Continuing Education Courses > Mobilization of Visceral Fascia: The Gastrointestinal System
|Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. 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.
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
1) Pelvic Floor Level 1 at a minimum. For Pediatric therapists, completion of training such as Pediatric Incontinence and Pelvic Floor Dysfunction live course. It is also highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
1. Willard, F. H. (2012) Visceral fascia. In: Schleip R, Findley TW, Chaitow L, Huijing P (Eds.) Fascia-The Tensional Network of The Human Body. (pp. 53-56). Elsevier, Edinburgh.
2. Lee, D., Lee, L., McLaughlin, L. (2008). Stability, continence and breathing: The role of fascia following pregnancy and delivery. Journal of Bodywork and Movement Therapies, 12(4), 333-348.
3. Bordoni, B. & Zanier, E. (2013). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 6, 281–291.
4. Uberoi, R., D'Costa, H., Brown, C., & Dubbins, P. (1995). Visceral slide for intraperitoneal adhesions? A prospective study in 48 patients with surgical correlation. Journal of clinical ultrasound, 23(6), 363-366.
5. Cheynel, N., Serre, T., Arnoux, P-J, Ortega-Deballon P., Benoit L. ,Brunet, C. (2009). Comparison of the biomechanical behavior of the liver during frontal and lateral deceleration.
6. Cox, E. (1984). Blunt abdominal trauma. A 5-year analysis of 870 patients requiring celiotomy. Annals of Surgery. 199(4), 467-474The Journal of Trauma, 67(1), 40-44
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
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 Visceral Fascia: The Gastrointestinal System or any other course!
The course outline and objectives were well organized. This gave us good time to learned the skills and made us confident to use them right away in the clinic.
- Avani Parikh - Citrus Heights, CA
An exceptional course as always, with Ramona. Wonderful organization and instruction of the hands-on components.
- Kristina Peterson, PT, DPT - Riverside, CA
One of the best con – ed courses I have ever been to – evidence based but practical. I love Ramona!
- Sarah L. Shimanek, PT, DPT, PRPC - Torrance, CA
Loved the course! Highly recommended course! Learned the skills that I can apply in any setting, the possibilities are endless!
- Dr. Amandeep Dhaliwal, PT, DPT - Manteca, CA
I learn more each time. Thank you!
- Natalie Hickenbotham, PT, PRPC - Santa Barbara, CA
This is a very important addition to HW clinical and fills a much needed hole. Thank you, Remove to your work and powering through during chemo.
- Nari Clemons, PT, PRPC - Zionsville, IN
This course was amazing – invaluable info! I can’t wait to use this info: new skills in my practice – it will allow me to look more holistically at the body.
- Amanda Swearingen, PT, DPT, PRPC - Portland, OR
Awesome class, learned a lot of new techqnics and theory. I liked how scientific this was.
- Tiffany Hodges PT, DPT, OMPT - Tucson, AZ
I appreciate Ramona’s evident high knowledge base of gastrointestinal anatomy and physiology, fascial treatment and clinical expertise. I learned excellent techniques that I can immediately apply to my patient population.
- Jacqueline Castillo, PT, DPT, MSCI - La Jolla, CA