Meghan Rietschel, PT, PRPC

Meghan Rietschel, PT, PRPC

Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

Courses Instructed by Meghan Rietschel

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    Pelvic Floor Level 1 - Akron, OH - October 24-25, 2020

    To stay safe during COVID19, this course will be offered as a satellite lab course. Registration for the satellite lab course is availabe here.

    {dtregister}1014{/dtregister}
    Akron
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Summa Health Wellness Center in Green

    3838 Massillon Rd.
    Uniontown, OH 44685
    Recommended Lodging

    Cambria Suites in Green
    (330) 899-1990

    1787 Thorn Drive
    Uniontown, OH 44685
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Road
    Canton, OH 44720

     

    Directions from Recommended Lodging to Course Location:

     

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Kimberly Glow PT, DPT

    Kimberly Glow

    Kimberly M. Glow, PT, DPT is a Boston-based physical therapist with a focus on both pelvic floor dysfunction and orthopedics. Kim graduated with her doctorate in physcial therapy from MGHIHP after completing her undergraduate work in Classics at UNH. She believes in the healing power of movement, and the power of the biopsychosocial connection. She has a passion for seamlessly treating pelvic floor dysfunction and orthopedic dysfunction as inter-related components. As an auspicious educator, Kim has been involved with many community-based education programs, including lectures and demonstrations to local yoga studios during instructor trainings, postpartum support groups, and support groups for those afflicted with neurological disease. In 2017, Kim was invited to guest lecture on the topic of “Physical Therapy’s Role in Treatment of Vulvovaginal Dermatological Conditions” during the American Urogynecologic Society’s annual conference, and has also lectured to medical residents at Tufts Medical Center.

    Kimberly has a special passion for treating athletes with pelvic floor dysfunction, and returning them to the sport or movement style they most love. Her practice includes treatment of bowel, bladder, sexual, breast, and abdominal dysfunction for both men and women, as well as all breadths of orthopedic dysfunction. She has a passion for lifelong learning, and education. Currently, Kimberly practices out of Massachusetts General Hospital.

    Kim enjoys her spare time with her husband and puppy, camping, and reading. Kim currently practices out of Rhode Island.

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Chicago, IL - April 3-5, 2020 (Rescheduled)

    {dtregister}817{/dtregister}
    Update 3/12/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
    Chicago
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Cancer Treatment Centers of America

    2520 Elisha Ave
    Zion, IL 60099
    Recommended Lodging

    The Inn At Market Square
    (847) 872-4000

    2723 Sheridan Rd
    Zion, IL 60099
    Nearest Airport

    O'Hare International Airport
    Airport Code: ORD

    10000 W O'Hare Ave
    Chicago, IL 60666

     

    Directions from Recommended Lodging to Course Location

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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

    Teri Elliott-Burke

    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.

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Columbus, OH - November 1-3, 2019 (SOLD OUT)

    {dtregister}779{/dtregister}
    Columbus
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instrutors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Adena PACCAR Medical Education Center

    446 Hospital Road
    Chillicothe, OH 45601
    Recommended Lodging

    Hampton Inn & Suites Chillicothe
    (740)-779-8800

    100 N Plaza Blvd
    Chillicothe, OH 45601
    Nearest Airport

    John Glenn 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)

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Amanda Hayes-Fugate, MPT

    Amanda Hayes-Fugate, MPT

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

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

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

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Houston, TX - May 31 - June 2, 2019 (SOLD OUT)

    {dtregister}723{/dtregister}
    Houston
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Texas Children's Hospital
    Feigin Center

    1102 Bates Ave
    Houston, TX 77030
    Recommended Lodging

    Hilton Houston Plaza/Medical Center
    (713) 313-4000

    6633 Travis St
    Houston, TX 77030
    Nearest Airports

    George Bush Intercontinental Airport
    Airport Code: IAH


    William P. Hobby Airport
    Airport Code: HOU

    2800 N Terminal Rd
    Houston, TX 77032


    7800 Airport Blvd
    Houston, TX 77061

     

    Directions from Recommended Lodging to Course Location

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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

    Teri Elliott-Burke

    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.

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Milwaukee, WI - September 26-27, 2020 (Postponed)

    Due to ongoing concerns regarding COVID19, this course has been rescheduled as a Satellte Lab Course. Registration is available here.

