansing Rd
 Lansing, MI 48912


Nearest Airport

Detroit Metropolitan Airport
Airport Code: DTW

Detroit, MI 48242



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
 
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 Student2019. (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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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
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
 
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 - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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
Hollis Herman, PT, DPT, MS, OCS, WCS, BCB-PMD

Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.
She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.
Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.
Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Middlesex Hospital

534 Saybrook Rd
Middletown, CT 06457


Recommended Lodging

Inn at Middletown
(860) 854-6300

70 Main St
 Middletown, CT 06457


Nearest Airport

Bradley International Airport
Airport Code: BDL

Schoephoester Rd
Windsor Locks, CT 06096



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar 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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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.
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. 
 
 
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 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 




*Lab includes internal evaluations
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

 Team Rehabilitation Physical Therapy 

 30801 Barrington St. 
 Madison Heights, MI 48071 


Recommended Lodging

Hampton Inn Detroit/Madison Heights/South Troy
 (248)-585-8881

 32420 Stephenson Hwy 
 Madison Heights, MI 48071 


Nearest Airport

 Detroit Metropolitan Airport 
Airport Code: DTW

Detroit, MI 48242



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Instructors - Pribyl
Megan Pribyl, PT, CMPT

Megan Pribyl, PT, CMPT is a practicing physical therapist at the Olathe Medical Center in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic rehabilitation. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Masters of Science Degree in Physical Therapy. Prior, she earned her Dual-Degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University.

Megan’s longstanding passion for both nutritional sciences and manual therapy has culminated in the creation of this course designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing and therapeutic response. She harnesses her passion to continually update this course with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away with both simple and practical integrative tools which can be immediately utilized to help clients along their path of healing.
 
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
 
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. Rectal pelvic floor muscle examinations will be taught in labs. 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.
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. 
 
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:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
 
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
 2. Many participants also find it helpful to review the anatomy of the pelvis and perineum

References 
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation 
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517




Day One:
 8:00 Objectives & Course Introduction
 8:15 Colorectal anatomy
 9:15 Colorectal Physiology
 10:00 Break
 10:15 Colorectal Medical Testing
 10:45 Anorectal Examination & Muscle Mapping
 11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
 12:00 Fecal Incontinence Evaluation & Interventions
 12:30 Lunch 
 1:30 Fecal Incontinence Evaluation & Interventions Continued
 2:45 Case Study: Fecal Incontinence
 3:30 SEMG Lecture
 4:00Lab: Pelvic Floor Uptraining
 4:30 Post-test, Questions
 5:00 Adjourn


Day Two:
 8:00 Questions
 8:15 Constipation Evaluation & Interventions
 10:00 Break
 10:15 SEMG Lecture 
  Lab: Pelvic Floor Downtraining
 11:30 Case Study: Constipation
 11:45 Colorectal Conditions and the Pelvic Floor
 12:45 Lunch 
 1:45 Coccyx dysfunctions
 2:45 Break
 3:00 Lab: External & Internal Interventions for Coccyx Pain
 4:30 Post-test and Questions
 5:00 Adjourn


Day Three:
 8:00 Questions
 8:30 Pudendal Nerve Dysfunction
 9:30 Male Pelvic Anatomy
 10:15 Break
 10:30 Male Pelvic Anatomy
 11:30 Male Pelvic Pain
 12:30 Case Study: Male Pelvic Pain
 12:45 Lunch
 1:30 Final Lab: Pudendal Palpation, Muscle Releases
  2:15 Post-Prostatectomy Dysfunction
 3:15 Marketing, Business, Program Development 
 3:30 Post-test & Questions
 4:00 Adjourn



Upon completion of this continuing education seminar, participants will be able to:
1.   Describe anatomy of the colorectal region.
2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.


 
Name
Street Address (Links to Map)

Course Location

Mary Free Bed Rehabilitation Hospital

350 Lafayette Ave SE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza Hotel
(616) 774-2000

 187 Monroe Ave NW
Grand Rapids, MI 49503


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: (click here if no map appears below)
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
 
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. Rectal pelvic floor muscle examinations will be taught in labs. 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.
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. 
 
