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Diastasis Rectus Abdominis & The Postpartum Core

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Diastasis Rectus Abdominis & The Postpartum Core

Diastasis Rectus Abdominis & The Postpartum Core

CA$647.00
This course includes
20:28:11 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in June 2020

 

Overview

 
We’re Entering a New Era in Diastasis Rectus Abdominis Management. 

You’ve probably already encountered this with your own clients: moms with diastasis rectus abdominis (DRA) are scared to move. They want to build up their cores but don’t know how. Many of them are frustrated that they still look pregnant but even more frustrated by the lists of exercises they've been told will make them worse. They're worried that if they breathe in the wrong way, stand in the wrong way, move in the wrong way, they'll do more do more harm than good. Paralyzed by fear, they stop exercising altogether, and begin to feel hopeless about their situation.

It’s time for that to change. 

Get the tools and knowledge you need to confidently empower your postpartum clients with DRA so they can begin to feel strong, capable, and a little more like themselves. 

  • This course will give you empowering new ideas that will help you lead the moms in your community, whether in-person or virtual, to becoming stronger versions of themselves
  • This course will give you the know-how to confidently guide your moms through the core rebuilding process so they can finally tap into their body’s own potential for change
  • This course will help you make sense of all the conflicting information out there, so you can become a trusted leader on DRA, whether you’re new to the field or have been working with postnatal women for decades

This course pools together both the latest research on DRA and years of clinical experience in helping women with the condition to equip you with the knowledge and resources you need to thoroughly understand the postpartum core.

It also arms you with a unique framework of exercises that takes the guess work out of the core rebuilding process for those with DRA.

This course will not only empower you to confidently lead your clients through the core rebuilding journey, but will empower your clients towards feeling hopeful, encouraged and motivated again.

 

Get answers to your most pressing questions:

  • What kinds of exercises can you do with your client after the core is synergized?
  • How do you strengthen the transversus abdominis muscle once your client knows how to engage it?
  • How do we strengthen the rectus abdominis muscle in someone who has DRA?
  • How do you help your high-level and athletic clients if they have significant doming during their exercises?
  • Why do many women with DRA who lose their baby weight still have a “pooch”?
  • What is the next step AFTER someone is able to create tension in the linea alba (if you don’t know what tension means, don’t worry! You’ll learn all about this concept in the course!)
  • Why is it that some clients produce great tension in their linea alba when they engage but their abdomen distends outwards when they relax?
  • Why do some women have a wide linea alba in standing but it reduces to one finger during a curl-up task?
  • How does the gap close?

 

What Is Included

 

The Diastasis Rectus Abdominis and the Postpartum Core Course is broken down into 8 training modules (see Learning Objectives below, total of 20.6 contact hours). Each module is broken down into absorbable chunks to make it easier to digest and retain important concepts. All materials including videos, cheat sheets, exercise handouts, assessment forms can be found inside the course.   

  • 8 training modules totaling 20 hours of content
  • Bonus lesson discussing the controversy of sit-ups on DRA
  • 8 cheat sheets and summary sheets
  • Ready-to-use assessment form
  • Ready-to-use exercise handouts for each exercise demonstrated in the course
  • Free graphics package of 32 diastasis-related images that can be used for webinars, workshops, social media posts, clinical education
  • Course Roadmap to help track progress through the course
  • Lifetime access

 

Learning Objectives

 

Module 1: Redefining the Core

Having a refined understanding of the core gives you an appreciation for the systems and structures that influence DRA and are influenced by DRA 

In this module: 

    • Discover the central mechanism for core stability
    • Understand the specific muscles involved in core stability (which might be different from what you initially thought)
    • Learn how the shape of the core can influence its function
    • 1 lesson, 30 minutes

 

Module 2: Core Pressure 

Understanding how intra-abdominal pressure is created allows us to navigate the various factors that increase or decrease pressure for the conservative management of DRA, prolapse, and incontinence.

In this module:

    • Learn the relative contributions of each of the “inner core” muscles to IAP production
    • Discover an overlooked, yet critical factor in intra-abdominal pressure management, and how this factor directly impacts the function of the core
    • Develop an appreciation for the continuum of pressure that is constantly present within us. Learn which activities and positions produce the most pressure, which produce the least, and what the research says about some of the activities in between
    • 3 lessons, 135 minutes total

 

Module 3: The Transversus Abdominis Explained

With a better understanding of the TA, you can enhance the effectiveness of your exercise programs designed to target this muscle.

