• 2019 Pelvic PT Level 3 Pelvic Floor Physical Therapy: Specific Populations and Complex Disorders. A Case-based Approach.

    • Date(s): October 19, 2019  –  October 20, 2019
    • Times: Saturday, 8:00AM - 6:00PM; Sunday, 8:00AM - 4:00PM
    • *Registration and breakfast are 30 minutes before advertised start time.
    • Location:

      Brooks Rehabilitation Hospital
      Assembly Room 1 & 2
      3599 University Blvd South 
      Jacksonville, FL  32216 

    This course follows a blended learning approach, consisting of both online and live on-site components. The required online home study must be completed prior to the live course date. This course will include the cost of the vaginal sensor. 


    Brooks Pelvic Physical Therapy Certificate of Achievement:
    This course is the third of three courses, Pelvic PT1, Pelvic PT2, and Pelvic PT3, designed to give the practicing clinician a comprehensive knowledge base in pelvic physical therapy evaluation and treatment. Successful completion of testing will result in a Certificate of Completion of Pelvic PT3. Successful completion of Pelvic PT1, Pelvic PT2, and Pelvic PT3 will result in a Brooks Pelvic Physical Therapy Certificate of Achievement.

    All participants must complete the required home study prior to attending this course. Pre-readings and pre-test information will be available to participants approximately 1 month prior to the course date. Once posted, instructions on how to access this information will be emailed to all registered participants. The home study component of this course is approximately 4 hours, so please plan accordingly.  Attendees must have completed both Pelvic I and Pelvic II and ensure that the IHL has record of the Certificate of Completion from the approved course provider.
      Participants must have been instructed in and performed rectal and vaginal examinations.

    Course Description:  
    This 2 day course is the third and final in a series of competency based courses designed to give the practicing clinician comprehensive skill and knowledge in pelvic physical therapy.  Required home study prior to attending the course will prepare the participant for an intensive live interactive instructional experience.  Evaluation and treatment of pelvic dysfunction in several patient populations, including male patients, pediatrics, geriatric, and the neurologically impaired will be a focus of the course. An exploration of the pathophysiology and physical therapy evaluation and treatment of endometriosis, male pelvic pain, fecal incontinence, and irritable bowel syndrome will compliment psychomotor training lab training with a focus on manual therapy, pain science and interventions appropriate to the specialized populations.  Case presentations and lab work will prepare the clinician for immediate clinical application of skills and knowledge upon return to the clinical setting. Course content is evidence based, and will promote the use of the most reliable tests, measures, and interventions.

    At the end of this course, participants will be able to: 

    1. Describe pathophysiology of endometriosis, neurogenic bladder, male pelvic pain and post prostatectomy, irritable bowel syndrome and inflammatory bowel disease.
    2. Apply knowledge of the physiology of defecation and the pathophysiology of defecatory disorders to an examination scheme in specialized population.
    3. Apply knowledge of the pathophysiology of pelvic pain to an examination and intervention scheme in both male and females.
    4. Describe specific dysfunctions of the genitourinary and gastrointestinal systems throughtout the lifecycle; including male, pediatric and geriatric populations.
    5. Diagnose impairments of the pelvic floor and surrounding structures and their impact on intervention and function.
    6. Perform an external and internal examination and evaluation of the structures impacted by an underactive pelvic floor (rectal) and over-active pelvic floor (vaginal and rectal)
    7. Determine when referral to another health care provider is warranted based on the history and physical examination of a patient with pelvic pain, urinary and defecatory disorders.
    8. Develop differential diagnoses and prognosis for recovery of neuro-musculoskeletal impairments and functional losses associated with pelvic pain, urinary and defecatory disorders in specialized populations.
    9. Physical Therapists will differentiate between different potential mechanisms of pelvic pain.
    10. Collaborate with clients to determine rehabilitation and health and wellness goals related to their dysfunction.
    11. Collaborate with clients to determine an evidenced-based plan of care, taking into consideration the client’s goals and the PT’s examination findings.
    12. Consider how medical management of  pelvic pain, urinary and defectory disorders may impact rehabilitation interventions in specialized populations.
    13. Implement interventions such as PFM down-training and coordination, bowel training, sEMG and pressure biofeedback, electrical stimulation visceral mobilization and manual therapy for rehabilitation of pelvic floor and abdominal muscle/soft tissue impairments.
    14. Utilize best risk management and infection control strategies in management of pelvic floor dysfunction.
    15. Identify validated dysfunction-specific outcome measures for each of the dysfunctions covered in the course, where available.
    16. Identify more global and general rehabilitation/prevention outcome measures for the dysfunctions covered when specific outcome measures are lacking.
    17. Be familiar with best documentation practices related to management of pelvic floor dysfunction.


