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Certification · PT

EIM Pelvic Health Specialist Certification

40 citations · 3 lenses scored

Evidence In Motion's Pelvic Health Specialist Certification is a hybrid (online didactic plus in-person/virtual lab) post-professional program of roughly 7-9 months, comprising 7 required courses plus 2 electives, including in-depth internal (intravaginal/intrarectal) and external evaluation and treatment, therapeutic neuroscience education, and capstone examinations.

Base tuition is approximately $4,950 (with an optional post-professional DPT add-on of ~$6,300), and it is open to PT, PTA, OT, and OTA.

It is a rigorous certificate of competency rather than an ABPTRFE-accredited fellowship or ABPTS board certification; the strongest accredited pathways remain ABPTRFE pelvic/women's-health residencies and the ABPTS Women's Health (WCS) board certification.

Score anatomy · every lens
Cash-pay viability ×25
95/100

Pelvic health is arguably the strongest cash-pay niche in PT; patients routinely pay $150-$250+/session out of pocket, and private-pay pelvic practices are proliferating in urban and affluent markets.

Pricing leverage ×20
92/100

A documented shortage of trained pelvic clinicians plus high patient motivation supports premium and concierge pricing; the EIM credential's depth (internal techniques, capstone exams) reinforces a premium positioning.

Market differentiation ×15
80/100

EIM is a well-known post-professional brand and the certificate is differentiating in most markets, though it is less of a household credential among patients than Herman & Wallace's series or the WCS board cert.

Owner leverage ×15
78/100

Pelvic-focused clinics scale by training and hiring additional certified clinicians with consistent internal/external protocols; the structured EIM curriculum aids standardization across hires.

Consumer demand ×15
92/100

Consumer demand is strong and growing, driven by postpartum recovery, menopause, perimenopause, and increasing men's pelvic-health awareness.

Credential investment ×10
72/100

Tuition (~$4,950) is meaningful and the program spans 7-9 months, but ROI per training dollar is exceptional given premium cash-pay rates and scarcity of providers.

