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One Question Interview: Julie Wiebe


If you could tell your patients 5 things, what would they be?

1 & 2. Breathing + Alignment

There is a significant relationship between breathing and alignment that will simultaneously change many other areas, including the continence, postural control, GI/gut, movement, and emotional systems. We can also breath well to connect with Autonomic Nervous System down-regulation, meaning the ability to tap into calm vs. fight or flight stress response. If I can tap into breath then I can tap into all of those other systems, but I cannot get someone a really good breath if I ignore what position they're in. A change in position changes the capacity and availability of the breath to connect those systems.

3. Just move

Any movement is good movement. Find a way to move your body that is positive and brings you joy. I believe that fitness helps embed the strategies that I am teaching my patients. I want to find something that they are compliant with and that they enjoy. There are a lot of people who are either afraid to move or they are no longer friends with their body. So finding a way to move, breathe and optimize their systems is part of my job. If someone enjoys yoga or Pilates or cross-fit, then I work with them to do those activities. However, I cant tell a yoga person to do cross fit and vice versa.

4. Rest

We work a lot on helping our patients get stronger, but we often forget that rest is where we regroup, rebuild and gain strength. In the last few months, I have been on a hiatus and I have been very grateful for the rest this afforded. I am working to promote this in the lives of my patients.

5. Belief

By this I mean we believe what we've been told about our bodies - how we're supposed to move, or not move. How to be statically stable or hold our posture tight, etc. I think we need some new messages. Rather than being rigid, we can be fluid and dynamic. Rather than concentrating on only strength to heal, we can concentrate on how well we coordinate and move. Rather than a focus on our brokenness, we can learn to adapt. We can change our thinking to believe in the body and brain and to help patients realize that they aren't fragile.

Thank you Julie for taking the time to answer our question and share your thoughts. I have taken Julie's course the "Diaphragm/Pelvic Floor Piston for Adult Populations: Part 1" and it was an enlightening weekend that significantly improved my practice. I was also inspired by her dedication to her work and passion to educate practitioners about the importance of the integration of the piston with all of our patients' programs.



Julie Wiebe PT, MPT, BSc.

Julie Wiebe has over 20 years of experience in both Sports Medicine and Pelvic Health. Her passion is to return women to fitness and sport after injury and pregnancy. She advocates for the awareness of pelvic health issues in fitness and promotes innovative solutions for women through her blog, videos, and social media. She shares her evidence-based, integrative approach internationally with both professionals and women through live and online educational programs.

Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. Julie is a sought after speaker to provide continuing education courses and lectures internationally at clinics, academic institutions, professional organizations, state and national professional conferences.

Find out more and connect with Julie at or via social media Twitter/FB/IG JulieWiebePT.

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