Instructor:
Stephanie Bush, PT, DPT, WCS, MEd

Course Location:
Brooks Rehabilitation Hospital – University Campus
3599 University Blvd S. Jacksonville, Florida 32216

BROOKS PELVIC PHYSICAL THERAPY CERTIFICATE OF ACHEIVEMENT
This course is the third of three courses, Pelvic PT1, Pelvic PT2, and Pelvic PT3, designed to give the practicing clinician a comprehensive knowledge base in pelvic physical therapy evaluation and treatment. Successful completion of testing will result in a Certificate of Completion of Pelvic PT3. Successful completion of Pelvic PT1, Pelvic PT2, and Pelvic PT3 will result in a Brooks Pelvic Physical Therapy Certificate of Achievement.

PREREQUISITES:
Attendees must send in a copy of a Certificate of Completion from an approved Level1 and Level II Pelvic Physical Therapy course of at least 1.6 CEUs. Participants must have been instructed in and performed rectal and vaginal examinations.

COURSE DESCRIPTION:
This two-day course is the third and final in a series of competency based courses designed to give the practicing clinician comprehensive skill and knowledge in pelvic physical therapy. Required home study prior to attending the course will prepare the participant for an intensive live interactive instructional experience. Evaluation and treatment of pelvic dysfunction in several patient populations, including male patients, pediatrics, geriatrics, and patients with neurologic impairment will be a focus of the course. An exploration of the pathophysiology and physical therapy evaluation and treatment of endometriosis, male pelvic pain, fecal incontinence, and irritable bowel syndrome will compliment psychomotor lab training with a focus on manual therapy, pain science and interventions appropriate to the specialized populations. Case presentations and lab work will prepare the clinician for immediate clinical application of skills and knowledge upon return to the clinical setting. Course content is evidence based, and will promote the use of the most reliable tests, measures, and interventions.

COURSE OBJECTIVES:
At the end of this course, participants will be able to:
1. Describe pathophysiology of endometriosis, neurogenic bladder, male pelvic pain and post prostatectomy, irritable bowel syndrome and inflammatory bowel disease.
2. Apply knowledge of the physiology of defecation and the pathophysiology of defecatory disorders to an examination scheme in specialized population.
3. Apply knowledge of the pathophysiology of pelvic pain to an examination and intervention scheme in both male and females.
4. Describe specific dysfunctions of the genitourinary and gastrointestinal systems throughout the lifecycle; including male, pediatric and geriatric populations.
5. Diagnose impairments of the pelvic floor and surrounding structures and their impact on intervention and function
6. Perform an external and internal examination and evaluation of the structures impacted by an underactive pelvic floor (rectal) and over-active pelvic floor (vaginal and rectal) (note: PTA’s will not be expected to examine and evaluate internally)
7. Determine when referral to another health care provider is warranted based on the history and physical examination of a patient with pelvic pain, urinary and defecatory disorders.
8. Develop differential diagnoses and prognosis for recovery of neuro-musculoskeletal impairments and functional losses associated with pelvic pain, urinary and defecatory disorders in specialized populations.
9. Physical Therapists will differentiate between different potential mechanisms of pelvic pain
10. Collaborate with clients to determine rehabilitation and health and wellness goals related to their dysfunction.
11. Collaborate with clients to determine an evidenced-based plan of care, taking into consideration the client’s goals and the PT’s examination findings
12. Consider how medical management of pelvic pain, urinary and defectory disorders may impact rehabilitation interventions in specialized populations.
13. Implement interventions such as PFM down-training and coordination, bowel training, sEMG and pressure biofeedback, electrical stimulation visceral mobilization and manual therapy for rehabilitation of pelvic floor and abdominal muscle/soft tissue impairments
14. Utilize best risk management and infection control strategies in management of pelvic floor dysfunction
15. Identify validated dysfunction-specific outcome measures for each of the dysfunctions covered in the course, where available
16. Identify more global and general rehabilitation/prevention outcome measures for the dysfunctions covered when specific outcome measures are lacking
17. Be familiar with best documentation practices related to management of pelvic floor dysfunction

 

INTENDED AUDIENCE:
Physical Therapists and physical therapist assistants (PTAs) who are accompanied by a physical therapist colleague may attend this course. Instruction in examination techniques and treatment skills is a key component of this course. PTAs may observe the examination and manual therapy labs and/or participate as a simulated patient. Physical therapist participants will be tested before, throughout, and after the course to demonstrate learning and competency, and to obtain a course certificate if desired.

Disclaimer: Registrations from individuals with clinical designations not listed in the intended audience for this course may be subject to removal from the course roster without a full refund. If you are unsure or have questions related to the intended audience, please email CEU@brooksihl.org and we will be happy to help clarify!

Contact Hours:
This course is approved for 16 contact hours.

Continuing Education credit for each participant who meets the satisfactory course completion requirements (licensed in FL) will be automatically uploaded to CE Broker, which means the Florida Boards will have record of your attendance, even if you do not have your own personal CE Broker account. Course certificates will be provided at the completion of the course for those that meet the course completion requirements. Certificates will be mailed for courses that include a post-course test.

TESTING, ATTENDANCE, AND PARTICIPATION

  • Course Tests: Physical Therapist participants must pass psychomotor skills testing. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Participants who do not pass testing but attend the entire course will be granted a Certificate of Attendance.
    -Psychomotor Skills Testing: Physical Therapists participants are expected to participate in all psychomotor skills testing during the course. Participant who do not pass the pre course test, psychomotor skills test, and the post course test but attend the entire course will be granted a Certificate of Attendance. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Physical Therapist Assistant participants may not participate in psychomotor skills testing except as a simulated patient for a physical therapist participant who is testing
    -Post course Online Testing: Participants are expected to complete the required post course online testing no later than 2 weeks after the end of the live course. The test will be available to all participants via Brooks University.
  • Biofeedback sensors: Participants will be issued a vaginal or rectal sensor for personal use for the sEMG and electrical stimulation labs. The cost of the sensor is included in the cost of the course.
  • Lab Participation: Participants must be prepared to fully engage in the interactive labs in this course including vaginal examination and treatment techniques. Participants must come prepared to participate as both clinician and patient. Participants, who cannot, for any reason, participate as simulated patients in lab must provide their own surrogates. Male participants must provide a surrogate for vaginal examination and treatment. Please contact Brooks to inquire about hiring a simulated patient to act as a surrogate. Pregnant participants must bring a signed permission note from her physician to participate. This course DOES include internal intra-vaginal and intra-rectal pelvic floor lab work.
  • Attendance: Participants are expected to stay through the entire course in order to receive the most benefit from the course, and to earn all of the CEUs for the course. Anyone needing to miss more than one hour will have the number of CEUs altered on his or her Certificate, and may be required to purchase additional instruction and complete course work in order to obtain a Certificate of Completion (at the instructor’s discretion).

Enrollment:
If you are a Brooks Clinician and want to pay by cost center, please fill out this registration form and return the check and form to the Brooks IHL.

Satisfactory Course Completion:
Full course attendance (including signing the attendance sheet each day), performance demonstrations and question and answer session.

Course Evaluation/Survey:
Within 48 hours of course completion, you will receive a post course survey. The IHL values your feedback and we thank you in advance for taking the survey.