Founders and Faculty > Susannah C. Haarmann, MPT, CLT
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.
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Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.
Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.
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
Required Readings:
1. Lymphedema: A Comprehensive Review
2. NIH PDQ for Breast Cancer Screening
3. NIH PDQ for Breast Cancer Treatment
Day One:
8:00 Objectives/Introduction
8:30 Introduction to the Prospective Surveillance Model
9:00 Cancer Staging and Screening
10:00 Break
10:15 Surgeries Lecture
11:15 Surgeries Lab Lecture and group consultation
12:30 Lunch (on your own)
1:30 Shoulder Dysfunction & Lymphatic Cording lecture
2:30 Lymphatic cording Lab
3:00 Break
3:15 Post-mastectomy Pain Syndrome
4:15 Finish:Review
4:30 Adjourn
Day Two:
8:00 Lymphedema Lecture
9:30 Break
9:45 Lymphedema Lab lecture
10:15 Lymphedema Lab practicum
11:00 Medical Management for Breast Cancer; Chemo, radiation, hormones
12:00 Lunch (on your own)
1:00 Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy
2:00 Side Effects Part 1 Lab
2:30 Break
2:45 Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia
3:45 Finish: Test and Review
4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
5. Educate the patient on risk factors associated with lymphedema and preventative measures.
6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
11. Design an appropriate exercise program for a breast cancer survivor with osteoporosis, cardiotoxity and peripheral neuropathy secondary to oncologic medical interventions.
Name Street Address (Links to Map) Course Location 10400 75th St
Kenosha, WI 53142Recommended Lodging Candlewood Suites Kenosha
(262) 842-500010200 74th St
Kenosha, WI 53142Nearest Airport General Mitchell International Airport
Airport Code: MKE5300 S Howell Ave
Milwaukee, WI 53207
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 travelling, the arts and is an outdoorswoman.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.
Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.
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
Required Readings:
1. Lymphedema: A Comprehensive Review
2. NIH PDQ for Breast Cancer Screening
3. NIH PDQ for Breast Cancer Treatment
Day One:
8:00 Objectives/Introduction
8:30 Introduction to the Prospective Surveillance Model
9:00 Cancer Staging and Screening
10:00 Break
10:15 Surgeries Lecture
11:15 Surgeries Lab Lecture and group consultation
12:30 Lunch (on your own)
1:30 Shoulder Dysfunction & Lymphatic Cording lecture
2:30 Lymphatic cording Lab
3:00 Break
3:15 Post-mastectomy Pain Syndrome
4:15 Finish:Review
4:30 Adjourn
Day Two:
8:00 Lymphedema Lecture
9:30 Break
9:45 Lymphedema Lab lecture
10:15 Lymphedema Lab practicum
11:00 Medical Management for Breast Cancer; Chemo, radiation, hormones
12:00 Lunch (on your own)
1:00 Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy
2:00 Side Effects Part 1 Lab
2:30 Break
2:45 Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia
3:45 Finish: Test and Review
4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
5. Educate the patient on risk factors associated with lymphedema and preventative measures.
6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
11. Design an appropriate exercise program for a breast cancer survivor with osteoporosis, cardiotoxity and peripheral neuropathy secondary to oncologic medical interventions.
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 travelling, the arts and is an outdoorswoman.
Name Street Address (Links to Map) Course Location 4320 Seminary Rd
Alexandria, VA 22304Recommended Lodging Courtyard Alexandria Pentagon South
(703) 751-45104641 Kenmore Ave
Alexandria, VA 22304Nearest Airport Ronald Reagan Washington National Airport
Airport Code: DCAArlington, VA 22202
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.
Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.
