(646) 355-8777

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.

Courses Instructed by Ramona Horton

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    Mobilization of the Myofascial Layer - Akron, OH - May 3-5, 2019

    {dtregister}706{/dtregister}
    Akron
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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

    .

    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

     

      Name Street Address (Links to Map)
    Course Location

    Summa Health Wellness Center in Green

    3838 Massillon Rd.
    Uniontown, OH 44685
    Recommended Lodging

    Cambria Suites in Green
    (330) 899-1990

    1787 Thorn Drive
    Uniontown, OH 44685
    Nearest Airport

    Akron-Canton Airport
    Airport Code: CAK

    5400 Lauby Road
    Canton, OH 44720

     

    Directions from Recommended Lodging to Course Location:

     

    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".


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    Mobilization of the Myofascial Layer - Bel Air, MD - November 1-3, 2019

    {dtregister}747{/dtregister}
    BelAir
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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

    .

    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

     

     NameStreet Address (Links to Map)
    Course Location

    University of MD Upper Chesapeake Medical Center

    Recommended Lodging

    Hampton Inn 
    410-670-6000

    Nearest Airport

    Baltimore Washington International Airport

     

     

    Directions from Recommended Lodging to Course Location: Click here if map is not shown 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".


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    Mobilization of the Myofascial Layer - Carlsbad, CA - March 22-24, 2019

    {dtregister}720{/dtregister}
    Carlsbad
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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

    .

    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

     

      Name Street Address (Links to Map)
    Course Location

    Tri-City Medical Center

    6250 El Camino Real
    Carlsbad, CA 92009
    Recommended Lodging

    Residence Inn by Marriott San Diego Carlsbad
    (760) 431-9999

    2000 Faraday Ave
    Carlsbad, CA 92008
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

     

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

    <p

    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".


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    Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - Colorado Springs, CO - December 2-4, 2016

    {dtregister}373{/dtregister}
    Colorado Springs

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $575 (Early Registrant Price $550)
    Experience Level: Intermediate
    Contact Hours: 17

    This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis and lower extremity as it relates to treatment of pelvic floor dysfunction. This course is geared toward the therapist that wishes to integrate a variety of manual therapy techniques for treating the myofascial system. Material will be presented that includes the science and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab sections include both surface and internal vaginal/rectal techniques. The goal is to provide the clinician that is currently treating women and men with pelvic dysfunction additional tools that they can immediately incorporate into their clinical practice.

     

    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

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

      Name Street Address (Links to Map)
    Course Location

    St. Francis Medical Center

    6001 E Woodmen Rd
    Colorado Springs, CO 80923
    Recommended Lodging

    Holiday Inn Express & Suites Colorado Springs
    (719)596-6000

    3431 Cinema Point
    Colorado Springs, CO 80922
    Nearest Airport

    Denver International Airport
    Airport Code: DEN

    8500 Peña Blvd
    Denver, CO 802498

     

    Click here if no map appears below

    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".


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

    {dtregister}994{/dtregister}
    Grand Rapids
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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

    .

    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

     

     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".


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    Mobilization of the Myofascial Layer - Greenville, SC - November 6-8, 2020 (Postponed)

    Due to ongoing concerns about COVID19, this course has been converted to a satellite lab course. Registration for the satellite lab course is available here.

    {dtregister}933{/dtregister}
    Greenville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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

    .

    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

     

      Name Street Address (Links to Map)
    Course Location

    Bon Secours St. Francis Health System

    1 St. Francis Drive,
    Greenville, SC 29601
    Recommended Lodging

    Aloft Greenville Downtown
    (864) 297-6100

    5 N Laurens St.
    Greenville, SC 29601
    Nearest Airport

    Greenville–Spartanburg International Airport
    Airport Code: GSP

    2000 GSP Dr
    Greer, SC 29651

     

    Directions from Recommended Lodging to Course Location:

     

    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".


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  • Mobilization of the Myofascial Layer - Greenville, SC - November 6-8, 2020 (Postponed)
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    Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - Houston, TX - September 23-25, 2016

    {dtregister}360{/dtregister}
    Houston

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $575 (Early Registrant Price $550)
    Experience Level: Intermediate
    Contact Hours: 17

    This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis and lower extremity as it relates to treatment of pelvic floor dysfunction. This course is geared toward the therapist that wishes to integrate a variety of manual therapy techniques for treating the myofascial system. Material will be presented that includes the science and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab sections include both surface and internal vaginal/rectal techniques. The goal is to provide the clinician that is currently treating women and men with pelvic dysfunction additional tools that they can immediately incorporate into their clinical practice.

     

    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

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

      Name Street 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

    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".


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    Mobilization of the Myofascial Layer - Minneapolis, MN - September 7-9, 2018

    {dtregister}575{/dtregister}
    Minneapolis
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    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

    .

