• Course Forms Upload, Evaluation & Pelvic Floor DN Certificate

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  • Format: (000) 000-0000.
  • Date (Please put the Today's Date - Seminar Last Date)*
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    2 digit month, 2 digit day, 4 digit year

  • POST-COURSE KNOWLEDGE TEST

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  • 1. DN of the pelvic area should be restricted to muscular trigger points only due to safety concerns
  • 2. It is often possible for patients to receive profound functional improvement in the pelvic floor after needling posterior pelvis treatment zones.
  • 3. Tender periosteum on the pubic rami should never be needled due to the proximity of the femoral vein
  • 4. Care should be exercised when needling the distal bulbospongiosus in the female patient because of the Bartholin's gland location.
  • 5. Vasectomy and other post-op scrotal scars should never be needled in order to spare the epididymis
  • 6. The spermatic cord should always be identified prior to needling the upper male pelvis.
  • 7. The perineal raphe is difficult to visualize in the male patient and is not reliable to be used as a landmark -
  • 8. Extreme caution should be used when needling the distal symphysis pubis due to the proximity of the dorsal neurovasculature of the penis and/or clitoris.
  • 9. The distal attachment of the pyramidalis should never be needled due to the proximity of the bladder.
  • 10. Cranial effects are often seen with pelvic needling because of craniosacral relationships.
  • 11. When needling levator ani supine, needles are advanced through the gluteus maximus fibers and directed superomedially.
  • 12. The perineal body should never be needled as this would destabilize the pelvic floor.
  • 13. Finding the mid-point of the superficial transverse perineal muscle aids in accurate needling of the deep transverse perineal muscle.
  • 14. Needling the iliolumbar ligament often gives pelvic pain relief as some of these fibers blend with those of the anterior SI ligament.
  • 15. A common and effective way to needle obturator internus is to access its lateral attachment with the patient prone.
  • 16. Ice packs should be placed in the perineum immediately after needling to reduce post-treatment inflammation.
  • 17. When needling the quadratus femoris in side-lying, the needles should be directed toward the mid-belly of the muscle.
  • 18. Periosteal needling should be avoided at all costs due to the abundance of capillaries.
  • 19. When needling the posterior sacrum, the sacral foramina should be localized first in order to spare neural tissue there.
  • 20. The pectineus muscle may be safely needled through the inguinal crease after landmarks are identified.

  • EVALUATION FORM

  • Name Of Instructor :*
  • YOUR OVERALL SATISFACTION WITH THE COURSE (1 POOR, 5 EXCELLENT)?*
  • CURRENT LEVEL OF CONFIDENCE YOU NOW HAVE OF DRY NEEDLING (1 POOR, 5 EXCELLENT)?*
  • ABILITY YOU HAVE TO BEGIN INTRODUCING NEEDLING MONDAY (1 POOR, 5 EXCELLENT)?*
  • CONFIDENCE IN RECOMMENDING THIS COURSE TO OTHERS (1 POOR, 5 EXCELLENT)?*
  • THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL*
  • THE PROGRAM MET THE STATED LEARNING OBJECTIVES*
  • THE PRESENTATION STYLE ENHANCED MY LEARNING EXPERIENCE*
  • THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS*
  • THE EDUCATIONAL MATERIALS WERE USEFUL?*
  • THE LEARNING ASSESSMENT (TEST) WAS APPROPRIATE*
  • DO YOU FEEL THERE WAS COMMERCIAL BIASE OR INFLUENCE IN THIS ACTIVITY?*

  • PLEASE RATE THE FOLLOWING COMPONENTS OF THIS PROGRAM

  • REGISTRATION PROCESS*
  • PROGRAM FACULTY*
  • LOCATION*
  • WAS THE PROGRAM FACULTY KNOWLEDGEABLE REGARDING THE CONTENT OF THEIR PRESENTATION*
  • WAS THE PROGRAM FACULTY RELEVANT REGARDING THE CONTENT OF THEIR PRESENTATION*
  • WAS THE PROGRAM FACULTY EFFECTIVE WITH THE CONTENT OF THEIR PRESENTATION*
  • THE PRESENTATION MET MY EXPECTATIONS*
  • THE PROGRAM FACULTY STYLE WAS APPROPRIATE FOR THE MATERIAL PRESENTED*
  • THE PROGRAM FACULTY WAS RESPONSIVE TO QUESTIONS/COMMENTS*
  • THE PROGRAM MET MY OBJECTIVES*
  • THE INFORMATION RECEIVED WAS USEFUL AND BENEFICIAL*

  • UPLOAD ALL COURSE FORMS

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