Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Start Date/Time and Time Zone:
Sep 17, 2022 9:30 AM America/New_York
Location
Venue: Franciscan Health Orthopedic Center Indianapolis
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
The postpartum woman may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. Labor and birth,birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.
Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.
Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture and lab. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.
Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155. Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Day One: 7:30 Registration 8:00 Introduction, Goals, and Objectives 8:15 Overview of the Postpartum Client 9:00 Hormonal and System Changes and Recovery During Postpartum 9:45 Break 10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean 11:00 LAB: Abdominal Wall Assessment and Scar Treatment 12:00 Lunch 1:00 General Examination Considerations for the Postpartum Client 1:30 General Treatment Considerations for the Postpartum Client 2:15 Pelvic Floor Postpartum 3:15 Break 3:30 LAB: Deep Core and DRA Rehabilitation Progression 4:45 Upper and Lower Quarter Concerns in the Postpartum 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum 9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment 10:00 Break 10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client 11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client 11:45 Lunch 12:30 Psychosocial Considerations During Postpartum 1:30 Postpartum Exercise and Fitness 2.06 2:30 Interactive Case Studies 3:15 Marketing and Billing 3:45 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Define common terminology of the labor and delivery and the postpartum period. 2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state. 3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period. 4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags. 5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction. 6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery. 7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period. 8. Instruct the postpartum patient in safe return to fitness activities. 9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery. 10. Complete medical screening for conditions in postpartum that require referral.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
The postpartum woman may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. Labor and birth,birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.
Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.
Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture and lab. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.
Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155. Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Day One: 7:30 Registration 8:00 Introduction, Goals, and Objectives 8:15 Overview of the Postpartum Client 9:00 Hormonal and System Changes and Recovery During Postpartum 9:45 Break 10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean 11:00 LAB: Abdominal Wall Assessment and Scar Treatment 12:00 Lunch 1:00 General Examination Considerations for the Postpartum Client 1:30 General Treatment Considerations for the Postpartum Client 2:15 Pelvic Floor Postpartum 3:15 Break 3:30 LAB: Deep Core and DRA Rehabilitation Progression 4:45 Upper and Lower Quarter Concerns in the Postpartum 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum 9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment 10:00 Break 10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client 11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client 11:45 Lunch 12:30 Psychosocial Considerations During Postpartum 1:30 Postpartum Exercise and Fitness 2.06 2:30 Interactive Case Studies 3:15 Marketing and Billing 3:45 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Define common terminology of the labor and delivery and the postpartum period. 2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state. 3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period. 4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags. 5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction. 6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery. 7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period. 8. Instruct the postpartum patient in safe return to fitness activities. 9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery. 10. Complete medical screening for conditions in postpartum that require referral.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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.
The postpartum woman may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. Labor and birth,birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.
Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.
Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture and lab. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.
Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155. Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Day One: 7:30 Registration 8:00 Introduction, Goals, and Objectives 8:15 Overview of the Postpartum Client 9:00 Hormonal and System Changes and Recovery During Postpartum 9:45 Break 10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean 11:00 LAB: Abdominal Wall Assessment and Scar Treatment 12:00 Lunch 1:00 General Examination Considerations for the Postpartum Client 1:30 General Treatment Considerations for the Postpartum Client 2:15 Pelvic Floor Postpartum 3:15 Break 3:30 LAB: Deep Core and DRA Rehabilitation Progression 4:45 Upper and Lower Quarter Concerns in the Postpartum 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum 9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment 10:00 Break 10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client 11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client 11:45 Lunch 12:30 Psychosocial Considerations During Postpartum 1:30 Postpartum Exercise and Fitness 2.06 2:30 Interactive Case Studies 3:15 Marketing and Billing 3:45 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Define common terminology of the labor and delivery and the postpartum period. 2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state. 3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period. 4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags. 5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction. 6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery. 7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period. 8. Instruct the postpartum patient in safe return to fitness activities. 9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery. 10. Complete medical screening for conditions in postpartum that require referral.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
The postpartum woman may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. Labor and birth,birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.
Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.
Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture and lab. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.
Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155. Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Day One: 7:30 Registration 8:00 Introduction, Goals, and Objectives 8:15 Overview of the Postpartum Client 9:00 Hormonal and System Changes and Recovery During Postpartum 9:45 Break 10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean 11:00 LAB: Abdominal Wall Assessment and Scar Treatment 12:00 Lunch 1:00 General Examination Considerations for the Postpartum Client 1:30 General Treatment Considerations for the Postpartum Client 2:15 Pelvic Floor Postpartum 3:15 Break 3:30 LAB: Deep Core and DRA Rehabilitation Progression 4:45 Upper and Lower Quarter Concerns in the Postpartum 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum 9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment 10:00 Break 10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client 11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client 11:45 Lunch 12:30 Psychosocial Considerations During Postpartum 1:30 Postpartum Exercise and Fitness 2.06 2:30 Interactive Case Studies 3:15 Marketing and Billing 3:45 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Define common terminology of the labor and delivery and the postpartum period. 2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state. 3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period. 4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags. 5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction. 6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery. 7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period. 8. Instruct the postpartum patient in safe return to fitness activities. 9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery. 10. Complete medical screening for conditions in postpartum that require referral.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Darla Cathcart, PT, DPT, PhD, WCS, CLT
Darla Cathcart, PT, DPT, PhD, WCS, CLT (she/her) graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and completed a Ph.D. at the University of Arkansas Medical Sciences. Her dissertation research focused on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research focuses on painful intercourse and post-Cesarean rehabilitation.
Darla’s certifications and training include Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certificate of Achievement in Pregnancy & Postpartum Physical Therapy (CAPP-OB). Certified Lymphedema Therapist (CLT).
Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health System in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at the University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She recently owned a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR. Darla now is a full-time faculty member in the entry-level Physical Therapy program at Graceland University.
Darla currently serves as the President for the Academy of Pelvic Health of the American Physical Therapy Association. She has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.
On a personal note, Darla has teenaged twin boys. She is a lifelong runner and exerciser who loves dark chocolate, craft beer, and her four dogs.
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.
Care of the Pregnant Patient - Livermore, CA - September 8-9, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $475 ($505 within one month of the course) Experience Level: Beginner Contact Hours: 15
Evaluating and treating a pregnant patient can be intimidating and daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with women who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31) This 2-day,beginner level continuing education course provides a foundation in women's health education specific to caring for the pregnant patient.
Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in a woman's body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts that are explained during this continuing education course. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy, or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are similar to those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant woman. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout a woman's gestational period. Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher rates of women carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this continuing education course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. In addition to learning how to evaluate and treat the pregnant woman, course instructors will answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)
This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.
Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)
This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.
Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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.
Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)
This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.
Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.
Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.
With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.
