This is an advanced course for health professionals working in pelvic health. We unravel the mysteries of electrical stimulation (NMES) and TENS making sense of how they work from a neurophysiological perspective and teach you the principles behind this so you can better choose correct parameters and treatment plans for specific conditions you treat within the pelvis.
Common pelvic health conditions are covered including SUI, OAB, functional UI, Faecal urgency and incontinence, POP and pain.
- Introductions and welcome, what you will need for this course
- Has anything changed since 1847? A short look at an interesting quote
- Evidence, what is it?
- A brief history of neuromodulation in medicine and the managment of pelvic health conditions
- Definitions and types of neuromodulation : invasive and non-invasive
- Parameters explained
- What IS the difference between NMES and TENS?
- Neuromuscular Physiology: neurons, nerve and muscle fibres , how do they work?
- Spatial and temporal recruitment - explained in a video where you becaome motor units in my classroom muscle
- Relating NMES to neuromuscular physiology
- Relating TENS to neurophysiology
- Optimising TENS and NMES
- Overview of pelvic conditions we can treat with neuromodulation
- Other types of UI
- Faecal urgency and incontinence
- Practical Applications covering:
Contraindications, precautions and safety
Setting up machines and custom programs
How to set up TTNS
- Case studies
- Course summary and references
Who am I?
Hi I am Fiona Rogers, many of you will know me from the website I co-own with my partner, Pelvic Floor Exercise. We exclusively sell devices for pelvic floor rehabilitation to other physios, hospitals, doctors and the general public.
I have been a physiotherapist for 36 years, and have spent well over 20 of those in the field of pelvic health.
I hold a Bachelor of Physiotherapy as well as a Post Grad Diploma in Exercise and Sport Science and have completed the full folio of advanced pelvic health courses with Women's Health Training Associates, as well as numerous other courses in the field.
Colleagues regularly ask me questions about various devices so I have spent the past few years researching the available evidence and putting together some courses to help educate on the best practice use of devices. Electrical Stimulation for Pelvic Health is the first of these.
I feel very priviledged to still be working in an area about which I am passionate, and I continue to do some clinical work with a couple of specialists.
Some feedback from the face to face course
I had the privilege of attending Fiona Roger’s course on E-stimulation for Pelvic Health today. I can’t speak highly enough about the course. With a full review of the anatomy and physiology needed to allow clinicians to develop good clinical reasoning, and a thorough review of the research both of what we know and also the problems with some of the methodology at present, this course really was of such a high standard. Fiona also gave some amazing analogies to help explain depolarisation vs repolarisation, and the concepts of spatial vs temporal recruitment of muscle fibres that I know will stick in my mind forever - the skill of a natural teacher. I had so many take home points to add to the depth of my understanding. I can’t recommend it enough if you want to advance your knowledge on this area of pelvic health treatment.
Taryn Hallam, Director and Clinical Educator WHTA
As a Physiotherapist with more than 25 years clinical experience in musculoskeletal health, I thought my days of utilising electrotherapy applications were done & dusted. I had been through the rise and fall of various trends as new options became available over the years and ultimately, preferred to rely on my hands to the do the work . However, with a more recent focus in Urology and Men’s Health I was curious, in particular, to learn about Posterior Tibial Nerve Stimulation for a range of continence disorders. This drew me to search far and wide for a practical course to upskill myself and I was delighted to learn that Fiona Rogers was intending to offer just that - and in my home- town!
So, just a few months ago I attended Fiona’s full day workshop and it was excellent! Fiona covered a plethora of topics across pelvic health that gave me a host of treatment options, especially tailored for immediate translation to clinical practice and patient home programs. Since this time, every single one of my patients with overactive bladder and urgency/frequency issues has greatly benefitted from the electrotherapy programs Fiona introduced. In particular, I greatly appreciated Fiona’s wealth of clinical experience and ‘practice- based evidence’ to match & build on the scientific research of others. Her broad understanding, effective delivery and relaxed communication/ language style further enhanced the quality of the course. No question was too hard to answer. So, if like me, if you haven’t had the opportunity to update in this very practical area of our profession, give yourself the gift of a day with Fiona Rogers.
Dr Joanne Milios PhD Men's Health Physiotherapist
I was fortunate enough to complete this course face to face in Orange NSW earlier this year and it was awesome. I learnt so much and came away with a far better understanding of electrical stimulation than I ever have had. I have been able to implement the new knowledge and skills I gained from this course within my clinical practice and I am getting far better outcomes with my patients. So if you are looking for quality PD to do at the moment, I highly recommend "Electrical Stimulation for Pelvic Health"
Natalie McConochie, Director and Clinical Mentor Pelvic HM
Some feedback from the online version of the course
- The online course was fantastic! Keep up the great work you are doing! Whitney, Physiotherapist
- Just finished the course and wanted to say a big THANK YOU! You have certainly answered my questions and given me the confidence to apply NMES and TENS with a custom modes. Thank you for putting this course together, I can see the hard work you've put into it and I feel blessed to be able to be educated by you.
- I have just finished your online course and it's been great. Electrotherapy has always been a confusing subject to me (even as a student 30+ years ago!) and I tend to generally 'play' it safe and stick to the same parameters. This always bothered me because I don't like protocols - everybody is different! I now feel more confident about using it and am very keen to go and play around with the parameters to find what works best for certain patients and certain conditions.
- Thanks Fiona. A great course! You did an excellent job of making this topic easily understandable, interesting and accessible. I am certainly going to be trying different forms of e-stim more often now!