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MFRP November 6-8 Satellite Locations

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Mobilization of the Myofascial Layer: Pelvis and Lower Extremity Satellite Lab Course

  • Description

  • Schedule

  • Objectives

  • Instructors

Price: $575 ($550 Early Registrant Price
one month before the course)
Experience Level: Intermediate
Contact Hours: 17

This is a satellite offering of our course, Mobilization of the Myofascial Layer course.  A satellite means that participnts will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. The self-hosted option is for those who will be working in pairs or small groups on their own.

Fascia is the ubiquitous tissue that permeates the entire body; it supports and connects all of the other structures found within.  The “myofascial” is comprised of those layers of fascia that are associated with the locomotor system.   Application of myofascial therapy for pelvic dysfunction is well documented as an effective treatment approach.  This treatment requires a detailed knowledge of pelvic anatomy as well as palpation skills for assessment of connective tissue mobility, movement asymmetry and tissue tension abnormalities affecting the pelvis and lower extremity and their associated fascial structures

The material will include the science of and evidence behind myofascial based manual therapies with an emphasis on tissue evaluation and clinical reasoning.  Multiple approaches for the treatment of fascial dysfunction will be presented in 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 evidence-based myofascial treatment into an existing clinical program.

Lab activities will cover external and internal vaginal or rectal techniques, both male and female clinicians are encouraged to participate.   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 and

 intraosseous structures and  multiple layers of the pelvic floor

-Positional inhibition for 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. Pregnant women course attendees may participate in a limited capacity and we strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice.
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. 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.


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

 

Threee hours of pre-recorded lectures will be made accessible 4-7 days prior to the course, via Teachable, an online learning platform. These are including in the course contact hours for CEUs and must be completed prior to the course.

Day One:

100 Registration, Welcome and Zoom review
1:30
Review of recorded lectures and questions
Concepts of Myofascial Mobilization
2:30
Lab I - Palpation exercise and mobility testing
3:30
Lecture – Myofascial Induction and Positional Inhibition
4:30
Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
5:30
Adjourn

Day Two:

8:00 Lecture - Bony Pelvis and Lower Extremity
9:15 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
8:30
Lab VII - Techniques for anterior pelvic floor: UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator foramen, PIT obturator internus, perineal body
9:45
Lab VIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, Alcock’s canal, PIT puborectalis 1

1:00 Short break
11:30
Lecture & Brunch - Adjunctive fascial release techniques
12:30
Lab IX - IASTM technique for trunk and lower extremity
1:45
Lab X – Fascial decompression (Cupping)
2:30
Wrap up, case presentations and questions
3:00
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

 

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.