.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites: None
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
Day One: 7:30 Registration 8:00 Introduction, goals, and objectives 8:15 Overview of the Pregnant Client 9:15 Hormonal and System Changes During Pregnancy 10:30 Break 10:45 General Examination Considerations and Modifications for the Pregnant Client 11:30 General Treatment Considerations and Modifications for the Pregnant Client 12:15 Lunch 1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy 2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy 3:15 Break 3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction 4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment 5:30 Day 1 Post Test and Wrap Up 6:00 Adjourn
Day Two: 8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle 10:00 Break 10:15 Preparing for Labor and Birth 11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems 12:00 Lunch 1:00 Introduction to High Risk Pregnancy 2:00 Fitness and Exercise During Pregnancy 3:00 Marketing and Billing 3:30 Day 2 Post Test and Wrap Up 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Understand common definitions and medical testing used in obstetrics. 2. Avoid all contraindications for evaluation and treatment of the pregnant patient. 3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy. 4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy. 5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities. 6. Instruct in safe exercises and activities for the low-risk and high-risk patient. 7. Educate the patient in methods to prepare physically for birth. 8. Complete medical screening for referral for the pregnant patient. 9. Apply and utilize surface EMG with external sensors for pelvic floor muscles. 10. Market a program of physical therapy care for the pregnant patient.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 1 - Carlsbad, CA - January 11-13, 2019 (SOLD OUT)
{dtregister}719{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Start Date/Time and Time Zone:
Oct 1, 2022 9:30 AM America/New_York
Location
Venue: Atlantic Rehabilitation Institute - Cedar Knolls
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 1 - Los Angeles, CA - March 20-22, 2020 (Rescheduled)
{dtregister}978{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Tara Sullivan, PT, DPT, PRPC, WCS, IF
Dr. Tara Sullivan, PT, PRPC, WCS, IF (she/her) started in the healthcare field as a massage therapist practicing for over ten years, including three years of teaching massage and anatomy & physiology. During that time, she attended college at Oregon State University earning her Bachelor of Science degree in Exercise and Sport Science, and she continued to earn her Masters of Science in Human Movement and Doctorate in Physical Therapy from A.T. Still University. Dr. Tara has specialized in Pelvic Floor Dysfunction (PFD) treating bowel, bladder, sexual dysfunctions, and pelvic pain exclusively since 2012. She has earned her Pelvic Rehabilitation Practitioner Certification (PRPC) deeming her an expert in the field of pelvic rehabilitation, treating men, women, and children. Dr. Sullivan is also a board-certified clinical specialist in women’s health (WCS) through the APTA and a Fellow of the International Society for the Study of Women's Sexual Health (IF).
Dr. Tara established the pelvic health program at HonorHealth in Scottsdale and expanded the practice to 12 locations across the valley. She continues treating patients with her hands-on individualized approach, taking the time to listen and educate them, empowering them to return to a healthy and improved quality of life. Dr. Tara has developed and taught several pelvic health courses and lectures at local universities in Arizona including Northern Arizona University, Franklin Pierce University, and Midwestern University. In 2019, she joined the faculty team at Herman and Wallace teaching continuing education courses for rehab therapists and other health care providers interested in the pelvic health specialty, including a course she authored-Sexual Medicine in Pelvic Rehab, and co-author of Pain Science for the Chronic Pelvic Pain Population. Dr. Tara is very passionate about creating awareness of Pelvic Floor Dysfunction and launched her website pelvicfloorspecialist.com to continue educating the public and other healthcare professionals.
In March 2024, Dr. Tara left HonorHealth and founded her company Mind to Body Healing (M2B) to continue spreading awareness on pelvic health, mentor other healthcare providers, and incorporate sexual counseling into her pelvic floor physical therapy practice. She has partnered with Co-Owner, Dr. Kylee Austin, PT.
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Level 1 - Los Angeles, CA - March 22-24, 2019 (SOLD OUT)
{dtregister}733{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI (she/her) was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 1 - Mission Hills, CA - August 12-14, 2016
{dtregister}392{/dtregister}
{gallery width=181}course_images/pf1{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Dustienne Miller, MSPT, WCS, CYT
Dustienne Miller MSPT, WCS, CYT (she/her) is the creator of the two-day course Yoga for Pelvic Pain and an instructor for Pelvic Function Level 1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga video series called Your Pace Yoga in 2012. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.
Her clinical practice, Flourish Physical Therapy, is located in Boston's Back Bay. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga, mindfulness, and breathwork into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health in 2005.
Dustienne's love of movement carried over into her physical therapy and yoga practice, stemming from her previous career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance at Boston Conservatory at Berklee.
Dustienne passionately believes in the integration of physical therapy and yoga within a holistic model of care. Her course aims to provide therapists and patients with an additional resource centered on supporting the nervous system and enhancing patient self-efficacy.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Start Date/Time and Time Zone:
Feb 4, 2023 7:30 AM America/Denver
Location
Venue: Rocky Mountain University of Health Professions
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Dana Reid, DPT
Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy. Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace. She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer. She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well. At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
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).
