WEBVTT 00:00.009 --> 00:02.176 My degree is in nutrition and exercise 00:02.176 --> 00:04.389 physiology . And then after I got that 00:04.400 --> 00:06.789 degree , I got uh my certification , 00:06.800 --> 00:08.800 certified strength and conditioning 00:08.800 --> 00:10.800 specialist . So it's a CS CS , it's 00:10.800 --> 00:12.744 what all strength and conditioning 00:12.744 --> 00:14.967 coaches need . And I've been a strength 00:14.967 --> 00:16.967 and conditioning coach for about 13 00:16.967 --> 00:19.360 years . And then in the last 3 to 5 00:19.370 --> 00:21.370 years , I've been starting to learn 00:21.370 --> 00:23.537 more from the pregnancy and postpartum 00:23.537 --> 00:25.759 experts out in the field . So I've been 00:25.759 --> 00:27.703 doing a little bit of research and 00:27.703 --> 00:29.870 learning from all the different people 00:29.870 --> 00:31.870 that have been doing certifications 00:31.870 --> 00:33.926 within that these workouts that were 00:33.926 --> 00:36.148 incorporated in pre P three T right now 00:36.148 --> 00:38.314 are standardized training programs and 00:38.314 --> 00:39.870 they have the ability to be 00:39.870 --> 00:42.037 individualized based on the individual 00:42.037 --> 00:43.926 because everybody's experience in 00:43.926 --> 00:45.870 pregnancy and postpartum , even if 00:45.870 --> 00:47.648 they've been pregnant before is 00:47.648 --> 00:49.870 different . And so with the instruction 00:49.870 --> 00:51.981 of the instructor , trainer , program 00:51.981 --> 00:54.092 coordinator or exercise leader , they 00:54.092 --> 00:56.259 can individualize the program based on 00:56.259 --> 00:58.481 that soldier's need where they're at in 00:58.481 --> 01:00.703 pregnancy and then also be as a part of 01:00.703 --> 01:02.926 that bigger group within that P three T 01:02.926 --> 01:04.759 program . So they're doing group 01:04.759 --> 01:06.981 workouts together , but they're able to 01:06.981 --> 01:09.037 individualize it whether they need a 01:09.037 --> 01:11.203 modification to make it easier or make 01:11.203 --> 01:13.426 it harder based on what their needs are 01:13.449 --> 01:15.671 during pregnancy . If a soldier has any 01:15.671 --> 01:17.989 major health concerns or complications , 01:18.000 --> 01:20.190 they would likely be on a high risk 01:20.199 --> 01:22.310 profile from their medical provider . 01:22.310 --> 01:24.366 So they wouldn't be participating in 01:24.366 --> 01:26.421 the physical training sessions for P 01:26.421 --> 01:28.643 three T , but they would continue to do 01:28.643 --> 01:30.755 the education classes . But if it's a 01:30.755 --> 01:33.019 minor musculoskeletal injury or issue 01:33.029 --> 01:35.140 going on , then they would be able to 01:35.140 --> 01:37.362 do modification . So a regression of an 01:37.362 --> 01:40.040 exercise like a box squat instead of a 01:40.050 --> 01:41.994 goblet squat . If they needed to , 01:42.790 --> 01:46.209 there is no standardized um training or 01:46.220 --> 01:48.109 standardized like fitness test or 01:48.109 --> 01:50.779 assessment that we do because it's 01:50.790 --> 01:52.846 usually a big group setting and it's 01:52.846 --> 01:54.901 really hard to do that with a bigger 01:54.901 --> 01:57.012 group . So the biggest way that we do 01:57.012 --> 01:59.012 it is the , the program coordinator 01:59.012 --> 02:00.957 knows their a their previous AC FT 02:00.957 --> 02:03.389 score and then they fit into that 02:03.400 --> 02:05.289 standardized workout program that 02:05.289 --> 02:07.456 they're given and then adjustments are 02:07.456 --> 02:09.567 made with the program as needed based 02:09.567 --> 02:11.789 on how the soldiers feeling symptomatic 02:11.789 --> 02:14.011 during pregnancy or postpartum and then 02:14.011 --> 02:16.178 postpartum , they're gonna be probably 02:16.178 --> 02:18.344 taking a diagnostic AC FT once a month 02:18.344 --> 02:20.456 after they've been back for the first 02:20.456 --> 02:22.567 month . And then based on that , they 02:22.567 --> 02:24.344 can adjust the workouts and the 02:24.344 --> 02:26.178 exercises that based on how they 02:26.178 --> 02:28.233 performed in the diagnostic AC FT to 02:28.233 --> 02:30.456 help them return to unit and for record 02:30.456 --> 02:33.699 AC FT sometimes pregnant soldiers won't 02:33.710 --> 02:35.543 feel the best every single day . 02:35.543 --> 02:37.488 Sometimes they'll feel nauseous or 02:37.488 --> 02:39.543 dizzy or just some discomfort in the 02:39.543 --> 02:41.766 hips when they're getting further along 02:41.766 --> 02:43.710 in pregnancy . And so we have some 02:43.710 --> 02:45.710 sheets that we , um , encourage the 02:45.710 --> 02:47.821 program coordinators to have in their 02:47.821 --> 02:50.043 PT binder that might be specific from a 02:50.043 --> 02:52.321 physical therapist or athletic trainer . 