Premium Pelvic Floor Rehab Specialist Program - Level 1 & 2 - Learnovate
    CME Hours

    Premium Intensive Course on Female Pelvic Floor Rehab - Level 1 & 2

    Course by : Dr. Dhara Shah


    Premium Intensive Course on Female Pelvic Floor Rehab - Level 1 & 2

    The International Certification Program with Online and Intensive Hands-On Training 



    (for Female and Male participants)



    (for Female participants only)

    Individualized approaches for the maintenance and management of women’s pelvic health are increasingly in demand. As pelvic floor dysfunction is multifactorial and origins vary, it is essential as a clinician, to be familiar with available interventions to address each of these dysfunctions and their causes.

    This course is an intensive hybrid program where participants would learn about the role of physical therapy in the management of female patients presenting with pelvic floor dysfunction related to bowel, bladder and sexual health with focus on invasive and non-invasive pelvic floor assessment, diagnosis and rehabilitation techniques. Each segment of the course will address a specific type of pelvic floor dysfunction, discusses the methodology for management, as well as the efficacy of the physical therapy intervention related to treatment of each diagnosis.


    General and Specific Objectives:

    • Detailed functional anatomy and physiology of different pelvic organs and pelvic floor muscles – different layers, ligaments, joints, pelvic fascia
    • Physiology of micturition, defecation, menstruation
    • Detailed pathophysiology of the conditions affecting the pelvic organs like interstitial cystitis, inflammatory bowel disease, endometriosis, etc.
    • Integration of Diaphragm, Multifidus, Transversus Abdominis, Pelvic Floor Muscles for maintaining core stability and IAP
    • Nervous control of pelvic floor organs, pelvic floor muscles and perineal area
    • Different pelvic floor dysfunctions and pathology with their causes
    • Different presentation of hypotonus and hypertonus dysfunction like urinary retention, burning/difficulty emptying bladder, constipation, piles, hemorroids, pelvic floor dyssynergia, Vaginismus, dyspareunia, chronic pelvic pain etc.
    • Discussion and understanding of different conditions like – pudendal neuralgia, Vulvodynia, Vestibulitis, Tension myalgia, levator-ani syndrome, anismus, proctalgia fugax, urethral syndrome, urethral constrictor etc.
    • Details of Female Sexual Response cycle and Female Sexual Dysfunctions
    • Patient counselling, history taking, scales, form filling, patient preparation
    • Consent signing, paediatric consent form, professional conducts and ethics
    • Indications, absolute and relative contraindications
    • General observation of gait, posture, spine, SI Joint, Feet, Hip rotation etc.
    • Perineal observation – static and dynamic, reaction to cough, reaction to command of contraction and relaxation, difference between hypotonus and hypertonus presentation, shape, symmetry, size, skin, over all integrity of the perineum, pelvic floor muscle isolated contraction versus accessory muscle use
    • Palpation – Mons palpation to rule out SPD, external palpation of perineal area to find out areas of pain, tightness, trigger points etc.
    • Palpation of the vaginal orifice and anal opening (in case of Vaginismus, EAS tightness in conditions like constipation, pelvic floor dyssynergia)
    • Transvaginal and Transrectal penetration skills – hand placement, finger position, fist formation, pressure to be used etc.
    • TV/TR palpation to check for PFD like modified oxford MMT, PERFECT scale – Laycock Assessment, Lamont Scale their limitation and Het’s MMT, 4D Evaluation by Het’s SERF Assessment
    • TV/TR palpation to measure specific areas of weakness or tightness by using Het’s Ring Clock Assessment
    • Assessing superficial and deep ring of pelvic floor muscles
    • Planning the pelvic floor rehab based upon Het’s RR Scale which gives ultimate goal and standardised progression
    • Assessment level for customised sexual health rehab by using Het’s Female Sexual Function Scale for Hypotonus and Hypertonus, Het’s Male Sexual Function Scale, Female Sexual Health Dysfunction Rehab Stages
    • Objective assessment and it’s interpretation for hypotonus and hypertonus pelvic floor muscles, EMG, Perineometer, Vaginal Dilators, V-Ease, US, Uroflowmetry, Defectogram etc.
    • Pelvic floor Rehab for Different pelvic floor dysfunction through Standardised protocol which are individualised according to dysfunction
    • Evidence based management - Correct coordination between all core muscles, breathing, posterior pelvic tilt, PFM contraction etc.
    • Pelvic Floor Rehab for hypotonus dysfunction: use of biofeedback like EMG, perineometer, vaginal cones, V-Fit. Modalities like IFT, WOW PF 360 for isolated muscle fibre exercise/activation like paraurethral, paravaginal, paraclitoral etc.  PNF techniques, Het’s ring clock wise manual strengthening, resisted exercises
    • Therapeutic exercises integration of PFM with other exercises progression through identification & facilitation, movement training, plyometric training and finally functional training – Het’s Exercise Protocol of PFDs
    • Pelvic Floor Rehab for hypertonus dysfunction: Technique sweet spot release-wise anderson, paradoxical relaxation, minimal static pressure, Trigger point release, myofascial release, ICT, Thiele technique, strain counter strain technique, positional release technique, etc.
    • Use of WOW PF 360 for pelvic floor muscle relaxation, Bartholin gland activation, etc.
    • Progressive use of vaginal dilators in different positions etc.
    • Individualised Home Exercise Plan: Bladder-Bowel retraining, bladder diary, life style modification, stress management, KNACK technique, do’s and don’ts etc.
    • Pelvic Floor Rehab during Pregnancy and Low back pain

    Additional Benefits:
    FREE Online Modules with Access for 3 months

    • Female Sex Health Rehab: 18 - 20 Hours
    • Reproductive Health Rehab: 18 - 20 Hours

