physiodetective

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TWHP - 059 - Marika Hart - What Would You Like To Share With Your Younger Physiotherapist Self.mp4 from The Physio Detective - My PT Ed on Vimeo.

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058 - Dr Jenny Kruger - Can Incontinence Be Improved Using a Device Like femfit®.mp4 from The Physio Detective - My PT Ed on Vimeo.

This is the episode that has been 6 years in the making! We are thrilled to be able to chat to Dr Jennifer Kruger, who is the CEO and co-founder of JUNOFEM, a medtech company spun out of the University of Auckland.  Jennifer's background is clinical, but has been an academic for most of her career, so her name is probably familiar to most who are listening!  She still heads the pelvic floor research group at the Auckland Bioengineering Institute, but is now commercialising her research for greater reach, to more women who need it!

Here are some of the things we discussed:

Dr Kruger’s clinical background as a midwife, and how her interest in birth outcomes and postnatal recovery led her to doing extensive research into pelvic floor function during and after childbirth. She pursued graduate degrees to study pelvic floor muscle function using ultrasound, MRI and computational modeling, with a long term goal of improving birth outcomes and helping with postnatal recovery. She completed her PhD looking at pelvic floor morphology and function in elite athletes.

Over the past 8 years, she has been working with the team at University of Auckland, including some very clever bioengineers to develop the femfit®, which is a flexible vaginal pressure sensor array that measures pelvic floor muscle activation and intra-abdominal pressure during functional activities

Initial prototypes used a single pressure sensor, but the final version has 8 pressure sensors along the vaginal length. Therefore it can produce a pressure profile showing pelvic floor vs. intra-abdominal pressure and ensure clients are doing a correct pelvic floor contraction, rather than bearing down

The tool has been validated against trans-perineal ultrasound and manometry to ensure that the information regarding movement of the pelvic floor muscles is correct.

Dr Kruger is passionate about removing some of the stigma associated with urinary incontinence and help provide practical options for women wanting to improve their pelvic floor strength and function. Her team are performing ongoing research with the femfit® device, which includes looking at PFM function during functional activities.

To learn more about the femfit® or to become a registered affiliate for the device, please go to the website for details.

To support The Women’s Health Podcast, please use the code “femfit+WHP” to get 10% off the femfit® and in doing so, you will help keep The Women’s Health Podcast on air!. Follow this URL shop.junofem.com/discount/femfit+WHP or use the QR Code below!

junofem.com

Or contact Jenny at j.kruger@junofem.com

You can follow Jenny and JUNOFEM on social media:

instagram.com/junofemhealth

linkedin.com/company/junofemhealth

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TWHP - 057 - Nina Theodorsen - Is Whole-Body, Functional Exercise During PregnancyGoing To Make Diastasis Worse.mp4 from The Physio Detective - My PT Ed on Vimeo.

In this episode, we talk to Nina Theodorsen, a Norwegian women's health and pelvic floor physiotherapist, who works in a private clinic and is doing a PhD at University of Bergen. Nina has done extensive research on the effect of exercises on DRA during pregnancy and the postpartum period. Her long clinical experience affects her approach to research and dissemination of the results. She also holds a degree in health management and further education in sexual health and education, teaches women's health on the bachelor physiotherapy program, holds courses and talks, and tries to influence politicians to prioritize and improve women's health   Nina begins the episode by discussing her background working with women around the perinatal period and how her clinical observations led to her desire to perform more research on the effect of exercise on DRA. She felt that there was a lot of messaging that was fear-based and could potentially reduce participation in exercise.

With Kari Bø and others in the team at University of Bergen, Nina has published research studies on the effect of pelvic floor and transversus abdominis contraction on the inter-recti distance in both pregnancy and post-partum populations. She also conducted a randomised controlled trial (during covid lockdowns!!) on the effect of a 12-week full body strengthening program (including abdominal exercises) during pregnancy on the inter-recti distance at late stage pregnancy and at 6 weeks postpartum.

