Ultrasound course – National Maternity Hospital Holles St.


Ultrasound course – National Maternity Hospital Holles St.

Pelvic Floor Muscles Ultrasound Course

28th July EVB Sport attended The Real Time Ultrasound Course in Holles St National Maternity Hospital  run by Absolute Physio and Norso Medical.  The course was an introductory course for Physiotherapists using Real Time Ultrasound in pelvic Health.

Pelvic floor exercises

Speaker : UK Pelvic Health Specialist Julia Herbert

Pelvic Floor Strength

Over 25 Physiotherapists from all over Ireland and the UK attended and the session was very interactive. We got an opportunity to use the ultrasound in groups .There is nothing like getting hands on training to learn about your own pelvic floor strength, check bladder volume storage/emptying capacity and assess the function of your transverse abdominal muscles. Being able to visualise the pelvic floor contracting and relaxing and checking the width ( and function) of Linea Alba in our view is a game changer in terms of arming yourself with knowledge about your core and what would need to be done if anything to keep it strong.

We learned so much on the day and hungry for  more information , we booked a private consultation with Grainne in her office in Enniskillen . I was keen to see the differences between a mid 40’s mum of 3 and a 30 year old athletic woman with no children. So I roped Emma Jane here in the office along with me. As a personal trainer having completed pre and post natal certificates in personal training this was of huge interest to Emma Jane and an extension of her course work to date.

Pelvic floor consultation

Ultrasound Consultation with Grainne Donnelly Absolute Physio (centre)

Diastasis Recti

It was brilliant to see that I was contracting and releasing pelvic floor muscles correctly and  and that the width of my Linea Alba was only 1.7cm which is completely within normal range. This measurement is relevant if you have a Diastasis recti = a separation or gap between the rectus abdominis muscles of 2 or more finger spaces or a distance of approximately 2.5 cm . To check the grade strength of my pelvic floor Grainne carried out an internal examination and this grade varies from 1 – 5. 5 being the strongest.

Again I was delighted to hear I had a grade 4 strength. In 2019 I plan to join Team Carrie for 10 year reunion of our first marathon so knowing this information, I will book another consultation with Grainne once training begins and then as the miles intensify. I want to maintain this grade during the training and I know working closely with Grainne will help keep me in good shape.


Hyper tonic pelvic floor

Emma Jane had a Linea Alba width of less than 0.8cm. and her pelvic floor contraction was in super shape. I could really see the difference between both our contractions. Emma Jane like so many young athletic women has a hyper tonic pelvic floor and is a holder. Emma Jane’s therapy will include learning to relax the muscles. We learned that being able to relax and let go of a pelvic floor contraction is just as important as being able to tense and contract it.

Video Player

Emma Jane’s Ultrasound: Hyper tonic


Yvonne’s Ultrasound. Grainne showing how ‘The Knack’ is done.

We are hearing on a regular basis that the prevalence of prolapse and pelvic problems are on the increase especially amongst younger women. We know that approximately 8 out of 10 women are not doing their pelvic floor exercise correctly. Perhaps you are like Emma Jane and you need to learn to relax your pelvic floor muscles or you are like me and need to really work hard to contract (like a workout) to maintain the strength. You won’t know if you don’t ask!

There are many amazing women’s health physiotherapists around the world ready to help. Contact us and we can connect you with some of the best.

  • Xyldia Grace Thomas, WHNP-BC
    Posted at 23:50h, 10 September Reply

    This is so exciting.Seeing the movement is exactly how I imagine it. I live in the USA and practice as a Women;s Health Nurse Practitioner. May I ask where the transducer is placed for the imaging? I am unable to tell . May we share or show these videos to our patients??It would be so helpful.I teach pelvic floor exercises, grade strength manually and assess prolapse degree with a standing exam. Thank you so much, this is huge leap forward in helping women.

    • Yvonne Brady
      Posted at 14:12h, 20 November Reply

      Xyldia Grace

      Thank you for your comment. Sorry just seeing now. Please do share to your patients. The person best to ask about the ultrasound is Grainne Donnelly from https://www.absolute.physio/. She is expert in this and travels around Ireland and UK teaching pelvic health practitioners on the use of Ultra sound. Tell her I sent you. Have a great week.

      Best regards


  • Nicola Price
    Posted at 09:55h, 20 November Reply

    This looks great. Where is the next course and how much?.

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