This course is the second in a series of three courses designed to give the practicing clinician a comprehensive knowledge base in pelvic physical therapy treatment. Course content is evidence based, and will promote the use of the most reliable tests and validated outcomes measures. This 2-day case-based course will advance the skill and knowledge of physical therapists trained in the examination and treatment of pelvic pain and defecatory disorders. Instruction in pelvic floor muscle function, anatomy, physiology and pelvic floor muscle dysfunction will provide the clinician with skills for immediate clinical application and build the base for future courses. Instruction in vaginal and rectal examination/intervention of the pelvic floor is a key component of this course along with the abdominal region. Participants will perform and experience intra-vaginal and rectal exams and interventions appropriate for pelvic pain and defecatory disorders, EMG biofeedback, and electrical stimulation.
At the end of this course the participants will be able to:
1. Apply knowledge of normal anatomy and function of the abdomen and pelvic floor to an examination scheme for pelvic pain and defecatory disorders.
2. Apply knowledge of the physiology of defecation and the pathophysiology of defecatory disorders to an examination scheme.
3. Apply knowledge of the pathophysiology of pelvic pain to an examination and intervention scheme.
4. Diagnose impairments of the pelvic floor and surrounding structures and their impact on intervention and function
5. 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)
6. Determine when referral to another health care provider is warranted based on the history and physical examination of a patient with pelvic pain and defecatory disorders.
7. Develop differential diagnoses and prognosis for recovery of neuro-musculoskeletal impairments and functional losses associated with pelvic pain and defecatory disorders
8. Physical Therapists will differentiate between different potential mechanisms of pelvic pain
9. Collaborate with clients to determine rehabilitation and health and wellness goals related to their dysfunction.
10. Collaborate with clients to determine an evidenced-based plan of care, taking into consideration the client’s goals and the PT’s examination findings
11. Consider how medical management of pelvic pain and defectory disorders may impact rehabilitation interventions
12. Implement interventions such as PFM down-training and coordination, bowel training, sEMG and pressure biofeedback, electrical stimulation and manual therapy for rehabilitation of pelvic floor and abdominal muscle/soft tissue impairments
13. Utilize best risk management and infection control strategies in management of pelvic floor dysfunction
14. Identify validated dysfunction-specific outcome measures for each of the dysfunctions covered in the course, where available
15. Identify more global and general rehabilitation/prevention outcome measures for the dysfunctions covered when specific outcome measures are lacking
16. Be familiar with best documentation practices related to management of pelvic floor dysfunction
The information presented in this course is clinically relevant for Physical Therapist (PT) practitioners.
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. See Brooks IHL Course Policies and Procedures for details at Brooksihl.org. 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!
This course has been approved for 18.5 contact hours by the following boards:
Florida Physical Therapy Association
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.