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Biofeedback for Pelvic Muscle Dysfunction

  • Description

  • Schedule

  • Objectives

Price: $375
Experience Level: Beginner
Contact Hours: 11

This continuing education seminar is a one-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. We will also review 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 will practice sEMG assessments and treatments. Resources for additional training and board 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 is also approved for BCIA’s recertification hours for board certification. There are pre-recorded lectures that must be viewed prior to the live course.

***Equipment required to participate in course: A 2-channel sEMG biofeedback hand-held unit with software on a laptop or computer. The participants who are self-hosting will need a vaginal and rectal sensor and abdominal leads. If you are attending at a satellite location, this equipment will be provided.
Self-Hosted participants do not need partners if they have the following items, all of which can be purchased on www.cmtmedical.com.

  1. Prometheus MR-20 Dual Channel sEMG Biofeedback Unit WITH Telesis Software
  2. Black Pathway Adaptor for internal sensors to connect to channel A (item PG-3660)
  3. Pathway Internal Vaginal or Internal Rectal Sensor (item PG 6330 or PG 6340)
  4. Pathway Surface EMG Electrodes for Abdominal Placement (PG 6750)

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.

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. 

All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos

Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback by Professor Tim Watson (electrotherapy.org)
4. IUGA/ICS report on female pelvic floor terminology
5. Many participants find it helpful to review the anatomy of the pelvis and perineum

NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:

Before the Course Begins

These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 3.5 hours

1) Intro to Biofeedback (20 min)
2) Learning Theories (9 min)
3) EMG Instrumentation (22 min)
4) Artifact and Sensors (22 min)
5) EMG Assessment (22 min)
6) Relaxation (19 min)
7) Signal Interpretation (14 min)
8) Case Studies and Resources (48 min)
9) Biofeedback Cases (16 min)
10) Setting Up Biofeedback Equipment (19 min)

Day of the Course

7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Introductions, Goals, Objectives, Questions from Lecture
8:15 - Review slides from 3-hour lecture and interpret the graphs
8:45 - Review equipment
9:00 - Set up the assessment protocol to be used in the course
9:15 - Break out groups
--- Group 1: Assessment
--- Group 2: Treat the Screen
10:15 - Come back together to discuss what was learned in the break outs and answer questions
10:30 - Meal break
11:00 - Break out groups
--- Group 1: Treat the Screen
--- Group 2: Assessment
12:00 - Come back together and discuss what was learned in the break outs and answer questions
12:30 - Explore different protocols and how to use them
1:00 - Case Studies - Slides
1:30 - Break
1:45 - Discuss down-training case studies with screens and treatment ideas
2:15 - Discuss up-training case studies with screens and treatment ideas
2:45 - Explaining graphs to your patients - EMG terms
3:15 - Case Studies
3:45 - Resources for Training and Certification, Q&A
4:00 - Adjourn

Upon completion of this continuing education seminar, participants will be able to:

1) Participants will be able to explain to patients the rationale for using biofeedback for the treatment of bladder, bowel, and pelvic pain disorders.
2) Participants will be able to describe a biofeedback assessment, and how patients with complex cases will benefit from this treatment.
3) Participants will be able to explain tasks of an EMG instrument, and assessment and treatments using sEMG.
4) Participants will experience treating and being treated with the use of a rectal or vaginal sEMG sensor.
5) Participants will be able to describe treatment applications, case studies, practical strategies for immediate clinical use, and resources for further training/certification in this area of practice.