The Diaphragm/Pelvic Floor Piston for Adult Populations: Part One - #EntropyWest

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The Diaphragm/Pelvic Floor Piston for Adult Populations: Part One - #EntropyWest


Date: September 29-30, 2018
Instructor: Julie Wiebe, PT, MPT, BSc
Location:  Bellevue, WA

Course description: 

Despite its inclusion in most definitions of the core, few rehabilitation or fitness programs integrate the pelvic floor into strengthening or neuromotor training. An integrated clinical model of the pelvic floor requires a broadened definition of pelvic floor function beyond merely maintaining continence. When linked to the diaphragm, the pelvic floor acts as a powerful stabilizer of lumbosacral, sacroiliac, pubic symphysis, and pelvic-hip joints ensuring efficient LE and UE mechanics. In addition, the dynamic interplay of these deep muscular elements will balance and harness the intra-abdominal pressure system as a component of central stability.

Clinicians will be introduced to an innovative, clinical model that incorporates a neuromuscular-based core recruitment and IAP balancing strategy, driven by external cueing of both the pelvic floor and diaphragm. This provides a sturdy, yet dynamic foundation that is responsive to the demands of function, movement, fitness and sport. Regardless of age or sport of choice, building programs that maximize results without compounding common women’s health issues such as incontinence, and organ prolapse is a critical clinical skill for all clinicians who treat females (regardless of specialty).

Session participants will have the opportunity to experience the material themselves through exercises that integrate the diaphragm/pelvic floor piston into core stabilization, postural muscle patterning, gait, fitness and sport specific activities.

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Course Objectives:

The Diaphragm/Pelvic Floor Piston will present practical evidence-based assessment and intervention strategies to teach rehabilitation professionals how to immediately apply concepts in the clinical setting.  At the conclusion, participants should be able to:

1.    Identify anatomy and function of the “anticipatory core” to balance IAP and neuromuscular control for optimized central stability in all populations (Diaphragm, pelvic floor, transverse abdominis and multifidus).

2.    Discuss effects of pain, dysfunction, and pregnancy on “anticipatory core” function and contribution to subsequent musculoskeletal dysfunction, movement pattern deficits, return to fitness, balance, pelvic health issues , breathing mechanics and performance.

3.    Evaluate the function of each element of the “anticipatory core” through postural alignment assessment, observation of dysfunctional motor strategies, and external palpation.

4.    Identify differences between traditional musculoskeletal “core exercise” driven by the abs and anticipatory neuromuscular “core strategies” driven by the brain, sensory system, diaphragm, and pelvic floor.

5.    Discuss training modifications and considerations for women and men with possible pelvic floor dysfunction (postpartum, pregnancy, injury, etc).

6.    Train each element of the “anticipatory core” for concentric/eccentric central stability with external facilitation exercises leading to dynamic and task specific recruitment within function.

7.    Build exercise programs that reconnect the fully integrated “anticipatory core” with larger postural muscle groups (postural synergies/slings) to promote pain-free functional movement patterns, empowered gait, aligned posture, and return to fitness and sport activities.

Ample lab time will be provided to correlate concepts with practical exercise strategies for a variety of populations.

This content is not intended for use by participants outside the scope of their license or regulation.