Course series

Low Pressure Fitness Level 1:
A Certification Series


  • 16.5 hours
  • Click below for CEU specifics for each state.


  • Immediate Access
  • Never expires


  • Medical Professionals
  • Fitness Professionals
  • No pre-requisites
  • Part 1 of a 3-course certification
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Looking for the entire Low Pressure Fitness Series?

All 3 courses are now available for a discounted rate when purchased as a bundle!

Learn a new strategy for managing pressure systems!

Learn a new way of working with the pelvic floor.

Low Pressure Fitness (LPF) Level 1, is a continuing education course presented by Low Pressure Fitness developer Dr. Rial. LPF is an exercise therapy method based on hypopressive, myofascial and neurodynamic concepts. During the Level 1 course, participants will learn the application specific exercise techniques to coordinate the diaphragm, pelvic floor, and deep abdominal wall with a special focus on ways of facilitating improved pelvic floor and pelvic organ health for women. Participants will also learn the neuroscience and biomechanical evidence supporting the use of LPF for pelvic floor, abdominal, and diaphragmatic activation as well as indications and precautions for application.

Upon finishing this course, you will be able to teach a Level 1 course and market yourself as a Level 1 instructor. Full certification requires the 3 course series to be completed. 


What people are saying: 

I had learned hypopressives from a local PT here but being able to have them explained more comprehensively through this course was so, so beneficial! I am looking forward to incorporating more of them into my postpartum fitness classes. Thanks so much!
I found this class to be body-positive, energetic, and I learned skills I can apply to myself and my clients. 
LPF level 1 is an excellent course. Tamara is an excellent teacher and learning from her was a pleasure. The course changed the way I breathe and stand in 2 days! I can't wait to continue my journey with LPF!

What will you learn?

  • Participants will be able to explain and educate patients/clients on pelvic floor anatomy including the physiology of the levator ani muscle group, the abdominal wall, and the diaphragm.
  • Participants will be able to explain the biomechanical principles of pelvic floor and diaphragmatic coordination.
  • Participants will be able to discuss and educate a client/patient on the breathing and postural principles to maximize pelvic floor function.
  • Participants will be able to list indications and precautions for use of hypopressives and Low Pressure Fitness with patients/clients.
  • Participants will be able to correctly demonstrate the pelvic floor and diaphragmatic exercise technique for Low Pressure Fitness Level 1.
  • Participants will be independent with use of correct coaching cues to facilitate clients/patients in correct postural alignment for pelvic floor and diaphragmatic engagement.
  • Participants will correctly demonstrate the progression, procedure and transitions of pelvic floor and diaphragmatic coordination with the hypopressive technique.
Be able to teach classes or work one-on-one!


More accolades: 

Wonderful course with very knowledgeable instructors. I am excited to be able to use this course content in so many ways, personally and professionally. Despite this being an online course, I feel as if I was able to truly grasp the specific techniques taught in the course thanks to the feedback from the instructors. I'm really looking forward to level 2!
Low pressure fitness is challenging! Going into the course I was not expecting to be sore! I learned so much about breathing mechanics and how it can apply to my patient population. I have already began using some of the techniques with them!
The instructor and two assistants worked very well as a team and they each contributed greatly to the learning experience. I also loved their enthusiasm, energy and patience with trying to teach us such a unique exercise. 
Meet the instructor

Dr. Tamara Rial

Dr. Tamara Rial’s doctoral dissertation focused on the effects of hypopressive exercise on women’s health. Creator and co-founder of Low Pressure Fitness, she is a professor of pelvic floor rehabilitation Masters Degree in Barcelona, Spain. She has authored multiple scientific articles and books about hypopressive exercise. As an internationally recognized speaker, she has presented in numerous scientific conferences and universities about women’s health and hypopressives.
Patrick Jones - Course author


What is the Cancelation & Refund Policy?
Individual GPHAM webinars are non-refundable. 
For other courses, the option for a full refund is available within 48 hours of purchase, however it is non-refundable upon either of these conditions:
  • You have viewed more than 50% of the course material
  • You have already claimed your CE certificate
If you need additional assistance with a refund or course concern, please email
Will there be any part of this live course where I could be recorded?
Live participation parts of courses may be recorded live and screenshots maybe be taken by the instructor or the host. If your camera is on, your microphone is on, or you type comments in the comment section, your participation will be part of that recording. If you do not wish to be part of this recording, you will be responsible for keeping your video and audio recording OFF during any live recorded sessions. 
How can I use the handouts, videos, and course supplemental material?
You will be provided with online content and recordings of the course as well as slides and material related to the course. This material is for your personal use only.  Please do not use clips of video, screen captures, screenshots, or copying in any way, that you might be presenting it as your own (whether or not it is for financial gain). Sharing a screenshot to social media that is credited to the instructor and/or Pelvic Guru, LLC is acceptable. If you would like to use any of this content for an independent project, you need to discuss this directly with Pelvic Guru and the instructor of the course. 
Will I have to exercise or have a space to move for this course? 
Some of the Pelvic Guru Academy courses have sections in them in which you will have the option of doing movement at various levels. Understand that all physical therapy, rehabilitative, and strength training instruction and use of all facilities and equipment shall be done at you own risk, and please be physically and medically able to undertake any and all physical therapy, rehabilitative, and strength training instruction provided in the course.