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Pediatric Pelvic Floor Rehabilitation: Biofeedback

presented by Dawn Sandalcidi

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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.

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. Biofeedback Overview

    1. Biofeedback Overview

    What is biofeedback, and how can it be used in pelvic floor therapy? The first chapter of this course explores the benefits and limitations of biofeedback – specifically Surface Electromyography, or SEMG.

  2. Biofeedback Treatment

    2. Biofeedback Treatment

    The second chapter of this course details the nuts and bolts of biofeedback treatment, including the muscles that are targeted, instructions for using biofeedback to target these muscles, and the effects on pelvic floor function demonstrated by research.

  3. Treatment Progressions

    3. Treatment Progressions

    In this chapter, Dawn Sandalcidi walks the participant through specific treatment progressions that can be used with children, and provides specific examples of these progressions from clinical practice.

  4. Biofeedback Research

    4. Biofeedback Research

    This chapter details emerging research on biofeedback as a treatment tool in physical therapy, and pelvic floor therapy in particular.

  5. Biofeedback Treatment Examples

    5. Biofeedback Treatment Examples

    In the final portion of this course, Dawn Sandalcidi provides detailed examples of biofeedback treatment progressions of real patients.

  6. Learning Assessment

    6. Learning Assessment

    Test your knowledge with multiple choice questions, and apply your knowledge with case-based assessment questions.