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Mobilization of the Myofascial Layer - Grand Rapids, MI - March 6-8, 2020

Grand Rapids
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Price: $650 (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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Day One:

4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break 
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn

Day Two:

8:00 Lecture – Myofascial Induction and Positional Inhibition 
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn

 

Day Three:

8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn

 

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

 

 NameStreet Address (Links to Map)
Course Location

Spectrum Health System

100 Michigan St NE
Grand Rapids, MI 49503
Recommended Lodging

Amway Grand Plaza
(616) 774.200

187 Monroe Ave NW
Grand Rapids, MI 49503
Nearest Airport

Gerald R. Ford International Airport
Airport Code: GRR

5500 44th St SE
Grand Rapids, MI 49512

 

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

Ramona Horton, MPT, DPT

Ramona Horton

Ramona C. Horton MPT, DPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.

Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.

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".