This case-based course provides physical therapists (PTs) and physical therapist assistants (PTAs) with comprehensive practical knowledge and skill in the evaluation and treatment of musculoskeletal dysfunction in the pregnant patient. Cases covering low back and pelvic girdle pain, coccydynia, pubic symphysis separation, and transient osteoporosis in pregnancy will provide the clinician with extensive skill and knowledge for clinical decision making for this unique population. The course will also provide background in maternal physiology and anatomic changes of pregnancy and the postpartum period as well as the etiology and the pathophysiology of high-risk pregnancy and birth, diastasis recti abdominis, and perinatal pelvic floor dysfunction.
Cases will include evidence for and psychomotor competency in manual therapy options for this population, exercise interventions, belts, supports and orthoses for this population, as well as discussion on indications and contraindications for physical agent usage during the childbearing year. Outcome measures will be discussed as they apply to the cases.
At the end of this course the participants will be able to:
– Explain the normal process of labor and delivery.
– Describe the normal musculoskeletal and physiologic changes of pregnancy.
– Describe body mechanic techniques and dysfunctions specific positioning options for the pregnant client.
– Apply to patient care the pathophysiology of various obstetric musculoskeletal disorders commonly seen in this population.
– Practice and apply treatment interventions to the pregnant and postpartum client for these musculoskeletal dysfunctions.
– Develop appropriate home programs for clients with such musculoskeletal dysfunction.
– Utilize commonly known and evidence-based outcome measures for this population.
– Utilize current evidence for the interventions the participants discuss and practice