In this module:

    • Discover 8 primary functions of the TA
    • Learn how to strengthen the TA and which cues have been shown in research to be effective in targeting the TA
    • Discover the importance of the TA’s “the posterior slide” and how it can influence the position of the rectus abdominis and linea alba
    • Discover a new theory to explain how the gap closes
    • Learn how to use “doming” as a form of feedback to empower your clients, reduce fear, and make then feel less “broken”
    • 7 lessons, 264 minutes total

 

Module 4: Core Synergies

In learning how all the abdominal muscles work in harmony with each other, you can maximize your clients' core rebuilding results by improving the strength and function of all the core muscles.

In this module: 

    • Discover 11 core synergies pulled from research and how these synergies can be used to increase your clients' core strength
    • Learn what the research says about doing isolated pelvic floor and transversus abdominis exercises
    • Learn which core muscles might behave differently in your clients with DRA, incontinence and low back pain, and how effective our exercise programs are in changing this
    • 2 lessons, 61 minutes total

 

Module 5: Diastasis Renamed and Reframed

By overhauling our understanding of DRA, we are able to advance our clients much faster through their DRA journey while simultaneously eliminating fear, improving hopefulness, and boosting their confidence.

In this module: 

    • Unearth at least 14 compelling reasons why a new framework for DRA is warranted
    • Learn a new theoretical framework for managing DRA and the postpartum core so you can holistically help your clients towards their goals
    • Discover how gap size reduces through a comparison of different theories (some of which are unique to this course!)
    • 2 lessons, 71 minutes total

 

Module 6: Comprehensive Core Evaluation

In going through this step-by-step core assessment, you can more clearly recognize what you're postpartum clients might need more help with so you can maximize results beyond the linea alba.

In this module: 

    • Discover the “4-S” assessment of the core and learn how to use “LUMU” to assess the linea alba
    • Moving beyond the linea alba, learn how to thoroughly assess the strength and function of the transversus abdominis muscle, the rectus abdominis, and the obliques
    • Learn to assess how much intra-abdominal pressure your client can handle and how to use this information to design exercise programs that challenge the core
    • 5 lessons, 221 minutes total

 

Module 7: Core Rebuilding

By the end of this module, you will have a clear framework of exercises to use with your clients with DRA that bridges the gap from the most simple connection-style exercises to the most advanced forms of core strengthening!

In this module: 

    • Learn how to lead your clients with DRA through the core strengthening process through a progression of load and challenge
    • Since engaging the trasnsversus abdominis muscle isn't enough to strengthen it, learn exactly how to strengthen this puzzling muscle 
    • Discover a new, helpful checklist to help you determine if/when your client is ready for more
    • 14 lessons, 384 minutes

 

Module 8: Exercise Modifications and Considerations

By developing an understanding of how to modify exercises in the presence of common post-natal conditions such as prolapse, hernia, overactive pelvic floors, you can comprehensively help your clients manage multiple conditions while simultaneously building up their cores.

In this module: 

    • Learn how to modify your exercises for clients with prolapse and umbilical hernia
    • Learn tips for strengthening the abdominal wall in clients with overactive pelvic floors
    • Learn when surgery is an appropriate recommendation as we go over a thorough list of considerations to discuss with your clients
    • 2 lessons, 71 minutes

 

By Enrolling in This Course, You'll Also Receive These Bonuses

 

Bonus 1: Crunches - Helpful or Harmful?


Struggling to understand if crunch-style exercises are beneficial to do? They seem to be at the top of every DRA-unsafe exercise lists. Maybe you want to start adding rectus abdominis strengthening exercises to your programs but are worried that they will do more harm than good.   

In this bonus module: 

    • Discover what the research says about crunch-style exercises
    • Learn how crunch exercises fare against other core exercises in terms of intra-abdominal pressure
    • Learn if crunch exercises are effective in activating and strengthening the rectus abdominis
    • 1 lesson, 35 minutes

 

Bonus 2: Course Cheat Sheets and Summary Sheets

    • Review important concepts from lessons without having to watch the entire lesson again
    • Retain the essential elements from the lesson through condensed and concise handouts
    • Enjoy easy access to the take-home messages for each module

Bonus 3: Done-For-You Assessment Form

    • Save time with this pre-made assessment form that is ready to be filled out
    • With this form, you'll be able to comprehensively assess your client's core without missing any vital pieces of information
    • Having this form helps you keep all of your assessment findings in one place

Bonus 4: Course Roadmap PDF

    • See the big picture of all course modules, lessons and supplementary handouts in one place
    • Stay organized as you make your way through the course material
    • Easily track your progress by checking off each lesson you’ve completed on your way to the finish line

