Functional Pelvic Floor Training for Weakness, Pain, and Dysfunction in Men, Women, and Older Adults

Catherine Lewan, PT, DPT, CYT, CPI

Functional Pelvic Floor Training for Weakness, Pain, and Dysfunction in Men, Women, and Older Adults

CE Information


Course Brochure

Contains CE information for additional professionals

Summit Certification Series

This course is part of Summit's Women's Health Certification Series.

Learn More about this and other certification series available exclusively to Summit Subscribers

Course Highlights

  • Effectively screen and treat clients dealing with constipation, incontinence, pelvic pain, poor neuromotor control and weak proprioceptive awareness
  • Functional, task-specific exercises to train the pelvic floor for strength, endurance, coordination and relaxation in men and women
  • Incorporate pelvic floor muscle activation into the exercises that you frequently teach for improved outcomes, patient satisfaction and quality of life
  • Learn exercises from Yoga and Pilates to engage the core and pelvic floor muscles collectively
  • Valuable pre and post-natal techniques to help new mothers regain core strength and pelvic control
  • Reduce risk of falls by improving control of the pelvic floor and core muscles in older adults
  • Practical, non-invasive screening techniques to determine pelvic floor muscle strength and functional

Additional Info

Pelvic floor dysfunction is an under reported and under diagnosed issue that will affect most people over the courseof their lifetime. The prevalence of Urinary Incontinence (UI), for example, increases with age and is estimated to affect 50 -85% of elderly living in long-term care facilities. UI significantly decreases quality of life, and is a risk factor forfalls, but unfortunately many people are too embarrassed to tell anyone, and many healthcare professionals are not prepared to address the issue if their patients do reveal pelvic floor symptoms. People who experience pelvic pain wait years, on average, to get an accurate diagnosis and referral to a pelvic floor specialist. The good news is that you don't need to be a specialist to make a meaningful difference. This one-day course will prepare you to provide education and intervention that will help prevent and treat pelvic floor dysfunction.

The muscles of the pelvic floor are like muscles anywhereelse in the body, but they have unique function in that theysupport the urinary, reproductive, and gastrointestinal systems in addition to providing tensile force that supports lumbo- pelvic stability. This course prepares rehabilitation and fitnessprofessionals to apply their muscular expertise to improve the strength and mobility of the pelvic floor, effectively improving the function of multiple systems. You will learn exercises that have been demonstrated by research to improve function and self-care that can be easily reimbursed by Medicare and insurance companies. Interactive labs allow for practice of non-invasive techniques that you can use to immediatelyimprove your client's outcomes and quality of life.

  1. Describe the role of the pelvic floor muscles in supporting lumbopelvic, urinary, reproductive, and gastrointestinal health.
  2. List the signs and symptoms of a hypotonic or hypertonicpelvic floor, and when to refer to a specialist who can do an internal examination for further diagnosis.
  3. Identify visual and palpable indications of a correct pelvic floor contraction.
  4. Incorporate pelvic floor cues into exercises that you already teach to improve pelvic floor engagement.
  5. Utilize Yoga, Pilates, and breathing techniques to improve function and mobility of the pelvic floor.
  6. Integrate pelvic floor activation and relaxation into core training programs to improve outcomes for incontinence,balance and low-back, hip, and pelvic pain.
  1. Pelvic Floor Function in Orthopedic and Geriatric Rehabilitation
    1. Overview of pelvic floor anatomy and physiology
    2. Relationship to core muscles and abdominal strength
    3. Incontinence as a fall risk, reducing both with pelvic floor exercise
    4. The role of pelvic floor in lumbopelvic stability, core stability, balance, posture, continence, breathingmechanics and functional body mechanics
    5. Evidence to support functional improvements inpopulations including: geriatrics, pre- and post-natal,athletes, and men's and women's health
  2. Practical Screening Techniques to Determine Strength, Mobility and Function
    1. Determine hyper/hypotonicity of the pelvic floor musclesand appropriate treatment approach
    2. Screen for severity of dysfunction and when referral to specialist is needed
    3. Documenting your findings and rationale for treatment as part of your plan of care
    4. Hands-On Lab
  3. Improving Neuromotor Control and Proprioceptive Awareness
    1. Helping clients identify and engage pelvic floor muscles
    2. Improve coordination of the brain, pelvic floor, and bladder for better control
    3. Bring awareness of deep core stabilizing muscles that support posture and pelvic organs
    4. Hands-On Lab
  4. How to Teach Pelvic Floor Isolation and Control
    1. Effectively use external cues to help clients to fire pelvic floor muscles
    2. Simple biofeedback techniques to confirm correct activation of PFM
    3. Home exercises that directly improve function
    4. Hands-On Lab
  5. Therapeutic Exercises for Functional Core and Pelvic Floor
    1. Exercises for endurance - Improving hold times
    2. Exercises for strength - Target incontinence and pelvic organ prolapse
    3. Exercises for relaxation and relieving pelvic pain or constipation
    4. Incorporating Yoga and/or Pilates to assist mind-body connection
    5. Hands-On Lab
  6. Task-Specific Functional Training and Integration with Existing Treatment Plans
    1. Sit to stand
    2. Sneezing, coughing, bending to lift from the ground, getting in/out of car...
    3. Improving control during ambulation and running trainingwith other muscle groups
      1. Gluteals, hip external rotators and adductors
      2. Integration with lumbar stability
      3. Abdominal training integration

