Pelvic Floor Therapy for the Person With Spinal Cord Injury

Presented by Carina Siracusa

Video Runtime: 62 Minutes; Learning Assessment Time: 31 Minutes

This course provides an essential guide for rehabilitation professionals managing the complex pelvic health needs of individuals following spinal cord injury. Practitioners often face significant gaps in training regarding the behavioral and clinical management of neurogenic bowel, bladder, and sexual dysfunction for this population. Through this evidence-based curriculum, learners will explore the neurological impact of spinal cord injuries on bowel and bladder function and how these deficits manifest in daily function. The instructor details comprehensive evaluation strategies, including subjective interviewing and physical assessment techniques tailored for patients with varying ASIA levels. Participants will gain practical knowledge on multidisciplinary treatment approaches, behavioral interventions, and the selection of adaptive equipment to promote independence and improve quality of life. By bridging the gap between general pelvic health and neurological rehabilitation, this course empowers therapists to deliver holistic, life-changing care.

Learning Outcomes
  • Identify the common bladder, bowel, and sexual function deficits experienced by a person with a spinal cord injury
  • Create a behavioral plan for a patient with neurogenic bowel and bladder to improve function
  • Develop a pelvic floor evaluation for a patient with a spinal cord injury
  • Develop a comprehensive treatment program for a patient with a spinal cord injury and neurogenic bowel and bladder
  • Create a patient education program for the spinal cord community on sexual dysfunction after spinal cord injury
  • Identify adaptive equipment needed for bowel, bladder, and sexual function after spinal cord injury

Meet your instructor

A smiling person in glasses and a patterned blazer stands against a blurred background.

Carina Siracusa

Dr. Carina Siracusa has been a practicing physical therapist since she graduated from Ohio University with her doctorate in physical therapy in 2005. She has practiced in the areas of pediatric, neurologic, oncologic, and pelvic floor physical therapy in her tenure as a physical therapist. She is an assistant professor at…

Read full bio

Chapters & learning objectives

Introduction to Bowel, Bladder, and Sexual Function in People With Spinal Cord Injuries

1. Introduction to Bowel, Bladder, and Sexual Function in People With Spinal Cord Injuries

This chapter reviews the neurological innervation of the pelvic organs and explains how spinal cord lesions impact autonomic and somatic control. Learners will examine the differences between hyperreflexic and areflexic bladder and bowel types to better anticipate clinical needs.

Evaluation of Bowel, Bladder, and Sexual Function

2. Evaluation of Bowel, Bladder, and Sexual Function

Practitioners will learn to conduct a thorough pelvic floor evaluation for the neurologic population, focusing on sensation, motor testing, and functional mobility screens. The content emphasizes the importance of multidisciplinary coordination and wheelchair seating assessments in the evaluation process.

Treatment of Bowel, Bladder, and Sexual Function

3. Treatment of Bowel, Bladder, and Sexual Function

This chapter details behavioral techniques, catheterization schedules, and bowel management programs designed to maximize patient independence. The instructor demonstrates various equipment options and therapeutic modalities, such as abdominal massage and TENS, to optimize outcomes for neurogenic dysfunction.

Frequently asked questions

Everything you need to know about Medbridge courses.