SELF-PACED Pressure, Posture & Performance: An Approach to Pelvic Floor Dysfunction: UPDATED

PT/OT CEUs

  • 7.5 hours
  • PT/OT CEUs available for all 50 states in the USA
  • Click below for CEU specifics for each state.

Access

  • Unlimited access to online course contents

Audience

  • Physical Therapists (PT) and PT Assistants, Occupational Therapists, and OT Assistants, Athletic Trainers, SLP, Fitness Personnel
IMPORTANT CEU INFORMATION: If you don't see your state listed in the "CEU Info" above under ANY of the categories for your profession (including "Meets requirements for"), please email courses@pelvicglobal.com to request your state. 

If you are an OT and you need CEUs, please email courses@pelvicglobal.com to request CEUs. 
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Important information before you register:
This course is an updated and enhanced version of what is also known as Pressure, Posture, Pulls and Performance in Pelvic Floor Dysfunction and Pressure, Posture & Performance: An Approach to Pelvic Floor Dysfunction. While the name and CEU hours/availability have changed, the core objectives of the course remain the same.



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Learn a new strategy for managing pressure systems!

What to expect:

Pelvic floor dysfunction (PFD) is common among postpartum and active populations, yet traditional approaches often overlook the full spectrum of contributing factors. This course gives clinicians a broader, evidence-informed framework to address PFD in all clients.

Recognizing that symptoms often arise from influences beyond the pelvic floor muscles, the course emphasizes a whole-body, systems-based approach. Participants will explore musculoskeletal, motor control, and autonomic contributors including breath mechanics, postural strategies, vagus nerve regulation, and phonation techniques and learn to integrate these into clinical practice.

Current research on intra-abdominal pressure (IAP), and pelvic floor coordination will be reviewed, along with evidence-informed methods for diaphragm evaluation, breathing and voicing strategies, and postural classifications.

Performance-based applications include reflexive pelvic floor training, running and lifting drills, and strategies for optimizing IAP during high-demand functional tasks. Impairments both within and beyond the pelvic floor such as fascial, joint, and motor control issues are addressed.

By the end of this course, clinicians will be able to develop individualized care plans to improve function and activity levels in all types of clients. The content is delivered through recorded lectures, downloadable slide decks, educational handouts, and research-based reference links.

See what people are saying about this course  

“This course is excellent! After 20 years in pelvic floor physical therapy, there was new evidenced-based, best practice information presented that expanded and challenged my pelvic health knowledge base. This included assessment, treatment and progression. I highly recommend this course!”
Susan Stensby Adams, PT, DPT, MPH, BCB-PMD, OCS
“If you've ever wanted to do more as a pelvic therapist than talk about Kegels, take this course! Kathe clearly put a lot of thought and time into the content of this course and understands where there are some gaps that need filling. She organizes the most current research with a multitude of resources to support pelvic therapists in developing their own processes to think and act outside of the proverbial box! Thank you!”
Meagen S., MSP
“It is clear to me that Kathe’s ability as a teacher comes from her experience, caring, willingness to listen and desire to learn from her patients. She creates an environment that is a perfect balance of focus and fun. My advice, take a course from her earlier in your career rather than later!”  
Karen Greely PT, OCS, COMT, FAAOMPT

Knowledge You’ll Gain

The learning outcomes will help you expand or refine how you assess whole‑body contributors to pelvic floor dysfunction within your ortho/pelvic health practice. The knowledge you’ll gain includes:

  • In‑depth understanding of intra‑abdominal pressure (IAP) and the four technique‑based elements that influence it
  • Insight into abdominal wall mechanics and the musculoskeletal and visceral factors that affect pressure regulation
  • Manual evaluation skills for diaphragm breathing and its role in pelvic floor dysfunction
  • Athlete‑specific screening techniques for identifying pelvic floor dysfunction
  • Practical guidance for cueing breath patterns, including Valsalva vs. strain (bearing down)
  • Targeted strategies for progressive glottal control phonations and clarity on when to use each approach
  • A whole‑body lens for identifying remote drivers in running, lifting, and breath mechanics
  • A deeper understanding of how posture interacts with IAP
  • Performance‑centered therapeutic strategies for active and athletic clients
Be able to teach classes or work one-on-one!

Course Content:

WELCOME & OVERVIEW

  •  Overview Pressure, Posture and Performance 


Module 1: PRESSURE TERMINOLOGY

  •  Pressure Terms and Clinical Assessment 

Module 2: IAP RESEARCH DIRECTIONS

  •  IAP Research Directions the 4 Element Model 
  •  IAP Update 2024

Module 3: PART 1 BREATHING:

  •  The Diaphragm & Breathing Evaluation 

Module 4: PART 2 BREATHING:

  •  Exhalation and Phonation Strategies

Module 5: PART 3 BREATHING:

  •  Breathing Patient Education

Module 6: PART 4 BREATHING:

  •  Breath Holding Maneuvers
  •  Breath Hold Maneuvers explained with Tamara Rial

Module 7: POSTURE

  •  Postural Awareness & PF
  •  Posture Classifications & Tests 

Module 8: ORTHOPEDIC, MYOFASCIAL, and Visceral Factors in PFD Assessment and Rx


Module 9: ABDOMINAL WALL ASSESSMENT and TREATMENT

  •  Abdominal Wall Foundations & Diastasis Recti Abdominus Assessment
  •  Abdominal Wall Clinical Treatment

Module 10: PERFORMANCE CONSIDERATIONS OVERVIEW


Module 11: PELVIC FLOOR REFLEXIVE TRAINING


Module 12: PERFORMANCE LIFTING CONSIDERATIONS


Module 13: PERFORMANCE RUNNING CONSIDERATIONS


Module 14: SUMMARY: EDUCATING YOUR REFERRAL BASE

Kathe Wallace, PT

Kathe Wallace, an internationally recognized Physical Therapist, has dedicated over 30 years of  her career to the field of pelvic floor and pelvic health rehabilitation. With over four decades of experience, she has made significant contributions as a pioneer pelvic health CEU curriculum developer, author, speaker, and professional instructor. Kathe has developed foundational courses, published numerous works, and delivered countless presentations and workshops. Kathe’s commitment to education and her innovative approach to treatment have earned her distinguished awards and recognition in the field. These include the Washington state Physical Therapy Association (PTWA) Clinical Excellence Award in 2006 and the prestigious Elizabeth Noble Award from the American Physical Therapy Association Academy of Pelvic Health in 2023. She also co-founded the Herman and Wallace Pelvic Rehabilitation Institute in 2005.Today, she continues to share her expertise through writing, teaching, and developing educational materials. She currently serves as a Clinical Independent Study Instructor at the University of Washington Department of Rehabilitation, DIvision of Physical Therapy in Seattle, Washington, USA.

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