Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)
This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.
Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
1000 James L Turnage Blvd West Palm Beach, FL 33415
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)
This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.
Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Directions from Hilton Garden Inn to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Level 1 - Atlanta, GA - June 3-5, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Level 1 - Charlottesville, VA - June 19-21, 2020 (Rescheduled)
Update 05/21/2020: 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!
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Instructors - Nazari
Pany Nazari, PT, DPT, PRPC, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified
in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
Day Three: 7:45 AM Questions, Post-test Day 2 8:15 Sexuality & Trauma Issues in Female Pelvic Pain 10:15 Break 10:30 Specific Diagnoses in Female Pelvic Pain 11:30 Therapeutic Exercise in Female Pelvic Floor Dysfunction 12:30 Lunch 1:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment* 2:30 Break 2:45 Case Studies 3:30 Resources, Billing, Marketing 4:00 Questions, Post-test Day 3 4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PPRC, (she/her) received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Level 1 - Phoenix, AZ - February 15-17, 2019 (SOLD OUT)
{dtregister}789{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Level 1 - Phoenix, AZ - November 3-5, 2017 (Sold Out)
{dtregister}471{/dtregister}
{gallery width=181}course_images/pf1{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Start Date/Time and Time Zone:
Aug 19, 2023 7:30 AM America/Denver
Location
Venue: Rocky Mountain University of Health Professions
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
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.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course. The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event. Your Mask- Please wear a mask while participating in this course to keep your colleagues safe. A computer with a Wifi connection that your group will be using to view the course. The following supplies: Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100) Hand Sanitizer (8 fl. Oz.) Lube for labs
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course. The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event. Your Mask- Please wear a mask while participating in this course to keep your colleagues safe. A computer with a Wifi connection that your group will be using to view the course. The following supplies: Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100) Hand Sanitizer (8 fl. Oz.) Lube for labs
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Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) 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.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Level 1 - Washington, DC - June 23-25, 2017 (SOLD OUT)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with all people with pelvic floor disorders, especially those with chronic pelvic pain, urinary dysfunction and bowel dysfunction. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica owns and treats patients at Southern Pelvic Health in Atlanta, GA, a specialty pelvic rehabilitation practice.
Jessica is passionate about pelvic health education, and works closely with Holly Tanner in writing and updating Pelvic Floor Level 1, 2A and 2B coursework. She also regularly guest lectures at local university DPT programs, and has presented at conferences, seminars, community groups, and various medical and physical therapy residency programs.
Jessica loves supporting other pelvic rehabilitation providers, and founded the Facebook group, Pelvic PT Newbies, as a place for safe questioning, learning and growth. She also established and runs a professional small group mentoring program several times each year. She also runs an educational blog on pelvic health topics through her website, and is active on social media @southernpelvichealth, spreading awareness of pelvic floor dysfunction and pelvic rehabilitation. Outside of work, Jessica enjoys spending time with her husband and 2 daughters, staying active, and traveling. .
Directions from Recommended Lodging to Course Location
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
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.
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
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.
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.
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by 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.
We designed this course 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.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
We designed this course 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos 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.
Pelvic Floor Level 2A - Atlanta, GA - December 8-10, 2017 (SOLD OUT)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This 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.
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
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.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with all people with pelvic floor disorders, especially those with chronic pelvic pain, urinary dysfunction and bowel dysfunction. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica owns and treats patients at Southern Pelvic Health in Atlanta, GA, a specialty pelvic rehabilitation practice.
Jessica is passionate about pelvic health education, and works closely with Holly Tanner in writing and updating Pelvic Floor Level 1, 2A and 2B coursework. She also regularly guest lectures at local university DPT programs, and has presented at conferences, seminars, community groups, and various medical and physical therapy residency programs.
Jessica loves supporting other pelvic rehabilitation providers, and founded the Facebook group, Pelvic PT Newbies, as a place for safe questioning, learning and growth. She also established and runs a professional small group mentoring program several times each year. She also runs an educational blog on pelvic health topics through her website, and is active on social media @southernpelvichealth, spreading awareness of pelvic floor dysfunction and pelvic rehabilitation. Outside of work, Jessica enjoys spending time with her husband and 2 daughters, staying active, and traveling. .
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Level 2A - Boston, MA - September 20-22, 2019 (SOLD OUT)
{dtregister}694{/dtregister}
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Instructors - Nazari
Pany Nazari, PT, DPT, PRPC, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified
in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Level 2A - Chicago, IL - August 1-2, 2020 (SOLD OUT)
{dtregister}886{/dtregister}
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Christine Stewart, PT, CMPT
Christine Stewart, PT, CMPT (she/her) graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy then became interested in women’s health after the birth of her second child.
Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Health to further focus on pelvic rehabilitation for all genders and obtain her CMPT from the North American Institute of Manual Therapy. She completed Diane Lee’s Integrated Systems Model education series in 2018. Her passion is empowering patients through education and treatment options for the betterment of their health throughout their lifespan. She enjoys speaking to physicians and to community-based organizations on pelvic health physical therapy.
Christine has been part of the Herman & Wallace faculty since 2017. She recently developed and authored a two-day course entitled Menopause Transitions and Pelvic Rehab. She is an avid runner who loves to hike through National parks with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Pelvic Floor Function, Dysfunction and Treatment (Level 2A)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 2A. This continuing education course consists of pre recorded lectures followed by 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. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is an 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 the quality of life so dramatically. In the US, the estimate of adult 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.
Pelvic Floor Level 2A - Durham, NC - September 30 - October 2, 2016
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{gallery width=181}course_images/pf2a{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
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
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.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD, PRPC
Pamela A. Downey, PT, DPT, WCS, BCB-PMD, PRPC, (she/her) 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 l
