Urinary incontinence is an important health issue that has traditionally not been well managed. One in four women and one in nine men are affected by urinary incontinence. Ongoing research into core dynamics recognizes the pelvic floor as an important component of core retraining, and yet, accurate assessment and treatment techniques of the pelvic floor are lacking in clinical practice. Hypertonicity vs. hypotonicity of these muscles needs to be addressed through palpatory assessment of the pelvic floor. The Cochrane Collaboration (2010) has demonstrated that internal pelvic floor muscle training has Level 1 evidence in treating urinary incontinence. Physiotherapists need to go beyond teaching externally driven Kegels in order to effectively rehabilitate the pelvic floor.
Support documents, including assessment forms, patient handouts and audio files are included in the course cost (see resources tab).
Through completion of this course, participants will:
- Acquire knowledge of anatomy and physiology of micturition, as well as pertinent pathologies for male and female incontinence
- Acquire knowledge of anatomy and physiology of pelvic organ prolapse
- Acquire knowledge of the urodynamic and urological investigation procedures, as well as medical and surgical treatments for urinary incontinence
- Perform an evaluation of the pelvic floor rectally and vaginally
- Establish and perform a treatment plan and its progression for incontinence and pelvic organ prolapse
- Use manual and behavioural techniques, biofeedback and electrical stimulation to treat male and female urinary incontinence, as well as pelvic organ prolapse
This course is open to physiotherapists, physiotherapy students, naturopathic doctors, registered nurses, midwives and medical doctors. Labs include internal palpation.
To be determined
Registration begins on the first day 15 minutes prior to the start time.
This course is both lecture format and practical labs with vaginal and rectal palpation
The Non-internal Introductory Pelvic Floor Course is not a prerequisite to register for this course
The resources listed below are included in the cost of the course, and will be provided to each participant in electronic, PDF format upon successful completion of the course.
- Female symptom monitor
- Male symptom monitor
- Pelvic floor objective assessment
- Checklist for:
- Stress Incontinence
- Urge Incontinence
Bowel, Bladder and Skin Care
- Bladder diary
- Bladder irritants education
- Bladder retraining education
- Constipation evacuation instructions
- Constipation education
- Fibre Diary
- Fibre, listed alphabetically
- Fibre, listed insoluble
- Fibre, listed soluble
- ILU massage
- Medication education
- Skin care
- Urge delay education
- Urinary tract infection prevention
Exercises, stretches and strengthening
- 7 minute workout challenge
- Awareness of core
- Basic pelvic floor stretches
- Exercise program for overactive bladder
- Pelvic muscle electrical stimulation
- Rectus diastasis
- Strengthening exercises
- Functional core tasks
- Female pelvic floor education
- Prolapse education
- Male pelvic floor education
- Post-prostatectomy education
- Post void dribble
Marketing and outcome
- Introductory letter for pelvic health
- Sample assessment report
- Imagery for bladder urgency
The level I Physical Therapy Approach to Female and Male Urinary Incontinence went above and beyond my expectations. I went into the course with the goal of getting a general overview of urinary incontinence in woman and men. I had no idea how much I’d learn and that I would feel comfortable enough to start practicing.
The course material’s depth and breadth was just the right amount. The instructors were outstanding. They were extremely knowledgeable, patient and helpful. They were able to explain complex issues using diagrams, jokes and coloured pictures. At one time, they had 8 people up at the front of the room holding different colors of theraband intricately, so we could understand the anatomy better.
The resources provided in the course handbook were invaluable. The handbook included assessment sheets, marketing ideas, evidence based articles, websites, outcome measures and apps (just to name a few).
The practical component of the course really helped me to solidify my learning. We had approximately 11 hours during the course of hands on experience. Being able to implement assessment and treatment techniques on different partners helped me to feel more comfortable and confident with the female anatomy and also with assessing and treating urinary incontinence.
I’ve been practicing manual physiotherapy for 17 years. This was my favorite course, and it left me excited to take the next level.
– Sara G
An excellent first step in pelvic health physiotherapy training. Comprehensive course notes with the most current research references. Superb teaching with dynamic instructors who are willing to share their knowledge base and ample lab time to practice and learn from the instructors and lab assistants.
– Sheela Z
I thoroughly enjoyed and learned an incredible amount during this course. This was my first pelvic health course and I was anxious about learning the anatomy, physiology and clinical patterns associated with urinary incontinence in one weekend. However, the anatomy and physiology was reviewed extensively in multiple different forms. The assessment and treatment techniques were demonstrated and ample opportunity was given to practice and ask questions. I highly recommend this course to anyone interested in pelvic health.
– Lauren M
I went into the Level I course, The Physical Therapy Approach to Female and Male Incontinence, with limited knowledge and understanding of pelvic health. After the course, I felt prepared and confident to use the knowledge and skills I learned from the course in my clinical practice. The course instructors were experienced and supportive of my learning. I would recommend this course to anyone interested in integrating pelvic health into their practice!
– Devonna T