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

presented by Dawn Sandalcidi

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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.

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 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.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Psychological Considerations

    1. Psychological Considerations

    This chapter focuses on the psychological effects of bowel and bladder dysfunction, including the effects of Enuresis and Daytime Incontinence. Evidence for the prevalence of these conditions, and strategies for identifying them in patients are discussed.

  2. Dysfunctional Voiding

    2. Dysfunctional Voiding

    This chapter takes a closer look at dysfunctional voiding in the pediatric population with an emphasis on the signs and symptoms of dysfunctional voiding, the etiology of dysfunctional voiding, and key interventions.

  3. Constipation

    3. Constipation

    This chapter takes an in-depth look at constipation in particular, focusing both on the the etiologies and progressions of different types of constipation, and specific strategies for evaluating and treating this condition in children.

  4. Question and Answer

    4. Question and Answer

    In the final chapter of this course, Dawn Sandalcidi answers common questions about therapy situations with children experiencing dysfunctional voiding and constipation.