02:52.321 --> 02:54.432 But generally for like , if they have 02:54.432 --> 02:54.429 hip pain , then they can try those 02:54.440 --> 02:56.496 stretches and just do stretches that 02:56.496 --> 02:58.662 day if they don't feel great , um , or 02:58.662 --> 03:00.899 they can , um , do whatever they feel 03:00.910 --> 03:02.966 comfortable doing as they're feeling 03:02.966 --> 03:05.021 better . So , if they need to do one 03:05.021 --> 03:07.021 set of the exercises instead of the 03:07.021 --> 03:06.779 prescribes three sets , they can 03:06.789 --> 03:09.279 absolutely do that . Or if they have 03:09.339 --> 03:11.360 exercises from a physical therapist 03:11.369 --> 03:13.536 that they're going to on their own and 03:13.536 --> 03:15.425 they need to incorporate into the 03:15.425 --> 03:17.647 workout . That's a one way to do it for 03:17.647 --> 03:19.425 them . We encourage the program 03:19.425 --> 03:21.591 coordinators within their unit to have 03:21.591 --> 03:23.813 a group chat with the soldiers and with 03:23.813 --> 03:23.529 the exercise leaders who are helping 03:23.539 --> 03:25.761 run PT . And so that way , if something 03:25.761 --> 03:27.817 comes up from the soldier in between 03:27.817 --> 03:30.039 sessions , they can always reach out to 03:30.039 --> 03:32.206 their program coordinator within their 03:32.206 --> 03:31.880 unit . And then if it's a bigger 03:31.889 --> 03:33.945 question , they can reach out to the 03:33.945 --> 03:36.320 medical expert or to us as P three T 03:36.330 --> 03:38.219 integrators if they need any more 03:38.219 --> 03:40.740 guidance on what the situation is . I 03:40.750 --> 03:43.550 was at the 16th MP back at Fort Liberty 03:43.559 --> 03:45.781 before this , in the H two F team and a 03:45.781 --> 03:47.699 few of the pregnant soldiers were 03:47.710 --> 03:50.179 struggling with , um , being able to 03:50.190 --> 03:52.779 get promotion while they were in 03:52.789 --> 03:55.289 pregnancy . PT . And so they were told 03:55.300 --> 03:57.467 that they weren't able to . And we had 03:57.467 --> 03:59.633 one of our sergeant majors did a great 03:59.633 --> 04:01.522 job of engaging in P three T on a 04:01.522 --> 04:03.689 regular basis , would come and join in 04:03.689 --> 04:05.689 the workout sometimes . And so with 04:05.689 --> 04:07.689 that communication and with that um 04:08.589 --> 04:10.811 relationship that they built together , 04:10.811 --> 04:12.978 they were able to , the sergeant major 04:12.978 --> 04:14.756 was able to help those pregnant 04:14.756 --> 04:16.959 soldiers to not only be engaged in P 04:16.970 --> 04:19.081 three T , but also actually help them 04:19.081 --> 04:21.303 get promoted while they were pregnant , 04:21.303 --> 04:23.359 which was awesome . Typically during 04:23.359 --> 04:25.414 pregnancy , we're not really working 04:25.414 --> 04:27.526 towards or looking for progressing in 04:27.526 --> 04:29.692 exercises or progressing in workouts , 04:29.692 --> 04:31.803 we really want to focus on safety and 04:31.803 --> 04:33.970 then maintaining the fitness that they 04:33.970 --> 04:35.970 had pre pregnancy . And so that way 04:35.970 --> 04:38.137 their focus can be on feeling good and 04:38.137 --> 04:38.089 preparing for delivery and preparing 04:38.100 --> 04:40.044 for labor . And then when they get 04:40.044 --> 04:42.267 postpartum , then we're really focusing 04:42.267 --> 04:44.378 on progressing over time . If they do 04:44.378 --> 04:46.489 have setbacks during pregnancy , then 04:46.489 --> 04:48.711 we're teaching the program coordinators 04:48.711 --> 04:50.656 and exercise leaders to know their 04:50.656 --> 04:52.711 resources locally . So that way they 04:52.711 --> 04:54.600 can reach out to the providers or 04:54.600 --> 04:56.822 physical therapists , whoever they need 04:56.822 --> 04:58.656 to help , give that soldier more 04:58.656 --> 05:00.656 support to help them through that I 05:00.656 --> 05:02.589 continue to look towards other um 05:02.600 --> 05:04.929 domains . So working with Kelsey as an 05:04.940 --> 05:07.162 occupational therapist and pelvic floor 05:07.162 --> 05:09.329 therapist . And then I always , I have 05:09.329 --> 05:11.273 to have ce us for , to maintain my 05:11.273 --> 05:13.384 certification . So I continue to work 05:13.384 --> 05:15.496 through ce us and try to do different 05:15.496 --> 05:17.551 topics so that we can learn a little 05:17.551 --> 05:19.773 bit more and just research in general . 05:19.773 --> 05:21.829 If something comes up and it's new , 05:21.829 --> 05:21.660 I'm gonna look into it and make sure 05:21.670 --> 05:23.837 that I understand it so that way I can 05:23.837 --> 05:24.570 help teach about it .