The Pelvic Health Podcast
Urinary Continence Forever. Age-related changes, prevention and treatment with physiotherapist and researcher Dr. Chantale Dumoulin

Urinary Continence Forever. Age-related changes, prevention and treatment with physiotherapist and researcher Dr. Chantale Dumoulin

September 13, 2019

Dr. Chantale Dumoulin, who will be our keynote speaker for the upcoming physiotherapy conference APA Transform 2019 in October, is a physiotherapist and globally recognized researcher for her work in pelvic floor rehabilitation, specifically urinary incontinence. In this episode, she discusses her research, physiological changes to the female urinary continence system as we age, and what options we may use to prevent and treat urinary incontinence. Spoiler - Dance Like No One is Watching.

Lori :)

 

Bio from APA Transform Conference website:

Chantale is a Professor at the School of Rehabilitation, University of Montreal, where she developed – and currently directs – the only post-graduate university-based pelvic floor rehabilitation program for physiotherapists in Canada. Concurrently, she is a published researcher with the Centre de recherche de l’Institut universitaire de gériatrie de Montreal; specializing in pelvic floor dysfunction. She is also the founder and director of the Centre’s ‘Incontinence and Aging Laboratory’, in addition to acting as the holder of the Canadian Research Chair on Urogynecological Health and Aging.

Chantale is the inventor of the Montreal Dynamometer, an instrument to measure pelvic floor muscle function. The main focus of her work is to better understand pelvic floor muscle dysfunctions to provide better treatment using conservative management approaches. Her research methodologies include measuring instrument development and psychometric assessment, RCTs and systematic review. Finally, she still is a practicing physiotherapist specialized in pelvic floor dysfunction, a key influence informing her patient-oriented research.

Pelvic floor, running and continence

Pelvic floor, running and continence

August 30, 2019

Lecturer, researcher and physiotherapy clinician, Dr. Monika Leitner, discusses her research on pelvic floor muscle activity and pelvic floor kinematics in continent and incontinent women during running. Julie Wiebe, who has been on the podcast before, was meant to join us but I gave her the wrong date and time (face palm)!

Monika Leitner, PT, is a lecturer, researcher and clinician. She graduated in physiotherapy in 1989 at the University Hospital Graz (Austria). Since then she has been working in Switzerland at medical centers, hospitals and in own physiotherapy clinic. She completed a Master in Advanced Studies in Health and Fitness and a Master of Science in Sports physiotherapy. She works as a lecturer in the bachelor physiotherapy program at the Bern University of Applied Sciences. She has finished her PhD on the pelvic floor at the Graduate School of Health Sciences of the Bern University. Her research work focusses on the dynamic function of the pelvic floor muscles, and she is devoted to contributing to women's health, particularly to the topic of physical activity and urinary continence. In her clinical work she is focusing on pelvic floor rehabilitation and musculoskeletal physiotherapy.

Links:

https://www.bfh.ch/de/ueber-die-bfh/personen/hj5uaeyu6dtt/

https://www.researchgate.net/profile/Monika_Leitner

Libido Love with Sexologist Lauren White

Libido Love with Sexologist Lauren White

August 19, 2019

Lauren White, Sexologist, joins me in this episode to talk about libido and how as a sexologist she can help women who feel they have little to no libido. She talks about what sex therapy can involve and how she helps to empower women. I hope you enjoy this episode and please share!

Lauren White

Social Media: @laurenwhiteau (both Instagram and FB)

Permission

 

 

Research on strenuous exercise and pelvic floor with Dr Monique Middlekauff

Research on strenuous exercise and pelvic floor with Dr Monique Middlekauff

August 2, 2019

I am joined by the first author of one of my favourite research papers: The impact of acute and chronic strenuous exercise on pelvic floor muscle strength and support in healthy nulliparous women.