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
Required Readings:
1. Lymphedema: A Comprehensive Review
2. NIH PDQ for Breast Cancer Screening
3. NIH PDQ for Breast Cancer Treatment
Day One:
8:00 Objectives/Introduction
8:30 Introduction to the Prospective Surveillance Model
9:00 Cancer Staging and Screening
10:00 Break
10:15 Surgeries Lecture
11:15 Surgeries Lab Lecture and group consultation
12:30 Lunch (on your own)
1:30 Shoulder Dysfunction & Lymphatic Cording lecture
2:30 Lymphatic cording Lab
3:00 Break
3:15 Post-mastectomy Pain Syndrome
4:15 Finish:Review
4:30 Adjourn
Day Two:
8:00 Lymphedema Lecture
9:30 Break
9:45 Lymphedema Lab lecture
10:15 Lymphedema Lab practicum
11:00 Medical Management for Breast Cancer; Chemo, radiation, hormones
12:00 Lunch (on your own)
1:00 Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy
2:00 Side Effects Part 1 Lab
2:30 Break
2:45 Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia
3:45 Finish: Test and Review
4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
5. Educate the patient on risk factors associated with lymphedema and preventative measures.
6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
11. Design an appropriate exercise program for a breast cancer survivor with osteoporosis, cardiotoxity and peripheral neuropathy secondary to oncologic medical interventions.
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 travelling, the arts and is an outdoorswoman.
Name Street Address (Links to Map) Course Location 99 Vanderbilt Ave
Norwood MA 02062Recommended Lodging Courtyard Boston Norwood
(781) 762-4700300 River Ridge Dr
Norwood, MA 02062Nearest Airport Logan International Airport
Airport Code: BOS1 Harborside Dr
Boston, MA 02128
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.
Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.
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
Required Readings:
1. Lymphedema: A Comprehensive Review
2. NIH PDQ for Breast Cancer Screening
3. NIH PDQ for Breast Cancer Treatment
Day One:
8:00 Objectives/Introduction
8:30 Introduction to the Prospective Surveillance Model
9:00 Cancer Staging and Screening
10:00 Break
10:15 Surgeries Lecture
11:15 Surgeries Lab Lecture and group consultation
12:30 Lunch (on your own)
1:30 Shoulder Dysfunction & Lymphatic Cording lecture
2:30 Lymphatic cording Lab
3:00 Break
3:15 Post-mastectomy Pain Syndrome
4:15 Finish:Review
4:30 Adjourn
Day Two:
8:00 Lymphedema Lecture
9:30 Break
9:45 Lymphedema Lab lecture
10:15 Lymphedema Lab practicum
11:00 Medical Management for Breast Cancer; Chemo, radiation, hormones
12:00 Lunch (on your own)
1:00 Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy
2:00 Side Effects Part 1 Lab
2:30 Break
2:45 Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia
3:45 Finish: Test and Review
4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
5. Educate the patient on risk factors associated with lymphedema and preventative measures.
6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
11. Design an appropriate exercise program for a breast cancer survivor with osteoporosis, cardiotoxity and peripheral neuropathy secondary to oncologic medical interventions.
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 travelling, the arts and is an outdoorswoman.
Name Street Address (Links to Map) Course Location 564 E Cleveland St
Stockton, CA 95204Recommended Lodging University Plaza Waterfront Hotel
(209) 944-1140110 W Fremont St
Stockton, CA 95202Nearest Airport Sacramento International Airport
Airport Code: SMF6900 Airport Blvd
Sacramento, CA 95837
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15This is a two day continuing education course in which participants will gain the medical knowledge necessary to work as a competent member of an oncology team. The therapist will have a basic understanding of diagnostic tests, medical and surgical interventions to provide appropriate and optimal therapeutic interventions for breast cancer patients. The therapist will understand signs and symptoms of breast cancers to serve as early interventionists as well as provide education regarding prevention and wellness.
Chemotherapy, radiation and pharmaceutical side effects will be discussed as well as expected outcomes in order for the therapist to determine appropriate therapeutic parameters. Participants will expand their knowledge of manual therapy techniques, exercise program development for cardiovascular, musculoskeletal and lymphatic health. Recognition of early warning signs of lymphedema will be presented in order to recognize when a referral to a lymphedema specialist is warranted.