Catherine Lewan, PT, DPT, CYT, CPI took her first pelvic floor training course from the Women's Health Foundation in 2006 while she was working as a full-time fitness, Yoga and Pilates instructor. She earned her Doctorate in Physical Therapy from the University of Illinois at Chicago and set out to further specialize in Orthopedic, Pelvic, and Obstetric Physical Therapy. She created the Pelvic and Abdominal Physical Therapy Program at Andersonville Physical Therapy in Chicago, which continues to grow and thrive in its mission to serve the needs of those with pelvic floor and abdominal dysfunction by providing compassionate, integrative and evidence-informed care. Dr. Lewan is a member of the Orthopedic and Women's Health Sections of the American Physical Therapy Association, the International Association of Yoga Therapists, and the Chicagoland Pelvic Floor Research Consortium. She is a faculty member for several Chicago-based Yoga Teacher Training programs, including the Amala School of Prenatal Yoga's 85-hour prenatal teacher training. She enjoys integrating mind-body exercise into medicine (and vice versa!) and making information about the pelvic floor accessible and entertaining for all.


FINANCIAL: Catherine Lewan is compensated by Summit as an instructor. She is the owner of Inner Awakening, LLC.

NONFINANCIAL: Catherine Lewan receives sample product to demo from Elvie.

Search your profession and state above to see CE for your selected course.

Content Level: Intermediate

ASHA CE Information

ASHA Continuing Education

Summit Professional Education

Intermediate Level

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.

SATISFACTORY COMPLETION: Participants must register, pay tuition fee, sign in with a mobile device via scanning electronic QR code at workshop location, attend the entire workshop, complete an electronic evaluation, as well as any other required state-specific supplements (if applicable) and sign out with a mobile device via scanning electronic QR code in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out and complete a course evaluation will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

Online Workshops: Why Summit?

As a national leader in providing high quality live workshops for over a decade, Summit understands that your time and money are extremely valuable -- that you don't want to settle for Online Continuing Education that is poor quality, poorly delivered, or won't be accepted by state and national licensing boards.

With that as our foundation, we are proud to now offer Online Continuing Education courses that we believe set a new standard of high quality. Leveraging our exceptional teaching faculty that delivers thousands of live workshops each year (with an average customer satisfaction rating of 4.7 out of 5.0), we have now invested in creating the same exceptional Online course experience.

We deliver Online courses that are both high quality and easy to use:

We invest in high quality video production

  • Excellent sound, multiple cameras and camera angles
  • "You are there" tight coverage of lab exercises
  • Edited video content to focus on highest learning content

Our Online platform is state of the art

  • You can see video of the instructor and slides at the same time, plus also follow the course outline and download manual
  • You can stop, start, & pick up again at your convenience (up to 30 days)
  • We are mobile friendly, and also provide live telephone technical support, Monday - Friday 6AM to 6PM CST

Finally, we are so confident that you will like our Online courses, we provide a 100% satisfaction guarantee. Watch up to the first 30 minutes, and if you are not satisfied, you will receive a full refund. Must contact Summit within initial 30-day viewing period.

On-Demand: What to Expect

We want to make sure that you are 100% comfortable with what you are purchasing, so this is a rundown of the experience you should expect.

Here's what you can expect from our media player:

  • Watch high quality video of your instructor while also viewing the power point presentation
  • Compatibility with both Mac and PC
  • Mobile compatibility so you can watch on your phone or tablet

We have also built in multiple helpful links within the media player so you can:

  • Download the manual
  • Get technical support
  • FAQs to common questions
  • Launch your post test and obtain your certification

Media Player Details

This is what the media player will look like when you first launch the video:

Note: The video will automatically start playing once you open the player. It may be beneficial to pause the video at the beginning so you can get organized and optimize your experience.

Icons at the bottom

You will notice 4 Icons on the bottom of the player, this is what these tabs do:

  • Helpful details regarding the course, anything you need before starting, and how the video player works
  • This is where you can see the course outline and download your manual
  • FAQs on the most common questions to enhance your video experience
  • Where your post course test and certification will be located after you finish the video

Links in the top right hand corner

There are also 3 links in the upper right hand corner:

  • Support - Gives you the number to the technical support team for issues with the media player
  • Account - Takes you to your online profile, and is also where you log out of the media player
  • Logout - Takes you back to the Summit Professional Education website

Continuing Education Credit FAQs

How do I know if the workshop is approved or registered for CE credit for my profession and state?

