Pelvi-perineal Re-education/pr3

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Physiotherapy for Ano-Rectal Disorders 

 Pre-requisite: (Entry Level) course in uro-gynecology The Physical therapy approach to female urinary incontinence (or equivalent)


There is a large amount of work to be done by physiotherapists in the field of ano-rectal disorders. Patients suffering anal incontinence, evacuation difficulties, and various pathological and post-traumatic conditions can benefit from our help, through education, pelvic floor and global retraining, rectal re-education techniques and behavioral modification.

This workshop is given over two days, and includes theoretical and practical sessions as well as a revision of the pelvic floor evaluation procedure. The introductory pelvic floor course on urinary incontinence is a pre-requisite.

Please note, for 2018: Physiotherapy for Ano-Rectal Disorders (two day course) can be taken in conjunction with : Pelvic Floor Physiotherapy in Paediatrics (two day course).  Participants may register for either or both courses, providing the pre-requisites have been met.  See the course registration options below:




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 urinary incontinence for many years. Having studied and worked with kinesitherapists in Europe, they have together been responsible for the training of more than 500 physical therapists across Canada, in the techniques of pelvi-perineal re-education.

Course Objectives:

  • Be adept at performing a clinical evaluation of the pelvic floor and related structures
  • Understand the anatomy and physiology of the lower digestive tract
  • Be able to describe diverse pathologies that lead to ano-rectal disorders
  • Be aware of various investigation procedures for ano-rectal disorders
  • Be able to describe related medical and dietetic approaches
  • Be able to perform a physiotherapeutic evaluation for patients with ano-rectal disorders
  • Be able to establish realistic goals of physiotherapy treatment and to devise a complete treatment plan
  • Understand how to adapt the treatment plan and approach according to the individual and his particular progression

 Course schedule

Day 1, 8:30 am – 4:30 pm

  • Registration
  • Introduction
  • Anatomy, physiology and bio-mechanics of ano-rectal complex
  • Practical review of pelvic floor evaluation (vaginal, anal)
  • Anal incontinence, urgency
  • Evacuation difficulties, constipation, pain
  • Related pathologies, special tests

Day 2, 8:30 am – 4:30 pm

  • Physiotherapy evaluation: history and physical
  • Physiotherapy approach: problem list, impression, goals of treatment
  • Evacuation technique
  • Manual techniques, intestinal massage, abdominal and pelvic floor retraining
  • Balloon techniques
  • Functional applications, psychological considerations
  • Treatment progression and control

Course registration options for 2018:

  • Physiotherapy for Ano-Rectal Disorders (only) :

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

           This course involves theory and practicals

           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