Many athletes who participate in high-impact sports experience pelvic floor dysfunction including both urinary and fecal incontinence. Research shows that 85% of these athletes have never spoken with their coaches or healthcare providers about this dysfunction. Pelvic pain, including abdominopelvic pain, labral tears, groin injury, SI joint pain, coccyx pain, and pubic symphysis pain are all common diagnoses in athletes. Less common is the consideration of the pelvic floor in sports medicine. This course will cover an evidence-based approach to understanding the importance of the pelvic floor, its connection to the lumbar spine and hip, and how the pelvic floor influences function and movement as it relates to activities of daily living and athletics. Topics covered include urinary incontinence, pelvic floor pain, pelvic organ prolapse, differential diagnosis of common athletic pelvic injuries and care of the pregnant patient both pre and post-natal as it relates to physical activity. Participants will learn practical approaches to treatment including evaluation techniques and treatment techniques to address these impairments.
This course is designed to bridge the gap between the pelvic floor therapist, sports medicine and orthopedics. By integrating perspectives from all, this course is designed to help non-pelvic floor therapists evaluate the role of the pelvic floor in common orthopedic injuries, and when to refer to a pelvic health therapist.
Haley Mitchell PT, DPT, OCS received her doctorate degree in physical therapy at University of St. Augustine for Health Sciences in San Marcos, California, graduating with high honors. She has completed additional manual therapy training through both University of St. Augustine and the Institute of Physical Art. She completed an internship with Institute of Physical Art that served both the Olympic development ski team in Steamboat Springs and the Perry-Mansfield Arts Academy. Haley currently works at Providence Sports Care Center as both a pelvic floor and orthopedic/sports physical therapist. She is a Board Certified Orthopedic Specialist, Pregnancy and Postpartum Corrective Exercise Specialist, and certified Pilates and Spin Instructor. Special interests include caring for the female athlete and post-partum return to sport.
At the end of this course participants will be able to:
Describe basic anatomy of the pelvic floor, its function, and the musculoskeletal and nervous system relationships between the lumbo-pelvic, hip and pelvic floor complexes.
List which pelvic floor dysfunctions are common among athletes and active individuals
Assess for potential pelvic floor dysfunction and determine when to refer to a pelvic floor therapist or other practitioner
Identify the different diagnoses possible when the athlete’s pelvis is injured (e.g. labral tear, sacroiliac dysfunction, pelvic floor dysfunction, muscular imbalances)
Describe the differential diagnoses possible with athletic pelvic pain (e.g. adductor strain, osteitis pubis, hernia, pelvic floor dysfunction).
Identify gender specific issues when treating the athletic pelvis.
Explain how to manage patients during pregnancy and post pregnancy for safe exercise and return to physical activity including running and high intensity exercise
Integrate a multi-system evaluation approach, utilizing orthopedic, respiratory and pelvic perspectives
Saturday, November 19th
8:00 Introduction, goals and course objectives
8:30 Review of anatomy and biomechanics of the pelvic floor and its relationship to the pelvis, lumbosacral spine and trunk
10:00 Lab: clinical application of evaluation and treatment of breath coordination and management of dysfunctions
10:45 Pelvic dysfunction in the athletic population
11:30 Lab: pelvic floor external manual techniques and IAP management during functional and athletic activities including postural restoration for improved load tolerance
1:00 Neural anatomy and dysfunction in sports
1:45 Lab: Pelvic floor down-training and addressing neural mobility
2:30 Differential diagnosis of pelvic, groin, and hip pain associated with common athletic injuries
3:15 Lab: clinical application of special tests, palpation and movement screens for differential diagnosis of pelvic, groin and hip pain
4:00 Gender specific issues
4:30 Clinical update on REDS
Sunday, November 20th
8:00 Review of previous day and time for any questions about prior course material
8:30 Exercise and pregnancy in the recreational and elite athlete
10:00 Lab: Evaluation of the pre-natal patient, treatment techniques including both passive and therapeutic exercise prescription for common musculoskeletal pregnancy concerns
11:00 A new paradigm for postpartum care: The 4th Trimester
11:30 Exercise in the postpartum period
12:00 Lab: evaluation of the postpartum patient including Diastasis
1:15 Return to run post-partum
2:45 Lab: Strength screen for return to run and running analysis
3:30 Q &A
Providence St. Vincent Medical Center
Souther Classrooms - East Pavilion
9155 SW Barnes Rd
Portland, OR 97225
Integration of the Athlete and the Pelvic Floor
Target Audience: Orthopedic and Sports Physical Therapists and Assistants.
Registration: Registration is on a first-come, first-served basis. Space is limited.
Registration Fee: The registration fee is as follows:
$275 for Providence employees, $550 for all other participants. An additional $25 early bird discount is available to participants who register prior to October 29, 2022. Registration fees cover electronic certificate of attendance and course handout.
Refund Policy: Full refunds less a $25 administrative fee will be granted if cancellation is requested by October 29, 2022. No refunds will be made after that date unless the course is cancelled by Providence Rehabilitation Services, in which case full refunds will be issued.
Contact Hours: This course qualifies for 14 contact hours for Physical Therapists and Physical Therapy Assistants in Oregon, Washington and New York. Certificates of attendance will be issued to all participants completing the CEU requirements. Continuing Education credit may be available in additional states. Please email firstname.lastname@example.org to check on the CE requirements for your state.
COVID policy: Currently, all participants are required to wear a mask for the entirety of the course. Providence recommends participants be fully vaccinated or have a negative COVID test within 48 hours of the course.
Minimum System Requirement: Operating System: Win 7 (32 bit) and above, Linux, Mac OS, Android;
Processor Speed: 2.5 GHz;
Memory: 2 GB RAM is sufficient to use this LMS;
Internet Browsers: Safari, Chrome, Mozilla Firefox;
Active internet service is needed.