presented by Dawn Sandalcidi
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.
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 America for pelvic muscle biofeedback treatment. Dawn has actively been treating patients for the past 32 years and owns a private practice in Denver, Colorado, develops educational materials for health care providers through Progressive Therapeutics and provides consulting services through Physical Therapy Specialists. In addition she is an affiliate faculty member at Regis University Department of Physical Therapy in Denver, CO where she teaches pelvic muscle dysfunction/ women’s health physical therapy, as well TMJ. Dawn received her degree in physical therapy in 1982 from SUNY Upstate Medical Center in Syracuse, New York. She participated in extensive international postgraduate studies in manual and manipulative therapy of the spine and extremities in Germany, Switzerland and New Zealand. In 1992, Dawn completed an additional two-year residency to become a certified instructor of the Mariano Rocabado techniques for the spine, pelvis and craniomandibular joints (RCMT). Dawn also received her BCB-PMD Board Certified Biofeedback in Pelvic Muscle Dysfunction.
The first chapter of this course provides a detailed examination of pelvic floor anatomy. This foundational information is important background for participants to review before pelvic floor dysfunction and treatment is described later in this course series.
Building on the anatomical information from the first chapter, the second chapter of this course delves into the normal development of bowel and bladder function in children in early adolescence.
The final chapter of this course takes a closer look at defecation, including the four phases of defecation and the mechanics of this important physical process.