You can access her research articles here: doi.org/10.1016/j.jphys.2024.02.002  doi.org/10.1016/j.physio.2023.08.001  doi.org/10.1016/j.physio.2018.08.009

Nina is happy for people to get in touch with her with any questions or comments. We thoroughly enjoyed this interview with Nina and hope you do too! Please feel free to leave a comment below about your thoughts on the topic!

nina-margrethe.theodorsen@uib.no @diastaseprosjektet

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5 Reasons Why Tools In Toolboxes Are A Problem

This blogpost is part of The Female Athlete – Level 2 handout. I’m seeing too much of the “biopsychosocial” acknowledgment but persistent use of the “tools in toolboxes” phrase. Let’s have a think of what that implies…including us being facilitators to helping people “fix themselves”. What exactly are we or they “fixing”? Let me know what you think below. We are interactors, not operators…

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SIJ - Clinical Reasoning, Assessment, and Management - 2022.01 - EDITED by AL - Video.mov from The Physio Detective - My PT Ed on Vimeo.

I hosted a discussion about SIJ clinical reasoning, assessment and management.

Part of the background is that Diane Lee has been a decades long educator of physical therapists / physiotherapists around the world, developed a great reputation and has worked to produce models to explain how and why things work. Initially the explanations were biomechanical in nature but her integrated systems model is a biopsychosocial social model of seeing the whole person. She is from Vancouver, BC, Canada and works clinically as well as with researchers and educating and mentoring physiotherapists and other health and fitness professionals.

Adam Meakins is a physiotherapist in the NHS system and in private practice as well as an educator of physical therapists / physiotherapists and other health and fitness professionals. Adam has made a name for himself with strong opinions and a fearless approach to controversy. His ability to simplify messages into slogans, summarise the research, and entertaining style has significantly changed the world of health and fitness and what evidence-based practice might mean.

The history between Adam and Diane has been a bit rocky in the past which is why Diane mentions what she does at the start.

Hopefully you enjoy this podcast and I look forward to the comments section.

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Why the Biopsychosocial Model is like Pancakes and not like Omelettes

Why the Biopsychosocial Model is like Pancakes and not like Omelettes

Pancakes. A tradition for some and one that usually evokes memories of beautiful times eating decadent comfort food. Just 3 simple ingredients form the basis of pancakes – sure, you could add other ingredients but pared back to basics, pancakes are made with flour, eggs and milk. In this post, I hope to explore just a little of why I think the BioPsychoSocial Model of healthcare is more like…

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TWHP - 051 - Marika and Antony - Catching Up and Kicking Off 2021 from The Physio Detective - My PT Ed on Vimeo.

A quick chat between Marika and Antony just catching up.

Antony's courses can be found at mypteducation.com

The Peak Simplicity Masterclass - physiodetective.com/masterclass

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TWHP - 046 - Amy Dawes - Birth Trauma Awareness Week.mp4 from The Physio Detective - My PT Ed on Vimeo.

This is just a super quick episode to give you the heads up about Birth Trauma Awareness Week (6th-12th September 2020).

You can help by: - donating money or buying a t-shirt - raising money while doing a 5km walk - sharing your story - signing the petition to help women around Australia get access to postnatal pelvic health physiotherapy care

Please see the links below for more information about how you can support this valuable cause.

redbubble.com/i/t-shirt/The-ABTA-Start-the-Conversation-White-by-TheABTA/54578433.YIZYC?asc=u

birthtrauma.org.au/birth-trauma-awareness-week/

birthtrauma.org.au/change-org-campaign/

sbs.com.au/news/insight/prolapse-muscle-tears-and-trauma-why-women-need-better-support-post-birth?fbclid=IwAR10w6TxIMPN4hIRs9h_ZH3J0xeBQzYKX97t6T1fRLPdOgvRIrD3FYDPoFA

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TWHP - 042 - Let's Start The Conversation About Birth Trauma from The Physio Detective - My PT Ed on Vimeo.

In this interview we talk to Amy Dawes, founder of the Australian Birth Trauma Association (ABTA). ABTA is a national charity committed to reducing the instance and impact of birth-related trauma whilst supporting affected women, families and health professionals.

