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Focused symposium: Global perspectives, local practice: equity, education, and access in pelvic and women’s health physiotherapy (FS-16)

المشرف: كورليا براندت (جنوب أفريقيا)

المتحدثون: بينيديتو جياردولي (المملكة المتحدة)، إلين مينسا بونسو (غانا)، كارينا سيراكوزا (الولايات المتحدة)

Learning objectives
  1. Identify global barriers and facilitators to access women’s and pelvic health physiotherapy and conduct research across different and marginalised populations and health systems.

  2. Understand the current scope and curricula of educational programmes and research in pelvic and women’s health, and the need for adaptation for effective evidence translation.

  3. Explore approaches to education, implementation, advocacy, research and patient management in diverse sociocultural and economic settings.

Abstract

The health of women is currently flagged as one of the burdens of disease globally. Poverty, gender inequity, poor socio-economic status, sexual and gender-based violence (e.g. female genital mutilation), ageing populations, and increased survival rates raise a major concern regarding the morbidity of women. Pelvic health disorders affect people across all populations worldwide, regardless of race, age, socio-economic status, or gender. Despite its high prevalence, most entry-level physiotherapy programmes offer limited training in the screening and management of pelvic health conditions, while postgraduate training programmes are diverse in content delivery, focusing on the higher socio-economic and non-marginalised population groups. Similarly, a lack of research in marginalized populations and in low-mid income countries is still a concern. As a result, access to appropriate care remains inadequate, particularly for vulnerable and underserved groups.

 

The first speaker will cover the topic of barriers and facilitators to access physiotherapy in different socio-economic and cultural contexts, as well as the challenges experienced by marginalized populations to access physiotherapy services. This topic will be supported by a short recording on the lived experience of a patient.

 

The second speaker will discuss the current scope and curricula of pelvic and women’s health physiotherapy training programmes globally, currently being established by a global survey. It will focus on the alignment of educational programmes and research with cultural and socio-economic contexts and the suitability of translating it into practice in different population groups and settings.

 

The final speaker and topic will be solution-driven, exploring possibilities of adapting educational programmes, research focus and methodology, strategies for advocacy and implementation, and patient management approaches to translate culturally and population-specific evidence into practice.

 

The question and discussion session will continue exploring ideas and input from the audience, which will be integrated into the proposal by the International Organisation of Physiotherapists in Pelvic and Women’s Health education and training guidelines.

References
  1. Hawkes R. The history of Pelvic, Obstetric and Gynaecological Physiotherapy. Journal of Pelvic, Obstetric and Gynaecological Physiotherapy 2018;123:14–9.

  2. International Organisation of Physiotherapists in Pelvic & Women’s Health (IOPPWH). Member Countries – IOPPWH n.d. https://ioppwh.org/member-countries/ (accessed February 9, 2026).

  3. Slade SC, Morris ME, Frawley H, Hay-Smith J. Comprehensive reporting of pelvic floor muscle training for urinary incontinence: CERT-PFMT. Physiotherapy 2021;112:103–12. https://doi.org/10.1016/J.PHYSIO.2021.03.001.

  4. Giardulli B, Bertoni G, Coppola I, Buccarella O, Testa M, Battista S. Pelvic Floor Muscle Training strategies to empower patients: a critical Incident qualitative study. Eur J Physiother 2025. https://doi.org/10.1080/21679169.2025.2462329.

  5. Hay-Smith EJC, Ryan K, Dean S. The silent, private exercise: experiences of pelvic floor muscle training in a sample of women with stress urinary incontinence. Physiotherapy 2007;93:53–61. https://doi.org/10.1016/J.PHYSIO.2006.10.005.

  6. Stein A, Sauder SK, Reale J. The Role of Physical Therapy in Sexual Health in Men and Women: Evaluation and Treatment. Sex Med Rev 2019;7:46–56. https://doi.org/10.1016/J.SXMR.2018.09.003.

  7. Brandt C. Educational and Resource Needs of Pelvic Health Physiotherapists: Context Matters. Int Urogynecol J 2025;36:1187–95. https://doi.org/10.1007/s00192-024-06036-3.

  8. García-Sánchez E, Ávila-Gandía V, López-Román J, Martínez-Rodríguez A, Rubio-Arias J. What Pelvic Floor Muscle Training Load is Optimal in Minimizing Urine Loss in Women with Stress Urinary Incontinence? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2019;16. https://doi.org/10.3390/IJERPH16224358.

  9. Burkhard FC, Bosch JLHR, Cruz F, Lemack GE, Nambiar AK, Thiruchelvam N, Tubaro A, Associates G, Ambühl : D, Bedretdinova D, Farag F, Lombardo R, Schneider MP. EAU GUIDELINES ON URINARY INCONTINENCE n.d.

  10. National Institute for Health and Care Excellence (NICE). Urinary incontinence and pelvic organ prolapse in women: management NICE guideline 2019.

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