Pelvic Health Physical Therapy Level 2 Lecture

Bowel Dysfunction

Online Webinar | PH2BD PART I Lecture

About the Course

The Pelvic Health Physical Therapy Level 2 (Bowel Dysfunction) course is a two-part course series composed of (PART I) Lecture and (PART II) Lab.  This Part I (Lecture) is a prerequisite for the combined Pelvic Health Physical Therapy Level 2 Lab (In-Person Part II). Part I will be conducted 100% virtually through a live webinar format. In PART I, webinar lectures include the anatomy, pathophysiology and physical therapy evaluation/treatment of pelvic floor dysfunction-related bowel dysfunction. Concepts of pelvic floor muscle motor control training, rectal balloon training, coccygeal mobilization, and clinical application of modalities will be reviewed. You must attend the full webinar course live in order to get full credit. The Pelvic Health Physical Therapy Level 2 course is recognized by The International Continence Society (ICS) as providing training that conforms to ICS standards.

  • 13.5 contact hours of live instruction in webinar format with breakout sessions for group activities
  • An electronic course manual, pre-reading assignments and additional handouts (12-month access)
  • 50-question multiple-choice exam and survey (30 days to complete after the course)
  • Certificate of Completion (issued upon 80% or higher score on exam)
  • Eligibility: This course is open to Licensed Physical Therapists, Physical Therapist Assistants, 2nd Year and 3rd Year Student Physical Therapists. No exceptions will be permitted. We recommend students have some orthopedic/musculoskeletal coursework in their curriculum prior to attending the course.
  • Prerequisites: Successful completion of the Pelvic Health Physical Therapy Level 1 Lecture. Experience of 6 months or more in regularly managing patients with pelvic physical therapy, or working in a clinic with other experienced pelvic physical therapists, is strongly recommended prior to attending this course; lack of experience may greatly inhibit participant comprehension and attainment of skills during the course. If you have taken a similar or equivalent coursework to our PH1 as a pre-requisite through another organization, the coursework you have taken must include both vaginal and rectal assessments.
  • Equipment: Computer, access to Zoom, a stable internet connection, microphone, and webcam.
  • Advancement: You must complete both PH2 Bowel Dysfunction and PH2 Pelvic Pain before advancing to PH3 Combined.

Daily Schedule

  • Day 1: 8:00 AM – 5:30 PM Central Time
  • Day 2: 8:00 AM – 4:30 PM Central Time
  • Total Approximate Hours: 13.5 Hours
  • Breaks are included: 15 min Morning break, 1 hour lunch break and 15 minute afternoon break

General topics covered:

  • Defecation and dysfunctional defecation
  • Bowel disorder diagnoses (fecal, anal incontinence, IBS, constipation, obstructed defacation)
  • Rectal pelvic floor muscle examination
  • Coccygeal function and joint mechanics
  • Musculoskeletal impairments related to bowel dysfunction
  • Colon and anorectal function testing
  • Physical therapy intervention of musculoskeletal impairments for patients with bowel dysfunction
  • Manual myofascial release techniques, trigger point release techniques, coccyx mobilization
  • Clinical application of surface electromyographic biofeedback (sEMG)
  • Digital rectal biofeedback and rectal balloon biofeedback
  • Behavioral strategies (diet, lifestyle, toileting techniques, posture)

I had the pleasure of participating in the PH2B course in November 2020. As the only person in the online course identifying as male, I was a little apprehensive about the lens in which they would teach the class, however, the course instructors and lab assistants used inclusive language throughout the entire webinar and I did not once feel singled out. The course content itself was incredibly thorough and well-researched, but what really stood out to me was the vast number of clinical examples the course instructors and lab assistants were able to provide. This significantly helped in digesting the large amount of material. The instructors and lab assistants always went out of their way to answer participant-asked questions in as much detail as possible, and if they couldn’t they looked into the answer on their own time, which is incredible to me. I have absolutely no hesitancy in recommending the PH2: Bowel Dysfunction course to anyone who is interested in taking their pelvic health training to the next level.   – Matt S.L.

