(646) 355-8777

Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WC

Nicole Dugan

Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

 

 

Courses Instructed by Nicole Dugan

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    Oncology of the Pelvic Floor Level 1 - Remote Course - December 3-4, 2022
    8:00am-5:00pm Pacific Time

    {dtregister}2063{/dtregister}
    Urogynecologic Topics for the Pelvic Rehab Therapist
    • Description

    • Objectives

    • Schedule

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $550.00
    Experience Level: Beginner
    Format: Remote Course
    Contact Hours: 17.5 hours

    There are over 15 million cancer survivors in the United States. As advancements in care and early diagnosis improves this is expected to increase to over 20 million survivors in the next 10 years. The continuum of care for patients with cancer ideally begins at diagnosis. The rehabilitation professional is an integral part of the oncology team that will work with the patient throughout treatment and into survivorship. In this remote continuing education course, participants will learn topics that will prepare them to be part if the interdisciplinary oncology team. Topics will include the basics of cancer: terminology, staging, medical treatment, and the sequelae of these medical treatments. Coursework includes prerecorded content, as well as video demonstrations of lab techniques, followed by live remote meetings via Zoom, which is free to download here.

    The course will address issues that are commonly seen in a patient who has been diagnosed with cancer such as cardiotoxicity, peripheral neuropathy, and radiation fibrosis.  Some holistic medicine topics, including yoga and mindfulness, will be discussed in order to fully prepare the participant to be able to competently work with cancer survivors.

    Basics of the lymphatic system will be covered, as well as when to refer the patient to a lymphatic specialist for further treatment. Certified Lympathic Therpaists may skip this course and move on to the level Oncolgoy Level 2A and Level 2B courses. Red flags and warning symptoms will be discussed so the participant feels comfortable with knowing when to refer the patient back to their medical provider for further assessment.

    This course is the first in a series. The two follow-on courses will address in-depth pelvic cancers. This introductory course is aimed to get the participant comfortable with working with oncology patients and as part of an interdisciplinary oncology team.

    Audience:

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

    Prerequisites:

    none

    Supplies:

    This course will include a live lab demonstration which can be followed along during the meeting. If participants are able, a live model will allow participants to practice the lab techniques on a human body. If this is not possible, participants may smiply observe. Please have a roll of Kinesotape available for the lab demos. 

     

    Following the completion of this course, the participant will be able to:

    1. Describe components of the Commission on Cancer’s guidelines for rehabilitation programs.
    2. Correctly articulate common terminology used in oncology medical care such as biopsy, margins, tumor markers, metastatic, in-situ, benign, and remission among others.
    3. Describe oncological staging systems used medicine.
    4. Describe medical treatment options for cancer patients.
    5. Describe common sequelae patients can suffer from due to medical treatment for cancer.
    6. Demonstrate manual techniques for fibrotic and adhered tissues in a safe and gentle manner.
    7. Appraise symptoms and recognize red flags for cancer patients, and be aware of when to immediately refer the patient back to medical provider.
    8. Analyze a case study and develop plan of care for rehabilitation including treatment techniques and home program recommendations.
    9. Develop appropriate exercise progressions for patients suffering from sequelae of cancer treatment such as cardiotoxicity, and peripheral neuropathy.

    Recorded video lectures to be viewed in-full prior to the start of the course:

    1. Introduction 
    2. Language of Cancer 
    3. Treatment of Cancer 
    4. Lymphatic anatomy and physiology 
    5. Outcome measures
    6. Stressors of cancer
    7. Cancer connections

    Total video lecture time: (4 hours 30 min)

     

     

     Hourly schedule of live Zoom meetings:

    Day One: 

    15 mins before the course Log on, Zoom basics, roll call
    0:00 Welcome and questions
    0:30 Short term side effects of cancer treatment
    1:45 Break
    2:00 Specific side effects of cancer treatment
    3:30 Lab 4- Balance lab
    4:15 lunch
    Afternoon labs- if possible, a body to practice on is ideal, grab a family member
    5:00 Lab 1
    6:00 Mini- Break
    6:05 Lab 2
    6:50 Break
    7:00 Lab 4
    8:15 Final Questions
    8:30 Wrap up and adjourn

    Day Two:

    0:00 Lab video demo:
    0:15 Lymphedema
    1:15 Lymphedema lab
    2:15 Break
    2:30 Medium to long term sequalae of cancer
    4:00 Lunch
    4:45 Nutrition for cancer
    5:45 Meditation and mindfulness
    6:45 Break
    7:00 Yoga for cancer
    8:45 Wrap up lecture and final summary lecture
    9:00 Adjourn

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

    This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

    To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".