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
Required Readings:
1. Lymphedema: A Comprehensive Review
2. NIH PDQ for Breast Cancer Screening
3. NIH PDQ for Breast Cancer Treatment
Day One:
8:00 Objectives/Introduction
8:30 Introduction to the Prospective Surveillance Model
9:00 Cancer Staging and Screening
10:00 Break
10:15 Surgeries Lecture
11:15 Surgeries Lab Lecture and group consultation
12:30 Lunch (on your own)
1:30 Shoulder Dysfunction & Lymphatic Cording lecture
2:30 Lymphatic cording Lab
3:00 Break
3:15 Post-mastectomy Pain Syndrome
4:15 Finish:Review
4:30 Adjourn
Day Two:
8:00 Lymphedema Lecture
9:30 Break
9:45 Lymphedema Lab lecture
10:15 Lymphedema Lab practicum
11:00 Medical Management for Breast Cancer; Chemo, radiation, hormones
12:00 Lunch (on your own)
1:00 Side Effects Part 1: Cardiotoxicity, fatigue and peripheral neuropathy
2:00 Side Effects Part 1 Lab
2:30 Break
2:45 Side Effects Part 2: Osteoporosis, joint arthralgias and dyspareunia
3:45 Finish: Test and Review
4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Voice understanding of the prospective surveillance model as well as benefits and challenges of implementation for the oncologic team.
2. Identify breast anatomy, including muscles, connective tissue, and lymphatic supply.
3. Discuss the diagnosis, medical management and outcomes associated with breast cancers.
4. Demonstrate fundamental knowledge of the pathophysiology of lymphedema through subjective interview and perform a baseline evaluation.
5. Educate the patient on risk factors associated with lymphedema and preventative measures.
6. Perform manual therapy interventions for lymphatic cording and rheudementary manual lymph drainage techniques for stage 0-1 lymphedema.
7. Identify common impairments associated with mastectomy, lymph node dissection and reconstruction.
8. Design an appropriate exercise program for patient’s status-post mastectomy, lymph node dissection and reconstruction.
9. Design an appropriate exercise program for a patient with fatigue or cardiotoxicity secondary to chemotherapy.
10. Discuss the side effects of chemotherapy and hormone therapy for breast cancer as it relates to bone and joint health as well as sexual function.
11. Design an appropriate exercise program for a breast cancer survivor with osteoporosis, cardiotoxity and peripheral neuropathy secondary to oncologic medical interventions.
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 travelling, the arts and is an outdoorswoman.
Name Street Address (Links to Map) Course Location 2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544Recommended Lodging Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-22882740 Cypress Ridge Blvd
Wesley Chapel, FL 33544Nearest Airport Tampa International Airport
Airport Code: TPA4100 George J Bean Pkwy
Tampa, FL 33607
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map) Course Location 1305 Jennings Mill Rd
Watkinsville, GA 30677Recommended Lodging SpringHill Suites by Marriott Athens West
(706)-353-84843500 Daniells Bridge Rd
Athens, GA 30606Nearest Airport Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL6000 N Terminal Pkwy
Atlanta, GA 30320
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Amanda Hayes-Fugate, MPT
Amanda Hayes Fugate MPT is a pelvic health physical therapist specializing in urinary, bowel and pain conditions for men and women. She went to Western Carolina University in 2007 with the unique goal of being a pelvic health therapist and even won a national scholarship because of her passion in this area. Upon graduation she created a pelvic health program, from the ground up, for a outpatient physical therapy practice in the Asheville, NC area. She has continued to expand her expertise over the past 10 years and has recently started her own pelvic health practice Pelvic Forward PT to provide more comprehensive and patient directed care in the changing medical climate. Using her unique perspective as a lifelong runner and athlete, Amanda has a made treating athletes with pelvic floor dysfunction, pain, or desires for optimal performance a cornerstone of her practice.
She has built her business on the core values of education, embodiment and empowerment for all. As an tireless educator and in her goal to start a global conversation around pelvic health, Amanda has been involved with many community-based education programs, including lectures and demonstrations to crossfit gyms, the YMCA and pilates studios, providing instructor trainings to DONA, REI, pre-postpartum support groups, and many more.
