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Low Pressure Fitness and Abdominal Massage for Pelvic Floor Care: Level 1 - Houston, TX - September 25-27, 2020 (Rescheduled)

Due to concerns about COVID19, this course has been postponed.

  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

Price: $1,195.00 (Early Registrant Price $1,095.00)
Experience Level: Beginner
Contact Hours:20

Low Pressure Fitness and Abdominal Massage for Pelvic Floor Care is a 3 day continuing education course on learning the application of the Low Pressure Fitness (LPF) training system and abdominal massage for pelvic health. A novel exercise therapy approach based on the hypopressive technique, self- abdominal massage care and breathing re-education is presented by Dr. Tamara Rial.

The Low Pressure Fitness training system and self abdominal massage are two excellent tools which can serve as an adjunctive therapy to manage a wide variety of pelvic and core health conditions. This course is intended for women’s health practitioners and will provide all the tools for abdomino-pelvic assessment and pelvic health treatment through the lens of intra-abdominal pressure management and pelvic viscera organ positioning.

During this course, participants will learn and practice the technical principals of hypopressive exercise, learn the level one Low Pressure Fitness sequence; learn and receive abdominal, pelvic, spinal and diaphragmatic release techniques, including self-care protocols; practice and learn a variety of depressive breathing techniques; and leave with a solid understanding of specific adaptations and clinical cases to apply Abdominal Massage and Low Pressure Fitness.

Herman & Wallace presents the first US edition of Low Pressure Fitness and Abdominal Massage for Pelvic Floor Care with Low Pressure Fitness founder Dr. Tamara Rial. Throughout their expertise in the area, they will guide and provide you with the necessary keys and knowledge to implement the hypopressive and visveral positioning techniques to any patient with pelvic health or abdominal issues. The students will learn passive positioning of the pelvic diaphragm and abdomino-pelvic organs, which is most efficiently accomplished through a daily self-abdominal massage. This massage greatly improves blood flow and lymphatic circulation to the gut and pelvic organs leading to improved digestion, organ detoxification and hormonal balance. It will also help to release any myofascial and ligamentous restrictions that are leading to mal-positioning of the organs or breathing dysfunctions. The passive organ positioning is followed by the active technique that will train the deep core muscles to keep the organs in their optimal position. The students will also learn active positioning of the pelvic and abdominal organs through a core neuro-reeducation technique, known as Low Pressure Fitness. The Low Pressure Fitness methodology involves a seamless progression of postures and poses that cause a reduction in pressure in the abdomen and triggers an automatic response from the core muscles- transverse, pelvic floor, multifidus, diaphragm, and glutes. Low Pressure Fitness and trains the diaphragm and pelvic floor muscles to keep the pressure in the abdomen low, elevate the pelvic organs, decompress the spine, and reflexively strengthens the deep core muscles leading to significant improvements in pelvic organ and pelvic muscle function.

What to bring:

A Yoga mat or towel. Participants should wear loose, comfortable clothing that one would wear to a yoga or fitness class.


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. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

Special Considerations:

As this course involves practical sessions, participants who have special needs, medical conditions or are pregnant can fully participate in the course but the practical session will be adapted and modified. Therefore, they have to inform about their condition previously and a medical clearance to participate in the practical session will be required.

Day One:

7:30 Registration
8:00 Hypopressive and Low Pressure Fitness Concept
9:00 How organ position relates to postural and pelvic floor care
10:00 Break
10:15 Practical 1: Postural and breathing technical fundamentals
11:15 Abdominal assessment and massage
12:15 Lunch
1:15 Pelvic floor biomechanics and physiopathology
2:15 Practical 2: LPF teaching methodology and cues
3:15 Break
3:30 Practical 3: First part of LPF level 1 exercise sequence

Day Two:

8:00 Review and questions from day one
8:15 Abdominal thoracic LPF assessment
9:15 Abdominal vacuum assessment and breathing pattern dominant identification and corrections
10:00 Break
10:15 Practical 4: Second part of LPF Level 1 exercise sequence
12:15 Lunch
1:15 Procedure, precautions and professional skills
2:15 Practical 5: One by one level 1 sequence exercise
3:15 Break
3:30 Practical 6: Level 1 sequence masterclass
5:00 Adjourn

Day Three:

8:00 Review and questions from day two
8:15 Diaphgragmatic myofascial release exercises
9:15 Neurophysiology of abdominal massage
10:00 Break
10:15 Adaptations to abdominal massage based on uterine position and GI behavior
12:15 Lunch
1:15 LPF exercise adaptations for Diastasis Recti and Pelvic floor Dysfunction
2:15 Practical 7: LPF exercise adjunctive with Transverse and pelvic floor contraction
3:15 Video Record and LPF Resources
3:45 Questions and closure course
4:00 Adjourn

Upon completion of this course, participants should be able to:

1. Identify how pelvic floor anatomy, biomechanics and pathophysiology relate to practical and scientific evidence for hypopressive training through LPF.
2. Describe the hypopressive concept, its postural foundations and the goals of LPF.
3. Describe how organ position relates to posture, breathing and pelvic floor function.
4. Assess the abdomen for visceral and soft tissue tension and implement the appropriate manual therapy techniques to resolve dysfunctions.
5. List the neurophysiologic benefits of abdominal massage and how that relates to pelvic floor muscle function.
6. Teach abdominal massage for self care, and make the appropriate adaptations based on the physical presentation and symptomology of the patient.
7. Demonstrate correct procedure, professional skills and technical implementation of LPF exercises, transitions and progressions.
8. Demonstrate and teach diaphragmatic and abdominal myofascial release exercises and techniques.
9. Demonstrate competency in performance and teaching of the level 1 LPF sequence to patients in a one-on-one setting.
10. Describe LPF exercise adaptations for diastasis recti and pelvic floor muscle dysfunction.
11. Learn the abdominal vacuum, abdominal tone and hyperpresure assessment scale.

 NameStreet Address (Links to Map)
Course Location

Texas Children's Hospital
Feigin Center

1102 Bates Ave
Houston, TX 77030
Recommended Lodging

Hilton Houston Plaza/Medical Center
(713) 313-4000

6633 Travis St
Houston, TX 77030
Nearest Airports

George Bush Intercontinental Airport
Airport Code: IAH

William P. Hobby Airport
Airport Code: HOU

2800 N Terminal Rd
Houston, TX 77032

7800 Airport Blvd
Houston, TX 77061


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Tamara Rial, PhD, CSPS.

Tamara Rial

Tamara Rial earned dual bachelor degrees in exercise science and physical education, a masters degree in exercise science and a doctorate with international distinction from the University of Vigo (Spain). Her dissertation focused on the effects of hypopressive exercise on women’s health.

She is the creator and co-founder of Low Pressure Fitness which is an exercise training program based on hypopressive, myofascial & neurodynamic techniques. In 2016, this program was awarded the best exercise program by AGAXEDE, a leading sports management association in Galicia, Spain. Dr. Rial is the creative director for Low Pressure Fitness. At present, over 2500 health and fitness professionals from around the world are certified Low Pressure Fitness trainers.

Dr. Rial is a a professor of pelvic floor rehabilitation in the masters Degree at Fundació Universitaria del Bages in Barcelona, Spain. She is the author of several scientific articles and books about hypopressive exercise. She has also published numerous articles and videos about pelvic floor fitness, hypopressive exercise and women's health. She is an internationally recognized speaker and has presented at conferences throughout Argentina, Canada, United States Mexico, Portugal and Spain. As an established researcher and practitioner, she continues to collaborate with colleagues at universities and health care settings to explore the effects of hypopressive exercise on health and wellbeing.

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".