Passive Perineal Rehabilitation is an advanced course that addresses the passive techniques used in the treatment of pelvic floor disorders (in men and women) indicated for physical therapists who already have experience in urogynecology and who have already taken the APR course.
Unlike active techniques, which aim at global neuromuscular rehabilitation, passive techniques are used to achieve specific goals: stretching the pelvic floor muscles; treatment of scars, adhesions and fibrosis; desensitization; treatment of pain and tension points; the use of orthoses in urogynecology and vacuum pumps.
To promote muscle stretching, we use perineal massage, which is a manual technique; and the balloon, an instrument developed specifically for this purpose. They are usually used to prepare a woman who wants a vaginal delivery (avoiding episiotomy), in pelvic pain and some cases in dyspareunia.
Episiotomy, laceration, cesarean section, or other pelvic surgeries leave scars that can cause pain and discomfort; scar massage and cutaneous desensitization instruments are very important in these cases. These skin desensitization instruments can also be used in cases of dermal hypersensitivities, such as vulvodynia.
In the inhibitory techniques of electrostimulation, we use TENS to relieve menstrual pain, pain from labour contractions and pelvic pain. Neuromodulation is indicated in cases of the hyperactive or hypoactive bladder.
Pessaries are a kind of orthosis that can be an option for the treatment of pelvic organ prolapses, especially for those patients who, due to other conditions, cannot undergo surgery. These instruments can also be indicated in the adjunctive treatment of urinary incontinence.
Vaginal dilators are indicated for patients with vaginismus, vaginal canal atresia and neo-vaginas. In this course, we will see how to approach the patient, and gain her trust to carry out the treatment.
Vacuum pumps are an important instrument for increasing blood circulation, and improving erection, either of the penis or the clitoris.
During the course, the student will have the opportunity to share knowledge directly with Dr Laira Ramos, a professional who has more than 15 years of experience dedicated exclusively to Urogynecological Physiotherapy, understanding the theory and practice of each technique used.
You will also have the privilege of having access to everything she offers to her patients in her clinical practice, obtaining quick results and with a great positive impact on quality of life, leading to increased autonomy, self-confidence and self-esteem.
See some testimonials from her patients
Differential :
Students will have a unique opportunity to learn from an internationally recognized professional with over 15 years of exclusive experience in Urogynecological Physiotherapy, with a rich sharing of all the theory and practice she has acquired over these years.
At the end of the course, professionals will be able to use the concept of Dr Laira Ramos, understand how to use passive techniques in perineal rehabilitation, offering the best treatment to her patients, with fast and satisfactory results.
All students will have access to the resources she uses in her clinical practice and free ongoing support through the FaceBook Fisioterapeutas RPA group, where Physiotherapist Laira Ramos offers her mentorship free of charge so that her students can continue to always offer the best treatments to their patients. patients.
Methodology :
The entire course is based on the Passive Perineal Rehabilitation concept that Dr Laira Ramos developed over more than 15 years of experience in urogynecological physiotherapy
Main goal:
Provide trainees with the theoretical and practical knowledge necessary to assess, plan and intervene properly in the use of passive techniques for the treatment and prevention of pelvic floor disorders, in men and women, according to the concept developed by Dr Laira Ramos.
Specific objectives:
- Empower trainees to provide a better quality of life for patients
- Train professionals to be respected and valued in the market
- Know the concept of Passive Perineal Rehabilitation
- Know the latest scientific evidence in urogynecological physiotherapy
- Teach assessment for the use of passive techniques
- Select the appropriate intervention methodology and tools for each case
- Correctly perform perineal stretching using perineal massage and stretching balloon
- Understand the importance of the vaginal dilator and the best way to use it
- Understand the treatment of scars and adhesion with scar massage and vibration
- Normalize sensitivity with desensitizers
- Have a broader view of electrotherapy in neuromodulation and analgesia
- Understand the indications and prescription of pessaries
- Understand the facts and use of the vacuum pump (clitoral and penile) to improve erection
- Appropriately indicate home exercises so that patients adhere
- Know how to set up and manage the urogynecological physiotherapy service to attract more patients
- Knowing how to work in an interdisciplinary team always aiming at the best treatment for each patient in an individualized way
Benefits :
- Training and authorization to use the Passive Perineal Rehabilitation concept
- Access to the materials that Physiotherapist Laira Ramos uses in her clinical practice
- Access to recorded classes to reinforce content
- Possibility to work directly with Physiotherapist Laira Ramos
trainer :
Dr. Laira Ramos http://www.perineo.info/quem-somos/laira-ramos/
She chose the field of urogynecology at the beginning of the physiotherapy faculty and, since then, she has been involved in internships and training in the field. Her father and sister, both gynaecologists, had a great influence on her career, always encouraging her.
