High Performance Pelvic Health: From Screening to Sport (Coquitlam, BC)

Female athletes experience pelvic health symptoms at high rates with negative impacts
on their performance, training longevity, physical and mental health, and quality of life.
Yet many rehabilitation professionals lack the confidence to assess or address them
within their clinical settings. Sports medicine and orthopedic providers are rarely trained
to include pelvic health, pregnancy, or postpartum variables in their differential
diagnoses or sport programming. Often, they are only empowered to screen and refer.
At the same time, pelvic health providers may have limited exposure to the strategies
required to progress fit and athletic folks back to fitness, training, or sport. The result is
a siloed, less effective model of care: pelvic, pregnancy, and postpartum health needs
are untreated, screened and referred (often in pelvic practitioner deserts), or isolated
from movement and training programs. Fit and athletic folks are left without resolution,
support, or guidance back to play or optimal performance. Our practice patterns must
evolve.

Designed for sports medicine and pelvic health providers, this course offers an
un-siloed, middle ground. Practitioners will gain a structured thought process to interpret
biopsychosocial histories, pelvic health screens, in-sport symptom behavior, and
movement analysis to build well-reasoned programs for female athletes across the
lifespan. Participants are introduced to a contemporary, systems-based pelvic health
model that integrates pelvic floor strength, power, coordination, and endurance into
fitness and sport preparation rather than treating them in isolation. Drawing on familiar
movement and conditioning principles such as graded exposure, progressive overload,
impact and pressure management, and exercise scaling, this course provides a
practical, coachable framework for pelvic health. Providers will learn to apply the same
thought processes used to address musculoskeletal pain and performance deficits to
develop individualized, sport-specific progressions grounded in the whole-athlete
presentation.

(This course offers externally focused, indirect, and integrative assessment and
intervention strategies only. This course does not provide direct, internal assessment or
intervention tools.)

Upon completion of this course, participants will be able to:
1. Describe the anatomical, and neurophysiological inter-relationships that provide
interventional bridges between pelvic, musculoskeletal, and performance health.
2. Gain an understanding of the etiology and symptomatology associated with a
broad range of pelvic health conditions commonly experienced by female-bodied
athletes beyond urinary incontinence (painful sex, pelvic pain, pelvic organ
prolapse, diastasis recti, gut issues).
3. Develop an individualized whole-athlete pelvic health risk profile based on
biopsychosocial variables – age-specific co-factors, physical and pregnancy
history, genetics, fueling, sleep, stress, fitness/training history, and kinesiophobia.
4. Interpret pelvic health screen findings and in-sport symptom patterns to develop
a clinical hypothesis that supports exercise selection, loading strategies, and
return-to-play progressions.
5. Analyze movement, fitness, and sport demands to identify symptom triggers and
patterns to provide clinical and conditioning opportunities to coordinate the pelvic
floor into fitness and athletic movements.
6. Create setting-specific interventions that integrate the pelvic floor into three
different types of sport-specific movement patterns appropriate for early rehab.
7. Apply concepts of graded exposure, progressive overload, impact and pressure
management, and/or exercise scaling to progress pelvic floor tissue adaption,
load or impact tolerance, and coordination in three different sport-specific
demands.
8. Build communication tools to bridge collaboration gaps and re-imagine referral
patterns with pelvic health, orthopedic, sports medicine, strength and
conditioning, and sports dietician disciplines to support un-siloed,
athlete-centered care across the lifespan.
9. Value abdomino-pelvic health as an essential component of comprehensive,
whole athlete care.

This is a live, in-person, 2-day course with practical application opportunities via labs
and case studies. As part of the curriculum, all participants will be required to complete
an online module (included in course purchase) with conceptual introductory material
prior to attending the in-person professional course. This integral course content will be
available 2-months prior to the course dates, must be completed to maintain your
seat at the course and to receive a course completion certificate/CEUs. This will also
allow in-person time together to be well-spent on deeper concepts.
In addition, participants are expected to bring a client case specific to their patient
population as a component of class activities. These are intended to support concept
synthesis and prepare for clinical application. Cases will potentially be shared with the
group for group activities ( if the patient provides written consent).
Course material is intended for Physical Therapists/Physiotherapists, credentialed
Athletic Trainers/Therapists, Exercise Therapists, Kinesiologists, medical providers in all
areas of adult care (urology, orthopedics, sports medicine, pain, women’s health, etc.),
and strength and conditioning specialists (CSCS).
Please note: Personal Trainers/Fitness Professionals without a CSCS credential -
Education and experience varies broadly across the globe amongst personal
trainers/fitness professionals. We are assessing inclusion in the course on a
case-by-case basis. Please reach out to admin@juliewiebept.com before registering.

Topics will include:
Day One: Conceptual Context and Strategies that Support any type of Athleticism
across the Lifespan

● Pelvic Health is a Team Sport- Anatomical, Neurophysiologic Systems
Thinking
● Contemporary Pelvic Health-Research and Practice Pattern Updates
● Pelvic Health as a Performance Variable: Symptoms are Signals.
● Biopsychosocial Framework Across the Lifespan: Symptom Context, Physical
and Pregnancy History, Fitness and Recovery Strategies, Fueling Habits, and
Kinesiophobia.
● From Screening to Strategy: Interpretation and Clinical Decision-Making
(beyond urinary incontinence)
● Coaching Pelvic Health: Movement Analysis Through a Pelvic Health Lens
● Creating Adaption: Modification of Load, Impact, and Pressure Across
Training
● Integrative Programming: Pelvic Health Within Return to Sport Plan of Care
Day Two: Practical Application (Concept Synthesis through Labs and Case
Studies)
● Young Adult Athlete Pelvic Health (no pregnancy history): Clinical Reasoning and
Special Considerations
o REDs, Beyond menstrual tracking, Low Energy Availability, Incontinence, and
Bone Stress Injury, Hypermobility, and more

● Athleticism in Pregnancy: Clinical Reasoning and Special Considerations
o Pregnancy preparation, Monitoring and tailored modifications in various
fitness/sport, Diastasis screening and more.

● Athleticism in Postpartum: Clinical Reasoning and Special Considerations
o Role of genetics, Return to activity reasoning, Kinesiophobia, Individualizing
Care, Progression Strategies, and more.

● Athleticism in (Peri)Menopause: Clinical Reasoning and Special Considerations
o Hormonal transitions, Systemic changes, Muscular composition and training,
Connective tissue considerations, and more

● Case Presentations:
o Concept synthesis via individual and group processing opportunities.
o Plan of care and program development

CANCELLATION POLICY:

All cancelled tickets are subject to a $50 administration fee up to 60 days prior to the course date.

Cancellations made within 60 days of the course date are non-refundable.

Pre-Readings are mandatory to be completed 2 weeks prior to the course date. If you have not completed the pre-readings you will be removed from the course and will be ineligible for a refund.