Pelvic Health Physical Therapy Level 1


The Pelvic Health Physical Therapy Level 1 (PH1) course is a course focusing on the basic skills necessary to treat patients with pelvic health dysfunction with primary emphasis on under active pelvic floor muscle conditions. Webinar lectures will cover anatomy of the pelvic girdle, physiology of micturition, dysfunctions of the lower urinary tract and pelvic muscles as well as patient history examination, and testing and treatment interventions for the patient with underactive pelvic floor muscle conditions. Urogynecologic surgeries,medication, prevention of pelvic floor dysfunction and documentation will also be discussed. The focus of the labs will be on external and internal vaginal examination. The student-to-teacher ratio will be set to ensure adequate supervision during the labs.

The Pelvic Health Physical Therapy Level 1 course is recognized by The International Continence Society (ICS) as providing training that conforms to ICS standards. When you enroll for the Level 1 course, you also get complementary access to the Urogynecological Clinical Evaluation and Treatments, Level 1 (2.0 contact hours) online video course.

Formats & Contact Hours

  • 3-Day Original Format Combined Lecture and Lab 100% in-person  – Learn more
  • 2-Part Hybrid Format Part 1 is Webinar (16hrs), Part 2 is In-Person Lab (7hrs) NEW
  • Both versions provide 23 Contact Hours, 12.75 hours of evaluative content (direct access)

Part 1: 2-Day Webinar Hours *times are in Central Standard Time
Day 1: 8am-5:30pm CST
Day 2: 8am-5:00pm CST
Total Hours (approx): 16.5 hours

Includes one 1-hour lunch break and two 15-minute morning/afternoon breaks.

Part 2: 1-Day In-Person Lab Hours *times have been adjusted
Day 1: 7:30am-6:30pm
Total Hours (approx): approx 10 hours

Course Eligibility
You must be a Licensed Physical Therapist, Physical Therapist Assistant or 2nd/3rd Year Physical Therapy Student. No exceptions will be permitted.


None. However, we recommend students have some orthopedic/musculoskeletal coursework in their curriculum prior to attending the course

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.  A printed lab manual will be provided on-site.

Lab Participation & Consent

Participants are expected to stay through the entire course; please make your travel plans accordingly. Deduction of contact hours hours and ineligibility to participate in the CAPP process (for those attending CAPP courses) will occur for participants who leave the course early. Participants will be working in groups of 2 during labs. This course includes extensive labs with intra-vaginal & intra-rectal assessment & examination. 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

Mix and Match

Introducing the NEW Hybrid Format

You must complete BOTH Part 1 and Part 2 in order to complete the full PH1 requirement for CAPP-Pelvic.

PH1 Part 1
2-Day Live Webinar

If you are taking a PH1 Part 1 webinar course, you must pair it with an PH1 Part 2 Lab course to fulfill the PH1 course requirement. In this online webinar format, you will be able to participate in group activities, course lectures and discussions. You will need a computer/laptop, wi-fi, microphone and webcam to participate. There will be live webinar activities. Upcoming 2-day lecture webinars will be scheduled for this summer 2020 on Saturday-Sunday weekends.

Contact Hours: 16
Schedule: 8:00 am – 5:45pm pm *times may change
Break Times: 15-min AM break, 1-hour lunch break, 15-min PM break

DECEMBER 5-6, 2020

Academy Member: $525
Non-Member: $650
Register by November 4, to SAVE $50!

PH1 Part 2
1-Day In-Person Lab

If you are taking a PH1 Part 2 Lab course, you must pair it with one PH1 Part 1 Webinar course to fulfill the PH1 course requirement. Dates for the se lab courses will be finalized this summer 2020. Labs will be conducted in-person where you will be paired with another attendees to complete lab activities and skills checks. The Academy plans to host an in-person 1-day PH1 lab during the same weekend as a 1-day PH2BD/PH2PP and 1-day PH3 lab. If your goal is to achieve the CAPP-Pelvic, you can knock out all of your labs in one weekend! We intend to schedule these course labs on the same weekends/locations for those interested in knocking out all PH labs in one single weekend.  More updates to follow!

