Julie Wiebe, PT

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Julie Wiebe, PT Sports Med + Pelvic Health bridge builder. Fitness + Pregnancy / Postpartum guidance. Equipping pros & individuals via courses, consults, & care. (she/her)

Julie W. Wiebe, PT, DPT (she/her) has over 25 years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic, pregnancy and postpartum health for athletes. Her passion is to return active patients to fitness and sport after injury and pregnancy and equip professionals to do the same. Dr. Wiebe is a dedicated educator and sought-after speaker, delivering evidenced-based professional development lectures, curriculum, and coursework at clinics, academic institutions, and conferences internationally. Her research interests focus on the interplay of pelvic health and athleticism to inform screening tools and multifactorial intervention strategies. She provides collaborative care to fit and athletic populations through telehealth and her clinical practice. Find out more and connect with Julie at www.juliewiebept.com or via social media Twitter/FB/IG

Catching up and late to the party- but what a week in Maastricht at ! Learning from the best researchers, academics, an...
10/16/2026

Catching up and late to the party- but what a week in Maastricht at ! Learning from the best researchers, academics, and clinicians moving the conversation forward.

There was a palpable shift in content across the board: how can we broaden the conversation beyond “pelvic floor” to “pelvic floor AND…” (systems, physiology, forces (IAP, impact), tissues, and functional needs). This was confirmation bias for me from my female athlete lens, but the conversations from the front were deeper and broader across different population contexts:

• Geriatrics: The status of the pelvic floor won’t matter if someone lacks the strength to get out of bed, the mobility to cross the room or respond quickly to urgency.
• Considering the Gut microbiome & urinary urgency: Including how strenuous exercise affects the microbiome via Sinéad Dufour
• LGBTQIA+ care: The “weathering” effect of bias and reluctance to disclose needs. Insightful talk by .bi
• Long-term outcomes: Integrating pelvic floor contractions into daily activities reduced the risk of return of symptoms at an 8-year follow-up. 
• 17-21 year olds: A huge research gap and unique developmental challenges. Great workshop from , Gráinne M Donnelly | Pelvic Physio | Scientific Editor | PhD(c), and Dr. Dragana Dragen Zivkovic
• Pelvic pain: A non-invasive, biopsychosocial framework spanning pelvic, extra-pelvic, MSK+ more considerations. Great workshop via .LaurelProulx, , and Jilly Bond

Of course, loved the updated research on athletic pelvic health and physical activity in older adults from Labo MFM Lab, Marina Petter Rodrigues | PT, MSc, PhD, Sabine Vesting, and Jenny LaCross.

Thanks to everyone for sharing your work, and for the dinners, connections, coffee (and w**e) in charming Maastricht. My head and heart are full. ❤️

Round Two! High Performance Pelvic Health: From Screening to Sport in Cork! Female athletes have told us that ongoing pe...
10/03/2026

Round Two! High Performance Pelvic Health: From Screening to Sport in Cork!

Female athletes have told us that ongoing pelvic floor considerations negatively impact their performance, quality of life, and mental health. We need more pros that can clinically reason thru pelvic health needs contextualized in the athlete experience. Excited to spend the weekend with rehab and strength and conditioning pros here in Cork working toward that goal!

Great Day One, great group- thinking through comprehensive screening, interpretation of the results, and how to build programs to integrate pelvic health into lifespan programming for fit and athletic females from recreational to elite. Up next: Movement analysis-graded exposure strategies- pregnancy/ postpartum/ menopause programming.

Thanks for the invite

fecalincontinence

09/24/2026

Journal Club spotlighted sharing insights into the collaborative development of the Diastasis Re**us Abdominis Questionnaire (DRAQ). The DRAQ investigates the Biopsychosocial domains that drive Diastasis Recti clinical symptoms and creates a new tool for clinicians and researchers to look beyond inter-recti distance (IRD) and linea alba (LA) behavior/density.

Key conversation takeaways:

* The DRAQ captures the full patient experience — physical, gastrointestinal, and psychosocial domains, not just the gap width
* Pilot data shows mild to moderate IRD didn’t correlate with biopsychosocial symptom severity. Every DRA presentation is an N=1
* This gives clinicians a new way to track progress that isn’t just “did the gap get smaller”
* Social media’s influence on patient perception is a real clinical challenge
* The goal: better-informed clinical decisions and referral pathways
* The tool is currently embargoed but coming soon for clinical and research use. Lucky in-person attendees got a sneak peek!