Pelvic Floor Level 1 - San Diego, CA - November 30-December 2, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location
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).
Pelvic Floor Level 1 - Santa Cruz, CA - January 10-12, 2020 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
Find a suitable location from which the pair/group can all view the zoom lectures together.
Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course. The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event. Your Mask- Please wear a mask while participating in this course to keep your colleagues safe. A computer with a Wifi connection that your group will be using to view the course. The following supplies: Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100) Hand Sanitizer (8 fl. Oz.) Lube for labs
Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 1 - Stockton, CA - January 27-29, 2017
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{gallery width=181}course_images/pf1{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI (she/her) was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Level 1 - Stockton, CA - March 1-3, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. Participants will need to access this course via Zoom, which is free to download. As this is a lab course, participants must register in pairs or small groups, as they will need to practice labs with another therapist who is also registered as a participant.
It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
These guidelines represent how we feel you can best experience a remote course. If you feel you are unable to fulfill them then it is recommended that you not participate as a remote learner at this time.
You will need to register with a PT partner. The feedback of your lab partner is highly valuable, therefore you will need to collaborate with another clinician, preferably someone in your clinic or health system that you are currently working with and who is under the same guidelines and current precautions as your state leadership mandates. All participants will need to register for the course.
You will need to be able to access Zoom. The instructor will be teaching to all participants via this platform, including live lectures, offering real-time feedback, and answering your questions during lab sessions. Zoom is free to download. Each pair or small group will only need to log in with one device webcam (either laptop or tablet is fine), and will need to have working video and audio in order that the instructor can see you during lab time and hear your questions. Access to the meeting will be password protected and no genitalia will be displayed during the lab sessions.
You will need the following supplies to participate fully:
A treatment table or other solid surface on which a participant can lie during lab time (hi-low table is ideal but no necessary. (A yoga mat on the floor could work in a pinch.)
One pillow per participant
One sheet per participant d
Lubricant and wipes
Each participant should bring their own gloves (one set for each lab).
Please treat this like any other live continuing education course. Test your ability to see and hear Zoom (audio and video) prior to the event. Come prepared, having completed the pre-course learning and with all props and supplies already gathered.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
Find a suitable location from which the pair/group can all view the zoom lectures together.
Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course. The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event. Your Mask- Please wear a mask while participating in this course to keep your colleagues safe. A computer with a Wifi connection that your group will be using to view the course. The following supplies: Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100) Hand Sanitizer (8 fl. Oz.) Lube for labs
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
Audience
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Level 2A - La Jolla, CA - Dec. 11-13, 2015
{dtregister}265{/dtregister}
{gallery width=181}course_images/pf2a{/gallery}
Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Recorded Lecture: Watch Before the In-Person Component of the Course
7:30 Registration 8:00 Introduction, Goals, Objectives 8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 10:15 Break 10:30 Fecal Incontinence, Case Study 11:15 Constipation, Case Study 12:00 Lunch 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 2:00 Coccyx Dysfunction 3:00 Break 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis 4:15 Prostatectomy Part I 5:15 Questions 5:30 Adjourn
Day Two:
7:45 Questions from Day 1, Post-test Day 1 8:00 Prostatectomy Part II 8:45 Pudendal 9:45 Break 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 11:15 LAB 4: Inclusive Language 12:00 Lunch 12:45 Colorectal Conditions 2:00 Break 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:30 Questions 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI (she/her) was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Level 2A - San Diego, CA - February 7-9, 2020 (SOLD OUT)
{dtregister}823{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Recorded Lecture: Watch Before the In-Person Component of the Course
7:30 Registration 8:00 Introduction, Goals, Objectives 8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 10:15 Break 10:30 Fecal Incontinence, Case Study 11:15 Constipation, Case Study 12:00 Lunch 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 2:00 Coccyx Dysfunction 3:00 Break 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis 4:15 Prostatectomy Part I 5:15 Questions 5:30 Adjourn
Day Two:
7:45 Questions from Day 1, Post-test Day 1 8:00 Prostatectomy Part II 8:45 Pudendal 9:45 Break 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 11:15 LAB 4: Inclusive Language 12:00 Lunch 12:45 Colorectal Conditions 2:00 Break 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:30 Questions 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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).