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  • Oncology of the Pelvic Floor Level 1 - Remote Course - December 3-4, 2022
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    Oncology of the Pelvic Floor Level 1 - Remote Course - July 16-17, 2022
    8:00am-5:00pm Pacific Time

    {dtregister}2070{/dtregister}
    Urogynecologic Topics for the Pelvic Rehab Therapist
    • Description

    • Objectives

    • Schedule

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $550.00
    Experience Level: Beginner
    Format: Remote Course
    Contact Hours: 17.5 hours

    There are over 15 million cancer survivors in the United States. As advancements in care and early diagnosis improves this is expected to increase to over 20 million survivors in the next 10 years. The continuum of care for patients with cancer ideally begins at diagnosis. The rehabilitation professional is an integral part of the oncology team that will work with the patient throughout treatment and into survivorship. In this remote continuing education course, participants will learn topics that will prepare them to be part if the interdisciplinary oncology team. Topics will include the basics of cancer: terminology, staging, medical treatment, and the sequelae of these medical treatments. Coursework includes prerecorded content, as well as video demonstrations of lab techniques, followed by live remote meetings via Zoom, which is free to download here.

    The course will address issues that are commonly seen in a patient who has been diagnosed with cancer such as cardiotoxicity, peripheral neuropathy, and radiation fibrosis.  Some holistic medicine topics, including yoga and mindfulness, will be discussed in order to fully prepare the participant to be able to competently work with cancer survivors.

    Basics of the lymphatic system will be covered, as well as when to refer the patient to a lymphatic specialist for further treatment. Certified Lympathic Therpaists may skip this course and move on to the level Oncolgoy Level 2A and Level 2B courses. Red flags and warning symptoms will be discussed so the participant feels comfortable with knowing when to refer the patient back to their medical provider for further assessment.

    This course is the first in a series. The two follow-on courses will address in-depth pelvic cancers. This introductory course is aimed to get the participant comfortable with working with oncology patients and as part of an interdisciplinary oncology team.

    Audience:

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

    Prerequisites:

    none

    Supplies:

    This course will include a live lab demonstration which can be followed along during the meeting. If participants are able, a live model will allow participants to practice the lab techniques on a human body. If this is not possible, participants may smiply observe. Please have a roll of Kinesotape available for the lab demos. 

     

    Following the completion of this course, the participant will be able to:

    1. Describe components of the Commission on Cancer’s guidelines for rehabilitation programs.
    2. Correctly articulate common terminology used in oncology medical care such as biopsy, margins, tumor markers, metastatic, in-situ, benign, and remission among others.
    3. Describe oncological staging systems used medicine.
    4. Describe medical treatment options for cancer patients.
    5. Describe common sequelae patients can suffer from due to medical treatment for cancer.
    6. Demonstrate manual techniques for fibrotic and adhered tissues in a safe and gentle manner.
    7. Appraise symptoms and recognize red flags for cancer patients, and be aware of when to immediately refer the patient back to medical provider.
    8. Analyze a case study and develop plan of care for rehabilitation including treatment techniques and home program recommendations.
    9. Develop appropriate exercise progressions for patients suffering from sequelae of cancer treatment such as cardiotoxicity, and peripheral neuropathy.

    Recorded video lectures to be viewed in-full prior to the start of the course:

    1. Introduction 
    2. Language of Cancer 
    3. Treatment of Cancer 
    4. Lymphatic anatomy and physiology 
    5. Outcome measures
    6. Stressors of cancer
    7. Cancer connections

    Total video lecture time: (4 hours 30 min)

     

     

     Hourly schedule of live Zoom meetings:

    Day One: 

    15 mins before the course Log on, Zoom basics, roll call
    0:00 Welcome and questions
    0:30 Short term side effects of cancer treatment
    1:45 Break
    2:00 Specific side effects of cancer treatment
    3:30 Lab 4- Balance lab
    4:15 lunch
    Afternoon labs- if possible, a body to practice on is ideal, grab a family member
    5:00 Lab 1
    6:00 Mini- Break
    6:05 Lab 2
    6:50 Break
    7:00 Lab 4
    8:15 Final Questions
    8:30 Wrap up and adjourn

    Day Two:

    0:00 Lab video demo:
    0:15 Lymphedema
    1:15 Lymphedema lab
    2:15 Break
    2:30 Medium to long term sequalae of cancer
    4:00 Lunch
    4:45 Nutrition for cancer
    5:45 Meditation and mindfulness
    6:45 Break
    7:00 Yoga for cancer
    8:45 Wrap up lecture and final summary lecture
    9:00 Adjourn

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

    This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

    To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".


