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Introduction to Pelvic Floor Rehab


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This two day, introductory course will review male and female pelvic floor anatomy related to underactivity dysfunctions. The participants will gain an understanding of internal and external anatomy, and the relationship between lumbar spine, hip complex, and pelvic floor structures. Types of underactivity dysfunctions including incontinence and prolapse will be reviewed. The course will also cover orthopedic examination including external pelvic floor muscle assessment, as well as underactivity dysfunctions and intervention strategies including external manual techniques, therapeutic exercises, and modalities. This course will serve as a foundational course to enable clinicians to appropriately recognize, assess, and treat low complexity pelvic floor dysfunctions, while preparing them for further education and training in moderate and high complexity pelvic floor dysfunction.

Target Audience: PTs, PTAs, OTs, OTAs, ATs

Instructional Level: Intermediate

Instructional Methods: Hands-on lab, lecture with Q&A, group discussion, patient cases, evidence review

Course Completion Requirements: must attend entire 2-day course, complete the post-course survey and post-course learner assessment

Cancellation policy

CEU Approval Information

For individual state approval, please contact us

16 Hour Course

16 CEUs will be offered for Certified Athletic Trainers

For assistance with applying for OT CEUs, please contact us


Additional information


February 27-28, 2021 Atlanta, GA, October 16-17, 2021 Hummelstown, PA

Course Objectives

  1. The participant will be able to demonstrate an understanding of pelvic anatomy including the muscle layers of the pelvic floor.
  2. The participant will be able to describe relationship between pelvic floor and the lumbar spine/hip complex.
  3. The participant will be able to describe normal physiology of pelvic floor functions.
  4. The participant will be able to identify various types of incontinence (AI, UI) and intervention options, including therapeutic exercise principles, manual therapy interventions, and application of modalities (external TENS).
  5. The participant will be able to perform comprehensive physical examination and muscle assessment techniques including observation and external palpation appropriate for pelvic floor underactivity dysfunctions.
  6. The participant will understand the different types of pelvic organ prolapse and their impact on rehabilitation strategies.
  7. The participant will be able to identify factors that would indicate need for internal pelvic floor muscle assessment prior to initiating interventions.
  8. The participant will be able to identify contra-indications and precautions related to pelvic floor intervention strategies, utilizing a thorough subjective exam.

Course Agenda

Day One

7:30-8:00 – Registration/check in

8:00-8:30 – Lecture: welcome, introduction, objectives

8:30-9:30 – Lecture: male/female pelvic anatomy – bony landmarks, muscles, nerves, organs

9:30-10:30 – Lecture: lumbar/hip relationships with pelvic floor

10:30-11:15 – LAB: Lumbopelvic screening

11:15-12:15 – Lecture: normal pelvic floor function/physiology

12:15-1:15 – lunch

1:15-1:45 – Lecture: external pelvic floor muscle assessment considerations

1:45-2:30 – LAB: external pelvic assessment in hooklying

2:30-3:30 – Lecture: introduction to dysfunction – UI/AI/OAB

3:30-4:00 – Lecture: Interventions overview

4:00-5:00 – review/questions/self-reflection


Day Two

7:30-8:00 – get settled

8:00-8:15 – questions from day 1 (self-reflection)

8:15-9:15 – Lecture: behavioral strategies for UI/AI

9:15-10:15 – Lecture: pelvic organ prolapse and interventions

10:15-11:00 – LAB: pelvic assessment/treatment in sidelying – visual observation, palpation (OI, coccyx movement)

11:00-11:15 – LAB: pelvic assessment/treatment in prone

11:15-11:45 – Lecture: overview of overactive conditions (Interstitial Cystitis, Pudendal Neuralgia, Endometriosis, Vulvodynia, Vaginismus, Chronic Prostatitis, Constipation, Coccydynia) and differential diagnosis between underactive vs overactive but functionally weak pelvic floor muscles

11:45-12:45 – lunch

12:45-1:15 – Lecture: pelvic floor muscle uptraining – interventions/exercises

1:15-1:45 – LAB: uptraining exercise demonstrations/progressions

1:45-3:00 – Lecture: contraindications/special considerations for treatment; indications for internal assessment

3:00-4:00 – Lecture: case studies

4:00-5:00 – review/questions/self-reflection

Instructor Details

Ashlie Crewe, PT, DPT, WCS


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