Pelvic Floor Level 2A - Stockton, CA - March 17-19, 2017 (SOLD OUT!)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Recorded Lecture: Watch Before the In-Person Component of the Course
7:30 Registration 8:00 Introduction, Goals, Objectives 8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 10:15 Break 10:30 Fecal Incontinence, Case Study 11:15 Constipation, Case Study 12:00 Lunch 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 2:00 Coccyx Dysfunction 3:00 Break 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis 4:15 Prostatectomy Part I 5:15 Questions 5:30 Adjourn
Day Two:
7:45 Questions from Day 1, Post-test Day 1 8:00 Prostatectomy Part II 8:45 Pudendal 9:45 Break 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 11:15 LAB 4: Inclusive Language 12:00 Lunch 12:45 Colorectal Conditions 2:00 Break 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:30 Questions 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Recorded Lecture: Watch Before the In-Person Component of the Course
7:30 Registration 8:00 Introduction, Goals, Objectives 8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 10:15 Break 10:30 Fecal Incontinence, Case Study 11:15 Constipation, Case Study 12:00 Lunch 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 2:00 Coccyx Dysfunction 3:00 Break 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis 4:15 Prostatectomy Part I 5:15 Questions 5:30 Adjourn
Day Two:
7:45 Questions from Day 1, Post-test Day 1 8:00 Prostatectomy Part II 8:45 Pudendal 9:45 Break 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 11:15 LAB 4: Inclusive Language 12:00 Lunch 12:45 Colorectal Conditions 2:00 Break 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:30 Questions 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PPRC, (she/her) received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Directions from Recommended Lodging to Course Location:(click here)
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.
For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities
Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
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 recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite 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 continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI (she/her) was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Level 2B - Los Angeles, CA - July 25-26, 2020 (RESCHEDULED)
Update 06/10/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.
For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities
Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
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 recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite 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 continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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).
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.
For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities
Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
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 recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite 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 continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
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).
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location:
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Special Considerations
As this continuing education 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. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Directions from Recommended Lodging to Course Location
Jenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
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).
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
Start Date/Time and Time Zone:
Mar 9, 2024 6:30 AM America/Los_Angeles
Location
Venue: Granite Point Physical Therapy and Wellness
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 1 (PF1) is the beginner-level course in our Pelvic Function Series and provides a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. PF1 is created for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
Start Date/Time and Time Zone:
Feb 3, 2024 9:30 AM America/New_York
Location
Venue: Spaulding Outpatient Center at Kent Hospital | East Greenwich
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 1 (PF1) is the beginner-level course in our Pelvic Function Series and provides a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. PF1 is created for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse.
This first course in our Pelvic Function Series, Pelvic Function Level 1 or PF1, is designed to provide a thorough introduction to pelvic health, pelvic dysfunction, and interventions for rehabilitation. We created PF1 for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), pelvic neuralgias, vulvar pain, and dyspareunia may be improved with pelvic rehabilitation. Practical, supervised, hands-on labs will include an external perineal and anorectal approach and internal vaginal examination. The information contained in this course is immediately applicable to clinical practice.
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Start Date/Time and Time Zone:
Jan 20, 2024 8:30 AM America/Chicago
Location
Venue: Elevate Physical Therapy and Sports Medicine
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Patients who just gave birth may be one of the most overlooked groups in health care. Knowing the specific rehabilitation needs of this group to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will be roughly three hours of pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Resource documents will also be provided for preview that will cover history taking with pregnant clients; obstetric red flags and medical screening; and positioning considerations with the pregnant client.