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  • Oncology of the Pelvic Floor Level 1 - Remote Course - July 16-17, 2022
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    Pelvic Floor Level 1 - Orlando, FL - November 15-17, 2019 (SOLD OUT)

    {dtregister}805{/dtregister}
    Orlando
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

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

     

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

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

     

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

     

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

     

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Ability Rehabilitation

    4501 Vineland Road Suite #103
    Orlando,FL 32811
    Recommended Lodging

    SpringHill Suites by Marriott Orlando at Millenia
    (407)-352-2500

    5403 Millenia Lakes Boulevard
    Orlando, Florida 32839
    Nearest Airport

    Orlando International Airport
    Airport Code: MCO

    1 Jeff Fuqua Blvd,
    Orlando, FL 32827

     

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

    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor


    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Rochester, NY - April 24-26, 2020 (Rescheduled)

    Update 3/25/2020: 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}850{/dtregister}
    Rochester
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

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

     

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

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

     

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

     

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

     

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Unity Health System

    2655 Ridgeway Ave
    Rochester, NY 14626
    Recommended Lodging

    Hampton Inn Rochester-North
    (585) 663-6070

    500 Center Pl Dr
    Rochester, NY 14615
    Nearest Airport

    Greater Rochester International Airport
    Airport Code: ROC

    1200 Brooks Ave
    Rochester, NY 14624

     

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

     

    Dustienne Miller, MSPT, WCS, CYT

    dustienne

    Dustienne Miller is the creator of the two-day course Yoga for Pelvic Pain and an instructor for PF1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga videos series called Your Pace Yoga in 201. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.

    She started her clinical practice, Flourish Physical Therapy, in Santa Rosa CA, and moved to downtown Boston. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.

    Dustienne's love of movement is apparent not only in her physical therapy and yoga practice but also in her career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance for the musical theatre department at Boston Conservatory at Berklee.

    Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. Find her on SM @yourpaceyoga and on her website, www.yourpaceyoga.com, where you will find her blog, guided meditations, videos, and additional resources.

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Satellite Lab Course - February 5-6, 2022

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

    • Description

    • Schedule

    • Objectives

    • Instructors

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

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

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

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

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

     

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

     

    Special Considerations:

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

     

     "Relative" Hourly schedule of live Zoom meetings. 

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

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

     

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

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

     

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

     

    Hourly Schedule - Pacific Time

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

     

     

     

     

     

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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  • Pelvic Floor Level 1 - Satellite Lab Course - February 5-6, 2022
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    Pelvic Floor Level 1 - Satellite Lab Course - January 8-9, 2022

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

    Holly

    • Description

    • Schedule

    • Objectives

    • Instructors

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

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

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

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

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

     

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

     

    Special Considerations:

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

     

     "Relative" Hourly schedule of live Zoom meetings. 

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

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

     

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

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

     

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

     

    Hourly Schedule - Pacific Time

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

     

     

     

     

     

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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  • Pelvic Floor Level 1 - Satellite Lab Course - January 8-9, 2022
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    Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - February 5-6 2022

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

    {dtregister}1960{/dtregister}
    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

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

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

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

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

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

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

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

     

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

     

    Special Considerations:

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

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

     

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

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

     

     "Relative" Hourly schedule of live Zoom meetings. 

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

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

     

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

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

     

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

     

    Hourly Schedule - Pacific Time

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

     

     

     

     

     

     

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

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

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

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

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


    What to have on hand for self-hosted labs

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - February 5-6 2022
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    Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - January 8-9 2022

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

    {dtregister}2071{/dtregister}
    Self hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

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

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

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

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

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

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

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

     

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

     

    Special Considerations:

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

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

     

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

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

     

     "Relative" Hourly schedule of live Zoom meetings. 

