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Piston Science Part One: Modules 5-7

Diaphragm/Pelvic Floor Piston for Adult Populations Online


Piston Science Part One

Diaphragm/Pelvic Floor Piston for Adult Populations Online

Modules 5-7

Julie Wiebe, PT

Course Tools

Course Description:

Piston Science is a new approach to adult rehab, recovery and return to fitness. In Modules 1-4 the viewer is introduced to a dynamic team of muscles, inclusive of the relationship between the diaphragm and pelvic floor, that work 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. Modules 5-7 provide a live demonstration of integration of the concepts into an exercise program with a "volunteer" female runner. The use of movement based interventions, embeds this inside-out strategy to build automaticity and optimize outcomes.

Adapted for the online educational format, embedded video, case examples from recreational to high intensity athletes, independent lab opportunities and live course footage of a female runner “volunteer” provide the viewer with ample opportunity to interact with the material and apply this approach in all areas of adult rehab and fitness (women’s health, orthopedics, sports medicine, fitness and neuro). The course is a bundled learning opportunity, with each of the 7 modules building on the previous presentation.

This is a continuation of a 7-module full course. Please view Modules 1-4 before proceeding. Purchase them here: Module One only, Modules 1-4 here, or Modules 2-4 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.

Modules 5-7 were recorded at a live course in Toronto, Ontario. The live recording provides the viewer with the opportunity to hear ongoing practitioner questions and see a volunteer/runner work through each step of the material over the course of the day.

Module Five: Integrating deep to superficial, anticipatory to reactive, postural relationships is critical for the creation of an automatic postural control strategy that is both stable and responsive to the demands of function. The Posterior Oblique Synergist (POS=Lats with contralateral glute max) is presented with links to anticipatory core elements, previous alignment interventions, and recorded live exercise demonstrations. Module 5 also includes a one-hour live Q and A.Independent self-lab activities are provided.

Module Six: Introduction of the Lateral Synergist (LS=Glute Med/Min and contralateral Adductors) and Anterior Oblique Synergist (AOS= Obliques and contralateral Adductors) brings balance to the postural flexors and extensors to optimize trunk and pelvic control, promote efficient movement, load transfer, and improve fitness strategies. Links to anticipatory elements, previous alignment interventions, and live exercise demonstrations are presented. Independent self-lab activities are provided.

Module Seven: Rotation is necessary for efficient movement, ground force attenuation, load transfer, power generation, and is often our patients’/clients greatest vulnerability. Our final synergist, the Rotational Synergist (RS-Ipsilateral adductors and deep lateral rotators), completes the movement picture as a complement to the other synergists and as a pre-gait activity. Gait is the postural control and alignment systems in motion. Patients must walk before they can run. Gait assessment and intervention strategies are provided. Plyometrics are briefly addressed in order to prepare patients for the next step: impact loading. Independent self-lab activities are provided.

Online Course FAQ’s: Total run time for these 3 modules is approximately 7 hours of content. 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 describe the influence of the optimal muscle recruitment order on postural control for a reaching task.
  3. By the end of this online course the participant will be able to label the 4 components of the anticipatory core team.
  4. 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.
  5. By the end of this online course the participant will be able to describe 3 posture types using 1 rib cage and 1 pelvic positional descriptor for each.
  6. By the end of this online course the participant will be able to identify 4 alignment screening tools to guide therapeutic exercise selection for a treatment session.
  7. By the end of this online course the participant will be able to demonstrate 2 intervention techniques to optimize anticipatory core recruitment.
  8. By the end of this online module, the participant will be able to integrate breath mechanics as a gateway for postural control for 2 functional and 2 fitness movements (ex-sit to stand; squat).
  9. By the end of this online course the participant will be able to identify when it is and is not appropriate to palpate externally for pelvic floor activation in male and female clients.
  10. By the end of this course the participant will be able to determine when to refer a client on for an internal pelvic floor examination.
  11. By the end of this online course the participant will be able to describe 4 reactive core postural synergists and the role of each in optimizing postural control in functional movement patterns.
  12. By the end of this online course the participant will be able to demonstrate 3 exercise interventions for each reactive core postural synergist.
  13. By the end of this online course the participant will be able to articulate 3 strategies an orthopedic, sports medicine, or neurological physical therapist can utilize to integrate and address pelvic health considerations within their traditional care.
  14. By the end of this online course the participant will be able to articulate 3 strategies a pelvic health physical therapist can utilize to integrate fitness concepts into their traditional care.

Course Audience:

This course is designed to equip adult rehabilitation professionals with 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.

Course Schedule:

Modules 5-7 were recorded at a live course in Toronto, Ontario. The live recording provides the viewer with the opportunity to hear ongoing practitioner questions and see a volunteer/runner work through each step of the material over the course of the day.

Module Five: (approx. 3 hrs) Posterior Oblique Synergist

Recorded participant Q and A based on Day one information from modules 1-4. Volunteer follow-up. Anatomy and function of the Posterior Oblique Synergist lecture. Posterior Oblique Synergist exercise lab demonstration and self-lab instructions.

Module Six: (approx. 2 hrs) Lateral Synergist/Anterior Oblique Synergist

Lateral Synergist Lecture: Anatomy and Function, exercise lab demonstration, and self-lab instructions. Anterior Oblique Synergist Lecture: Anatomy and Function, lab demonstration, and self-lab instructions.

Module Seven: (approx. 2 hrs) Rotational Synergist/Gait/Plyometrics/Course Synthesis

Rotational Synergist anatomy and function, exercise lab demonstration, and self-lab instructions. Gait training integrating to dynamic functional task, plyometrics and fitness concepts. Concepts synthesis via volunteer epilogue and course wrap-up.

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. The test is an assessment of your completion of all 7-modules (not Modules 5-7 only). After you have submitted the test, 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?

Successful completion of Module one or completion of all Modules (a total of all 7 modules) are eligible for continuing education credits through the Federation of State Boards of Physical Therapy (FSBPT). Module one is eligible for 2 CCUs and all 7 modules are eligible for a total of 11 CCUs. The course has been broken into smaller module bundles for your convenience (1 only, 1-4, 2-4, 5-7), however only the bundle combinations noted above ascribe any continuing education credit. To receive CEUs you must complete the course and pass the post-test with a minimum of 70%. Please be advised this number of CCUs 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. Check if your board is among the 34 that accept the FSBPT certification.

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, MPT
Julie Wiebe, PT, MPT

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


Class Curriculum


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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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