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

     NameStreet Address (Links to Map)
    Course Location

    Viverant

    12324 Wayzata Blvd.
    Minnetonka, MN 55305
    Recommended Lodging

    Country Inn & Suites By Carlson, Minneapolis West
    (763) 473-3008

    210 Carlson Pkwy N
    Plymouth, MN 55447
    Nearest Airport

    Minneapolis St Paul International Airport
    Airport Code: MSP

    Minnesota

     

    Directions from Recommended Lodging to Course Location: Click here if map is not shown below.

    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".


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    Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - Nashua, NH - June 3-5, 2016

    {dtregister}361{/dtregister}
    Nashua

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $575 (Early Registrant Price $550)
    Experience Level: Intermediate
    Contact Hours: 17

    This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis and lower extremity as it relates to treatment of pelvic floor dysfunction. This course is geared toward the therapist that wishes to integrate a variety of manual therapy techniques for treating the myofascial system. Material will be presented that includes the science and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab sections include both surface and internal vaginal/rectal techniques. The goal is to provide the clinician that is currently treating women and men with pelvic dysfunction additional tools that they can immediately incorporate into their clinical practice.

     

    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

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

     NameStreet Address (Links to Map)
    Course Location

    St. Joseph Hospital - Outpatient Rehab

    75 Northeastern Blvd
    Nashua, NH 03062
    Recommended Lodging

    Holiday Inn Hotel & Suites Nashua
    (603) 888-1551

    9 Northeastern Blvd
    Nashua, NH 03062
    Nearest Airport

    Manchester-Boston Regional Airport
    Airport Code: MHT

    1 Airport Rd
    Manchester, NH 03103

     

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

     

    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".


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      string(74) "Mobilization of the Myofascial Layer - Raleigh, NC - September 22-24, 2017"
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    Mobilization of the Myofascial Layer - Raleigh, NC - September 22-24, 2017

    {dtregister}455{/dtregister}
    Raleigh

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    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

    .

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

     NameStreet Address (Links to Map)
    Course Location

    North Carolina Heart and Vascular Hospital

    2800 Blue Ridge Road
    Raleigh, 27607
    Recommended Lodging

    Hilton Garden Inn Raleigh/Crabtree Valley
    (919) 703-2525

    3912 Arrow Dr.
    Raleigh, NC 27612
    Nearest Airport

    Raleigh–Durham International Airport
    Airport Code: RDU

    2400 John Brantley Blvd
    Morrisville, NC 27560

     

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

    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".


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    Mobilization of the Myofascial Layer - San Diego, CA - January 20-22, 2017

    {dtregister}461{/dtregister}
    SanDiego

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    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

    .

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

      Name Street Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    10803 Vista Sorrento
    San Diego, CA 92121
    Recommended Lodging

    Holiday Inn Express & Suites San Diego - Sorrento Valley
    (858) 731-0100

    5925 Lusk Blvd
    San Diego, CA 92121
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location

    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".


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    Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - Santa Barbara, CA - March 11-13, 2016

    {dtregister}381{/dtregister}
    Santa Barbara

    {gallery width=181}course_images/mfrp{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $575 (Early Registrant Price $550)
    Experience Level: Intermediate
    Contact Hours: 17

    This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis and lower extremity as it relates to treatment of pelvic floor dysfunction. This course is geared toward the therapist that wishes to integrate a variety of manual therapy techniques for treating the myofascial system. Material will be presented that includes the science and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab sections include both surface and internal vaginal/rectal techniques. The goal is to provide the clinician that is currently treating women and men with pelvic dysfunction additional tools that they can immediately incorporate into their clinical practice.

     

    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

    Day One:

    5:00 Introduction, Goals and Objectives
    5:30 Lecture - Concepts of myofascial release
    7:00 Lab I - Palpation exercise and mobility testing
    8:30 Adjourn

    Day Two:

    8:00 Review and questions from day one 
    8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
    9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
    10:15 Break
    10:30 Lecture - Bony Pelvis
    11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
    12:00 Lunch
    1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
    2:00 Lecture - Lower extremity: Hip, thigh and lower leg
    2:45 Break
    3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
    4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
    5:00 Adjourn

     

    Day Three:

    8:00 Review and questions from day one  
    8:30 Lecture - Anterior and posterior pelvic floor
    9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
    10:30 Break
    10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
    12:00 Lunch
    1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
    1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
    2:45 Break
    3:00 Lab V - IASTM technique for trunk and lower extremity
    4:00 Adjourn

     

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

    1. Describe the theory and application of myofascial release
    2. Cite potential causes for development of restrictions in the fascial system
    3. Differentiate between direct and indirect release techniques and understand the proper application of each
    4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
    5. Recognize abnormal connective tissue mobility and joint spring testing
    6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
    7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
    8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to 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.