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

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

     

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

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

     

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

     

    Hourly Schedule - Pacific Time

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

     

     

     

     

     

     

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

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

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

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

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


    What to have on hand for self-hosted labs

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - January 8-9 2022
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    Pelvic Floor Level 1 - Washington, DC - June 5-7, 2020 (Rescheduled)

    Update 4/17/2020: As a precaution against the spread of COVID-19, this course has been postponed. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    We have a new date for this course: October 23-25 2020.

    {dtregister}893{/dtregister}
    Washington
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

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

     

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

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

     

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

     

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

     

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    GWUH Outpatient Rehabilitation Center

    2131 K St. NW

    Washington, DC 20037
    Recommended Lodging

    Avenue Suites Georgetown
    (202)333-8060

    2500 Pennsylvania Ave NW
    Washington, DC 20037
    Nearest Airport

    Washington Dulles International Airport
    Airport Code: IAD

    Dulles International Airport, 1 Saarinen Cir
    Dulles, VA 20166

     

    Directions from Recommended Lodging to Course Location

    Dustienne Miller, MSPT, WCS, CYT

    dustienne

    Dustienne Miller is the creator of the two-day course Yoga for Pelvic Pain and an instructor for PF1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga videos series called Your Pace Yoga in 201. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.

    She started her clinical practice, Flourish Physical Therapy, in Santa Rosa CA, and moved to downtown Boston. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.

    Dustienne's love of movement is apparent not only in her physical therapy and yoga practice but also in her career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance for the musical theatre department at Boston Conservatory at Berklee.

    Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. Find her on SM @yourpaceyoga and on her website, www.yourpaceyoga.com, where you will find her blog, guided meditations, videos, and additional resources.

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Part 1 - Remote Course - July 11-12, 2020 9:00am - 2:00pm Pacific Time

    {dtregister}1093{/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 morning offerings of PF1.1 All times are Pacific Time. 

    Day One:

    9:00 Log on, Zoom basics, introductions, goals, objectives
    9:30 Pelvic Floor Anatomy & Function
    10:15 Pelvic Floor Evaluation and Examination
    11:45 Break
    12:00 Managing Movement
    1:00 Awareness of Trauma in Pelvic Rehab
    2:00 Adjourn

    Day Two:

    9:00 Questions from Day 1
    9:15 Urinary Incontinence
    10:45 Break
    11:00 Introduction to Pelvic Pain
    12:00 General Treatment of Pelvic Pain
    1:00 Questionns
    1:15 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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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    Pelvic Floor Level 1 Part 1 - Remote Course - September 12-13, 2020 (SOLD OUT)

    9:00am - 2:00pm Pacific Time

    {dtregister}1135{/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 morning offerings of PF1.1 All times are Pacific Time. 

    Day One:

    9:00 Log on, Zoom basics, introductions, goals, objectives
    9:30 Pelvic Floor Anatomy & Function
    10:15 Pelvic Floor Evaluation and Examination
    11:45 Break
    12:00 Managing Movement
    1:00 Awareness of Trauma in Pelvic Rehab
    2:00 Adjourn

    Day Two:

    9:00 Questions from Day 1
    9:15 Urinary Incontinence
    10:45 Break
    11:00 Introduction to Pelvic Pain
    12:00 General Treatment of Pelvic Pain
    1:00 Questionns
    1:15 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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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    Pelvic Floor Level 1 Satellite Lab Course - Rochester, NY - January 8-9, 2022

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

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    Rochester

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

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

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

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

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

     

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

     

    Special Considerations:

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

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

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

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

     

    Required Readings

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

     

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

     

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

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

     

     "Relative" Hourly schedule of live Zoom meetings. 

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

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

     

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

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

     

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

     

    Hourly Schedule - Pacific Time

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

     

     

     

     

     

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Evolve Physical Therapy of Rochester

    141 Sully's Trail
    Suite 3
    Pittsford, NY 14534
    Recommended Lodging

    Hilton Garden Inn Rochester/Pittsford
    (585) 248-9000

    800 Pittsford Victor Rd
    Pittsford, NY 14534
    Nearest Airport

    Greater Rochester International Airport
    Airport Code: ROC

    1200 Brooks Ave
    Rochester, NY 14624

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 Satellite Lab Course - Rochester, NY - January 8-9, 2022
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    Pelvic Floor Level 2A - Boston, MA - September 19-20, 2020 (Rescheduled)

    {dtregister}877{/dtregister}
    Boston
    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructor

    • 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.