Contact Hours: approx 10 hours
Schedule: 7:30 am – 6:30 pm *times may slightly change
Break Times: 15-min AM break, 1-hour lunch break

There is no pressure or requirement to complete the lab (Part 2) within the 2020 year, we understand that impacts of COVID-19 as well as post-COVID social distancing regulations may still present challenges for bringing us together for our lab courses. The Academy is actively working on confirming LAB LOCATIONS with several universities and hospital networks. We are selecting locations based on where the majority of our webinar attendees and members reside. Our ultimate goal is to schedule labs between October-December 2020 in 3-4 locations. As a contingency plan, if COVID-19 returns in the fall 2020, we will most likely postpone labs to January-April 2021. Many of our course hosts are comprised of universities and hospitals who are also practicing caution at this time, we will confirm lab locations as soon as we get confirmation from our prospective hosts.



DECEMBER 5, 2020
4444 Forest Park Blvd.
Saint Louis, MO 63108

Academy Member: $324
Non-Member: $395
Register by November 5, 2020 $to Save $25

PAIR with PH2 Lab in St. Louis, MO

DECEMBER 6, 2020
4444 Forest Park Blvd.
Saint Louis, MO 63108

Academy Member: $298
Non-Member: $365
Register November 6, 2020 to save $25


DECEMBER 12, 2020
Academy Member: $324
Non-Member: $395
Register by November 12, 2020 to Save $25

PAIR with PH2 Lab in Portland, OR

DECEMBER 13, 2020
Academy Member: $298
Non-Member: $365
Register November 13, 2020 to save $25


JANUARY 9, 2021
Academy Member: $324
Non-Member: $395
Register by December 9, 2020 to Save $25

PAIR with PH2 Lab in Portland, OR

JANUARY 10, 2021
Academy Member: $298
Non-Member: $365
Register December 10, 2020 to save $25

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 for the 1-Day Lab Course!

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.

Course Objectives

What you will accomplish during this course.

1.  Identify and examine the anatomy of the pelvic girdle
2.  Describe the function of the lower urinary tract and female pelvic organs.
3. Demonstrate proper infection control techniques involved in pelvic floor muscle examination.
4. Perform an external evaluation of the female genitalia verbally identifying bones, ligaments,muscles and other structures.
5. Perform an internal pelvic examination identifying muscles, ligaments, bony prominences with identification of pelvic floor muscle origins and insertions.
6. Demonstrate proper technique in testing muscle strength of the levator ani muscles.
7. Demonstrate proper technique in testing for pelvic organ prolapse.
8. Demonstrate proper use of handheld EMG biofeedback to assess pelvic floor musculature.

9.  Differentiate between under active pelvic floor muscles and overactive pelvic floor muscles.
10. Demonstrate an understanding of bladder tests and measurements (bladder diary, urodynamic testing, pad testing, etc.) that are used in the process of differential diagnosis.
11. Demonstrate the ability to compose a plan of care including functional goals, prognosis and length of care for the patient with under active pelvic floor conditions.
12. Explain red flags related to treatment of the pelvic floor and understand when to refer to another healthcare provider.
13. Understand urogynecologic surgeries and their effect on prognosis and pelvic floor muscle dysfunction.
14. Demonstrate understanding of various medications and their effects on the bowel and bladder and identify how that may affect prognosis for a patient with pelvic floor muscle dysfunction.

15.  Explain the effects of pelvic floor under activity and proper technique of pelvic muscle exercises for rehabilitative purposes.
16. Explain the relationship between the abdominal muscles and the pelvic floor muscles as they relate to activities of daily living.
17. Describe the various interventions available to strengthen the muscles of the patient with an under active pelvic floor and clinically reason when and why the various interventions might be used.
18. Demonstrate proper use of a handheld pelvic floor muscle electrical stimulation unit and explain its appropriate uses for a patient with pelvic floor muscle dysfunction.
19. Describe techniques that can be used to train (retrain) the bladder and when each intervention might be used.

Are you a Foreign-Educated Physical Therapist?
English Language Proficiency Requirement

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.