October 17-18, 2018
In October, I will be joining my colleague Karen von Berg at the North American Cystic Fibrosis Conference to talk about new strategies to support continence, central postural control and breathing mechanics in adults and children with Cystic Fibrosis. We will be sharing at a Pre-Conference Short Course on Wednesday Afternoon and a break-out session on Thursday AM with other practitioners sharing about supporting the interaction of the Diaphragm and Pelvic Floor. I am so excited to interact with this community!
Getting to the Core of Continence for Adults & Children With CF: New Strategies for Physical Therapists
Wednesday, October 17: 3:30 PM – 7:30 PM
The breathing and postural demands of the trunk muscles are often compromised in people with cystic fibrosis, leading to secondary impairments such as postural deficits, stress urinary incontinence (SUI), pain and other functional impairments. This hands-on course will introduce clinicians to an innovative clinical model that incorporates neuromuscular-based core recruitment strategy, driven by external cueing of both the pelvic floor and the diaphragm. Linking the pelvic floor and diaphragm to work as a team, will equip participants to move beyond basic pelvic floor muscle strengthening exercises for SUI to simultaneously address proximal control, continence, breathing mechanics, functional impairments, pain and more through a dynamic foundation of support.
1. Describe the dynamic core muscles, inclusive of the diaphragm and pelvic floor, and their intertwined role in breathing, continence, proximal control and functional movements.
2. Demonstrate how to assess alignment and function of the dynamic core system (even during a busy clinic visit).
3. Discuss simple intervention strategies appropriate for pediatrics and adults with CF to minimize secondary impairments.
Short Course Leader(s)
Karen von Berg D.P.T.
Julie Wiebe M.P.T., B.Sc.
Hey Look! No Devices: Optimizing Airway Clearance & Function Through Breathing Strategies, Manual Techniques, & Core Alignment
Thursday, October 18: 7:30 AM – 9:30 AM
This session will discuss and provide limited hands on practice for device-free airway clearance, and the importance of examining and understanding the role of our clients’ core alignment will be explained. Participants will rotate in small groups through 3 rotations. One rotation will focus on active cycle of breathing technique (ACBT) with effective huffing and autogenic drainage (AD). Another rotation will focus on the standardization of traditional chest physical therapy and incorporation of breathing strategies and manual techniques to optimize its effectiveness. A third rotation will discuss the dynamic interplay between the diaphragm and pelvic floor, and how core alignment is assessed to improve breathing mechanics and pelvic floor muscle function.
1. Demonstrate breathing and manual techniques to enhance airway clearance using modified postural drainage, percussion and vibration.
2. Explain and apply a personalized approach to using ACBT and AD to facilitate mucociliary clearance.
3. Demonstrate how to assess alignment and function of the core system.