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Treatment Strategies for 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: 61 Minutes; Learning Assessment Time: 46 Minutes

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.

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. Pelvic Rehabilitation Pathways

This chapter will provide an overview of pelvic floor rehabilitation and how it uses principles and techniques common to other rehab specialties. The importance of determining the state of the pelvic floor musculature in choosing the optimal treatment pathway will be emphasized.

2. Overactive Bladder and Bladder Retraining

This chapter will help the participant select appropriate patient education strategies to help manage symptoms of overactive bladder, such as urgency, frequency, nocturia, and leakage. Techniques to restore healthy bladder capacity, reestablish control of urinary frequency, and improve suppression of urgency will be presented.

3. Stress Incontinence and the “Knack”

This chapter will focus on how to integrate pelvic floor muscle activation into core stabilization exercises to minimize incontinence episodes during functional tasks. While a strong pelvic floor is important, its optimal function occurs during timely contractions during local core stability. Strategies on sequencing pelvic floor contractions (the “Knack”) with functional tasks will be presented.

4. Pelvic Floor Muscle Education

This chapter will touch upon the challenges that exist in teaching exercises for the pelvic floor due to its location. Utilization of a multimodal neuromuscular reeducation approach will give the best results. How to provide verbal, tactile, and visual cues for neuromuscular reeducation will be presented.

5. Pelvic Pain Relief Techniques

This chapter will assist the participant in understanding the importance of toileting posture in constipation management. Optimal posture while on the toilet can minimize symptoms of obstructed constipation, which is common in pelvic pain syndromes. Other strategies, such as targeted stretching and muscle relaxation techniques, will be presented.

More Courses in this Series

Functions and Dysfunctions of the Pelvic Girdle and Pelvic Floor

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

Functions and Dysfunctions of the Pelvic Girdle and Pelvic Floor

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

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Orthopedic Connections to Pelvic Floor Dysfunction

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

Orthopedic Connections to Pelvic Floor Dysfunction

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 68 Minutes; Learning Assessment Time: 47 Minutes

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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Evaluation Strategies for the Pelvic Floor

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

Evaluation Strategies for the Pelvic Floor

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 60 Minutes; Learning Assessment Time: 39 Minutes

Most rehabilitation professionals lack understanding of basic skills in screening and evaluating for pelvic floor muscle dysfunction, despite high prevalence in most therapy settings. This course will introduce multiple methods to determine the health of the pelvic floor region and its muscles, focusing on external strategies. Participants will also learn how to identify pelvic floor dysfunction risk factors from the patient’s history and integrate basic pelvic floor assessment into clinical practice.

View full course details

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