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Image retrieved from iStock courtesy of SbytovaMN
Course Title
Pediatrics Level 1 -Treatment of Bowel and Bladder Disorders
Course Description
This course focuses on the treatment of children with day or nighttime incontinence, fecal incontinence, and/or dysfunctional voiding habits. Children with special needs, Sensory Processing disorders or musculoskeletal asymmetries frequently develop poor bowel and bladder habits including constipation.
Start Date/Time and Time Zone:
Jan 11, 2025 7:00 AM America/Los_Angeles
Location
NA - Registrants Attend this course via Zoom
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string(1554) "Pediatric Functional Gastrointestinal Disorders - Remote Course - August 27-28, 2022 (CANCELED)
Pacific Time - Day 1: 8:00am - 3:30pm / Day 2: 8:00am - 2:30pm
Description
Schedule
Objectives
Remote Course Info
Instructor
Discounts
Price: $600
Experience Level: Intermediate
Contact Hours: 17.75 |
This is an advanced comprehensive course for pediatric therapists specializing in bowel and bladder disorders, offering a wealth of specialized knowledge and practical tools. By focusing on deepening the understanding of key areas like the diaphragm, ribcage, core function, pressure system management, and gut-brain interactions, therapists are empowered to tackle even the most challenging cases.
For those already familiar with pediatric pelvic floor therapy, this course offers next-level techniques, including a more in-depth approach to treating conditions like Hirschsprung’s disease, anorectal malformations, and chronic constipation and encopresis. The emphasis on viewing the patient holistically—considering posture, movement patterns, the nervous system, and the impact of specific disorders—underscores the importance of integrating the entire body into treatment plans.
The resources and tools mentioned (cupping sets, anorectal balloon training, etc.) reflect the hands-on nature of the course and its aim to provide therapists with practical, actionable techniques they can immediately apply. The inclusion of advanced techniques like full-body movement analysis and updated approaches to DRA (Diastasis Recti Abdominis) management also means participants will walk away with a more robust skill set, tailored to even the most complex pediatric cases.
The course structure, with pre-course video lectures on Teachable and a live component, makes the learning process flexible while ensuring that participants are well-prepared. The prerequisites ensure that attendees have a strong foundation, making this Level 2 course truly advanced, helping seasoned professionals expand their expertise further.
Participants have an incredible opportunity to gain the confidence and tools necessary to treat pediatric patients with bowel or bladder dysfunction more effectively, and be empowered and ready to tackle any case.
Prerequisites
Pediatrics Level 1 - Treatment of Bowel and Bladder Disorders must be completed before taking this course. Participants should also have a basic knowledge of biofeedback and pelvic floor muscle anatomy.
Pre-Course Learning Requirements
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find video lectures (all video lectures must be completed before attending the first day of class), other pre-course learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable
Audience
This course is appropriate for physical therapists, occupational therapists, pediatric nurse practitioners and medical doctors and other health care professionals interested in expanding their practice in pediatric bowel and bladder disorders. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Supplies
Also, if possible, it is very helpful to have a subject to practice on
If you would like to participate in the rectal balloon training it is highly recommended to have the following items available for practice:
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 4.75 hours
0) Intro (2 min)
1) Digestive Anatomy and physiology (31 min)
2) Development of the diaphragm with the PFM (11 min)
3) Nerve and Blood Supply to the GI System (17 min)
4) The Brain-Gut Axis (9 min)
5) Normal bowel patterns from infancy through early childhood (23 min)
6.1) Pediatric FGID: Infant - Toddler (24 min)
6.2) Pediatric FGID: Child - Adolescent (39 min)
6.3) Pediatric FGID: Abdominal Pain (22 min)
7) Treatment for constipation – Fiber, Laxatives, Magnesium & Probiotics, Enemas and Disimpaction, Slow Transit and severe Constipation (108 min)
|
=============================
Day One
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Introduction and Review Pre-Course Learning
7:30 - Interactive Case Study - Fiber, Laxatives, Magnesium & Probiotics
8:00 - Interactive Case Study Enemas and Disimpaction
8:30 - Interactive Case Study- Slow Transit Constipation
9:00 - Break
9:15 - Internal organ anatomy & Manual Treatment for Bowel Lecture and Lab
10:00 - Lunch
10:30 - Anorectal Disorders including Psychological & QoL Tests and Measures
11:15 - Diagnostic Testing for bowel dysfunction- anorectal manometry, radiographic studies
12:15 - Break
12:30 - Anorectal exam and rectal balloon training lecture with video and live balloon demonstration. * Please have rectal balloon present to practice
2:30 - Adjourn
|
=============================
Day Two
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Questions
7:30 - Treatment Techniques and Progressions -Pelvic Floor and Scar Release - Lecture and Lab A
9:00 - Break
9:15 - Treatment Techniques and Progressions -Diaphragm and Breathing - Lecture and Lab B
10:00 - Treatment Techniques and Progressions – The Core and Ribcage - Lecture and Lab C
11:00 - Lunch
11:30 - Case studies, encopresis, constipation
1:00 - Break
1:15 - Case study - Abdominophrenic dyssynergia
1:30 - Interactive Case Study
2:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Understand normal digestive anatomy and physiology
2. Understand the function of the PFM as it relates to defecation
3. Understand FGID in children and be able to identify potential medical “red flags” requiring referral to the physician.
