Ms. Tamarah Nerreter
Tamarah Nerreter, Physiotherapist, discusses Pregnancy Physiotherapy – Resistance Training
BIO: Physiotherapy Now
Tamarah is the Founder and Practice lead at BoDynamics PT. Born with bilateral hip dysplasia, Tamarah proved the doctors wrong and broke into the world of sports. Her fascination with movement led her to compete in Ringette and Ice Hockey at a provincial level from age 6 to 17. She then pursued her athletic endeavours in running, soccer, snowboarding, stand up paddle boarding and golf.
Tamarah graduated with her Master of Physiotherapy in 2007 from Curtin University in Perth, Australia. Prior to starting BoDynamics PT, she had been working in private practice in Vancouver, BC. While in Australia, Tamarah pursued her interest in women’s health through various avenues: pioneering a post partum exercise pamphlet; honing her interest in sport and related physiotherapy treatment; and has completed her Master’s thesis on the practice of ‘core’ stability programs in the rehabilitation of osteitis pubis/groin injuries.
Tamarah’s keen interest in women’s health issues, led her to further professional development and certifications specific to women’s health, perinatal care, rectus diastasis, pelvic health rehabilitation, pediatric continence, prolapse, urinary incontinence, and pelvic pain. Tamarah continues to treat diverse sports related injuries to a wide range of clientele as well.
Tamarah’s approach to treatment is facilitated from her extensive post grad course work. She believes in a holistic whole body approach, empowering the individual through education, treatment and exercise.
Tamarah finished her undergraduate degree at Queens University in 2002 in Psychology and Health Sciences. Tamarah graduated with her Master of Physiotherapy in 2007 from Curtin University in Perth, Australia. She completed her Master’s thesis on the practice of ‘core’ stability programs in the rehabilitation of osteitis pubis/groin injuries. Recently, in 2019, Tamarah completed her Graduate Certificate in Orthopaedic and Manual Therapy from the University of British Columbia.
She is certified to assess and treat pelvic floor dysfunction, obtaining advanced certification in incontinence, prolapse, pelvic pain and pudendal neuralgia. Further, Tamarah has completed Visceral certification with the Barral Institute, completing VMI, VM2, VM3 and VM4. She holds a certification in Vestibular Rehabilitation and Concussion management.. In addition, Tamarah is also certified in Acupuncture (CAFCI) and has completed her Graduates Certificate of Orthopedic and Manual Therapy (GCOMPT) at UBC, gaining her fellowship in the Canadian Academy of Manual and Manipulative Therapy (FCAMT).
Tamarah has also completed professional training in The Integrated Systems Model (Lee D 2011- The Pelvic Girdle 4th edition), a whole-body assessment and treatment approach practiced extensively at Diane Lee & Associates. Tamarah credits her 7 years working, assisting and teaching with Diane as really developing her strong foundation in physiotherapy.
Tamarah has a keen interest in women’s health issues. For this aspect of her practice, Tamarah draws upon her knowledge of orthopedic, pelvic floor and neurological assessments. In addition, she leverages her further professional development and certifications specific to women’s health namely, in the treatment of pre/post natal patients, rectus diastasis (DRA-a separation of the abdominal wall during pregnancy), pelvic floor rehabilitation, prolapse, urinary incontinence, pelvic pain issues, post surgical, pre/post menopause and breast cancer rehabilitation. As a mother herself, Tamarah has particular interest in educating the pre and post-natal patient of potential physical problems during the childbearing years and treating these pre/post-natal associated issues.
Tamarah has also advanced training in treating kids and teens for continence issues, sport and development. Tamarah sees a lot of kids who have had long standing issues with constipation, leakage, bed wetting, mobility issues, developmental issues and sport related issues.
Outside of physiotherapy, Tamarah enjoys family life and activities in the outdoors! She also enjoys competition as an avid runner, trail runner and beginner triathlete. Her love for Vancouver runs deep as she doesn’t know any other place one could snowboard/snowshoe, hike the Grouse Grind, run the seawall, surf, and golf all in one day!!
Pregnancy Physiotherapy - Resistance Training
During pregnancy, about the sixth week, relaxin is in your body, and it changes the joint mobility and flexibility.
Therefore, your body and center of gravity is changing continuously, and this may compromise certain postures and curvatures. So strength training is actually a good thing to maintain through pregnancy. It helps in assisting your upper body strength for postpartum period and also maintaining your core and overall strength through your lower body.
If you were doing a strength program prior to your pregnancy, it is still a good idea to consult your specialist or personal trainer who may specialize in pre and postnatal exercise to ensure that you are doing the right things and progressing appropriately through each trimester.
In pregnancy, extra attention must be paid to postural stability, therefore, every exercise should involve engaging the core, pelvic floor, transverse abdominals throughout the strength routine.
Traditional weights are okay, otherwise you could use cables and Thera-Bands. You want to choose a weight that allows you to lift about 10 to 20 repetitions comfortably. You don’t want to be holding your breath, as this will increase the intra-abdominal pressure, and that will deactivate a lot of the core muscles that you’re trying to develop.
It’s probably best to challenge your stability with balance boards or stability balls or even just standing on one leg. You want to avoid heavy lifting, especially above your head, and focus is on technique, not necessarily gaining more strength, but just technique and maintaining.
You want to address a specialized personal trainer who works with pre and postnatal women if you are going to require a strength and stability program. It’s very important as they do know the restrictions that you may have.
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