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Diaphragm/Pelvic Floor Piston for Adult Population Modules 2-7

Diaphragm/Pelvic Floor Piston for Adult Population Modules 2-7

Diaphragm/Pelvic Floor Piston for Adult Population Modules 2-7

This course includes
13:32:46 of Course Material (View)
Lifetime access after purchase
Certificate of completion
The instructors


This online course is designed to equip adult rehabilitation professionals with the evidence, theoretical constructs and practical clinical tools to provide a neuromuscular, systems-based clinical model for postural control, inclusive of the teamwork between the diaphragm, pelvic floor, and pressure systems. Musculoskeletal, movement pattern, pelvic health, and fitness issues are addressed simultaneously when this central team is coordinated, then effectively linked to the rest of the postural, movement and performance systems.

Piston Science is a new approach to adult rehab recovery and returns to fitness. The viewer is introduced to a dynamic team of muscles, inclusive of the relationship between the diaphragm and pelvic floor. That team works together to balance muscular forces and pressures creating an integrative model of dynamic central stability (Modules 1-4). Please note that Module 1 is sold separately. You can purchase Module 1 on its own here or you can buy it as a bundle with Modules 2-7 by clicking 'Buy Course' on the top left side of this page.

Issues with the musculoskeletal system, movement patterns, pelvic health, and fitness can be addressed simultaneously when this central team is coordinated, then effectively linked to the rest of the postural system.

When embedded in fitness programs, this inside-out strategy is reinforced and optimizes outcomes (Modules 5-7).

Adapted for the online educational format, embedded video, case examples from recreational to high-intensity athletes, independent lab opportunities and live course footage of a runner “volunteer” provide the viewer with ample opportunity to interact with the material and apply this approach in all areas of adult rehab and fitness (women’s health, orthopedics, sports medicine, fitness, and neuro).

This online course is a bundled learning opportunity, with each of the 7 modules building on the previous presentation.


Short Video Introduction



Learning Objectives 

  • Articulate the evidence for the evolution of practice from stiffening musculoskeletal interpretations of core strength to an understanding of a neuromuscular, systems approach to responsive central stability (“Core Strategy”) for the purpose of educating patients in a new clinical approach to meet their needs.
  • Analyze common issues experienced by men and women across the life span with new attention to deficits in pelvic health, maturation, breathing mechanics, sensory changes and faulty central stability strategies as contributing variables to the patient presentation.
  • Identify form and alignment that optimizes re-establishing the interrelationship of the components of the anticipatory and reactive core for function, movement, and fitness.
  • Integrate the use of optimized breath mechanics as the gateway to anticipatory central stability and the postural control system
  • Execute external qualitative evaluation of the pelvic floor, TA and diaphragm, and their coordinated function via observation and palpation of postural alignment, breathing patterns, muscular recruitment patterns, movement strategies, and postural control compensations during movement tasks.
  • Recognize the relevance of pelvic health considerations to musculoskeletal, and performance issues. Conversely, gain an understanding of the impact of musculoskeletal and performance considerations on pelvic health.
  • Develop programming and modifications for ADLs, movements and fitness activities for women and men that maximize results while keeping pelvic health in mind.
  • Learn to monitor, cue, and modify functional and exercise tasks to facilitate the integration of Core Strategy into clinical programming for a variety of patient populations.
  • Develop exercise programs that marry a coordinated “anticipatory core” foundation with more superficial “reactive” postural muscle groups (postural synergies/slings) to promote symptom-free functional movement patterns, empowered gait, aligned posture, and return to fitness and sports activities.



All participants should apply the information within their state/jurisdictional scope of practice.

The physiotherapist/physical therapist (PT), occupational therapist (OT) will gain the theoretical basis, clinical reasoning, and practical tools for integrating a neuromuscular, systems-based approach to postural control from assessment to evidenced-based treatment plan development integrating pelvic, musculoskeletal, and performance health concepts. Co-professional collaboration and referral will be stressed.

The physiotherapist assistant (PTA), occupational therapy assistant (OTA) will gain insight into the theoretical basis for the assessment process and reasoning behind the POC designed by the therapist. Course participation and experience with specific cueing, exercise guidelines, progression parameters, and treatment methods will ensure continuity of care.

The Athletic Trainer/Kinesiologist (AT)/Kin will gain insight into theory, evidence, and practical tools for integration of the POC into an athlete's training program keeping pelvic and musculoskeletal health in mind.


What’s Included In This Online Healthcare Course?

