Introduction to Management of Selected Women's Health ...

Introduction to Management of Selected Women’s Health MusculoskeletalDysfunction for the Outpatient Physical TherapistCourse DescriptionJill Schiff Boissonnault, PT, PhD, WCSThis one-day course will assist the out-patient orthopedic physical therapist and physical therapystudent in clinical decision making for management of selected musculoskeletal disorders inwomen’s health physical therapy. The focus will be to introduce those dysfunctions therapistswould likely encounter in the outpatient setting, describe first-line treatment strategies for thesedisorders as well as knowledge about when to refer to PT specialists or to primary care-givers.The course will be a mix of lecture and discussion with a limited amount of laboratory practice.Disorders and dysfunctions covered will include osteoporosis, pelvic floor dysfunctions treatedin the OP ortho setting, obstetric pelvic girdle and low back pain, diastasis recti abdominis,postpartum coccydynia, common obstetric nerve entrapments and transient osteoporosis of thehip in pregnancy.Course ObjectivesAt the conclusion of this seminar, therapists will be able to:1. Define bone density conditions according to the WHO, be aware of commoninterventions for osteoporosis including appropriate exercise and manual therapyinterventions for this population.2. Differentiate between the types of urinary incontinence (UI) and to offer basic pelvicfloor muscle exercises and behavioral strategies for UI and anal incontinence (AI).3. Screen for pelvic floor hypertonous, coordination, neurogenic disorders and know whento refer these issues as well as when to refer patients for more advanced care of UI/AI.4. Understand systemic changes in the obstetric client and how symptoms related to thesesystemic changes can mimic musculoskeletal dysfunction.5. Adapt history-taking schema to the obstetric population and be aware of adaptationsnecessary to the physical exam of obstetric clients with musculoskeletal dysfunction.6. Develop plans of care for common musculoskeletal dysfunction in the obstetric client.Course Outline8:00-8:30 Introduction, objectives and overview of musculoskeletal dysfunction in women’shealth8:30-9:30 Osteoporosis principles for the out-patient ortho practitioner9:30-10:30 Pelvic Floor Dysfunction information for the out-patient ortho practitioner

10:30-10:45 Break10:45-12:00 Obstetric pathophysiology important to PT, by body system; with notes regardingscreening for referral to primary OB care-givers12:00-1:00 Lunch1:00-2:00 Physical therapy examination of the OB population with focus on musculoskeletaldysfunction: Patient-history, adaptations to the physical examination2:00-3:30 Interventions for selected musculoskeletal dysfunction in OB (Rx for pelvic girdlepain, diastasis recti abdominis, oteoporosis in pregnancy, coccydynia, nerveentrapments)3:30-3:45 Break3:45-4:45 Interventions for selected musculoskeletal dysfunction in OB (Rx for pelvic girdlepain, diastasis recti abdominis, oteoporosis in pregnancy, coccydynia, nerveentrapments)-Continued4:45-5:00 Wrap-Up (including mention of what was not covered today)BIODr. Jill Boissonnault, PT PhD WCS, holds a B.S. in Physical Therapy (University of Illinois), a Masters inOrthopedic Physical Therapy (Northwestern University), and a PhD (University of Wisconsin, Madison),in Curriculum and Instruction, minor in Women’s Studies. She has been treasurer of the OB/GYNSection (Now the Section on Women’s Health) of the APTA, Vice President and Education Director andwas awarded the Section’s service award, the Elizabeth Noble Award, in 2000. In 2006 Dr. Boissonnaultreceived the WI PT Association Mentor award and the APTA’s Lucy Blair Service-Award. In 2011 she wasawarded a Service Award from the World Confederation for Physical Therapy (WCPT) and in 2012, aUW-Madison School of Medicine and Public Health Faculty and Staff Equity and Diversity Award. Shewas also named Northwestern University Physical Therapy Program’s Distinguished Alumnus of the yearfor 2013. She is immediate past President and Founder of the International Organization of PhysicalTherapists in Women’s Health, a sub-group of the WCPT. She has authored numerous professionalarticles and textbook chapters in women’s health PT. Dr. Boissonnault is a Clinical Assistant Professorand teaches Seminars in professional issues and research, Service-learning, palpatory anatomy, andwomen’s health content throughout the curriculum at the University of Wisconsin-Madison PhysicalTherapy Program and is Director of the UW-Hospitals and Clinics/Meriter Hospital Post-ProfessionalResidency in Orthopedic Physical Therapy. She offers seminars in ethics to meet licensure requirementson behalf of the program, consults in the area of women’s health PT and teaches continuing educationseminars on musculoskeletal management of the obstetric client.