Pelvic Health: Changing the Conversation

Pelvic Health: Changing the Conversation

Julie Wiebe, PT

Course Tools

Course Description:

Let’s move the conversation forward in orthopedics, sports medicine, and pelvic health. ‘The Kegel vs No Kegel’ debate maintains a focus on thought processes that consider the pelvic floor as the only source and therefore the only solution to pelvic health needs. This fails to appreciate the whole body/whole person anatomical, neuromuscular, pressure and movement system, and biopsychosocial relationships that can have an indirect influence on the health of the pelvic floor. However, we need to find our way to the middle ground that suggests a 'BOTH/AND' framework, no longer suggesting our only options are 'EITHER/OR'.

This short course will introduce participants to clinical reasoning and tools needed to discern, not only if the pelvic floor is under (To Kegel) or overactive (Not to Kegel), but why? Why is the pelvic floor behaving the way it is? How can we influence pelvic floor behavior within the context of the movements and demands placed the individual standing in front of us using Direct (Kegels) or Indirect variables (Movement, pressure systems, addressing kinesophobia, sleep)? Or Both?

Utilizing a framework that considers:

  • Symptom clusters-patterns that are commonly associated with under or overactivity.
  • Systems thinking-anatomical, neuromuscular, pressure, and psychosocial
  • Forces and structures above and below the pelvis adding demands beyond pelvic floor capacity.
  • Patient context- exercise history and preferences, goals, pregnancy history, social support.

This more robust whole person, whole athlete understanding of pelvic health provides pelvic floor and non-pelvic floor pros more entry points to integrate pelvic health into their practice patterns. Clinically relevant strategies are offered to break down function and fitness activities in order to build a cohesive, integrative plan help return your patients to the activities they enjoy. (2.25 hours)

(Originally recorded in advance for the ReConNect conference for Birth Professionals in Portugal and Brazil for translation into Portuguese. The translated version will be available soon!)

Course Objectives

  1. Gain a clinical reasoning framework to discern between pelvic floor under (To Kegel) and overactivity (Not to Kegel).
  2. Consider direct and indirect variables that influence pelvic floor behavior as potential entry points to integrate pelvic health into orthopedic, sports medicine, and pelvic health clinical practice patterns.
  3. Describe anatomical, neuromuscular, physiologic, pressure, and movement system interrelationship with the pelvic floor that provide a therapeutic bridge for non-pelvic health professional.
  4. Implement clinical strategies that break down function and fitness demands, and client capacities and strategies in order to rebuild a cohesive, individualized plans for return to activity.
  5. Value abdominopelvic health and fitness of choice as components of whole person care.

Course Audience

This course is designed for health and fitness professionals. All participants should apply the information within their State/jurisdictional scope of practice.

I need a Certificate of Completion

Once you complete the course you will receive a certificate of completion through Teachable. The course is not pre-approved for any additional continuing education units for the health professional at this time.

Is the course eligible for CEU's?

Not at this time

Computer Compatibility Needs

This course is hosted on the online streaming service designed to handle any system setup. So if you have a computer and an internet connection you should have access without issue. If you have issues with a slower bandwidth connection then you can change the video settings to a lower quality to help improve any loading issues.

Course Curriculum

  New section
Available in days
days after you enroll
  Course Evaluation
Available in days
days after you enroll
  Have content or tech questions? Want more info and conversation?
Available in days
days after you enroll

Your Instructor

Julie Wiebe, PT, DPT
Julie Wiebe, PT, DPT

Julie Wiebe, PT, DPT has over twenty-five years of clinical experience in Sports Medicine and Pelvic Health, specializing in abdominopelvic, pregnancy and postpartum health for fit and athletic populations. Her passion is to return active patients to fitness and sport after injury and pregnancy and equip professionals to do the same. She has pioneered an integrative approach to promote pelvic health in and through movement and fitness. These strategies have been successful incorporated by medical providers, rehab practitioners, and fitness professionals into a variety of populations (orthopedics, sports medicine, pelvic health, neurology, and pediatrics). Dr. Wiebe is a sought-after speaker delivering evidenced-based continuing education coursework, lectures, and curriculum at academic institutions, clinics, conferences, and professional organizations internationally. A published author, her research interests focus on the interplay of athleticism and pelvic health to inform screening tools and multifactorial intervention strategies. Julie provides direct cash-based care to fit and athletic populations through telehealth and her clinical practice.

Frequently Asked Questions

When does the course start and finish?
The course starts now and never ends! It is a completely self-paced online course - you decide when you start and when you finish.
How long do I have access to the course?
How does lifetime access sound? After enrolling, you have unlimited access to this course for as long as you like - across any and all devices you own.
What if I am unhappy with the course?
We would never want you to be unhappy! If you are unsatisfied with your purchase, contact us in the first 30 days and we will give you a full refund.

Get started now!