Dr Monique Middlekauff (Registered Clinical Exercise Physiologist, Certified Strength and Conditioning Specialist, Higher Education Teaching Specialist, and former volleyball athlete) joins me to discuss details of this study, including her amazing team Drs. Marlene Egger, Janet Shaw, and Ingrid Nygaard. 

We talk about specifics of this study which looked at women doing CrossFit compared to women walking for exercise, the fun of her PhD and running this study, her online work, and her love and passion in helping people (you cannot miss the passion in her voice!).

Links (also highlighted in text above):

Instagram: @exerciseandsportscience

Fitness for Us  Instagram:@fitnessforus_monique

Abs, Core & Pelvic Floor - online content with Natalie Hodson

The language of pelvic pain with Dr Susan Evans

The language of pelvic pain with Dr Susan Evans

July 19, 2019

Dr Susan Evans is a gynaecologist, pain medicine physician, researcher, educator and chairperson of the Pelvic Pain Foundation of Australia.

Today she shares some interesting, new findings from her latest research project on the language of pelvic pain in which she is working on with Eleanor Schofield and Professor Roly Sussex. She discusses the study, some findings thus far and implications for all clinicians in understanding pelvic pain.

Thank you to the episode's sponsor, Sue Croft - physiotherapist and author of Pelvic Floor Essentials and Pelvic Floor Recovery: Physiotherapy for Gynaecological and Colorectal Repair Surgery

Other links from our discussion today (also see underlined links above):

Qendo

Alyra Biotech - Dr. Evans' company (founder and director) to develop new treatments for pelvic pain

PPEP Talk

Body in Mind article on this study

Woofties - ABC radio

Mental Health in Motherhood with Nadine Brown

Mental Health in Motherhood with Nadine Brown

July 3, 2019

Nadine Brown, a physiotherapist with a special interest in pelvic health as well as a former competitive boxer, joins me to share her touching personal birth story. She talks so openly about the emotions she felt during pregnancy that didn't align with everyone else, the birth experience that did not go as planned, how she struggled physically and emotionally during that first year as a new mom, and how she has reached the stage of acceptance in her healing journey. Don't forget to look out for the infographic Nadine and I worked on to go with this podcast on tips to get through early motherhood at www.loriforner.com or @pelvicwod in Instagram.

If you know this topic is too difficult to listen to, please come back to listen when you feel ready. If you listen and feel triggered emotionally, or any of this story feels too close to home for you or a friend, please talk to someone.

Below are some links that may help:

PANDA - Perinatal anxiety and depression
COPE - Centre of Perinatal Excellence
PSI - Postpartum Support International
Gidget Foundation

Beyond Blue

Blog by Nadine for Sue Croft

 

 

Vaginal Dilator Options with Fiona Rogers

Vaginal Dilator Options with Fiona Rogers

June 17, 2019

Pelvic floor physiotherapist and co-owner of Pelvic Floor Exercise, Fiona Rogers, comes back on the podcast to discuss the differences between vaginal dilators: which ones do we choose, for what condition might they be used for, and why are they different?

Head back to the very first episode and hear her talk about vaginal weights if you missed it!

Thank you so much to this episode's sponsor - Kenhub - see below for more details

Fore a 20% discount on all Kenhub Premium learning plans: khub.me/loriforner

For a 20% discount on illustration licenses - quote "Lori Forner" when emailing Kenhub to enquire at contact@kenhub.com

Fiona's E-stim course - might be sold out but she is running more!

Reviving your sex life after childbirth with Kathe Wallace

Reviving your sex life after childbirth with Kathe Wallace

June 7, 2019

Today we are talking to Kathe Wallace, physiotherapist, about how to go about returning to sex after having a vaginal birth, in which she discusses in her book, Reviving your Sex Life after Childbirth. We have spoken about this topic on the podcast previously surrounding the importance of sexual intimacy in relationships, however today we are focusing on why this topic is important after a vaginal birth from a physical as well as psychological perspective, what women can assess themselves, the importance of bringing partners into the process, and where/how physiotherapists can help.