I was surprised how well the webinar format worked! I really liked being able to do the lectures from home and spend less time traveling/driving, more time with my family in the course of a class weekend. I would do this even if not for COVID. – Anonymous

I love the webinars! I have a hard time sitting still and paying attention for 8 hours at a time at a continuing ed course. It as a great to be able to get up and move without disturbing others. It was also a safe environment to discuss this topic. Being able to write down questions as we thought of them in the chat box and have them answered at the end was great and did not disrupt the flow the speakers’ presentations. – Anonymous

The webinar format worked great and I had no issues with it. If anything, I think people asked MORE questions in this environment because the chat box was so convenient and easy to use. – Anonymous

Very intense informative course. LOTS of information. My first webinar. Better than I expected. All presenters had a thorough knowledge of topic and how to use zoom platform-very helpful. Breakout sessions were cool. – Anonymous

All the instructors and assistants were lovely and knowledgeable! I look forward to the next course. It is so much easier being able to do these didactic portions thru webinar and then being able to combine all the labs into 1 weekend in the future. – Anonymous

Included
  • 13.5 contact hours of live instruction in webinar format with breakout sessions for group activities
  • An electronic course manual, pre-reading assignments and additional handouts (12-month access)
  • 50-question multiple-choice exam and survey (30 days to complete after the course)
  • Certificate of Completion (issued upon 80% or higher score on exam)
Required
  • Eligibility: This course is open to Licensed Physical Therapists, Physical Therapist Assistants, 2nd Year and 3rd Year Student Physical Therapists. No exceptions will be permitted. We recommend students have some orthopedic/musculoskeletal coursework in their curriculum prior to attending the course.
  • Prerequisites: Successful completion of the Pelvic Health Physical Therapy Level 1 Lecture. Experience of 6 months or more in regularly managing patients with pelvic physical therapy, or working in a clinic with other experienced pelvic physical therapists, is strongly recommended prior to attending this course; lack of experience may greatly inhibit participant comprehension and attainment of skills during the course. If you have taken a similar or equivalent coursework to our PH1 as a pre-requisite through another organization, the coursework you have taken must include both vaginal and rectal assessments.
  • Equipment: Computer, access to Zoom, a stable internet connection, microphone, and webcam.
  • Advancement: You must complete both PH2 Bowel Dysfunction and PH2 Pelvic Pain before advancing to PH3 Combined.
Schedule

Daily Schedule

  • Day 1: 8:00 AM – 5:30 PM Central Time
  • Day 2: 8:00 AM – 4:30 PM Central Time
  • Total Approximate Hours: 13.5 Hours
  • Breaks are included: 15 min Morning break, 1 hour lunch break and 15 minute afternoon break

General topics covered:

  • Defecation and dysfunctional defecation
  • Bowel disorder diagnoses (fecal, anal incontinence, IBS, constipation, obstructed defacation)
  • Rectal pelvic floor muscle examination
  • Coccygeal function and joint mechanics
  • Musculoskeletal impairments related to bowel dysfunction
  • Colon and anorectal function testing
  • Physical therapy intervention of musculoskeletal impairments for patients with bowel dysfunction
  • Manual myofascial release techniques, trigger point release techniques, coccyx mobilization
  • Clinical application of surface electromyographic biofeedback (sEMG)
  • Digital rectal biofeedback and rectal balloon biofeedback
  • Behavioral strategies (diet, lifestyle, toileting techniques, posture)
Help
Testimonials

I had the pleasure of participating in the PH2B course in November 2020. As the only person in the online course identifying as male, I was a little apprehensive about the lens in which they would teach the class, however, the course instructors and lab assistants used inclusive language throughout the entire webinar and I did not once feel singled out. The course content itself was incredibly thorough and well-researched, but what really stood out to me was the vast number of clinical examples the course instructors and lab assistants were able to provide. This significantly helped in digesting the large amount of material. The instructors and lab assistants always went out of their way to answer participant-asked questions in as much detail as possible, and if they couldn’t they looked into the answer on their own time, which is incredible to me. I have absolutely no hesitancy in recommending the PH2: Bowel Dysfunction course to anyone who is interested in taking their pelvic health training to the next level.   – Matt S.L.