      Name Street Address (Links to Map)
    Course Location

    Marathon Physical Therapy

    99 Vanderbilt Ave
    Norwood MA 02062
    Recommended Lodging

    Courtyard Boston Norwood
    (781) 762-4700

    300 River Ridge Dr
    Norwood, MA 02062
    Nearest Airport

    Logan International Airport
    Airport Code: BOS

    1 Harborside Dr
    Boston, MA 02128

     

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

    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor


    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B - Manchester, NH - August 22-23, 2020

    {dtregister}982{/dtregister}
    Manchester
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This three day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.

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

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

    Special Considerations:

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

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

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Franklin Pierce University

    670 North Commercial Street
    Center Tower, Third Floor
    Manchester, NH 03101
    Recommended Lodging

    DoubleTree by Hilton Manchester Downtown
    (603) 625-1000

    700 Elm St
    Manchester, NH 03101
    Nearest Airport

    Manchester–Boston Regional Airport
    Airport Code: MHT

    Manchester, NH 03103

     

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

    Susannah Haarmann, PT, CLT, WCS

    Susannah Haarmann

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


    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B - Satellite Lab Course - April 24-25, 2021

    Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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  • Pelvic Floor Level 2B - Satellite Lab Course - April 24-25, 2021
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    Pelvic Floor Level 2B - Satellite Lab Course - January 9-10, 2021

    January 9th: 7:30am-4pm / January 10th: 7:30am-4:15pm
    *Times are listed in Pacific Time

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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  • Pelvic Floor Level 2B - Satellite Lab Course - January 9-10, 2021
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    Pelvic Floor Level 2B - Satellite Lab Course - June 25-26, 2022

    Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B - Satellite Lab Course - June 25-26, 2022
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    Pelvic Floor Level 2B - Satellite Lab Course - October 1-2, 2022

    Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B - Satellite Lab Course - October 1-2, 2022
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    Pelvic Floor Level 2B Satellite Lab Course - Charlottesville, VA - January 9-10, 2021

    January 9th: 10:30am-7:15pm / January 10th: 10:30am-7:15pm
    *Times are listed in Eastern Time

    {dtregister}1437{/dtregister}

    Charlottesville

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Spectrum Physical Therapy - Zion Crossroads

    70 Jefferson Ct, Suite 102
    Zion Crossroads, VA 22942

    Recommended Lodging

    Best Western Plus Crossroads Inn & Suites
    (540)832-1700

    135 Wood Ridge Terrace
    Zion Crossroads, VA 22942
    Nearest Airport

    Richmond International Airport
    Airport Code: RIC

    1 Richard E Byrd Terminal Dr
    Richmond, VA 23250

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - Charlottesville, VA - January 9-10, 2021
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    Pelvic Floor Level 2B Satellite Lab Course - Huntsville, AL - January 9-10, 2021

    January 9th: 9:30am-6:00pm / January 10th: 9:30am-6:15pm
    *Times are listed in Central Time

    {dtregister}1458{/dtregister}

    Huntsville

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Therapy South

    6485 University Dr Suite C
    Huntsville, AL 35806
    Recommended Lodging

    Comfort Suites Huntsville Research Park Area
    (256)-562-2400

    6224 Torok Cir NW
    Huntsville, AL 35806
    Nearest Airport

    Huntsville International Airport
    Airport Code: HSV

    1000 Glenn Hearn Blvd SW
    Huntsville, AL 35824

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - Huntsville, AL - January 9-10, 2021
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    Pelvic Floor Level 2B Satellite Lab Course - Boston, MA - January 9-10, 2021

    January 9th: 10:30am-7:15pm / January 10th: 10:30am-7:15pm
    *Times are listed in Eastern Time

    {dtregister}1578{/dtregister}

    Boston

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Greater Boston Urology

    910 Washington St
    Dedham, MA 02026
    Recommended Lodging

    Holiday Inn Boston - Dedham Hotel & Conference Center
    (781)-329-1000

    55 Ariadne Rd
    Dedham, MA 02026
    Nearest Airport

    Boston Logan International Airport
    Airport Code: BOS

    Boston, MA 02128

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B Satellite Lab Course - Centerville, OH - January 9-10 2021

    January 9th: 10:30am-7pm / January 10th: 10:30am-7:15pm
    *Times are listed in Eastern Time

    {dtregister}1552{/dtregister}

    Centreville

    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Mobility Fit Physical Therapy