Sources · 40 on file
Evidence mix
Meta-analysis
17
43%
Systematic review
9
23%
RCT
5
13%
Narrative review
3
8%
Cohort study
2
5%
Clinical guideline
1
3%
Cross-sectional
1
3%
Other
2
5%
Publication years55% since 2022
7
Last reviewed 2026-1040 sources
29 other11 peer-reviewed
  1. 01
    Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
    Dumoulin C, Cacciari LP, Hay-Smith EJC · Cochrane Database of Systematic Reviews · 2018
    31 trials (1817 women); PFMT cures or improves urinary incontinence and supports PFMT as first-line treatment for women.
    Meta-analysisdoi:10.1002/14651858.CD005654.pub4
    DOI ↗
  2. 02
    Does it work in the long term? A systematic review on pelvic floor muscle training for female stress urinary incontinence
    Bø K, Hilde G · Neurourology and Urodynamics · 2013
    Reviews long-term effectiveness of PFMT for female stress urinary incontinence, supporting durable benefit when training is adhered to.
    Systematic reviewdoi:10.1002/nau.22292
    DOI ↗
  3. 03
    Conservative prevention and management of pelvic organ prolapse in women
    Hagen S, Stark D · Cochrane Database of Systematic Reviews · 2011
    PFMT reduces prolapse symptoms and severity versus control in women with pelvic organ prolapse.
    Systematic reviewdoi:10.1002/14651858.CD003882.pub4
    DOI ↗
  4. 04
    Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial
    Hagen S, Stark D, Glazener C, Dickson S, Barry S, Elders A, et al. · The Lancet · 2014
    One-to-one PFMT produced significantly greater reduction in prolapse symptom score at 12 months than lifestyle-advice control.
    RCTdoi:10.1016/S0140-6736(13)61977-7
    DOI ↗
  5. 05
    Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women
    Woodley SJ, Lawrenson P, Boyle R, Cody JD, Mørkved S, Kernohan A, Hay-Smith EJC · Cochrane Database of Systematic Reviews · 2020
    Antenatal/postnatal PFMT prevents and treats urinary incontinence in pregnant and postpartum women.
    Systematic reviewdoi:10.1002/14651858.CD007471.pub4
    DOI ↗
  6. 06
    Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial
    Mørkved S, Bø K, Schei B, Salvesen KÅ · Obstetrics & Gynecology · 2003
    Intensive antenatal PFMT significantly reduced urinary incontinence in late pregnancy and postpartum.
    RCTdoi:10.1016/s0029-7844(02)02711-4
    DOI ↗
  7. 07
    Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults
    Norton C, Cody JD · Cochrane Database of Systematic Reviews · 2012
    Biofeedback and sphincter/pelvic floor exercises may improve outcomes in adults with fecal incontinence.
    Systematic reviewdoi:10.1002/14651858.CD002111.pub3
    DOI ↗
  8. 08
    Multimodal physical therapy versus topical lidocaine for provoked vestibulodynia: a multicenter, randomized trial
    Morin M, Dumoulin C, Bergeron S, Mayrand MH, Khalifé S, Waddell G, Dubois MF · American Journal of Obstetrics and Gynecology · 2021
    Multimodal pelvic floor physical therapy produced greater reductions in pain and dyspareunia than topical lidocaine, sustained at 6 months.
    RCTdoi:10.1016/j.ajog.2020.08.038
    DOI ↗
  9. 09
    Interventions for preventing and treating low-back and pelvic pain during pregnancy
    Liddle SD, Pennick V · Cochrane Database of Systematic Reviews · 2015
    Exercise and tailored interventions reduce pregnancy-related low-back and pelvic girdle pain.
    Systematic reviewdoi:10.1002/14651858.CD001139.pub4
    DOI ↗
  10. 10
    Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?
    Bø K · International Urogynecology Journal and Pelvic Floor Dysfunction · 2004
    Reviews mechanisms by which PFMT improves stress urinary incontinence, underpinning the physiological rationale taught in pelvic-health curricula.
    Narrative reviewdoi:10.1007/s00192-004-1125-0
    DOI ↗
  11. 11
    Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a Cochrane systematic review abridged republication
    Dumoulin C, Cacciari LP, Hay-Smith EJC · Brazilian Journal of Physical Therapy · 2019
    Republished Cochrane evidence reaffirming PFMT as effective first-line treatment for female urinary incontinence.
