WORKSHOP 3

Low back, Pelvic girdle and Optimal breathing - A workshop for dynamic pelvic floor and proper ventilation exercises together with optimal myofascial function as a part of low back rehabilitation
Presenters: Jouko Heiskanen, Mika Pihlman, Tuulia Luomala (Full Day)

Maximum number of participants: 50


This interactive, dynamic hands on workshop will guide you to evaluate and test diaphragmatic, deep fascial and pelvic floor dynamics as a part of interdisciplinary spinal and pelvic floor rehabilitation.

The theoretical part of this workshop will arouse our attention to the tower of vertebral blocks in relation with chest, diaphragm and pelvic floor.  We visualize fascial tensegrity and observe thoracolumbar and abdominal fascial architecture as a part of functional entity. Fascial lines and individual recruitment patterns in different postures are brought in to the light. This part includes simple practical exercises combining breathing and myofascial continuity. These exercises are ideal for every person working at the desk, they will promote your health and optimize your awareness of breathing as a part of your personal well-being.

Practical sessions are divided into three subgroups:

  1. Dr Jouko Heiskanen will introduce the use of ultrasonography in the evaluation of the movement concerning pelvic floor, diaphragm and pleural system in different postures. Main focus is headed in to the breathing patterns and co-activation of pelvic floor and diaphragm. Classical breathing measurements are re-evaluated and usefulness of them is expanded.
  2. PT, MSc Mika Pihlman will guide you to the mobility of thoracolumbar fascia. Ultrasonography and EMG devices will visualize shearing and activation systems of the thoracolumbar fascia. Manual techniques are demonstrated to show effects of manual work.
  3. PT, teacher Tuulia Luomala will draw your attention towards abdominal myofascial properties. In this part we will observe effects of different postures and movements of extremities to the trunk recruitment. Ultrasonography is a part of this session as a visualization aid. Balance of inhibition and activation of the muscle recruitment to promote optimal control of the lumbopelvic system.


About the presenters:

  • Jouko Heiskanen, MD, PT, senior lecturer. Metropolia University of applied science, Helsinki, Finland.
  • Mika Pihlman, PT, MSc, lecturer. MT-Physio OY, Finland. 
  • Tuulia Luomala, PT, Pilates instructor, lecturer. MT-Physio OY, Finland.