Piston Science Part 2: Clinical Correlations - #EntropyWest


Piston Science Part 2: Clinical Correlations - #EntropyWest


Date: April 6-7, 2019
Instructor: Julie Wiebe, PT, MPT, BSc
Location:  Bellevue, WA

Course description: 

Piston Science Part Two: It Depends! Clinical Decision Making in the Real World

 Time to dig deeper. The Diaphragm/Pelvic Floor Piston for Adult Populations: Part One (aka The Piston Science series online) provided a foundational framework to guide patients towards creating an inside-out strategy of dynamic stability by balancing muscular relationships and pressure systems with a whole lot of brainwork and motor control. The goal: to address pelvic health, musculoskeletal and performance issues simultaneously.

 Now let’s take the next step and explore how to apply the ideas more specifically into different patient populations. Piston Science: Part Two will explore clinical decision making in real time with 4 live patients over 2-days.  We will collectively participate in patient interviewing, assessment and generation of treatment ideas, treatment planning and progressions, and developing cueing options. Grow your clinical “theology” by critically thinking through guiding clinical questions: What’s your goal? What’s their goal? What’s your theory? How do you treat the why and who, not the what? What are the limits of your theology? When do you refer out? The cases will be selected by the hosts, so it will be a bit like a box of chocolates, “you never know what you’re gonna get” (if you are local you can also suggest a patient). However, the goal will be that the selected patients will have a variety of pelvic health (incontinence, prolapse), post-pregnancy (diastasis, pain) issues and fitness goals (running, crossfit). Come and be ready to think and participate.



You must have completed either the live or online version of Part One (Diaphragm/Pelvic Floor Piston for Adult Populations) at least 3 months prior to participating with effort towards implementing the concepts.

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Course Objectives:

1.     Develop clinical decision making skills to form a “theology” for care based in critical thinking that guides patient interview, assessment and treatment progressions.

2.     Apply Piston Science concepts into multiple patient populations.

3.   Learn to live in the grey area of “it depends”! 

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.