SOWH
Pelvic Physical Therapy – Level One
Day 1
7:30 to 8:00Registration/ CAPP discussion
8:00 to 8:15Introductions/ Course Overview
8:15 to 9:30 Abdominopelvic anatomy
9:30 to 10:15Physiology of micturition/ Types of lower urinary tract dysfunction /
Pelvic Floor Muscle Disorders
10:15to 10:30BREAK
10:45 to 11:15 Infection control/risk management (intro to lab)
11:15 to 12:15External palpation of the PFM (Lecture/LAB)
12:15 to 1:15Lunch
1:15 to 2:00Pelvic Organ Prolapse
2:00 to 2:30History taking/Symptoms that require medical intervention
2:45 to 3:15Urodynamics and bladder tests
3:15 to 3:30BREAK
3:30 to 5:30Female pelvic floor internal muscle examination lecture/LAB
Day 2
8:00 to 8:30 Electrical stimulation lecture
8:30 to 9:45 Biofeedback/ pressure biofeedback/EMG biofeedback lecture
9:45 to 10:00 BREAK
10:00 to 11:15 EMG biofeedback LAB / E-stim LAB
11:15to 12:00 Physical Therapy Treatment of Underactive PFM and Prolapse
Facilitation and overflow
Simple biofeedback
Vaginal weights
12:00 to 1:00 Lunch
1:00to 1:45 Physical Therapy Treatment of Underactive PFM and Prolapse, contd.
Functional pelvic floor muscle training
Exercise Considerations
1:45 to 2:45 Bladder Training
2:30to 3:15 The abdominal muscles in PFM training
3:15to 3:30 BREAK
3:30 to 5:30 Abdominal/Pelvic Floor TrainingLAB
Complete pelvic floor examination with supervision /LAB
Day 3
7:30 to 7:45Questions/Review
7:45to 8:30Medications: Treatment and impact on incontinence /
Dietary Recommendations for UI
8:30 to 9:00Prevention of Pelvic Floor Dysfunction / Urogynecological surgeries
9:00to 10:00Documentation / Forms & Clinical Assimilation
10:00 to 10:15Break
10:15 to 11:00Pelvic pain syndromes/basic treatment concepts
11:00 to 12:00Lunch
12:00 to 3:00 Complete PFM examination LAB and CAPP testing/
Wrap-up/Questions
Pelvic Physical Therapy - Level Two
Day 1
7:30 to 8:00 Registration and CAPP discussion
8:00 to 8:45 Anorectal anatomy
8:45 to 9:45 Physiology of defecation / Fecal incontinence
9:45 to 10:00 Break
10:00 to 10:45 Constipation and obstructed defecation / Colon and anorectal function testing
10:45 to 11:15 Bowel History and Outcomes forms
11:15 to 12:00 Anorectal examination and evaluation
Infection control / risk management (review on your own prior to lab)
12:00 to 1:00 Lunch
1:00 to 3:00 Rectal examination for weakness, MMT (LAB)
3:00 to 3:15 Break
3:15 to 4:00 Colon and anorectal surgeries
4:00 to 4:45 Physiology of pain
4:45 to 5:30 Coccyx pain
Day 2
8:00 to 8:45 Painful bladder syndromes
8:45 to 9:45 Vulvodynia / vaginismus
9:45 to 10:15 Pudendal neuralgia
10:15 to 10:30 Break
10:30 to 11:00 Pelvic pain evaluation and examination (also use as intro to lab)
11:00 to 12:00 External perineal pain treatment (LAB)
12:00 to 1:00 Lunch
1:00 to 1:30 Modalities for pain and bowel dysfunction
1:30 to 2:15 Endometriosis / Sexual response / sexual dysfunction
2:15 to 2:45 Irritable bowel syndrome (IBS)
2:45 to 3:00 Break
3:00 to 3:30 Basic concepts of myofascial release
3:30 to 5:30 Vaginal myofascial release /advanced assessment / coccyx mobilization (LAB)
Day 3
7:30 to 7:45 Questions / review previous day
7:45 to 8:15 Abdominopelvic neuroanatomy & nerve entrapments
8:15 to 8:45 Abdominopelvic adhesions/Scar massage
8:45 to 9:15 Myofascial pain syndrome and trigger point release
9:15 to 9:30 Break
9:30 to 11:00 Abdominal evaluation/scar massage (LAB)
11:00 to 12:00 Lunch
12:00 to 3:00 LAB - Complete rectal exam / review pelvic pain examination and treatment /
CAPP testing / wrap-up
Pelvic Physical Therapy - Level Three
Day 1
7:30 to 8:00 Registration
8:00 to 8:15 Welcome/announcements
8:15 to 9:00 Male anatomy
9:00 to 10:00 Male incontinence/Erectile Dysfunction
10:00 to 10:15 Break
10:15 to 11:15 Benign Prostatic Hyperplasia/Prostate cancer
11:15 to 12:15 Male pelvic pain/Examination considerations specific to males
12:15 to 1:15 Lunch
1:15 to 2:00 Male pelvic pain, contd.
2:00 to 3:00 EMG biofeedback with emphasis on relaxation
3:00 to 3:15 Break
3:15 to 5:30 EMG relaxation (LAB)
Day 2
8:00 to 9:00 Urinary retention
9:00 to 10:00 Neurogenic Lower Urinary Tract Dysfunction
10:00 to 10:15 Break
10:15 to 12:00 Neurogenic Lower Urinary Tract Dysfunction
12:00 to 1:00 Lunch
1:00 to 2:00 Pediatric pelvic dysfunction and treatments
2:00 to 2:45 Vaginal Examination – form to be signed off by instructors (LAB)
2:45 to 3:00 Break
3:00 to 3:45 Vaginal Examination – form to be signed off by instructors (LAB)
3:45 to 5:00 Aging of the Lower Urinary Tract
5:00 to 5:30 Documentation and outcome measures/questions
Day 3
8:00 to 9:00 Interdisciplinary approach to pelvic dysfunction
9:00 to 10:30 Rectal Examination – form to be signed off by instructors (LAB)
10:30 to 10:45 Break
10:45 to 11:30 Case studies/Clinical decision making independently
11:30 to 12:30 Lunch
12:30 to 1:15 Confer with group
1:15 to 3:15 Group presentation of case study (each group has maximum of 30 min)
Attendance for all case studies is mandatory for CAPP participants
3:15 to 3:30 Questions, wrap-up