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Neurologic Conditions and Pelvic Floor Rehab - Washington, DC - July 31 - August 2, 2020 (RESCHEDULED)

Update 6/17/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

Washington DC
  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21

This three-day, intermediate course is intended for the pelvic rehab therapist evaluating and treating neurologically complex patients. Conditions that will be covered in depth include Multiple Sclerosis, Spinal Cord Injuries, and Parkinson Disease. General neurologic evaluation and treatment considerations will also be covered. This will be useful for a multitude of other neurologic conditions one might encounter to help optimize the quality of life and help in promoting your neurologic specialty services. This course was written and developed by Stephanie Bobinger, PT, DPT, WCS, Program Director for the Women’s Health PT Residency Program at The Ohio State University Wexner Medical Center and new member for SACE (Specialization of Content Experts) for Women’s Health and Erica Vitek, MOT, OTR, BCB-PMD, PRPC, program director for Parkinson disease rehabilitation at Aurora Sinai Medical Center in Milwaukee, Wisconsin, LSVT BIG certification course faculty member for LSVT Global (providing exercise rehabilitation education for clinicians treating people with Parkinson disease), and partner, author, and presenter with the Wisconsin Parkinson Association.

The first day will introduce neuroanatomy and pathophysiology of the central and peripheral nervous system and related pelvic structures to provide a base knowledge for in depth neuro discussion over the three day course. An overview of neurogenic bladder, the neurogenic bowel, and neurogenic sexual health considerations will also provide clinic reasoning resources when discussing evaluation and treatment of specific neurologic conditions. The remaining coursework will provide in-depth knowledge and understanding of characteristic pelvic health conditions and therapeutic and medical pelvic health interventions for Multiple Sclerosis, Spinal Cord Injury and Parkinson disease. 

Lab work will include neurological pelvic examination, identification of red flags, neurologic facilitation techniques for emptying/storage disorders and difficult conversations, which will address the challenges we face clinically when addressing restoration vs compensation with this very challenging population. The final day will include an hour of Ask the Experts Q&A, so participants may problem-solve with the instructors about their own complex neurologic patients.

Special Considerations

PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 


Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. It is also highly recommend the particpant have past experience with assessing and treating patients with bowel dysfunction. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us


Required Readings

1. NICE Guidelines on Neurogenic Urinary Incontinence
2. Neurophysiologic Evaluation of Pelvic Floor
3. Neurogenic Bowel Physiology Overview


What To Bring:

A couple pieces of theraband of different resistance for exercise (not a roll)
A Pilates ball (around 8inches on average if have already, please do not feel the need to buy one)
Colored pencils


Day One:
7:30 Registration/Check - In
8:00 Introductions, Review of Course Goals/Objectives
8:15 Central and Peripheral Nervous System and Related Pelvic Structures
9:45 Pelvic Neuro Pathophysiology
10:30 Break
10:45 The Neurogenic Bladder Overview
12:00 Lunch
1:00 The Neurogenic Bowel Overview
2:15 Neurogenic Sexual Health Overview
3:00 Break
3:15 Lecture / Lab: Abdominal-Pelvic Examination for Neurologic Conditions
5:15 Questions, Wrap-Up
5:30 Adjourn

Day Two:
7:30 Questions
8:00 Multiple Sclerosis: Categories of disease and disability
8:30 Multiple Sclerosis: Characteristic pelvic health conditions; therapeutic interventions. Lab/Discussion: Bladder facilitation
9:45 Break
10:00 Lab: Trigeminal/Vagal System; Abdominal Massage; Diaphragm
12:00 Lunch
1:00 Spinal Cord Injury: Levels of injury and neuroplasticity concepts
2:00 (Start) Spinal Cord Injury: Characteristic Pelvic Health Conditions; therapeutic interventions
3:00 Break
3:15 Lab/Discussion: Bladder Training/Catheters. (Continue) Spinal Cord Injury: Characteristic Pelvic Health Conditions; therapeutic interventions. Lab/Discussion: Therapeutic Approach to Sexual Health
5:15 Questions, Wrap-Up
5:30 Adjourn

Day Three:
7:30 Questions
8:00Parkinson disease: Basal Ganglia and Dopamine
9:15 Parkinson: Disease: Pharmacology, Medical/Disease Management, DBS
10:15 Break
10:30 Parkinson disease: Sensory Perceptual and Cognitive Impairment
11:30 Lab: Difficult conversations
12:00 Lunch
12:45 Parkinson disease: Characteristic Pelvic Health Conditions
2:00 Ask the Experts, Wrap-up
3:00 Adjourn