    Stephanie Bush, PT, DPT, WCS, Med

    Intended Audience:

    This course in intended for Physical Therapists (PTs) only.


    This course is approved for a total of 22 hours (2.2 CEUs) by the Florida Physical Therapy Association:

    • 4 hours (0.4 CEUs) online home study
    • 18 hours (1.8 CEUs) live, on-site

    Disclaimer: Registrations from individuals with clinical designations not listed in the intended audience for this course may be subject to removal from the course roster without a full refund. See Brooks IHL Course Policies and Procedures for details. If you are unsure or have questions related to the intended audience, please email info@BrooksIHL.org and we will be happy to help clarify!

    Testing, Attendance, and Participation:

    • Course Tests: All participants must take the Pre-course online test, and the Post-course online test. Physical Therapist participants must also pass psychomotor skills testing. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Participants who do not pass testing but attend the entire course will be granted a Certificate of Attendance.
    • Pre-course Online Testing: Participants are expected to complete the required home study and online testing no later than 24 hours prior to the course. All home study materials and the pre course online test will be available to participants upon registration. All participants will be tested on the home study.
    • Psychomotor Skills Testing: Physical Therapists participants are expected to participate in all psychomotor skills testing during the course. Participant who do not pass the pre course test, psychomotor skills test, and the post course test but attend the entire course will be granted a Certificate of Attendance. Participants who pass all of the testing and attend the entire course will receive a Certificate of Completion. Physical Therapist Assistant participants may not participate in psychomotor skills testing except as a simulated patient for a physical therapist participant who is testing.
    • Post-course Online Testing: Participants are expected to complete the required post course online testing no later than 2 weeks after the end of the live course.
    • Biofeedback Sensors: Participants will need a Thought Technology Vaginal Sensors - Stim & EMG for personal use for the sEMG and electrical stimulation labs. This is included in course registration. 
    • Lab Participation: Participants must be prepared to fully engage in the interactive labs in this course including vaginal examination and treatment techniques. Participants must come prepared to participate as both clinician and patient. Participants who cannot, for any reason, participate as simulated patients in lab must provide their own surrogates. Male participants must provide a surrogate for vaginal examination and treatment. Please contact Brooks to inquire about hiring a simulated patient to act as a surrogate. Pregnant participants must bring a signed permission note from her physician to participate. This course DOES include internal intra-vaginal and intra-rectal pelvic floor lab work.
    • Attendance: Participants are expected to stay through the entire course in order to receive the most benefit from the course, and to earn all of the CEUs for the course. Anyone needing to miss more than one hour will have the number of CEUs altered on his or her Certificate, and may be required to purchase additional instruction and complete course work in order to obtain a Certificate of Completion (at the instructor’s discretion).

    How Enroll:
    Simply select the number of tickets you wish to purchase and click the "Order Now" button to pay by credit card. After payment, you will receive an email confirmation of enrollment. Having trouble seeing the prices below? Click HERE!

    • If you would like to pay by check, cash, or department*, please print this registration form, and send it to us with your payment. Checks should be made out to Brooks Rehabilitation.
    • The Brooks Institute of Higher Learning will provide reasonable accommodations for learners with special needs. Please contact the Brooks IHL at info@BrooksIHL.org for more information and/or for a special needs accommodation request.
  • Continuing Education