now called Academy of Pelvic Health Physical Therapy

Gynecologic Visceral Manipulation (GVM)

Course Description
gailwdoubleThis unique 4-day course is designed to educate participants on the anatomy, mobility, and motility of the pelvic viscera. Specific focus will include the bladder, rectum, uterus, ovaries, and an introduction to the kidneys. Video and patient demonstration will focus on examination and intervention strategies. Internal pelvic techniques will be presented from Jean Pierre Barral’s advanced pelvic class that, to date, has only been taught in France. Wetzler has obtained special permission from Barral to teach this material for the Section on Women’s Health. You will also learn how the internal techniques can enhance your intervention outcomes for bladder, uteral, rectal, and pelvic floor dysfunctions.

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“Gail is a gifted clinician and I am so grateful she is sharing her knowledge. I appreciate her effort to offer this material in the US without the prerequisite requirements. It was a monumental task to create this course and be able to differentiate the many levels of visceral exposure among the participants attending this course.” 

“Absolutely phenomenal instructor”

“Gail’s knowledge and skills were outstanding and very inspiring.”

“Gail was amazing! She took time with each and every one of us to go over techniques and make sure we had a solid understanding of the material.”

“This course has inspired me to attend further classes to broaden my knowledge of treatments for incontinence, pelvic pain and other women’s health related topics”

Pre-Requisites & Requirements

Open to: Licensed Physical Therapists, Physical Therapist Assistants.

Pre-requisites: Fundamental Topics of Pregnancy and Postpartum (OBF) course is highly recommended

Attendance: Participants are expected to stay through the entire course; please make your travel plans accordingly. Deduction of contact hours hours and ineligibility to participate in the CAPP process (for those attending CAPP courses) will occur for participants who leave the course early.

Lab Participation & Consent: Participants will be working in groups of 2 during labs. This course includes extensive labs with intra-vaginal & intra-rectal assessment & examination. The Internal Consent & Release Form.pdf must be filled out and turned in to the instructor on Day 1 of the course (this form is provided on-site). If the course participant does not turn in the completed form on Day 1, he/she will not be permitted to take the course. All participants must participate in labs as both “therapist” & “patient.” Participants who cannot participate as lab subjects are required to provide their own lab partners. Failure to participate as a lab subject, or to provide required lab partner if needed, will result in forfeiture of course completion and registration costs. If you are not sure whether you need a medical model or if you are unfamiliar with the process of obtaining a medical model, please read: Medical Models for Internal Pelvic Assessment.pdf. Participants that MUST provide their own lab partners include (but are not limited to):

  • ALL Male participants
  • Pregnant women (except with written physician permission for FULL participation)
  • Active vaginal infections
  • Active STD or herpes lesions
  • Active bladder or rectal infections
  • Severe pelvic/vaginal/rectal pain that inhibits examination
  • Lack of prior vaginal exam by a physician
  • Active OB/GYN cancer

Pre-Reading AssignmentsPre-readings are articles and cases that must be read and reviewed prior to Day 1 of the course. Pre-readings will be provided electronically to course participants prior to the course (Manual  D2-4).

Recommended resource text: The Labor Progress Handbook by Penny Simkin, Preparing for a Gentle Birth: The Pelvis in Pregnancy by Blandine Calais-Germain;

English Language Proficiency: If you are a foreign-educated physical therapist/assistant, you will need to pass the TOEFL(Test of English as a Foreign Language) and meet the score requirements. There are some exemptions to the TOEFL requirement for individuals who are exempt under the USCIS regulations. TOEFL scores must be reported directly to SoWH for the purposes of determining eligibility for course attendance. The minimum TOEFL scores we require are the following: Reading: 21; Listening: 18; Writing: 24; Speaking: 26.


Course Schedule & Contact Hours

Day 1 Thursday: 7:30 am – 5:30 pm *Registration begins at 7:30 am. Course starts at 8:00 AM.
Day 2 Friday: 8:00 am – 5:30 pm
Day 3 Saturday: 8:00 am – 5:30 pm
Day 4 Sunday: 8:00 am – 3:30 pm
Total Contact Hours: 30.0

Course Objectives

1) To evaluate Anatomy/Physiology of the pelvic cavity organs through mobility and motility assessments.
2) To explain and implement V.M. techniques for chronic pelvic pain, urogenital dysfunction, incontinence, pelvic floor dysfunctions, infertility, pre-menstrual and post-menopausal symptoms, dysparunia, dysmenorrhea and articular mobility dysfunction.
3) Understand pelvic visceral relationship to the lumbar spine, pelvis, and lower extremities.
4) To recognize the relationship of visceral restrictions to load transfer.
5) Apply techniques of V.M. on Diastasis Recti and abdominal wall rehabilitation.
6) To design a home program relating organs to breathing/relaxation techniques, exercise programs, M/S re-education and conditioning.

Dates & Locations

Dates & Locations will be posted below as they become available.

Course Discounts: View All Current Deals here

General: Frequently Asked Questions

Gynecologic Visceral Manipulation (GVM)

DatesLocationEarly-Bird Rate Ends:Regular Rate Beings:Registration
2020TBA1 month before course
Member: $950
Non-M: $1,050
1 month before course
Member: $1,025
Non-M: $1,125
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