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

1. List key parts of the central and peripheral nervous systems

2. Identify brain regions and regulation of neurologic and pelvic function

3. Understand spinal cord segments, communication tracts, reflexes, plexuses, and contributions to pelvic function

4. List neurotransmitters and their contributions to brain functionality and pelvic function

5. Understand the parasympathetic, sympathetic and autonomic nervous system contributions to pelvic function

6. Describe pelvic visceral function and nervous system control

7. Understand the pelvic genitalia, innervation, and hormonal influence on pelvic function

8. Identify neurological pathways related to pelvic function

9. Determine strategies for therapeutic evaluation and interventions for urologic complications of neurogenic bladder, for gastrointestinal complications in neurogenic bowel, and neurogenic sexual health considerations when neurologic interruptions impact sexual functionality

10. Through clinical reasoning, determine when to refer or consult for further neurologic medical assessment

11. Develop advanced bladder or bowel training programs for complex overactive bladder, urinary retention, catheter weaning, constipation, and incontinence

12. Discern when pelvic floor rehabilitation may be appropriate in persons with neurological conditions such as Multiple Sclerosis, Spinal Cord Injury, and Parkinson disease

13. Identify evidenced based rehabilitative evaluative and treatment interventions for persons with neurological conditions such as Multiple Sclerosis, Spinal Cord Injury, and Parkinson disease

14. Understand when to appropriately consider recovery vs compensatory techniques


  Name Street Address (Links to Map)
Course Location

George Washington University Hospital
Outpatient Rehabilitation Center

2131 K St NW
Washington, DC 20037
Recommended Lodging

The Melrose Georgetown Hotel

2430 Pennsylvania Ave NW
Washington, DC 20037
Nearest Airport

Ronald Reagan Washington National Airport
Airport Code: DCA

Arlington, VA 22202


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Erica Vitek, MOT, OTR, BCB-PMD, PRPC

Erica Vitek

Erica graduated with her master’s degree in Occupational Therapy from Concordia University Wisconsin in 2002, and works for Aurora Health Care at Aurora Sinai Medical Center in downtown Milwaukee, Wisconsin. Erica specializes in female, male, and pediatric evaluation and treatment of the pelvic floor and related bladder, bowel, and sexual health issues. She is Board Certified in Biofeedback for Pelvic Muscle Dysfunction (BCB-PMD) and is a Certified Pelvic Rehabilitation Practitioner (PRPC) through Herman and Wallace Pelvic Rehabilitation Institute.

Erica has attended extensive post graduate rehabilitation education in the area of Parkinson disease and exercise. She is certified in LSVT (Lee Silverman) BIG and is a trained PWR! (Parkinson’s Wellness Recovery) provider, both focusing on intensive, amplitude and neuroplasticity based exercise programs for people with Parkinson disease. Erica is an LSVT Global faculty member. She instructs both the LSVT BIG training and certification course throughout the nation and online webinars. Erica partners with the Wisconsin Parkinson Association (WPA) as a support group and event presenter as well as author in their publication, The Network. Erica has taken a special interest in the unique pelvic floor, bladder, bowel and sexual health issues experienced by individuals diagnosed with Parkinson disease.

Stephanie Bobinger, PT, DPT, WCS

Stephanie Bobinger

Stephanie started her occupational journey studying exercise science education at The Ohio State University where she was a dissector and anatomy teacher’s assistant for 3 years. She then became a graduate research assistant earning her doctorate degree in physical therapy in 2012 from Ohio University. She has practiced in neurological rehab at The Rehabilitation Institute of Chicago where she participated in research committees (The BRAIN) and was involved in promoting the integration of pelvic floor rehabilitation in the inpatient setting.

With growing interests to research and serve neurological populations with abdominal-pelvic health considerations, Stephanie joined the Men and Women’s Health Therapy team at The Ohio State University Wexner Medical Center (OSUWMC) in 2013. Through program deveopment and extensive continuing education, she has since become a board certified women’s health specialist (WCS), an educator for various DPT programs, a clinical mentor, a faculty member for the Multiple Sclerosis Committee, and a member of the Specialty Academy of Content Experts (SACE) for the APTA Section on Women’s Health. To advocate pelvic health services, she has presented for various central Ohio community groups as well as for international groups such as the International Lamaze Association (2016) and the International DONA Association (2017). Stephanie also serves as the program director developing a women’s health physical therapy residency program at OSUWMC in order to support the didactic and clinical foundational mentorship for future leaders in men and women’s health.

Stephanie has a lifelong passion for art; her hobbies include DIY projects, photography, and painting. In addition she enjoys movies, Barre3, and time with family and friends (including her Morky, Milo).

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".