Evaluation Strategies for the Pelvic Floor

Presented by Heather Rader

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Video Runtime: 60 Minutes; Learning Assessment Time: 39 Minutes

Most rehabilitation professionals lack understanding of basic skills in screening and evaluating for pelvic floor muscle dysfunction, despite high prevalence in most therapy settings. This course will introduce multiple methods to determine the health of the pelvic floor region and its muscles, focusing on external strategies. Participants will also learn how to identify pelvic floor dysfunction risk factors from the patient’s history and integrate basic pelvic floor assessment into clinical practice.

Meet your instructor

Heather Rader

Dr. Heather Rader is the owner of Rader Pelvic Physical Therapy, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain in all genders. A physical therapist since 1994, she graduated from the University of Miami with a master’s degree in…

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Chapters & learning objectives

Risk Factors for Pelvic Floor Dysfunction

1. Risk Factors for Pelvic Floor Dysfunction

This chapter will identify health-related risk factors for pelvic floor dysfunction. Comorbidities for pelvic floor dysfunction as they relate to medical history will be presented. An overview of basic pelvic health screening questions will be demonstrated.

Optimal Pelvic Floor Contraction

2. Optimal Pelvic Floor Contraction

This chapter will describe the components of an optimal pelvic floor contraction. The participant will understand the three elements of a pelvic floor muscle contraction—contract, relax, and bulge. Common substitution patterns will be demonstrated.

Pelvic Floor Muscle Assessment

3. Pelvic Floor Muscle Assessment

This chapter will identify ways pelvic floor muscles are assessed in clinical practice, including manual muscle testing, sEMG, and real-time ultrasound (RTUS). Description of pelvic floor muscle assessment techniques will be presented. Benefits and limitations of each will be identified.

Pelvic Girdle Scan Exam

4. Pelvic Girdle Scan Exam

This chapter will help the participant locate external elements of the pelvic floor during a pelvic girdle scan examination. Boundaries and palpable structures of the pelvic girdle and pelvic floor relevant to dysfunction will be presented. Demonstration of how a pelvic scan exam is performed will be presented.