4. Review tests and measures for FGID and be able to refer back to a physician if therapy is not appropriate or advised.
5. Understand medications used for bowel dysfunction and titration for long term bowel health
6. Distinguish if a patient is taking too much or too little medication
7. Assess bowel diaries to better determine rationale for treatment and differential assessment of bowel disorder type
8. Provide education for diet/medication/supplement titration
9. Recognize the psychosocial and behavioral component for proper referral and rectal balloon treatment and determine if psychological referral is necessary.
10. Observe use of perianal surface electromyography (sEMG) and identify PFM discoordination in the pediatric patient
11. Understand how to use sEMG biofeedback to increase or decrease pelvic floor muscle activity and if contraindicated
12. Complete an evaluation of a pediatric patient diagnosed with bowel disorders and be able to determine if any medical red flags are present for further work up.
13. Assess and provide exercises and techniques for diastasis recti.
14. Learn techniques to stimulate BM and rectal sensation using rectal balloon training and OTC medications
15. Treatment progressions for children with pediatric bowel disorders using manual therapy and breathing techniques
16. Implement an appropriate plan of care based on a patient’s symptoms and physical examination
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Dawn Sandalcidi PT, RCMT, BCB-PMD
Dawn Sandalcidi PT, RCMT, BCB-PMD (she/her) is a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She graduated from SUNY Upstate Medical Center in 1982 and is actively seeing patients in her clinic Physical Therapy Specialists, Centennial CO. www.ptspecialist.com #ptspecialist
Dawn is a national and international speaker in the field, and she has gained so much from sharing experiences with her colleagues around the globe. In addition to lecturing internationally on pediatric bowel and bladder disorders, Dawn is also a faculty instructor at the Herman & Wallace Pelvic Rehab Institute. Additionally, she runs an online teaching and mentoring platform for parents and professionals. www.kidsbowelbladder.com #kidsbowelbladder
In 2017, Dawn was invited to speak at the World Physical Therapy Conference in South Africa about pediatric pelvic floor dysfunction and incontinence. Dawn is also Board-Certified Biofeedback in Pelvic Muscle Dysfunction (BCB-PMD). She has also been published in the Journals of Urologic Nursing and Section of Women’s Health.
In 2018, Dawn was awarded the Elizabeth Noble Award by the American Physical Therapy Association Section on Women's Health for providing Extraordinary and Exemplary Service to the Field of Physical Therapy for Children.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
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Course Title
Pediatric Gastrointestinal Disorders –Evaluation and Management
Course Description
This two day, remote course is offered on Zoom and is the next step for therapists who focus on the pediatric pelvic floor patient population. It is designed to expand your knowledge of development of normal bowel patterns in children, introduce the new Rome IV criteria (Zeevenhoovenet al. 2017), and review the anatomy and physiology of the GI system with emphasis pediatric Functional Gastrointestinal Disorders (FGID).
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Course Description
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string(1314) "Pediatric Incontinence - Remote Course - April 23-24, 2022 (SOLD OUT)
Pacific Time: Day 1 9:00am - 5:30pm/ Day 2: 9:00am - 4:30pm
Description
Schedule
Objectives
Remote Coures Info
Instructor
Discounts
Price: $695
Experience Level: Beginner
Contact Hours: 24 |
This course provides a crucial and comprehensive framework for addressing pediatric pelvic floor dysfunction, focusing on issues like incontinence, dysfunctional voiding, and constipation. These conditions not only affect the physical health of children but also their emotional well-being and the dynamics within their families. By integrating both medical and therapeutic approaches, this course equips therapists with the tools to make a meaningful difference in the lives of these children.
