PhysioYoga and the Pelvic Floor

PhysioYoga and the Pelvic Floor


This course includes

14:23:43 of Course Material (View)
Patient Exercises (View)
Course Forum
Lifetime access after purchase

The instructors

Shelly Prosko (View bio)


The intention of this course is to offer a theoretical and experiential integration of accessible and practical yoga methods and philosophy with evidence-informed practices to enhance overall pelvic floor health and wellness. For both men and women, our pelvic floor plays a role in many aspects of our existence that contribute to a healthy life, including breathing, bowel and bladder function, sexual function, hip and spinal health, core strategies, and more.

Yoga is one of the most popular complementary health practices in North America and is increasingly becoming more recognized and valued by health organizations. It is being introduced into college programs and professional continuing education courses across the continent, as growing research suggests that therapeutic yoga can be used as an effective and safe form of complementary therapy for numerous dysfunctions, including a variety of pelvic floor dysfunctions. As such, this course also serves as an introduction to the use of yoga therapy as a complementary approach to the management of people suffering from various pelvic floor dysfunctions.

This course outlines evidence surrounding biopsychosocial factors that influence pelvic floor function and explores why and how yoga can serve as a valuable adjunct to pelvic wellness and rehabilitation. Be prepared to participate and enjoy empowering, informative, and inspiring gentle yoga practices, implementing a variety of techniques that you can use with your patients or students, including pelvic floor awareness practices, visualization, mindfulness meditation practices, breathing practices in a variety of yoga postures to help promote pelvic floor relaxation, mindful movements and yoga postures coordinated with varying breath cycles to help facilitate pelvic floor musculature engagement and excursion, and examples of language and philosophy to potentially enhance more effective cueing.

The techniques offered are intended for immediate use in the clinic or yoga studio setting.

In addition to learning, you get to enjoy the added benefit of some well-deserved self-care as you participate in these pelvic floor focused PhysioYoga practices and experience what it feels like to nourish all aspects of your being, using a biopsychosocial model of health.

Whether you are a pelvic floor physiotherapist looking to expand your current approach or a brand-new practitioner wanting to learn more about the pelvic floor, this course is meant to help support you on your path to learning more about how yoga can address pelvic floor health in an evidence-informed manner.

What’s included in this course?

  • A 39-page workbook, which you can download and follow along throughout the course.
  • Access to an exclusive private forum with Shelly. Ask Shelly and other course participants your questions.
  • A power point lecture, videos, and audios of yoga practices and patient exercises that can be shared with patients via Embodia.
  • Lifetime access. You can return to this course at any time. If any material is updated or added, you will have access to the new content.
  • Patient exercises that you can easily share with your patients on Embodia. For more information about Embodia for home exercise prescription, click here to watch a short video. When you sign up for this course you will get a one (1) month complimentary trial with the Embodia home exercise prescription software (for new registrations only).
  • Certification of completion. Once you've completed the course, you will receive a certificate for your professional portfolio.
  • Access to this course is through Embodia, and although some of the content, such as the workbook can be downloaded, the majority cannot. This is to protect the instructor’s material and to prevent the content from being shared freely on the Internet.
  • Embodia is mobile-friendly and can be accessed by phone, tablet, and computer.
  • There is no start date or completion date. You can complete the course at your own pace.
  • Quizzes throughout to help you integrate the knowledge.
  • You will be sent a receipt as soon as you purchase this course. This receipt can be used for education grants (such as The Allied Health Professional Development Fund) and for tax purposes.
  • Bite-sized information: all of the content is broken down into bite-sized chunks, so that you can easily watch a video on your break, over lunch, or for a few minutes at night.
  • A Special Coupon for 15% off any other online course on Embodia Academy when you’ve completed this course!

