Course 1.9 The female runner: Puberty, perinatal, perimenopause and abdomino-pelvic health


This 2-day theoretical and practical course provides essential knowledge and skills on women’s running and abdomino-pelvic health in runners. The course addresses the influence of puberty, pregnancy, childbirth, the postpartum period, breastfeeding, and menopause, to promote safe running throughout a woman’s lifespan. It also presents the main abdomino-pelvic disorders encountered in runners, and offers tools aimed at preventing and managing these disorders.


Course highlights include a unique decisional algorithm and six programs for return-to-running postpartum developed by the Running Clinic’s international team of experts.




Course objectives

Based on the most recent scientific studies, participants are expected to achieve the following skills:

• Know the anatomy and functions of the abdomino-pelvic region

• Know and apply the principle of synergy between the diaphragm and the pelvic floor

• Understand the influence of running on the abdominal-pelvic region

• Apply the concept of mechanical stress quantification to abdomino-pelvic health

• Understand and consider the influence of puberty, pregnancy, childbirth, the postpartum period, breastfeeding, and menopause on the practice of running

• Understand the importance of running gait, impact moderating behaviors and footwear in relation to abdomino-pelvic disorders

• Use the decisional algorithm and the 6 running programs for return-to-running postpartum

• Assess and analyze abdominopelvic functioning in runners

• Prescribe appropriate exercises to the female runner according to her stage of life

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Topics covered on Day 1


The influence of running on the pelvic floor and the abdominopelvic region, and considerations for
puberty, the prenatal period, and childbirth.

  • Anatomy and function of the abdomino-pelvic region
  • Intraabdominal pressure, the synergy between the diaphragm and the pelvic floor and how to apply
    it to abdomino-pelvic exercises
  • Abdomino-pelvic functioning during running
  • Mechanical stress quantification and biomechanical stress, and the influence of footwear on running
  • Specific considerations for the adolescent female in relation to sports and running
  • Physiological changes in pregnant women
  • Practicing physical activity while pregnant, including running
  • Abdomino-pelvic and musculoskeletal disorders during pregnancy
  • Exercises for the pregnant runner
  • Childbirth, risk factors for abdominopelvic disorders postnatally, and considerations for C-section



Topics covered on Day 2


Running in the postnatal period, returning to performance, and the perimenopausal period.

  • Reminder of the key points from Day 1
  • Abdomino-pelvic rehabilitation in the postpartum period, including assessment methods, exercises
    and tools to guide return-to-running
  • Abdominal function and diastasis recti: general considerations, evaluation, rehabilitation
  • Criteria for resuming physical activity and running postpartum
  • Psychosocial barriers and facilitators for return-to-running postpartum
  • Decisional algorithm and 6 programs to guide return-to-running postpartum
  • Return to intensive training and competition
  • Physiological changes in perimenopausal women
  • Practice of physical activity during menopause, including running
  • Cases studies


Total learning time = 14 hours