After graduation, he dedicated himself exclusively to perineal rehabilitation and continuously updated himself to offer the best treatment to his patients. This passion for the area led her to develop the Active & Series Perineal Rehabilitation concept.
As perineal rehabilitation is still a little-known treatment, lectures are held to publicize these treatments, making them more accessible to the population.
It also provides training and consultancy to physical therapists teaching them how to work with their techniques.
- Physiotherapist in Brazil and Portugal
- PhD in Urogynecology from the Federal University of São Paulo, Brazil
- Master in Physiotherapy Sciences from the Faculty of Human Motricity, Portugal
- Author of the book Active Perineal Rehabilitation and the practical guide Passive Perineal Rehabilitation
- Trainer of the courses Active Perineal Rehabilitation and Passive Perineal Rehabilitation
- in love with the profession
Program :
- Review of the anatomy of the pelvis, dynamic and interactive class using various anatomical models
- Review of muscle neurophysiology focusing on functionality, movement programming, automatic movements and reflex response
- Review of pelvic biomechanics associated with activities of daily living and specific activities that increase intra-abdominal pressure
- Review of pelvic floor functions and applications of passive techniques
- Review of urination physiology and how to identify dysfunction that requires passive techniques
- Review of the physiology of defecation and how to identify dysfunction that requires passive techniques
- Review of the physiology of sexuality and how to identify dysfunction that requires passive techniques
- Review of perineal dysfunctions in women and men
- Review of the complete anamnesis for urogynecology and the use of the RPA electronic medical record
- Review of the physical exam: internal and external techniques
- Theoretical and practical foundations of the clinical use of the stretching balloon
- Theoretical and practical foundations of the clinical use of perineal massage
- Theoretical and practical foundations of the clinical use of scar massage
- Theoretical and practical foundations of the clinical use of vaginal dilators
- Theoretical and practical foundations of the clinical use of vaginal dilators associated with biofeedback by electromyography
- Theoretical and practical foundations of the clinical use of pessaries
- Theoretical and practical foundations of the clinical use of the vacuum pump
- Theoretical and practical foundations of the clinical use of inhibitory electrostimulation techniques
- pelvic mobilization
- Discussion of clinical cases
- Student assessment
Possible formats to take the Passive Perineal Rehabilitation course:
- Customized course for 1 student
- 1 day | 5 hours
- 2 hours in person
- 3h online recorded
- ongoing support in the Physiotherapists RPA Group
- maximum 1 students
- investment of 400.00 euros for the course
- flexible date to be defined by the availability
- only for those who have already done the RPA
- Customized course for 2 students
- 1 day | 7 hours
- 4 hours in person
- 3h online recorded
- ongoing support in the Physiotherapists RPA Group
- maximum 2 students
- investment of 780.00 euros for the course
- flexible date to be defined by the availability
- only for those who have already done the RPA
- Customized course for 4 students
- 1 day | 9 hours
- 6h in person
- 3h online recorded
- ongoing support in the Physiotherapists RPA Group
- maximum 4 students
- investment of 1400.00 euros for the course
- flexible date to be defined by the availability
- only for those who have already done the RPA
- Customized course for 6 students
- 1 day | 11 hours
- 8h in person
- 3h online recorded
- ongoing support in the Physiotherapists RPA Group
- maximum 6 students
- investment of 2000.00 euros for the course
- flexible date to be defined by the availability
- only for those who have already done the RPA
- Online course
- 3h online recorded
- maximum 1 student
- investment of 350 euros for the course for 1 student
- for professionals with experience in urogynecology
- Traditional Course
- 1 day | 11 hours
- 8h in person
- 3h online recorded
- ongoing support in the Physiotherapists RPA Group
- maximum 20 students
- investment to be defined by the organizing company
- date to be determined by the organizing company
- only for those who have already done the RPA
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