Rachel Kilgore, DPT, OCS, COMT, PRPC

Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

Rachel Kilgore, DPT, OCS, COMT, PRPCC

Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

Courses Instructed by Rachel Kilgore

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      string(78) "Care of the Postpartum Patient - Cleveland, OH - November 2-3, 2019 (SOLD OUT)"
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    Care of the Postpartum Patient - Cleveland, OH - November 2-3, 2019 (SOLD OUT)

    {dtregister}812{/dtregister}
    Cleveland
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Beginner
    Contact Hours: 15

    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.

      Name Street Address (Links to Map)
    Course Location

    University Hospitals

    11100 Euclid Ave
    Cleveland, OH 44106
    Recommended Lodging

    Courtyard Marriott
    (216)791-5678

    2021 Cornell Rd
    Cleveland, OH 44106
    Nearest Airport

    Cleveland Hopkins International Airport
    Airport Code: CLE

    5300 Riverside Dr.
    Cleveland, OH 44135

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Care of the Pregnant Patient - Oakland, CA - June 29-30, 2019

    {dtregister}790{/dtregister}
    Oakland
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $475 (Early Registrant Price $450)
    Experience Level: Beginner
    Contact Hours: 15

    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.

     NameStreet Address (Links to Map)
    Course Location

    Alta Bates Summit Medical Center Orthopedic and Sports Physical Therapy

    5700 Telegraph Avenue
    Oakland, CA 94609
    Recommended Lodging

    Hilton Garden Inn San Francisco/Oakland Bay Bridge
    (510) 658-9300

    1800 Powell St
    Emeryville, CA 94608
    Nearest Airport


    Airport Code: OAK

    1 Airport Dr
    Oakland, CA 94621

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Care of the Pregnant Patient - Seattle, WA - February 22-23, 2020

    {dtregister}903{/dtregister}
    Seattle
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $475 (Early Registrant Price $450)
    Experience Level: Beginner
    Contact Hours: 15

    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.

     NameStreet Address (Links to Map)
    Course Location

    Pacific Medical Center

    1200 12th Ave South
    Seattle, WA 98144
    Recommended Lodging

    Best Western Executive Inn
    (206) 448-9444

    200 Taylor Ave N
    Seattle, WA 98109
    Nearest Airport

    Seattle–Tacoma International Airport
    Airport Code: SEA

    17801 International Blvd
    Seattle, WA 98158

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Postpartum Rehabilitation - Remote Course - August 22-23, 2021 (SOLD OUT)

    9:00am - 2:30pm

    {dtregister}1489{/dtregister}
    postpartum
    • Description

    • Schedule

    • Objectives

    • Remote Course Info

    • Instructors

    Price: $425
    Experience Level: Beginner
    Contact Hours: 14

    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 take 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 prerecorded content which must be viewed prior to participating in the meeting. 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. 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:
    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

    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.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 3.5 hours

    1) Overview of the Postpartum Client (40 min)
    2) Hormonal and System Changes and Recovery During Postpartum (32 min)
    3) Abdominal Wall Rehabilitation Post-Cesarean (38 min)
    4) Pelvic Floor Postpartum (48 min)
    5) Exam, Eval, and General Treatment Strategies for the Lumbar Spine and Pelvic Girdle in the Postpartum (55 min)

    =============================
    Day One
    =============================

    8:30 am PST - Zoom opens 30 mins before course for registration and setup
    9:00 am PST - Course begins / Introductions and Review of Pre-Recorded Lectures
    9:15 - General Examination and Treatment Considerations for the Postpartum Client
    10:00 - Review of Key Concepts related to Postpartum Abdominal Wall
    10:30 - Lab: Abdominal Wall Assessment and Scar Treatment (supplies needed: calipers, medical tape measure, felt tip pen, and at least 1 partial roll of kinesiology tape)
    12:00 - Break
    12:30 - Review of Key Concepts related to Postpartum Pelvic Floor and Deep Core Group Activities
    1:00 - Break out Cases: Postpartum Abdominal and Pelvic Floor Dysfunction
    1:45 - Lab: Postpartum DRA Rehabilitation Progression (optional supplies needed: large exercise ball and yoga mat)
    2:15 - 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 - Upper and Lower Quarter Concerns in the Postpartum
    10:00 - Rib Cage Postpartum
    10:30 - Lab: Rib Cage Postpartum (supplies needed: towel, sheet, belt, OR yoga strap; and at least 1 partial roll of kinesiology tape)
    11:15 - Break Out Cases: Upper and Lower Quarter Concerns in Postpartum
    11:45 - Break
    12:15 - Psychosocial Considerations During Postpartum
    1:15 - Postpartum Exercise and Fitness 2.06
    2:15 - Recap of Key Concepts and Q&A
    2:30 - 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.

    Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.

     

    Important thing to note:

    - Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

    - To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

    - We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

    - A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

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    Pregnancy Rehabilitation - Corvallis, OR - May 2-3, 2020 (Rescheduled)

    Update 4/14/2020: 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!

    {dtregister}898{/dtregister}
    Corvallis
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Beginner
    Contact Hours: 15

    Knowing how to safely examine and treat the patient who is pregnant is the goal of this 2-day beginner-level course. For the orthopedic-based practitioner, this course will solidify safe practice with pregnant clientele. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common pregnancy-related conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the pregnant vs. non-pregnant population. Review will be provided of pregnancy-related terminology: fertilization, trimesters, medical testing/interventions, imaging, and medications. The participant who completes this course will be able to differentiate between false labor and progressive labor and describe fetal positions and stages of labor and birth. 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.

