Title: Demystifying the female pelvic floor-2-3 May 2020

Dates: 10-11 October 2020

Course leader: Sandie Ennis

Cost £218-£270


This course is now taking place as an online event with a video accessible for 1 month after the CPD on a secure platform.


About the course

Reports suggest that 1-3 women experience problems with their pelvic floor muscles with symptoms such as incontinence, pelvic pain, pelvic organ prolapse, or sexual dysfunction. Often regarded as a taboo subject and rarely talked about, too many women suffer in silence and struggle to know how best to keep their pelvic floor healthy, especially following childbirth or after abdominal or pelvic surgery such as a C-section, hysterectomy or pelvic floor repair.

There are often simple strategies that can help, pelvic floor muscle training is, in most cases, advised as a first-line intervention for bladder or bowel dysfunction and pelvic organ prolapse. However, countless women report not feeling confident about performing them correctly on their own. Others join Pilates classes to support their pelvic health, but not all Pilates-based exercise is helpful.

 This course is 60% theory and 40% practical and will cover common dysfunctions, will teach you evidenced-based exercise techniques to train a woman’s pelvic floor so they can sneeze, cough, jump, laugh or run with confidence. We will discuss what lifestyle changes are beneficial and what general exercise women with pelvic floor problems should avoid and why. We will explore adapted Pilates-based exercises for pelvic health, some of which will be on a floor-based mat, the remainder seated or on a treatment couch. We will discuss case histories and design a home plan for women at four critical stages of their life.

Note: this course does not require any previous Pilates experience.


Summary of Osteopathic Practice Standards (Updated) and other CPD elements covered

A) Communication and patient partnership- A2, A3, A5, A6

B) Knowledge, skills and performance - B1, B2, B3

C) Safety and quality in practice - C4, C6


Learning outcomes

  • Review the anatomy of the pelvis including muscles of the pelvic floor, how they work, why things go wrong and most importantly what can be done to help.
  • Understand pelvic floor dysfunction, conditions and their impact on exercise. 
  • Learn key pelvic floor exercises and easily digestible evidence to share with your patients.
  • Gain experience with different exercises for women with pelvic floor problems and those that have had corrective surgery. The focus will be on the fundamental exercises which will make a difference to pelvic floor balance.
  • Understand self-help and home exercises which will aid your management, giving patients support outside of the treatment room.
  • Gain experience of designing a 12-week home exercise plan for different life stages.


Day 1

09:00 - 09:30 Registration

09:30 - 11:00 Review of the anatomy of the pelvis including muscles of the pelvic floor

11:00 - 11:20 Break

11:20 - 12:30 Discussion of common pelvic floor dysfunctions and their impact on lifestyle and exercise

12:30 - 13:30 Lunch

13:30 - 15:00 Evidence-based pelvic floor exercises

15:00 - 15:20 Break

15:20 - 17:00 An outline of self-help and home exercises to provide patients with support outside the treatment room

17:00 - 17:30 Summary of day 1 

Day 2

09:30 - 10:00 Questions from day 1

10:00 - 12:30 Practical session – couch, sitting and floor mat-based pelvic floor muscle training plus modified fundamental Pilates-based exercises related to pelvic floor health. No previous Pilates experience necessary.

12:30 - 13:30 Lunch

13:30 - 15:00 Case studies and a patient home pelvic floor muscle training programme (pregnancy, post-partum, peri-menopause and post-menopause)

15:00 - 15:20 Break

15:20 - 17:00 Designing a 12-week home plan for women at four critical stages of their life.

17:00 - 17:30 Reflection


Course Suitability                         

This course is suitable for osteopaths and other qualified allied health practitioners. Unfortunately for insurance reasons we are not able to offer places to students on this course.


About the course leader

Sandie Ennis qualified as an osteopath in 2009, followed by extensive postgraduate studies including cranial and classical osteopathy, SCCO pathway (3/4 way through) women’s health and training in paediatrics at the foundation for paediatric osteopathy in London (aka osteopathic centre for children – OCC). She currently divides her time between private osteopathic practice, clinical tutoring, teaching individual and small group Pilates, devising and delivering specialist education, lecturing and CPD training.

Sandie completed her UK Pilates training and certification with Body Control Pilates (BCP) in 2000. BCP is one of the leading education providers for Pilates teacher training and the largest professional Pilates organisation outside the USA.   She undertook an advanced classical Pilates studies at Kane School of Core Integration in New York under the tutelage and mentorship of Kelly Kane, one of the most highly regarded and experienced Pilates educators and physical therapists in the USA.  She has also completed extensive training in corrective and rehabilitation exercise, women’s health, functional movement training with the Gray Institute and somatic movement education, which she now incorporates into rehabilitation programmes.

Previously an arts educator with extensive experince of creating and delivering a broad range of education and training in the UK and overseas. Since 2000 this has been Pilates-based, health, wellness, and rehabilitation. 

Cancellation policy

The UCO regrets that no refunds can be made for cancelled places unless a substitute participant can be found.  The UCO cannot guarantee that any course will run.  In the event of your course being cancelled, all paid fees and deposits will be refunded in full.