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The Pressure System – Assessing and Managing the Connections Above the Diaphragm to the Pelvic Floor with Susan Clinton

Course Date To Be Announced

Please check back or email info@pelvichealthsolutions.ca for more information

Course Description:

This is a 2-day course is designed to provide an evidence based and biologically plausible approach to the effects of intra-abdominal pressure with and without back and cervical dysfunction and the resultant performance and fatigue of the pelvic floor musculature. A complete review of the anatomy and physiology of the system from the glottis to the pelvic floor will be provided with links clinical reasoning for intervention of manual therapy, movement and exercise. The concepts of movement and exercise to match the musculoskeletal dysfunction will include the effects of thoracic and cervical dysfunctions on prolapse, incontinence, GI dysfunction, and lumbo/abdomino/pelvic pain. Concepts of postural dysfunction, physiological changes and the trigeminal alarm system will be introduced as effects of chronic adaptations within the system. The course will include an interactive format for discussion of the current concepts and the application of interventions. There will be a strong emphasis on lab with movement experiences and clinical reasoning.

Please come to class in casual movement attire.

Please view the link below for more information on the course!


Through completion of this course, participants will:

  • Define normal abdominal and thoracic pressures and how these pressures are increased with normal postures, positions and activities
  • Review the anatomy and physiology of the glottis to the pelvic floor – including the anatomical changes with prolonged postures
  • Understand the physiology behind the literature on the effects of the prolonged seated posture
  • Discuss the relevance of the literature on fatigability of the pelvic floor muscles and training
  • Outline various changes in intervention techniques to reduce the effects of increased abdominal pressures and epiglottis considerations with pelvic floor, transverses abdominus, multifidus and diaphragm training from low level to high level activity


This course is open to all health care professionals – licensed physiotherapists, physiotherapy students, physiotherapy assistants, occupational therapists, chiropractors, naturopathic doctors, massage therapists, registered kinesiologists, medical doctors, nurses and midwives.


Day 1 – 8:30am-5:00pm

Day 2 – 9:00am-5:00pm

Registration begins on the first day 30 minutes prior to the start time.

Please Note:

No prerequisites required

This course is open to all health care professionals

This course does not involve internal palpation