This continuing education seminar is a two day online course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.

This course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by course sponsors.

This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles.

Prerequisites
Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

Required Supplies
-- Ultrasound machine with curvilinear transducer that images a frequency that ranges from 3 to 10 MHz. It must be able to view abdominal viewing.
-- Ultrasound gel
-- Towels or washcloths 5 per day per participant
-- Hand sanitizer
-- Alcohol free cleaning wipes (saniwipes with grey lid are alcohol free)
-- Webcam. A second webcam that is portable is recommended for labs (a phone is okay)

This continuing education seminar is a one-day course that introduces the participant to the use of biofeedback when treating bladder, bowel, and pelvic floor disorders. Participants will become acquainted with an amazing tool to enhance their practice. In this course, we will discuss the history, background/basics, and benefits of biofeedback when used to treat bladder, bowel, overactive pelvic floor, and other pelvic floor disorders. We will also review case studies with EMG signal analysis with the help of audience participation. The focus of this course will be introducing biofeedback equipment and software, administering a biofeedback assessment, conducting a treatment session, and patient instruction/education utilizing live demonstrations with audience participation. In the live lab, participants will experience using a self-inserted vaginal or rectal sensor and will practice sEMG assessments and treatments. Resources for additional training and board certification in this area of practice will be provided. Lab instructors are board-certified through the Biofeedback Certification International Alliance in Pelvic Muscle Dysfunction. This course is also approved for BCIA’s recertification hours for board certification. There are pre-recorded lectures that must be viewed prior to the live course.

Prerequisites
None. This is a beginner-level course.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

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 by Professor Tim Watson (electrotherapy.org)
4. IUGA/ICS report on female pelvic floor terminology
5. Many participants find it helpful to review the anatomy of the pelvis and perineum

Required Supplies
A 2-channel sEMG biofeedback hand-held unit with software on a laptop or computer is required. The instructors will teach biofeedback with the Prometheus Telesis software. Participants can use MR-20, MR-25, EMYO, CTS 1500, or CTS 2000. The participants who are self-hosting will need a vaginal or rectal sensor and abdominal leads. Alternatively, participants can use external perianal electrodes. To use the disposable external electrodes, participants will need to have 2 Pathway Velcro adapters (PG-3660), 1 Pathway External Adapter (PG-7100), and Vermed sEMG disposable lead wire set (VM-A10057-S). Another option for external electrodes is the Pre-gelled sEMG Biofeedback Electrodes (DE-301) with a 24-inch external lead wire set (PG-5328).

Self-Hosted participants do not need partners. Participants can treat themselves using the equipment. If participants have a biofeedback system other than Prometheus (ex. Thought Technology), they can follow along, but the protocols will be taught using the Telesis software.

All items can be purchased on www.cmtmedical.com:
- Prometheus MR-20 Dual Channel sEMG Biofeedback Unit WITH Telesis Software
- Black Pathway Adaptor for internal sensors to connect to channel A (item PG-3660)
- Pathway Internal Vaginal or Internal Rectal Sensor (item PG 6330 or PG 6340)
- Pathway Surface EMG Electrodes for Abdominal Placement (PG 6750)

Hosted Locations ONLY
If you attend this course at a scheduled hosted location (NOT self-hosted) then the equipment will be supplied by our biofeedback vendor, Current Medical Technologies.

Prerequisites:

1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

PreReadings:

1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction

The rehabilitation professional is an integral part of the interdisciplinary oncology team. A gynecological or bladder cancer diagnosis has multiple systems that are affected by cancer treatment. The rehabilitation professional that works with the pelvic oncology patient needs to competently navigate treatment techniques for all of these systems, as well as be confident in treating a patient in a personal area.; This two- day course will cover topics including diagnosis, medical treatment, side effects, and rehabilitation for gynecological cancer diagnoses, as well as bladder cancer.

Participants MUST register with a partner, or plan to have a volunteer available to work on during course labs. If you are planning on having a volunteer available for labs, they must sign a release of liability and be fully aware that the labs include rectal and perineal exams.

This course was designed to build on the information that was presented in Oncology of the Pelvic Floor Level 1. Information will be provided focusing on gynecological and bladder cancers including risk factors, diagnosis, and prognosis. The participant will also understand the sequelae of the medical treatment of cancer and how this can impact a patient’s body and their quality of life. Other topics will include rehabilitation and nutritional aspects focusing on these specific cancers, as well as home program options that patients can implement as an adjunct to therapy.

