April 23 - 25, 2015
Marquette University, Milwaukee, WI
Co-Sponsored by Herman & Wallace Pelvic Rehabilitation Instittute.
Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
Physical therapists, occupational therapists and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics.
Consent of instructor or clinicians will have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy. [Prerequisite Course options include Herman and Wallace PF 1, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.]
Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
|Day 1 (7:30 - 5:00)|
|7:30||Registration and Continental Breakfast|
|8:00||Objectives, Introductions and Overview|
|8:45||Pelvic Floor Anatomy|
|9:45||Pelvic Floor TheraBand Demo|
|10:15||External Bony Landmark Palpation and Perineal Exam|
|11:00||Lab 1: External Bony Landmark and Perineal Exam|
|1:00||Intrapelvic Structural Mapping of Muscles and Nerves|
|1:45||Lab 2: PFM Mapping, Pudendal Nerve Pathway Identification|
|3:15||Bowel and Bladder Norms vs. Your B and B Diary findings|
|4:00||Case Study: Finding the Driver|
|4:30||Post-Test and Review|
|Day 2: (7:30 - 5:00)|
|7:30||Continental Breakfast and Registration|
|8:00||Questions and Answers|
|8:15||Pelvic Pain Drivers: Vulvodynia, IC/PBS, Pudendal Neuralgia|
|9:30||History Taking and FO Methods for Pelvic Pain|
|10:30||Musculoskeletal Contributing Factors to Pelvic Pain|
|11:45||Musculoskeletal Scan Exam for Pelvic Pin|
|1:30||Lab 3: Musculoskeletal Scan Exam for Pelvic Pain Lecture and Lab|
|3:15||Case Study: Finding the Driver|
|4:30||Post-test & Review|
|Day 3: (7:00 - 3:30)|
|7:30||Lab 5: Cumulative Lab practicum: History, B and B Diary, Musculoskeletal Scan Exam|
|8:45||Case Study: Finding the Driver|
Lab 6: Cumulative Lab Practicum: External and Internal PFM Exam
Case Study: Finding the Drivers and Treatment Plan
|12:15||Lab 7: External PFM Techniques: Manual Therapy to Pelvic Ring for PFM Release and Joint Mibilization|
Case Presentations: Find the Driver, Plan of Care
|2:45||Post-Test, Questions & Gratitude!|
Elizabeth Hampton, P.T., WCS, BCB-PMD
Ms. Hampton earned her BS in Physical Therapy from Marquette University in 1987 and a certificate in Women’s Health from Texas Women’s University in 2002. She is a certified Pilate’s instructor, integrating the Pilates method into her clinical practice. Ms. Hampton is a published author and faculty member for the Wallace and Herman Institute, teaching courses related to pelvic floor dysfunction. Ms. Hampton is owner of Core Therapeutics Physical Therapy, an outpatient physical therapy clinic specializing in the rehabilitation of lumbopelvic dysfunction, including pelvic pain, incontinence, and prolapse. She is an APTA certified Women’s Health Specialist and also certified in pelvic muscle dysfunction biofeedback through the Biofeedback Certification International Alliance.