fbpx

Conservative management of diastasis recti abdominis – TORONTO

$515.00$1,030.00

Vaughan, Ontario 7 février 2020
Effacer

Description

LEVEL 1 – Prepartum Period. February 7th, 2019. Early bird rate: 535$ until December 18th, 2019 (11:59 PM), regular rate is 615$. 

LEVEL 2 – Postpartum Period is the next day, February 8th, 2019

***BOTH COURSES February 7th (Level 1) AND 8th (Level 2): Courses are discounted until December 18th, 2019. If you participate in both courses, use the promotional code « Diastasis15 » on the payment page to get an additional 15% discount if you purchase both courses ONLY, until December 18th, 2019.***

LEVEL 1

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.

SCHEDULE LEVEL 1: 

8:00-830

  • Reception

8:30-10:45

  • 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

LEVEL 2

This course builds on the foundational principles established in the level one course and focuses on the post-partum phase.  A review of the literature on physiological and biomechanical changes and recovery post-pregnancy and birth in addition to the relevant perinatal factors that must be considered will be a focus of this course.  From this context, the identification of a functional impairment of the structure and/or function of the linea alba (LA) will be established through a multidimensional assessment approach will be described. The scientific theories and associated evidence supporting conservative treatment approaches are central to this course. Finally, the principles of mechanical adaptation and remodeling of connective and muscle tissue will augment the training in order to better understand possible changes in the abdominal wall in the longer term and thus inform appropriate rehabilitation strategies. This course includes both didactic and lab-based components so all discussed assessment and management strategies can be practiced.

SCHEDULE LEVEL 2: 

8:00-830

  • Reception

8:30-10:00

  • The influence of the perinatal period on the anatomy, physiology and biomechanics of muscle and connective tissue of the abdominal trunk
  • Epidemiology of abdominal diastasis and abdominal dysfunctions following childbirth
  • Literature review of conservative treatment of abdominal diastasis in the postpartum period (evidence and practice data)

10:00-10:45 – Theoretical – The early phase

  • Identification of a non-functional diastasis
  • Introduction to a case study
  • Presentation of the assessment process and interpretation of findings
  • Treatment approaches for the early phase

10:45-12:00 – Practical laboratory – The early phase

  • Evaluation of the inter-rectus distance (palpation, caliper, ultrasound)
  • Evaluation of the passive resistance (integrity) of the white line
  • Assessment of the ability to generate tension in the white line
  • Thoracic and abdominal mobility assessment
  • Treatment approaches: abdominal support (taping and sheaths), positioning and management of intra-abdominal pressure, thoracic mobility exercises, motor control exercises to create tension in the white line

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

12:00-1:00

  • Dinner provided

1:00-1:45 – Theoretical – The advanced phase

  • The principles of mechanical adaptation and remodelling of connective and muscle tissue with specific context for the white line during the recovery process after childbirth
  • Elements for evaluating the white line during a functional task or more advanced sports activity
  • Treatment approaches for the advanced phase

1:45-2:30 – Practical laboratory – intermediate phase

  • Assess during a functional task for the person
  • Progress of the treatment approach
  • Progression of exercises for abdominal wall training, including the principles of overloading muscle and connective tissue
  • Use ultrasound as a biofeedback during exercise
  • Abdominal pressure management in advanced tasks and activities
  • Progression of thoracic mobility exercises
  • Neuroproprioceptive taping to optimize desired muscle recruitment

3:30-4:30

  • Case studies and discussions

Objectifs

Level 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.

Level 1: Understand the musculoskeletal tissue changes associated with pregnancy and how they affect LA, biomechanics between LA and surrounding structures.

Level 1: Identify the epidemiology of abdominal diastasis according to the different phases of pregnancy.

Level 1: 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.

Level 1: Learn to use different methods to evaluate abdominal diastasis during pregnancy (palpation and ultrasound imaging).

Level 1: Learn and practice the different interventions available to address non-functional diastasis during pregnancy.

Level 2: Understand the physical, physiological and hormonal changes in muscle and connective tissue in the abdominal trunk during the year following delivery.

Level 2: Identify the epidemiology of abdominal diastasis after childbirth and at other stages of life.

Level 2: Understand the scientific evidence (evidence and practice data) that may or may not support conservative treatment approaches for abdominal diastasis.

Level 2: Deepen and practice an approach to evaluate abdominal diastasis (palpation, caliper, abdominal function tests, ultrasound).

Level 2: Learn and practice the different interventions available to address non-functional diastasis after childbirth.

Level 2: Learn and practice the different interventions available using ultrasound as a biofeedback to address non-functional diastasis.

Level 2: Integrate the principles of mechanical adaptation and tissue remodeling into the approach to treating persistent non-functional diastasis.

© 2019 Bia Formations Inc. Tous droits réservés.