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Piston Science Part Two: Bridge the Gap Between Rehab and Fitness

Piston Science Part Two: Bridge the Gap Between Rehab and Fitness

Julie Wiebe, PT

Course Tools

Course Description:

Piston Science Part One provided clinicians with the skills and strategies to begin to blend pelvic, musculoskeletal and return to fitness principles. Building on that foundation, Piston Science Part Two: Bridge the Gap Between Rehab and Fitness is designed to equip rehabilitation professionals with a clinical reasoning framework, empowering clinicians to think through the varied needs of fit women to help them make the leap from basic exercise to fitness at any level.

First, clinicians will learn to listen to their client to grasp the contribution of their developmental, physical, pregnancy and postpartum history as it relates to their current presentation. Then the evaluation of the demands of their fitness and their strategies and capacity to meet those demands will provide the backdrop for the organization of treatment planning and progressions. Clinicians will gain the critical capacity to break down symptomatic functional and fitness activities in order to build them back up, while monitoring and modifying the programs as they go. The use of fitness as modality for the simultaneous rehabilitation of musculoskeletal pain, central sensitization, pelvic health considerations, and return to performance is presented.

Guided by Julie Wiebe, PT this unique course is an opportunity for participants to collaboratively reason through the needs and goals of two women in real time over two days. This online version was recorded live in Toronto as the group collectively participated in patient interviewing, assessment, movement based treatment, and progressions by working backwards from the patient’s fitness goals. Join the clinical conversation from home.

Meet the patients:

Denise: 48-year-old mom of three teens and fitness trainer (HIIT, kickboxing, weight lifting with a history of body building and running) with longstanding pain, diastasis, incontinence, pelvic organ prolapse and gut health issues. Fitness Goal: American Ninja Warrior

Michelle: 36-year-old mom of an 19-month old and a CrossFitter with incontinence with sneezing, double unders and specific jumps. Fitness Goal: Dry Double Unders

Prerequisites:

Piston Science Part One: Diaphragm/Pelvic Floor Piston for Adult Populations (live or online)

Buy it online here.

Check out the live course ooportunities schedule here.

Buy Part One and Two together as an online bundle for less here.

Suggested supplementary online material:

From the Glottis to the Pelvic Floor: Making Clinical Connections (supportive info for Denise’s care)

Female Athlete: Ready for Impact and High Intensity? (supportive info for Michelle’s care)


Course Objectives:

  • At the end of this online course the participant will be able to identify three modifiable demands imposed by distance running on a female athlete.
  • At the end of this online course the participant will be able to discuss three characteristics that distinguish the demands of sprinting from running.
  • At the end of this online module the participant will be able to justify 3 interventions that modify running form strategy in the treatment program for a female runner with pelvic organ prolapse.
  • At the end of this online course the participant will be able to evaluate transverse plane capacity for a female athlete.
  • At the end of this online course the participant will be able to develop three rotational activities to introduce into the training regimen of a female athlete who regularly lifts weights only in the sagittal and frontal planes.
  • At the end of this online course the participant will be able to integrate breath mechanics strategies for 3 different impact activities (ex: double unders)
  • At the end of this online course the participant will be able to identify 3 signs pelvic health intolerance in a HIIT workout.
  • At the end of this online course the participant will be able to develop a progression of three exercises to return an athlete to an overhead squat.
  • At the end of this online course the participant will be able to develop a progression of 3 breath mechanics strategies to prepare a patient for the breath hold required in a max lift.
  • By the end of this online course, the participant will be able to justify 3 intervention strategies that utilize the functions of the epiglottal complex (speech, swallow, or respiration) in a treatment program for female client with low back pain and incontinence.
  • By the end of this online course the participant will be able to justify three modifications to form in a ballistic activity such as kickboxing.

Course Audience:

This course is designed to equip rehabilitation professionals with a clinical reasoning framework that will enable clinicians to think through the needs of patients with fitness goals at any level. Viewers will gain a deeper understanding of how, why and when to implement the strategies presented in Piston Science Part One to build programs that prepare women for a return to any task, fitness regimen or sport demand.