During this course, evaluation and treatment interventions will be presented that can be used when working with patients that are surviving the listed cancer diagnoses. The information and treatment techniques that are presented during the course will be immediately applicable to clinical practice.

Prerequisites
The first course, Oncology of the Pelvic Floor Level 1, is required before you can take this course. If you are a fully Certified Lymphatic Therapist (135 hours of training), you are eligible to skip level 1 and start the series with this course. It is also recommended to take Oncology of the Pelvic Floor Level 2A at some point in your learning to complement the content offered in this course. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos. Pelvic Floor Level 1 is also required to be taken prior to taking this course as we will expect a working knowledge of the pelvic floor and performing a vaginal pelvic floor muscle assessment.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

Special Considerations
This course includes hands-on lab work that all attendees should be prepared to participate in. Vaginal pelvic floor muscle examinations will be taught in labs, as well as manual work in and around the perineum. All labs will be guided by an instructor and thoroughly taught before they are performed on participants. Due to the need to undress, past participants have found that wearing comfortable clothing that is easy for changing in and out of is useful for labs. Each group must have a functional webcam. It is expected that the partners will be at the same location for lectures so that they can participate in labs together. While working with their partners it is expected for participants to adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.

Pharmacologic agents are often a first line treatment for pelvic floor dysfunction. Most patients seeking treatment for pelvic floor dysfunction are prescribed one or more medications. Medication side effects can contribute to or, be the cause of genitourinary issues. It is important that health care providers are knowledgeable about the effects of medications and, how the medication itself could be contributing to the patient’s complaints.

This remote learning course will discuss medications used for the treatment of pelvic floor and genitourinary conditions as well as common side effects of medications routinely used for pelvic floor dysfunction. This course will be taught by live instructor via Zoom. Medications for constipation and GI dysfunction, as well as pelvic pain conditions such as Vulvodynia, Chronic Prostatitis, and Endometriosis will be covered. The course will also cover medications and side effects in Gender-Affirming Care for patients who are transitioning.

The results from a 2017 study by Araklitis, Thiagamoorthy, Hunter, Rantell, Robinson & Cardozo showed limited knowledge among health care providers regarding anticholinergic load which can impact cognitive functioning in the elderly. Anticholinergic medications are often prescribed for urinary dysfunction. Understanding medications used for genitourinary issues will enable the provider to educate patients about medication effects and, effectively communicate with other health care providers regarding medication choices for their patients.(1)

Prerequisites
None. This is a beginner-level course.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

References
1. Araklitis, G., Thiagamoorthy, G., Hunter, J., Rantell, A., Robinson, D., & Cardozo, L. (2017). Anticholinergic prescription: are healthcare professionals the real burden? International Urogynecology Journal, 28(8), 1249–1256. https://doi-org.akin.css.edu/10.1007/s00192-016-3258-3

This virtual course will introduce basic neuroanatomy with a detailed overview of pelvic neurophysiology in preparation for an extensive in-depth look at pelvic health treatment options for Parkinson disease. Pelvic floor external and internal neuro-musculoskeletal assessment considerations will be instructed with the understanding that participants have prior experience in pelvic health coursework or pelvic health patient treatment experience.

Preparatory lectures about Parkinson disease will help develop a clear understanding of the neurophysiology of the disease to establish an equal foundation between experienced practitioners and those who have never worked with this patient demographic. Live course lectures deep-dive into characteristic pelvic health conditions that people with Parkinson's disease may face, discuss multiple assessment and treatment planning options, and will also discuss applications for TENS in the neurologic population.

You may choose to have a TENS unit available for use during the TENS lecture for application on yourself, but this is not required. It is highly recommended that you have a variety of colored pencils available to you for a few of the lectures to help in your understanding of the complex neurophysiological pathways you will learn about.

Prerequisites
Pelvic Function 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.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

This continuing education course consists of pre-course video lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self-hosted location. This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation

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
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton

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

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

Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

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.  

Required Readings
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.

This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.

This course is designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system.

This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.

-- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx and ending at the anal aperture  (1)
-- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2)
-- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
-- In order to function optimally the viscera must be able to move, not only in relationship to one another but with respect to their surrounding container (4).
-- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the kidney are particularly affected by blunt force trauma (5, 6).

Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.

Prerequisites
Pelvic Floor Level 1 through Herman & Wallace or prior seminar instruction in internal pelvic floor vaginal muscle examinations. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos

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

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

Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.

References
1. Willard, F. H. (2012) Visceral fascia. In: Schleip R, Findley TW, Chaitow L, Huijing P (Eds.) Fascia-The Tensional Network of The Human Body. (pp. 53-56). Elsevier, Edinburgh.
2. Lee, D., Lee, L., McLaughlin, L. (2008). Stability, continence, and breathing: The role of fascia following pregnancy and delivery. Journal of Bodywork and Movement Therapies, 12(4), 333-348.
3. Bordoni, B. & Zanier, E. (2013). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 6, 281–291.
4. Uberoi, R., D'Costa, H., Brown, C., & Dubbins, P. (1995). Visceral slide for intraperitoneal adhesions? A prospective study in 48 patients with surgical correlation. Journal of clinical ultrasound, 23(6), 363-366.
5. Cheynel, N., Serre, T., Arnoux, P-J, Ortega-Deballon P., Benoit L. ,Brunet, C. (2009). Comparison of the biomechanical behavior of the liver during frontal and lateral deceleration.
6. Cox, E. (1984). Blunt abdominal trauma. A 5-year analysis of 870 patients requiring celiotomy. Annals of Surgery. 199(4), 467-474The Journal of Trauma, 67(1), 40-44 Physical Therapy, 68(7), 1082-1086.

This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

-- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
-- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2)..
-- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3)..
-- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4)..
-- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.

This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.

This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.

Prerequisites
1) Pelvic Function Level 1 at a minimum. For Pediatric therapists, completion of training such as Pediatrics Level 1 - Treatment of Bowel and Bladder Disorders. It is also highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us
2) Watch all pre-recorded lectures for this course in Teachable before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos

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

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

Special Considerations
As this continuing education course includes extensive lab work, which will be demoed and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.

Required Readings
1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction

References
1. Willard, F. H. (2012) Visceral fascia. In: Schleip R, Findley TW, Chaitow L, Huijing P (Eds.) Fascia-The Tensional Network of The Human Body. (pp. 53-56). Elsevier, Edinburgh.
2. Lee, D., Lee, L., McLaughlin, L. (2008). Stability, continence and breathing: The role of fascia following pregnancy and delivery. Journal of Bodywork and Movement Therapies, 12(4), 333-348
3. Bordoni, B. & Zanier, E. (2013). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 6, 281–291.
4. Uberoi, R., D'Costa, H., Brown, C., & Dubbins, P. (1995). Visceral slide for intraperitoneal adhesions? A prospective study in 48 patients with surgical correlation. Journal of clinical ultrasound, 23(6), 363-366.
5. Cheynel, N., Serre, T., Arnoux, P-J, Ortega-Deballon P., Benoit L. ,Brunet, C. (2009). Comparison of the biomechanical behavior of the liver during frontal and lateral deceleration.
6. Cox, E. (1984). Blunt abdominal trauma. A 5-year analysis of 870 patients requiring celiotomy. Annals of Surgery. 199(4), 467-474The Journal of Trauma, 67(1), 40-44

This two-day, remote continuing education course covers methods for performing assessment and treatment for patients who are pregnant. Knowing how to safely examine, medically screen, and treat the patient who is pregnant is a primary goal of this course, which covers a broad range of relevant topics including: introduction to labor and delivery, common pregnancy-related lumbopelvic conditions, and hormonal and systems changes. This course also covers topics on how to provide inclusive, culturally-sensitive care.

Upon completion of this course, the participant will be able to modify examination and interventions as appropriate for the relevant stages of pregnancy. In addition to abdominal wall considerations such diastasis rectus abdominis, typical spine and extremity dysfunctions will be addressed. The participant will also receive instruction on medical screening and care for the medically complex patient who is pregnant.

Labs include techniques for the abdominal wall, spine and pelvic girdle, and upper and lower quarter dysfunction.

In order to fully complete the hands-on learning component, registrants should participate with a partner during all labs.

Topics in the required prerecorded content include hormonal and system changes, rehabilitation of abdominal wall and lumbopelvic dysfunction, and foundations in exercise. Guest lectures will cover special topics like equity in birth outcomes, queer birth, and nutrition considerations.