Join in our next Journal Club on December 6 with .laurelproulx and .lacross

A brand new season of IRL convos with incredible researchers is on its way on the Asking for a Friend Journal Club. Kick...
09/16/2026

A brand new season of IRL convos with incredible researchers is on its way on the Asking for a Friend Journal Club. Kicking things off with Gráinne Donnelly, PT, PhD(c) (Gráinne M Donnelly | Pelvic Physio | Scientific Editor | PhD(c)) on Sunday, September 20 at 12 noon PST/3 PM EST/8 PMGST. She will be discussing: The Diastasis Re**us Abdominis Questionnaire (DRAQ): development and validation of a questionnaire to evaluate the biopsychosocial impact of diastasis re**us abdominis in parous females

The rest of the line-up is lit!! Link in bio to join in!

December 6, 2026
Dr Laurel Proulx PT, DPT, PhD and Dr. Jennifer LaCross, PT, DPT, PhD, ATC ( Jenny LaCross and Laurel Proulx: Pelvic Floor PT)
Exploring the connection between the hip and pelvic floor in women with exercise-induced urinary incontinence: integrating clinical hypotheses with current evidence. (2025)

January 24, 2027
Dr. Jennifer Bagwell, PT, DPT, PhD ( Jenny Peterson Bagwell )
Jenny Peterson Bagwelliffer during and after pregnancy compared to females who have never been pregnant. (2024)

March 14, 2027
Dr. Julie W. Wiebe, PT, DPT (That’s me!! Online ahead of print just dropped-full text, open access)
Recreational Female Runners Report Diverse Pelvic Health Symptoms Beyond Urinary Incontinence: Sport-Specific Screening Matters (2026)

May 16, 2027
Mystery Guest: TBA!

Join me for Quarterly Case Collabs on Wednesdays at noon! This is an opportunity for you to bring a case you’re working for a group conversation to problem solve, reason through sticking points, and get input for some new ideas. Mark your calendars for October 28, February 24, and April 21 at 12 noon PST/3 PM EST/8 PMGST

(These are paid subscriber benefits….but there is a ton of great info for ALL subscribers)! Link in bio to join in!

Thrilled to have this available online ahead of print and open access! Our team compared the responses from a group of r...
09/15/2026

Thrilled to have this available online ahead of print and open access! Our team compared the responses from a group of recreational female runners on a general validated pelvic health measure with their symptoms experienced during running. Some of our key findings were surprising:

- Approximately 2/3 of participants who reported stress urinary incontinence (SUI) and pelvic organ prolapse (POP) symptoms via the Australian Pelvic Floor Questionnaire (APFQ) did not report these symptoms during running. An important finding as previously reported pelvic health symptom prevalence gleaned from general pelvic health questionnaires has been interpreted as a proxy for symptoms experienced during sport, potentially overestimating the prevalence of symptoms related to sport demands.

- Number of pregnancies, number of vaginal deliveries, and weight of the largest baby did not increase or decrease the likelihood of reporting pelvic floor symptoms on the APFQ or via running-related questions. A valuable insight as obstetrical variables are considered predisposing risk factors for pelvic floor dysfunction, with an expectation that exposure to sport related impact forces would elicit symptoms.

Some other key findings!

- Recreational female runners experienced pelvic health symptoms in all four domains. This effort offers data to fill the existing gap in the literature on a range pelvic floor dysfunction-related symptoms beyond incontinence.

- Dyspareunia (painful s*x) was the most reported symptom among runners (44.6%). (compared to SUI-36.4%, POP-9.2%, and FI-12.3% on the APFQ. Prevalence reported in running-SUI-18.8%, POP-4.6%, and FI-10.6%).

Check out all our results and discussion (open access)! https://tr.ee/wwgAjkD0Q7

I am deeply grateful to .lacross .laurelproulx and for their contributions to this work and their support getting this over the finish line!!

New course, who dis?Day one High Performance Pelvic Health: From Screening to Sport begins.Pelvic health and female-spec...
09/12/2026

New course, who dis?

Day one High Performance Pelvic Health: From Screening to Sport begins.
Pelvic health and female-specific considerations need to be part of the differential when working with fit and athletic folks across the lifespan. Excited to equip PTs, MDs, CSCSs, and DCs working in pelvic health, MSK, and sports medicine with the reasoning and tools to screen, interpret the results, and act on them to integrate pelvic health into programming for fit and athletic females from recreational to elite.

Thanks for the invite Prescribed Motion (Williamsville, NY).

Let’s gooooooo.

08/20/2026

Offering layered support….Our recent Quarterly Q&A dove into the nuance of understanding the patient in front of us to go beyond a cookie-cutter plan to build something individualized for their goals.
Ex: This isn’t ‘just’ a postpartum runner who’s leaking, but a postpartum marathoner with hypermobility returning to training after a prolonged second stage of labor. That history points to more connective tissue changes and greater potential for pelvic floor complex excursion in response to impact. We can’t change their hypermobility or birthing history (non-modifiable risk factors). But our toolbox can can support building active and passive tissue resilience, coordination and impact tolerance, and we can change load going through that system so it is within their tissue tolerance.