  • More than 12 hours of video lessons.
  • The course is divided into six sections to make it easy for you to follow along and return to the course as often as you like. 
  • Lifetime access. You can return to this course at any time. If any material is updated or added, you will have access to the new content.
  • Certificate of completion. Once you've completed the course, you will receive a certificate for your professional portfolio.
  • Downloadable slides/workbook so you can follow along as you take the course
  • Access to this course is through Embodia, and although some of the content may be downloadable (such as a workbook or slides if included), the majority cannot. This is to protect the instructor’s material and to prevent the content from being shared freely on the Internet.
  • Embodia is mobile-friendly and can be accessed by phone, tablet, and computer.
  • There is no start date or completion date. You can complete the course at your own pace.
  • You will be sent a receipt as soon as you purchase this course. This receipt can be used for education grants and for tax purposes.
  • A Special Coupon for 15% off any other online course on Embodia Academy when you’ve completed this course!


Is The Course Eligible For CEUs?

Each single viewer purchase allows for unlimited access: review, re-watch, rewind as often as you need to for as long as you like. The online course is essentially identical to the live version but has boosted content (more mini-case studies, videos, cues, self-labs, evidence, etc.) to facilitate independent learning.

This course is subcontracted to Redefine Health Education and has been approved for 15 CEUs for American physical therapists and physical therapist assistants. RHE is a registered CE approval agency of 42 states and counting. Find your state here: If you have a specific question about CE credit for this course in your state, please direct your inquiry including the course title in which you are interested, to Please check with your state board for their retroactive approval process if you are not apart of the 42 covered states.


The instructors
Julie Wiebe
PT, DPT Clinician/Educator

Julie Wiebe, PT, DPT (she/her) has over twenty-five years of clinical experience in Sports Medicine and Pelvic Health, specializing in abdominopelvic, pregnancy and postpartum health for fit and athletic populations. Her passion is to return active patients to fitness and sport after injury and pregnancy and equip professionals to do the same. She has pioneered an integrative approach to promote pelvic health in and through movement and fitness. These strategies have been successfully incorporated by medical providers, rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics).

A published author, Dr. Wiebe is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences and professional organizations. She provides direct care to fit and athletic populations through telehealth and her clinical practice. Recently, Dr. Wiebe joined the faculty of the University of Michigan-Flint, a welcomed opportunity to pursue both her educational and research goals to promote optimized care in clinical practice across the continuum.

Course Material included in this course
  • Welcome & Resources
  • Welcome & Resources
  • Module 3
  • Diaphragm/Breathing Mechanics
  • Refine the Breath
  • Quiz
  • Feedback
  • Module 5
  • Piston Science Module 5 Introduction
  • Question and Answer
  • Volunteer Follow-Up and Posterior Oblique Synergist Lecture
  • Posterior Oblique Synergist Lab Demo
  • Self Lab Instructions
  • Quiz
  • Feedback
  • Module 6
  • Piston Science Module 6 Introduction
  • Lateral Synergist Lecture
  • Lateral Synergist Lab Demo: Part One
  • Lateral Synergist Lab Demo and Plyos: Part Two
  • Lateral Synergist Self Lab Instructions
  • Anterior Oblique Synergist Lecture
  • Anterior Oblique Synergist Lab Demo
  • Anterior Oblique Synergist Self-Lab Instructions
  • Quiz
  • Feedback
  • Module 7
  • Piston Science Module 7 Introduction
  • Rotational Synergist Lecture
  • Rotational Synergist Lab
  • Rotational Synergist Self-Lab Instructions
  • Gait
  • Piston Science Plyometrics and Fitness
  • Piston Science Module 7 Renee Epilogue/Course Wrap-up
  • Quiz
  • Feedback
  • Next Steps: Course Completion Certificates and CEUs
  • US Based PT/PTA Pursuing CEUs
  • International Physios and Other Health Professionals Certificate of Completion
  • Post-Course Evaluation

Each course purchase is for a single viewer only, and may not be shared. If you are interested in group/staff viewing, please contact us at to arrange a group discount code specifically for your group.

The larger the group, the larger the discount. Each individual must purchase separately with the discount code, and agree to the terms and conditions (legal). This provides each participant with their own copy to review at their pace, their own certificate of completion, and the opportunity to interact with colleagues as you all work collectively through the material.

Once you have completed the course, a certificate of completion (including learning hours and course information) will be generated. You can download this certificate at any time. To learn more about course certificates on Embodia please visit this guide.

This course has been approved for 16 CPD units by the South Africa Society of Physiotherapists (SASP). If you are a physiotherapist in South Africa and would like the number of approved CPDs to appear on your certificate of completion, please follow the steps outlined in this help article. 

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