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Mobilization of Visceral Fascia: The Urinary System - Little Rock, AR - September 6-8, 2019

Little Rock
  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75

The fascial system consists of four concentric layers, with the visceral layer beginning at the naso-pharynx and ending at the anal aperture. This course will focus on theory and manual therapy technique for mobilizing fascial structures of the visceral system. The abdomino-pelvic canister is a functional and anatomical construct comprised of the somatic structures of the abdominal cavity and pelvic basin, which work synergistically to support the midline of the body. The walls of this canister are occupied by and intimately connected to the visceral structures found within. In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container.


Material will be presented that includes the science of and evidence behind the use of fascial based manual therapy with presentation of relevant visceral and fascial anatomy. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses


Mobilization of the visceral fascia requires advanced palpation skills along with extensive knowledge of visceral anatomy. This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to physical therapy treatment. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regimen.


Special Considerations:

As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice.



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.


Pelvic Floor Level 1 through Herman & Wallace or prior seminar instruction in internal pelvic floor vaginal muscle examinations


Required Readings:
1. The Fascial Mechanoreceptors Article from fasciaresearch.com

2. Review the anatomy of the pelvis and perineum

3. Review of Anatomy Terms

4. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.


Day One:
4:30 Registration
5:00 Concepts of Visceral Mobilization
6:45 Break
7:00 Concepts of Visceral and Fascial Mobilization
8:15 Direct & Indirect Treatment
9:15 Adjourn

Day Two:
8:00 Review of Fascial Concepts
8:30 Visceral Palpation and Evaluation
9:45 Bladder Lecture: External Approach
10:45 Break
11:00 External Bladder Techniques: Demo and Labs
1:00 External Bladder Techniques: Demo and labs
2:00 Small & Large Intestine Lecture
3:00 Break
3:15 Small Intestine: Demo and Lab
4:15 Large Intestine: Demo and lab
5:30 Adjourn

Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture
9:00 Kidney/Ureter Techniques: Demo and lab
9:45 Break
10:00 Urethra & Trigone Lecture: Internal Approach
10:30 Internal Bladder Techniques: Demo and labs
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships
2:15 Thoracic Mobilization: Demo and Lab
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn

Upon completion of this continuing education seminar, participants will be able to:


1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.

2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction

3. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax

4. Express a clear understanding of the visceral structures within the urinary system and how their normal mobility is associated with somatic and autonomic function

5. Differentiate between direct and indirect release techniques and understand the proper application of each

6. Identify visceral structures with relation to the urinary system via external and internal vaginal landmarks

7. Recognize abnormal tissue mobility and motility of visceral fascial structures

8. Apply the technique of three-dimensional fascial release to visceral structures, utilizing external body and internal vaginal approaches

9. Recognize and treat fascial restrictions throughout the pelvis, abdomen and thorax as they may relate to diagnoses of dysfunction within the urinary system

10. Develop treatment sequencing with respect to global, local and focal fascial restrictions

11. Implement fascial release techniques into a comprehensive treatment program for the patient with varied urologic diagnoses to include incontinence, urgency, retention, and bladder pain as they relate to physical therapy


 NameStreet Address (Links to Map)
Course Location

Advanced Physical Therapy of Little Rock

10014 N Rodney Parham Rd
Little Rock, AR 72227
Recommended Lodging

Hampton Inn & Suites West Little Rock
(501) 537-3000

1301 S Shackleford Rd
Little Rock, AR 72211
Nearest Airport

Clinton National Airport
Airport Code: LIT

1 Airport Dr
Little Rock, AR 72202


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

Ramona Horton, MPT, DPT

Ramona C Horton, MPT

Ramona C. Horton MPT, DPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She then applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. 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 Student2019. (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 FirstTimer2019 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".