    {dtregister}880{/dtregister}
    Milwaukee
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    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)

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Christine Stewart, PT, CMPT

    Christine Stewart

    Christine Stewart, PT, CMPT graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy then became interested in women’s health after the birth of her second child.

    Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Health to further focus on pelvic rehabilitation for all genders and obtain her CMPT from the North American Institute of Manual Therapy. She completed Diane Lee’s Integrated Systems Model education series in 2018. Her passion is empowering patients through education and treatment options for the betterment of their health throughout their lifespan. She enjoys speaking to physicians and to community-based organizations on pelvic health physical therapy.

    Christine has been part of the Herman & Wallace faculty since 2017. She recently developed and authored a two-day course entitled Menopause Transitions and Pelvic Rehab. She is an avid runner who loves to hike through National parks 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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Minneapolis, MN - September 19-20, 2020 (Rescheduled)

    Due to concerns about COVID19, this course is being offered as a remote option. More information about the remote coures is available here.

    {dtregister}846{/dtregister}
    Minneapolis
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Mercy Hospital

    7840 Vinewood Lane
    4050 Coon Rapids Blvd, Coon Rapids, MN 55433
    Recommended Lodging

    Holiday Inn Express & Suites Coon Rapids-Blaine Area

    9333 Springbrook Dr NW
    Coon Rapids, MN 55433
    Nearest Airport

    Minneapolis St Paul International Airport
    Airport Code: MSP

    Minnesota

     

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

    Christine Stewart, PT, CMPT

    Christine Stewart

    Christine Stewart, PT, CMPT graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy then became interested in women’s health after the birth of her second child.

    Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Health to further focus on pelvic rehabilitation for all genders and obtain her CMPT from the North American Institute of Manual Therapy. She completed Diane Lee’s Integrated Systems Model education series in 2018. Her passion is empowering patients through education and treatment options for the betterment of their health throughout their lifespan. She enjoys speaking to physicians and to community-based organizations on pelvic health physical therapy.

    Christine has been part of the Herman & Wallace faculty since 2017. She recently developed and authored a two-day course entitled Menopause Transitions and Pelvic Rehab. She is an avid runner who loves to hike through National parks with her family.



    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Muncie, IN - June 12-14, 2020 (Rescheduled)

    Update 05/01/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}945{/dtregister}
    Muncie
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Indiana University Health

    IU Health Ball Memorial Hospital - 2401 W University Ave
    Muncie, IN 47303
    Recommended Lodging

    Courtyard by Marriott Muncie at Horizon Convention Center
    (765) 287-8550

    601 S High St
    Muncie, IN 47305
    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)

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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

    Teri Elliott-Burke

    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.

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Satellite Lab Course - November 20-21, 2021

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

    Holly

    • Description

    • Schedule

    • Objectives

    • Instructor

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Kimberly Glow PT, DPT

    Kimberly Glow

    Kimberly M. Glow, PT, DPT is a Boston-based physical therapist with a focus on both pelvic floor dysfunction and orthopedics. Kim graduated with her doctorate in physcial therapy from MGHIHP after completing her undergraduate work in Classics at UNH. She believes in the healing power of movement, and the power of the biopsychosocial connection. She has a passion for seamlessly treating pelvic floor dysfunction and orthopedic dysfunction as inter-related components. As an auspicious educator, Kim has been involved with many community-based education programs, including lectures and demonstrations to local yoga studios during instructor trainings, postpartum support groups, and support groups for those afflicted with neurological disease. In 2017, Kim was invited to guest lecture on the topic of “Physical Therapy’s Role in Treatment of Vulvovaginal Dermatological Conditions” during the American Urogynecologic Society’s annual conference, and has also lectured to medical residents at Tufts Medical Center.

    Kimberly has a special passion for treating athletes with pelvic floor dysfunction, and returning them to the sport or movement style they most love. Her practice includes treatment of bowel, bladder, sexual, breast, and abdominal dysfunction for both men and women, as well as all breadths of orthopedic dysfunction. She has a passion for lifelong learning, and education. Currently, Kimberly practices out of Massachusetts General Hospital.

    Kim enjoys her spare time with her husband and puppy, camping, and reading. Kim currently practices out of Rhode Island.

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

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

    • Description

    • Schedule

    • Objectives

    • Instructors

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, PhD, WCS, CLT

    Darla Cathcart, PT, DPT, PhD, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and completed a Ph.D. at the University of Arkansas Medical Sciences. Her dissertation research focused on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research focuses on painful intercourse and post-Cesarean rehabilitation.