Bonus 5: Ready-to-Use Exercise Handouts

    • Save yourself the time and hassle in creating exercise handouts from scratch
    • Ready-made PDF’s that your clients can refer back to for reminders and clarification
    • Print or email them out to clients for increased consistency in their exercise program

Bonus 6: Free Diastasis-Specific Graphics Package

  • Pre-designed, downloadable, diastasis-related images
  • Ready-to-use images for your workshops, webinars, social media posts and client sessions
  • Easily explain concepts like tension, doming, core activation and more through visual diagrams for better client experience and understanding

 

CECs/CEUs

 

In partnership with CIAO, Munira Hudani has received pre-approval for CECs/CEUs in all 50 states.

 

Audience

 

All rehabilitation and fitness professionals working with the pre- and postnatal populations.

 

Mission for the Course

 

Munira's mission is to empower professionals with DRA-specific knowledge and skills so we can collectively work together in removing the fear attached to having DRA. We will soon be a team of global professionals with a common drive to remove the roadblocks associated with rebuilding the core after pregnancy. 

 

Testimonials

 

"Before taking the course, I struggled with progressing clients after the exercises got too hard but now I have more confidence. All of the research you put in this course was amazing. I learned why the supine position may not be the best place to start clients. I learned about types of doming and not to just stop the exercise when doming is present. I learned so much. Too much to type here for sure. I do not have any more fear progressing clients. I have the tools to explain why they need to progress. If they are ready no exercises are off the table and I love that as well. I really loved the course. I only have good things to say about it." - Alison C

 

"I work at a clinic that provides orthopedic and pelvic health services. When I was working with postnatal clients, I had difficulty knowing which positions to start with and to maximize linea alba tensioning. I struggled a lot with patients with very thin and lax linea albas who were not able to effectively transfer forces through their linea alba. It was frustrating, and I wasn't sure how else to help "manage" their doming. I always gave exercises first in supine since that is how I learned to do the DRA assessment, so I thought supine was a good starting point, but after taking this class, I'VE LEARNED SO MUCH MORE!! This course gave me very pivotal information to know where to start and progress abdominal strengthening for patients with a DRA. I've already implemented these concepts with my patients and I'm getting great results! I thought I knew a lot about treating DRA. But this class was very informative, I've listened to this course 2x already, every time I listen to it, I learn even more! Thank you so much for creating this course!" - Katrina W

 

"Before this course, I had a hard time with patients that had significant abdominal distension and creating enough tension for them to notice changes. I was frustrated with patients that seemed to be making progress, then would hit a plateau, and I had a hard time getting them beyond that plateau! I learned SO much! I think just the systematic assessment process and the deeper knowledge of the function of the abdominal muscles and fascia/connective tissue and how to retrain and train the ENTIRE abdominal wall! I feel like prior, I put too much focus on just the TA and lower level exercises, without incorporating the entire abdominal wall! I no longer will use just doming or the gap to monitor someone's ability to progress and I feel confident I can help patients that come in having fear about doming or what exercises "not" to do because I know that diastasis is much more than the gap or doing." - Kaitlin H.

 

"Prior to taking this course, I didn't know how to start exercises with clients as I was afraid to make their diastasis worse. This course is really the best course I have taken in women's health in general and DRA in specific… It is comprehensive and covers all the points that a professional needs to know to start a good rehab program for their clients. You are the best instructor ever I will be pleased to take more courses with you. Your explanation is clear and attractive to listen to." - Marwa A

 

"I have struggled with DRA clients in the past responding as well as I would have liked to treatment. I was successful in helping them to narrow the gap but the pregnant belly look was something that I wasn't getting the results I want and they deserve. This is also true of my own postnatal belly. I have learned a lot from this course about how I can change my approach to get better results. I have already seen an improvement in my own belly through testing the exercises. The course has made me understand that I have been under-challenging my clients in some ways and over-challenging them in other ways and not pacing the treatment correctly. Very clear and informative and I found the exercises section easy to follow." - Stephanie B

 

"Prior to the course, I struggled with finding the right exercises program - motivating people to exercise by themselves during the week - having a very detailed big picture on how to move on step by step and how to progress.  The course gave me exceptional clarity and deep understanding of the postpartum core - how to start and how to build a program - the amazing, detailed explanation, research- based, of the ‘core system’. Munira has the gift of teaching and it’s not a common gift!" Chiara V

The instructors
Munira Hudani
MScPT, Pre- and Postpartum Physiotherapist, Diastasis Educator

Munira Hudani obtained her Masters of Science in Physical Rehabilitation from the University of Toronto in 2009. In her thirteen years of experience as a clinician, she has devoted the bulk of her career to Women’s Health. She was the Director of the Pelvic Health Program at Bosnar Centre for Health in Toronto, Canada, where she oversaw daily operations of the program and maintained a full caseload in pre- and post-natal care. Her caseload frequently includes women who travel great distances for her expertise in DRA and post-abdominoplasty rehab.

