Head-to-Toe Rehabilitation Through a Pelvic Floor First Framework

CSM 2027 Pre-Conference Course


Wednesday, February 3, 2027
8:00 AM - 4:00 PM (EST)
APTA CSM in Philadelphia, PA
Category: Academy Events
A Full-Day Pre-Conference Course

Explore the pelvic floor as an integral part of whole-body movement, function, and rehabilitation through evidence-informed instruction, clinical application, and hands-on learning. This pre-conference course welcomes both pelvic health specialists and non-pelvic health providers  seeking to strengthen whole-body clinical reasoning.

Course Description

A Whole-Body Rehabilitation Framework

This course is designed to explore the evidence behind how other body regions influence pelvic floor function. The pelvis is a central driver in the kinetic chain, with anatomical and neuromyofascial links that shape movement and body functions. Pelvic floor rehabilitation is commonly centered around the main functions of bowel and bladder control, sexual function, and peripartum demands. While essential, these domains represent only a fraction of the pelvis’s role within the body systems.

This full-day course broadens the clinician’s clinical reasoning by connecting the pelvic floor neuromyofascial feedforward mechanism to its influence on TMD, breathing, and voice, hip mechanics, and foot and ankle function. Participants will explore how pelvic floor impairments can include evaluating other regional dysfunctions. Conversely, when treating these dysfunctions, a pelvic floor assessment can reveal hidden drivers. Expanded rehabilitation concepts can be applied to these adjacent interrelated symptoms to enhance recovery.

This course synthesizes current evidence, theoretical models, and interprofessional perspectives to support a holistic, head-to-toe approach to physical therapy care. Biopsychosocial and trauma-informed principles are embedded within all body systems and are included in this rehabilitation framework.

This course is instructed by a team of Physical Therapists (PTs) and a Speech and Language Pathologist (SLP). Instructional methods include interactive lecture, case-based discussion, and hands-on lab sessions. Participants will learn practical screening and treatment strategies that can be immediately incorporated into both pelvic floor and orthopedic evaluation and treatment planning.

This course is intended for clinicians across specialties, including both pelvic health specialists and non-pelvic health providers.

What Participants Will Learn

Learning Objectives

  1. Explain the neuromyofascial feed-forward mechanism that controls the physiological functions of the pelvic floor muscles.
  2. Describe the connection of the TMJ, breath and voice, lumbopelvic, hip, and foot and ankle, when evaluating pelvic floor dysfunctions.
  3. Apply trauma-informed principles with whole-body evaluation and treatment of pelvic floor dysfunction.
  4. Design rehabilitation progressions that integrate pelvic floor activation with whole-body movement patterns for functional performance.
Interprofessional Faculty

Meet the Speakers

Nicole L. Dugan PT, DPT, MSOD, CLT, PWCS

Nicole L. Dugan

Nicole L. Dugan, PT, DPT, MSOD, CLT - graduated from Temple University's Master's and Doctor of Physical Therapy program in 1997 and 2003, respectively. She is a Board-certified Pelvic & Women’s Clinical Specialist and is a certified lymphedema specialist. She is a program leader for the pelvic health program at Jefferson Moss-Magee in Philadelphia, PA. Her clinical practice serves all gender patients with pelvic-related dysfunctions from adolescent to geriatric. She has been an interventionalist in multiple NIH-funded research studies focused on implementing physical therapy rehabilitation interventions for pelvic health and lymphedema populations. She co-authored a number of research articles and a book chapter on managing lower urinary tract symptoms. Dr. Dugan is an invited speaker for multidisciplinary local and international conferences, is adjunct faculty in Thomas Jefferson University's Doctor of Physical Therapy, Medical Doctor, and Nursing programs, and is a primary instructor for the Herman & Wallace Pelvic Rehabilitation Institute. Her professional service includes co-founding the Philadelphia Regional Pelvic Therapy Alliance, mentoring pelvic therapists in Jackson Clinics/ Kenya Medical Training College, and providing PT services for the Medicine in Action urogynecology mission in Jamaica.

Patricia A. Crane PT, DPT, MBA, DSc, OCS, FAAOMPT, Cert. MDT, CLT, CEEAA

Nicole L. Dugan

Trish Crane, PT, DPT, MBA, DSc (She/Her) is an assistant professor in the Doctor of Physical Therapy program at Thomas Jefferson University in Philadelphia, PA. Dr. Crane maintains clinical practice at Jefferson-Moss-Magee Rehabilitation, treating individuals with pelvic floor dysfunction and orthopedic conditions. Trish is board-certified in orthopedics through the APTA, a Fellow of the American Academy of Orthopedic Manual Physical Therapy, and she is a certified lymphedema therapist. Her scholarly contributions include multiple peer-reviewed publications, a book chapter, and regional and national presentations. Her research spans topics such as pelvic floor dysfunction, low back pain, lymphedema, and opioid use following orthopedic surgery. She is also an associate editor for the Journal of Women’s & Pelvic Health Physical Therapy. With a deep commitment to advancing evidence-based practice and interdisciplinary collaboration, Dr. Crane has led and participated in numerous continuing education courses. Her clinical expertise, combined with a passion for teaching and research, continues to shape the next generation of physical therapists and elevate standards of care across the profession.

Sara Schmuckler MS, CCC/SLP

Nicole L. Dugan

Sara Schmuckler, MS, CCC/SLP - Sara is a graduate of Towson University's Master of Science in Speech Language Pathology in 2015, and a certificate in Communication Disorders & Science from West Chester in 2013. She is a passionate and dedicated speech and language pathologist who helps people find their voice and reconnect with their world in whatever way works best for them. With strong skills in voice therapy, communication coaching, and creative problem-solving, Sara brings experience working with diverse clients. Her clinical focus includes voice disorders, gender voice dysphoria, Parkinson’s related vocal changes, post-stroke speech, cognition and swallowing disorders. She, herself, is a speaker, singer, performer, and daily voice user. Sara Schmuckler is the founder and owner of On Your Voice LLC (OYV).

Designed for clinicians across specialties

This course welcomes both pelvic health specialists and non-pelvic health providers seeking to strengthen whole-body clinical reasoning.

Pre-Conference Registration

One Connected System

Follow the Clinical Connections from Head to Toe

  1. 1 TMJ
  2. 2 Breath & Voice
  3. 3 Pelvic Floor
  4. 4 Hip 
  5. 5 Foot & Ankle

Explore how regional systems interact through a pelvic floor first framework.

For More Information:

Academy of Pelvic Health Physical Therapy

Academy of Pelvic Health Physical Therapy, 501(c)(6) Non-Profit Organization

Professional Association