Pediatric Incontinence and Pelvic Floor Dysfunction – Phoenix, AZ
September 14, 8:00 am–September 15, 5:00 pm EDT$557 – $657
*** Access to the course materials is granted with the receipt for payment. Also, note that the course material will likely not all be available until 2-4 weeks prior to the course.
When: September 14-15, 2019
Where: St. Joseph, Phoenix AZ
Audience: This course is for pelvic physical therapists and pediatric physical therapists.
CEUs: Will update as approved
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bedwetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4-year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.
The pediatric population is greatly underserved causing undo stress for the child and family as well as development of internalizing and externalizing psychological behaviors. The two most common pelvic floor dysfunctions in the pediatric population are dysfunctional elimination syndrome and bedwetting. This specialty continuing education course focuses on the treatment of children with day or nighttime incontinence, fecal incontinence, and/or dysfunctional voiding habits.
This course begins with instruction in anatomy, physiology, and in development of normal voiding reflexes and urinary control. The participant will learn terminology from the International Children’s Continence Society, medical evaluation concepts for bowel and bladder dysfunction, and common dysfunctions in voiding and defecation. Common causes of incontinence in the pediatric patient will be covered, and a comprehensive approach to evaluation will be instructed including video examinations of the pelvic floor and surface electromyography (or SEMG, a form of biofeedback) as well as a breathing and bowel massage lab.
Constipation in Children. (2013). Retrieved June 9, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipationchild/#common
Thibodeau, B. A., Metcalfe, P., Koop, P., & Moore, K. (2013). Urinary incontinence and quality of life in children. Journal of pediatric urology, 9(1), 78-83.
Urinary Incontinence in Children. (2012). Retrieved June 9, 2014 from http://kidney.niddk.nih.gov/kudiseases/pubs/uichildren/index.aspx
Dawn Sandalcidi PT, RCMT, BCB-PMD (Board Certified Biofeedback-Pelvic Muscle Dysfunction) specializes in: pelvic muscle dysfunction (incontinence and pain), orthopedic manual therapy, and TMJ treatment. She is the leading expert in the field of pediatric incontinence in physical therapy. She has trained medical professionals in manual therapy since 1992 both nationally and internationally.
Dawn has actively been treating patients for the past 36 years and owns a private practice in Denver, Colorado, develops educational materials for health care providers through and provides consulting and education services through DSD PT Consulting.
Dawn received her degree in physical therapy in 1982 from SUNY Upstate Medical Center in Syracuse, New York. She participated in extensive international postgraduate studies in manual and manipulative therapy of the spine and extremities in Germany, Switzerland and New Zealand. Dawn also received her BCB-PMD Board Certified Biofeedback in Pelvic Muscle Dysfunction and she was the 2018 recipient of the Elizabeth Noble Award from the section of Women’s Health of the APTA.
Dawn has been published in the Journal of Urologic Nursing, the Journal of Manual and Manipulative Therapy, Journal of the Section of Women’s Health and the Journal of International Association of Orofacial Myology.
Required Course Preparation:
*Participants please bring Theraband medium resistance and 10 cuff pound weight or equivalent
This is a beginning level course. There are no prerequisite courses. In an effort to provide you with more video demonstration and lab we are asking that you watch the online lectures and complete the required pre-readings/assignments prior to the class. This includes the online PowerPoint voiceover lectures and bladder diary PRIOR TO COMING TO THE COURSE. This will not be instructed in class and the class will not make sense to you if you have not prepared.
These lectures require 4 hours to complete in addition to any PFM videos watched (see below)
Attached you will find questions for each lecture. Please send your responses to the course facilitator prior to coming to the class.
If you have never had a pelvic floor course prior to coming to this course I strongly recommend reviewing your pelvic floor muscle anatomy.
For more information on pelvic floor anatomy you may look into the following resources;
The following sources listed below are free.
An in-depth video of the PFM anatomy – 5:52 min
Pelvic Floor Part 1- The Pelvic Diaphragm – 3D Anatomy Tutorial 10:26 min
Pelvic Floor Part 2 – Perineal Membrane and Deep Perineal Pouch – 3D Anatomy Tutorial 7:17 min
This course is for pelvic physical therapists and pediatric physical therapists.
Pediatric PTs: If you’re not familiar with pelvic floor anatomy, please see the links above to get yourself familiar with the basics and anatomy. It will make the course much more enjoyable for you.
Upon completion of this continuing education seminar, participants will be able to:
~List 2 muscles groups and describe 3 functions of the pelvic floor
~Understand the development of normal urinary control in pediatrics.
