Gynecologic Visceral

Manipulation (GVM)

This unique 4-day course is designed to educate participants on the anatomy, mobility, and motility of the pelvic viscera. Specific focus will include the bladder, rectum, uterus, ovaries, and an introduction to the kidneys. Video and patient demonstration will focus on examination and intervention strategies. Internal pelvic techniques will be presented from Jean Pierre Barral’s advanced pelvic class that, to date, has only been taught in France. Wetzler has obtained special permission from Barral to teach this material for the Section on Women’s Health. You will also learn how the internal techniques can enhance your intervention outcomes for bladder, uteral, rectal, and pelvic floor dysfunctions.

Course Hours

Day 1 Thursday: 7:30 am – 5:30 pm *Registration begins at 7:30 am. Course starts at 8:00 AM.
Day 2 Friday: 8:00 am – 5:30 pm
Day 3 Saturday: 8:00 am – 5:30 pm
Day 4 Sunday: 8:00 am – 3:30 pm
Total Contact Hours: 30.0

Morning and afternoon beverages and snacks will be provided during each day during designated break times.*

Course Eligibility

Licensed Physical Therapists, Physical Therapist Assistants.

Gail Wetzler



Coming Soon 2021

Pre-readings will be provided electronically to course participants for completion prior to the course. An electronic lecture manual will be provided in the online Learning Center along with the post-course final exam, survey and a Course Completion.

Lab Participation & Consent

The majority of this course is lab-focused to provide more hands-on learning. Participants are expected to stay through the entire course; please make your travel plans accordingly. The Consent & Release Form must be filled out and turned in to the instructor on Day 1 of the course (this form is provided on-site). If the course participant does not turn in the completed form on Day 1, he/she will not be permitted to take the course. All participants must participate in labs as both “therapist” & “patient.” Participants who cannot participate as lab subjects are required to provide their own lab partners. Failure to participate as a lab subject, or to provide required lab partner if needed, will result in forfeiture of course completion and registration costs. If you are not sure whether you need a medical model or if you are unfamiliar with the process of obtaining a medical model, please read: Medical Models for Internal Pelvic Assessment.pdf. Participants that MUST provide their own lab partners include (but are not limited to):

  • ALL Male participants
  • Pregnant women (except with written physician permission for FULL participation)
  • Active vaginal infections
  • Active STD or herpes lesions
  • Active bladder or rectal infections
  • Severe pelvic/vaginal/rectal pain that inhibits examination
  • Lack of prior vaginal exam by a physician
  • Active OB/GYN cancer

Course Objectives

Upon completion of the course, you will be able:

1) To evaluate Anatomy/Physiology of the pelvic cavity organs through mobility and motility assessments.
2) To explain and implement V.M. techniques for chronic pelvic pain, urogenital dysfunction, incontinence, pelvic floor dysfunctions, infertility, pre-menstrual and post-menopausal symptoms, dysparunia, dysmenorrhea and articular mobility dysfunction.
3) Understand pelvic visceral relationship to the lumbar spine, pelvis, and lower extremities.
4) To recognize the relationship of visceral restrictions to load transfer.
5) Apply techniques of V.M. on Diastasis Recti and abdominal wall rehabilitation.
6) To design a home program relating organs to breathing/relaxation techniques, exercise programs, M/S re-education and conditioning.

“Gail is a gifted clinician and I am so grateful she is sharing her knowledge. I appreciate her effort to offer this material in the US without the prerequisite requirements. It was a monumental task to create this course and be able to differentiate the many levels of visceral exposure among the participants attending this course.” 

“Absolutely phenomenal instructor”

“Gail’s knowledge and skills were outstanding and very inspiring.”

“Gail was amazing! She took time with each and every one of us to go over techniques and make sure we had a solid understanding of the material.”

“This course has inspired me to attend further classes to broaden my knowledge of treatments for incontinence, pelvic pain and other women’s health related topics”

Learning Center

Already registered for a course? Head on over to the Learning Center to access your pre-readings, course manual, discussion forums and your post-course final exam.

Book Your Hotel

Are you traveling out-of-state or a course host city that isn’t near home? Check our hotel booking site to see available hotel room blocks at discounted Academy rates.

Foreign-Educated Physical Therapists

English Language Proficiency

If you are a foreign-educated physical therapist, you will need to pass the TOEFL(Test of English as a Foreign Language) and meet the score requirements. There are some exemptions to the TOEFL requirement for individuals who are exempt under the USCIS regulations. TOEFL scores must be reported directly to APHPT for the purposes of determining eligibility for course attendance. The minimum TOEFL scores we require are the following: Reading: 21; Listening: 18; Writing: 24; Speaking: 26.

Thank You to our Course Supply Donors

Take One Step Further.

Obtain the CAPP-Pelvic Certificate.

The Certificate of Achievement in Pelvic Health Physical Therapy is an optional route if you wish to take the next level in your career. The Academy of Pelvic health physical Therapy developed the Certificate of Achievement in Pelvic Physical Therapy (CAPP) to certify that a physical therapist has completed a comprehensive education, training, and testing program for the management of patients with diagnoses of pelvic health dysfunction, such as urinary incontinence and pelvic pain.  The CAPP is awarded to physical therapists who complete four courses of training in pelvic physical therapy (Level 1, Level 2 Pelvic Pain, Level 2 Bowel Dysfunction, Level 3), pass written and clinical testing requirements at each level, and successfully complete a written case report.