Pelvic Floor Level 1: An Introduction to Female Pelvic Floor Function, Dysfunction and Treatment

May 31 – June 2, 2019

This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

Assignments:

In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and 

recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

  1. Bladder Diary (Print two copies)
  2. Bladder Diary Assignment Instructions
  3. Patient History Form
  4. Biofeedback Video - Please download and listen to the presentation

Required Readings:

  1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
  2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
  3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
  4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
  5. IUGA/ICS report on female pelvic floor terminology
  6. Many participants find it helpful to review the anatomy of the pelvis and perineum
  7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

Course Objectives

At the end of this course, participants will be able to: 

  1. Identify the muscle layers and specific muscles of the pelvic floor
  2. List the pelvic floor muscle functions
  3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
  4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
  5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
  6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
  7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
  8. List two diagnoses that would benefit from applications of electrotherapy
  9. Describe the applications of SEMG biofeedback for the pelvic floor
  10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

Location

Texas Children's Hospital
Feigin Center
1102 Bates, 1st floor conference room
Houston, TX 77030


Cost -  

$695.00

Earned credits -  

22.75 contact hours or CCU’s through TPTA

Registration - Register online

Instructor

Tina Allen, PT, BCB-PMD has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.

Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.

Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.


Itinerary 

Day One

  • 7:30 Registration
  • 8:00 Introductions, Goals, Objectives
  • 8:30 Female Pelvic Floor (PF) Anatomy and Function
  • 9:30 Break
  • 9:45 Pelvic Floor Evaluation
  • 11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
  • 12:15 Lunch
  • 1:15 Pelvic Floor Evaluation (Continued)
  • 2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
  • 3:15 Break
  • 3:30 Functional Screening for Pelvic Rehab: ASLR, SLS, Diastasis Recti Abdominis
  • 4:15 Lab 3: SLS, ASLR, Diastasis Assessment
  • 5:15 Adjourn

Day Two

  • 8:00 Questions from Day 1, Post-test Day 1
  • 8:15 Intro to Pelvic Dysfunctions, Urinary Incontinence 
  • 9:30 Behavioral Interventions for Urinary Dysfunction 
  • 10:00 Break
  • 10:15 Lab 4: Bladder Diary Activity
  • 10:45 Lab 5: sEMG Biofeedback & Electrical Stimulation Application*
  • 12:30 Lunch
  • 1:30 Pelvic Organ Prolapse
  • 2:45 Break
  • 3:00 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation*
  • 4:15 Introduction to Female Pelvic Pain
  • 5:15 Adjourn

Day Three

  • 7:45 Questions, Post-test Day 2
  • 8:15 Sexuality & Trauma Issues in Female Pelvic Pain
  • 10:15 Break
  • 10:30 Specific Diagnoses in Female Pelvic Pain
  • 11:30 Therapeutic Exercise in Female Pelvic Floor Dysfunction
  • 12:30 Lunch
  • 1:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment*
  • 2:30 Break
  • 2:45 Case Studies
  • 3:30 Resources, Billing, Marketing
  • 4:00 Questions, Post-test Day 3
  • 4:15 Adjourn

Hotel 

Wyndham Medical Center
6800 Main
Houston, Texas 77030
Nightly rate: $115.00 (price varies based on room availability)

Hotel Registration link