    715 Congress Park Dr.
    Centerville, OH 45459
    Recommended Lodging

    Holiday Inn Express & Suites Dayton-Centerville
    (937)-424-5757

    5655 Wilmington Pike
    Centerville, OH 45459
    Nearest Airport

    Dayton International Airport
    Airport Code: DAY

    3600 Terminal Dr
    Dayton, OH 45377

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B Satellite Lab Course - Davis, CA - January 9-10, 2021

    January 9th: 7:30am-4:15pm / January 10th: 7:30am-4:15pm
    *Times are listed in Pacific Time

    {dtregister}1514{/dtregister}

    Charlottesville

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Sutter Medical Foundation

    1340 Lake Blvd
    Davis, CA 95616
    Recommended Lodging

    Best Western University Lodge
    (530)756-7890

    123 B Street
    Davis, CA 95616
    Nearest Airport

    Sacramento International Airport
    Airport Code: SMF

    6900 Airport Blvd
    Sacramento, CA 95837

     

    Directions from Recommended Lodging to Course Location

     

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - Davis, CA - January 9-10, 2021
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    Pelvic Floor Level 2B Satellite Lab Course - Los Angeles, CA - January 9-10 2021

    January 9th: 7:30am-4pm / January 10th: 7:30am-4:15pm
    *Times are listed in Pacific Time

    {dtregister}1579{/dtregister}

    Los Angeles

    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Origin Physical Therapy

    11980 San Vicente Blvd
    Suite 100
    Los Angeles, CA 90049
    Recommended Lodging

    Holiday Inn Express West Los Angeles
    (310)-478-1400

    11250 Santa Monica Blvd
    Los Angeles, CA 90025
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA 90045

     

    Directions from Recommended Lodging to Course Location

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B Satellite Lab Course - San Diego, CA - April 24-25, 2021

    Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}1631{/dtregister}

    San Diego

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Water & Sports Physical Therapy

    3535 General Atomics Court
    San Diego, CA 92121
    Recommended Lodging

    Hilton La Jolla Torrey Pines
    (858)-558-1500

    10950 N Torrey Pines Rd
    La Jolla, CA 92037
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location:

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - San Diego, CA - April 24-25, 2021
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    Pelvic Floor Level 2B Satellite Lab Course - Self-Hosted - June 25-26, 2022

    Pacific Time - Day 1: 7:30am - 5:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}1961{/dtregister}

    Self-hosted

    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

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

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

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


    What to have on hand for self-hosted labs

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - Self-Hosted - June 25-26, 2022
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    Pelvic Floor Level 2B Satellite Lab Course - Self-Hosted - October 1-2, 2022

    Pacific Time - Day 1: 7:30am - 5:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}1962{/dtregister}

    Self-hosted

    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

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

     

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

     

     

     

    Prerequisites:

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

     

    Audience:

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

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:

    Prerequisite Skills Review

     

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - 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.

    are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as required reading in this course.


    References

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

     

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

    Pelvic rehabilitation concepts, anatomy (30 mins)
    Prolapse Part 1  (45 mins)
    Medical and multidisciplinary management of pelvic pain (1 hour)
    Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
    Neuromuscular relaxation (1 hour)
    Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
    Breathing and pressure management (45 minutes)
    Abdominal and neuromyofascial techniques (1 hour)

    Timing listed below reflects Pacific Standard Time

    Day One:

    7:30 Registration
    8:00 Objectives, introductions, overview
    8:30 Pelvic rehabilitation concepts, anatomy and specific palpation
    9:00 Prolapse anatomy, evaluation and treatment (Part 2)
    10:00 Break
    10:15 Lab 1: Specific layer palpation and prolapse
    11:15 Examination skills pelvic pain
    12:15 Lunch
    1:15 Lab 2: Examination techniques for pelvic pain
    2:15 Trauma-Informed Care
    3:15 Break
    3:30 Lab 3: Thermistor activity & restorative practices
    4:15 Mini prolapse & pain case discussions
    4:45 Summary & questions, post-test
    5:30 Adjourn

     

    Day Two:

    8:00 Questions from Day 1, review post-test
    8:30 Pelvic pain manual skills
    9:30 Lab 4: Pelvic pain manual skills
    10:45 Break
    11:00 Abdominal neuromyofascial techniques lab prep
    11:15 Lab 5B: Abdominal neuromyofascial techniques
    12:30 Lunch
    1:15 Breathing & pressure management lab prep
    1:30 Lab 5A: Breathing and pressure management
    2:15 Case studies, treatment progressions, resources
    3:00 Post-test, course evaluations, questions and summary, wrap-up
    3:30 Adjourn