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

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

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

    On a personal note, Darla has teenaged twin boys. She is a lifelong runner and exerciser who loves dark chocolate, craft beer, and her four dogs.


    Instructor - Rietschel

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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    Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - August 14-15, 2021

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

    {dtregister}1890{/dtregister}
    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

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

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

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

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

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

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

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

     

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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

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

    1. Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
    2. Find a suitable location from which the pair/group can all view the zoom lectures together.
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
    4. Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.

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


    What to have on hand for self-hosted labs

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

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

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

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

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

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

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

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

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

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

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

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

     

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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

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

    1. Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
    2. Find a suitable location from which the pair/group can all view the zoom lectures together.
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
    4. Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.

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


    What to have on hand for self-hosted labs

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

    Instructors - Cathcart

    Darla Cathcart, PT, DPT, PhD, WCS, CLT

    Darla Cathcart, PT, DPT, PhD, WCS, CLT

    Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and completed a Ph.D. at the University of Arkansas Medical Sciences. Her dissertation research focused on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research focuses on painful intercourse and post-Cesarean rehabilitation.

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

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

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

    On a personal note, Darla has teenaged twin boys. She is a lifelong runner and exerciser who loves dark chocolate, craft beer, and her four dogs.


    Instructor - Rietschel

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 Part 1 - Remote Course (SOLD OUT)

    July 21-22, 2020 12:00pm - 5:00pm Pacific Time

    {dtregister}1095{/dtregister}
    holly
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    Price: $250
    Experience Level: Beginner
    Contact Hours: 8.75

    This remote continuing education course provides live instruction in foundational content in pelvic floor rehabilitation physical therapy. This course consists of the same content contained in the pre-recorded lectures of Pelvic Floor Level 1. Participants who join us for this remote course will have a chance to experience these lectures live with an HW faculty member, who will answer questions in real time.

    Participants may choose to take this course and then sign up for the full-length Pelvic Floor Level 1 course, which includes labs, and is offered in both In-Person and Satellite formats. Participants who sign up for the full Pelvic Floor Level 1 course will receive the pre-recorded lectures of the content contained in this course, which they may use to review. It is therefore NOT required that one take Pelvic Floor Level 1 Part 1 prior to taking the full-length Pelvic Floor Level 1 course. However, this is the perfect option for a therapist who has yet to find a Pelvic Floor Level 1 in their region, and who wants to begin their pelvic rehab training while practicing strict social distancing, or the therapist who is curious to learn more about pelvic rehab but is not yet ready to attend a course inclusive of labs. 

    Included in the remote course is a thorough overview of pelvic anatomy, concepts and techniques in trunk and pelvic evaluation and examination including the observation and retraining of movement patterns. Lectures will cover specific conditions including urinary incontinence and pelvic pain. Concepts related to trauma-informed care will also be included in this comprehensive introduction. Participants are encouraged to come with questions about starting their journey becoming pelvic rehab practitioners for the instructor. 

    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.

    Please Note: Those who were registered for a Pelvic Floor 1 course which was postponed due to Covid-19, and whose course has not been rescheduled yet, are invited to attend this remote Pelvic Floor 1 Part 1 course at no additional fee. Please contact us to verify eligibility and register if you would like to take advantage of this offer.

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. IUGA/ICS report on female pelvic floor terminology
    4. Many participants find it helpful to review the anatomy of the pelvis and perineum
    5. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Special Considerations:
    This course will be offered as a live, interactive remote course on Zoom, taught by an instructor who will teach introductory didactic lectures and answer questions.

     

     

    The times listed are for the afternoon offerings of PF1.1 All times are Pacific Time. 

    Day One:

    12:00 Log on, Zoom basics, introductions, goals, objectives
    12:30 Pelvic Floor Anatomy & Function
    01:15 Pelvic Floor Evaluation and Examination
    02:45 Break
    03:00 Managing Movement
    04:00 Awareness of Trauma in Pelvic Rehab
    05:00 Adjourn

    Day Two:

    12:00 Questions from Day 1
    12:15 Urinary Incontinence
    1:45 Break
    02:00 Introduction to Pelvic Pain
    03:00 General Treatment of Pelvic Pain
    04:00 Questionns
    04:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    5. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    6. Begin to develop evidence-based treatment plans and progressive clinical goals for pelvic floor dysfunctions
    7. Recognize key components of trauma-based care

    Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.