Highlighting key statistics and guidelines from the International Children’s Continence Society (ICCS), the course acknowledges the importance of achieving bladder control by age 5 for typically developing children, while also recognizing the psychological impact on children and families when this milestone is not met. The emotional toll, including frustration, anxiety, and the potential for psychological behaviors, emphasizes the urgency for specialized pediatric intervention.
The course addresses the most common pelvic floor dysfunctions seen in children, such as dysfunctional elimination syndrome, withholding, urinary tract infections (UTIs), bedwetting, and the often-overlooked role of constipation in contributing to urinary leakage and urgency. With constipation alone accounting for nearly 5% of pediatric office visits, the need for trained specialists in this field is significant.
What makes this course particularly invaluable is its holistic and practical approach. Participants will gain knowledge of the normal development of voiding reflexes and urinary control, along with common causes of incontinence in pediatric patients. The focus on hands-on evaluation and treatment methods—such as surface electromyography (SEMG) biofeedback, rehabilitative ultrasound imaging, and external manual techniques—ensures that therapists can effectively assess and address these complex conditions.
The inclusion of case studies provides real-world applications, helping participants understand the progression of treatments and the path from diagnosis to discharge. The additional focus on pediatric play, trauma-informed care, and language tailored for working with neurodivergent patients adds another layer of relevance, particularly for therapists working with children who have special needs, sensory processing differences, or musculoskeletal asymmetries.
By taking a comprehensive and child-centered approach, this course not only prepares participants to address bladder and bowel dysfunction but also to contribute to the long-term health and quality of life for their pediatric patients, potentially preventing these issues from persisting into adulthood.
Prerequisites
None. This is a beginner-level course.
Pre-Course Learning Requirements
1) Read Suzanne's story
2) 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find video lectures (all video lectures must be completed before attending the first day of class), other pre-course learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable
Audience
This course is appropriate for physical therapists, occupational therapists, pediatric nurse practitioners and medical doctors and other health care professionals interested in expanding their practice in pediatric bowel and bladder disorders. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Supplies
- - Pillow
- - Balloons (one filled with cold water and one to blow into)
- - Rolled up towels (4) or 2 yoga blocks
- - Washcloth
- - 10-pound cuff weight or equivalent
- - 4-foot TheraBand of medium resistance
What to Have Ready for Labs
- - Room for Yoga mat for floor or treatment table
- - Hard surface to sit on
- - Stool or squatty potty to put feet on
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
1) Anatomy of the Pelvic Floor (37 min)
2) Posture and Development of the PFM (6 min)
3) Normal bowel & bladder function in pediatrics (21 min)
4) Standardization of terminology of bladder function in children and adolescents (20 min)
5) Conditions and diagnoses (27 min)
6) Investigative Tools: Bladder diaries (25 min)
7) Investigative Tools: Uroflow (23 min)
8) Investigative Tools: Invasive Testing (16 min)
9) Investigative Tools: KUB questionnaires (27 min)
10) Vesicoureteral Reflux (VUR): Definition, medical-surgical management (25 min)
11) Physiology of defecation (41 min)
12) Constipation - Definition and diagnoses (34 min)
13) Constipation - Pelvic Therapy and Medication (36 min)
14) Constipation - Enemas and MOP (17 min)
15) Constipation - Manual Treatments for constipation (23 min)
16) SEMG Biofeedback Fundamentals (40 min)
These additional videos can be watched after the course:
17) Neurogenic Bladder (11 min)
18) Psychological considerations (45 min)
19) Trauma informed Language in Pediatrics (30 min)
20) Dealing with sexual trauma in pediatrics (30 min)
21) Rehabilitative Ultrasound Demonstration (20 min) (optional)
Total video lecture time: 9 hours
|
=============================
Day One
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Overview of schedule, Chat, TA/Faculty Introductions
7:15 - Urotherapy Review and review of pre-course videos and labs
-- Lab 1: External palpation of the PFM; PFM with breath holding versus straining.