    Systematic reviewdoi:10.1016/j.bjpt.2019.02.012
    DOI ↗
  12. 12
    Efficacy of pelvic floor muscle training with physical therapy for low back pain: A systematic review and meta-analysis
    Y. Lim; Y. Do; S. H. Lee; H. Lee · Clin Rehabil · 2024
    Meta-analysisdoi:10.1177/02692155241287766
    DOI ↗
  13. 13
    Physiotherapy for endometriosis-associated pelvic pain: a systematic review and meta-analysis
    G. Can; I. P. A. das Virgens; B. Fehér; E. P. Orbán; P. Fehérvári; F. Bánhidy; P. Hegyi; Á. A. Mayer; N. Ács · Pain Med · 2026
    Meta-analysisdoi:10.1093/pm/pnaf083
    DOI ↗
  14. 14
    Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review
    A. P. Malinauskas; E. F. M. Bressan; A. M. Z. R. P. de Melo; C. A. Brasil; P. Lordêlo; L. Torelli · Arch Gynecol Obstet · 2023
    Meta-analysisdoi:10.1007/s00404-022-06693-z
    DOI ↗
  15. 15
    Effectiveness of nonpharmacological conservative therapies for chronic pelvic pain in women: a systematic review and meta-analysis
    M. Starzec-Proserpio; H. Frawley; K. Bø; M. Morin · Am J Obstet Gynecol · 2025
    Meta-analysisdoi:10.1016/j.ajog.2024.08.006
    DOI ↗
  16. 16
    Pelvic floor muscle training with biofeedback or feedback from a physiotherapist for urinary and anal incontinence after childbirth - a systematic review
    A. Höder; J. Stenbeck; M. Fernando; E. Lange · BMC Womens Health · 2023
    Systematic reviewdoi:10.1186/s12905-023-02765-7
    DOI ↗
  17. 17
    Pelvic floor physical therapy for functional constipation in children: a systematic review and meta-analysis
    J. Hao; A. Remis; Y. Tang; B. Huang; Y. Pu; Y. Sun; Y. Yao · Pediatr Surg Int · 2025
    Meta-analysisdoi:10.1007/s00383-025-06029-3
    DOI ↗
  18. 18
    Traditional Biofeedback vs. Pelvic Floor Physical Therapy-Is One Clearly Superior?
    S. S. Ladi-Seyedian; L. Sharifi-Rad; B. Nabavizadeh; A. M. Kajbafzadeh · Curr Urol Rep · 2019
    Narrative reviewdoi:10.1007/s11934-019-0901-9
    DOI ↗
  19. 19
    Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in women
    A. C. N. Fernandes; C. H. Jorge; M. Weatherall; I. V. Ribeiro; S. A. Wallace; E. J. C. Hay-Smith · Cochrane Database Syst Rev · 2025
    Meta-analysisdoi:10.1002/14651858.CD009252.pub2
    DOI ↗
  20. 20
    Classic papers on pelvic floor physiotherapy: the most frequently cited articles in three decades (1983-2013)
    A. Fornari; C. Carboni · Int Urogynecol J · 2018
    Narrative reviewdoi:10.1007/s00192-018-3573-y
    DOI ↗
  21. 21
    Effect of pelvic floor muscle training on urinary incontinence symptoms in postmenopausal women: A systematic review and meta-analysis
    E. G. Marcellou; S. Stasi; V. Giannopapas; K. Bø; D. Bakalidou; M. Konstadoulakis; G. Papathanasiou · Eur J Obstet Gynecol Reprod Biol · 2025
    Meta-analysisdoi:10.1016/j.ejogrb.2024.11.040
    DOI ↗
  22. 22
    International Continence Society supported pelvic physiotherapy education guideline
    E. Bakker; B. Shelly; F. H. Esch; H. Frawley; D. McClurg; P. Meyers · Neurourol Urodyn · 2018
    Clinical guidelinedoi:10.1002/nau.23350
    DOI ↗
  23. 23
    Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis
    C. H. Jorge; K. Bø; C. Chiazuto Catai; L. G. Oliveira Brito; P. Driusso; M. Kolberg Tennfjord · Am J Obstet Gynecol · 2024
    Meta-analysisdoi:10.1016/j.ajog.2024.01.001
    DOI ↗
  24. 24
    Physiotherapy interventions for pelvic floor dysfunctions in stroke survivors - a scoping review of literature
    S. Anklesaria; R. Padiyar; J. M. Solomon; K. Bø; A. R. Pai; C. R. Rao; S. Umakanth; P. Ramachandra · Top Stroke Rehabil · 2025
    Systematic reviewdoi:10.1080/10749357.2025.2463284
    DOI ↗
  25. 25
    Pelvic floor muscle training for urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy: a systematic review with meta-analyses
    N. F. F. de Oliveira; C. H. Santuzzi; T. V. da Conceição; J. M. V. Freitas; F. M. G. Liberato; L. R. Nascimento · Braz J Phys Ther · 2024
    Meta-analysisdoi:10.1016/j.bjpt.2024.101122
    DOI ↗
  26. 26
