Mobilization of the Myofascial Layer: Pelvis and Lower Extremities
| Price: $675 (Early Registrant Price of $625 ends one month before the first day of the course) Experience Level: Intermediate Contact Hours: 17 |
Material will include the science of and evidence behind myofascial based manual therapies with an emphasis on clinical reasoning and evaluation for assessment of connective tissue mobility, movement asymmetry and tissue tension abnormalities affecting the pelvis and lower extremity and their associated fascial structures. Participants will be exposed to multiple approaches for the treatment of fascial dysfunction throughout this concepts course so the clinician can easily choose the appropriate technique depending on the tissue of each unique patient. The goal is for the attending therapist to have a variety of skills to incorporate myofascial based treatment into an existing clinical program
- Fascia is the ubiquitous connective tissue that permeates the entire body forming a continuous three-dimensional matrix of structural support and communication (1).
- The fascial system consists of four concentric layers; the “myofascia” is comprised of those layers of fascia that are associated with the locomotor system (2).
- Patients with chronic pelvic pain are more likely to have abnormal musculoskeletal findings on examination (3,4).
Lab activities will cover external and internal vaginal and rectal techniques, Fascial approaches include a variety of techniques for the abdominal wall, pelvis, hip and lower extremity to include:
-Fascial induction utilizing direct and indirect methods for muscle bellies, intraarticular, intraosseous structures and multiple layers of the pelvic floor
-Positional inhibition as a modality for shutting off trigger points, internal and external
-Peripheral nerve mobilizations for pelvis and lower extremity -Instrument-assisted soft tissue mobilization (AISTM, Gua Sha)
-Fascial decompression (Cupping) -Introduction of rehabilitative ultrasound imaging to measure tissue changes
The goal of this course is to provide the clinician who is treating women and men with pelvic dysfunction immediate access to a variety of approaches to the myofascial system. Throughout the course, clinical reasoning and application will be addressed with emphasis on various presentations of frequently seen in patients with primary or secondary pelvic dysfunction.
Special Considerations:
As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal and rectal pelvic floor muscle techniques will be taught in labs. Read more about What to Expect During Courses with Internal Lab Work.
Seminar content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals.Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Prerequisites:
Pelvic Floor Level 1 through Herman & Wallace or prior seminar instruction in internal pelvic floor vaginal muscle examinations
Required Readings:
Review the anatomy of the pelvis and perineum
References
1. Findley T (2009) Fascia research II: Second international fascia research congress. International Journal of Therapeutic Massage & Bodywork 2(3)
2. Willard F (2012) Somatic Fascia. In: Schleip R, Findley T, Chaitow L, Huijing P (Eds.) Fascia: The Tensional Network of The Human Body. Edinburgh: Elsevier, pp. 11-17.
3.Neville C, Fitzgerald C, Mallinson T, Badillo S, Hynes C, Tu F (2012) A preliminary report of musculoskeletal dysfunction in female chronic pelvic pain: A blinded study of examination findings. Journal of Bodywork and Movement Therapies, 16:50-56.
4. Zerman DH, Ishigooka M, Doggweiler R, Schmidt R, (1999) Neurological insights into the etiology of genitourinary pain in men. Journal of Urology 161:903-908
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Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
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Day One: 100 Registration, Welcome and Zoom review |
Day Two: 8:00 Lecture - Bony Pelvis and Lower Extremity9:15 Lab III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis 10:30 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint 12:00 Lunch 1:00 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, LE articular loading, thigh muscles 2:15 Lecture – Peripheral Nerves 3:00 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, iliohypogastric nerve, sciatic nerve, pudendal nerve 4:15 Lecture - Anterior and posterior pelvic floor 5:30 Adjourn |
Day Three: 8:00 Questions from day 2 1:00 Short break |
We always want to hear from those interested in hosting our courses. We work with healthcare organizations of all types, sizes, and locations. Please, Contact us about Hosting Mobilization of the Myofascial Layer: Pelvis and Lower Extremities or any other course!
Ramona did a nice job in improvising with all the IT issues. This is a great class that teachers you how to think.
- Julienne Duenas, PT, DPT - Tamuning, GU
Ramona is a great. I got the best education ever. I am looking for a US class with Ramona.
- Daniela Moise, DPT- Park Ridge, IL
Interesting course with more content than I expected. Thank you!
- Korrie Ashworth MSPT - West Olive, MI
Ramona is ROCK STAR! I have been a treatment Pelvic Floor PT for years & have be so heavy handed. Now I have a new tool so I “can do better”! “Know better .. do better”.
- Patricia Sisamis PT, MS - St Jospeh, MI
This was an excellent course. I wish I had taken this a long time ago. It is the missing piece for me to treat my patients more effectively! Thank you! Ramona is an excellent instructor—very knowledgeable, engaging and able to relate to class with.
- Wendy O'Shea MSPT - Englewood, OH
Ramona has a wealth of knowledge. Not only did she provide so much insight into pelvic health treatment but also provided new perspective for general PT treatment.
