This is a Manual Therapy Course for physiotherapists who already have experience in treating the pelvic floor.
Courses are ongoing at intervals in Milltown Physiotherapy Clinic, Dublin (Ireland).
Physiotherapists should have basic knowledge of the pelvic floor anatomy and already be working with pelvic floor dysfunction.
This two-day course is for physiotherapists already working in the field of obstetrics and gynaecology and with experience of internal vaginal examinations. Experience of internal rectal examinations is not essential to attend the course
The course will provide insight into the complex anatomy of the female and to a lesser extent the male pelvic floor anatomy and has a large practical component, where participants through their knowledge of anatomy will acquire skills and techniques to treat a wide variety of pelvic floor dysfunctions.
Many of the techniques are muscle and fascia specific and are based on the principles of trigger point therapy described by Travell and Simons.
Participants are encouraged to practice techniques on each other in order to learn the techniques but also to experience the sensation of being palpated and to experience the changes in their own pelvic floors under the hands of the participating therapists.
The aim of the course:
- To provide participants with the evidence to enhance clinical reasoning in the management of all pelvic floor dysfunction
- To provide participants with news manual skills to enhance current practice
- To challenge participants to re-examine their clinical practice in the light of the presented techniques and evidence
On completion of this course participants will have an understanding of:
- Detailed pelvic floor anatomy with ability to differentiate between superficial and deep pelvic floor muscles
- Theories of pelvic floor muscle dysfunction in bladder and bowel control, pelvic organ prolapse and chronic pelvic pain
- Vaginal muscle / fascial / organ examination and ability to differentiate between overactive and underactive pelvic floor
- Rectal muscle / fascial / organ examination and ability to differentiate between overactive and underactive pelvic floor
- Vaginal manual therapy techniques to treat pelvic floor muscle imbalance
- Rectal manual therapy techniques to treat pelvic floor muscle imbalance
- Self help techniques for pelvic floor release including “Sniff, Flop & Drop”
- Long term rehabilitation and home programmes
- The use of realtime ultrasound to evaluate the changes over a session of pelvic floor manual therapy (where available)