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Improving Pelvic Floor Function Through Spinal Manual Therapy with Susan Clinton, Detroit Michigan

Feb 2020
Rehabilitation Institute Of Michigan, Feb 9, 2020 8AM-5:30 PM


Look beyond the traditional regional approach of pelvic floor PT to understand how addressing dysfunctions of the transitional regions of the spine - from the lumbosacral region to the upper cervical spine can positively affect lumbo/pelvic dysfunction. This 1-day course is designed to expand your current practice through evidence based and biologically plausible methods of examination and intervention of both upper quarter dysfunctions and the lower quarter region.A complete review of the anatomy and physiology of the pressure systems from the glottis to the pelvic floor will be provided to expand your interventions of manual therapy, movement and exercise. The course will include an interactive format for discussion of the current concepts and the application of interventions. You will learn skills to take home right away - simple and effective manual skills to use immediately regardless of your manual therapy skills.


Learning Objectives:

At the end of the presentation,the learner will be able to:

  1. Identify the anatomy and physiology of the glottis to the pelvic floor - including the anatomical changes with prolonged postures, including the psoas.
  2. Recognize the typical dysfunctions of the transitional regions of the spine and how these regions have input to changes in physiology of the trigeminal/vagal ANS and pelvic floor function
    1. List the relevant effects of upper quarter stiffness on fatigability of the pelvic floor muscles and training
    2. Differentiate new concepts of intervention techniques to reduce the effects of spinal transitional region dysfunction on the respiratory, neurological and musculoskeletal systems


Online learning modules: (1to 1.5 hours each) Required prior to the course.

  1. Anatomy and physiology of the dynamic respiratory system-cervico/thoracic, diaphragm, glottis/larynx and TMJ. Makingthe neurological,physiological connections with the Vagal and Trigeminal alarm system.
  2. Connections of the thoraco/lumbar and lumbo/sacral regions, including the psoas on the function of the pelvic floor and hip function. Changingthe mindset of simply using an isometric/concentri c contraction approach to improve the function of the pelvic floor. Understand why finetuning your approach to pelvic floor training with the use of submaximal and eccentric training to increase function and connection between the hyoid/glottis and the pelvic floor.



8:00 -8:30


8:30 -10:30


Lab: Alignment and the airway and diaphragm. Assessment and intervention of the thoracolumbar region (including manual therapy)

10:30 - 10:45


10:45 -12:00

Lab:  Alignment and the airway and glossopharyngeal system. Assessment and intervention of the cervicothoracic  region (including manual therapy)



1:00 - 2:30

Lab - Assessment and Intervention of the upper cervical spine - a paradigm shift to include mobility/control and the relationship to the pelvic floor. (including manual therapy)

Impairment and system model to improve

functional connections in alignment, respiration, movement, gait and continence.

2:30 - 2:45


2:45 -5:00

Lab - Assessment and intervention of the lumbar/sacral spine - (including manual therapy) and the influence of the psoas connection Eccentric training of the pelvic

floorIgluts/hamstrings/gastroc-sol  eus

5:00 - 5:30

Conclusions and Questions


Course is  open to PT, PTA, OT, OTA, ATC and Fitness Professionals


Educational Level: Intermediate


Instructional Methods: The course material will be delivered in the form of a pre-course audio assignment, lecture/discussion and a large lab component is included in the course


Course Cost: $275. Online registration only; link below

Questions concerning Michigan CE, venue and other information: 313-745-7333 (RIM)



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