We do the work upfront and when you select your profession and state, we only present courses that have CE approval or registration for that profession and state. You can also view the licensing approval or registration by profession on the Product page of any course (middle of page, far right tab of "CE Credit")

If you have further questions regarding your CE approval or registration, please contact Summit Customer Service M-F from 6 a.m. to 6 p.m. CST at (800) 433-9570 or email

Why aren't all online workshops approved or registered for my profession and state?

The approval or registration of online workshops varies by state and profession, and some licensing boards have longer approval or registration turnarounds than others.

How many credits do I receive for an online course?

Typically you will receive the same number of credits that you would get at a live workshop. Currently, all of our online workshops range from 1-6 credit hours (with some exceptions based on state and profession). You can view the licensing approval or registration by profession on the Product page (middle of page, far right tab of "CE Credit") where you can see the exact number of credit hours for each profession and state.

If you have further questions regarding CE credits, please contact Summit Customer Service M-F from 6 a.m. to 6 p.m. CST at (800) 433-9570 or email

Does Summit report to CE broker? ASHA?

Yes. Once you complete your online course, post-course requirements, and the printing of your certificate, please follow the below steps.

For ASHA reporting an online course: Once you have met satisfactory completion requirements of the course, you will have access to a participant form via a "Report to ASHA" button in your account (next to the "Certificate Download" button). Simply select the "Report to ASHA" button, provide your ASHA member ID, and select "Submit". Please note, the "Report to ASHA" button will only be available in your account to submit your request for 10 days from the date you completed the online course after which Summit will be unable to report your completion to ASHA.

Online course completions are reported to ASHA following the below schedule:

  • Completions dated 1/1 - 3/31 will be reported to ASHA no later than 5/15
  • Completions dated 4/1 - 6/30 will be reported to ASHA no later than 8/14
  • Completions dated 7/1 - 9/30 will be reported to ASHA no later than 11/14
  • Completions dated 10/1 - 12/31 will be reported to ASHA no later than 2/14

Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL OTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

How do I access the course manual?

Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

Are there labs in the course? What do I do if there are labs during the course?

Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

Where can I find who is teaching the course and his/her professional credentials?

You can see the instructor and their credentials on the product page under the Instructor Info tab

Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

Yes. For your convenience, you may fast-forward or rewind while watching the course. However, please note you will be required to certify you have watched the entire course to obtain CE credit.

Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

Yes, you can always press pause or stop to take a break at your own convenience. Also, if you leave the course, please note where you left so you can pick up where you last finished. However, please remember you need to finish the course and pass your post course test within 30 days (non-subscribers) or before your subscription ends (subscribers).

Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

Can I get a refund if I don't like the course?

We want your experience with Summit to be an enjoyable one. If you purchase an online workshop and don't like it for whatever reason, please stop within the first 30 minutes to receive a full refund. Then call us at (800) 433-9570 to talk with our customer service team to get your refund or a new online course.

Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

  • Internet Explorer 11 or Microsoft Edge 44+ for Windows 10
  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

  • Internet Explorer 11 or Microsoft Edge 44+ for Windows 10
  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

  • Safari on iOS 13+
  • Safari on iPadOS 13+
  • Chrome on Android 9.0+
  • Any running Android 9.0+

Are the videos downloadable or streaming?

All of the videos stream from the media player.

How does the streaming video work?

Live streaming video is content sent in compressed form over the Internet and displayed by the viewer in real time. With streaming video or streaming media, a Web user does not have to wait to download a file to play it. Instead, the media is sent in a continuous stream of data and is played as it arrives.

Will I experience any occasional buffering or freezing of the video?

Because of our streaming video approach, this rarely happens. If it does, it's typically because of customer internet access quality issues and we will provide troubleshooting tips as well as telephone support from our help desk.

Do you provide technical support?

Our help desk is available to assist you by phone Monday through Friday, 6AM to 6PM at (800) 433-9570.

Facility Details & Map

Front Desk Phone:

There may be a fee for parking on-property at this facility. Summit does not reimburse for venue parking fees. Alternative free and paid parking options may be available, please contact the venue for details.


Summit Subscription
"All Access"

Only $299.99

Subscribe Now


Buy this course for

Add to Cart

Course at a Glance

All our courses are available at a number of locations and at various dates. You can also take many of our courses online whether in video or text format. Below are all the available options for

  • There are no currently scheduled live options available for this course.

  • Functional Pelvic Floor Training for Weakness, Pain, and Dysfunction in Men, Women, and Older Adults |6 Hour Course

    Add to Cart

  • Pelvic Floor Assessment and Exercise Planning |2 Hour Course

    Add to Cart

  • Pelvic Floor Activation Cues and Exercise Progressions |1 Hour Course

    Add to Cart

  • Pelvic Floor Assessment and Exercise Planning |2 Hour Course

    Add to Cart

  • Pelvic Floor Activation Cues and Exercise Progressions |1 Hour Course

    Add to Cart