-- Lab 2: Defecation Dynamics- Belly Big/Belly Tight
-- Constipation review and questions
-- Mini Case Study: Basic Constipation -Done in break out rooms
8:45 - Dysfunctional voiding - Double voiding Lab
9:45 - Break
10:00 - Dysfunctional voiding case study- Done in break out rooms
10:15 - Enuresis (Bedwetting): definition, etiology, medical-behavioral management
11:15 - Lunch
11:45 - Enuresis case study- Done in break out rooms
12:15 - Biofeedback evaluation & treatment
1:15 - Break
1:30 - Lab 3: PFM exercise Progressions
2:00 - Medical and therapy subjective and objective- red flags
3:00 - Day 1 Synthesis and questions
3:30 - Adjourn
|
=============================
Day Two
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Review Day 1 / Overview for Day 2
8:00 - Therapy assessment, goals & plan
8:30 - Interactive skills- based on information learned thus far create a SOAP. Done in breakout rooms
9:30 - Break
9:45 - Video initial evaluation and Q&A
11:00 - Lunch
11:30 - Treatment session examples
12:30 - Labs 4-5 DRA assessment; belly breathing assessment and treatment
1:00 - Play with purpose
2:00 - Break
2:15 - Interactive case studies in breakout rooms
3:15 - Putting it all together / Day 2 Synthesis
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will learn:
- List 2 muscles groups and describe 3 functions of the pelvic floor
- Understand the development of normal urinary control in pediatrics
- Understand medical red flags for abnormal voiding and when to refer to medical doctor
- List the 4 phases of defecation and describe the rectal anal inhibitory reflex
- Identify 2 common causes of constipation and its’ relationship to bladder dysfunction
- Observe and describe 2 soft tissue techniques for constipation via video
- Describe the pelvic floor relationship to 2 voiding reflexes.
- Understand pediatric urology terminology and investigative tools used for testing the pediatric patient for differential diagnosis
- Discuss education and treatment related to diet including listing 5 bladder irritants for good bladder health and 2 bladder retraining strategies
- Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function and list 3 common findings on SEMG
- Identify the need for referral based on SEMG findings and visual PFM assessment
- Observe and assess the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
- Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal incontinence and know when to refer to appropriate practitioners.
- Describe 3 behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
- Understand the use of surface electromyography (SEMG) in the pediatric patient.
- Develop 4 treatment progressions for children with pediatric bowel and bladder dysfunction.
- Perform verbal instruction of pelvic floor activation
- Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis rectus abdominis assessment with examples of core activation.
- Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation and instruct in at least 3 methods of pelvic floor elongation for proper elimination on the toilet
- Understand pediatric terminology and trauma informed care
- Synthesize pediatric play techniques for functional purposes
- Considerations when working with the neurodivergent population with bowel/bladder dysfunction
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Dawn Sandalcidi PT, RCMT, BCB-PMD
Dawn Sandalcidi PT, RCMT, BCB-PMD (she/her) is a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She graduated from SUNY Upstate Medical Center in 1982 and is actively seeing patients in her clinic Physical Therapy Specialists, Centennial CO. www.ptspecialist.com #ptspecialist
Dawn is a national and international speaker in the field, and she has gained so much from sharing experiences with her colleagues around the globe. In addition to lecturing internationally on pediatric bowel and bladder disorders, Dawn is also a faculty instructor at the Herman & Wallace Pelvic Rehab Institute. Additionally, she runs an online teaching and mentoring platform for parents and professionals. www.kidsbowelbladder.com #kidsbowelbladder
In 2017, Dawn was invited to speak at the World Physical Therapy Conference in South Africa about pediatric pelvic floor dysfunction and incontinence. Dawn is also Board-Certified Biofeedback in Pelvic Muscle Dysfunction (BCB-PMD). She has also been published in the Journals of Urologic Nursing and Section of Women’s Health.
In 2018, Dawn was awarded the Elizabeth Noble Award by the American Physical Therapy Association Section on Women's Health for providing Extraordinary and Exemplary Service to the Field of Physical Therapy for Children.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
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Course Title
Pediatric Incontinence and Pelvic Floor Dysfunction
Course Description
This two day, remote course includes over five hours of pre-recorded learning followed by a live, remote course taught by instructor Dawn Sandalicidi, PT on Zoom. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bed-wetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4 year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.
Start Date/Time and Time Zone:
Aug 27, 2022 9:00 AM America/Los_Angeles
Location
NA - Registrants Attend this course via Zoom
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string(1322) "Pediatric Incontinence - Remote Course - January 15-16, 2022
Pacific Time: Day 1 9:00am - 5:30pm/ Day 2: 9:00am - 4:30pm
(SOLD OUT)
Description
Schedule
Objectives
Remote Coures Info
Instructor
Discounts
Price: $695
Experience Level: Beginner
Contact Hours: 24 |
This course provides a crucial and comprehensive framework for addressing pediatric pelvic floor dysfunction, focusing on issues like incontinence, dysfunctional voiding, and constipation. These conditions not only affect the physical health of children but also their emotional well-being and the dynamics within their families. By integrating both medical and therapeutic approaches, this course equips therapists with the tools to make a meaningful difference in the lives of these children.