- Caroline Packard, DPT - Ada, MI
Mandy was helpful thanks! Ramona is best! I will now go to ANY course She teaches! Have Ramona teach this class more.
- Patricia Sisamis PT, MS - St Jospeh, MI
This course will really open your mind to different approaches approaches to treating both pelvic and ortho PTs.
- Scott Roberts, PT, MPT, COMT, CMTPT, FSNp, MCMT, LMT, CCI, KT - Richmond, VA
Ramona did a great job! Loved the class!
- Scott Roberts, PT, MPT, COMT, CMTPT, FSNp, MCMT, LMT, CCI, KT - Richmond, VA
This content is going to profoundly change and enhance the way in which I treat my patients of all diagnoses! Ramona was a fantastic instructor with a way of connecting the research to clinical practice that I have appreciated most during this weekend.
- Amanda Bachman, PT, DPT - Normal, IL
This is one of the best classes I have taken. Ramona’s knowledge and passion for teaching is top notch! Ramona answers all questions and graciously welcomes questions. I look forward to taking more classes. I have come away from this class being able to use these techniques day 1 and now I have a better understanding of how to apply this to other PT needs.
-Janice Bacak, MSPT
Amazing course! Definitely the most engaging, interesting and useful continuing education class I’ve ever taken. Ramona is a great instructor!
-Tessa Elliott, PT, DPT, MPH
This is my third course with Ramona, and every time I am so glad I signed up. Her approach, humor, and ability to explain techniques conceptually and physiologically is so helpful for applying these techniques in the clinic. Her courses having 100% changed (and improved) the way I treat and educate patients.
-Quozette Valera, Carlsbad, CA
This is the first time I have been to a course and felt an immediate desire to sign up for another course. (With Ramona!) She is incredibly engaging and knowledgeable.
-Alyssa George - St Paul, MN
Excellent variety of treatment interventions with sound principle evidence. Not cookie cutter. Thank You.
-Jennifer Brusca, PT - Lake Hopatcong, NJ
Great Course, A lot of good practical knowledge to back to practice.
-Rachel Williams - Riverdale, NY
Better Demos, better ability to see what is going on hand placements More time for Labs.
-Nadia Tsai, PT, RYT - Manlius, NY
I thought that this was a great course. Both Ramona and the lab assistant were very helpful in answering questions. Ramona presented information in a way that was easy to understand. I will be able to apply the information when I go to work tomorrow
-Maria Drews, PT - Katy, TX
Fantastic course. Great concepts and really gave me a grip on this technique that I can use in my practice tomorrow. More courses from Ramona please.
-Tanya Goodrich, PT - Mountain View, CA
Prior to this course, I was still on the fence regarding incorporating pelvic floor health into my work. After taking Mobilization of the Myofascial Layer with Ramona Horton, MPT, I had no doubt in my mind this is a specialty I want pursue. Ramona is not only a master manual therapist but her teaching style is fun and accessible. I came away from her course inspired and motivated to apply the techniques I learned immediately. The methods taught are subtle, yet so effective for the challenges we face with our pelvic floor patients. This class is a critical component to the large tool box we must have for this complex population.
-Shannon Dutter, MPT
I can't wait to go to the clinic in order to add all of the emerging techniques to my repertoire. Ramona always goes above and beyond to impart as much information and techniques as possible.
-Gail O'Neill, PT - Armonk, NY
Best course ever! I can use everything!
-Kathleen K. Valentino, PT - Annapolis, MD
Ramona has so much to offer in anatomy, treatments, and research. I always leave with a full brain. Great clinical applications.
-Ranessa Gibson, PT, DPT - Roanoke, VA
The myofascial course by Ramona C. Horton MPT is by far my favorite. All Herman and Wallace courses are amazing and I learn so much but, after Ramona’s course I was able to apply her techniques with confidence the very next day. Her techniques apply to all my patients and myself. She taught us new therapist positions for better body mechanics. These little corrections were felt immediately. She is knowledgeable, funny, and on task. I highly recommend her course and I can’t wait to take the other courses she has developed.
-Lori Yoder PT - Lady Lake, FL
This course exceeded my expectations. The techniques shown were more than enough to treat a variety of pelvic floor disorders in addition to orthopedic complaints.The instructor did an awesome job of answering questions and was always present to help during lab.
- Lottoya Manderson, MSPT - Miami, FL
This has truely bee the most informative CEU course I've ever taken.It really made me look at how I treat differently. I will change/integrate this into my treatment sessions.
- Jill Nauroth PTA - Cincinatti, OH
I really appreciate how much information you imparted to us and all the knowledge you shared in order to help us become better clinicians. Thank you so much for sharing your expertise! I am excited to use my new tools!
- Michelle Perra, PT - Roseville, MN
Great balance of didactic and lab - tied togeter info from many PF couses - will imporve the way I treat patients.
- Anonymous
An excellent class! Loved the comfort level/openness of the instructor and lab assistant.
- Anonymous