Course Objectives:

  1. Briefly review anatomy of pelvic floor muscles (PFMs) and landmarks of the bony pelvis.
  2. Learn 11 roles the pelvic diaphragm (PD) or pelvic floor (PF) plays in overall health and wellness and why gaining skills in addressing PF health is important and valuable for any movement practitioner working with clients.
  3. Briefly outline the chakra system, focusing on the first 2 chakras and how they may relate to PF health.
  4. Outline 4 categories of pelvic floor dysfunctions.
  5. Outline biopsychosocial factors that can influence pelvic floor function and performance.
  6. Review perspectives on the debate of the effectiveness of teaching or cueing isolated kegel exercises, using an evidence-informed approach.
  7. Develop a practical understanding of mula bandha (‘root lock’) in yoga and its intentions, comparing potential similarities and differences to PFM engagement.
  8. Outline factors that may contribute to a non-relaxing pelvic floor and health issues that may arise from over-recruitment of pelvic floor musculature.
  9. List 4 different paths of yoga, with a focus on exploring the 8-limbed path of Raja Yoga, and how addressing each limb supports and contributes to a biopsychosocial-spiritual approach to pelvic floor health and rehabilitation.
  10. Define and understand the yogic pancha maya kosha model of health as it relates to pelvic rehabilitation and describe the similarities to modern health care’s biopsychosocial-spiritual approach to rehabilitation, health, and wellness.
  11. Learn how the respiratory diaphragm and pelvic diaphragm work together as a coordinated team to contribute to pelvic floor health and wellness.
  12. Understand scope of practice as it relates to addressing pelvic floor health for those practitioners who do not perform internal pelvic floor exams or treatment and when to refer to a physiotherapist who specializes in pelvic floor health.
  13. Understand the current research surrounding yoga and pelvic health and the gaps in research.
  14. Understand the difference among yoga, yoga therapy, and PhysioYoga.
  15. Learn from and participate in empowering and inspiring yoga practices that include components as described below:
    1. Techniques to enhance pelvic floor awareness (including yoga postures, visualization, breathing practices, awareness practices, mindful movement practices, and meditation techniques).
    2. Techniques to enhance pelvic floor relaxation (including breathing practices, yoga postures, mindful movement practices, meditation practices, awareness practices and ways to incorporate yoga philosophy).
    3. Evidence-informed activities that can facilitate PFM engagement in coordination with various breathing sequences, visualization, awareness practices, yoga postures and sequencing, and a variety of selected mindful movements.
    4. Activities to enhance balance and foot awareness, offering a potential connection to the pelvic floor.
    5. A variety of meditation and mindfulness practices that address focus, concentration, awareness, relaxation, and self-regulation skills.
  16. Gain a general understanding of how yoga methods and philosophy might be used as an adjunct to support optimal pelvic floor health for people who may be suffering from a variety of PF dysfunctions, including disorders associated with pelvic pain, pelvic organ prolapse, and bowel or bladder dysfunctions. Four Case Studies are presented in this course.
  17. Understand and appreciate the practical value and benefits of integrating yoga into physiotherapy treatments while also enjoying the
    opportunity to experience some well-deserved self-care.

Audience: Rehab professionals (PT, PTA, OT, OTA, AT, ET, Kin, etc.), movement specialists, yoga teachers, yoga therapists, and those interested in learning more about yoga and pelvic floor health and wellness.

**This course is not intended to act as medical advice. Please seek guidance and treatment from your health professional in your area for any unmanaged conditions.**


The instructors
Shelly Prosko

As a Physiotherapist and Professional Yoga Therapist, Shelly is dedicated to bridging the gap between yoga and modern healthcare philosophies and believes this integration is highly effective in creating and sustaining optimal health.

She received her Physiotherapy degree at the University of Saskatchewan, Canada, her therapeutic yoga training at Professional Yoga Therapy Institute, Yoga Teacher Training at Blissology, and Pain Care Yoga Certification at Life is Now. She considers herself a lifelong student whose curiosity motivates ongoing inquiry, learning and integration of many approaches.

Shelly is a pioneer of PhysioYoga and has been integrating yoga into her physiotherapy treatments since 1998 to help people who suffer from a wide variety of conditions including persistent pain, pelvic floor health issues and breathing dysfunctions.

Currently, she travels extensively offering her well received and highly sought after specialty PhysioYoga courses, teaches Life is Now Pain Care Yoga, lectures at medical college programs, presents at international conferences and is a course instructor at numerous yoga therapy programs.

Shelly is dedicated to actively promoting the integration of yoga into healthcare by inspiring, empowering and educating health professionals, yoga practitioners, students and people in pain about ways yoga can be used safely and effectively to address a variety of health issues and improve quality of life. Please visit for more information.


