• 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: 7:45am-4:30pm CST
• Day 2: 8:00am-4:00pm CST
• 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)

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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.