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Resource Package: The Physical Therapy Approach to Female and Male Urinary Incontinence (Level 1)

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Resource Package: The Physical Therapy Approach to Female and Male Urinary Incontinence (Level 1)

Resource Package: The Physical Therapy Approach to Female and Male Urinary Incontinence (Level 1)


Urinary incontinence is an important health issue that has traditionally not been well managed. One in four women and one in nine men are affected by urinary incontinence. Ongoing research into core dynamics recognizes the pelvic floor as an important component of core retraining, and yet, accurate assessment and treatment techniques of the pelvic floor are lacking in clinical practice. Hypertonicity vs. hypotonicity of these muscles needs to be addressed through palpatory assessment of the pelvic floor. The Cochrane Collaboration (2010) has demonstrated that internal pelvic floor muscle training has Level 1 evidence in treating urinary incontinence. Physiotherapists need to go beyond teaching externally driven Kegels in order to effectively rehabilitate the pelvic floor.

This is the online research package that complements the Pelvic Health Solutions (PHS) Level 1 in-person course. In this resource package, you will have access to video exercises, written education and protocols which you can share with patients.

What's Included:

  • Course resources 
  • 34 patient exercises
  • 26 patient education
  • 5 templates/protocols
  • A 2 week complimentary trial on Embodia for Home Exercise Prescription (thereafter $15/month or $13.50/month on the annual plan or $11.25/month for CPA members)
  • Lifetime access to the resources

Scroll down to see what's included in this resource package.

To find out more about the Level 1 in-person course go to

The instructors
Nelly Faghani
B.Sc. P.T., M.C.P.A.

Nelly graduated from the University of Toronto in 1996. Nelly started to treat pelvic health in 1998 and continues to be actively involved in clinical practice, mentoring and teaching. She has helped develop Continence Programs that have been implemented in various long-term care facilities through Ontario. Nelly has been a spokesperson for the Canadian Physiotherapy Association, has co-authored a neuro-urology textbook chapter on incontinence and has hosted a round table at the International Pelvic Pain Society Conference.

Nelly is a member of the ICS Children and Young Adult’s Committee and the ICS Physiotherapy Committee. She regularly attends international conferences and prides herself on staying on top of the current pelvic health literature.

Pelvic Health Solutions

Pelvic Health Solutions is an evidence-based teaching company that was founded in 2010 by Nelly Faghani and Carolyn Vandyken, out of the need to develop pelvic health resources in Ontario, an under serviced health concern in this province. Since the inception of our teaching company, pelvic health physiotherapy has blossomed from a handful of physiotherapists to well over 300 therapists now rostered with the Ontario College of Physiotherapists. Pelvic Health Solutions provides continuing education courses for a variety of practitioners, including mentoring and clinical resources for therapists to utilize with their patients. Our mission is to provide evidence-based, biopsychosocial resources to patients and health care practitioners for the assessment and treatment of pelvic health problems in our province and abroad.
Course Material included in this course
  • Resources
  • Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women (Review)
  • Bladder Diary
  • A Guide to the Depression, Anxiety and Stress Scale (DASS 21)
  • Fibre Diary
  • INTRO for labs Level 1
  • Introductory letter pelvic health
  • Level 1 Case Study Answers
  • Pelvic Floor Objective Assessment
  • Pelvic Muscle Electrical Stimulation
  • How To Avoid And/Or Respond To Adverse Reactions Secondary To Pelvic Floor Assessment And/Or Treatment
  • Sample Assessment Report
  • Symptom Monitor Combined
  • Feedback
  • Incontinence Identifiers - Who Am I?
  • Stress Incontinence: Who am I?
  • Urge Incontinence: Who am I?
  • Overflow Symptoms: Who am I?
  • Urinary Incontinence Assessment In Older Adults
  • Feedback
Patient Exercises included in this course
  • Pelvic Floor Push Ups on a Ball
  • Pelvic Floor Push Ups
  • Painting the Seat
  • Strengthening Exercises for the Pelvic Floor (Written)
  • Functional Core Progressions Using Your Pelvic Floor Muscles (Written)
  • Developing Awareness of Your Deep Core Muscles (Written)
  • Core Progressions (Written)
  • Constructive Rest (Written)
  • Considerations for Rectus Diastasis (Written)
  • Exercises For Releasing Tension in The Pelvic Floor (Written)
  • Novel Movements of the Spine
  • Face the Day - Dynamic ROM exercises (Written)
  • Dynamic Pelvic Floor Exercises
  • Dynamic Pelvic Floor and Core Exercises
  • Breathing Exercises (Written)
  • 8-Minute Core Challenge (Written)
  • Quadratus Lumborum & Paraspinal Stretch
  • Lumbar Rotation
  • Hip Flexor Stretch
  • 8 Minute Challenge
  • Child's Pose
  • Cat/Dog Stretch
  • Obturator Internus Stretch
  • Piriformis Stretch
  • Face the Day: Dynamic ROM Exercises (Video)
  • Gluteus Medius Strengthening
  • Bridging
  • Calves On A Stool
  • Open Mouth Breathing
  • S Sound Breathing
  • Rectus Diastasis Correction
  • ILU Massage
  • Easy Strengthening: Core and Pelvic Floor
Patient Education included in this course
  • Vulvar Care
  • Screening For Patient with Low Back Pain and Hip Pain
  • Post Prostatectomy Instructions
  • Medications
  • Bladder Re-Training
  • Instructions for Urge Management
  • Constructive Rest Position
  • UTI Prevention
  • Urge Delay
  • Skin Care
  • Pelvic Organ Prolapse
  • Post-Void Dribble
  • The Male Pelvic Floor
  • Quick Solutions to Adding Fibre to your Day - Soluble
  • Quick Solutions to Adding Fibre to your Day - Insoluble
  • Fibre Solutions: Alphabetical
  • The Female Pelvic Floor
  • Double Voiding
  • Cognitive Behavioural Training for Triggers and Nocturia
  • Bladder Irritants: Urge
  • Mind the Gap: Considerations for Rectus Diastasis
  • Connecting with your Breath to Relieve Pain and Stress
  • ILU Massage
  • Evacuating the Bowels
  • Prevention and Treatment of Constipation
  • Patient Instruction for Complete Evacuation
Templates included in this course
  • Breathing
  • Exercise Program for Overactive Bladder
  • Basic Pelvic Floor & Hip Stretches
  • Breathing Exercises: Level 1
  • ILU Massage
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