SELF PACED Pelvic Floor Support Systems: Advanced Anatomy, Assessment & Treatment Strategies

For Prolapse and Parous populations

PT/OT CEUs

  • 13.5 hours
  • PT/OT CEUs available for all 50 states in the USA
  • Click below for CEU specifics for each state.

Access

  • Unlimited access to online course contents

Audience

  • Physical Therapists (PT) and PT Assistants, Occupational Therapists, and OT Assistants
IMPORTANT CEU INFORMATION: If you don't see your state listed in the "CEU Info" above under ANY of the categories for your profession (including "Meets requirements for"), please email courses@pelvicglobal.com to request your state. 

If you are an OT and you need CEUs, please email courses@pelvicglobal.com to request CEUs. 
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Important information before you register:
This course is an updated and enhanced version of courses formally known as PF Support Systems in Postpartum Recovery, Prolapse and Pain and Postpartum Prolapse & Pain: It's All About Support. While the name and CEU hours/availability have changed, the core objectives of the course remains the same.   



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Learn a new strategy for managing pressure systems!

What to expect:

You already bring strong skills to your work, and you also know there’s still so much to explore. Step into this advanced training to deepen your clinical reasoning and expand your toolkit.

This course helps you create a clear link between your examination findings and the functional outcomes your prolapse and postpartum patients value most. You’ll progress through 18 modules plus a final quiz, guiding you from foundational pelvic support anatomy to advanced internal and external examination skills and treatment options. You’ll learn how to identify levator ani injury, assess prolapse in multiple positions, and integrate posture, breathing, and abdominal wall dynamics into your treatment planning. You will confidently identify who is a strong pessary candidate and recognize the key factors that contribute to pessary failure. Inside you will find a blend of:

  • Clinically relevant pelvic anatomy review that improves assessment accuracy and decision-making
  • Practical identification and assessment of birth-related levator ani injuriesConfident, thorough prolapse examinations, including skilled use of a ½ speculum
  • Step-by-step video guidance to perform internal, external, and standing examinations with new insights
  • Informed pessary screening to support appropriate fitting or collaborative care
  • Treatment strategies that integrate vocalization techniques, the abdominal wall and breathing techniques
  • Functional movement and intra-abdominal pressure (IAP) based interventions for managing ADL’s
  • Evidence-informed treatment planning tailored to prolapse and postpartum clients


All course materials are delivered through self-paced recorded lectures, downloadable slide decks, demonstration videos, clinical handouts and an anatomy study guide with supporting references.

See what people have to say about this course  

"This course was an excellent BOOST. I had been home mothering for a couple of years and this refresher was just what I needed to build new skills and remember old ones. Kathe made learning the POP-Q very manageable and provides lots of new information on breathing, abdominal wall and IAP training. The video content is comprehensive and well-organized. I highly recommend this course!"
Wren McLaughlin, PT, DPT, WCS, MS, PRC
“I completed the Pelvic Floor Support System course and was astounded by the level of detail and thought put into this course. It was a high-level course that encouraged me to grow and challenged me to think more in depth about diagnoses I see on a daily basis a PFPT. The videos and ability to go at your own pace allowed me to digest more of the material. There are many pearls and takeaway points I continue to use.”
Taylor Randall DPT
“It is clear to me that Kathe’s ability as a teacher comes from her experience, caring, willingness to listen and desire to learn from her patients. She creates an environment that is a perfect balance of focus and fun. My advice, take a course from her earlier in your career rather than later!” 
Karen Greely PT, OCS, COMT, FAAOMPT

What will you learn?

OBJECTIVES:
At the completion of this course, participants will be able to: 
  • Differentiate muscular, fascial, and support‑related contributors to dysfunction
  • Perform a complete pelvic support system evaluation including exams using 1/2 speculum
  • Identify levator ani injury/avulsion using a structured four‑step digital examInterpret POP‑Q measurements and limitations
  • Identify pessary candidates
  • Evaluate prolapse in both supine and standing positions
  • Apply therapeutic strategies for prolapse
  • Incorporate breathing, vocalization, posture, and abdominal wall dynamics into comprehensive treatment plans
Be able to teach classes or work one-on-one!

Course Content:

References, Resources and Bonus Material

WELCOME & OVERVIEW

Module 1: PROPOSED PF MUSCLE DIAGNOSES

Module 2: ANATOMY OF PELVIC FLOOR SUPPORT

 Anatomy Peritoneum and Pelvic Fascia


Module 3: ANATOMY OF LEVATOR ANI AND PERINEAL BODY

Module 4: PELVIC SUPPORT & PROLAPSE ADVANCED EXAMS - EXTERNAL

 External Techniques


Module 5: PELVIC SUPPORT & PROLAPSE ADVANCED EXAMS - INTERNAL

 POP-Q Review of Grid Points and Fascial Anatomy
 Internal Vaginal Anatomy Exam


Module 6: LEVATOR ANI INJURY EVALUATION AND EXAM TECHNIQUES

 Birth Related LA Injury Part 1 Risk Factors, Anatomy & Definitions 
 Birth Related Levator Ani Injury Part 2 From Anatomy to Assessment


Module 7: POP-Q EVALUATION

 POP-Q and Staging Prolapse


Module 8: PROLAPSE ASSESSMENT TECHNIQUES 

 Advanced Prolapse Assessment Techniques
 POP Quiz


Module 9 PROLAPSE EXAMINATION VIDEOS


Module 10: FUNCTIONAL POSTURAL EXAM


Module 11: TREATMENT CONSIDERATIONS FOR PFD


Module 12: PESSARIES FOR PELVIC ORGAN PROLAPSE


Module 13: BREATHING VOCALIZATION AND INTRO to HYPOPRESSIVES


Module 14: BREATH HOLDING MANUEVERS

 Breath Hold Maneuvers Explained with Tamara Rial


Module 15: ABDOMINAL WALL AND BREATHING

 Abdominal Wall and Breathing Evaluations
 Diaphragm and PF interview with Tamara Rial 


Module 16: FUNCTIONAL ACTIVITY, IAP, AND EXERCISE  

 Powerlifting Treatment


Module 17: POP MYOFASCIAL TREATMENT


Module 18: PELVIC FLOOR FUNCTIONAL EXAMS & TREATMENT 

Kathe Wallace, PT

Kathe Wallace, an internationally recognized Physical Therapist, has dedicated over 30 years of  her career to the field of pelvic floor and pelvic health rehabilitation. With over four decades of experience, she has made significant contributions as a pioneer Pelvic Health CEU curriculum developer, author, speaker, and professional instructor. Kathe has developed foundational courses, published numerous works, and delivered countless presentations and workshops Kathe’s commitment to education and her innovative approach to treatment have earned her distinguished awards and recognition in the field. These include the Washington state Physical Therapy Association (PTWA) Clinical Excellence Award in 2006 and the prestigious Elizabeth Noble Award from the American Physical Therapy Association Academy of Pelvic Health in 2023. She also co-founded the Herman and Wallace Pelvic Rehabilitation Institute in 2005.Today, she continues to share her expertise through writing, teaching, and developing educational materials. She currently serves as a Clinical Independent Study Instructor at the University of Washington Department of Rehabilitation, DIvision of Physical Therapy in Seattle, Washington, USA.

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