Prerequisites
None. This is a beginner-level course.

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

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

This two-day continuing education course is designed to provide the rehabilitation clinician with a foundation for working with the patient experiencing common conditions of the postpartum period. This course covers a broad range of relevant topics including: acute postpartum management, mental health screening, and musculoskeletal considerations.

Upon completion of this course, the participant will be able to modify examination and interventions as appropriate for the relevant stages of postpartum recovery. In addition to abdominal wall considerations, typical spine and extremity dysfunctions will be addressed. The participant will also receive instruction on postpartum exercise and return to fitness.

Labs include external perineal screening, as well as techniques for the abdominal wall, spine and ribs, and upper and lower quarter dysfunction.

In order to fully complete the hands-on learning component, registrants should participate with a partner during all labs.

Topics in the required prerecorded content include hormonal and system changes, rehabilitation of abdominal wall and lumbopelvic dysfunction, and pelvic floor basics in postpartum. Guest lectures will cover special topics like the basics of lactation, nutrition considerations, postpartum mental health screening, and common medical concerns.

Prerequisites
None. This is a beginner-level course.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

This two-day course, developed by an instructor with extensive experience working with professional athletes, will cover an evidence-based, immediately-applicable skills related to pelvic floor rehabilitation for the athlete, covering treatment philosophies for the pelvis and pelvic floor and global considerations of how these structures contribute to human movement. Topics covered will include urinary incontinence, as well as the intricacies of athletic movement and how energy transference throughout the kinetic chain is crucial to rehabilitation approach, injury prevention and high performance. This course will also cover biomechanics behind human movement of the lumbopelvic-hip complex so the participant will be able to prescribe effective and innovative therapeutic exercise programs. The connection of how pelvic rehab influences LE pathologies such as ACL, PFP and chronic ankle instability will be covered. Although this class has a focus on athletes, these concepts of biomechanics and movement patterning are applicable to all patients in the clinic

Participants in this course will be sent several prerecorded lectures to view before the course, and the interactive Zoom meeting will focus on exercise videos and follow-along exercises led by the instructor, followed by question and answer after each exercise is instructed. Participants will want adequate space to perform exercises while following along on the screen.

This course has been designed to bridge the gap between the sports/orthopedic clinician (certified athletic trainers included) and the experienced pelvic health practitioner and is designed to provide both demographics a challenging and engaging learning experience with a the goal of expanding the general sports and ortho clinician’s understanding of the pelvic floor, as well as challenging the advanced pelvic health therapist to expand their treatments to encompass three-dimensional movements and offering them an arsenal of therapeutic exercises beyond simple local type exercises. Following the course, clinicians who choose not to pursue an advanced clinical skill set of a pelvic health therapist will have a more confident understanding of when a referral to a pelvic health clinician is appropriate. Both groups will leave this course with additional tools for their clinical tool box related to manual therapy and exercise.

Prerequisites
None. This is a beginner-level course.

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

Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

Required Supplies
This remote course will include exercises led by the instructor on a Zoom meeting. In order to fully follow along, participants will need to make an exercise system which consists of: an 8-foot yoga strap with a D-ring on the end, and 8-feet of theratubing (red, blue or green will work, choose a challenging color that will not be too challenging for two days of exercise). Participants will need to anchor their bands to something that won’t move, like a door jam. Theraband may work as a substitute, but theratubing is recommended. In addition, participants will need: a yoga block and a small step or box to use for a step up exercise, and a couch cushion or something that will work like an Airex pad on which to kneel. If possible, exercising in front of a mirror in addition to the computer screen will be helpful.

This intermediate, two-day remote course covers the details of normal gut motility, bowel function, medical tests and medications relating to diagnosing and treating the medical side of bowel dysfunction. Main topics discussed are fecal incontinence, chronic constipation and abdominal pain and how they relate to pelvic floor muscle dysfunction and physical therapy interventions. Topics relating to basic foods along with over-the-counter and prescription products are explained in aiding or to increase or slowing gut motility.

Visualization of biofeedback, intra-rectal electrical stimulation use is discussed. Each participant will purchase a rectal balloon set to practice inflation/deflation in order to be ready for use in clinic.

Prerequisites
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required.

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

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