Female and Male Urinary/Fecal Incontinence, Pelvic Organ Prolapse, and Coccydynia:
An intensive intro course
Why choose our courses?
scroll down to read why...
Physiotherapy for the pelvic floor is a growing area of interest in the rehabilitation world. Supervised pelvic floor exercises are recommended as a first line approach to treating urinary and/or fecal incontinence and pelvic organ prolapse. Course will include theory, demonstration, and practical sessions including examination of the pelvic floor via perineal observation, internal vaginal and/or rectal examination, and the use of EMG biofeedback in small groups. Class size is limited to ensure optimum learning, practice, and translation of skill. Instruction on how to screen for low estrogen, vulvar skin and vaginal pain conditions for proper referral and/or treatment will be included. A common sense, evidence-informed, and critical thinking approach will be implemented throughout the course. Participants will be challenged to problem-solve. This course is open to Registered Physical Therapists and physical therapy students. The physiotherapist will leave the course with new skills (including the ability to perform an examination of the pelvic floor via perineal observation, internal vaginal and/or rectal examination, and the use of EMG biofeedback) to use immediately on return to their office the next day!
Subjective and objective assessment and treatment techniques will be demonstrated. Course participants will have the opportunity to use course clinical skills with clients* who are naïve to (who have never had) physiotherapy treatment. EMG biofeedback units will be available for each group of 2-3 physical therapists throughout the course for all lab sessions. Course participants will participate in the lab/practical session which may involve perineal, vaginal and/or rectal examination. Demonstration of the use of Real-Time Ultrasound Imaging for pelvic floor rehabilitation will be included.
Course participants will learn:
- pelvic floor anatomy
- anatomy and physiology of typical bladder and bowel control mechanisms
- typical pelvic organ support mechanisms
- pathophysiology of various conditions that affect bladder and bowel continence
- when to administer a voiding and/or fibre diary and how to provide dietary and behavioural intervention as indicated from the completed diary
- pathophysiology of pelvic organ prolapse
- how to recognize signs and symptoms of above dysfunctions/pathophysiology
- understand contributing risk factors for onset and factors to minimize progression
- how to provide guidelines for general exercise and activities of daily living when pelvic floor dysfunction is present
- clarification of the appropriate co-contractions of the transversus abdominis and the pelvic floor
- subjective and objective assessment techniques including examination of the pelvic floor via perineal observation, internal vaginal and/or rectal examination, and the use of EMG biofeedback
- evidence-informed treatments based on clinical reasoning
- explore concepts of pelvic floor hypertonicity and increased tone
- impact on people’s lives in all aspects of function
- outcome measures
*Dayan Werner Pelvic Rehab reserves the right to make changes to client participation prior to the course date. Understandably, assessment and treatment interventions will be dependent on client presentation, ability, and consent.
This course is open to Registered Physical Therapists or Physical Therapy students.
Course Dates and Times
January 12-15, 2018 (4 days) 8:00am - 4:00 pm (full attendance is required to receive course certificate)
Other courses offered by Dayan Werner Pelvic Rehab
- EARLYBIRD REGISTRATION $700 + 5% GST ($735) available until October 31, 2017
- $750 + 5% GST ($787.50) on or after November 1, 2017
Physical Therapy Students:
- $700+ 5% GST ($735)
- Student tuition will be limited to 5 registrants
- Confirmation of active enrollment in a physical therapy program is required
Why choose our courses?
- Active (rather than passive) techniques to add to your tool kit that are evidence-informed.
- Emphasis on education and active treatment.
- Learn to differentiate between motor control and strength issues.
- Understand the value of skilled EMG biofeedback use (for pelvic floor courses).
- Get practical experience using EMG and Real-Time Ultrasound Imaging biofeedback in small groups.
- Recognize when estrogen, corticosteroids, and pain medications may or may not be helpful and how to have this discussion with physicians.
- Develop critical thinking skills in the assessment and treatment components of the course. We want all course participants to receive an honorary Sherlock Holmes Degree! Return to the clinic the next day with the ability to critically analyze your subjective and objective findings. There is no recipe. Every question you ask and intervention you give needs to have a purpose based on your critical analysis and thinking. If you don’t understand during the course - Ask us! Challenge us!
- Explore concepts of hypertonicity and increased tone in voluntary muscles with no neurological damage.
