Foundations: Module 1

Diaphragm/Pelvic Floor Piston for Adult Populations Online

Foundations: Diaphragm/Pelvic Floor Piston for Adult Populations Online

Formerly Piston Science Part One

Module 1

Julie Wiebe, PT

Course Tools

Course Description:

Foundations will transform your approach to adult rehab, recovery and return to fitness. The viewer is introduced to a dynamic team of muscles, inclusive of the relationship between the diaphragm and pelvic floor, that works together to balance muscular forces and pressures, creating an integrative model of dynamic central stability. Issues with the musculoskeletal system, movement pattern efficiency, pelvic health, and fitness performance can be addressed simultaneously when this central team is coordinated, then effectively linked to the rest of the superficial postural system. Integrated into movement and fitness programs, this inside-out strategy is reinforced and embedded to build automaticity and optimize outcomes.

Module One: An in-depth discussion of the theory, evidence and concepts for the Piston Science approach, a neuromuscular and systems based path to creating central stability from the inside-out. The diaphragm is presented as the intersection of multiple systems, with breath mechanics as an accessible gateway for all populations to a new model of dynamic trunk and pelvic control. In addition, dysfunction across the lifespan is explored from this new perspective. (run time = 2 hours).

This course has been approved for 2 CCUs in 30+ states by the Federation of State Boards of Physical Therapy. Please follow this link to determine if your state is among them.

*Module One is a great introduction to the theory, concepts, and evidence for the approach. When you’re hungry for more and want to gain assessment and intervention tools for access and integration to the Diaphragm and Pelvic Floor, you can purchase the rest of the modules by buying Modules 2-7 here, Modules 2-4 here, or Modules 5-7 here.

** The next step in the learning pathway is to learn to advance the concepts to higher intensity activities in Treating and Training the Female Runner (or Any Female Athlete): A deep dive into the strategies and clinical concepts that blend musculoskeletal, and sports performance with pelvic, abdominal and pregnancy/postpartum health considerations for female athletes at any level. The course is intended to be an entry level and all external/functional opportunity, and a great prep for providing telemedicine. For simplicity, this course is noted as Running in all of the bundles below.


Women's Sports Medicine & Fitness


  • Foundations (Module 1)
  • Treating and Training the Female Runner (Module 1)
  • Female Athlete: Ready for Impact and High Intensity (Case Study)

Foundations + Running Series:
Bundle A


  • Treating and Training the Female Runner
  • Foundations (Modules 1-7)

Foundations + Running Series:
Bundle B


  • Treating and Training the Female Runner
  • Foundations (Modules 1-4)

Click here for all bundles

Online Course FAQ’s: Each single viewer purchase allows for unlimited access: review, re-watch, rewind as often as you need to for as long as you like. The online course is essentially identical to the live version, but has boosted content (more mini-case studies, videos, cues, self-labs, evidence, etc.) to facilitate independent learning.

Course Objectives:

  1. By the end of this online course the participant will be able to differentiate between the historical musculoskeletal interpretation of core strength and a neuromuscular, systems approach coined “core strategy”.
  2. By the end of this online course, the participant will be able to list three pieces of evidence to support the “core strategy” intervention.
  3. By the end of this online course the participant will be able to describe the influence of the optimal muscle recruitment order on postural control for a reaching task.
  4. By the end of this online course the participant will be able to label the 4 components of the anticipatory core team.
  5. By the end of this online course, the participant will be able to describe the role of alignment to optimize anticipatory core team availability in one functional and one fitness task.
  6. By the end of this online course, the participant will be able to describe the interaction of the four anticipatory core components to synergistically prepare for movement.
  7. By the end of this online course, the participant will be able to justify the use of the “core strategy” approach with 3 distinct female populations across the lifespan (adolescent, pregnant/postpartum, and post-menopausal)

Course Audience:

This course is designed to introduce adult rehabilitation professionals to the evidence, theoretical constructs and practical clinical tools to provide a neuromuscular systems-based clinical model for postural control, inclusive of the teamwork between the diaphragm, pelvic floor and pressure systems. Musculoskeletal, movement pattern, pelvic health, and fitness issues are addressed simultaneously when this central team is coordinated, then effectively linked to the rest of the postural, movement and performance systems. All participants should apply the information within their State/jurisdictional scope of practice.

