Pelvi-perineal Re-education (Paediatrics)

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 Pelvic Floor Physiotherapy in Paediatrics  

There are two pre-requisites:  (Entry Level) The physical therapy approach to female urinary incontinence (or equivalent), and

                                                        (A-R) Physiotherapy for ano-rectal disorders (or equivalent)


At this time, there are very few pelvic floor physiotherapists across Canada who treat paediatric disorders.  While this is partially due to a lack of related training, it may more importantly be due to the fact that the potential of our impact on this population is relatively unknown.  This is an area of expertise with much promise.

This course, inspired by French kinesitherapist Guy Valancogne and given by Claudia Brown and Marie-Josée Lord, is designed to provide pelvic floor physiotherapists with the knowledge and tools necessary for the management of children suffering from various evacuation disorders.

The course will be given over two days

This course involves theory only, with no practicals.

Some testimonials from past participants:

‘’Everything was interesting, relevant and I am able to integrate what was taught into my daily practice right away.’’

‘’Such wonderful information’’

‘’Claudia was fantastic, she is a great teacher and delivered the information in a way that was interesting, allowed for discussions, remained on time, and gave us assessment and treatments we could incorporate ASAP’’

‘’Fantastic course, amazing instructor, feel prepared and confident to help this population’’


Claudia Brown

Claudia Brown M. Sc. (P.T.) Marie-Josée Lord B. Sc. (P.T.)

About Us

Claudia Brown and Marie-Josée Lord have been successfully treating patients affected with pelvic floor dysfunction for more than 30 years. Having studied and worked with kinesitherapists in Europe, they started Physiotherapie Uro-Sante more than 25 years ago, a teaching company, and have trained physiotherapists across Canada in the field of pelvi-perineal re-education.

Course Objectives:

  • To know and understand the maturation of the urinary and ano-rectal evacuation systems in the child. 
  • To explore the physiotherapy management of various urinary and ano-rectal disorders in the child
  • To understand the specificity of the management of the child with evacuation disorders.
  • To be prepared to treat paediatric pelvic floor disorders in physiotherapy


This course will explore various functional urinary pathologies, including;  dysuria, abdomino-perineal dyssynergia, eneuresis, and idiopathic bladder hyperactivity, as well as  various functional ano-rectal pathologies, including:  evacuation difficulties,recto-sphincteric dyssynergia,encopresis, Hirschprung’s disease, and imperforate anus.


Course schedule

Day 1, 8:30 am – 4:30 pm

  • Registration
  • Introduction
  • Maturation of the urinary and ano-rectal mechanisms in the child
  • Functional urinary pathologies
  • Functional ano-rectal pathologies
  • Functional investigations
  • Medical and surgical approach

Day 2, 8:30 am – 4:30 pm

  • Physiotherapy evaluation :  history
  • Physiotherapy evaluation :  physical
  • Goals of treatment
  • Behavioral modification, education, evacuation diary and exercise
  • EMG Biofeedback
  • Balloon techniques
  • Allied treatment approaches:  dietary modification, medication and supplements, alarms
  • Case histories, treatment protocols, outcome measures

Course registration options for 2018:

           pre-requisite required: (Entry Level) The physiotherapy approach for female urinary incontinence (or equivalent)

           This course involves theory and practicals

  • Pelvic Floor Physiotherapy in Paediatrics (only): 

           Pre-requiste required:  (A-R) The physiotherapy for Ano-Rectal Disorders (or equivalent)

           This course involves theory only, with no practicals

  • COMBO Physiotherapy for Ano-Rectal Disorders and Pelvic Floor Physiotherapy in Paediatrics:

          Pre-requisite required: (Entry Level) The physiotherapy approach for female urinary incontinence (or equivalent)

          This course involves theory and practicals (for ano-rectal part only)


Course calendar