* Strengthen the pelvic floor complex ( active and passive tissues) PLUS

* Integrate & coordinate the pelvic floor into running-specific neuromotor patterns and create impact prep opportunities PLUS

* Adjust running form to reduce impact forces PLUS

* Consider a next-gen, flexible insertable pessary

These are additive, complementary strategies (it’s +,+,+,+), not either/or.

Offering layered support, not a single fix.

Great to explore this and other topics in-depth ( we also chatted about progressive overload and training power of the pelvic floor, and more).

Love looking beyond the surface with folks. More Q and A and Journal Club dates coming soon. Check it all out on my Substack- Asking for a Friend with Julie Wiebe, PT.

Wanna really dig in- check out upcoming in-person courses-High Performance Pelvic Health from Screening to Sport.

Excited to see this think-piece available now as a resource on the Project RED-D website! Co-written with , we offered ...
08/06/2026

Excited to see this think-piece available now as a resource on the Project RED-D website! Co-written with , we offered insights into urinary incontinence as a potential indicator of low energy availability LEA) in the dance population.

Female dancers and artistic athletes experience urinary incontinence at high rates:

- Professional dancers (34.6%)
- Aerialists (41.7%)
- Rhythmic gymnasts (31.8%)
- Cheerleaders (26.9%)

Whitney et al (2021) found that athletes with LEA were 2x more likely and athletes in high impact sports with LEA were 4.5x more likely to experience incontinence. Sport-specific aesthetic expectations, rigorous training demands, and high stress environments put dancers and artistic athletes at risk for LEA. An under-fueled pelvic floor is hard pressed to keep up with high intensity movements, landings, and long hours of demanding dance training-no matter how strong it is. It makes sense to consider LEA in our pelvic health differentials for female athletes, and add incontinence to our thought process when assessing for REDs.

Learn more and check out all the incredible resources and toolkits offered on the Project RED-D website. They are building a movement to support dance and artistic athletes!

07/14/2026

Excited to share a clip from our Journal Club conversation this week with Lisa Woodroffe , physician lead for the Female Athlete Program at the University of Iowa. We took a look at her multidisciplinary review article offering return-to-run considerations for elite and sub-elite athletes. Our discussion covered key gaps in our thought processes including the impact of lactation, nutritional needs, and cardiovascular conditioning. The clip highlights gaps in athlete pelvic health literacy about things like pelvic floor overactivity, leaking without ever having had a baby, and options for help! Supporting athletes is truly a team effort, and getting the word out requires collaboration across the provider continuum.

The conversation highlighted the ongoing need for more nuanced, individualized approaches to postpartum athletic recovery that consider various physical, emotional, and physiological factors beyond traditional timelines. More ideas and considerations to add to our approach to whole athlete health.

Check out all our multidisciplinary Journal Club conversations at Asking for a Friend with Julie Wiebe, PT.

Pelvic health and female-specific considerations are more than add-ons in the sports medicine space, they need to be par...
07/10/2026

Pelvic health and female-specific considerations are more than add-ons in the sports medicine space, they need to be part of differentials for fit and athletic folks across the lifespan. Today, I got to have a conversation with the residents at the Texas Health Sports Medicine Physical Therapy Residency program on integrating pelvic health and female-specific considerations into their clinical reasoning. It’s so much more than dosing Kegels and asking about menstrual regularity!

🎾 Sport-specific ≠ one-size-fits-all. We walked through real scenarios in running, yoga, tennis, CrossFit, and swimming- how you screen and treat a nulliparous runner with leakage looks nothing like how you’d approach a parous yoga practitioner bearing down in certain poses, or a post-menopausal tennis player loading into rotation.

🩺 Stress urinary incontinence isn’t just a “strengthen the pelvic floor” problem. Movement-based interventions- addressing pressure management, load transfer, coordination, and building neuromotor patterns-are the key to rebuilding the automaticity that supports a high-performance pelvic floor.

❓ Better questions = better care. We covered the actual screening questions to ask, beyond just incontinence, and how to interpret the answers to help build a more comprehensive athlete profile that helps delineate pelvic floor under/overactivity, fueling and hydration issues, and global stressors that may lead to hormonal suppression..

🔬 Know when to dig deeper. Understanding and asking questions about menstrual irregularities and associated symptomatology are part of a comprehensive evaluation to know when to loop in endocrinology and sports dieticians.

The bigger goal? Helping residents build the clinical reasoning to recognize when pelvic health is relevant, even when it’s not the chief complaint, so their athletes aren’t falling through the cracks between orthopedics, sports medicine, and pelvic health specialists.
If your program, residency, or team wants a deeper dive into pelvic health for athletes, let’s talk…join me at an upcoming in-person course! More here: https://tr.ee/LounWHrzTi

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