~Describe the development of the diaphragm as it relates to the PFM
~List the 4 phases of defecation and describe the rectal anal inhibitory reflex
~Identify common causes of constipation and its’ relationship to bladder dysfunction
~Perform visceral and soft tissue techniques for constipation
~Describe the pelvic floor relationship to voiding reflexes.
~Understand pediatric urology terminology and investigative tools used for testing the pediatric
~Discuss education and treatment about diet including bladder health and bladder retraining
~Understand pediatric pelvic floor dysfunctions on SEMG as it relates to bowel and bladder function.
~Evaluate the effects of posture and positioning on pelvic floor muscle recruitment and relaxation.
~Understand the psychological effects of bedwetting, daytime urinary incontinence and fecal
~Describe behavioral treatments or Urotherapy for pediatric pelvic floor dysfunctions.
~Understand the use of surface electromyography (SEMG) in the pediatric patient.
~Develop treatment progressions for children with pediatric bowel and bladder dysfunction.
~Perform verbal instruction of pelvic floor activation
~Perform 3 different diaphragmatic breathing techniques for pediatric patients including diastasis
rectus abdominis assessment with examples of core activation.
~Discuss the effects of toileting postures on pelvic floor muscle recruitment and relaxation.
8:00 Posture and development of the PFM
8:15 Physiology of defecation
8:45 Lab 1 External palpation of the PFM; PFM assessment with breath holding versus straining
9:45 Constipation and encopresis: definitions, treatment, medications
11:15 Lab 2- belly breathing with toileting, ILU and connective tissue massage
1:00 Dysfunctional voiding
2:00 Enuresis (Bedwetting): definition, etiology, medical-behavioral management
3:15 Biofeedback evaluation & treatment
4:15 SEMG and (Rehabilitative Ultrasound Demonstration if available) and Lab
8:00 Psychological considerations
8:45 Medical evaluation
9:30 Therapy evaluation- subjective and objective
10:30 Therapy assessment, goals & plan
11:00 Treatment session examples
11:45 Labs- 4 & 5-DRA assessment; belly breathing assessment and treatment
12:15 Break to get lunch
12:30 Eat while watching a video initial evaluation
1:45 Stimulating a void -assessment & treatment Lab 6
2:15 Startup & referral sources
2:30 Case Studies
3:45 Questions and answers
* Times are subject to change based on class size and participation
Phoenix Sky Harbor
What is the refund policy?
Refunds are honored up to 30 days before the course and may be subject to a $75 administrative fee. Within 30 days before the course, refunds will not be provided.
There is a $25 transfer fee to transfer to the same course on a different date.
There is a $50 transfer fee to transfer to a different course (and price variations between the two courses may need to be addressed).
If the course does not reach a minimum number of students up to 30 days before the course, the course may be canceled, and a full refund will be provided.
What are the course hours?
Most Pelvic Guru Academy courses last two full days, typically from 8 am to 5 pm. Please review the course registration hours for specific hours for the course you are taking.
Will I get CEUs or a certificate?
Pelvic Guru Academy applies for PT/PTA CEU credits for each course we host in the state where the course is taking place. We will make a note at the top of the course registration page once CEUs have been approved for each course. If you are coming from another state, please check with your state on reciprocity for CEUs.
What if I have to leave class early, will I still get CEUs?
In order to get full CEU credit for the course, you will need to attend all hours of the course for each day. Please plan your travel arrangements accordingly. Having stated that, we are aware that sometimes there are circumstances in which you have to leave a little early on the last day of the course. Please let the instructor know during the course and put your sign out time on our forms. We may need to adjust education credits and will do this on a case by case basis.
Will there be a printed course manual or workbook?
Pelvic Guru does not print workbooks or course manuals for our in-person courses. All attendees will receive slides and any additional materials from the instructor prior to the course. If desired, attendees can print these and bring along to class or bring a laptop, tablet, or mobile device to follow along and take notes.
Can I use a breast pump during the course?
Yes. All Pelvic Guru courses are welcoming of breast pump use. There may not be a private area available where you can still hear the instruction, but pumping during the course is always welcome. There will also generally be morning and afternoon breaks as well as a lunch break.
We need locations that meet the following requirements:
- Within 30 minutes of a major airport
- Have hotels close by
- Be able to host 30-40 people
- Have about 15 treatment tables available for pelvic courses.
- Have space for a yoga class of 30 people for Low Pressure Fitness
- Have access to a CrossFit box that wants to host for Female Athlete
Meet these requirements? Fill out the form HERE. Let us know what courses you’d like to host!
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