A Live online course for Physiotherapists with an interest in bowel and bladder dysfunction in the neurological patient.

Did you know?

- 78-90% of patients with MS have bladder issues

- 68% of patients with MS have bowel issues

- Many people with acute CVA suffer from neurogenic bladder and incontinence

- People with ALS are 2x more likely to suffer from constipation

- People with Parkinson’s are more likely to suffer from urinary urgency which leads to an increase in falls and morbidity

- All of the above can be helped by pelvic floor physiotherapy!!!!

Why this is so important ?

Patients that are being treated for neurologic dysfunction have a variety of therapy services offered to them. Many physicians and therapists overlook bowel and bladder concerns for these patients as an untreatable side effect. However there are a variety of behavioral and pelvic floor interventions that can be applied to this patient population. This course will present the common bowel/bladder and sexual side effects that patients can experience with diagnoses of stroke, Multiple Sclerosis, ALS, Spinal cord injury and Parkinson’s Disease. Medical treatments of bowel and bladder dysfunction in the neurogenic population will be delineated. The course will then explore behavioral interventions that therapists and caregivers can apply in order to be able to alleviate some of the quality of life impact that these dysfunctions can have. Therapists will learn external pelvic floor techniques both manual and exercise based that can help to improve bowel and bladder functioning in these patients. Finally, sexual dysfunction in this patient population will also be explored. Participants will leave the course with treatment plans and therapeutic techniques to improve quality of life for these patients. This course will be delivered in an online format and be primarily lecture based.

Topics

Anatomy and Physiology of the Bowel and Bladder

Neuroanatomy of the Lower Urinary Tract and Bowel

Questions and cases

Neurogenic bowel and bladder dysfunction

CVA

Spinal cord injury

Motor Neuron Diseases

Multiple Sclerosis

Parkinson’s Disease

Tests for bowel and bladder dysfunction

Sexual Dysfunction

Physiotherapy case studies and considerations

Day 1 will be 9-5pm

Day 2 will be 8-1pm

Tutor: Carina Siracus PT, DPT, WCS

Carina Siracusa, PT, DPT, WCS practices with Ohio Health in Columbus, Ohio, USA where she is a pelvic floor therapist and the program coordinator for the oncology rehabilitation team.  She also works closely with the OhioHealth Neuroscience tower where she heads up the wheelchair clinic as well as the neuroincontinence program.  She served as the CAPP Pelvic Committee Chair from 2011-2015.  She has been teaching for the Section on The American Physical Therapy  Women’s Health section  for over 5 years. In 2017 she was part of the 1st Focused Symposium on Paediatric Pelvic Health at WCTP 2017 in Cape Town. Carina is one of the few pelvic health physiotherapists to specialise in neurological pelvic health giving her a unique perspective on these young patients. Carina also presented at WCPT2019 and has taught widely on this topic in USA, Europe and internationally.

Gerard has run 7 Live Online Courses ranging from Male pelvic health , Breast health, Menopause , Ultrasound Imaging to Pregnancy and post natal physiotherapy and some of our out-standing course feedback can be seen on our youtube channel (see gerard greene physio )