Highlighting key statistics and guidelines from the International Children’s Continence Society (ICCS), the course acknowledges the importance of achieving bladder control by age 5 for typically developing children, while also recognizing the psychological impact on children and families when this milestone is not met. The emotional toll, including frustration, anxiety, and the potential for psychological behaviors, emphasizes the urgency for specialized pediatric intervention.
The course addresses the most common pelvic floor dysfunctions seen in children, such as dysfunctional elimination syndrome, withholding, urinary tract infections (UTIs), bedwetting, and the often-overlooked role of constipation in contributing to urinary leakage and urgency. With constipation alone accounting for nearly 5% of pediatric office visits, the need for trained specialists in this field is significant.
What makes this course particularly invaluable is its holistic and practical approach. Participants will gain knowledge of the normal development of voiding reflexes and urinary control, along with common causes of incontinence in pediatric patients. The focus on hands-on evaluation and treatment methods—such as surface electromyography (SEMG) biofeedback, rehabilitative ultrasound imaging, and external manual techniques—ensures that therapists can effectively assess and address these complex conditions.
The inclusion of case studies provides real-world applications, helping participants understand the progression of treatments and the path from diagnosis to discharge. The additional focus on pediatric play, trauma-informed care, and language tailored for working with neurodivergent patients adds another layer of relevance, particularly for therapists working with children who have special needs, sensory processing differences, or musculoskeletal asymmetries.
By taking a comprehensive and child-centered approach, this course not only prepares participants to address bladder and bowel dysfunction but also to contribute to the long-term health and quality of life for their pediatric patients, potentially preventing these issues from persisting into adulthood.
Prerequisites
None. This is a beginner-level course.
Pre-Course Learning Requirements
1) Read Suzanne's story
2) 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find video lectures (all video lectures must be completed before attending the first day of class), other pre-course learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable
Audience
This course is appropriate for physical therapists, occupational therapists, pediatric nurse practitioners and medical doctors and other health care professionals interested in expanding their practice in pediatric bowel and bladder disorders. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Supplies
- - Pillow
- - Balloons (one filled with cold water and one to blow into)
- - Rolled up towels (4) or 2 yoga blocks
- - Washcloth
- - 10-pound cuff weight or equivalent
- - 4-foot TheraBand of medium resistance
What to Have Ready for Labs
- - Room for Yoga mat for floor or treatment table
- - Hard surface to sit on
- - Stool or squatty potty to put feet on
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
1) Anatomy of the Pelvic Floor (37 min)
2) Posture and Development of the PFM (6 min)
3) Normal bowel & bladder function in pediatrics (21 min)
4) Standardization of terminology of bladder function in children and adolescents (20 min)
5) Conditions and diagnoses (27 min)
6) Investigative Tools: Bladder diaries (25 min)
7) Investigative Tools: Uroflow (23 min)
8) Investigative Tools: Invasive Testing (16 min)
9) Investigative Tools: KUB questionnaires (27 min)
10) Vesicoureteral Reflux (VUR): Definition, medical-surgical management (25 min)
11) Physiology of defecation (41 min)
12) Constipation - Definition and diagnoses (34 min)
13) Constipation - Pelvic Therapy and Medication (36 min)
14) Constipation - Enemas and MOP (17 min)
15) Constipation - Manual Treatments for constipation (23 min)
16) SEMG Biofeedback Fundamentals (40 min)
These additional videos can be watched after the course:
17) Neurogenic Bladder (11 min)
18) Psychological considerations (45 min)
19) Trauma informed Language in Pediatrics (30 min)
20) Dealing with sexual trauma in pediatrics (30 min)
21) Rehabilitative Ultrasound Demonstration (20 min) (optional)
Total video lecture time: 9 hours
|
=============================
Day One
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Overview of schedule, Chat, TA/Faculty Introductions
7:15 - Urotherapy Review and review of pre-course videos and labs
-- Lab 1: External palpation of the PFM; PFM with breath holding versus straining.
