This course is presented in a 2-day (HYBRIB course: online modules to be completed prior to live course). This evidence-based course will provide clinically relevant information and training for the evaluation and intervention of male urinary incontinence and pelvic pain, life span specific considerations, including pediatrics, and individuals with neurological involvement. Labs offer skills that are immediately applicable in your clinic and include rectal balloon training, a focus on EMG relaxation training and integration of complete vaginal and rectal examination learned in previous coursework. Lecture will include pathophysiology, physical therapy evaluation and intervention of pelvic floor dysfunction (PFD) in male patients, pediatric and geriatric populations, and neurologic patients. Changes in the pelvic organs throughout the Life cycle and interdisciplinary treatment of pelvic dysfunction will be reviewed. Clinical decision-making and an integration of skills acquired at all CAPP Pelvic courses will be included. The Pelvic Health Physical Therapy Level 3 course is recognized by The International Continence Society (ICS) as providing training that conforms to ICS standards.
Online Portion: On Own (7 hours, 30 min)
Day 1: 7:30 am – 5:30 pm (8 hours, 15 min)
Day 2: 7:30 am – 4:00 pm (7 hours, 15 min)
Total: 23 Contact Hours
Open to: Licensed Physical Therapists, Physical Therapist Assistants.
Pre-requisites: Successful completion of Pelvic Level Physical Therapy Level 1 and the two Level 2 courses: Pelvic Health Physical Therapy Level 2 Bowel Dysfunction AND the Pelvic Health Physical Therapy Level 2 Pelvic Pain are required prerequisites for this course. Experience of 1 year or more in regularly managing patients with pelvic physical therapy, or working in a clinic with other experienced pelvic physical therapists, is strongly recommended prior to attending this course; lack of experience may greatly inhibit participant comprehension and attainment of skills during the course.
Upon completion of this course, participants will be able to perform the following:
1. Describe the anatomic, physiologic and neurological components of pelvic floor dysfunction diagnoses, including male, pediatric, geriatric, and neurologic populations.
2. Differentiate between male and female urogenital anatomy and the effect on pelvic floor muscle examination and intervention.
3. Identify the causes of pediatric and neurological pelvic floor dysfunction diagnoses.
4. Perform an appropriate evaluation of a male, pediatric, geriatric, and neurologically involved patient with pelvic floor dysfunction using objective measurement skills.
5. Differentiate between musculoskeletal, neurological, and conditions that require medical intervention based on a systematic interview and examination of the patient with pelvic floor dysfunction.
6. Describe the impairments best suited to rectal balloon training for the treatment of pelvic floor dysfunction.
7. Develop functional goals for musculoskeletal and neurological impairments based on a systematic interview and examination of the patient with pelvic floor dysfunction.
8. Develop an evidence-based plan of care for physical therapy intervention for the male, pediatric, geriatric, or neurologically involved patient with pelvic floor dysfunction.
9. Lead a patient through a relaxation program utilizing sEMG Biofeedback as a tool for down-regulation of the sympathetic nervous system.
10. Perform rectal balloon training and select appropriate patients with pelvic floor dysfunction for this intervention.
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 Assignments: Pre-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.
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.