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Conservative management of diastasis recti abdominis: Level 1 – Prepartum period

Toronto 7 February 2020
Regular rate 615 $
Promotional price
535 $ Until
16 December 2019
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Description

Early bird rate: 535$ until December 15, 2019 (11:59 PM), regular rate is 615$

LEVEL 2 – Post-natal period is the next day, February 8th, 2019

Many health professionals feel confused and frustrated when it comes to the assessment and management of pregnancy-related diastasis rectus abdominis (DRA).  How should DRA be assessed? What conservative management strategies are most effective? What is the state of the science?

The instructors for this training are Dr. Sinéad Dufour, Assistant Professor at McMaster University; Director of Pelvic Health, The World of my Baby and Stéphanie Bernard, Doctoral candidate at Laval University and physiotherapist.  This course is open to all relevant health and rehabilitation professionals.

This course provides an overview of the scientific literature, inclusive of recent practice-based research. Information will be presented such to highlight the relationship between relevant muscular structures to the linea alba (LA) and the abdominal pressure management system including the breathing diaphragm and mechanics of respiration, and associated abdominal and pelvic floor muscles.  In addition, there will be a discussion of what constitutes a functional impairment of the structure and/or function of LA during pregnancy to clarify where, when and how a conservative approach to rehabilitation is indicated and how an evidence-informed approach is best enacted. Further, aspects related to prevention of DRA will be discussed.  This course includes both didactic and lab-based components so all discussed assessment and management strategies can be practiced.

Objectives

  1. Understand the anatomy of the white line (linea alba - LA) and the relationship between the LA and other structures of the abdominal pressure system, including pelvic floor muscles.
  2. Understand the musculoskeletal tissue changes associated with pregnancy and how they affect LA, biomechanics between LA and surrounding structures.
  3. Identify the epidemiology of abdominal diastasis according to the different phases of pregnancy.
  4. Update on scientific advances (evidence and practice) relevant to the different phases of pregnancy, and differentiate between those requiring intervention and those that do not.
  5. Learn to use different methods to evaluate abdominal diastasis during pregnancy (palpation and ultrasound imaging).
  6. Learn and practice the different interventions available to address non-functional diastasis during pregnancy.

Schedule

8:00-8:30
  • Reception
8:30-10:45
  • Thorough anatomy of the white line and other components of the abdominal trunk
  • Biomechanical theoretical model of the relationships between the white line and the components of the abdominal trunk
  • The impact of pregnancy; changes considered normal and those constituting dysfunctions
  • Evaluation elements relevant to an abdominal problem related to diastasis
10:45-12:00
  • Practical laboratory: physical evaluation and evaluation of the white line by palpation and ultrasound
12:00-1:00
  • Dinner provided
1:00-2:15
  • Better understand and adapt the management of increased intra-abdominal pressure during repeated movements and daily activities
  • How to intervene on poor postural hygiene during pregnancy
  • Interventions related to abdominal muscle and white line dysfunction: respiratory mechanics, thoracic and pelvic mobility, functional muscle rehabilitation
2:15-3:00
  • Practical laboratory: ground exercises and use of ultrasound as a biofeedback during a functional exercise
3:00-4:30
  • The ante-partum phase
  • The role of the physiotherapist in influencing the elements related to childbirth that can have an impact on the persistence of diastasis in the postpartum period: the opinions of experts
  • Case studies and discussions

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