     

    Important thing to note:

    - Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

    - To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

    - We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

    - A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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    Pelvic Floor Level 1 Satellite Lab Course - East Norriton, PA - November 20-21, 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm

    {dtregister}2133{/dtregister}

    East_Norriton

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

      Name Street Address (Links to Map)
    Course Location

    Core 3 Physical Therapy

    325 W Germantown Pike
    Sycamore Hill Medical Complex
    East Norriton, PA 19403
    Recommended Lodging

    Springhill Suites by Marriott
    610-940-0400

    430 Plymouth Meeting Rd
    Plymouth Meeting, PA 19462
    Nearest Airport

    Philadelphia International Airport
    Airport Code: PHL

    8000 Essington Ave
    Philadelphia, PA 19153

     

    Directions from Recommended Lodging to Course Location:

     

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Egg Harbor Township, NJ - November 20-21, 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm

    {dtregister}2073{/dtregister}

    Egg_Harbor_Township

    Image retrieved from Wikimedia Commons courtesy of Smallbones
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Elgin, IL - November 20-21, 2021 (SOLD OUT)

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

    {dtregister}1978{/dtregister}

    Elgin

    Image retrieved from Wikimedia Commons courtesy of G LeTourneau
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Provo, UT - November 20-21 2021 (SOLD OUT)

    Mountain Time - Day 1: 9:00am - 5:30pm / Day 2: 9:00am - 5:45pm

    {dtregister}1844{/dtregister}

    Provo

    Image retrieved from Wikimedia Commons courtesy of Javin Weaver
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

      Name Street Address (Links to Map)
    Course Location

    Rocky Mountain University of Health Professions

    122 E 1700 South
    Building #3
    Provo, UT 84606
    Recommended Lodging

    Hampton Inn Provo
    (801) 377-6396

    1511 S 40 E St
    Provo, UT 84606
    Nearest Airport

    Salt Lake City International Airport
    Airport Code: SLC

    776 N Terminal Dr
    Salt Lake City, UT 84122

     

    Directions from Recommended Lodging to Course Location:

     

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Puyallup, WA - November 20-21, 2021 (SOLD OUT)

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

    {dtregister}2074{/dtregister}

    Puyallup

    Image retrieved from Wikimedia Commons courtesy of Joe Mabel
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

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

     

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

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    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.

     

    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. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

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

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

      Name Street Address (Links to Map)
    Course Location

    PT2Excel

    6007 119th Ave East
    Puyallup, WA 98372
    Recommended Lodging

    Fairfield Inn & Suites by Marriott Tacoma Puyallup
    (253) 770-3100

    202 15th Avenue SW
    Puyallup, WA 98371
    Nearest Airport

    Seattle-Tacoma International Airport
    Airport Code: SEA

    17801 International Blvd
    Seattle, WA 98158

     

    Directions from Recommended Lodging to Course Location

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Bangor, ME - August 15-16, 2020 (RESCHEDULED)

    Update 07/01/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}1017{/dtregister}
    Bangor
    • 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 (8 hours of online content, followed by a 2-day in-person course) 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 assessment (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. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    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. Read more about What to Expect During Courses with Internal Lab Work.

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    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 - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

     

    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

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    7:30 Registration
    8:00 Introduction, Goals, Objectives
    8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    10:15 Break
    10:30 Fecal Incontinence, Case Study
    11:15 Constipation, Case Study
    12:00 Lunch
    1:00 Pelvic Pain: Prostatitis, Scrotal Pain
    2:00 Coccyx Dysfunction
    3:00 Break
    3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
    4:15 Prostatectomy Part I
    5:15 Questions
    5:30 Adjourn

    Day Two:

    7:45 Questions from Day 1, Post-test Day 1
    8:00 Prostatectomy Part II
    8:45 Pudendal
    9:45 Break
    10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    11:15 LAB 4: Inclusive Language
    12:00 Lunch
    12:45 Colorectal Conditions
    2:00 Break
    2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:30 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.

     NameStreet Address (Links to Map)
    Course Location

    Husson University

    1 College Cir
    Bangor, ME 04401
    Recommended Lodging

    Hampton Inn Bangor
    (207) 990-4400

    261 Haskell Rd
    Bangor, ME 04401
    Nearest Airport

    Bangor International Airport
    Airport Code: BGR

    287 Godfrey Blvd
    Bangor, ME 04401

     

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

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Instructors - Haarmann

     

    Susannah Haarmann, PT, CLT, WCS

    Susannah Haarmann

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

     

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 - Maywood, IL - May 29-31, 2020 (Rescheduled)

    Update 4/17/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}973{/dtregister}
    Maywood
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695
    Experience Level: Intermediate
    Contact Hours: 20.25

    Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare.  This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.

    Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.

    For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals

    Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities

    Prerequisites Our course Pelvic Function Level 1 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.

    Pre-Course Learning Requirements 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable.

    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.

    Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 7 hours

    1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min)
    2) Trauma-informed Care (55 min)
    3) Prolapse (41 min)
    4) Medical and Multidisciplinary Management of Pelvic Pain (38 min)
    5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min)
    6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes)
    7) Specific Conditions: Endometriosis, PCOS (61 min)
    8) Neuromuscular Relaxation Training (39 min)
    9) Abdominal Neuromyofascial Anatomy (39 min)
    10) Breathing and Pressure Management (31 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
    7:00 - Abdominopelvic pain and anatomical mapping
    8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment
    8:30 - Break
    8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment
    10:15 - Lab synthesis discussion
    10:30 - Lunch/Meal Break
    11:30 - Prolapse, recovery, and pessary referrals
    12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability
    12:50 - LAB 2: Breathing & Trunk Mobility, Stability
    1:30 - Break
    1:45 - Vulvar skin conditions and topical medications
    2:30 - Case Discussions Part I
    3:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques
    7:15 - LAB 3: Abdominal neuromyofascial techniques
    8:30 - Break
    8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions
    9:30 - Lab 4: Relaxation techniques
    10:30 - Lunch/Meal Break
    11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions
    12:45 - Case Discussions Part II
    1:45 - Course Synthesis Discussion
    2:00 - Adjourn

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

    1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis

    2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions

    3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.

    4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques

    5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting

    10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain

    11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles

    12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)

     NameStreet Address (Links to Map)
    Course Location

    Loyola University Health System

    2160 S 1st Ave
    Maywood, IL 60625
    Recommended Lodging

    Residence Inn Oakbrook
    (630)568-2342

    790 Jorie Boulevard
    Oak Brook, IL 60523
    Nearest Airport

    Chicago Midway International Airport
    Airport Code: MCO

    5700 S Cicero Ave
    Chicago, IL 60638

     

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

     

    Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPC (Seattle, WA)

    Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPCHolly Tanner was born and raised in Duluth, Minnesota, and has lived in Washington state for most of her adult life. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and in Pelvic Rehabilitation. She teaches continuing education courses nationally, teaches in the transitional Doctor of Physical Therapy program for the College of St. Scholastics, and serves as a consultant for practice and program development. She is a member of the American Physical Therapy Association and the American Massage Therapy Association.

     

     

    Practice Information:
     Flow Rehab


    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

    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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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 Function Level 2A - Satellite - New York NY - September 28 - 29 2024
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    Rescheduled! - Pelvic Floor Level 1 - Kansas City, MO - April 17-19, 2020

    Update 3/12/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}834{/dtregister}
    Kansas City
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

     

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

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

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

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

     

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

     

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

     

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

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

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

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

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Centerpoint Medical Center

    19600 E. 39th Street
    Independence, MO 64057
    Recommended Lodging

    Staybridge Suites Kansas City-Independence

    19400 E. 39th Place South
    Independence, MO 64057
    Nearest Airport

    Kansas City International Airport
    Airport Code: MCI

     

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

    Meghan Rietschel, PT, PRPC

    Meghan Rietschel, PT, PRPC

    Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

    Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

    Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

    Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

    In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!


    Christine Stewart, PT, CMPT

    Christine Stewart

    Christine Stewart, PT, CMPT graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy then became interested in women’s health after the birth of her second child.

    Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Health to further focus on pelvic rehabilitation for all genders and obtain her CMPT from the North American Institute of Manual Therapy. She completed Diane Lee’s Integrated Systems Model education series in 2018. Her passion is empowering patients through education and treatment options for the betterment of their health throughout their lifespan. She enjoys speaking to physicians and to community-based organizations on pelvic health physical therapy.

    Christine has been part of the Herman & Wallace faculty since 2017. She recently developed and authored a two-day course entitled Menopause Transitions and Pelvic Rehab. She is an avid runner who loves to hike through National parks 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.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    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.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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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