Treatment of the pediatric pelvic floor: birth to eighteen

July 13 – 14, 2019

This two day course will cover pelvic floor issues for the child from birth through adolescence.  Normal development of the bowel and bladder will be discussed as well as neurological control of bowel and bladder.  Participants will also learn the typical physiotherapy treatment techniques for pediatric pelvic floor patients.  Basic principles of biofeedback will be discussed as well as the applications of biofeedback for treating the pediatric population.  Labs will consist of biofeedback training and developmental treatment of the pediatric population.

Course Objectives

  1. Participants will be able to describe the typical development of the infant bladder
  2. Participants will be able to identify several toilet training strategies for children with developmental disabilities
  3. Participants will be able to describe the different types of adolescent pelvic pain
  4. Participants will be able to assemble a physical therapy treatment plan for a typically developing or neurologically involved child for bowel or bladder issues
  5. Participants will be able to assess the proper way to interview both typically developing and neurologically involved children


Texas Children's Hospital
Meyer Building
1919 S. Braeswood, 1st floor conference center
Houston, TX 77030

Cost -  


Earned credits -  

16 contact hours or CCU’s through TPTA

Registration - Register online


Dr. Carina Siracusa graduated from physical therapy school at Ohio University in 2005 with her Doctorate in Physical Therapy.  She went on to work as a pediatric physical therapist at Genesis Outpatient Rehabilitation in Zanesville, Ohio where she treated a variety of congenital and acquired conditions in children from ages birth to 18.  Her primary caseload at this time consisted of mostly neurologic conditions.  In 2009 she received her Certificate of Achievement of Pelvic Physical Therapy and her Certificate of Achievement in Obstetric Physical Therapy from the American Physical Therapy Association Section on Women’s Health.  In 2010 she began teaching the CAPP Pelvic courses for the Section on Women’s Health around the United States.  In 2012 she became the committee chair for the CAPP Pelvic Committee and helped to re-write all three levels of the Certification courses.  In 2014 she began working for OhioHealth in Columbus Ohio as one of the primary therapists in the neuroincontinence program as well as the wheelchair clinic supervisor.

In 2015, Carina authored and began teaching the course “Bowel and Bladder Treatment of the Pediatric Client: Birth to 18”.  She has taught this course both nationally and internationally.  She has also authored and taught the course” Bowel and Bladder Treatment of the Client with Neurologic Dysfunction.

She has presented at multiple national and international conferences on the topic of bowel and bladder treatment including the International Continence Society, The International Urogynecologic Association meeting, the World Confederation of Physical Therapy and the International Seating Symposium.  She continues to promote the need for pelvic floor treatment for clients with neurologic dysfunction throughout the world.



  • 7:30-8:00 Introductions
  • 8:00-8:45 A1 Normal Pediatric Neurologic Development
  • 8:45-9:15 A2 Anatomy and Physiology of Bowel and Bladder
  • 9:15-10:00 A3 Normal Bladder Function
  • 10:00-10:15 BREAK
  • 10:15-11:00 A4 Toilet Training
  • 11-11:30: ICS Terminology
  • 11:30-12:00 Urodynamics
  • 12-1 LUNCH
  • 1-1:45 Urinary Incontinence
  • 1:45-2:45 Bowel Dysfunction
  • 2:45-3:00 BREAK
  • 3:00-4:00 Biofeedback
  • 4:00-4:45 Voiding dysfunctions
  • 4:45-5:30 Surgical Procedures

Day 2

  • 7:00-8:00 Medical Management of the child with bowel and bladder dysfunction
  • 8:00-9:00 Physical Therapy Management
  • 9:00-9:45 Exercise for the Pelvic Floor
  • 9:45-10:00 BREAK
  • 10:00-10:30 Adolescent female pelvic pain
  • 10:30-11:15 adolescent incontinence
  • 11:15-12:00 group activity
  • 12:00-1:00 LUNCH
  • 1:00-2:15 Adolescent male pelvic pain
  • 2:15 – 2:30 BREAK
  • 2:30-3:30 Family Dynamics lecture- treating the entire family instead of just treating the child
  • 3:30-4:30 Evaluation and forms


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

Hotel Registration link