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Continuing Education

 

 

Treatment of Bowel, Bladder, and Pelvic Floor Disorders

Anatomical, Physiological, and Behavioral Foundations for Clinical Practice

June 18 - 21, 2008

Marquette University, Milwaukee, WI

An intensive 4-day study of the anatomical and pyschophysiological principles essential for the development of effective treatment programs.

Email Diane Slaughter with questions.


This course fulfills the didactic training and practicum components for the Biofeedback Certification Institute of America’s (BCIA) certification in Pelvic Floor Muscle Dysfunction (PMDB) Biofeedback.

A benefit for the PT Faculty Student Scholarship Fund to assist graduate students in the Doctor of Physical Therapy Program.

Course Description
This course is designed for licensed medical and health care professionals who would like to expand and integrate their knowledge of the scientific basis for the treatment of bowel, bladder and pelvic floor disorders. The course is limited to, physical therapists, occupational therapists, nurses, and physician assistants who are either working in, or preparing for practice in this area.


Course Objectives Participants will learn:

  • Anatomical, physiological and psychological mechanisms that contribute to various bowel, bladder and pelvic pain disorders.
  • Specific musculoskeletal problems that contribute to pelvic floor muscle dysfunction.
  • To describe the types and etiologies of various bowel, bladder and pelvic pain disorders.
  • Basic principles of surface electromyography (sEMG) related to behavioral treatment for bowel, bladder and pelvic pain disorders.
  • Functional and physiological assessment protocols for disorders of the bowel, bladder and the pelvic floor.
  • Biofeedback and behavioral strategies used to treat the various bowel, bladder and pelvic floor disorders for men and women and across various age groups ranging from pediatric to geriatric.


Course Schedule and Content:

Check-in for course 7:30-8:00AM Wednesday, June 18

Wednesday, June 18 (8:00AM-5:30PM)

  • Introduction to patient populations
  • Anatomy of the lower abdominal wall, pelvic girdle, muscles and ligament structures
  • Normal physiology and muscle control related to urogenital/bowel function
  • Introduction to Biofeedback and Learning Theory
  • Biofeedback and Distress
  • Anatomy lab with prosected cadaver study

Thursday, June 19  (8:00AM-5:30PM)

  • sEMG instrumentation-physiologic basis, terms/concepts
  • Principles of sEMG sensor placement & training procedures
  • Clinical Disorders: Bladder Dysfunction: signs, etiology, symptoms
    • Diagnostic testing of bladder function
    • Medical & behavioral treatments for bladder disorders
  • Clinical Disorders: Chronic Pelvic Pain Syndromes:

    • Mechanisms of arousal, distress and pain
    • Classification of pain disorders
  • Neuromuscular relaxation strategies

 

Friday, June 20 (8:00AM-5:30PM)

  • Musculoskeletal contributions to pelvic girdle and pelvic floor muscle (PFM) Dysfunction
  • Medical & behavioral treatments for pelvic pain disorders
    • Therapeutic exercise
    • Electrical Modalities for PFM pain and dysfunction
  • Infection control procedures related to sEMG of the PFMs
  • *Surface EMG PFM assessment and training practicum
  • Therapeutic exercise and neuromuscular relaxation practicum

Saturday, June 21 (8:00-5:00)

  • sEMG exercise and neuromuscular practicums continue

  • Clinical Disorders:  Bowel dysfunction:  signs, etiology, symptoms

    • Diagnostic testing of bowel function
    • Medical & behavioral treatments for bowel disorders
  • Integration of functional assessment with sEMG data and treatment planning

  • Preparation for clinical practice, ethics, steps to pursuing BCIA certification

32 Contact Hours

*During the practicum, each candidate will perform and undergo an internal pelvic floor muscle assessment and sEMG pelvic floor muscle assessment and training. Vaginal and/or anal sEMG recording sensors will be used for the sEMG assessment and training. The practicum will be performed in groups of 2-3 persons with provisions for privacy.  Ample time is provided to complete the lab and teaching assistants will be available to provide students with individualized attention.

For More Information About:

-Course logistics or general information, contact:

Diane Slaughter at (414) 288-3097 or diane.slaughter@marquette.edu

-Course content, contact Brenda Neumann at (414) 329-5987 or bneumann@wi.rr.com

-BCIA certification, contact Judy Crawford at (303) 420-2902 or www.bcia.org. This course provides the didactic and practicum components for BCIA certification; Additional clinical training and an examination are required. Please consult BCIA for further certification requirements.