-- Lab 2: Defecation Dynamics- Belly Big/Belly Tight
-- Constipation review and questions
-- Mini Case Study: Basic Constipation -Done in break out rooms
8:45 - Dysfunctional voiding - Double voiding Lab
9:45 - Break
10:00 - Dysfunctional voiding case study- Done in break out rooms
10:15 - Enuresis (Bedwetting): definition, etiology, medical-behavioral management
11:15 - Lunch
11:45 - Enuresis case study- Done in break out rooms
12:15 - Biofeedback evaluation & treatment
1:15 - Break
1:30 - Lab 3: PFM exercise Progressions
2:00 - Medical and therapy subjective and objective- red flags
3:00 - Day 1 Synthesis and questions
3:30 - Adjourn
|
=============================
Day Two
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Review Day 1 / Overview for Day 2
8:00 - Therapy assessment, goals & plan
8:30 - Interactive skills- based on information learned thus far create a SOAP. Done in breakout rooms
9:30 - Break
9:45 - Video initial evaluation and Q&A
11:00 - Lunch
11:30 - Treatment session examples
12:30 - Labs 4-5 DRA assessment; belly breathing assessment and treatment
1:00 - Play with purpose
2:00 - Break
2:15 - Interactive case studies in breakout rooms
3:15 - Putting it all together / Day 2 Synthesis
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will learn:
- List 2 muscles groups and describe 3 functions of the pelvic floor
- Understand the development of normal urinary control in pediatrics
- Understand medical red flags for abnormal voiding and when to refer to medical doctor
- List the 4 phases of defecation and describe the rectal anal inhibitory reflex
- Identify 2 common causes of constipation and its’ relationship to bladder dysfunction
- Observe and describe 2 soft tissue techniques for constipation via video
- Describe the pelvic floor relationship to 2 voiding reflexes.
- Understand pediatric urology terminology and investigative tools used for testing the pediatric patient for differential diagnosis
- Discuss education and treatment related to diet including listing 5 bladder irritants for good bladder health and 2 bladder retraining strategies
- Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function and list 3 common findings on SEMG
- Identify the need for referral based on SEMG findings and visual PFM assessment
- Observe and assess the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
- Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal incontinence and know when to refer to appropriate practitioners.
- Describe 3 behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
- Understand the use of surface electromyography (SEMG) in the pediatric patient.
- Develop 4 treatment progressions for children with pediatric bowel and bladder dysfunction.
- Perform verbal instruction of pelvic floor activation
- Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis rectus abdominis assessment with examples of core activation.
- Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation and instruct in at least 3 methods of pelvic floor elongation for proper elimination on the toilet
- Understand pediatric terminology and trauma informed care
- Synthesize pediatric play techniques for functional purposes
- Considerations when working with the neurodivergent population with bowel/bladder dysfunction
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Dawn Sandalcidi PT, RCMT, BCB-PMD
Dawn Sandalcidi PT, RCMT, BCB-PMD (she/her) is a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She graduated from SUNY Upstate Medical Center in 1982 and is actively seeing patients in her clinic Physical Therapy Specialists, Centennial CO. www.ptspecialist.com #ptspecialist
Dawn is a national and international speaker in the field, and she has gained so much from sharing experiences with her colleagues around the globe. In addition to lecturing internationally on pediatric bowel and bladder disorders, Dawn is also a faculty instructor at the Herman & Wallace Pelvic Rehab Institute. Additionally, she runs an online teaching and mentoring platform for parents and professionals. www.kidsbowelbladder.com #kidsbowelbladder
In 2017, Dawn was invited to speak at the World Physical Therapy Conference in South Africa about pediatric pelvic floor dysfunction and incontinence. Dawn is also Board-Certified Biofeedback in Pelvic Muscle Dysfunction (BCB-PMD). She has also been published in the Journals of Urologic Nursing and Section of Women’s Health.
In 2018, Dawn was awarded the Elizabeth Noble Award by the American Physical Therapy Association Section on Women's Health for providing Extraordinary and Exemplary Service to the Field of Physical Therapy for Children.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
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string(1296) "Pediatric Incontinence - Remote Course - June 4-5, 2022
Pacific Time: Day 1 9:00am - 5:30pm/ Day 2: 9:00am - 4:30pm
Description
Schedule
Objectives
Remote Coures Info
Instructor
Discounts
Price: $695
Experience Level: Beginner
Contact Hours: 24 |
This course provides a crucial and comprehensive framework for addressing pediatric pelvic floor dysfunction, focusing on issues like incontinence, dysfunctional voiding, and constipation. These conditions not only affect the physical health of children but also their emotional well-being and the dynamics within their families. By integrating both medical and therapeutic approaches, this course equips therapists with the tools to make a meaningful difference in the lives of these children.
