This Boost Camp seminar is designed as a one-day intensive for physical therapists treating pelvic floor dysfunctions (PFD). Patient/client management will include identifying pelvic floor muscle diagnoses, as well as advanced examination techniques of fascial, organ and pelvic floor anatomy applicable to postpartum women and patients with POP, urinary incontinence and pelvic pain. A plan of care will be implemented using the examination findings. Patient education and individualized functional treatment progressions will be emphasized.
The morning labs will include internal vaginal and rectal examination techniques for anterior, posterior and apical support changes, including assessment for perineocele, levator ani (LA) avulsion and measurement of external perineal landmarks (gh, pb) used in pelvic floor rehabilitation. You will learn vaginal myofascial mapping looking beyond the pelvic floor muscles as the source of the patient’s symptoms.
You will learn appropriate examination instruction and the difference of summarizing your findings for the patient and for your medical records.
Afternoon lab time will focus on musculoskeletal and functional evaluation and treatment. You will learn management of intra-abdominal pressure (IAP) with attention to postures and the glottis, breathing and pelvic diaphragm function. We will review the current evidence-based literature reviewing the benefits of lifestyle intervention verses pelvic floor exercise that will help you formulate a comprehensive rehab approach that empowers a woman to be active.
Pre-course work includes approximately 6 hours of reading.
Upon completion of the seminar the participant will be able to:
- Name three locations of visceral pelvic fascia support and genital hiatus support structures which could cause symptoms of pelvic pain.
- List three modifiable conditions that could affect results of vaginal fascial examination.
- Palpate and identify with internal vaginal examination levator ani avulsion, the ATLA, ATFP, ATRV fascial integrity, uterosacral ligament and cervix locations C and D.
- Demonstrate POP examinations both internal vaginal and external POP-Q measurements (gh, pb) using appropriate instructions and ½ speculum.
- Describe two common POP-Q measurements and digital examination findings in patients with postpartum levator ani avulsion and POP
- Describe symptom presentations in 6 types of POP as they relate to fascial support.
- Review current evidence-based literature summaries on IAP, Breathing and PFD.
- List three key abdominal wall and breathing assessments for patients with PFD.
- Assess and demonstrate IAP management strategies in conjunction with therapeutic exercise and functional activity programs for PFD.
Prerequisites: Level 1 course (or equivalent to be approved) and 1 year of experience treating patients
One day course from 8:00am-5:30pm
Registration begins on the first day 15 minutes prior to the start time.