 

BCIA is offering the PMDB Certification Exam at Marquette Sunday June 22, 2008 9am-12pm to pre-approved candidates. Contact Judy Crawford at number above for eligibility requirements and exam registration details.

Accommodations:

Housing on the Marquette campus is available for a reasonable fee. Residence hall rooms are available at Straz Tower at the rate of $44 for a single and $60 for a double. Call (414) 288-7208 and ask for Carrie Martin to reserve a room. Please realize these are residence hall rooms and offer only very basic accommodations. If you book a residence hall room, you will receive a confirmation letter from Marquette Universities Department of Housing.

Guests may also stay at a variety of near-by hotels. Suggestions include the Ambassador Hotel, the Milwaukee Hilton City Center, or the Doubletree Hotel Milwaukee City Center. The Ambassador hotel is a newly renovated art deco hotel at 23rd and Wisconsin. Phone: 414-342-8400. A block of rooms has been reserved until May 15th. The Hilton hotel is on 5th and Wisconsin. The Doubletree is on 6th and Wisconsin. The Physical Therapy Department is on 16th and Wisconsin, so all hotels are walking distance or a short cab ride. The Ambassador is closer to the course, and the downtown hotels are closer to shopping. Reservations can be made directly with the hotels by calling 414 -342-8400 for the Ambassador ($109 rate) and mention Marquette PT, Women’s course or 414 271-7250 for the Hilton or 414-273-2950 for the Doubletree. Both downtown hotels offer a Marquette Corporate rate of $129.00. There are other nearby hotels which can be accessed at the following link: http://www.marquette.edu/contact/travel/

 

Click Here for Registration Form


Early-bird tuition: $875 prior to April 14, 2008, $925 after early-bird date.

(tuition includes the 4 day course with multiple labs, breakfast/lunch/snacks daily, a comprehensive course syllabus, and pelvic floor EMG sensors & vaginal weights to take home)

***Early Bird Registration extended to May 15, 2008***

$150 of the tuition will be a donation to the PT Faculty Student Scholarship Fund.  Donations are tax deductible as allowed by law.


Faculty
Jeannette Tries Ph.D., OTR, BCIA-PMDB, will be the primary lecturer for the course and direct the biofeedback practicum. Dr. Tries received a BS in Occupational Therapy from the University of Wisconsin Milwaukee in 1978, a MS in clinical psychology in 1989 and a PhD in Educational Psychology in 2000 from Marquette University. She has worked in the field of incontinence and pelvic floor disorders since 1986 and has published in numerous scientific journals and medical textbooks. She has consulted on national and international policy boards interested in the problems of incontinence and pelvic floor disorders and contributed to the Agency for Healthcare Policy and Research Clinical Practice Guideline on Urinary Incontinence. She directs rehabilitation treatment at The Aurora Women’s Pavilion’s Center for Continence and Pelvic Floor Disorders in Milwaukee WI. She is also a Clinical Assistant Professor in the Dept of Surgery, College of Medicine at the University of Illinois Hospital in Chicago and directs therapy services within the Colon-Rectal Surgery Department. Dr. Tries has worked with Eugene Eisman, PhD in developing new measurement methods to assess pelvic floor muscle function in pediatrics and adults.  She is a senior fellow of the Biofeedback Certification Institute of America and is certified in pelvic muscle dysfunction biofeedback.


Elizabeth Hampton, P.T., BCIA-PMBD, will serve as lecturer in the course, covering musculoskeletal contributions to pelvic floor dysfunction, electromodalities, and therapeutic exercise.  She will also facilitate the therapeutic exercise and neuromuscular relaxation practicum. Ms. Hampton earned her BS in Physical Therapy from Marquette University in 1987 and a certificate in Women’s Health from Texas Women’s University in 2002. She is a certified Pilate’s instructor, integrating the Pilates method into her clinical practice. Ms. Hampton is a published author and faculty member for the Wallace and Herman Institute, teaching courses related to pelvic floor dysfunction. Currently, she is an item writer for the American Physical Therapy Association’s Board Certification exam for women’s health physical therapists. Ms. Hampton is owner of Core Therapeutics Physical Therapy, an outpatient physical therapy clinic specializing in the rehabilitation of lumbopelvic dysfunction, including pelvic pain, incontinence, and prolapse.  She is certified in pelvic muscle dysfunction biofeedback.


