WORKSHOP OUTLINE - DRAFT 1. Why the pelvic floor? • NZ ...

WORKSHOP OUTLINE - DRAFT
1. Why the pelvic floor
• NZ Incontinence statistics
2. What is Pelvic Floor dysfunction
• SUI (main type we will look at today) • Mixed •Urge •
Faecal Incontinence
• Prolapse (different types). • Other (pelvic pain, back pain, sexual
problems).
3. Impacts of pelvic floor dysfunction:
• Physical • Social • Emotional • Economic
4. Risk Factors:
• Age • Sex • Pregnancy/childbirth • Pelvic floor trauma •
Obesity • Ethnicity • Constipation • Heavy Lifting • High impact
exercise • Media pressure for post-natal mothers
5. Stress Urinary Incontinence revisited – what are the facts
6. Pelvic Floor Exercises – Do they work
• What is the evidence • Expelling the myths
7. Post-natal education is available in NZ
10. How to teach Pelvic Floor exercises
• Locate & then train • Tips for success • Dosage • Functional
11. Special Populations:
• The young woman •The menopausal woman.
12. Post-natalAdvice:
• Educate – teach basic anatomy and risks! • PFMT is vital •
Return to exercise • Symptoms of incontinence
• Early intervention is the key...
13. Exercise and the Pelvic Floor:
Declining post-natal education Evidence based research but is it getting
out there

14. DonʼtforgettheCore!:
• •
The cylinder of stability Rectus abdominis diastasis (separation of the
abdominal muscles)
15. What are Fitness professionals taught about the pelvic floor:
•Variability in training and experience • No standardisation of
terminology • Hazards within the industry • Pilates
•Screening questions ( practical component)
16. ActivityModifications(practical).
17. When to refer on 18. Where to go fo rhelp
18. What can Midwives/Fitness Professionals do
•Ideally placed to teach vital PFEx during pregnancy and post-natally
9.Anatomy Review:
•superficial/deep • functions of the PF
• •
NZCA website Pelvic floor physiotherapist/continence practitioner
• • •
Is all exercise good Which exercises could be detrimental Looking at
the Physics
19. UsefulResources.