Pelvic Health

Physical Therapy Level 3


This course is presented in a 2-day (HYBRID course: online modules to be completed prior to live course). This evidence-based course will provide clinically relevant information and training for the evaluation and intervention of male urinary incontinence and pelvic pain, life span specific considerations, including pediatrics, and individuals with neurological involvement. Labs offer skills that are immediately applicable in your clinic and include a focus on EMG relaxation training, integration of complete vaginal and rectal examination learned in previous coursework, and an introduction to rehabilitative ultrasound imaging (RUSI). Lecture will include pathophysiology, physical therapy evaluation and intervention of pelvic floor dysfunction (PFD) in male patients, pediatric and geriatric populations, and neurologic patients. Changes in the pelvic organs throughout the Life cycle and interdisciplinary treatment of pelvic dysfunction will be reviewed. Clinical decision-making and an integration of skills acquired at all CAPP Pelvic courses will be included. The Pelvic Health Physical Therapy Level 3 course is recognized by The International Continence Society (ICS) as providing training that conforms to ICS standards.

Online Portion: On Own (7 hours, 30 min)
Day 1: 7:30 am – 5:30 pm (8 hours, 15 min)
Day 2: 7:30 am – 4:00 pm (7 hours, 15 min)
Total: 23 Contact Hours

Course Eligibility

This course is open to Licensed Physical Therapists, 2nd/3rd year Physical Therapy Students and Physical Therapist Assistants. No exceptions will be made.

Advancement Requirement

In order to proceed to the Pelvic Health Physical Therapy Level 3 course, you must complete the Pelvic Health Physical Therapy Level 2 Bowel Dysfunction AND the Pelvic Health Physical Therapy Level 2 Pelvic Pain course. Both courses must be taken to fulfill the Level 2 requirement.


Successful completion of Pelvic Level Physical Therapy Level 1 and the two Level 2 courses: Pelvic Health Physical Therapy Level 2 Bowel Dysfunction AND the Pelvic Health Physical Therapy Level 2 Pelvic Pain are required prerequisites for this course. Experience of 1 year 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 and PH2 courses as a pre-requisites through another organization, the coursework you have taken must include both vaginal and rectal assessments. Please note that you must complete all coursework through Section on Women’s Health to be eligible for the optional CAPP (Certificate of Achievement in Physical Therapy program). For more information about CAPP, please visit our CAPP web site.

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 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

Pricing & Registration

DatesLocationEarly-Bird Rate Ends:Regular Rate Begins:Registration
June 13-14Weston, FL05/12/2020
Member: $700
Non-M: $800
Member: $775
Non-M: $875
July 11-12Baltimore, MD06/11/2020
Member: $700
Non-M: $800
Member: $775
Non-M: $875
August 8-9Glendale, CA07/07/2020
Member: $700
Non-M: $800
Member: $775
Non-M: $875
October 24-25, 2020Portland, OR09/24/2020
Member: $700
Non-M: $800
Member: $775
Non-M: $875
November 21-22, 2020St. Louis, MO10/21/2020
Member: $700
Non-M: $800
Member: $775
Non-M: $875

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.

Course Objectives

What you will accomplish during this course.


  1. Describe the anatomic, physiologic and neurological components of pelvic floor dysfunction diagnoses, including male, pediatric, geriatric, and neurologic populations.
  2. Differentiate between male and female urogenital anatomy and the effect on pelvic floor muscle examination and intervention.
  3. Identify the causes of pediatric and neurological pelvic floor dysfunction diagnoses.
  4. Perform an appropriate evaluation of a male, pediatric, geriatric, and neurologically involved patient with pelvic floor dysfunction using objective measurement skills.


  1. Differentiate between musculoskeletal, neurological, and conditions that require medical intervention based on a systematic interview and examination of the patient with pelvic floor dysfunction.
  2. Describe the impairments best suited to rectal balloon training for the treatment of pelvic floor dysfunction.
  3. Develop functional goals for musculoskeletal and neurological impairments based on a systematic interview and examination of the patient with pelvic floor dysfunction.


  1. Develop an evidence-based plan of care for physical therapy intervention for the male, pediatric, geriatric, or neurologically involved patient with pelvic floor dysfunction.
  2. Lead a patient through a relaxation program utilizing sEMG Biofeedback as a tool for down-regulation of the sympathetic nervous system.
  3. Perform rectal balloon training and select appropriate patients with pelvic floor dysfunction for this intervention.

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.