Greg Rajala, PhD., P.T., will provide the anatomy lecture for the course. Dr. Rajala received a B.A. in biology from the University of Colorado in 1972, a PhD. in anatomy from the Medical College of Wisconsin in 1976, and a B.S. in physical therapy from Marquette University in 1988. He is currently an Associate Professor of Anatomy in the College of Health Sciences at Marquette University. He has taught medical, dental, physical therapy, physician assistant students and medical residents since 1976. Dr. Rajala has been active in research involving normal and abnormal development of the cardiovascular system and muscle performance in highly trained athletes.

Andrew Starsky BSEE, MPT, PhD, will provide the sEMG instrumentation lecture for the course. Andy obtained his bachelor's degree in electrical engineering from Marquette University in 1992. He completed his Masters in Physical Therapy degree in 1998, and PhD in Biomedical Engineering in 2007. Andy is currently a Clinical Assistant Professor at Marquette University, teaching courses in Electrotherapy, physical modalities, evidence based practice, and biomechanics. He has been teaching electrotherapy for 9 years and has traveled extensively to lecture on this topic. Andy's energetic approach to teaching and research have garnered him grants from the National Institute of Health, the American Heart Association, and the National Institute on Disability and Rehabilitation Research.


William Cullinan, Ph.D., P.T., will direct the anatomy lab component of the course. Dr. Cullinan received his bachelor’s degree in physical therapy from Marquette University and his doctorate in neuroscience from the University of Virginia. Following a postdoctoral research fellowship at the University of Michigan, he joined the faculty in the Department of Biomedical Sciences at Marquette in 1995. He also holds an adjunct faculty position in the Department of Neurosurgery at the Medical College of Wisconsin. Dr. Cullinan runs an active research laboratory and is the author of many research papers and book chapters. He presently teaches anatomy and neuroanatomy to undergraduate and professional students and to medical residents and serves as Dean of the College of Health Sciences. 

Eugene Eisman, Ph.D., will contribute to the lectures on physiology.  Dr. Eisman was a professor in the Department of Psychology, University if Wisconsin-Milwaukee, from 1963 until 1989. He taught courses in physiological psychology and developed a specialized course on the mechanisms underlying the psychosomatic disorders.  Currently, he is affiliated with the Clinic for Neurophysiological Learning in Milwaukee and he is on the consulting staff of the Incontinence Control Service, University of Illinois Hospitals and Clinics, Chicago. He has invented pelvic floor muscle EMG recording probes and is developing measurement methods for their use.


Brenda Neumann, OTR, BCIA-PMDB, will serve as course facilitator and assist with the biofeedback practicum. Ms. Neumann received a BS in Occupational Therapy and Biology from Mount Mary College in 1990.. . She has developed programs to treat urinary incontinence in a skilled nursing facility and a private urology practice and currently practices at The Aurora Women's Pavilion's Center for Continence and Pelvic Floor Disorders in Milwaukee, WI.    Ms. Neumann has been active in professional associations that promote continence and is past president of the Biofeedback Society of Wisconsin. She lectures and publishes material relative to the practice of occupational therapy and urinary incontinence. Ms. Neumann is a fellow of the Biofeedback Certification Institute of America and is certified in pelvic muscle dysfunction biofeedback.


Mary Plummer, OTR, BCIA-PMBD, will assist with the biofeedback practicum. Ms Plummer received a BS in Occupational Therapy from the University of Wisconsin Madison in 1976 and has extensive experience in the specialties of biofeedback, incontinence, and pelvic floor disorders. She has participated in the development of several continence programs and currently practices at The Aurora Women's Pavilion's Center for Continence and Pelvic Floor Disorders in Milwaukee, WI.  Ms. Plummer has a special interest in pediatric bowel and bladder disorders and has written papers and developed treatment procedures and resource material specific to the pediatric population. She is a senior fellow of the Biofeedback Certification Institute of America and is certified in pelvic muscle dysfunction biofeedback.

Gayle Moline Wilson, OTR/L, M.Ed will assist with the biofeedback practicum. Ms. Moline Wilson is an occupational therapist with 25 years of pediatric experience in a variety of settings. She also has a master's degree in education. MS. Moline focus has been treating sensory processing disorders and she is certified in sensory integration therapy. Recently, she has directed her interest and expertise toward treatment of adults and children with bowel, bladder, and pelvic floor disorders.

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