Course Description:
This 2 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. Evaluation and treatment of pelvic dysfunction in special patient populations, including male patients, pediatrics, and the neurologically impaired will be a focus of the course. An exploration of the pathophysiology and physical therapy evaluation and treatment of endometriosis, interstitial cystitis, and male urinary incontinence and pelvic pain will compliment psychomotor training 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 presentation, participants will be able to:

  • Describe pathophysiology of endometriosis, interstitial cystitis, male pelvic pain and post prostatectomy, and neurogenic bladder.
  • Apply knowledge of the physiology of defecation and the pathophysiology of defecatory disorders to an examination scheme in specialized population.
  • Apply knowledge of the pathophysiology of chronic pelvic pain to an examination and intervention scheme in both male and females.
  • Describe specific dysfunctions of the genitourinary and gastrointestinal systems throughout the lifecycle; including male, pediatric and geriatric populations.
  • Diagnose impairments of the pelvic floor and surrounding structures and their impact on intervention and function
  • 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)
  • 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 in specialized populations.
  • 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.
  • Physical Therapists will differentiate between different potential mechanisms of pelvic pain.
  • Collaborate with clients to determine rehabilitation and health and wellness goals related to their dysfunction.
  • Collaborate with clients to determine an evidenced-based plan of care, taking into consideration the client’s goals and the PT’s examination findings.
  • Consider how medical management of pelvic pain, urinary and defectory disorders may impact rehabilitation interventions in specialized populations.
  • Implementation and discussion of 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
  • Utilize best risk management and infection control strategies in management of pelvic floor dysfunction
  • Identify validated dysfunction-specific outcome measures for each of the dysfunctions covered in the course, where available
  • Identify more global and general rehabilitation/prevention outcome measures for the dysfunctions covered when specific outcome measures are lacking
  • Be familiar with best documentation practices related to management of pelvic floor dysfunction

Brooks Pelvic Physical Therapy Certificate of Achievement:
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 clinical skills testing
will result in a Certificate of Completion of Pelvic PT3. Successful completion of Pelvic PT1, Pelvic PT2 and Pelvic PT3, along with
the passing of post-test for each course, will result in a Brooks Certificate of Advanced Clinical Achievement in Abdominopelvic
Physical Therapy (CACA-Abdominopelvic PT).

Prerequisites:
Attendees must send in a copy of a Certificate of Completion from an approved Level I 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.

Contact Hours:
This course has been approved for 18 hours (1.8 CEUs) by the following boards:
• Florida Physical Therapy Association for PT and PTA

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.

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. 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

Course Tests:
All participants must take the Post course online test. Physical Therapist participants must also 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 email within a week following the course.

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. Pregnant participants must bring a signed permission note from her physician to participate. This course DOES include internal intra-vaginal 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), psychomotor skills test, online post course test and lab participation.

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.