Pelvic floor dysfunction- Assessment & management for Orthopedic Manual Physical Therapists- An ISOMT Update
Course Overview
Course Description
Pelvic floor dysfunction is frequently under-reported and under-diagnosed, yet it affects a significant portion of patients—especially in later life—and can substantially diminish quality of life, contribute to falls, and complicate musculoskeletal conditions.
In this 4-hour, beginner-level online module, Dr. Kristen Digwood leads therapists through a comprehensive, evidence-informed approach to understanding, evaluating, and intervening in pelvic floor conditions. Participants will learn to screen, diagnose, and treat dysfunctions within a safe, clinically confident framework.
What You’ll Learn
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The detailed anatomy and physiology of the pelvic floor and its integration with lumbar, pelvic, and pelvic girdle systems isomt.org
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The crucial role of pelvic floor muscles in supporting urinary, reproductive, gastrointestinal, and lumbopelvic stability functions isomt.org
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How different forms of incontinence and pelvic pain present—and how physical therapy techniques can help isomt.org
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Strategies to screen the pelvic floor as either a primary pathology or a contributing factor in patients with hip or low back issues isomt.org
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Essential components of an integrated history and physical exam, including recognizing red flags that require medical referral isomt.org
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Distinctions between a hypotonic (underactive) and hypertonic (overactive) pelvic floor, and when to refer for internal evaluation isomt.org
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Beginner-level hands-on assessment and retraining techniques, including how to identify a correct pelvic contraction visually and by palpation isomt.org
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Epidemiological data linking pelvic floor dysfunction, low back pain, hip disorders, and other musculoskeletal presentations
Chapters & Learning Objectives

Chapter -1 - What is Pelvic Rehab ? Who do we treat ?
: 00:30 Hour
In this first chapter, Dr Digwood discusses about the definition of Pelvic rehab and its indications. She also elaborates about the healthcare professionals who can use Pelvic floor rehab in their clinical settings to help the patients.

Chapter 2- What do we treat?
: 00:34 Hour
In this chapter, Dr.Digwood discusses about the conditions that are treated in Pelvic Floor Rehab. Indications of Pelvic Floor Rehab like Painful Bladder Syndrome , Urethral Pain, Incomplete Emptying or Retention are further discussed and explained. .

Chapter 3 - Understanding the Pelvic Floor Anatomy
: 00:08 Hour
In this chapter , pelvic floor anatomy is discussed by the US expert. She presents both male and female pelvic floor muscles and discusses different layers of muscles. Muscular attachments and pelvic organs are mentioned by Dr Digwood as well.

Chapter 4 - Functions of the Pelvic floor
: 00:10 Hour
In this chpater, many functions of Pelvic floor are discussed by Dr Digwood. How pelvic floor and its associated muscles help in organ functions. Pelvic floor and relation to bladder functions are explained in details in this chapter.

Chapter 5 - Researches in Pelvic Floor Rehab.
: 00:06 Hour
In this chapter, Dr Digwood discusses about the researches in Pelvic Floor Rehab. She talks about bladder training, bladder control strategies, pelvic floor muscle training, fluid management. She also mentions about the researches from American Urological Association (AUA) 2014, HARQ-2012 .

Chapter 6 - Treatment options & Case Studies in Pelvic Rehab
: 00:08 Hour
In this chapter, Dr. Digwood discusses about treatment options like Pelvic Floor Muscles strengthening, urge suppression techniques. She also mentions about education regarding behavioral strategies to improve urinary continence. She also discusses some case studies of Pelvic Rehab.

Chapter 7 - Question & Answer Discussion
: 00:42 Hour
In this chapter, Dr. Digwood answers all questions asked by participants regarding pelvic floor rehab. She makes question-answer session very interesting by explaining each question in detail.

Chapter 8 - Urinary Incontinence - Types
: 0:43:13 Hour
In this chapter, Dr.Kristen Digwood discusses about urinary incontinence and types. she talks about bladder and the role of bladder.Common components of evaluation.

Chapter 9 - Some Q & A Discussion
: 0:13:23 Hour
In this chapter, Dr.kristen answered all the questioned asked by participants. She explained all question - answers in detail.

Chapter 10 - Pelvic Evaluation (Detailed explanation)
: 0:38:18 Hour
In this chapter, Dr.Kristen discusses in detailed about the pelvic floor evaluation.

Chapter 11 - Q & A Discussion
: 0:28:32 Hour
In this chapter, Dr.kristen answered all questioned in detail.

Chapter 1 Introduction of Dr.Kristen Digwood
: 0:11:33 Hour
Chapters and Learning Objectives
Introduction of Dr.Kristen Digwood

Chapter 2- What is Pelvic Rehab and Who Does It
: 0:13:30 Hour
Chapters and Learning Objectives
In this chapter Dr. Kristen discusses about What is Pelvic Rehab and Who Does It

Chapter 3- What do you treat - Bladder
: 0:21:28 Hour
Chapters and Learning Objectives
In this chapter DR.Kristen discusses about what do you treat- Bladder