Welcome & Your Workbook

Introduction: PhysioYoga & The Pelvic Floor

What are the Patient Exercises for?


Anatomy Part A

Anatomy Part B

Anatomy Part C



Pelvic Diaphragm Roles

Pelvic Diaphragm Roles







Pelvic Floor Function + Performance Factors

Pelvic Floor Function + Performance Factors



Kegels and Mula Bandha

To Kegel or Not To Kegel

What About Mula Bandha?



Over-Recruited Pelvic Floor Muscles: Why? So What?

Over-Recruited PFMs




Pelvic Health Yoga Research

Yoga in Healthcare

Yoga: Paths + 8 Limbs



Yamas + Niyamas



Pancha Maya Kosha Model


Pancha Maya Kosha




Pelvic Health Issues

Pelvic Floor Health Issues

Bowel and Bladder

Bowel and Bladder Treatments

Sexual Dysfunctions

Sexual Dysfunction Treatments

Pelvic Organ Prolapse

Pelvic Organ Prolapse Treatment

Pelvic Pain Disorders

Pelvic Pain Disorders Treatments



Case Studies







1. Awareness Practice: Kosha Scan

Awareness Practice: Kosha Scan


2. Awareness Practice: Tactile & Visual Feedback of Perineum

2A. Side-Lying Palpation

2B. Seated Tactile Feedback

2C. Prone Tactile Feedback

2D. Squat Visual Feedback


3. Awareness Practice: Pelvic Diaphragmatic Breath Visualization

3A. Supine Hip Warm-Up

3B. Crook-Lying vs. Supine

3C. Extended Child's Pose

3D. Hip Awareness in Prone

3E. Four Point Cat/Cow Variations


4. Pelvic Floor Relaxation Practices

4A. Supported Extended Child's Pose

4B. Garland Pose/Squat

4C. Restorative Series

4D. Prone: 4 Part Breath

4E. Hip Poses: Modifications at Wall

4F. Hip Poses: Modifications Seated in Chair


5. Facilitation of Pelvic Floor Engagement & Excursion with Breath + Movement

5A. Supine Practices

5B. Cat/cow + Thread Needle Breath Variations

5B Half Kneel Stride with Variations

5B Plank, Child’s Plank, Puppy Dog Series

5C. Standing Foot Awareness Practices

5D. Standing Practices: Mountain Pose

5E. Standing Practices: Chair Pose Variations

5F. Standing Practices: Warrior 1 ↔ Tree Flow

5G. Standing Practices: Warrior 2 ↔ Triangle ↔ Half Moon Flow

5H. Standing Practices: Dynamic Squats

5I. Standing Practices: Wide-Legged Side Lunge Variations

5J. Sit ↔Stand Practices


6. Standing Balance Practices

6A. Tree Pose Variations

6B. Single Knee Up↔Lunge Variations

6C. Warrior 3 Variations

6D. Warrior 2 - Triangle - Half Moon Flow


7. Additional Mindfulness Meditation Practices

7A. Alternate Nostril Breath Visualization with Single Knee to Chest

7B. Reclined Cobbler's Pose with Self-GI Massage

7C. Chakra Meditation with Hand Mudras

7D. Supine Progressive Muscle Relaxation (Audio Only)

7E Circular Nostril Breath Visualization (Audio Only)

7F Loving Kindness Meditation (Audio Only)

7G Toilet Meditation


PhysioYoga Conclusion


Awareness: Seated Tactile Feedback

Awareness: Child's Pose

Awareness: Side-Lying Palpation

Single Knee Up↔Lunge Variations

Tree Pose Variations

Sit ↔Stand Practices

Standing Practices: Wide-Legged Side Lunge Variations

Standing Practices: Dynamic Squats

Standing Practices: Warrior 1 ↔ Tree Flow

Standing Practices: Mountain Pose

Standing Foot Awareness Practices

Supine Practices

Hip Poses: Modifications Seated in Chair

Legs up the Wall: Modifications

Four Part Breath in Prone

Extended Child's Pose

Relaxation Malasana

Restorative Series

Prone Hip Awareness

Awareness: Crook-Lying and Supine

Awareness: Prone Tactile Feedback