(646) 355-8777

Kristina Koch, PT, MSPT, WCS, CLT

Kristina Koch, PT, MSPT, WCS, CLT

Kristina received her Masters of Science in Physical Therapy in 1996 from Springfield College in Massachusetts. In 2001, while living in the Los Angeles area, Kristina started specializing in the treatment of pelvic floor dysfunction including bowel/bladder issues and pelvic pain. During her time in Los Angeles, she was fortunate to work with and, be mentored by fellow Herman and Wallace faculty member, Jenni Gabelsburg, DPT, WCS, MSc, MTC. In 2013 Kristina became board certified in women’s health (WCS) by the American Board of Physical Therapy Specialties. She then received her lymphatic therapist certification (CLT) in 2015.

Kristina has successfully helped establish women’s health and pelvic floor physical therapy programs in San Diego, California and Colorado Springs, CO where she currently works in private practice. Kristina treats men, women, children, trans and gender non-binary individuals in her practice. In addition, Kristina serves as a guest lecturer for graduate physical therapy students at Regis University in Denver, CO and, provides educational lectures to medical providers and local community groups. Outside of work, Kristina enjoys spending time with her husband and two children, skiing, running and hiking.

Courses Instructed by Kristina Koch

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    Pelvic Floor Level 1 - Grand Junction, CO - June 21-23, 2019 (SOLD OUT)

    {dtregister}708{/dtregister}
    Grand Junction
    • 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

     NameStreet Address (Links to Map)
    Course Location

    Urological Associates of Western CO

    2351 G Road
    Community Hospital
    Grand Junction, CO 81505 USA
    Recommended Lodging

    Holiday Inn Express & Suites Grand Junction
    (970) 245-8164

    625 Rae Lynn St
    Grand Junction, Colorado 81505 USA
    Nearest Airport

    Grand Junction Regional Airport
    Airport Code:GJT

    2828 Walker Field Dr
    Grand Junction, CO 81506, USA

     

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

     

    Instructor - Koch

    Kristina Koch, PT, MSPT, WCS, CLT

    Kristina Koch, PT, MSPT, WCS, CLT

    Kristina received her Masters of Science in Physical Therapy in 1996 from Springfield College in Massachusetts. In 2001, while living in the Los Angeles area, Kristina started specializing in the treatment of pelvic floor dysfunction including bowel/bladder issues and pelvic pain. During her time in Los Angeles, she was fortunate to work with and, be mentored by fellow Herman and Wallace faculty member, Jenni Gabelsburg, DPT, WCS, MSc, MTC. In 2013 Kristina became board certified in women’s health (WCS) by the American Board of Physical Therapy Specialties. She then received her lymphatic therapist certification (CLT) in 2015.

    Kristina has successfully helped establish women’s health and pelvic floor physical therapy programs in San Diego, California and Colorado Springs, CO where she currently works in private practice. Kristina treats men, women, children, trans and gender non-binary individuals in her practice. In addition, Kristina serves as a guest lecturer for graduate physical therapy students at Regis University in Denver, CO and, provides educational lectures to medical providers and local community groups. Outside of work, Kristina enjoys spending time with her husband and two children, skiing, running and hiking.


    Lila Abbate, PT, DPT, MS, OCS, PRPC

    Lila Abbate, PT, DPT, MS, OCS, PRPCLila 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.

    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 - Salida, CO - March 6-8, 2020

    {dtregister}828{/dtregister}
    Salida
    • 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

     NameStreet Address (Links to Map)
    Course Location

    Heart of the Rockies Regional Medical Center

    1000 Rush Drive
    Salida, CO 81201
    Recommended Lodging

    The Gateway Inn and Suites
    (719)-539-2895

    1310 East US Hwy 50,
    Salida, CO 81201
    Nearest Airport

    Denver International Airport
    Airport Code: DEN

    8500 Pena Blvd
    Denver, CO 80249

     

    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 - Salida, CO - March 6-8, 2020
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      string(63) "Pelvic Floor Level 2A - Glenwood Springs, CO - July 24-26, 2020"
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    Pelvic Floor Level 2A - Glenwood Springs, CO - July 24-26, 2020

    {dtregister}915{/dtregister}
    Glenwood Springs
    • 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

    Valley View Hospital

    1906 Blake Avenue
    Glenwood Springs, CO 81601
    Recommended Lodging

    The Hotel Denver
    (800)826-8820

    402 7TH STREET
    Glenwood Springs, CO 81601
    Nearest Airport

    Eagle County Regional Airport
    Airport Code: EGE

    217 Eldon Wilson Rd
    Gypsum, CO 81637

     

    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 2A - Glenwood Springs, CO - July 24-26, 2020

Upcoming Continuing Education Courses

Sep 20, 2019 - Sep 22, 2019
Location: Marathon Physical Therapy

Sep 20, 2019 - Sep 22, 2019
Location: Viverant

Sep 21, 2019 - Sep 22, 2019
Location: Carolinas Healthcare System - Union

Sep 27, 2019 - Sep 29, 2019
Location: Catholic Health Administrative and Training Center

Sep 27, 2019 - Sep 28, 2019
Location: Fort HealthCare

Sep 27, 2019 - Sep 29, 2019
Location: Fort HealthCare

Sep 27, 2019 - Sep 29, 2019
Location: Good Shepherd Penn Partners

Sep 28, 2019 - Sep 29, 2019
Location: Regions Hospital

Oct 4, 2019 - Oct 6, 2019
Location: Thomas Jefferson University

Oct 4, 2019 - Oct 6, 2019
Location: Olathe Medical Center

Oct 4, 2019 - Oct 6, 2019
Location: Tri-City Medical Center

Oct 5, 2019 - Oct 6, 2019
Location: The Fountain WNY

Oct 5, 2019 - Oct 6, 2019
Location: Advantage Physical Therapy

Oct 11, 2019 - Oct 13, 2019
Location: Houston Methodist

Oct 11, 2019 - Oct 13, 2019
Location: Physical Therapy Services of Lansing

Oct 11, 2019 - Oct 13, 2019
Location: Northwestern Medicine

Oct 11, 2019 - Oct 13, 2019
Location: Florida Hospital - Wesley Chapel

Oct 12, 2019 - Oct 13, 2019
Location: Evolution Physical Therapy

Oct 18, 2019 - Oct 20, 2019
Location: The George Washington University

Oct 18, 2019 - Oct 20, 2019
Location: University Hospitals

Oct 19, 2019 - Oct 21, 2019
Location: Lee Memorial Health System

Oct 25, 2019 - Oct 27, 2019
Location: Core 3 Physical Therapy

Oct 26, 2019 - Oct 27, 2019
Location: Texas Children’s Hospital

Nov 1, 2019 - Nov 3, 2019
Location: Adena Rehabilitation and Wellness Center

Nov 1, 2019 - Nov 3, 2019
Location: Asante Rogue Valley Medical Center

Nov 1, 2019 - Nov 3, 2019
Location: Cancer Treatment Centers of America - Chicago, IL

Nov 1, 2019 - Nov 3, 2019
Location: Upper Chesapeake Health

Nov 2, 2019 - Nov 3, 2019
Location: University Hospitals

Nov 2, 2019 - Nov 3, 2019
Location: Griffin Hospital

Nov 3, 2019 - Nov 5, 2019
Location: Touro College: Bayshore