During online live interactive portions of this course, we will open with general examination considerations and modifications specific to pregnancy, including discussion of modalities and manual therapy techniques considered safe or precautioned during pregnancy. Further discussion of pelvic girdle examination, diagnosis, and treatment strategies will be provided, followed by “lab” time with assessment and treatment techniques for the lumbopelvic region. Review of key concepts related to core muscle and diastasis rectus abdominis will lead to “lab” time with assessment and treatment techniques. Progression of stabilization exercises during pregnancy will be practiced. Break out cases will allow time for both small and large group discussion for diagnosis and treatment progression for pregnant clients with lumbopelvic dysfunction or with diastasis rectus abdominis. Finally, to prepare the pregnant client for labor and birth, instruction in perineal stretching, hip and trunk flexibility activities, and TENS for labor will be discussed. “Lab” practice will include labor and birthing positions, with a focus on consideration for positional strategies for women with pre-existing musculoskeletal problems.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 4 hours
1) Overview of the Pregnant Client (64 min) 2) Hormonal and System Changes During Pregnancy (73 min) 3) Lumbopelvic Examination: Review of Anatomy and Terminology (44 mins) 4) Introduction to Core Concepts, DRA, and PFM (60 mins)
============================= Day One
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Introductions and Q&A/Review of Pre-Recorded Lectures
9:15 - General Examination & Treatment Considerations and Modifications for the Pregnant Client 10:00 - Pelvic Girdle Examination and Diagnosis 10:30 - Lab: Self-Assessment of Lumbopelvic Region (Participants: please have a sturdy surface to lie on such as floor or sturdy coffee table, a hand towel, a belt/ yoga strap/ gait belt, a towel or sheet, and a couple of pillows) 11:30 - Break out case studies: Diagnosing Lumbopelvic Pain During Pregnancy 12:00 - Lunch 12:30 - Review of Key Concepts related to the Core, DRA, and PFM 1:00 - Lab: Deep Core and DRA (Participants: you may want to have a felt tip pen or marker and tape measure.) 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
============================= Day Two
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Q&A, Review of previous day 9:15 - Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:45 - Lab: Treatment Techniques for Lumbar Spine and Pelvic Girdle (Participants: please have a tennis ball, a dowel rod/ broomstick/ fat marker/ round lipstick tube, a belt/ sheet/ towel, and one pillow or ball. A kickball, soccer ball, or volleyball will work well. If you can, you may also want to have 4-5 pillows and a 3-foot piece of TheraBand.) 10:45 - Lab: Progression of Lumbopelvic Stabilization During Pregnancy (Participants: if you are able, please have the following on hand: large exercise ball, footstool, bath towel, and two pieces of TheraBand about 4-5 feet in length) 11:15 - Break out cases 12:00 - Lunch 12:30 - Preparing for Labor & Birth 1:00 - Lab: Labor & Birth Preparation 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Describe basic terminology related to pregnancy, including fertilization, trimesters, and medical testing/interventions. 2. Perform medical screening for obstetric red flags that may require further referral. 3. Differentiate between progressive labor onset and Braxton-Hicks contractions. 4. Describe pregnancy-related hormonal effects throughout the body systems. 5. Differentiate pelvic girdle pain and pregnancy-related low back pain. 6. Safely perform lumbopelvic examination, diagnosis, and treatment with the pregnant client. 7. Differentiate the terms diastasis rectus abdominis and inter-recti distance. 8. Safely perform diastasis rectus abdominis examination, diagnosis, and treatment with the pregnant client. 9. Instruct a pregnant client through a progression of core muscle training. 10. Instruct a pregnant client in labor & birth preparation techniques, including perineal massage, use of TENS, and positioning to minimize impact on pre-existing musculoskeletal conditions.
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.