Amy discussed: - her birth experience and diagnosis of pelvic organ prolapse 16 months later. She talked about how this diagnosis affected her psychologically and impacted on her quality of life. She became scared of doing any movement or exercise and felt that she would make things worse. - how, with some assistance of a pelvic health physiotherapist and connecting with other women who had returned to exercise after prolapse diagnosis, Amy started to feel more confident in her body - how she connected with Elizabeth Skinner, psychologist, who mentioned the need for a birth trauma association here in Australia...and how the ABTA was formed (and a special shoutout to Christine Percy and Christine Pistone!). - the goals of the ABTA and how they support women through Peer to Peer mentoring. - that birth trauma can be physical, psychological or both. - the need for more comprehensive antenatal education, so women are aware of the potential risks associated with birth, without scaring the heck out of them. "Why didn't anyone tell me that this could happen?" - the fact that health care providers can also suffer trauma associated with supporting women in birth and that they don't always receive the help that they need. - how important it is to have care in birth that is supportive, nurturing and empowering. - how birth can trigger past trauma, which women may need psychological help for - how we can help support the ABTA and spread the word of these services to the community

The ABTA relies on donations, so if you would like to help please reach out to the ABTA via the links below. Please share this information with anyone who you think might benefit!

Website: birthtrauma.org.au/ Email: amy@birthtrauma.org.au Facebook: facebook.com/birthtrauma.org.au/ Twitter: @AusBirthTrauma

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Taryn - It's common but not normal from The Physio Detective - My PT Ed on Vimeo.

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TWHP - 038 - Dr Heather Edwards - Wait, Genitals Doesn't Equal Gender!? from The Physio Detective - My PT Ed on Vimeo.

In this interview with Dr Heather Edwards, Antony and Marika learn a lot about gender, sex, sexuality, BDSM and more!

Heather has been a pelvic physical therapist since 2003 and is one of only a few AASECT (American Association of Sex Educators, Counselors, and Therapists) certified sex counselors in the world. As an artist, she has a line of coloring books the blend gender-inclusive genital anatomy with fun and approachable designs. As a producer and host, she created a sex-ed-in-a-bar event series, Vino & Vulvas, in 2015.

In this episode, Heather tells us about her journey in pelvic health and how she fell into it when no one else wanted to! Along the way, Heather discovered an interest in sexuality and wanted to learn more about this topic, so she went on to do further studies. Some of the questions that we asked Heather were: - What does LGBTQIA stand for? - What is the difference between sex and gender? - As a health or fitness professional, how can we support people of all genders and orientations in our clinics? How important is the environment and our language? (NB Heather recommended the podcast Decolonising Fitness) - Where can health and fitness professionals learn more about supporting LGBTQIA clients? - When doing a subjective assessment, how do we create a safe space so that our clients feel comfortable sharing information? - What does BDSM stand for and how can knowledge of this area help in working with clients with pelvic pain? - When people talk of penetrative sex as being the goal, how can we introduce other aspects of sensuality into their rehabilitation program? - Are there any particular things you’d like pelvic health physiotherapists to know about gender reaffirmation surgery?

You can find Heather: heatheredwardscreations.com vinoandvulvas@gmail.com pelvicguru.com/event/trans-inclusive-trauma-informed-kink-aware-care-optimizing-sexual-wellness-in-atlanta-ga/

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Peak Simplicity - 8 Powerful Principles Webinar - April 2020 from The Physio Detective - My PT Ed on Vimeo.

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Peak Simplicity - 8 Powerful Principles - April 2020 Webinar from The Physio Detective - My PT Ed on Vimeo.

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TWHP - 032 - Maggie Bergeron - Telehealth, Embodia, And Their Amazing Offering from The Physio Detective - My PT Ed on Vimeo.

In this episode, Antony talks with Maggie Bergeron, the co-founder of Embodia.

Antony and Maggie were messaging after having done the #PTTogether Episode 2 webinar earlier (available free on Embodia!). Anyway, Maggie mentioned she was up late because she had been busy doing support during this busy time with all the changes with COVID-19 and there had been some technical hiccups with their transition from Zoom for Business to Zoom for Healthcare…

…and so Antony, ever the questioner, had to ask why they were moving to Zoom for Healthcare since they are an education company!

Listen to the episode for the details but the bottom line is that subscription members of Embodia have access to unlimited free 40mins Zoom for Healthcare consults including bookings and sending home exercise program videos! And they are simply passing on the cost if you want longer than 40mins!

That’s unbelievably good value considering Zoom for healthcare for one person would cost at least 10 times that amount of money!

So please take advantage of the fact that you can contact Maggie and ask any questions you need to.

Please note that NO COMMISSIONS OR PAYMENT was received for this podcast. Antony thought it was a great initiative and wanted to share this with you all.

