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Pilates for the Pelvic Floor

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this course, participants will be able to:
1. Describe how the bones, ligaments, muscles and fascial networks support the lumbo-pelvic region
2. Describe the history of Pilates
3. Demonstrate pilates fundamental concepts and basic exercises
4. Apply Pilates exercises in the treatment of urinary incontinence
5. List precautions and contraindications for exercise in the pre-natal patient
6. Apply Pilates exercises to the pre-natal patient
7. List precautions and contraindications for exercise in the post-natal patient
8. List precautions and contraindications for exercise with the patient with thinning bones
9. Modify Pilates for the bone thinning patient

Target Audience

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.

Confirmation Notes

Suggested Pre-Readings (not required):
A Pilates' Primer: The Millennium Edition: Return to Life through Contrology and Your Health

What to bring:
Yoga Mat

Agenda

Day One:
8:00 Introduction: Instructor, history of pilates, philosophy of pilates, pilates equipment and props, information regarding pilates certifications (important if you are referring patients to local pilates instructors.) 9:00 Lecture: Theory of muscle stabilization, local muscles versus global muscles, motor control theory, anatomical review with focus on bony architecture, muscular, ligamentous and fascial support of pelvis and lumbar spine. 10:00 Lecture: Pilates fundamentals: breathing, postural alignment, lumbo-pelvic positions for stabilization, cueing and sequencing of exercises. 11:00 Lab: Practice basic Pilates exercises illustrating and reinforcing the Pilates fundamentals. Demonstration of proper form and common errors of these exercises, self practice to feel the exercises and also practice teaching each other the exercises. 12:00 Lunch 1:00 Lecture: Discussion and review of symptoms, treatment ideas for the incompetent pelvic floor (urinary incontinence and pelvic organ prolapse), hyperactive pelvic floor dysfunction and chronic pelvic pain. 2:00 Lab: Perform exercises to increase strength of intrinsic and extrinsic synergists of the pelvic floor for the incompetent pelvic floor. 3:30 Break 3:45 Lab: Continuation of exercise instruction with focus on down training the hyperactive pelvic floor client. 5:00 Adjourn

Day Two:
8:00 Questions from previous day 8:15 Lecture: Review of changes in the pregnant client during each trimester and the modifications that are recommended secondary to these changes. 9:30 Lab: Demonstration of Pilates exercises and necessary modifications as pregnancy progresses. Self practice and practice teaching each other the exercises. 10:30 Break 10:45 Lab: Continuation of pre-natal exercises 11:15 Lecture: Review of post-natal issues (diastasis recti, pubic symphysis dysfunction and low back Pain). When to start exercising, issues if exercise is started to early. Common areas of muscular weakness. Orthopedic issues if these weaknesses are not corrected. 12:15 Lunch 1:15 Lab: Demonstration of Pilates exercises for common issues gone over in lecture with the post-natal client. Self practice and practice teaching each other the exercises. 2:15 Lecture: Focus on who is at risk, exercise modification to reduce the risk of developing a spinal compression fracture. Discussion on how to address the resistant client. 3:15 Lab: Demonstration of modified Pilates exercises to decrease the risk of development of spinal compression fracture. Self practice and practice teaching. 4:00 Adjourn

Description

This two-day continuing education course instructs on the application of the Pilates method for special populations in women's health, including pelvic floor dysfunction (with a focus on incontinence), the pre-natal client (focus on appropriate exercises during each trimester), the post-natal client (focus on diastasis recti) and the menopausal client (with a focus on osteoporosis).
Pilates is a system and philosophy of exercises based on the work of Joseph Pilates (1883-1967) that focuses on precision and optimal alignment. This approach requires the client to focus her mind on the exercise in order to increase motor control. Women are attracted to the Pilates method because of its gentle but effective nature. Offering Pilates as part of your therapeutic offerings is a great marketing tool to physicians and to the community as well as an effective method for instructing specific muscle re-training.
This course includes practical labs with a heavy emphasis on exercise. Participants in this course will be able to utilize all instructed techniques immediately following the course.

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