    FREE Online Masterclasses with Access for 3 months (10 Hours)

    • Introduction to Gynaecological Pelvic Floor Rehab
    • Pelvic Floor Rehab: Missing Link in treating Post Natal Low Back Pain
    • Vaginismus & Pelvic Floor Rehab
    • Lactation and Pelvic Health
    • Pelvic Floor Rehab during Pregnancy


    Dr. Dhara Shah

    Directly trained by and Direct point of contact of Het Desai Sir

    Gold Medalist, MPT, PhD, Scholar Pelvic floor - Women's Health Pelvic floor Rehab Specialist

    WOW IIPRE - Chief Clinical Instructor

    Dr. Dhara is a Women’s Health Rehab Specialist and Chief Clinical Instruct
    Read more


    DAY 1



    8:00 – 8:30 am


    8:30-9:30 am


    9:30-10:30 am

    Functional Anatomy of Pelvic floor muscles

    Pelvic floor muscle dysfunctions

    10:30 - 10:45 am


    10:45 -11:45 am

    Internal examination of Pelvic floor muscle

    11:45 am - 12:45 pm

    Practical session for Internal examination

    12:45 – 1:45 pm

    Lunch break

    1:45 - 2:45 pm

    Objective assessment

    2:45 – 3:45 pm

    Practical session for Objective assessment

    3:45 – 4:00 pm

    Coffee/Tea break

    4:00 – 5:00 pm

    Assessment scales and Key points to remember

    5:00 – 6:00 pm

    End of day discussion and Review


         DAY 2



    8:00 – 8:30 am


    8:30-9:30 am

    Revision and discussion

    9:30-10:30 am

    Pregnancy and childbirth and Pelvic floor muscles

    10:30 - 10:45 am

    Coffee/Tea break

    10:45 -11:45 am

    Case study discussion and practical

    11:45 am - 12:45 pm

    Self-assessment and Treatment for Hypertonus and Hypotonus dysfunction

    12:45 – 1:45 pm

    Lunch break

    1:45 - 2:45 pm

    Practical session for Hypertonus and Hypotonus dysfunction Treatment

    2:45 – 3:45 pm

    Back pain and Pelvic floor muscles

    3:45 – 4:00 pm

    Coffee/Tea break

    4:00 – 5:30 pm

    Practical session for Back pain and Pelvic floor muscles

    5:30 – 6:00 pm

    End of day review and Certificate distribution



    Out Of 5.0


    Monica Laine Clark 11 Dec 2022

    Course is very informative and interesting.

    Jenan Ali 15 Nov 2022

    Very informative course and fully hands-on. Ms. Dhara was very helpful in her feedback and taught it efficiently.

    Claire Myers 15 Nov 2022

    Very good, well structured, learnt alot.

    Anareen tresa rodrigues 13 Nov 2022

    The course was good & informative. Topic was very well explained.

    Nandita 13 Nov 2022

    The course was very comprehensive and included the assessment and treatment of bladder, bowel and sexual dysfunctions in females. The instructors were very knowledgeable and presented the whole course in a way that was easy to follow. Dr. Dhara also answered all our doubts and made sure everyone understood the concepts well. Thank you Learnovate for this course.

    Samantha Fernandes 10 Nov 2022

    This workshop was fantastic and worth the wait–many years! Thank you very much Learnovate for organising Pelvic Floor Rehab workshop. I was looking forward to this workshop for weeks, and it exceeded my expectations. I learned a lot from the workshop! Thankyou Dr. Dhara Shah for an informative course.

    Maria 09 Nov 2022

    I think the course was an excellent introduction to the pelvic floor, internal assessment and practical applications of techniques. The lecturers were very knowledgeable and passionate about the subject. It was a pleasure to participate. A few points to improve on... time management. The course lacked structure in terms of set breaks and timed practical sessions which seemed to go on without much organisation. Day one was extended to fit the content in but the time could have been better organised. I also found the internal rectal palpation for the coccyx a bit random. We spent nearly 1.5 hrs looking at the vagina on day 1 and progressed slowly and methodically. However on day 2 we dived straight into palpation of the coccyx which involved an internal rectal assessment without spending time on palpation. In my experience rectal examinations and understanding the bowels and associated conditions is a whole course on its own. Physiotherapists new to womens health may possibly think they can treat patients rectally based on what was covered. I would suggest leaving internal coccyx mobilisation out of the course until more experience has been gained from those participating.

      This course includes :
      • 7 days of online ( 2 hours each day) Non-Invasive Pelvic Floor Rehab Practitioner course

      • Level 1 will be LIVE Online over Zoom.

      • Recording for Level 1 will be shared with the participants

      • Level 2 - Female only batch, complete Hands-on Training covering all topics in Female Pelvic Floor Rehab

      • Internationally accredited Certificate valid be DHA and DOH

      • Additional Benefits:

      • FREE Online Modules with Access for 3 months

      • Female Sex Health Rehab: 18 - 20 Hours

      • Reproductive Health Rehab: 18 - 20 Hours

      • FREE Online Masterclasses with Access for 3 months (10 Hours)

      • Introduction to Gynaecological Pelvic Floor Rehab

      • Pelvic Floor Rehab: Missing Link in treating Post Natal Low Back Pain

      • Vaginismus & Pelvic Floor Rehab

      • Lactation and Pelvic Health

      • Pelvic Floor Rehab during Pregnancy

    • Special offer
      Special Discounts for Students & Unemployed Physios
    • Dates
       20-Feb-2024 To 22-Feb-2024
       26-Feb-2024 To 29-Feb-2024
       02-Mar-2024 To 03-Mar-2024
    • Accreditation
    • Venue
    • Eligibility