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Biofeedback for Pelvic Muscle Dysfunction

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this continuing education seminar, participants will be able to:
1. Explain to patients the rationale for using biofeedback for the treatment of bladder, bowel, and pelvic pain disorders.
2. Describe a biofeedback assessment, and how patients with complex cases will benefit from this treatment.
3. Explain tasks of an EMG instrument, and assessment and treatments using sEMG.
4. Demonstrate use of a rectal or vaginal sEMG sensor.
5. Describe treatment applications, case studies, practical strategies for immediate clinical use, and resources for further training/certification in this area of practice

Target Audience

This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation.

Confirmation Notes

Special Considerations: This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

Agenda

Day One:
7:30 Registration 8:00 Introduction, Goals, Objectives 8:15 Introduction to Biofeedback: Definition/History of biofeedback, modalities overview, basic concepts of feedback and control in biological systems, overview of principles of human learning as they apply to biofeedback 9:30 Break 9:45 Surface EMG Instrumentation: Essential terms and concepts for EMG biofeedback 10:30 Sources of artifact: How to identify artifact and correct 11:00 Principles of EMG sensor placements and Assessment Considerations 11:30 Biofeedback and Distress: Stress and the biopsychosocial model of illness 12:00 Lunch 1:00 Neuromuscular Relaxation Training: Relaxation techniques assisted by EMG biofeedback and overview of additional biofeedback modalities 1:30 Lab 1: Neuromuscular Relaxation Techniques: progressive muscle relaxation, autogenic training, guided imagery, diaphragmatic breathing 2:30 Surface EMG assessment demonstration and signal interpretation 3:30 Lab 2: Surface EMG assessment with lab partners 5:15 Adjourn

Day Two:
8:00 Overview and questions from of Day 1, Post-test Day 1 8:15 Case Study-Urinary Dysfunction, Before/After Treatment Graphs, EMG Signal Assessment 8:45 Lab 3: Surface EMG assessment with lab partners 9:45 Break 10:00 Case Study – Bowel Dysfunction, Before/After Treatment Graphs, EMG Signal Assessment 10:30 Lab 4: Surface EMG treatment for bladder/bowel dysfunction 12:00 Lunch 1:00 Case Study- Pelvic Pain and Overactive Pelvic Floor, Before/After Treatment Graphs, EMG Signal Assessment 1:30 Lab 5: Surface EMG treatment for Overactive Pelvic Floor 3:00 Lab 6: Analyzing sEMG and interpreting graphs to patients 4:00 Review of all behavioral modalities for pelvic floor dysfunction 4:30 Resources for Training and Certification, Answer Questions 5:00 Adjourn

Description

This continuing education seminar is a 2-day course that introduces the participant to the use of biofeedback when treating bladder, bowel, and pelvic floor disorders. Participants will become acquainted with an amazing tool to enhance their practice. In this course we will discuss the history, background/basics, and benefits of biofeedback when used to treat bladder, bowel, overactive pelvic floor and other pelvic floor disorders. This course also includes a review of case studies with EMG signal analysis with the help of audience participation. The focus of this course will be introducing biofeedback equipment and software, administering a biofeedback assessment, conducting a treatment session, and patient instruction/education utilizing live demonstrations with audience participation. In the live lab, participants will experience using a self-inserted vaginal or rectal sensor and move through stations covering sEMG assessment and treatment. Resources for training and certification in this area of practice will be provided. Lab instructors are board certified through the Biofeedback Certification International Alliance in pelvic muscle dysfunction. This course meets the BCIA’s 5 hour didactic requirement covering sEMG biofeedback, and the 4 hour lab requirement. This course is also approved for BCIA’s recertification hours for board certification.

Date And Locations
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