Pelvic Floor Function, Dysfunction and Treatment (PF 3)
Advanced Pelvic Floor Function, Dysfunction and Treatment
Level: Advanced
Prerequisite: Pelvic Floor Level 1 with instruction in internal vaginal pelvic floor muscle examination. Pelvic Floor Level 2 with instruction in internal rectal pelvic floor muscle examination.
Suggested Pre-reading: Many participants find it helpful to review the anatomy of the pelvis and perineum. We suggest, http://www.meddean.luc.edu/lumen/meded/grossanatomy/dissector/mml/.
We also suggest, The Truth About Hormone Replacement Therapy, which you can purchase through our website. Go to "Store" and then "Books".
Audience: Seminar content is targeted to physical therapists.
Cost: $675
Contact hours: 22.5
CEUs vary by state
Course Overview
This three day advanced seminar is designed to refine the clinicians’ ability to evaluate and treat pelvic floor dysfunctions by integrating ideas from many of the existing models of pelvic floor rehabilitation into comprehensive and cohesive programs. The participant will learn more specific examination and treatment interventions for female and male pelvic floor conditions. Current medical evaluation, management, evidence-based references and case studies will be presented.
Topics include in-depth information regarding hormones and their effect on the female body through the life cycle, specific pelvic floor concerns for the different phases of the female life cycle, female sexual dysfunction, specific surgical procedures for urinary and fecal incontinence, vestibulectomy, hymenectomy, hemorrhoidectomy, anal sphincter repair and TVT post-surgical protocol ideas. The labs are directed toward refining and adding new evaluation and treatment techniques for the pelvis and pelvic floor muscles. An integration of core stabilization, joint stabilization, treatment for short pelvic floor syndromes and treatments for high and low tone pelvic floor muscles.
Participants are encouraged to submit a case study (case study guidelines) on a complex patient with specific questions for the class to discuss and generate ideas collectively. PF 3 case studies partially meet the BCIA criteria for certification.
Objectives
Upon completion of this seminar, participants will be able to:
- Demonstrate a complete pelvic floor muscle examination with external and internal identification of structures, muscles and bony landmarks.
- Discuss three different female sexual dysfunctions and the physical therapy evaluation and treatment protocols appropriate for each dysfunction.
- Describe the different types and forms for application of estrogen, progesterone and testosterone for the common complaints of: vaginal dryness, atrophy of the genitalia, diminished libido, pain dysfunctions of vulvodynia, dyspareunia, urinary and fecal incontinence and post hysterectomy/oopherectomy osteoporosis.
- Demonstrate two manual techniques to treat the ”short” pelvic floor.
- Demonstrate three therapeutic exercises to correct for pelvic girdle instability and pelvic floor muscle hypertonus.
- Describe three vulvar irritants and three common pelvic floor infections.
- Describe the surgical procedures for hymenectomy, vestibulectomy, TVT, vulvar adenitis, hemorrhoids, anal sphincter repair and two possible physical therapy post surgical treatment techniques.
Special Considerations
As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Male course attendees may participate fully in the entire course if they bring their own lab model for examination. Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination. If the attendee insists on lab participation, then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice.
Audience
Course content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated; except as they are involved in a specific plan of care.
Hours
Day 1: 8:00 am - 5:00 pm
Day 2: 8:00 am - 5:00 pm
Day 3: 8:00 am - 4:00 pm
All participants are expected to stay through the entire course to receive their CEUs.
Certificates
All participants completing the seminar will receive a certificate of attendance with continuing education contact hours and a checklist of skills learned for examination and treatment in the seminar labs. Participants electing to take a post test multiple choice examination (70% passing required) will also receive a didactic learning certificate.
Certification in Pelvic Muscle Dysfunction BCIA - PMDB
The Biofeedback Certification Institute of America (BCIA) offers a certification in Pelvic Muscle Dysfunction Biofeedback (PMDB) for bowel, bladder, and pelvic pain. For information on complete certification requirements and an application for certification please go to http://www.bcia.org and see certification information. The Pelvic Floor Function, Dysfunction and Treatment curriculum seminars (levels PF 1, PF 2A and PF 2B) provide over 60 hours of pelvic floor continuing education. The topics covered in level PF 3 partially meet the BCIA didactic criteria (24 hours education and 4 hours of practicum) for BCIA-PMDB Certification. BCIA approval and accreditation for this series is pending at time of brochure printing. Certification is not required for clinical practice.
To Register, please select the link for the specific course date and location below.
Unless otherwise noted, all course dates listed below are open and still have space for more registrants. Once a course becomes full, it will be noted on the course event page.
Scheduled Course Dates & Locations
| 11/5/2010 |
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| 11/7/2010 | Maywood |
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| IL | Abbate/Herman |
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| 4/29/2011 |
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| 5/1/2011 | St. Louis |
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| MO | Herman |
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| 6/24/2011 |
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| 6/26/2011 | Durham |
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| NC | Abbate/Herman |
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| 9/23/2011 |
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| 9/25/2011 | Minneapolis |
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| MN | Abbate/Herman |
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