The PT/OT will gain the theoretical basis, clinical reasoning and practical tools for integrating a neuromuscular, systems-based approach to postural control from assessment to evidenced based treatment plan development integrating pelvic, musculoskeletal, and performance health concepts. Co-professional collaboration and referral will be stressed.

The PTA/COTA will gain insight to the theoretical basis for assessment process, and reasoning behind the POC designed by the therapist. Course participation and experience with specific cueing, exercise guidelines, progression parameters and treatment methods will insure continuity of care.

The Athletic Trainer/Kinesiologist (AT)/Kin will gain insight into theory, evidence and practical tools for integration of the POC into an athletes training program keeping pelvic and musculoskeletal health in mind.

Detailed Schedule PDF

Course Schedule:

Module One: Part One (approx. 1 hr.) Foundational Concept Introduction

Introduction/Course overview. Conceptual introduction to a neuromuscular, dynamic approach to central stability vs stiff musculoskeletal strategies. Clinical applications and the development of Core Strategy

Module One: Part Two (approx. 1. 25 hr.) Core Dysfunction Across the Lifespan

Re-framing both pelvic health and musculoskeletal dysfunctions in light of new understanding of Core Strategy across the lifespan. Clinical applications and concept synthesis

I need a Certificate of Completion

After you have completed the course modules, look for a link “I need a certificate of completion” at the bottom of the course page. Click the link to be directed to your post-test at You must score a minimum of 70% on this test in order to receive the certificate. After you have submitted the test and passed, you will be provided with the option to download your certificate of completion. In addition, click the link to be directed to a course self-refection to optimize the application of your learning to clinical practice. Please follow the provided link to complete the course evaluation. We value your feedback!

Is the course eligible for CEU's?

Since Procert is no longer, this course does not have CEU credit associated with it at this time. Unfortunately it is cost and time prohibitive to submit to states individually for CEU approval for each course, but we are hoping for another company or avenue to come about with the PT Compact in the future to allow us to get course pre-approval again for continuing education credits.

Individuals can apply for CEU credit retroactively through their state board after taking the course (if their state allows it). Contact your board for details about the process. If you do go this route we would greatly appreciate it if you circled back with us to let us know about the approval as it would be helpful to share with others!

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.

Get the newsletter

Don't wanna miss a blog or event update, new product announcement, or special subscriber discounts? Join the newsletter here:

Julie Wiebe's Newsletter

Subscribe to get notified of new product releases, discounts, upcoming events and more

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 successfully incorporated by medical providers, rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics).

A published author, Dr. Wiebe is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences and professional organizations. She provides direct care to fit and athletic populations through telehealth and her clinical practice. Recently, Dr. Wiebe joined the faculty of the University of Michigan-Flint, a welcomed opportunity to pursue both her educational and research goals to promote optimized care in clinical practice across the continuum.

Follow it all and join the conversation with Julie on instagram, twitter and Facebook. Get your questions answered by Julie and find more content on You Tube.

Want to book Julie for an onsite or online lecture, inservice or course? Please contact [email protected]

Contact Julie at [email protected] (Julie’s clinical practice is available to residents of California and Michigan)CV-Julie Wiebe, PT

Course Curriculum

  Preparation and Pre-Reading
Available in days
days after you enroll
  Next Steps: Course Completion Certificates and CEUs
Available in days
days after you enroll
  Have content or tech Questions? Want more info and conversation?
Available in days
days after you enroll

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.
Can I share a course with a friend or colleague? How does the group discount work?
Each course purchase is for a single viewer only, and may not be shared. If you are interested in group/staff viewing, please contact admin at [email protected] to arrange a group discount code specifically for your group. The larger the group, the larger the discount. Each individual must purchase separately with the discount code, and agree to the terms and conditions (legal). This provides each participant with their own copy to review at their pace, in addition to the opportunity to interact with colleagues as you all work collectively through the material. Real time group online mentoring for Q and A is available with Julie to support your distance learning as you work through each module or after completing the course. Contact admin at [email protected] to set up a group discount and group mentoring.

Get started now!