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:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
 
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
 2. Many participants also find it helpful to review the anatomy of the pelvis and perineum

References 
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation 
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517




Day One:
 8:00 Objectives & Course Introduction
 8:15 Colorectal anatomy
 9:15 Colorectal Physiology
 10:00 Break
 10:15 Colorectal Medical Testing
 10:45 Anorectal Examination & Muscle Mapping
 11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
 12:00 Fecal Incontinence Evaluation & Interventions
 12:30 Lunch 
 1:30 Fecal Incontinence Evaluation & Interventions Continued
 2:45 Case Study: Fecal Incontinence
 3:30 SEMG Lecture
 4:00Lab: Pelvic Floor Uptraining
 4:30 Post-test, Questions
 5:00 Adjourn


Day Two:
 8:00 Questions
 8:15 Constipation Evaluation & Interventions
 10:00 Break
 10:15 SEMG Lecture 
  Lab: Pelvic Floor Downtraining
 11:30 Case Study: Constipation
 11:45 Colorectal Conditions and the Pelvic Floor
 12:45 Lunch 
 1:45 Coccyx dysfunctions
 2:45 Break
 3:00 Lab: External & Internal Interventions for Coccyx Pain
 4:30 Post-test and Questions
 5:00 Adjourn


Day Three:
 8:00 Questions
 8:30 Pudendal Nerve Dysfunction
 9:30 Male Pelvic Anatomy
 10:15 Break
 10:30 Male Pelvic Anatomy
 11:30 Male Pelvic Pain
 12:30 Case Study: Male Pelvic Pain
 12:45 Lunch
 1:30 Final Lab: Pudendal Palpation, Muscle Releases
  2:15 Post-Prostatectomy Dysfunction
 3:15 Marketing, Business, Program Development 
 3:30 Post-test & Questions
 4:00 Adjourn



Upon completion of this continuing education seminar, participants will be able to:
1.   Describe anatomy of the colorectal region.
2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.


 
Name
Street Address (Links to Map)

Course Location

Aurora Medical Center – Kenosha

10400 75th St
Kenosha, WI 53142


Recommended Lodging

Candlewood Suites Kenosha
(262) 842-5000

10200 74th St
Kenosha, WI 53142


Nearest Airport

General Mitchell International Airport
Airport Code: MKE

5300 S Howell Ave
 Milwaukee, WI 53207



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


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Dana Reid, DPT

Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy.  Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace.  She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer.  She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well.  At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
 
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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.


 
Name
Street Address (Links to Map)

Course Location

St. Joseph's Mercy Ann Arbor - Michigan

5320 Elliott Drive
Ypsilanti, MI 48197


Recommended Lodging

Ann Arbor Regent Hotel & Suites
(734)-973-6100

2455 Carpenter Rd,
 Ann Arbor, MI 48108


Nearest Airport

Ann Arbor Municipal Airport
Airport Code: ARB

801 Airport Dr, 
Ann Arbor, MI 48108



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


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Tina Allen, PT, PRPC, BCB-PMD

Tina Allen, PT, PRPC, BCB-PMD has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago.  Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois.  Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients.  She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema.  Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques.  Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
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 Student2019. (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 2B - Bayshore, NY - November 6-8, 2017 (SOLD OUT)
{dtregister} 424 {/dtregister}

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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Lila Abbate, PT, DPT, MS, OCS, PRPC
Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.
Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.
Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Touro College: Bayshore

1700 Union Blvd. Room 327
Bay Shore, New York 11706


Recommended Lodging

Hampton Inn at Commack
(631)462-5700

680 Commack Rd.
Commack, New York 11725


Nearest Airport

LaGuardia Airport
Airport Code: LGA

New York, NY 11371



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.