Amanda truly loves and is interested in all things pelvic and is so grateful to have joined the Herman and Wallace team. Outside of the clinic she loves all things food, outdoors and spending time with family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsPamela Downey, MSPT, DPT, WCS, BCB-PMD
Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.
Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.
Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.
She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 2701 N Decatur Rd
Decatur, GA 30033Recommended Lodging Courtyard Marriott Atlanta Decatur Downtown/ Emory
(404) 371-0204130 Clairemont Ave
Decatur, GA 30030Nearest Airport Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL6000 N Terminal Pkwy
Atlanta, GA 30320
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsJessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 2701 N Decatur Rd
Decatur, GA 30033Recommended Lodging Courtyard Marriott Atlanta Decatur Downtown/ Emory
(404) 371-0204130 Clairemont Ave
Decatur, GA 30030Nearest Airport Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL6000 N Terminal Pkwy
Atlanta, GA 30320
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsPamela Downey, MSPT, DPT, WCS, BCB-PMD
Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.
Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.
Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.
She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 601 N. Caroline Street
Baltimore, MD 21287Recommended Lodging Baltimore Marriott Waterfront
Reference HOPKINS for a discount
(410)385-3000700 Aliceanna St
Baltimore, MD 21202Nearest Airport Baltimore/Washington International Thurgood Marshall Airport
Airport Code: BWIBaltimore/Washington International Thurgood Marshall Airport
Baltimore, MD 21240
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsDustienne Miller, MSPT, WCS, CYT
Trading the skyscrapers of NYC for the hills of Sonoma County, Dustienne set up her clinical practice in Santa Rosa in 2012. After a wonderful year filled with sunshine and amazing food she moved to Bean Town to be closer to her family. Her clinical practice, Flourish Physical Therapy, is located in lively Copley Square, Downtown Boston. She is a board certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.
Dustienne had the honor of speaking at the Combined Sections Meeting of the American Physical Therapy Association in 2013. Her lecture, titled "Yoga for Pelvic Pain", was met with such enthusiasm that another session was added to accommodate her interested colleagues.
Her love of movement is apparent not only in her physical therapy and yoga practice, but also in her career as a professional dancer. Dustienne danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance background and physical therapy working for Physioarts, who contracted her to work backstage at several Broadway shows and for Radio City Christmas Spectacular.
Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. She is the creator of the yoga video series Your Pace Yoga. Check out her website, www.yourpaceyoga.com, where you will find her blog, guided meditation, and resources.)
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location Recommended Lodging Hampton Inn
410-670-6000Nearest Airport
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsStacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD
Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD certified, received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location School of Health Professions
University of Alabama at Birmingham1705 University Boulevard
Birmingham, AL 35233Recommended Lodging Residence Inn by Marriott
(205) 731-9595821 20th Street South
Birmingham, AL 35205Nearest Airport Birmingham-Shuttlesworth International Airport
Airport Code: BHM5900 Messer Airport Hwy
Birmingham, AL 35212
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsDustienne Miller, MSPT, WCS, CYT
Trading the skyscrapers of NYC for the hills of Sonoma County, Dustienne set up her clinical practice in Santa Rosa in 2012. After a wonderful year filled with sunshine and amazing food she moved to Bean Town to be closer to her family. Her clinical practice, Flourish Physical Therapy, is located in lively Copley Square, Downtown Boston. She is a board certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.
Dustienne had the honor of speaking at the Combined Sections Meeting of the American Physical Therapy Association in 2013. Her lecture, titled "Yoga for Pelvic Pain", was met with such enthusiasm that another session was added to accommodate her interested colleagues.
Her love of movement is apparent not only in her physical therapy and yoga practice, but also in her career as a professional dancer. Dustienne danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance background and physical therapy working for Physioarts, who contracted her to work backstage at several Broadway shows and for Radio City Christmas Spectacular.
Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. She is the creator of the yoga video series Your Pace Yoga. Check out her website, www.yourpaceyoga.com, where you will find her blog, guided meditation, and resources.)
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 99 Vanderbilt Ave
Norwood MA 02062Recommended Lodging Courtyard Boston Norwood
(781) 762-4700300 River Ridge Dr
Norwood, MA 02062Nearest Airport Logan International Airport
Airport Code: BOS1 Harborside Dr
Boston, MA 02128
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map) Course Location 600 Hospital Drive
Monroe, NC 28112Recommended Lodging Holiday Inn Express & Suites Monroe
(704)774-17792505 W Roosevelt Blvd
Monroe, NC 28110Nearest Airport Charlotte Douglas International Airport
Airport Code: CLT5501 R C Josh Birmingham Pkwy
Charlotte, NC 28208
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Amanda Hayes-Fugate, MPT
Amanda Hayes Fugate MPT is a pelvic health physical therapist specializing in urinary, bowel and pain conditions for men and women. She went to Western Carolina University in 2007 with the unique goal of being a pelvic health therapist and even won a national scholarship because of her passion in this area. Upon graduation she created a pelvic health program, from the ground up, for a outpatient physical therapy practice in the Asheville, NC area. She has continued to expand her expertise over the past 10 years and has recently started her own pelvic health practice Pelvic Forward PT to provide more comprehensive and patient directed care in the changing medical climate. Using her unique perspective as a lifelong runner and athlete, Amanda has a made treating athletes with pelvic floor dysfunction, pain, or desires for optimal performance a cornerstone of her practice.
She has built her business on the core values of education, embodiment and empowerment for all. As an tireless educator and in her goal to start a global conversation around pelvic health, Amanda has been involved with many community-based education programs, including lectures and demonstrations to crossfit gyms, the YMCA and pilates studios, providing instructor trainings to DONA, REI, pre-postpartum support groups, and many more.
Amanda truly loves and is interested in all things pelvic and is so grateful to have joined the Herman and Wallace team. Outside of the clinic she loves all things food, outdoors and spending time with family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsJennafer Vande Vegte, MSPT, BCB-PMD, PRPC
After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 2200 W Main St
Durham, NC 27705Recommended Lodging Hilton Garden Inn Durham/University Medical Center
(919) 286-07742102 W Main St
Durham, NC 27705Nearest Airport Raleigh–Durham International Airport
Airport Code: RDU2400 John Brantley Blvd
Morrisville, NC 27560
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map) Course Location 9229 Arlington Blvd
Fairfax, VA 22031Recommended Lodging Courtyard by Marriot Fairfax Fair Oaks
(703)-273-616111220 Lee Jackson Memorial Hwy,
Fairfax, VA 22030.Nearest Airport Ronald Reagan Washington National Airport
Airport Code: DCAArlington,
VA 22202, USA
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
Pany Nazari, PT, DPT, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and has been board certified in the use of Biofeedback for Pelvic Muscle Disorders since 2011.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
9:30 Registration
10:00 Introductions, Goals, Objectives
10:30 Female Pelvic Floor (PF) Anatomy and Function
11:30 Break
11:45 Pelvic Floor Evaluation
1:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
2:15 Lunch
3:15 Pelvic Floor Evaluation (Continued)
4:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
5:15 Break
5:30 Functional Screening for Pelvic Rehab: ASLR, SLS, Diastasis Recti Abdominis
6:15 Lab 3: SLS, ASLR, Diastasis Assessment
7:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Intro to Pelvic Dysfunctions, Urinary Incontinence
9:30 Behavioral Interventions for Urinary Dysfunction
10:00 Break
10:15 Lab 4: Bladder Diary Activity
10:45 Lab 5: sEMG Biofeedback & Electrical Stimulation Application*
12:30 Lunch
1:30 Pelvic Organ Prolapse
2:45 Break
3:00 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation*
4:15 Introduction to Female Pelvic Pain
5:15 AdjournDay Three:
7:45 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 dysfunctionsAllison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 901 West Main Street
Freehold, NJ, 07728Recommended Lodging Radisson Hotel Freehold
(732) 780-340050 Gibson Pl
Freehold, NJ 07728Nearest Airport Newark Liberty International Airport
Airport Code: EWR3 Brewster Rd
Newark, NJ 07114
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsInstructors - Haarmann
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 travelling, the arts and is an outdoorswoman.
