Skip to main content
Not Found
Digital Seminar

Anatomy and Physiology of Pregnancy: Changes in Body Mechanics and Impact on MSK System, Overall Function and Pain


Speakers:
Jesse Lillejord, DC |  Cassidy Vitzthum, DC
Duration:
2 Hours 05 Minutes
Format:
Audio and Video
Copyright:
Nov 29, 2022
Product Code:
POS065317


Description

This is the ultimate guide to understanding the hormonal and musculoskeletal changes associated with pregnancy and postpartum.  You’ll explore the body mechanics by trimester and dive into the myriad of structural changes and most common pain complaints.  Hot topics covered include:

  • When “sciatica” isn’t actually sciatica – and how the piriformis may be the problem (and solution!)
  • HYPER-mobility and the systemic implications for optimal MSK care
  • How to better asses/evaluate for the increased fall risk
  • Autoimmune and post-partum - what to look out for! 

Enhance your understanding of the mobility and stability challenges associated with pregnancy and streamline your treatment plan for pain free pregnancies. 
 

Credit

Planning Committee Disclosure - Relevant relationships

Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
 
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 2.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 2.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 2.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 2.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 2.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 2.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.5 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 2.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 2.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 2.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Intermediate. This activity will provide 2.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 2.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 2.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 2.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Massage Therapists - Florida Massage Therapists

PESI, Inc. is approved by the Florida Board of Massage Therapy as a continuing education Approved Provider. Provider #50-399. This course is offered for 2.0 self-study CE hours.

*Please note: this course was not designed to meet requirements for the "relevant to and focused on massage therapy techniques, skills or protocols" category by distance learning. 


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 2.0 CE hours of instruction in the following subjects: Adjunctive/Modalities (.13 hours) Adjustive Technique (.13 hours) Anatomy(.13 hours) Biomechanics(.13 hours) Corrective/Therapeutic Exercise(.13 hours) Differential/Physical Diagnosis (.13 hours) Evidence-Based Outcomes(.13 hours) History and Exam(.13 hours) Manipulation(.13 hours) Neurology(.13 hours) Orthopedics(.13 hours) Pain Management(.13 hours) Pediatrics (.13 hours) Rehabilitation of Joints (.13 hours) Wellness/Supportive Care (.13 hours). Approval #065317-042623. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Jesse Lillejord, DC's Profile

Jesse Lillejord, DC Related seminars and products


Dr. Jesse Lillejord attended undergrad with a focus on chemistry – becoming Analytical Chemistry Student of the Year her third year and assisting her organic chemistry professor in O-Chem lab. Dr. Jesse was also a collegiate runner at her undergrad college. As she was immersed in the world of movement and science, she gravitated toward a graduate program that combined those same interests – chiropractic. She graduated as a Doctor of Chiropractic in 2009. Shortly thereafter she married and had two children of her own. This transition into the world of motherhood created a passion for perinatal and pediatric care. She created the first specialty chiropractic clinic in the state – CHIRO FOR MOMS in 2018 with the creation of CHIRO FOR KIDZ to follow in 2020. She is still wildly passionate about specialized care and the education surrounding the ever-evolving field of chiropractic for women and children. Connect with Jesse on Instagram @chiro_for_chiro. Follow along with all things related to patient care on YouTube or @chiro_for_moms & @chiro_for_kidz.

 

Speaker Disclosures:
Financial: Jesse Lillejord is the owner and founder of Chiro for Moms + Chiro for Kidz. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jesse Lillejord is a member of the International Chiropractic Pediatric Association.


Cassidy Vitzthum, DC's Profile

Cassidy Vitzthum, DC Related seminars and products


Dr. Cassidy Vitzthum grew up in a small town in northern Iowa. She started college as a student athlete, participating in track and field at Morningside College. She completed an undergraduate degree in exercise science from the University of Iowa in 2019. During the earlier years of undergrad, she was pursuing a career in western medicine, spending time as a medical scribe in various medical settings. After many eye-opening experiences, she made the decision to shift to chiropractic She completed her schooling at Northwestern Health Sciences while focusing on her passion for women’s health and pediatric care. Throughout school, she worked as a marketing and chiropractic intern at CHIRO FOR MOMS & CHIRO FOR KIDZ, which ultimately prepared her for the role she has today as a prenatal & pediatric chiropractic specialist. The clinic encompasses everything she is passionate about by catering to busy women and children and providing a space for her to grow as a compassionate clinician. Connect with Cassidy on Instagram @chiro_for_chiro. Folow along with all things related to patient care on YouTube or @chiro_for_moms & @chiro_for_kidz.

 

Speaker Disclosures:
Financial: Cassidy Vitzthum has an employment relationship with Chiro for Moms + Chiro for Kidz. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cassidy Vitzthum is a member of the ICPA.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Investigate the mechanical changes of each trimester and postpartum and the associated impact on musculoskeletal care.
  2. Investigate the hormonal changes of each trimester and postpartum and how those impact musculoskeletal care. 
  3. Evaluate common pain related symptoms due to the anatomical and physiological changes during pregnancy and postpartum. 

Outline

Guide to Hormonal and Mechanical Changes by Trimester

  • FIRST TRIMESTER
    • Hormonal changes – Relaxin
    • Mechanical changes – 
      • Exaggerated lordosis
      • Widening/increased mobility of SIJ and pubic symphysis
      • Strain of pelvic structures
      • Altered gait and increased fall risk
      • Kyphosis in thoracic spine
    • Common complaints: LBP
  • SECOND TRIMESTER
    • Hormonal changes – relaxin, progesterone, plasma volume rapidly increases
    • Mechanical changes – 
      • Lordotic curve changes
      • Static stability reduced significantly
      • Piriformis hypertonicity compresses sciatic nerve
      • Compression of IVC
      • Shift in center of gravity
      • Anterior pelvic tilt
    • Common complaints: SPD, Carpal tunnel and RLS
  • THIRD TRIMESTER
    • Hormonal changes – Estrogen, progesterone and relaxin
    • Mechanical changes:
      • Gait – step width and stride increases
      • Upward displacement of the diaphragm
      • Costal angle increases by 50%
      • Rib flare
      • Weight gain increases stress on SIJ    
    • Prepping for delivery: webster technique
    • Common complaints: Round ligament pain, sacrotuberous ligament tension, sacrum/tailbone

 

  • DELIVERY & POSTPARTUM
    • Hormonal change: 
      • Oxytocin
      • Ligament laxity 
      • Sleep deprivation
      • Post-partum depression
      • Autoimmune
    • Mechanical changes
      • Differences between vaginal birth and c-section
      • Poor posture
      • Long periods of neck flexion
      • Hypertonicity of the SCM
      • Diastasis recti
      • Weakened pelvic floor
    • Common complaints: mommy arm/shoulder, elbow pain, LBP

Target Audience

  • Physical Therapist
  • Physical Therapist Assistant
  • Chiropractor
  • Athletic Trainer
  • Massage Therapists

Reviews

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

PESI Mobile App

Access CE trainings on your phone or tablet through our free mobile app. Choose video or audio-only versions of online courses from the world’s best instructors, and complete your CE requirements anywhere, anytime, at your own pace.

https://cdn.pesi23.com/images/android.png     https://cdn.pesi23.com/images/iphone.png

Please wait ...

Back to Top