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Pediatric Pelvic Floor Rehabilitation: Evaluation and Treatment of Common Conditions

presented by Dawn Sandalcidi

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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How can physical therapists evaluate and address complex pediatric cases involving urinary incontinence and pelvic floor dysfunction? How do physical therapy evaluation and treatment approaches overlap and interact with the medical evaluation and treatment? This course, with Dawn Sandalcidi, seeks to answer these questions and more by providing an in depth look at the physical therapy evaluation and process for planning and executing treatment. Concepts from the course are discussed using real-world case examples and demonstrations of exercises with mock patients.

Meet Your Instructor

Dawn Sandalcidi, PT, RCMT, BCB-PMD

Dawn Sandalcidi PT, RCMT, BCB-PMD specializes in pelvic muscle dysfunction (incontinence and pain), orthopedic manual therapy, and TMJ treatment. She is the leading expert in the field of pediatric incontinence in physical therapy. She has trained medical professionals in manual therapy since 1992 both nationally and internationally. Dawn is certified by the Biofeedback Institute of…

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Chapters & Learning Objectives

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1. Medical Evaluation and Common Medications

In this section, common medications provided by physicians are discussed, and important details about the medical examination are provided.

2. Physical Therapy Evaluation and Treatment

This chapter provides an exhaustive description of the physical therapy evaluation and subsequent treatment sessions for children experiencing pelvic floor dysfunction. Topics covered include strategies for exploring patient history and habits, planning treatment, and providing effective intervention and education for children and their families.

3. Physical Therapy Treatment Demonstration

This chapter applies concepts from Chapter 1 by providing a lab section demonstrating example physical therapy interventions for children experiencing incontinence issues.

4. Question and Answer

In the final chapter of this course, Dawn Sandalcidi answers common questions about pediatric pelvic floor rehabilitation, and addresses specific therapy situations.

More Courses in this Series

Pediatric Pelvic Floor Rehabilitation: Biofeedback

Presented by Dawn Sandalcidi, PT, RCMT, BCB-PMD

Pediatric Pelvic Floor Rehabilitation: Biofeedback

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
How can therapists effectively teach children to execute subtle muscle contractions to perform proper toileting technique? One answer is the emerging practice of biofeedback or technique in which a normally unconscious physiological process is presented to a patient and therapist as a visual, auditory or tactile signal. This course, with Dawn Sandalcidi, describes forms of biofeedback that are available in a clinical setting, most prominently Surface Electromyography SEMG, and describes specific biofeedback treatment progressions, as well as the limitations of biofeedback. Concepts from the course are discussed using real-world case examples.

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Pediatric Pelvic Floor Rehabilitation: Terminology, Conditions, & Diagnoses

Presented by Dawn Sandalcidi, PT, RCMT, BCB-PMD

Pediatric Pelvic Floor Rehabilitation: Terminology, Conditions, & Diagnoses

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
How can a clinician taking on pelvic floor patients for the first time keep all of the terminology around anatomy, conditions and diagnoses strait? In this course, Dawn Sandalcidi will help the participant to learn terminology from the International Children's Continence Society to better align themselves with up-to-date research and clinical practice. The course begins by providing standardization of terms for different diagnoses common in the pediatric pelvic floor rehabilitation arena. Dawn Sandalcidi then introduces common conditions and diagnoses that pediatric pelvic floor practitioners commonly see. The course concludes with two chapters taking a closer look at two of these conditions: Neurogenic Bladder, and Vesicoureteral Reflux.

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Pediatric Pelvic Floor Rehabilitation: Bowel and Bladder Function

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Pediatric Pelvic Floor Rehabilitation: Bowel and Bladder Function

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? This course series, with Dawn Sandalcidi, seeks to answer this and other questions, and to arm clinicians with the background knowledge and evidence-based techniques needed to address these important issues in pediatric patients. In this installment, Dawn Sandalcidi provides a detailed description of pelvic floor anatomy, with special attention to the development of pelvic floor structures in children. She then discusses the normal development of bowel and bladder function, as well as defecation.

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Pediatric Pelvic Floor Rehabilitation: Investigative Tools

Presented by Dawn Sandalcidi, PT, RCMT, BCB-PMD

Pediatric Pelvic Floor Rehabilitation: Investigative Tools

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Without an in-depth understanding of non-invasive tools available to therapists, it is not possible to effectively practice pediatric pelvic floor rehabilitation. This course, with Dawn Sandalcidi, covers tools and strategies for evaluating pelvic floor function in children. Non-invasive tools covered include Bowel-Bladder Diaries, Uroflow measurements, and Ultrasound. Invasive tools include DMSA Renal Scan, Cystometry, and Voiding Cystourethrogram (VCUG). All of these techniques will be discussed within the context of specific case examples, and representative data for specific diagnoses.

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Pediatric Pelvic Floor Rehabilitation: Psychological Considerations, Dysfunctional Voiding and Constipation

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Pediatric Pelvic Floor Rehabilitation: Psychological Considerations, Dysfunctional Voiding and Constipation

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
How can physical therapists evaluate and address the complex psychological considerations associated with constipation and dysfunctional voiding, and provide practical solutions for children experiencing persistent constipation? This course, with Dawn Sandalcidi, addresses these complex problems by detailing the causes and types of dysfunctional voiding and constipation, their etiologies, and practical intervention strategies for children. Concepts from the course are discussed using real-world case examples, and the course concludes with a conversation with a practicing pediatric therapist.

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Pediatric Pelvic Floor Rehabilitation: Enuresis

Presented by Dawn Sandalcidi, PT, RCMT, BCB-PMD

Pediatric Pelvic Floor Rehabilitation: Enuresis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Enuresis is a significant problem for children and their families, effecting five to seven million children in the United States. This course outlines the role of rehabilitation professionals in assessing and treating enuresis. The course begins by describing the prevalence and effects of enuresis, including comorbidities and the consequences for children. The course then explains the process for assessing for enuresis via urolog and implementing behavior modification, charting, and conditioning to address the problem. The course concludes by reviewing an in-depth example of a real patient.

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Pediatric Pelvic Floor Rehabilitation: Case Studies

Presented by Dawn Sandalcidi, PT, RCMT, BCB-PMD

Pediatric Pelvic Floor Rehabilitation: Case Studies

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
What does the actual progression of appointments for evaluation and treatment of pelvic floor dysfunction look like in clinical practice? This course provides seven real world case examples, bringing together concepts from the entire Pediatric Pelvic Floor series. The case studies follow children from ages 3 to 17, and cover a range of pelvic floor problems from enuresis, pelvic floor muscle discoordination and dysfunction, to psychological considerations, and dysfunctional voiding. This course will help rehabilitation professionals understand the complexities involved in treating children experiencing pelvic floor dysfunction.

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