The PT will gain the theoretical basis, clinical reasoning and practical tools for breaking down symptomatic functional and fitness tasks in order to build them back up toward a client’s fitness goals. From interviewing and assessment to evidenced based treatment plan development and progressions, online participants will observe, and participate through self-reflection, the integration of pelvic, musculoskeletal, and performance health concepts in recorded treatment examples. Co-professional collaboration and referral will be stressed.

The PTA will gain insight to the theoretical basis for the assessment process, and reasoning behind the POC designed by the therapist. Observation, and participation through self-reflection, of the integration of pelvic, musculoskeletal, and performance health concepts in recorded treatment examples will assist with monitoring and modifying treatment progressions to insure continuity of care.

The Athletic Trainer/Kinesiologist (AT/Kin) will gain insight into the theoretical basis, clinical reasoning and practical tools for integration of the POC into an athletes training program. Observation, and participation through self-reflection, of the integration of pelvic, musculoskeletal, and performance health concepts in recorded treatment examples will assist with monitoring and modifying an athelete’s program to keep pelvic and musculoskeletal health in mind.

Intended Audience: This course is intended for rehabilitation professionals. The course focus on interviewing, clinical assessment and treatment planning falls under the scope of rehabilitative intervention. Other professionals enter into this for informational purposes only to be understood and applied within their state/jurisdictional scope of practice.

Course Schedule:

Welcome: Video introduction to the course components, patients and tips for maximizing the online experience.

Day One: Part One

Clinical Reasoning Framework Introduction: Designing a clinical reasoning framework to learn how, why and when to apply our arsenal of skills

Interview Denise: Subjective history. Looking for the clues and threads

Clinical Self-Reflection Lab: Where would you start your objective assessment?

Assessment and Movement Based Intervention: Denise

Clinical Self-Reflection Lab

Clinical Debrief and Q and A: Denise

Day One: Part Two

Interview Michelle: Subjective history. Looking for the clues and threads

Clinical Self-Reflection Lab: Where would you start your objective assessment?

Assessment and Movement Based Intervention: Michelle

Clinical Debrief Michelle/ Day One Q and A

Day One Self-Reflection Homework


Bonus Interview with Renee volunteer from Piston Science Part One Online


Day Two: Part One

Practitioner Q and A

Follow- Up Interview Denise: Homework review, re-evaluate response to cueing and new strategies, plan treatment

Clinical Self-Reflection Lab

Re-Assessment and Movement Based Treatment Denise: Troubleshooting, progressions and an ongoing plan

Clinical Self-Reflection Lab: Plan a progression/regression

Clinical Debrief Denise/Q and A


Day Two: Part Two

Follow-Up Interview Michelle: Homework review, re-evaluate response to cueing and new strategies, plan treatment

Re-assessment: Michelle

Clinical Self-Reflection Lab

Movement Based Intervention Michelle: Troubleshooting, progressions and an ongoing plan

Self-Reflection Opportunity/Lab: Plan a progression/regression

Clinical Debrief Michelle/Q and A

Final Thoughts

Epilogue/Bonus Material

Epilogue: Michelle

Epilogue: Denise (45 min Remote session with Michaela Zettel, PT and Denise

Bonus Clinical Footnotes: Piston Science after Dark

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, 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?

We will be submitting the course for CEU's through the Federation of StateBoards of Physical Therapy (FSBPT). There is no guarantee of approval, and IF approved the amount of credits will be determined by the FSBPT. Please follow the link to the FSBPT site to determine if your state is one of the 34 states that accept FSBPT approval. Join our newsletters to be one of the first to know.

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 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 throughfitness.

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 on twitter @juliewiebept. Join the conversation with Julie on 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 admin@juliewiebept.com

Contact Julie at julie@juliewiebept.com (Julie’s clinical practice is in the Los Angeles area)

CV-Julie Wiebe, PT


Class Curriculum


  Welcome: Course Introduction and Logistics
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  Introduction to the Clinical Reasoning Framework
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  Bonus Material: Interview Update with Renee (volunteer from Piston Science Part One Online)
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  Gratitude
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  Have content or tech Questions? Want more info and conversation?
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  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 mentoring@juliewiebept.com 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 mentoring@juliewiebept.com to set up a group discount and group mentoring.

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