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Functions and Dysfunctions of the Pelvic Girdle and Pelvic Floor

presented by Heather Rader, PT, DPT, PRPC, BCB-PMD

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Disclosure Statement:

Financial— Heather Rader is Faculty, Herman and Wallace Pelvic Rehabilitation Institute. She receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

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

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 84 Minutes; Learning Assessment Time: 32 Minutes

This course will explore the anatomical relevance of the pelvic girdle and pelvic floor structures and functions of common movement dysfunctions seen in rehabilitation. The pelvic girdle articulates with the spine and lower extremities and houses the pelvic floor region, making its anatomy relevant to all rehabilitation practitioners. An overview of dysfunctions of the sacroiliac joint, pubic symphysis, and coccyx will be explored, as well as bladder, bowel, and sexual dysfunctions created by pelvic floor dysfunctions.

Meet Your Instructor

Heather Rader, PT, DPT, PRPC, BCB-PMD

Dr. Heather Rader is the owner of Rader Pelvic Physical Therapy, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain in all genders. A physical therapist since 1994, she graduated from the University of Miami with a master’s degree in physical therapy, and she completed…

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Chapters & Learning Objectives

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1. Functions of the Pelvic Girdle and Pelvic Floor

This chapter will describe the primary functions of the pelvic girdle and pelvic floor. An overview of the functions of the pelvic girdle and its primary articulations—the sacroiliac joints, the pubic symphysis, and the coccyx—will be presented. A summary of the functions of the pelvic floor and its relationship to bladder, bowel, and sexual functions will be described.

2. Functional Anatomy of the Pelvic Girdle

This chapter will examine the bony, ligamentous, muscular, and nerve elements of the pelvic girdle. A focused review of the primary articulations of the pelvis—the sacroiliac joints, the pubic symphysis, and the coccyx—will be presented. Instruction will include their bony, ligamentous, muscular, and neural elements.

3. Functional Anatomy of the Pelvic Floor

This chapter will explore the myofascial anatomy of the pelvic floor region. The anatomical boundaries of the pelvic floor region will be defined. An in-depth review of the three muscular layers and their contents will be studied.

4. Dysfunctions of the Pelvic Girdle

This chapter will help the participant recognize the interdependence between pelvic floor structure and the primary joints of the pelvis. An overview of how sacroiliac joint, pubic symphysis, and coccyx dysfunctions impact patient movement will be presented. Pelvic girdle dysfunctions and their relationships to the pelvic floor will be investigated.

5. Pelvic Floor Dysfunctions

This chapter will identify the dysfunctions created by a tight and weak pelvic floor. An overview of urinary, fecal, and sexual dysfunctions will be presented. Relationships between tight and weak pelvic floor muscle dysfunction and urinary, rectal, and sexual symptoms will be explored.

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This course will focus on connections between common orthopedic dysfunction seen in clinical practice to pelvic floor dysfunctions. Orthopedic conditions such as back pain, hip pain, orthopedic trauma and surgery, and diastasis recti abdominis cluster with pelvic floor dysfunctions, such as incontinence and pelvic pain syndromes in clinical practice. Understanding the reasons why these comorbidities cluster together will assist the clinician in recognizing the orthopedic connections between dysfunctions of the pelvic floor with dysfunctions of the spine, hip, and abdominal wall.

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Most rehabilitation professionals lack understanding of basic skills in treating simple pelvic floor muscle dysfunction, despite high prevalence in most therapy settings. This course will assist the participant in integrating basic external treatment strategies for pelvic floor dysfunction, including muscle weakness, incontinence, overactive bladder, and constipation, into clinical practice.

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