Highlighting key statistics and guidelines from the International Children’s Continence Society (ICCS), the course acknowledges the importance of achieving bladder control by age 5 for typically developing children, while also recognizing the psychological impact on children and families when this milestone is not met. The emotional toll, including frustration, anxiety, and the potential for psychological behaviors, emphasizes the urgency for specialized pediatric intervention.
The course addresses the most common pelvic floor dysfunctions seen in children, such as dysfunctional elimination syndrome, withholding, urinary tract infections (UTIs), bedwetting, and the often-overlooked role of constipation in contributing to urinary leakage and urgency. With constipation alone accounting for nearly 5% of pediatric office visits, the need for trained specialists in this field is significant.
What makes this course particularly invaluable is its holistic and practical approach. Participants will gain knowledge of the normal development of voiding reflexes and urinary control, along with common causes of incontinence in pediatric patients. The focus on hands-on evaluation and treatment methods—such as surface electromyography (SEMG) biofeedback, rehabilitative ultrasound imaging, and external manual techniques—ensures that therapists can effectively assess and address these complex conditions.
The inclusion of case studies provides real-world applications, helping participants understand the progression of treatments and the path from diagnosis to discharge. The additional focus on pediatric play, trauma-informed care, and language tailored for working with neurodivergent patients adds another layer of relevance, particularly for therapists working with children who have special needs, sensory processing differences, or musculoskeletal asymmetries.
By taking a comprehensive and child-centered approach, this course not only prepares participants to address bladder and bowel dysfunction but also to contribute to the long-term health and quality of life for their pediatric patients, potentially preventing these issues from persisting into adulthood.
Prerequisites
None. This is a beginner-level course.
Pre-Course Learning Requirements
1) Read Suzanne's story
2) 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find video lectures (all video lectures must be completed before attending the first day of class), other pre-course learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable
Audience
This course is appropriate for physical therapists, occupational therapists, pediatric nurse practitioners and medical doctors and other health care professionals interested in expanding their practice in pediatric bowel and bladder disorders. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Supplies
- - Pillow
- - Balloons (one filled with cold water and one to blow into)
- - Rolled up towels (4) or 2 yoga blocks
- - Washcloth
- - 10-pound cuff weight or equivalent
- - 4-foot TheraBand of medium resistance
What to Have Ready for Labs
- - Room for Yoga mat for floor or treatment table
- - Hard surface to sit on
- - Stool or squatty potty to put feet on
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
1) Anatomy of the Pelvic Floor (37 min)
2) Posture and Development of the PFM (6 min)
3) Normal bowel & bladder function in pediatrics (21 min)
4) Standardization of terminology of bladder function in children and adolescents (20 min)
5) Conditions and diagnoses (27 min)
6) Investigative Tools: Bladder diaries (25 min)
7) Investigative Tools: Uroflow (23 min)
8) Investigative Tools: Invasive Testing (16 min)
9) Investigative Tools: KUB questionnaires (27 min)
10) Vesicoureteral Reflux (VUR): Definition, medical-surgical management (25 min)
11) Physiology of defecation (41 min)
12) Constipation - Definition and diagnoses (34 min)
13) Constipation - Pelvic Therapy and Medication (36 min)
14) Constipation - Enemas and MOP (17 min)
15) Constipation - Manual Treatments for constipation (23 min)
16) SEMG Biofeedback Fundamentals (40 min)
These additional videos can be watched after the course:
17) Neurogenic Bladder (11 min)
18) Psychological considerations (45 min)
19) Trauma informed Language in Pediatrics (30 min)
20) Dealing with sexual trauma in pediatrics (30 min)
21) Rehabilitative Ultrasound Demonstration (20 min) (optional)
Total video lecture time: 9 hours
|
=============================
Day One
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Overview of schedule, Chat, TA/Faculty Introductions
7:15 - Urotherapy Review and review of pre-course videos and labs
-- Lab 1: External palpation of the PFM; PFM with breath holding versus straining.