Maggie Bergeron is a registered physiotherapist who received her Master of Science in Physical Therapy from McMaster University in 2009 after completing her undergraduate studies at the University of Ottawa.

Maggie co-founded Embodia in 2014 to modernize the patient experience and to provide a simple, easy way to take continuing education courses to all physiotherapists and rehabilitation practitioners, regardless of their location, budget or area of practice.

Maggie is also the host of HealthTO – a health technology event that brings together 200 health tech enthusiasts bi-monthly to network, learn, and collaborate. She has been an invited speaker at Universities, technology symposiums and healthcare conferences across Canada. Maggie currently serves as a mentor, placement host and holds a Status-Only Appointment (lecturer ranking) with the Department of Physical Therapy at the University of Toronto.

Outside of work, Maggie enjoys travelling, rock climbing and attempting to play ultimate frisbee.

You can contact Maggie at Embodia via the links below:

embodiaapp.com instagram.com/embodia facebook.com/embodia

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TWHP - 030 - Jilly Bond - Can Bladders Be Happy? Part 2 from The Physio Detective - My PT Ed on Vimeo.

In this episode, we get to talk to the amazing Jilly Bond.

We talked about Pelvic Pain - in particular

Bladder Pain Syndrome, A biopsychosocial approach and why (and some of the how) we deal with the psychosocial side of things within our scope of practice, Virtual consultations, How to manage burnout Jilly shares her own story about this as well as the difficulties of COVID-19 for her right now, and Coffee! The content was so epic, we had to break it down into 2 episodes!

Jilly Bond is a pelvic health Physiotherapist based in Wales, UK, with a specialist interest in pelvic pain. She is a regular speaker at international conferences, runs professional development courses for physios in the UK and online and her Youtube channel has free resources for patients and clinicians. Her research interests include understanding how graded motor imagery may help in the treatment of centralised mechanisms in visceral pain. If you're interested in pelvic pain she'd love to hear from you.

You can find Jilly in many ways, outline below:

Website - JillyBond.com

Email - jilly@jillybond.com 

Facebook - facebook.com/JillyBondPhysio/

Twitter - twitter.com/jilly_bond

Instagram - instagram.com/jillybondphysio/

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TWHP - 029 - Jilly Bond - Can Bladders Be Happy? Part 1 from The Physio Detective - My PT Ed on Vimeo.

In this episode, we get to talk to the amazing Jilly Bond.

We talked about Pelvic Pain - in particular

Bladder Pain Syndrome, A biopsychosocial approach and why (and some of the how) we deal with the psychosocial side of things within our scope of practice, Virtual consultations, How to manage burnout Jilly shares her own story about this as well as the difficulties of COVID-19 for her right now, and Coffee! The content was so epic, we had to break it down into 2 episodes!

Jilly Bond is a pelvic health Physiotherapist based in Wales, UK, with a specialist interest in pelvic pain. She is a regular speaker at international conferences, runs professional development courses for physios in the UK and online and her Youtube channel has free resources for patients and clinicians. Her research interests include understanding how graded motor imagery may help in the treatment of centralised mechanisms in visceral pain. If you're interested in pelvic pain she'd love to hear from you.

You can find Jilly in many ways, outline below:

Website - JillyBond.com

Email - jilly@jillybond.com 

Facebook - facebook.com/JillyBondPhysio/

Twitter - twitter.com/jilly_bond

Instagram - instagram.com/jillybondphysio/

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TWHP - 028 - Tips for POP Assessment During Online Consults from The Physio Detective - My PT Ed on Vimeo.

In this episode, we start with another update on what is happening in Sydney and Perth in regards to COVID-19 (19th March 2020). We talk about how it is affecting client numbers, as well as the anxiety and stress felt by health and fitness professionals around the globe.

We then talk about how we might help a client with pelvic organ prolapse via Telehealth. We share some of our ideas on how we might conduct a subjective and objective examination, as well as ideas for management. We discuss some of the limitations of Telehealth as well as some of our own fears associated with treating without the use of our hands!

Resources: Antony Lo online courses physiodetective.com/courses

Code for discount on Embodia: AntonyLo30

Marika Hart- online pregnancy education and exercise program Herasphere Pregnancy Club: herasphere.net/online-program/ Code for 40% discount: corona