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The ROST Therapy Approach to Understanding & Treating Pelvic Girdle Pain

The ROST Therapy Approach to Understanding & Treating Pelvic Girdle Pain

The ROST Therapy Approach to Understanding & Treating Pelvic Girdle Pain

This course includes
7:13:45 of Course Material (View)
Lifetime access after purchase
Certificate of completion


Pelvic Girdle Pain (PGP) can significantly impact function and quality of life in pregnancy and beyond. Many women are told by their health professionals, including physiotherapists, that back pain is a normal part of pregnancy or that there is nothing much that can be done because they are pregnant. Not only that, but they are told that their pelvis is “unstable”, that they should “be careful”, and that they should “limit their activity and avoid painful movements”, all of which perpetuate fear and pain. 

Rost Therapy is a biopsychosocial treatment approach for PGP that decreases anxiety and fosters self efficacy and independent self management.  This course material covers theoretical knowledge of Pelvic Girdle Pain, but more importantly, it also addresses management of PGP from a broad perspective, beyond the pelvis. 

There are two ways your can take  our Rost Therapy Pelvic Girdle Pain course: one is in person, and these courses are held at various times and locations in Canada. The other way is online, such as this Embodia course. We want people to be able to choose which works best for them based upon their circumstances and learning styles. The in person course has a practical exam component which allows participants to become certified as a Rost Therapist. If someone takes the online course, they can become certified by either by doing a virtual certification with Susannah ( or they can come to the last day of a practical course to practice some practical elements and take part in the exam. 

This Rost Therapy online course will give therapists techniques that are easy to integrate into clinical practice and participants will be able to start practicing this approach immediately.


Watch This Short Video To Learn More:


Learning Objectives:

  • To effectively treat pregnant and postpartum clients with PGP, using the Rost Therapy approach
  • To understand the complex central and local inputs into PGP
  • To learn about the changes in the pelvis during and after pregnancy
  • To be current regarding the latest PGP guidelines, publications, assessments and treatments
  • To recognize fear of movement, protective responses and abnormal motor patterns and to effectively treat these with education, postural modifications,  manual and therapeutic exercises
  • To assess when a multidisciplinary approach is required and which disciplines to involve



This course is designed for all physiotherapists, chiropractors and osteopaths who treat sacro-iliac and pubic pain and dysfunction during pregnancy and beyond. This is also a course for all physiotherapists working with orthopaedic and persistent pain caseloads.

Our passion is improving the function and quality of life of people with PGP. Let's keep our Mamas moving!


PGP: The Rost Therapy Approach – Certificate of Completion

After successful completion of this course, you will receive your certificate of completion and will be accredited for 22 study hours. You will be sent a coupon code to use when you make a profile on our website so your profile will then be listed for 2 years on our ‘Find a Therapist’  database. You can update your profile at any time with up to three work addresses. 


Rost Therapist TM Certification Process Options

Attending a live course shouldn’t be a requirement for becoming a certified Rost Therapist. However, we also know that developing practical skills with an online course can be challenging. To show that you have the skills necessary to become a certified Rost Therapist, you now have an  opportunity to take a practical exam after completing our PGP- Rost Therapy Approach online course. There are two routes you can take for Rost Therapy Certification: 1. In Person Stream 2. Online Stream. See link for more information:  Rost Therapy certification will open the door to the practical advanced courses and will give you a listing as a certified Rost Therapist on our database for 5 years. For more details, please refer to our Rost Therapy website,


By registering for this Course You are Agreeing to the following Copyright, Assumption of Risks and Responsibility and Liability Waiver:


Rost Therapy Course Material Copyright

All Rost Therapy developed course material is protected as Rost Therapy intellectual property. All original course materials, Rost Therapy made videos, tests, and similar materials, are protected by copyright law. Rost Therapy is the exclusive owner of the copyright in those materials Rost Therapy creates. 
You may not reproduce, distribute or display (post/upload) lecture notes or recordings or course materials in any other way without express written consent.  You also may not allow others to do so.


Assumption of Risks and Responsibility

Course attendees freely and voluntarily accept and assume all risks and the possibility of personal injury resulting from the attendance at Rost Therapy courses and any other related activities during this event. Course attendees accept responsibility to abide by the laws of the country, to ensure that they have adequate medical coverage, protect personal possessions, and obey all the rules set out at the courses.


Liability Waiver

It is your responsibility to work within your own professional guidelines and competencies when using any material from this Rost Therapy course. 

Course attendees indemnify and save harmless Susannah Britnell, Cecile Rost and Rost Therapy  from any and all actions, expenses or losses whatsoever which they may bear as a result of their participation in any Rost Therapy courses and utilization of knowledge and skills gained in Rost Therapy courses, by reason of damage to any and all property and any and all personal injuries.


Please feel free to email Susannah Britnell at with any questions. 