 
Name
Street Address (Links to Map)

Course Location

Mary Free Bed Rehabilitation Hospital

350 Lafayette Ave SE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza Hotel
(616) 774-2000

 187 Monroe Ave NW
Grand Rapids, MI 49503


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: (click here if no map appears below)
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Jessica Reale, PT, DPT, WCS
 
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 Student2019. (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 2B - Houston, TX - September 15-17, 2017 (SOLD OUT)
{dtregister} 438 {/dtregister}

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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Sara Reardon, DPT, WCS, BCB-PMD

Sara specializes in treating women and men with pelvic floor muscle dysfunction, particularly chronic pelvic pain, bowel dysfunction, bladder dysfunction including post-prostatectomy urinary incontinence, and prenatal and postpartum conditions. She currently practices in her hometown of New Orleans, La. She has served as a clinical faculty member of University of Texas Physical Therapy Program teaching the Women’s Health Elective. She frequently presents to physicians, nurses, physical therapists, and community support groups on physical therapy treatment for pelvic floor dysfunction.
Sara is a graduate of Washington University in St. Louis, receiving her Bachelor of Science Degree in Psychology in 2000 and Doctorate of Physical Therapy Degree in 2007. She has achieved her Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic) and certification in Biofeedback Treatment of Pelvic Muscle Dysfunction (BCB-PMD). She earned her board-certification as a Women's Health Clinical Specialist (WCS) through the American Board of Physical Therapy Specialties in 2010.
Sara was named the 2008 Section on Women’s Health Research Scholar for her published research on pelvic floor dyssynergia related constipation. She was recognized as an Emerging Leader in 2013 by the American Physical Therapy Association. She served as Treasurer of the APTA’s Section on Women's Health and sat on their Executive Board of Directors from 2012-2015.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

 Houston Methodist

18500 Katy Fwy
 Houston, TX 77094


Recommended Lodging

 Hilton Garden Inn Houston West Katy
(281)644-2400

 2409 Texamati Dr
 Katy, TX 77494 


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)
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 Student2019. (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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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.


 
Name
Street Address (Links to Map)

Course Location

 Indiana University Health

 IU Health West Hospital - 1111 Ronald Reagan Pkwy 
 Avon, IN 46123 


Recommended Lodging

Fairfield Inn & Suites by Marriott Indianapolis Avon
 (317)-271-9200

 119 Angelina Way
 Avon, IN 46123 


Nearest Airport

Indianapolis International Airport
Airport Code:IND

7800 Col. H. Weir Cook Memorial Dr 
 Indianapolis, IN 46241



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


Susannah Haarmann, PT, CLT, WCS

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 Student2019. (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 2B - Lansing, MI - June 7-9, 2019
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.


 
Name
Street Address (Links to Map)

Course Location

Physical Therapy Services of Lansing

3937 Patient Care Dr #105 
Lansing, MI 48911


Recommended Lodging

Courtyard by Marriott Lansing
(517) 482-0500

2710 Lake Lansing Rd
 Lansing, MI 48912


Nearest Airport

Detroit Metropolitan Airport
Airport Code: DTW

Detroit, MI 48242



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
 
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her 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 Student2019. (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 2B - Madison, WI - April 8-10, 2016 (SOLD OUT!)
{dtregister}309{/dtregister}

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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
 
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.
 
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.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Teri Elliott-Burke, PT, MHS, BCB-PMD

Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Meriter Hospital Business Center

2650 Novation Pkwy
 Madison, WI 53713


Recommended Lodging

Sheraton Madison Hotel
(608) 251-2300

706 John Nolen Dr
 Madison, WI 53713


Nearest Airport

Dane County Regional Airport
Airport Code: MSN

4000 International Ln
 Madison, WI 53704



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
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 Student2019. (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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  string(71) "Pelvic Floor Level 2B - Minneapolis, MN - March 17-19, 2017 (SOLD OUT!)"
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Pelvic Floor Level 2B - Minneapolis, MN - March 17-19, 2017 (SOLD OUT!)
{dtregister} 402 {/dtregister}

{gallery width=181}course_images/pf2b{/gallery}

Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, 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. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 


 
Name
Street Address (Links to Map)

Course Location

Mercy Hospital - Coon Rapids

4050 Coon Rapids Blvd
Coon Rapids, MN 55433


Recommended Lodging

Best Western Plus
(763)576-0700

3420 Northdale Blvd NW
Coon Rapids, MN 55448


Nearest Airport

Minneapolis Saint Paul International Airport
Airport Code: MSP

4300 Glumack Drive
St. Paul, MN 55111



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
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 Student2019. (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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}