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Piston Science Part One: Module 1

Diaphragm/Pelvic Floor Piston for Adult Populations Online

Piston Science Part One

Diaphragm/Pelvic Floor Piston for Adult Populations Online

Module 1

Julie Wiebe, PT

Course Tools

Course Description:

Piston Science is a new 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).

*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.


**Continue your learning by engaging in the clinical reasoning process to learn, in depth, how, when and why to apply the concepts in real time with two real female athletes, in Piston Science Part Two: Bridge the Gap Between Rehab and Fitness.

***The most economical option is to purchase the Foundations + Athlete Application Bundle: Piston Science Part One (all 7 modules) and Piston Science Part Two. Check it out here.

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 www.classmarker.com. 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?

The Federation of State Boards of Physical Therapy (FSBPT) has approved and awarded this course 2 Continuing Competence Units (CCUs). CCUs are accepted by the following state boards and will be translated by them into either CEUs or hours depending on which your state board awards. Please be advised this may not directly correlate with the number of CCUs awarded, nor to the number of contact hours of the actual course. You need to contact your board to understand how the CCU’s will be convert-ed to the “currency” of your board. To receive CEUs you must complete the course and pass the post-test with a minimum of 70%.

Computer Compatibility Needs

This course is hosted on the teachable.com 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.

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Your Instructor


Julie Wiebe, PT
Julie Wiebe, PT

Julie Wiebe, PT, DPT (Candidate), MPT

Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women’s Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women’s health in and through fitness.

Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences and professional organizations.

Julie maintains a clinical practice in Los Angeles and shares her approach for post pregnancy and pelvic health recovery and return to fitness with women worldwide through online courses.

When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being mom to the Z’s (Zoe and Zack), and wife to David.

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 in the Los Angeles area)CV-Julie Wiebe, PT


Course Curriculum


  Next Steps: Course Completion Certificates and CEUs
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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.

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