Instructors - Pribyl
Megan Pribyl, PT, CMPT
Megan Pribyl, PT, CMPT is a practicing physical therapist at the Olathe Medical Center in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic rehabilitation. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Masters of Science Degree in Physical Therapy. Prior, she earned her Dual-Degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University.
Megan’s longstanding passion for both nutritional sciences and manual therapy has culminated in the creation of this course designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing and therapeutic response. She harnesses her passion to continually update this course with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away with both simple and practical integrative tools which can be immediately utilized to help clients along their path of healing.
Name Street Address (Links to Map) Course Location 10014 N Rodney Parham Rd
Little Rock, AR 72227Recommended Lodging Hampton Inn & Suites West Little Rock
(501) 537-30001301 S Shackleford Rd
Little Rock, AR 72211Nearest Airport Clinton National Airport
Airport Code: LIT1 Airport Dr
Little Rock, AR 72202
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsSusannah 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.
Pany Nazari, PT, DPT, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and has been board certified in the use of Biofeedback for Pelvic Muscle Disorders since 2011.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Name Street Address (Links to Map) Course Location 130 S 9th St.
Philadelphia, PA 19107Recommended Lodging Holiday Inn Express Philadelphia-Midtown
1-888-480-04271305 Walnut Street
Philadelphia, PA 19107Nearest Airport Philadelphia International Airport
Airport Code: PHL8000 Essington Ave
Philadelphia, PA 19153
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 AdjournDay Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 AdjournDay Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*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 dysfunctionsSara Reardon, DPT, WCS, BCB-PMD
Sara specializes in treating women and men with pelvic floor muscle dysfunction, particularly chronic pelvic pain, bowel dysfunction, bladder dysfunction including post-prostatectomy urinary incontinence, and prenatal and postpartum conditions. She currently practices in her hometown of New Orleans, La. She has served as a clinical faculty member of University of Texas Physical Therapy Program teaching the Women’s Health Elective. She frequently presents to physicians, nurses, physical therapists, and community support groups on physical therapy treatment for pelvic floor dysfunction.
Sara is a graduate of Washington University in St. Louis, receiving her Bachelor of Science Degree in Psychology in 2000 and Doctorate of Physical Therapy Degree in 2007. She has achieved her Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic) and certification in Biofeedback Treatment of Pelvic Muscle Dysfunction (BCB-PMD). She earned her board-certification as a Women's Health Clinical Specialist (WCS) through the American Board of Physical Therapy Specialties in 2010.
