• 9.25 contact hours of live lab instruction, supervision
• On-site, hands-on skills testing and feedback from your instructors and lab assistants
• A printed lab manual and electronic access to any additional handouts (12-month access)
• Post-lab electronic survey (30 days to complete after the course)
• Certificate of Completion (issued upon passing the on-site testing)

• Eligibility: You must be a Licensed Physical Therapist, Physical Therapist Assistant or 2nd/3rd Year Physical Therapy Student. No exceptions will be permitted.
• Prerequisites: None. However, we recommend students have some orthopedic/musculoskeletal coursework in their curriculum prior to attending the course.
• Equipment/Dress Code/Temperature Check: Please wear comfortable clothes you can easily remove for lab activities, bring a pen/pencil for onsite lab workbook (workbook will be printed and available onsite), bring hair band(s) to keep hair away during lab exams. Masks, alcohol pads, hand sanitizer and other lab materials will be available on-site. Exam tables will be socially distanced 6 feet apart. Please be ready to have your temperature taken during attendee check-in.
• Advancement: You must complete both PH1 Webinar Lecture and PH1 In-Person Lab to advance to Pelvic Health Physical Therapy Level 2.

Daily Schedule

• Day 1: 7:30am-6:30pm (of the local time zone of the host city)
• Breaks are included: 15 min Morning break, 1 hour lunch break and 15 minute afternoon break

Review of PART I 

The focus of PART II will be on conducting external and internal vaginal examinations. You will be applying your knowledge learned in PART I (Lecture) from the following topics:

• Anatomy of the pelvic girdle
• Physiology of micturition
• Dysfunctions of the lower urinary tract
• Dysfunctions of the pelvic muscles
• Patient history examination
• Testing and treatment interventions for the patient with underactive pelvic floor muscle conditions.
• Urogynecologic surgeries
• Medication
• Prevention of pelvic floor dysfunction

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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.

1. Differentiate between under active pelvic floor muscles and overactive pelvic floor muscles.
2. Demonstrate an understanding of bladder tests and measurements (bladder diary, urodynamic testing, pad testing, etc.) that are used in the process of differential diagnosis.
3. 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.
4. Explain red flags related to treatment of the pelvic floor and understand when to refer to another healthcare provider.
5. Understand urogynecologic surgeries and their effect on prognosis and pelvic floor muscle dysfunction.
6. 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.

1. Explain the effects of pelvic floor under activity and proper technique of pelvic muscle exercises for rehabilitative purposes.
2. Explain the relationship between the abdominal muscles and the pelvic floor muscles as they relate to activities of daily living.
3. 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.
4. 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.
5. Describe techniques that can be used to train (retrain) the bladder and when each intervention might be used.