2024 Pelvic PT Level II: Management of Pelvic Pain and Defacatory Disorders: A Case Based Approach

Course Location:
Brooks Rehabilitation Hospital – University Campus
3599 University Blvd S., Jacksonville, Florida 32216

Course Description:

This course is the second in a series of three courses designed to give the practicing clinician a comprehensive knowledge base in pelvic physical therapy treatment. Course content is evidence based, and will promote the use of the most reliable tests and validated outcomes measures. This 2-day case-based course will advance the skill and knowledge of physical therapists trained in the examination and treatment of pelvic pain and defecatory disorders. Instruction in pelvic floor muscle function, anatomy, physiology and pelvic floor muscle dysfunction will provide the clinician with skills for immediate clinical application and build the base for future courses. Instruction in vaginal and rectal examination/intervention of the pelvic floor is a key component of this course along with the abdominal region. Participants will perform and experience intra-vaginal and rectal exams and interventions appropriate for pelvic pain and defecatory disorders, EMG biofeedback, and electrical stimulation.

Course Objectives:

At the end of this course the participants will be able to:
1. Apply knowledge of normal anatomy and function of the abdomen and pelvic floor to an examination scheme for pelvic pain and defecatory disorders.
2. Apply knowledge of the physiology of defecation and the pathophysiology of defecatory disorders to an examination scheme.
3. Apply knowledge of the pathophysiology of pelvic pain to an examination and intervention scheme.
4. Diagnose impairments of the pelvic floor and surrounding structures and their impact on intervention and function
5. Perform an external and internal examination and evaluation of the structures impacted by an underactive pelvic floor (rectal) and over-active pelvic floor (vaginal and rectal)
6. Determine when referral to another health care provider is warranted based on the history and physical examination of a patient with pelvic pain and defecatory disorders.
7. Develop differential diagnoses and prognosis for recovery of neuro-musculoskeletal impairments and functional losses associated with pelvic pain and defecatory disorders
8. Physical Therapists will differentiate between different potential mechanisms of pelvic pain
9. Collaborate with clients to determine rehabilitation and health and wellness goals related to their dysfunction.
10. Collaborate with clients to determine an evidenced-based plan of care, taking into consideration the client’s goals and the PT’s examination findings
11. Consider how medical management of pelvic pain and defectory disorders may impact rehabilitation interventions
12. Implement interventions such as PFM down-training and coordination, bowel training, sEMG and pressure biofeedback, electrical stimulation and manual therapy for rehabilitation of pelvic floor and abdominal muscle/soft tissue impairments
13. Utilize best risk management and infection control strategies in management of pelvic floor dysfunction
14. Identify validated dysfunction-specific outcome measures for each of the dysfunctions covered in the course, where available
15. Identify more global and general rehabilitation/prevention outcome measures for the dysfunctions covered when specific outcome measures are lacking
16. Be familiar with best documentation practices related to management of pelvic floor dysfunction

Intended Audience:

The information presented in this course is clinically relevant for Physical Therapist (PT) practitioners.

Disclaimer: Registrations from individuals with clinical designations not listed in the intended audience for this course may be subject to removal from the course roster without a full refund. See Brooks IHL Course Policies and Procedures for details at Brooksihl.org. If you are unsure or have questions related to the intended audience, please email CEU@BrooksIHL.org and we will be happy to help clarify!

Contact Hours:

This course has been approved for 18.5 contact hours by the following boards:
– Florida Physical Therapy Association

Continuing Education credit for each participant who meets the satisfactory course completion requirements (licensed in FL) will be automatically uploaded to CE Broker, which means the Florida Boards will have record of your attendance, even if you do not have your own personal CE Broker account. Course certificates will be provided at the completion of the course for those that meet the course completion requirements. Certificates will be mailed for courses that include a post-course test.

Brooks Pelvic Physical Therapy Certificate of Achievement:

This course is the second of three courses, Pelvic PT1, Pelvic PT2, and Pelvic PT3, designed to give the practicing clinician a comprehensive knowledge base in pelvic physical therapy evaluation and treatment. Successful completion of testing will result in a Certificate of Completion of Pelvic PT2. Successful completion of Pelvic PT1, Pelvic PT2, and Pelvic PT3 will result in a Brooks Certificate of Advanced Clinical Achievement in Abdominopelvic Physical Therapy.

Prerequisites:

Attendees must send in a copy of a Certificate of Completion from an approved Level 1 Pelvic Physical
Therapy course of at least 16 Contact Hours.

Course Tests:

All participants must take the Post course online test. Physical Therapist participants must also pass psychomotor skills testing. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Participants who do not pass testing but attend the entire course will be granted a Certificate of Attendance.

Psychomotor Skills Testing:

Physical Therapists participants are expected to participate in all psychomotor skills testing during the course. Participant who do not pass the pre course test, psychomotor skills test, and the post course test but attend the entire course will be granted a Certificate of Attendance. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Physical Therapist Assistant participants may not participate in psychomotor skills testing except as a simulated patient for a physical therapist participant who is testing.

Post course Online Testing:

Participants are expected to complete the required post course online testing no later than 2 weeks after the end of the live course. The test will be available to all participants via email within a week following the course.

Biofeedback sensors:

Participants will be issued a vaginal or rectal sensor for personal use for the sEMG and electrical stimulation labs. The cost of the sensor is included in the cost of the course.

Lab Participation:

Participants must be prepared to fully engage in the interactive labs in this course including vaginal examination and treatment techniques. Participants must come prepared to participate as both clinician and patient. Participants, who cannot, for any reason, participate as simulated patients in lab must provide
their own surrogates. Male participants must provide a surrogate for vaginal examination and treatment. Pregnant participants must bring a signed permission note from her physician to participate. This course DOES include internal intra-vaginal pelvic floor lab work.

Attendance:

Participants are expected to stay through the entire course in order to receive the most benefit from the course, and to earn all of the CEUs for the course. Anyone needing to miss more than one hour will have the number of CEUs altered on his or her Certificate, and may be required to purchase additional instruction and complete course work in order to obtain a Certificate of Completion (at the instructor’s discretion).

Enrollment:

If you are a Brooks Clinician and want to pay by cost center, please fill out this registration form and return the check and form to the Brooks IHL.

Satisfactory Course Completion:

Full course attendance (including signing the attendance sheet each day), psychomotor skills test, online post course test and lab participation.

Course Evaluation/Survey:

Within 48 hours of course completion, you will receive a post course survey. The IHL values your feedback and we thank you in advance for taking the survey.