     

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

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

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

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

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


    What to have on hand for self-hosted labs

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

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2B Satellite Lab Course - Self-Hosted - October 1-2, 2022
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    Rescheduled! - Pelvic Floor Level 2A - Philadelphia, PA - March 13-15, 2020

    Update 3/12/2020: As a precaution against the spread of COVID-19, this course has been postponed. We will publish the new dates once we have them finalized with the hosting institution. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}924{/dtregister}
    Philadephia
    • 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

    Thomas Jefferson University Edison Building

    130 S 9th St.
    Philadelphia, PA 19107
    Recommended Lodging

    Holiday Inn Express Philadelphia-Midtown
    1-888-480-0427

    1305 Walnut Street
    Philadelphia, PA 19107
    Nearest Airport

    Philadelphia International Airport
    Airport Code: PHL

    8000 Essington Ave
    Philadelphia, PA 19153

     

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

     

    Pamela Downey, MSPT, DPT, WCS, BCB-PMD

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

    Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.

    Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

    She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.


    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

    Nicole Dugan

    Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

    Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.

     

     

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


    Multi-Course Discount

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


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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Upcoming Continuing Education Courses

Mobilization of Visceral Fascia: The Urinary System - Self-Hosted (SOLD OUT)

Sep 17, 2021 - Sep 19, 2021
Location: Self-Hosted Course

Mobilization of Visceral Fascia: The Urinary System - Athens, GA Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Thrive Integrated Medicine

Mobilization of Visceral Fascia: The Urinary System - Albany, NY Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Albany Medical Center

Mobilization of Visceral Fascia: The Urinary System - Bellingham, WA Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Connect NW Physical Therapy & Wellness

Mobilization of Visceral Fascia: The Urinary System - Phoenix, AZ Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Banner Physical Therapy and Rehabilitation

Mobilization of Visceral Fascia: The Urinary System - Auburn, ME Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Select Physical Therapy - Auburn

Mobilization of Visceral Fascia: The Urinary System - Salt Lake City, UT Satellite Location (SOLD OUT)

Sep 17, 2021 - Sep 19, 2021
Location: University of Utah Orthopedic Center

Mobilization of Visceral Fascia: The Urinary System - Medford, OR Satellite Location

Sep 17, 2021 - Sep 19, 2021
Location: Asante Rogue Valley Medical Center

Athletes & Pelvic Rehabilitation - Remote Course

Sep 18, 2021 - Sep 19, 2021
Location: Replacement Remote Course

Osteoporosis Management - Remote Course

Sep 18, 2021 - Sep 19, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Santa Cruz, CA Satellite Course (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Alliance Physical Therapy and Rehabilitation Services Inc

Pelvic Floor Level 1 - Tempe, AZ Satellite Course (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Petersen Physical Therapy

Pelvic Floor Level 1 - Round Rock, TX Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Round Rock Medical Center

Pelvic Floor Level 1 - Nashville, TN Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Precision Physical Therapy Pilates

Pediatric Incontinence and Pelvic Floor Dysfunction Remote Course (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Kenosha, WI Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Aurora Sports Health Pershing

Pelvic Floor Level 1 - Warren, MI Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Mendelson Kornblum Physical Therapy

Pelvic Floor Level 1 - Self-Hosted

Sep 18, 2021 - Sep 19, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - Highlands Ranch, CO Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Panorama Orthopedics and Spine

Pelvic Floor Level 1 - Muncie, IN Satellite Course (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Indiana University Health

Pelvic Floor Level 1 - Winchester, VA Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Shenandoah University

Pelvic Floor Level 1 - Egg Harbor Township, NJ Satellite Location (SOLD OUT)

Sep 18, 2021 - Sep 19, 2021
Location: Med A Quest

Bowel Pathology and Function - Remote Course

Sep 19, 2021 - Sep 20, 2021
Location: Replacement Remote Course

Yoga for Pelvic Pain - Remote Course

Sep 25, 2021 - Sep 26, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2B - Wallingford, CT Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Level 2B - Charlotte, NC Satellite Course (SOLD OUT)

Sep 25, 2021 - Sep 26, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Level 2B - Virginia Beach, VA Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Southeastern Physical Therapy

Pelvic Floor Level 2B - Chamblee, GA Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Revelle Physical Therapy Atlanta