Thank you to this episode's sponsor - Modibodi

Bio:

Kathe Wallace, PT, is an internationally recognized clinician, author and lecturer in women's health and pelvic floor dysfunction evaluation and treatment. Kathe has been a physical therapist since 1976 and focused on the pelvic floor since 1988.  She is a lifetime member of the APTA.

Kathe volunteered in the early 1990’s to help the American Physical Therapy Association Section on Women’s Health (SOWH) establish pelvic floor continuing education seminars and instructed pelvic floor function, dysfunction and treatment seminars for the associations section through 2005.   In 2006, she co-founded the professional continuing education company Herman & Wallace, Inc. developing a series of pelvic floor training seminars for physical therapists. She is no longer affiliated with the company and nowindependently continues to develop pelvic floor related seminars and resources for health care providersand their patients.  She is currently focusing on private patient consulting, mentoring and developing professional training for physical therapists at The Pelvic Health Clinic in Seattle, WA, USA.

Kathe was honored to receive the Washington state Physical Therapy Association (PTWA) Clinical Excellence Award in 2006. She is the author of Reviving Your Sex Life after Childbirthand multiple patient education handouts to restore the pelvic floor.  She also serves as a Clinical Instructor, Division of Physical Therapy, Department of Rehabilitation Medicine, at the University of Washington.  Her professional mission is to ignite and nurture knowledge regarding pelvic floor dysfunction to help women and men get the care they need.

Resources:

McDonald, E. A., & Brown, S. J. (2013). Does method of birth make a difference to when women resume sex after childbirth?. BJOG: An International Journal of Obstetrics & Gynaecology120(7), 823-830.  https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.12166  

Stavdal, M. N., Skjævestad, M. L. L., & Dahl, B. (2019). First-time parentś experiences of proximity and intimacy after childbirth-a qualitative study. Sexual & Reproductive Healthcare.   Not free access https://www.sciencedirect.com/science/article/abs/pii/S1877575618303355  

 Penny Simkin  Childbirth trauma http://pattch.org/   USA 
https://www.youtube.com/watch?v=IkVHUrhh_vY 

 Professional associations

https://www.aasect.org/  

http://www.isswsh.org/  

http://sexscience.org/ 

 

Heather Howard
http://sexualrehab.com/Additional-Resources.html  
https://ergoerotics.com/ 

SEXOLOGY International blogs and resources https://sexologyinternational.com  

How sharing stories around the world will change women’s wellbeing with Jenny Wickford and Delena Caagbay

How sharing stories around the world will change women’s wellbeing with Jenny Wickford and Delena Caagbay

May 20, 2019

Physiotherapists Jenny Wickford and Delena Caagbay discuss the not-for-profit association, Noora Wellbeing, and how important it is for everyone to openly share their stories to help collaboration and education across the globe.

Please consider heading to Noora Wellbeing and sign up for their newsletters, share a story and join in on the discussions!!

Crossing Borders - book by Fatumo Osman and Jenny Wickford

 

 

 

Incontinence for non-pelvic health physios with Dr. Sarah Haag

Incontinence for non-pelvic health physios with Dr. Sarah Haag

May 5, 2019

Physiotherapist Dr. Sarah Haag joins me to talk about the important role all health professionals play in assessing and treating people with urinary incontinence. She discusses tips on how professionals can help in assessing, treating and when to acknowledge your limitations and refer on. We also have a tangent chat about abdominal separation (diastasis rectus abdominis).

Thank you so much to this episode's sponsor - Kenhub - see below for deals

For a 20% discount on on all Kenhub Premium learning plans: khub.me/loriforner

For a 20% discount on illustration licenses - quote "Lori Forner" when emailing Kenhub to enquire at contact@kenhub.com

Understanding and Treating Incontinence - book by Sarah Haag