LEVEL 1 Pelvic Health: Bladder Control & Pelvic Floor Examination

Live course dates:  September 14-15, 2019, Bonita Springs, Florida

DEADLINE TO REGISTER IS THE FRIDAY BEFORE 2 WEEKS BEFORE LIVE COURSE DATE

THIS COURSE IS LIMITED TO 20 PARTICIPANTS

DEADLINE TO REGISTER FOR September 14-15, 2019  COURSE IS August 31, 2019

This Pelvic Health Level 1 course provides PTs and PTAs with the exceptional opportunity to learn internal and external vaginal and rectal examination and treatment techniques of the pelvis and pelvic floor by examining live female and male “simulated” patients/models. Independent study, online course modules, and an interactive live webinar prior to attending the live course will prepare the participant for an intensive live interactive instructional experience. Instruction in pelvic floor muscle function, pelvic floor muscle dysfunction, and pelvic floor disorders will provide the clinician with skills for immediate clinical application and build the base for future courses. Clinicians will develop practical knowledge and skill in the treatment of bladder control problems, female pelvic organ prolapse, and male prostate-related bladder control problems. Intervention skills will include scientifically dosed therapeutic exercise for pelvic floor muscle training, behavioral interventions, sEMG perineal biofeedback, pressure biofeedback, neuromuscular electrical stimulation, and manual therapy.

Course Objectives: Upon completion of this course:

Examination/ Evaluation

  1. All participants will describe and identify normal and abnormal anatomy and function of the pelvic floor.
  2. PTs and OTs will perform examination and evaluation of the pelvic floor vaginally in females and rectally in males and females.

Diagnosis/Prognosis

  1. PTs and OTs will differentiate between musculoskeletal and medical diagnoses based on the subjective and objective evaluation of a patient with bladder control problems and/or POP.
  2. All participants will develop rehabilitation goals for musculoskeletal impairments in patients with bladder control problems and/or POP based on the patient interview and the physical therapist’s examination of the patient.
  3. PTs and OTs will perform differential diagnosis of musculoskeletal impairments associated with bladder control problems and/or POP.
  4. PTs and OTs will differentiate signs and symptoms of different types of bladder control problems including stress, urge, and mixed UI. Incomplete emptying, urgency and frequency, and nocturia.

Intervention

  1. All participants will develop skills and perform techniques for rehabilitation treatment of pelvic floor muscle impairments including for bladder control problems and POP
  2. All participants will identify risk management and infection control issues related to pelvic floor physical therapy
  3. All participants will describe optimal documentation and billing and coding for providing physical therapy treatment for bladder control problems and/or POP.

Prerequisite: Participants must take and pass the quizzes for the free online Pelvic Health Functional Anatomy Course

Curriculum /Agenda

Pelvic Health Level 1: Bladder Control and Pelvic Floor Examination

Total 24 hours

Independent Study Online Modules                                                     TIME

Module 1                                                                                                       3.0 hours

  1. Overview of Physical Therapy for Pelvic Floor Dysfunction            30 min
  2. Pelvic floor muscle (PFM) and Exercise Science                                90 min
  3. Pelvic Floor Training and Treatment video                                         45 min
  4. Pelvic Level 1 Test Module 1                                                                    15 min

Module 2                                                                                                     4.0  hours

  1. Female and Male Pelvic Floor Dysfunctions                                          60 min
  2. Bladder function evaluation .                                                                    60 min
  3. Bladder training, PFMT, and behavioral treatments                           60 min
  4. Neuromuscular Reeducation and Electrical Stimulation                    45 min
  5. Testing Module 2                                                                                        15 min

Module 3                                                                                                      3.5 hours

  1. sEMG Perineal Biofeedback                                                                      45 min
  2. Urodynamics and Bladder Function Testing                                       90  min
  3. Pelvic organ prolapse (POP)                                                                   60 min
  4. Testing Module 3                                                                                          15 min

Module 4    LIVE COURSE                                                                    10.0 hours

  1. Measurement of Pelvic Floor Muscle Function                                       60 min
  2. Pelvic floor examination and evaluation                                                   90 min
  3. Female vaginal PFM exam, male & female anorectal PFM exam lab    240 min
  4. Psychomotor testing
  5. Electrical stimulation for LUTS and PFM disorders lab                       45 min
  6. sEMG perineal biofeedback for PFM disorders lab                                60 min
  7. Physical therapy treatment of PFM disorders lab                                 45 min
  8. Clinical reasoning and case studies                                                             45 min
  9. Testing Module 4                                                                                              15 min

Module 5                                                                                                                   2.5 hours             

  1. Documentation and billing and coding                                                            45 min
  2. Starting a Pelvic Health &  Wellness Program                                                45 min
  3. Urogynecologic Surgeries                                                                                    30 min
  4. Urologic Medications                                                                                           30 min
  5. Testing Module 5                                                                                                    15 min

Saturday               Live Course Timed Agenda                                                                               

  1. Female vaginal PFM exam, male & female anorectal PFM exam and lab   12:00pm – 4:00pm
    • Live male and female simulated patients are provided for participants to learn internal vaginal and rectal examination skills
  2. Psychomotor testing for examination and  treatment of PFM disorders lab 3:00 – 4:00 pm      
    • Participants will demonstrate examination skills for testing
  3. Physical therapy treatment of PFM disorders and lab 4:00 – 5:00 pm
    • Participants will practice exercises for pelvic floor rehabilitation and pelvic floor muscle training
  4. Documentation, Billing, and Coding for Pelvic Health & Wellness 5:00 – 5:45
  5. Review of the day 5:45 – 6:00 pm

End Of Day 1, 6:00 pm

Sunday                Live Course Timed Agenda                                                                               

  1. sEMG perineal biofeedback for PFM disorders and lab 8:00 – 10:00 am
    • Participants will practice sEMG perineal biofeedback selecting and programming computer system, inserting and applying electrodes for biofeedback and may experience biofeedback

Break                                                                               10:00 – 10:15 am 

  1. Electrical stimulation for LUTS and PFM disorders and lab        10:15  – 11:00
    • Participants will practice programming electric stimulation units, inserting and applying electrodes for stimulation, and may experience electrical stimulation
  2. Clinical reasoning and case studies for bladder control, POP, and prostate related bladder control problems 11:00 – 12:00 pm
  3. Course Review and Q and A 12:00 -12:30 pm

End of Course,  12:30 pm


Related Courses

Speakers
  • Dr. Cindy Neville
    National Director of Pelvic Health & Wellness at FYZICAL Therapy and Balance Centers.
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