Live Courses

the diaphragm pelvic floor piston for adult populations: part one

The Diaphragm Pelvic Floor Piston for Adult Populations: Part One

November 9-10, 2019

Montreal (Hosted by Pelvi-Santé Clinic)

Despite its inclusion in most definitions of the core, few rehabilitation or fitness programs integrate the pelvic floor or diaphragm  into strengthening or neuromotor training. An integrated clinical model of the pelvic floor requires a broadened definition of pelvic floor function beyond merely maintaining continence. When linked to the diaphragm, the pelvic floor acts as a powerful stabilizer of lumbosacral, sacroiliac, pubic symphysis, and pelvic-hip joints ensuring efficient LE and UE mechanics. In addition, the dynamic interplay of these deep muscular elements will balance and harness the intra-abdominal pressure system as a component of central stability.

Clinicians will be introduced to an innovative, clinical model that incorporates a neuromuscular-based core recruitment and IAP balancing strategy, driven by external cueing of both the pelvic floor and diaphragm. This provides a sturdy, yet dynamic foundation that is responsive to the demands of function, movement, fitness and sport. Regardless of age or sport of choice, building programs that maximize results without compounding common women’s health issues such as incontinence, and organ prolapse is a critical clinical skill for all clinicians who treat females (regardless of specialty).

Session participants will have the opportunity to experience the material themselves through exercises that integrate the diaphragm/pelvic floor piston into core stabilization, postural muscle patterning, gait, fitness and sport specific activities.

This course will be followed by Part Two in the series at the same location November 14-15, 2020. Click here for more  information about Piston Science Part Two: It Depends! Clinical Decision Making in the Real World in Montreal. 

Course inquires can be directed to  Tanya Gutierrez at


The Diaphragm/Pelvic Floor Piston for Adult Populations: Part One

 Day 1:

8:00 – 8:30    – Registration

8:30 – 9:00    – Introduction

9:00 – 10:00   – Neuromuscular Core Strategy

10:00 – 10:15  – Break (provided)

10:15 – 11:00  – Life span core dysfunction

11:00 – 12:30  – Core Strategy enhancing alignment

12:30 – 1:30   – Lunch (on your own)

1:30 – 2:30      – Diaphragm functional eval and activate with lab

2:30 – 3:30    – Pelvic Floor eval and activate with lab (external evaluation)

3:30-3:45       – Break (provided)

3:45-4:30       – Clinical steps: Interaction demo/alignment practice

4:30-5:00       – Q and A


Day 2:

8:30 – 9:30    – Q and A/Day One Review Lab

9:30-11:00    – Training postural relationships (Posterior Oblique Synergist lab)

11:00-11:15  – Break

11:15 – 12:15  – Lateral Synergist lab

12:15 – 1:15    – Lunch (on your own)

1:15-2:15  – Anterior Oblique Synergist lab

2:15-3:15       – Rotational Synergist lab

3:15-4:00       – Core Strategy in gait

4:00-4:30 – Fitness/Plyometrics: Embed the Strategy

4:30-5:00       – Q and A /Case Studies

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