Continuing Education Courses > The Athlete and the Pelvic Floor
|Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 14
The occurrence of pelvic floor dysfunction in athletes is well documented, and includes both urinary and fecal incontinence in athletes who participate in high-impact sports. (Bo, 2004; Nygaard, 2011; Vitton et al., 2011) Even in women who have not experienced childbirth, urinary incontinence is a common condition. (O'Halloran et al., 2012) Pelvic pain in athletes is also common, with diagnoses ranging from abdominopelvic pain, labral tears, groin injuries, sacroiliac joint pain, coccyx pain, and pubis symphysis pain. Integration of pelvic floor evaluation and rehabilitation concepts are not, however, common components of sports medicine.
The lumbo-pelvic and hip complex is intimately related to pelvic floor function by way of musculoskeletal stability, mobility, and function. Too much tension can cause compression and pain, whereas weakness or underutilization of the pelvic muscles for stability and strength can lead to issues of pain as well as incontinence. The pelvic floor can often be implicated when there is functional limitation in bowel, bladder, and sexual health as well, yet athletes are not typically asked about these issues. In general, many people are too shy or embarassed to bring up concerns such as genital pain or difficulties with daily function related to bladder and bowel health.
This course is designed to bridge the gap between pelvic floor therapists and sports medicine/musculoskeletal practitioners; we will examine the role of the pelvic floor and pelvic girdle in relation to the hip and spine of the athlete, as well as looking at gender specific issues the athlete may have in relation to assessment and rehabilitation of this region. The goals are to provide participants with an insight into the pivotal role of the pelvic floor in relation to sports injuries and musculoskeletal dysfunction, consider differential diagnoses and an evidence-based approach to treatment and resumption of the athlete’s chosen sport.
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Bø, K. (2004). Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Medicine, 34(7), 451-464.
Nygaard, I. E. (1997). Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female Olympians. Obstetrics & Gynecology, 90(5), 718-722.
O'Halloran, T., Bell, R. J., Robinson, P. J., & Davis, S. R. (2012). Urinary Incontinence in Young Nulligravid WomenA Cross-sectional Analysis. Annals of Internal Medicine, 157(2), 87-93.
Vitton, V., Baumstarck-Barrau, K., Brardjanian, S., Caballe, I., Bouvier, M., & Grimaud, J.-C. (2011). Impact of high-level sport practice on anal incontinence in a healthy young female population. Journal of Women's Health, 20(5), 757-763.
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the relationship between the lumbo-pelvic, hip and pelvic floor complexes.
2. Integrate a multi-system evaluation approach, utilising orthopaedic, respiratory and pelvic perspectives.
3. Identify the different diagnoses possible when the athlete’s pelvis is injured (eg labral tear, sacro-iliac dysfunction, pelvic floor dysfunction, over dominant abdominals).
4. Describe diagnostic techniques and treatment options, both conservative and surgical, for labral tears.
5. Describe the differential diagnoses possible with athletic pelvic pain (eg adductor strain, osteitis pubis, hernia, pelvic floor dysfunction).
6. Expand the repertoire of traditional exercise prescription to incorporate pilates and yoga.
7. Describe gender specific issues when treating the athletic pelvis.
8. Describe an EBM approach to the injured athlete, and how it can be used to manage his/her injuries and returning him/her to sport.
Information and hands-on techniques gave me more aids to help my patients and myself.
-Stacey Jones Steinberg, MPT, SFMA - San Jose, CA
Michelle is an excellent teacher. Her passion for her field is contagious, and she provided me with great info for my current pelvic and ortho patient population.
-Sara DelSignore, DPT - Johnstown, PA
I learned so many ideas for exercise that I can take back to the clinic and use right away.
-Kelly Feddema, PT, PRPC - Cleveland, MN
Great class! It definitely increased my interest in pursuing further pelvic floor education
-Alison Hayman, PT, DPT, OCS - New York, NY
I can practice this information and help my patients right away. This course has also opened me to directions that will enhance my ability to capture value for my profession and help many more people.
-Grant M. Headley PT, DPT, CPYT - Omaha, NE
Outstanding course. Great for Orthopedic/Manual clinicians who don't normally address the pelvic floor.
-Wendee Saige Richardson, PT - Lansing, MI