Sara was named the 2008 Section on Women’s Health Research Scholar for her published research on pelvic floor dyssynergia related constipation. She was recognized as an Emerging Leader in 2013 by the American Physical Therapy Association. She served as Treasurer of the APTA’s Section on Women's Health and sat on their Executive Board of Directors from 2012-2015.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 500 Foothill Dr
Salt Lake City, UT 84148Recommended Lodging Salt Lake City Marriott University Park
(801) 581-1000480 Wakara Way
Salt Lake City, UT 84108Nearest Airport Salt Lake City International Airport
Airport Code: SLC776 N Terminal Dr
Salt Lake City, UT 84122
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 AdjournDay Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 AdjournDay Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 AdjournUpon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Name Street Address (Links to Map) Course Location 4700 King Street, Suite 200
Alexandria, VA 22302Recommended Lodging Hampton Inn Alexandria/Pentagon South
+1 703-671-48004800 Leesburg Pike
Alexandria, VA 22302Nearest Airport Ronald Reagan Washington National Airport
Airport Code:DCAArlington, VA 22202, USA
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
Pany Nazari, PT, DPT, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and has been board certified in the use of Biofeedback for Pelvic Muscle Disorders since 2011.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 AdjournDay Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 AdjournDay Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 AdjournUpon 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.Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD
Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD certified, received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location Johns Hopkins Hospital 1800 Orleans street
Baltimore, MD 21287Recommended Lodging Residence Inn Baltimore at The Johns Hopkins Medical Campus
(410)385-3000800 N Wolfe St
Baltimore, MD 21205Nearest Airport Baltimore/Washington International Thurgood Marshall Airport
Airport Code: BWIBaltimore/Washington International Thurgood Marshall Airport
Baltimore, MD 21240
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 AdjournDay Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 AdjournDay Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 AdjournUpon 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.Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544Recommended Lodging Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-22882740 Cypress Ridge Blvd
Wesley Chapel, FL 33544Nearest Airport Tampa International Airport
Airport Code: TPA4100 George J Bean Pkwy
Tampa, FL 33607
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 AdjournDay Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 AdjournDay Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Name Street Address (Links to Map) Course Location 2701 N Decatur Rd
Decatur, GA 30033Recommended Lodging Courtyard Marriott Atlanta Decatur Downtown/ Emory
(404) 371-0204130 Clairemont Ave
Decatur, GA 30030Nearest Airport Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL6000 N Terminal Pkwy
Atlanta, GA 30320
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 AdjournDay Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 AdjournDay Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name Street Address (Links to Map) Course Location IU Health West Hospital - 1111 Ronald Reagan Pkwy
Avon, IN 46123Recommended Lodging Fairfield Inn & Suites by Marriott Indianapolis Avon
(317)-271-9200119 Angelina Way
Avon, IN 46123Nearest Airport Indianapolis International Airport
Airport Code:IND7800 Col. H. Weir Cook Memorial Dr
Indianapolis, IN 46241
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC
After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 AdjournDay Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 AdjournDay Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.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.
Lila Abbate, PT, DPT, MS, OCS, PRPC
Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.
Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.
Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.
Name Street Address (Links to Map) Course Location 7900 Lees Summit Road
Kansas City, MO 64139Recommended Lodging Hampton Inn Kansas City-Lee’s Summit
(816) 347-86001751 NE Douglas St
Lee's Summit, MO 64086Nearest Airport Kansas City, MO 64153 Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 AdjournDay Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 AdjournDay Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name Street Address (Links to Map) Course Location 2000 Pennsylvania Avenue, NW
Suite 2000
Washington, DC 20006Recommended Lodging Avenue Suites Georgetown
(202)333-80602500 Pennsylvania Ave NW
Washington, DC 20037Nearest Airport Washington Dulles International Airport
Airport Code: IADDulles International Airport, 1 Saarinen Cir
Dulles, VA 20166
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Sara Reardon, DPT, WCS, BCB-PMD
Sara specializes in treating women and men with pelvic floor muscle dysfunction, particularly chronic pelvic pain, bowel dysfunction, bladder dysfunction including post-prostatectomy urinary incontinence, and prenatal and postpartum conditions. She currently practices in her hometown of New Orleans, La. She has served as a clinical faculty member of University of Texas Physical Therapy Program teaching the Women’s Health Elective. She frequently presents to physicians, nurses, physical therapists, and community support groups on physical therapy treatment for pelvic floor dysfunction.
Sara is a graduate of Washington University in St. Louis, receiving her Bachelor of Science Degree in Psychology in 2000 and Doctorate of Physical Therapy Degree in 2007. She has achieved her Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic) and certification in Biofeedback Treatment of Pelvic Muscle Dysfunction (BCB-PMD). She earned her board-certification as a Women's Health Clinical Specialist (WCS) through the American Board of Physical Therapy Specialties in 2010.
Sara was named the 2008 Section on Women’s Health Research Scholar for her published research on pelvic floor dyssynergia related constipation. She was recognized as an Emerging Leader in 2013 by the American Physical Therapy Association. She served as Treasurer of the APTA’s Section on Women's Health and sat on their Executive Board of Directors from 2012-2015.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).