    Physiotherapy interventions in the treatment of pelvic floor dysfunctions after gynaecological oncology procedures: a systematic review
    S. Tim; A. I. Mazur-Bialy · J Gynecol Obstet Hum Reprod · 2023
    Systematic reviewdoi:10.1016/j.jogoh.2023.102688
    DOI ↗
  27. 27
    Influence of pelvic floor muscle training alone or as part of a general physical activity program during pregnancy on urinary incontinence, episiotomy and third- or fourth-degree perineal tear: Systematic review and meta-analysis of randomized clinical trials
    D. Zhang; K. Bo; R. Montejo; M. Sánchez-Polán; C. Silva-José; M. Palacio; R. Barakat · Acta Obstet Gynecol Scand · 2024
    Meta-analysisdoi:10.1111/aogs.14744
    DOI ↗
  28. 28
    Preoperative pelvic floor physiotherapy improves continence after radical retropubic prostatectomy
    M. I. Patel; J. Yao; A. D. Hirschhorn; S. F. Mungovan · Int J Urol · 2013
    doi:10.1111/iju.12099
    DOI ↗
  29. 29
    Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women
    E. J. C. Hay-Smith; M. Starzec-Proserpio; B. Moller; D. Aldabe; L. Cacciari; A. C. R. Pitangui; G. Vesentini; S. J. Woodley; C. Dumoulin; H. C. Frawley; C. H. Jorge; M. Morin; S. A. Wallace; M. Weatherall · Cochrane Database Syst Rev · 2024
    Meta-analysisdoi:10.1002/14651858.CD009508.pub2
    DOI ↗
  30. 30
    Pelvic Health Content in Canadian Entry-To-Practice Physiotherapy Programs: An Online Survey
    S. Scodras; E. Yeung; H. Colquhoun; S. B. Jaglal; N. M. Salbach · Physiother Can · 2024
    Cross-sectionaldoi:10.3138/ptc-2023-0030
    DOI ↗
  31. 31
    Pelvic Floor Muscle Training Interventions in Female Athletes: A Systematic Review and Meta-analysis
    C. Rodríguez-Longobardo; O. López-Torres; A. Guadalupe-Grau; M. Á. Gómez-Ruano · Sports Health · 2024
    Meta-analysisdoi:10.1177/19417381231195305
    DOI ↗
  32. 32
    Adherence to Pelvic Floor Physical Therapy Referrals in Women With Fecal Incontinence
    J. H. Ross; A. Sinha; K. Propst; C. A. Ferrando · Female Pelvic Med Reconstr Surg · 2022
    Cohort studydoi:10.1097/SPV.0000000000001140
    DOI ↗
  33. 33
    Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis
    P. Fernández-Pérez; R. Leirós-Rodríguez; M. P. Marqués-Sánchez; M. C. Martínez-Fernández; F. O. de Carvalho; L. Y. S. Maciel · BMC Womens Health · 2023
    Meta-analysisdoi:10.1186/s12905-023-02532-8
    DOI ↗
  34. 34
    Which symptoms of pelvic floor dysfunction does physiotherapy improve after an OASI?
    G. Blades; C. Simms; H. Vickers; V. Kershaw; S. Jha · Eur J Obstet Gynecol Reprod Biol · 2021
    Cohort studydoi:10.1016/j.ejogrb.2021.07.048
    DOI ↗
  35. 35
    Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women-a systematic review and meta-analysis
    C. C. Bittelbrunn; R. de Fraga; C. Martins; R. Romano; T. Massaneiro; G. V. P. Mello; M. Canciglieri · Arch Gynecol Obstet · 2023
    Meta-analysisdoi:10.1007/s00404-022-06514-3
    DOI ↗
  36. 36
    Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical Care
    M. L. van Engelenburg-van Lonkhuyzen; E. M. Bols; M. A. Benninga; W. A. Verwijs; R. A. de Bie · Gastroenterology · 2017
    RCTdoi:10.1053/j.gastro.2016.09.015
    DOI ↗
  37. 37
    Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-Analysis
    C. A. Curillo-Aguirre; E. Gea-Izquierdo · Medicina (Kaunas) · 2023
    Meta-analysisdoi:10.3390/medicina59061004
    DOI ↗
  38. 38
    Postoperative Physiotherapy in Women Undergoing Pelvic Floor Reconstructive Surgery: A Randomized Controlled Clinical Trial
    C. Brandt; E. C. J. van Vuuren · Physiother Can · 2022
    RCTdoi:10.3138/ptc-2020-0053
    DOI ↗
  39. 39
    What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis
    S. Gluppe; M. E. Engh; K. Bø · Braz J Phys Ther · 2021
    Meta-analysisdoi:10.1016/j.bjpt.2021.06.006
    DOI ↗
  40. 40
    Point of care ultrasound in pelvic health: scope of practice, education and governance for physiotherapists
    M. Smith; G. M. Donnelly; L. Berry; S. Innes; J. Dixon · Int Urogynecol J · 2022
    doi:10.1007/s00192-022-05200-x
    DOI ↗
All credentialsMethodology
Open in the field