Munira has presented to local obstetricians and gynecologists, urologists, family physicians, as well as midwifery groups regarding physiotherapy for the pelvic floor and core in the pre- and post-natal periods. In addition, Munira has taught DRA-focused lectures for Pelvic Health Solutions which is Canada’s leading educational body for pelvic health education and has presented on DRA and surgical management of DRA at national and international physiotherapy conferences.

She provides ongoing mentorship to fitness and rehabilitation professionals seeking to advance their understanding of the condition and she frequently contributes to pelvic health and fitness programs founded by other leading experts on the topic of DRA. She is passionately committed to spreading DRA and tummy tuck awareness by providing information that is up-to-date, evidence-based and reliable.

Course Material included in this course
  • Welcome
  • Hello from Your Course Instructor, Munira
  • Welcome to the Course
  • 1. Redefining the Core
  • 1.1 Redefining the Core
  • 2. Core Pressure
  • 2.1 Core Pressure
  • 2.2 Factors Influencing Core Pressure
  • 2.3 Trends in Core Pressure
  • 3: The Transversus Abdominis Explained
  • 3.1 Transversus Abdominis Anatomy
  • 3.2 Transversus Abdominis Function
  • 3.3 The Transversus Abdominis in Action
  • 3.4 The Posterior Slide
  • 3.5 Transversus Abdominis Cueing
  • 3.6 Transversus Abdominis Strengthening
  • 3.7 The Doming Continuum
  • 4: Core Synergies
  • 4.1 Core Synergy in Asymptomatic Individuals
  • 4.2 Core Synergy in Symptomatic Individuals
  • Course Assessment for Modules 1-4
  • INSTRUCTIONS
  • Course Assessment for Modules 1-4
  • Course Assessment for Modules 1-4 (for US Physical Therapists and Physical Therapy Assistants)
  • 5: DRA Renamed and Reframed
  • 5.1 DRA: In Search of a New Framework
  • 5.2 DRA: Renamed and Reframed
  • 6: Comprehensive Core Evaluation
  • 6.1 Assessment Overview
  • 6.2 Standing Assessment
  • 6.3 Seated and Side-Lying Assessment
  • 6.4a Supine Assessment: Part 1
  • 6.4b Supine Assessment: Part 2
  • 7: Core Rebuilding
  • 7.1 Overview
  • 7.2 Align
  • 7.3a Connect: Diaphragm
  • 7.3b Connect: Pelvic Floor
  • 7.3c Connect: Transversus Abdominis
  • 7.4 Coordinate
  • 7.5a Overview
  • 7.5b Core Builders
  • 7.5c Core Reinforcers
  • 7.5d Core Enhancers: Part 1
  • 7.5e Core Enhancers: Part 2
  • 7.5f Core Advancers
  • 7.5g Putting it All Together
  • 7.6 Measures of Improvement
  • 8: Exercise Modifications and Considerations
  • 8.1 Prolapse, Hernia and Pregnancy
  • 8.2 Post-Surgical Repair
  • 9: Concluding Remarks and Course Certificate
  • Concluding Remarks
  • Course Evaluation: Instructions and Important Information
  • Course Evaluation Form
  • Course Assessment for Modules 5-8
  • INSTRUCTIONS
  • Course Assessment for Modules 5-8
  • Course Assessment for Modules 5-8 (for US Physical Therapists and Physical Therapy Assistants)
  • BONUS MODULE: Crunches - Helpful or Harmful?
  • Crunches - Helpful or Harmful?
  • Questions and Answers from Course Participants
  • Questions and Answers
FAQs

This online course is approved for continuing education units (CEUs) for Physical Therapists in all 50 US States as follows:

  • 15 Hrs. PT/PTAs in NV
  • 24.5 Hrs. PT/PTAs in FL
  • 24.6 Hrs PT/PTAs in NY
  • 20.5 Hrs PT/PTAs in all other states

In order to qualify for the CEUs, you must complete the entire course and pass the exam.

If you would like the CEU information to appear on your certificate of completion, please ensure to add your CEU jurisdiction information on your Embodia profile by following the steps outlined in this guide.

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.

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