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Resource documents will also be provided for preview that will cover history taking with pregnant clients; obstetric red flags and medical screening; and positioning considerations with the pregnant client.
During online live interactive portions of this course, we will open with general examination considerations and modifications specific to pregnancy, including discussion of modalities and manual therapy techniques considered safe or precautioned during pregnancy. Further discussion of pelvic girdle examination, diagnosis, and treatment strategies will be provided, followed by “lab” time with assessment and treatment techniques for the lumbopelvic region. Review of key concepts related to core muscle and diastasis rectus abdominis will lead to “lab” time with assessment and treatment techniques. Progression of stabilization exercises during pregnancy will be practiced. Break out cases will allow time for both small and large group discussion for diagnosis and treatment progression for pregnant clients with lumbopelvic dysfunction or with diastasis rectus abdominis. Finally, to prepare the pregnant client for labor and birth, instruction in perineal stretching, hip and trunk flexibility activities, and TENS for labor will be discussed. “Lab” practice will include labor and birthing positions, with a focus on consideration for positional strategies for women with pre-existing musculoskeletal problems.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.
Prerequisites:
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 4 hours
1) Overview of the Pregnant Client (64 min) 2) Hormonal and System Changes During Pregnancy (73 min) 3) Lumbopelvic Examination: Review of Anatomy and Terminology (44 mins) 4) Introduction to Core Concepts, DRA, and PFM (60 mins)
============================= Day One
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Introductions and Q&A/Review of Pre-Recorded Lectures
9:15 - General Examination & Treatment Considerations and Modifications for the Pregnant Client 10:00 - Pelvic Girdle Examination and Diagnosis 10:30 - Lab: Self-Assessment of Lumbopelvic Region (Participants: please have a sturdy surface to lie on such as floor or sturdy coffee table, a hand towel, a belt/ yoga strap/ gait belt, a towel or sheet, and a couple of pillows) 11:30 - Break out case studies: Diagnosing Lumbopelvic Pain During Pregnancy 12:00 - Lunch 12:30 - Review of Key Concepts related to the Core, DRA, and PFM 1:00 - Lab: Deep Core and DRA (Participants: you may want to have a felt tip pen or marker and tape measure.) 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
============================= Day Two
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Q&A, Review of previous day 9:15 - Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:45 - Lab: Treatment Techniques for Lumbar Spine and Pelvic Girdle (Participants: please have a tennis ball, a dowel rod/ broomstick/ fat marker/ round lipstick tube, a belt/ sheet/ towel, and one pillow or ball. A kickball, soccer ball, or volleyball will work well. If you can, you may also want to have 4-5 pillows and a 3-foot piece of TheraBand.) 10:45 - Lab: Progression of Lumbopelvic Stabilization During Pregnancy (Participants: if you are able, please have the following on hand: large exercise ball, footstool, bath towel, and two pieces of TheraBand about 4-5 feet in length) 11:15 - Break out cases 12:00 - Lunch 12:30 - Preparing for Labor & Birth 1:00 - Lab: Labor & Birth Preparation 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Describe basic terminology related to pregnancy, including fertilization, trimesters, and medical testing/interventions. 2. Perform medical screening for obstetric red flags that may require further referral. 3. Differentiate between progressive labor onset and Braxton-Hicks contractions. 4. Describe pregnancy-related hormonal effects throughout the body systems. 5. Differentiate pelvic girdle pain and pregnancy-related low back pain. 6. Safely perform lumbopelvic examination, diagnosis, and treatment with the pregnant client. 7. Differentiate the terms diastasis rectus abdominis and inter-recti distance. 8. Safely perform diastasis rectus abdominis examination, diagnosis, and treatment with the pregnant client. 9. Instruct a pregnant client through a progression of core muscle training. 10. Instruct a pregnant client in labor & birth preparation techniques, including perineal massage, use of TENS, and positioning to minimize impact on pre-existing musculoskeletal conditions.
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.
Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