-- Lab 2: Defecation Dynamics- Belly Big/Belly Tight
-- Constipation review and questions
-- Mini Case Study: Basic Constipation -Done in break out rooms
8:45 - Dysfunctional voiding - Double voiding Lab
9:45 - Break
10:00 - Dysfunctional voiding case study- Done in break out rooms
10:15 - Enuresis (Bedwetting): definition, etiology, medical-behavioral management
11:15 - Lunch
11:45 - Enuresis case study- Done in break out rooms
12:15 - Biofeedback evaluation & treatment
1:15 - Break
1:30 - Lab 3: PFM exercise Progressions
2:00 - Medical and therapy subjective and objective- red flags
3:00 - Day 1 Synthesis and questions
3:30 - Adjourn
|
=============================
Day Two
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Review Day 1 / Overview for Day 2
8:00 - Therapy assessment, goals & plan
8:30 - Interactive skills- based on information learned thus far create a SOAP. Done in breakout rooms
9:30 - Break
9:45 - Video initial evaluation and Q&A
11:00 - Lunch
11:30 - Treatment session examples
12:30 - Labs 4-5 DRA assessment; belly breathing assessment and treatment
1:00 - Play with purpose
2:00 - Break
2:15 - Interactive case studies in breakout rooms
3:15 - Putting it all together / Day 2 Synthesis
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will learn:
- List 2 muscles groups and describe 3 functions of the pelvic floor
- Understand the development of normal urinary control in pediatrics
- Understand medical red flags for abnormal voiding and when to refer to medical doctor
- List the 4 phases of defecation and describe the rectal anal inhibitory reflex
- Identify 2 common causes of constipation and its’ relationship to bladder dysfunction
- Observe and describe 2 soft tissue techniques for constipation via video
- Describe the pelvic floor relationship to 2 voiding reflexes.
- Understand pediatric urology terminology and investigative tools used for testing the pediatric patient for differential diagnosis
- Discuss education and treatment related to diet including listing 5 bladder irritants for good bladder health and 2 bladder retraining strategies
- Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function and list 3 common findings on SEMG
- Identify the need for referral based on SEMG findings and visual PFM assessment
- Observe and assess the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
- Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal incontinence and know when to refer to appropriate practitioners.
- Describe 3 behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
- Understand the use of surface electromyography (SEMG) in the pediatric patient.
- Develop 4 treatment progressions for children with pediatric bowel and bladder dysfunction.
- Perform verbal instruction of pelvic floor activation
- Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis rectus abdominis assessment with examples of core activation.
- Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation and instruct in at least 3 methods of pelvic floor elongation for proper elimination on the toilet
- Understand pediatric terminology and trauma informed care
- Synthesize pediatric play techniques for functional purposes
- Considerations when working with the neurodivergent population with bowel/bladder dysfunction
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Dawn Sandalcidi PT, RCMT, BCB-PMD
Dawn Sandalcidi PT, RCMT, BCB-PMD (she/her) is a trailblazer and leading expert in the field of pediatric pelvic floor disorders. She graduated from SUNY Upstate Medical Center in 1982 and is actively seeing patients in her clinic Physical Therapy Specialists, Centennial CO. www.ptspecialist.com #ptspecialist
Dawn is a national and international speaker in the field, and she has gained so much from sharing experiences with her colleagues around the globe. In addition to lecturing internationally on pediatric bowel and bladder disorders, Dawn is also a faculty instructor at the Herman & Wallace Pelvic Rehab Institute. Additionally, she runs an online teaching and mentoring platform for parents and professionals. www.kidsbowelbladder.com #kidsbowelbladder
In 2017, Dawn was invited to speak at the World Physical Therapy Conference in South Africa about pediatric pelvic floor dysfunction and incontinence. Dawn is also Board-Certified Biofeedback in Pelvic Muscle Dysfunction (BCB-PMD). She has also been published in the Journals of Urologic Nursing and Section of Women’s Health.
In 2018, Dawn was awarded the Elizabeth Noble Award by the American Physical Therapy Association Section on Women's Health for providing Extraordinary and Exemplary Service to the Field of Physical Therapy for Children.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
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Course Title
Pediatric Incontinence and Pelvic Floor Dysfunction
Course Description
This two day, remote course includes pre-recorded learning followed by a live, remote course taught by instructor Dawn Sandalicidi, PT on Zoom.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bed-wetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4 year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.
Start Date/Time and Time Zone:
Oct 21, 2023 9:00 AM America/Los_Angeles
Location
NA - Registrants Attend this course via Zoom
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Course Description
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According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bed-wetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4 year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.
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string(17) "sunil@sagebpm.com"
["link"]=>
string(143) "index.php?option=com_content&view=article&id=9705-pediatrics-level-2-advanced-pediatric-bowel-and-bladder-disorders-remote-course-june-7-8-2025"
}
