This training will be offered by WEBDIFFUSION. You will therefore be able to participate in the training live from your salon.
Running is a complex biomechanical process which can be derailed by pelvic floor dysfunction. Conversely, the impact of running can result in pelvic floor dysfunction and injury to the pelvic floor muscles. Runners have unique physical, nutritional, and psychological needs that require special attention from pelvic floor physical therapists. Additionally, runners often present to orthopedic specialists with knee and hip injuries that do not resolve as expected due to the presence of pelvic floor impairments that are missed by orthopedic physical therapists.
Pelvic floor practitioners can provide necessary physical therapy treatment to address issues for runners and work in tandem with orthopedic colleagues for optimal rehabilitation of runners with pelvic floor dysfunction.
All physiotherapists can register for this course. A previous pelvic health experience is highly recommended, but is not mandatory.
This course is going to provide techniques for evaluating and treating runners with specific forms of pelvic floor dysfunction, and un understanding when internal pelvic examination is warranted. We will look at running films and discuss how pelvic floor dysfunction affects running gait. This course will provide a perspective from a pelvic health lens and is indeed evidence based and went through several rounds of editing through the American Physical Therapy Association. Dr. Olson will cite research and give her expert opinion when the research lacks definitive results regarding the pelvic floor muscles.
Pre-readings – which will be sent to you a few days before the training:
- Dicharry J.(2010). Kinematics and kinetics of gait: from lab to clinic. Clinics in Sports Medicine, 29(3), 347-364.
- Leitner M, Moser H, Eichelberger P, Kuhn A, Radlinger L. (2017) Evaluation of pelvic floor muscle activity during running in continence and incontinent women: An exploratory study. Neurourology and Urodynamics. 26:1570-1676.
- Messelink B, Benson T, Bergham B, Bo K, Corcos J, Fowler C, et al. (2005).Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodynamics. 24:374-380
- Accurately identify pelvic floor anatomy, its myofascial and neural connections, and pathophysiology that leads to dysfunction (specifically the role that pertinent muscles such as obturator internus plays in it’s role as a pelvic floor muscle and hip rotator)
- Understand the influence of the biomechanics of running on pelvic floor function (more specifically how a running gait such as hip adduction with knee valgus and foot pronation is generally observed in runners with internal obturator dysfunction that can lead to pelvic pain and incontinence).
- Identify pelvic floor conditions/symptoms that could lead to changes in running behavior or performance (such as urinary incontinence and pelvic pain).
- Accurately assess the signs/symptoms that warrant referral to a pelvic health specialist (differential diagnosis: profound hip pain that is not resolved by typical orthopedic management… that may be secondary to pelvic floor dysfunction).
- Accurately assess the stroke pattern in case of aberrant mechanics.
- Determine appropriate treatments for various pelvic floor running deficiencies: a) implement pelvic floor training in typical orthopedic exercises and b) teach activation or inhibition of pelvic floor muscles when warranted.
- 9 a.m. to 9:45 a.m.: Introduction and role of the physiotherapist
- 9:45 a.m. to 10:15 a.m.: Pelvis and pelvic floor
- 10:15 a.m. to 11 a.m.: Biomechanics of running
- 11 a.m. to 11:15 a.m.: Break
- 11:15 a.m. to 12:15 p.m. : Evaluation of the Runner
- 12:15 p.m. to 1 p.m.: Laboratory 1 -Evaluation techniques
- 1 p.m. to 2 p.m.: Lunch
- 2 p.m. to 2:45 p.m.: Running gait examination
- 2:45 p.m. to 3:15 p.m.: Explanation of Video Gait Analysis (VGA)
- 3:15 p.m. to 4 p.m.: Laboratory 2.1 - Independant VGA
- 4 p.m. to 4:15 p.m.: Break
- 4:15 p.m. to 5 p.m.: Laboratory 2.2 - Breakout Discussion of VGA
- 5 p.m. to 5:20 p.m.: Running footwear considerations
- 5:20 p.m. to 6 p.m.: Case Studies & Closing remarks
- 8 a.m. to 8:15 a.m.: Introduction & review
- 8:15 a.m. to 9:45 a.m: Running injuries associated with pelvic floor dysfunction & treatment
- 10:30 a.m. to 10:45 a.m.: Break
- 10:45 a.m. to 11:15 a.m.: Therapeutic exercise training plan for runners with pelvic floor dysfunction
- 11:45 a.m. to 12 p.m.: Laboratory 1 - Stability progression
- 12 p.m. to 1 p.m.: Lunch
- 1 p.m. to 2 p.m.: Laboratory 2 - Motor control of the pelvic floor
- 2 p.m. to 2:15 p.m.: Break
- 2:15 p.m. to 2:30 p.m.: Review of VGA & video
- 2:30 p.m. to 3:30 p.m: Laboratory 3 - Synthesizing findings
- 3:30 p.m. to 4 p.m.: Group presentation of synthesized findings
- 4 p.m. to 5 p.m.: Test, review questions/ closing remarks