I was surprised how well the webinar format worked! I really liked being able to do the lectures from home and spend less time traveling/driving, more time with my family in the course of a class weekend. I would do this even if not for COVID. – Anonymous

I love the webinars! I have a hard time sitting still and paying attention for 8 hours at a time at a continuing ed course. It as a great to be able to get up and move without disturbing others. It was also a safe environment to discuss this topic. Being able to write down questions as we thought of them in the chat box and have them answered at the end was great and did not disrupt the flow the speakers’ presentations. – Anonymous

The webinar format worked great and I had no issues with it. If anything, I think people asked MORE questions in this environment because the chat box was so convenient and easy to use. – Anonymous

Very intense informative course. LOTS of information. My first webinar. Better than I expected. All presenters had a thorough knowledge of topic and how to use zoom platform-very helpful. Breakout sessions were cool. – Anonymous

All the instructors and assistants were lovely and knowledgeable! I look forward to the next course. It is so much easier being able to do these didactic portions thru webinar and then being able to combine all the labs into 1 weekend in the future. – Anonymous

Course Objectives

Upon completion of both Pelvic Health Physical Therapy Level 1 Lecture and Lab courses, the learner will:

  1. Describe the anatomic, physiologic and neurological components of defecation and dysfunctional defecation.
  2. Perform an appropriate evaluation of a patient with bowel disorder diagnoses to include fecal and anal incontinence, irritable bowel syndrome, constipation and obstructed defecation.
  3. Demonstrate ability to perform rectal pelvic floor muscle examination for patients with bowel dysfunction.
  4. Assess coccygeal function and joint mechanics for patients with pelvic pain or bowel dysfunction.
  1. Differentiate between musculoskeletal impairments related to bowel dysfunction and signs and symptoms associated with non-musculoskeletal pathology requiring further medical examination.
  2. Develop functional goals for musculoskeletal impairments identified in patients with bowel disorders based on a systematic interview and examination of the patient.
  3. Demonstrate understanding of colon and anorectal function testing for bowel disorders.
  1. Develop an evidence-based and appropriate plan of care for physical therapy intervention of musculoskeletal impairments for patients with bowel dysfunction.
  2. Perform manual myofascial release techniques, trigger point release techniques, coccyx mobilization for the treatment of patients with bowel dysfunction.
  3. Describe and perform appropriate clinical application of surface electromyographic (sEMG) biofeedback for bowel dysfunction diagnoses.
  4. Describe and perform appropriate clinical application of digital rectal biofeedback and rectal balloon biofeedback as an intervention for patients with bowel dysfunction.
  5. Provide behavioral intervention strategies to improve bowel function such as diet, lifestyle changes, and proper toileting techniques and posture.
Examination/Evaluation
  1. Describe the anatomic, physiologic and neurological components of defecation and dysfunctional defecation.
  2. Perform an appropriate evaluation of a patient with bowel disorder diagnoses to include fecal and anal incontinence, irritable bowel syndrome, constipation and obstructed defecation.
  3. Demonstrate ability to perform rectal pelvic floor muscle examination for patients with bowel dysfunction.
  4. Assess coccygeal function and joint mechanics for patients with pelvic pain or bowel dysfunction.
Diagnosis/Prognosis
  1. Differentiate between musculoskeletal impairments related to bowel dysfunction and signs and symptoms associated with non-musculoskeletal pathology requiring further medical examination.
  2. Develop functional goals for musculoskeletal impairments identified in patients with bowel disorders based on a systematic interview and examination of the patient.
  3. Demonstrate understanding of colon and anorectal function testing for bowel disorders.
Intervention
  1. Develop an evidence-based and appropriate plan of care for physical therapy intervention of musculoskeletal impairments for patients with bowel dysfunction.
  2. Perform manual myofascial release techniques, trigger point release techniques, coccyx mobilization for the treatment of patients with bowel dysfunction.
  3. Describe and perform appropriate clinical application of surface electromyographic (sEMG) biofeedback for bowel dysfunction diagnoses.
  4. Describe and perform appropriate clinical application of digital rectal biofeedback and rectal balloon biofeedback as an intervention for patients with bowel dysfunction.
  5. Provide behavioral intervention strategies to improve bowel function such as diet, lifestyle changes, and proper toileting techniques and posture.

Register for the PH2BD PART I: Lecture
REGISTRATION

Learn basic skills necessary to treat patients with bowel dysfunction. Register at least 1 month for early-bird  rates to SAVE $50 on registration! 

Contact Hours: 13.5 hours

Equipment Required: Computer, access to Zoom, a stable internet connection, microphone, and webcam. You will be watching a presentation and participating in group activities in breakout sessions.

2020-2021~ 24 Months COVID exception
Grace Period between Webinar & Lab

The APHPT has a goal that people who participate in our live CAPP webinars will be able to successfully complete the lab portion of the course work within 24 months of their webinar. Our main objective is to support you in your education and certification process and will continually look for ways to improve access to in-person lab courses.

Click on “Enroll” to register for any of our upcoming webinars. 

Upcoming Dates Early-Bird Expires  Registration
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