    Examination considerations and modifications specific to pregnancy will be provided, as well as specific questions to ask during history taking and strategies for identifying red flags in pregnancy. Safe positions during the examination/treatment, common posture/gait/balance changes during pregnancy, and common biomechanics and sleep positioning training are described. The participant will learn what modalities and manual therapy techniques are safe or precautioned during pregnancy. Examination, evaluation, and treatment of common pregnancy complaints will be reviewed during lecture and lab for the lumbar, pelvic, and hip region. An introduction in lecture and lab to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided (covered in more detail during the postpartum course). All pelvic floor techniques will be instructed externally (no internal examination/treatment at this course).

    To prepare the pregnant client for labor and birth, this course will offer instruction on perineal stretching, hip and trunk flexibility activities, TENS for labor, partner massage, and stress reduction techniques during labor. Doula and labor support and childbirth class options will be described. Practice during lab of positional consideration with sEMG biofeedback will help the participant guide patients in labor and birthing positions, including consideration for positional strategies for women with pre-existing musculoskeletal problems.

    An introduction to high risk pregnancy and activity restriction levels (such as “bed rest”) is provided. On the other hand, instructing patients in fitness and exercise during pregnancy is also discussed in relation to American College of Obstetricians and Gynecologists (ACOG) guidelines, with ideas for specific types of exercise modification during pregnancy. The course concludes with discussion of marketing and billing needs for providing care for the pregnant 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

    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.

     NameStreet Address (Links to Map)
    Course Location

    Albany Sport & Spine Physical Therapy

    617 NW Hickory St #160
    Albany, OR 97321
    Recommended Lodging

    Holiday Inn Express & Suites Albany
    (541) 928-8820

    105 Opal Court Ne
    Albany, OR 97322
    Nearest Airport

    Eugene Airport
    Airport Code: EUG

    28801 Douglas Dr
    Eugene, OR 97402

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Pregnancy Rehabilitation - Remote Course - April 24-25, 2022

    Pacific Time: Day 1 8:45am-2:30pm/ Day 2 8:45am-2:30pm

    {dtregister}2022{/dtregister}
    pregnancy
    • Description

    • Schedule

    • Objectives

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $425
    Format Online Meeting
    Experience Level: Beginner
    Contact Hours: 15

    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.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 4 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.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Pregnancy Rehabilitation - Remote Course - February 12-13, 2022

    Pacific Time: Day 1 8:45am-2:30pm/ Day 2 8:45am-2:30pm

    {dtregister}2024{/dtregister}
    pregnancy
    • Description

    • Schedule

    • Objectives

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $425
    Format Online Meeting
    Experience Level: Beginner
    Contact Hours: 15

    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.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 4 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.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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    Pregnancy Rehabilitation - Remote Course - January 15-16, 2022 (SOLD OUT)

    Pacific Time: Day 1 8:45am-2:30pm/ Day 2 8:45am-2:30pm

    {dtregister}2014{/dtregister}

    pregnancy
    • Description

    • Schedule

    • Objectives

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $425
    Format Online Meeting
    Experience Level: Beginner
    Contact Hours: 15

    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.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 4 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.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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  • Pregnancy Rehabilitation - Remote Course - January 4 - 5 2025
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    Pregnancy Rehabilitation - Remote Course - March 26-27, 2022

    Pacific Time: Day 1 8:45am-2:30pm/ Day 2 8:45am-2:30pm

    {dtregister}2021{/dtregister}
    pregnancy
    • Description

    • Schedule

    • Objectives

    • Remote Course Info

    • Instructors

    • Discounts

    Price: $425
    Format Online Meeting
    Experience Level: Beginner
    Contact Hours: 15

    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.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 4 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.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES

    Rachel Kilgore, DPT, OCS, COMT, PRPCC

    Rachel Kilgore, DPT, OCS, COMT, PRPC, PPCES (she/her) graduated from Central Washington University with a Bachelor of Science (BS) in exercise science and a minor in nutrition in 2004 where she also captained the collegiate soccer team. Rachel completed her Doctor of Physical Therapy (DPT) at University of Washington in 2007. She has worked in out patient orthopedics and pelvic health since 2007. She furthered her physical therapy training earning Certified Orthopedic Manual Therapist (COMT), Physical Therapy Board-Certified Specialist in Orthopedics (OCS), and Pelvic Rehabilitation Practitioner Certification (PRPC). She is a member of the American Physical Therapy Association (APTA), Section of Orthopedics and Section of Women’s Health, and the Physical Therapy Association of Washington (PTWA).

    Currently, Rachel practices in Seattle at Flow Rehab in the Freemont Neighborhood with Holly Tanner and Jake Bartholomy. Her patient care focuses on orthopedics, female athletes, and women’s health conditions for bladder & bowel dysfunctions, pelvic, pain, pregnancy and post-partum issues. Since giving birth to her daughter in 2016, Rachel has held a special place in her heart to treat and encourage new mothers, helping them to achieve their health and fitness goals. She enjoys working with many of the local mother’s fitness groups and neighborhood peripartum practitioners.

    In her free time Rachel enjoys cheering on her local Seattle sports teams the Seahawks, the Sounders, and the Husky Football team with her friends and family. She loves living in the Northwest and enjoying all it has to offer outdoors with hiking, running, cycling, and playing soccer.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

    Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.


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