To register for this course, please use the link below:
***Training over 2 days***
Early Bird Rate is $1150 until February 21, 2020 at 11:59 p.m., the standard rate is $1350.
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 running biomechanics on pelvic floor (dys)function (specifically how a running gait such as hip adduction with knee valgus and foot pronation is typically seen in runners with obturator internus dysfunction which can result in pelvic pain and incontinence).
Identify pelvic floor conditions/symptoms that would lead to modified running behavior or performance (such as urinary incontinence, and pelvic pain)
Accurately assess signs/symptoms that warrant referral to a pelvic health specialist (differential diagnosis: deep hip pain that is not resolved with typical evidence based orthopaedics management may be secondary to pelvic floor dysfunction.)
Accurately assess running gait for aberrant mechanics (sagittal, coronal, or transverse plane impairments. Commonly hip adduction with knee valgus and foot supination.)
Determine appropriate treatments for various running impairments as they relate to the pelvic floor including how to implement pelvic floor training into typical orthopaedic exercise regimes, how to instruct pelvic floor muscle activation and deactivation when warranted.
Target Customers: Licensed Physical Therapists, Physical Therapist Assistants, Student Physical Therapists In Their 2nd Or 3rd Year.
Preliminaries: None however previous pelvic health experience is highly recommended.
Material Provided: Manual Course Lunch Coffee
- 8:00-8:45: Introduction and role of the physiotherapist
- 8:45-9:15: Pelvis and pelvic floor
- 9:15 – 10:00: Biomechanics of running
- 10:00-10:15: Break
- 10:15-11:15: Evaluation of the Runner
- 11:15-12:00: First laboratory-Evaluation techniques
- 12:00-1:00: Lunch
- 1:00-1:45: Running gait examination
- 1:45-2:15: Explanation of Video Gait Analysis (VGA)
- 2:15-3:00:Laboratory 2.1-Independent VGA
- 3:00-3:15: Break
- 3:15-4:00: Laboratory 2.2-Break out Discussion of VGA
- 4:00-4:20: Running footwear considerations
- 4:20-5:00: Case Studies & Closing remarks
- 8:00 – 8:15: Introduction & review
- 8:15-9:45: Running injuries associated with pelvic floor dysfunction & treatment
- 10:30-10:45: Break
- 10:45-11:15: Therapeutic exercise training plan for runners with pelvic floor dysfunction
- 11:15-12:00:First Laboratory-Stability progression
- 12:00-1:00: Lunch
- 1:00-12:00:Second Laboratory-Motor control of the pelvic floor
- 2:00-2:15: Break
- 2:15-2:30: Review of VGA & video
- 2:30-3:30:Third laboratory-Synthesizing findings
- 3:30-4:00: Group presentation of synthesized findings
- 4:00-5:00: Test, review questions/ closing remarks