Role of Manometry Assessment for the Investigation of Pelvic Floor Dysfunction
Chronic constipation and fecal incontinence are common disorders, reported in 14% of the general population. Both conditions can be related to anorectal neuromuscular sensory and/or motor dysfunction. Pelvic floor dyssynergic (dyssynergic defecation, DD) is found in at least one third of patients with chronic constipation. We have recently reported that patients’ self-report constipation symptoms using a standardize questionnaire is useful in predicting DD in patients with CC. This presentation will present the utility of clinical history along and digital rectal examination to determine the of DD in patients presented with CC. This would allow clinicians to make a timely diagnosis to implement an appropriate treatment program, including biofeedback therapy, or referral for further investigation with ARM and BET.
What do you get in this course?
- Slides to each lecture
- Lifetime Access: You can come back to this course at any time. If any material is updated or material is added to the course, you will have access to the new content.
- Certification of Completion: once you've created the course you will get a certificate for your professional portfolio.
- Access to this course is through Embodia and while some of the content, such as the workbook can be downloaded, the majority cannot. This is to protect the instructor’s material and to prevent the content from being shared freely on the internet.
- Embodia is mobile-friendly and can be accessed on phone, tablet and computer.
- There is no start date or completion date. You can complete the course at your own pace.
- You will be sent a receipt as soon as you purchase this course. This receipt can be used for education grants (such as The Allied Health Professional Development Fund) and for tax purposes.
- Bite sized information: all of the content is broken down into bite sized chunks so that you can easily watch a video on your break, over lunch or for a few minutes at night.
- You will receive a Special Coupon for 15% off any other online course on Embodia Academy when you’ve completed this course!
Audience: Rehab Professionals (PT, PTA, OT, OTA, AT, ET, Kin, etc), movement specialists, yoga teachers, yoga therapists, and those interested in learning more about pelvic floor health and wellness.
This course was recorded at the 6th Pelvic Health Solutions Symposium in 2019
Dr. Louis Liu, completed his Bachelor, Masters and PhD in Engineering, followed by Doctor of Medicine at McMaster University. He is the Head of Gastroenterology in University Health Network and Sinai Health System, and the Director of the Clinical Motility Unit in University Health Network. Dr. Liu has been actively involved in medical education. He established the University of Toronto Neurogastroenterology and Motility Fellowship Program in 2009 and the International Gastroenterology Fellowship Training Program at UHN and MSH. In addition, he served as the course co-director of the Metabolism and Nutrition Unit in the University of Toronto undergraduate MD Program between 2011-2015. Internationally, he is the University of Toronto Lead of the GI Residency Training Program at Addis Ababa University of Ethiopia and inaugurated the first Endoscopy Training Center in Ethiopia at the Tikur Anbessa Hospital with the support from World Gastroenterology Organization in 2015. He is a dedicated and accomplished educator and researcher who has received multiple education and research awards.
Course Material included in this course
Constipation: Translating Symptoms
Chronic Constipation: Treatment Algorithm
Utility of History in Determining DD
Ano-Rectal Manometry Procedure
ARM - Reading the Results