You’re treating children with constipation, enuresis, and encopresis regularly. And every now and then you get those patients that just leave you stumped. How would it feel to never again be surprised by a patient in front of you? (Well, we never say never, right?)

Whether you’re here looking to learn more about the diaphragm and ribcage, DRA, disorders of the gut-brain interaction, or advanced movement analysis, We’ve got you covered. Dive deep into the musculoskeletal system and learn something new about:

• how to treat those chronic patients who don’t seem to get better
• how to titrate medications safely
• how to comfortably manage children with Hirschsprung’s disease and other anorectal malformations

Take a step back and see your WHOLE patient. Evaluate, diagnose, and treat like the seasoned professional you know you can become! Your patients will get better faster with a whole-body approach to an array of conditions under the umbrella of bowel and bladder dysfunction. In this course, we’ll discuss posture, breathing patterns, the nervous system, vascular and lymph considerations, and much more. You’re more than just a constipation therapist.

How would it feel to have all the tools? Everyone already knows you as the pediatric pelvic floor expert, but do YOU know everything you could to treat the patients you’re seeing? This course will give you the confidence to treat any pediatric patient with bowel or bladder issues. Forget the days of a referral coming across your desk and thinking, “what in the world?”, then frantically searching the web for more information.

This course gives you a lifetime of access to all things advanced pediatric pelvic floor, such as:

• In-depth rib cage assessment
• Next-level core evaluation and treatment techniques
• Updated DRA/pressure system exercise guidance
• Full-body movement analysis as it relates to the pelvic floor
• A deep dive into how specific disorders change a patient's movement and what to do about it

When was the last time you thought about the diaphragm as more than a muscle for breathing? Do you recall that it interdigitates with the TrA? Or how the position of the diaphragm and ribs control core activation and stability? You’re one of the pediatric pelvic floor pioneers literally changing the world! You’re a lifelong learner and a therapist with an extremely specialized skill set. You owe it to your patients (and yourself) to finally broaden your diagnostic and treatment skills with Pediatrics Level 2 — Advanced Pediatric Bowel and Bladder Disorders!

Prerequisites

Prior completion of Pediatrics Level 1 - Treatment of Bowel and Bladder Disorders

Watch all pre-recorded lectures for this course in Teachable before the Live Component of the course. See the Course Schedule for the current list of pre-recorded videos

What to Gather before the meeting:

• yoga mat
• subject to practice on if able
• Massage cream
• cupping set: https://a.co/d/5xnTodI

If you would like to participate in the rectal balloon training it is highly recommended to have the following items available for practice

• anorectal balloon catheter: https://www.cmtmedical.com/product/anorectal-expulsion-balloon-catheter/
• Syringe for anorectal balloon: https://www.cmtmedical.com/product/monoject-60cc-luer-lock-syringe/

References

• Robin SG, Keller C, Zwiener R, et al. Prevalence of Pediatric Functional Gastrointestinal Disorders Utilizing the Rome IV Criteria. J Pediatr 2018; 195:134.
• Aljuraifani R, Stafford RE, Hall LM, van den Hoorn W, Hodges PW. Task-specific differences in respiration-related activation of deep and superficial pelvic floor muscles. J Appl Physiol 126: 1343-1351, 2019. First published March 14, 2019; https://doi:10.1152/ japplphysiol.00704.2018
• Bennett S, Wantana S, Nittaya T. et al. Diaphragmatic mobility in children with cerebral palsy and differing motor performance levels. Resp Pys and Neurobio (266) 2019 163-170.
• Little LM, Benton K, Manuel-Rubio M, Saps M, Fishbein M Contribution of Sensory Processing to Chronic Constipation in Preschool Children. J Peds. 2019 https://doi.org/10.1016/j.jpeds.2019.03.020
• Pilarski JQ, Leiter JC, Fregosi RF. Muscles of breathing: development, function, and patterns of activation. Comp Phys 2019;(9)1025-1080.
• Zar-Kessler C, Kuo B, Cole E, Benedix A, Belkind-Gerson, J. Benefit of pelvic floor physical therapy in pediatric patients with dyssynergic defecation constipation. 2019 Dig Dis https://doi.org/10.1159/000500121