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Pregnancy-related pelvic girdle pain and dysfunction: An update on assessing the force closure mechanism of the pelvis (including the pelvic floor) for Orthopaedic physiotherapists

Description:

Pregnancy-related pelvic girdle pain (PRPGP) affects 70-80% of women and while most will recover, 50% will continue to experience urinary incontinence and/or pelvic organ prolapse in association with their low back and PRPGP.

All clinicians who treat postpartum women need to be aware of this statistic and have basic tools for assessment of the pelvic floor and to know when to refer to a pelvic health physiotherapist. This webinar will provide these introductory tools and is intended for orthopaedic physiotherapists.

Objectives:

At the end of this webinar, the participant will have an introductory understanding of the following:

1. Pregnancy-related PGP – prevalence during pregnancy and after
2. Urinary incontinence prevalence and course through life
3. Pelvic organ prolapse prevalence and risk factors
4. Relationship between PGP and urinary incontinence & POP
5. Requirements for a functional pelvic girdle, with urinary continence and pelvic organ support Form and force closure mechanisms for the pelvic girdle and impact of pain on these mechanisms
6. Why there are no recipes for PRPGP and skilled clinical reasoning is still our best approach
7. Common impairments in the muscles of the abdominal canister related to pregnancy
8. Evidence-informed, clinically reasoned assessment for PRPGP, UI and POP
   1. Active & passive mobility and control tests for the ISJ
   2. Assessment of the abdominal wall and multifidus – NOT the focus of this lecture but some key points
   3. Assessment of the pelvic floor – some tips for orthopaedic physiotherapists
9. What else can you learn to do to add more tools to your assessment and treatment toolbox for PRPGP, UI and POP?

Price:

Free for Orthopaedic Division Members, $10 for CPA members & $20 for non Members

Webinar Details:

• Date: Tuesday June 1st, 2021
• Time: 8:00pm - 9:00pm EST
• Speaker: Diane Lee

Speaker Bio: Diane Lee, BSR, FCAMPT, CGIMS, Clinical Specialist in Women’s Health   

Diane is a UBC graduate in the field of rehabilitation medicine.  She is a fellow of the Canadian Academy of Manipulative Therapy (CAMT), certified practitioner of intramuscular stimulation (Gunn IMS) and certified by the Canadian Physiotherapy Association as a clinical specialist in Women’s Health. She was an instructor and chief examiner for CAMT for over 20 years. Diane is also the owner, director, and a practicing physiotherapist at Diane Lee & Associates, a private multi-disciplinary physiotherapy clinic in South Surrey, BC, Canada.

In addition, she is the principal instructor of Learn with Diane Lee (www.learnwithdianelee.com). She has been a keynote speaker at many conferences, has contributed chapters to several books and self-published the books The Thorax – An Integrated Approach and Diastasis Rectus Abdominis – A Clinical Guide for Those Split Down the Middle (www.learnwithdianelee.com).  Her book, The Pelvic Girdle, was first published by Churchill Livingstone in 1989, is now in its 4^th edition (2011) and has been translated into multiple languages.

A new edition of The Thorax – an integrated approach is currently at press with Handspring Publishing. She holds the North American patent for two sacroiliac belts, The Com-Pressor, and The Baby Belly Pelvic Support. With respect to research, she continues to investigate the behaviour of the abdominal wall in women with diastasis rectus abdominis.