The instructors
Susannah Britnell
PT, BSc Hons PT, Diploma Advanced Man & Manip Therapy, FCAMPT, CGIMS

Susannah Britnell graduated from Manchester University, England and completed her post graduate education in Canada. She has integrated pelvic floor physiotherapy, pain science (biopsychosocial approach) and manual therapy into her practice. Susannah works in Vancouver, BC, Canada in private practice, primarily in pelvic health. She worked at both the Centre for Pelvic Pain & Endometriosis, an interdisciplinary program for persistent pelvic pain for 8 years and BC Women’s Hospital in Obstetrics physiotherapy for over 15 years. She is an Adjunct Professor at the School of Rehabilitation of UBC and teaches a variety of pelvic health and PGP courses to health professionals.

Susannah’s passion is to help women overcome years of pain and disability. A majority of her patients have had pelvic girdle pain for many years, if not decades. By teaching other therapists the Rost Therapy method, Susannah hopes to break the cycle of persistent pain, by ensuring more and more women have their pelvic girdle pain managed well in pregnancy and postpartum.

Susannah experienced PGP in her first pregnancy and was unfortunately not aware of the Rost Therapy approach at that time. However, the program was very helpful for her even years after her delivery. She still uses the exercises regularly to this day.

Susannah, alongside Cecile Röst, have jointly developed the Rost Therapy website, the online and practical courses, and the Rost Moves Mamas app and have taught Rost Therapy courses as a team for many years in Canada.

Cecile Röst
PT, Orthopaedic Manual Therapist, Clinical Epidemiologist

Cecile (1961) lives and works in Leiden, the Netherlands. She has completed training in Paediatric physiotherapy, sensory integration therapy, Orthopedic medicine and Orthopedic manual therapy. She also completed courses in chronic pain management, fascial therapy and dry needling. Cecile received her Clinical Epidemiology Masters Degree from the University of Amsterdam in February 2017. In 2018 Cecile started teaching dry needling and manual techniques as a complementary treatment for PGP. She continues her career as an advisor in scientific research into treatments and prevention programmes for pelvic pain.

Being both a patient and caregiver has impacted Cecile’s life and way of thinking about healthcare and caregivers. Cecile is open minded and respectful of diversity, cooperative with other therapists and clinicians, and is accepting of life’s difficulties. Cecile’s main focus is to prevent chronic pain syndromes. Her approach is practical and detailed, focussed on identifying the underlying problems of an individual patient’s specific condition in the context of their present circumstances.

Pelvic Girdle Pain: Cecile worked initially as a pediatric physiotherapist, but her career took a different direction after developing her own exercises to mitigate her own pregnancy related PGP. Cecile experienced PGP in and after all three of her pregnancies. In her third pregnancy, using her own instincts rather than traditional treatment, Cecile devised exercises and postures which helped improve her own pelvic girdle pain and quickly reduced physical dysfunction. Soon after childbirth, Cecile treated other pregnant and postpartum women with PGP using her own formula of exercises and therapy. She became inundated with requests for treatments from hundreds of women, both from home and abroad. Cecile then worked on research to determine effectiveness of her approach and to discover how and why this approach worked. International publications, lectures, and many courses followed.

Course Material included in this course
  • Introduction
  • Welcome to PGP- The Rost Therapy Approach: Understanding and Treating Pelvic Girdle Pain
  • Lab Booklet
  • Disclaimer
  • Chapter 1- The Pelvic Girdle- Pregnancy and Postpartum
  • Introduction
  • Pelvic anatomy and biomechanics
  • Pregnancy
  • Labour, delivery and pelvic girdle pain
  • Postpartum and Pelvic Girdle Pain Recovery
  • Articles to read
  • Quiz Chapter 1: The Pelvic Girdle: Pregnancy and Postpartum
  • Chapter 1 Feedback
  • Chapter 2- Pelvic Girdle Pain- an Overview
  • Introduction
  • PGP Symptoms
  • Questionnaires and Assessment Tools
  • Validated Tests for Pregnancy Related PGP
  • Systematic and Literature Reviews
  • International Guidelines
  • Different PGP Treatment Approaches
  • Differential Diagnosis
  • Röst research
  • Quiz Chapter 2: Pelvic Girdle Pain
  • OCI-PGP Scoreform
  • Development and Validation of OCI-PGP
  • Chapter 2 Feedback
  • Chapter 3- Rost Therapy
  • Introduction
  • How the Rost Therapy Approach Evolved
  • Subjective Assessment
  • Objective Assessment
  • Rost Therapy- Treatment in pregnancy
  • Rost Therapy- Labour, Delivery and Postpartum
  • Rost Therapy- Additional Exercises for Pregnancy and Postpartum
  • Persistent PGP- Breaking the Cycle of Chronicity
  • Quiz Chapter 3: Rost Therapy
  • Chapter 3 Feedback
  • Rost Therapy Video Gallery and Resources
  • Rost Therapy Video Gallery
  • Lab Booklet
  • Chapter 4- Final exams
  • Final Exam: written format
  • Survey
  • Course Feedback
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