- 1/2 day shadow OR 1-hour scheduled phone/FaceTime or Skype consult with course instructor within 3 months of course completion.
- Evidence-based treatments for muscle strength and endurance gains.
Pain Condition Courses:
- Evidence-informed active (rather than passive) treatment techniques for your tool kit for pain conditions.
- Direct application of mindfulness and CBT skills into physiotherapy interventions.
- Evidence-based intervention for pain conditions.
- Education on the evolution of male and female sexual response theories.
- Education on current female and male sexual response theories and how to directly apply this information within a physiotherapy scope of practice and specific treatment interventions.
Snacks + Refreshments
Light snacks and beverages during AM and PM breaks will be provided. Lunch is the responsibility of the participant. Transportation, accommodation, and any other incidentals resulting from attending this course are the sole responsibility of the participant.
Course tuition is non-refundable unless the following criteria are met:
- 100% reimbursement less an administration fee of $75.00 is given if written notice is provided by December 8, 2017
- 50% reimbursement less an administration fee of $75.00 is given if written notice is provided by December 15, 2017
- No reimbursement will be provided if cancelled on or after December 22, 2017. However, if you would like to sell your spot to another Registered Physiotherapist or physical therapy student then you may do so. Coordinating of payment is the sole responsibility of the participant (the Seller) and the selling price must be the exact price paid to Dayan Werner Pelvic Rehab or less (i.e. seats in the course may not be sold for more than the participant paid). The original participant (the Seller) must notify Dayan Werner Pelvic Rehab of the sale and provide contact details for the new participant (the Purchaser; i.e. full name, phone number, and email address). Dayan Werner Pelvic Rehab has no liability in this interaction and transaction.
- For cancellation of a course purchased with a multi-course deal: Please contact Dayan Werner Pelvic Rehab for confirmation of the amount to be reimbursed. The amount reimbursed will depend on when you are canceling (i.e. within the 100% reimbursement timeframe, or the 50% reimbursement timeframe) and the amount you paid (i.e. 2-course or 3-course pricing). In all cases, the reimbursement will be calculated as follows: (1) the amount paid (2) less the full fee for the course(s) the participant has already taken or will be taking (3) less GST and (4) less a $75 administration fee.
Course organizers reserve the right to cancel the course if the minimum number of participants is not reached by Dec 26, 2017. If the course is cancelled full tuition will be reimbursed. All other costs incurred by a course registrant remain the full responsibility of the course registrant.
How to Register
Please open and print the PDF registration form.
Marcy Dayan is a registered physiotherapist and is a designated Clinical Specialist in Women’s Health with expertise in the management and treatment of both female and male bladder and bowel control, vaginal/genital/rectal pain, diastasis abdominus and perinatal low back, SIJ and symphysis pubis dysfunction and pain.
Since graduating from UBC with a Bachelor’s Degree in Physiotherapy in 1984, Marcy has completed postgraduate courses in incontinence, pain, sexual health and counseling, pelvic dysfunction and orthopaedics. She has also completed a Master of Health Administration from the University of British Columbia. Active in clinical practice, teaching and research, Marcy works in private practice at Dayan Physiotherapy and Pelvic Floor Clinic as well as in public practice at the Vancouver Coastal Health Authority’s Prostate Cancer Supportive Care program and the Multidisciplinary Vulvodynia Program. She is a clinical faculty member and lecturer on urogenital pathophysiology in the Master of Physiotherapy program at the University of British Columbia.
When not at work, you can find Marcy spending time with her family, cycling, kayaking or at her torch making glass beads, wonky wine goblets and silver and glass jewelry and sculpture.
Laura Werner has been practicing since 2010 as a Registered Physiotherapist with specific training in the management and treatment of pelvic floor, abdominal, uro-gynecological and lumbopelvic dysfunctions. Her passion for pelvic health physiotherapy was ignited during her women’s health practicum placement in her master’s program. Post-graduation Laura sought out the training of Marcy Dayan, a highly sought leader and teacher in the field of pelvic health. After intensive mentoring Laura was invited to join Marcy’s practice, the highly regarded Dayan Physiotherapy and Pelvic Floor Clinic, where she remained for over 5 years. During this time Laura has also worked at the Multidisciplinary Vulvodynia Program at Vancouver General Hospital. Laura relocated to beautiful Vancouver Island in July 2015 where she established her practice and has become a mainstay for pelvic floor and abdominal rehabilitation.