power plate & the post natal client filedistocia leading to urinary, faecal incontinence &...

Power Plate & The Post Natal Client

Jenny Burrell BSc (Hons)

Director of Burrell Education, London, UK

W.E.L.L 2013 Summit Presentation

My Background & Experience In Brief

• I don’t ‘work’ for Power Plate!

• I created a programme and then applied WBV then went to Power Plate. We partnered in creating a REPs Endorsed Licensed certification now taught in 8 countries.

• I was always pretty successful in helping clients achieve their goals but personally never had a huge amount of faith in Kegels being THE ONLY WAY and suspected that they were ineffective on 3 levels:

(C) Burrell Education 2012 www.burrelleducation.com 2

The Problem With Kegels……

• Kegels rely too much on CONSCIOUS connection with the PFM whereas we all know that there is an UNCONSCIOUS & MOVEMENT-BASED COMPONENT PF strengthening and function.

• Kegels don’t involve the VERY FUNDAMENTAL link to the respiratory system and diaphragmatic activity.

• Your Kegel strategy/understanding is intimately linked to the competence/understanding of the teacher to convey information correctly.


The Problem With Kegels…………….

• PF exercise seen as an emergency measure! Needs to reclassified as ‘on-going/essential’ like cleaning your teeth.

• Kegels are too vague and not ‘hooked’ into any meaningful activity.

• Kegels don’t prepare the client for the Activities of Daily Life and MOVEMENT! Ultimately, no one leaks when they are still so AFTER A RE-CONNECTION STRATEGY IS ESTABLISHED…..we have to condition clients for the movement in their lives.


A few glaring omissions for many of us in fitness & clinical settings…..

• We need to inject the PERSONAL into the PROFESSIONAL!

• Move from ABSTRACT & DISTANT -> CONCRETE & PERSONAL.

• Simply not just about solving the puzzle but serving the person!


The 3 Key Factors At Play for PF/Core Reconditioning with Vibration


The 3 Key Factors At Play for PF/Core Reconditioning with Vibration

• Tonic Vibration Reflex – a pre-tensed muscle (whether concentrically or eccentrically) + vibration = improvements to muscle fibre recruitment and transmissibility of the load which during a ‘exercise session’ leads to improved increases in strength and potential power compared to un-tensed muscle. Can the strength of a Kegel be increased by factors such as resisted adduction plus vibration? YES!

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The 3 Key Factors At Play for PF/Core Reconditioning

• The Synergyistic Myofascial Relationship – between the deep lateral rotators of the femur & Pelvic Floor – especially


The 3 Key Factors At Play for PF/Core Reconditioning

• The Synergyistic Myofascial Relationship – between the ligaments such as the Anterior Longditudinal Ligament, PF and Abdominal Aponeuroses – both trunk extension and flexion fire/affect the PFM – (Myers).

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The Post Natal Fitness Client – What’s Changed & What Needs Restoring

• Abdominal Wall Dysfunction – Stretch Weakness, Tissue Trauma, Diastasis & C-Section ‘disconnection’.

• Pelvic Floor Dysfunction – Tissue Trauma (minor to major). Mostly urinary stress.

• ‘Core Amnesia’ – levels of neural/connective tissue connection are low.

• Faulty breathing pattern – the ‘core-piston’ doesn’t work. Client has developed non-optimal strategies.

• Low back pain caused mainly by lack of ‘synergy’ in the entire core.


My clients......

No Celebrity Stories - Just Real Moms!


Tina – Aged 41


After 5 Months of Training –

Symptom Free, strong &

confident.

1st Vaginal Birth -

Shoulder Distocia

leading to urinary, faecal

incontinence & back pain

Madeleine – Aged 35


Symptom Free After 3 Months of Training

1st C-Section – mild

urinary incontinence

.

Three Areas of Interest

• The influence of Whole Body Vibration on the Strength of Kegels. Can Kegel strength and therefore total strength gains be increased by the application of WBV?

• The power of Whole Body Vibration to stimulate the Pelvic Floor unconsciously without the aid of Kegels – Can functional movement & vibration trump Kegels?

• The power of ‘movement plus breath’ to stimulate the Pelvic Floor unconsciously without the aid of Kegels – Do we need Kegels at all?


Kegels – Floor Standing


Pelvic Floor Activity During Traditional Kegels on Floor

Max = 75 uV

Kegels + Whole Body Vibration


Pelvic Floor Activity During Kegels on Power Plate

Max = 95 uV

What REALLY Gets The Pelvic Floor Working!

Unconscious Stimulation Uses:

• Mindfully re-connecting

• Instability

• The Breath

• Vibration

• Gravity

• Neutral Pelvis Position/Optimal Posture

• Adduction

• Abduction

• Multi-Planar Movement

• Dynamic Whole Body Integrated Movement

• Neural Stimulus

• Mirroring the movements of ‘real-life’!


Subjective Client Reports

• Improve PF Function on a scale of 1 to 10 (1 being poor, 10 being good) - All improved from 3-4 up to 7-8. It stopped being ‘an issue’ either during or outside the session.

• All reported improved global strength and stamina.

• All reported improved energy levels.

• All reported improved positive mind-set.

• All showed significant fat loss and ‘felt better in their clothes’.


Outcome Summary

• WBV increased the strength of Kegel contraction.

• The resting tone of the PFM increased just by standing passively on the plate, thereby providing work for the PFM throughout the entire session. Imagine! A dedicated 30 mins of INTEGRATED CORE STRENGTH work 2-3 times per week that was easy to teach, clients adhered to and got results from!

• Movement & breath without Kegels, generally stimulates the PFM MORE than Kegels alone, performed in the traditional manner.


Outcome Summary

• 30 minute workouts that incorporated the principles of Exercise Post Oxygen Consumption (EPOC) to improve post baby fat loss were easily integrated.

• Clients progressed to their goals much quicker than I had previously experienced in over a decade of work.

• Client’s instantly felt more connected to their core and hopeful that restoration could be achieved. My job has become much easier!


Vibration - Helping Women to Heal & Restore Hormonal Homeostasis

• Positive influences on blood flow – ‘muscle-pump’ effect.

• O2 IN – CO2 OUT

• Lymphatic Reflux

• Increase in bone density

• Non-exhausting but highly effective workouts

• Increase in hGH and Testosterone – the fountains of youth!


My Hopes & Dreams

• This work can be expanded to a large scale study where the benefits and value of WBV and movement will be confirmed as viable therapies for the PF rehab/restoration/incontinence.

• WBV will be seen as a hugely positive tool in the war against incontinence and PF failure.


My Hopes & Dreams

• Physical/Physiotherapists and Medics will seek to understand and gain experience of WBV and the PP for the full spectrum of its worth.

• There will be specialist programmes/streams in mainstream fitness clubs and therapy clinics who offer those in need a dedicated service from well-educated wellness professionals using these principles.


Try for yourself!

& If you would like to explore the possibilities of a study on Whole Body Vibration using

a Power Plate?

Speak to Steve, Vessy or myself today!


power plate & the post natal client filedistocia leading to urinary, faecal incontinence &...

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