     NameStreet Address (Links to Map)
    Course Location

    Cottage Rehabilitation Hospital

    2415 De La Vina St
    Santa Barbara, CA 93105
    Recommended Lodging

    Best Western Plus Encina Lodge & Suites
    (805) 682-7277

    2220 Bath St
    Santa Barbara, CA 93105
    Nearest Airport

    Santa Barbara Airport
    Airport Code: SBA

    500 James Fowler Rd
    Santa Barbara, CA 93117

     

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

    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".


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    Mobilization of the Myofascial Layer Satellite Lab Course - November 6-8, 2020

    November 6th: 1:00pm-5:00pm /November 7th: 8:00am-5:30pm /November 8th: 8:00am-3:00pm
    *Times are listed in Pacific Time

    • 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. 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.

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    Mobilization of the Myofascial Layer Satellite Lab Course - Athens, GA November 6-8, 2020

    {dtregister}1272{/dtregister}

    November 6th: 4:00pm-8:00pm /November 7th: 11:00am-8:30pm /
    November 8th: 11:00am-6:00pm
    *Times are listed in Eastern Time

    Athens
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    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. 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

     

      Name Street Address (Links to Map)
    Course Location

    Thrive Integrated Medicine

    2080 Prince Ave
    Athens, GA 30606
    Recommended Lodging

    Hilton Garden Inn Athens Downtown
    (706)-353-6800

    390 E Washington St
    Athens, GA 30601
    Nearest Airport

    Athens-Ben Epps Airport - AHN
    Airport Code: AHN

    1010 Ben Epps Dr
    Athens, GA 30605

     

    Directions from Recommended Lodging to Course Location

    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".


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  • Mobilization of the Myofascial Layer Satellite Lab Course - Athens, GA November 6-8, 2020
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    Mobilization of the Myofascial Layer Satellite Lab Course - Greenville, SC November 6-8, 2020

    {dtregister}1273{/dtregister}

    November 6th: 4:00pm-8:00pm /November 7th: 11:00am-8:30pm /
    November 8th: 11:00am-6:00pm
    *Times are listed in Eastern Time

    Greenville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    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. 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

     

      Name Street Address (Links to Map)
    Course Location

    Bon Secours St. Francis Health System

    1 St. Francis Drive,
    Greenville, SC 29601
    Recommended Lodging

    Aloft Greenville Downtown
    (864) 297-6100

    5 N Laurens St.
    Greenville, SC 29601
    Nearest Airport

    Greenville–Spartanburg International Airport
    Airport Code: GSP

    2000 GSP Dr
    Greer, SC 29651

     

    Directions from Recommended Lodging to Course Location:

     

    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".


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  • Mobilization of the Myofascial Layer Satellite Lab Course - Greenville, SC November 6-8, 2020
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    Mobilization of the Myofascial Layer Satellite Lab Course - Medford, OR November 6-8, 2020

     

    {dtregister}1329{/dtregister}

    November 6th: 1:00pm-5:00pm /November 7th: 8:00am-5:30pm /
    November 8th: 8:00am-3:00pm
    *Times are listed in Pacific Time

    Medford
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    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. 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

     

      Name Street Address (Links to Map)
    Course Location

    Asante Rogue Regional Medical Center

    Recommended Lodging

    Homewood Suites by Hilton Medford
    (541) 779-9800

    2010 Hospitality Way
    Medford, OR 97504
    Nearest Airport

    Rogue Valley International – Medford Airport
    Airport Code: MFR

    1000 Terminal Spur Rd
    Medford, OR 97504

     

    Directions from Recommended Lodging to Course Location:

     

    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".


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  • Mobilization of the Myofascial Layer Satellite Lab Course - Medford, OR November 6-8, 2020
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    Mobilization of the Myofascial Layer Satellite Lab Course - Self-Hosted- November 6-8, 2020

    {dtregister}1276{/dtregister}

    November 6th: 1:00pm-5:00pm /November 7th: 8:00am-5:30pm /
    November 8th: 8:00am-3:00pm
    *Times are listed in Pacific Time

    Ramona
    • Description

    • Schedule

    • Objectives

    • Instructors

    • Self-Hosted Course Info

    • Discounts

    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. 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.

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    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".


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  • Mobilization of the Myofascial Layer Satellite Lab Course - Self-Hosted - November 6-8, 2020
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    Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women - Satellite Lab Course - October 1-3, 2021

    Oct 1st: 1:30pm-6:30pm / Oct 2nd: 8:00am-6:00pm / Oct 3rd: 8:00pm-3:30pm
    *Times are listed in Pacific Time

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $600 (Early Registrant Price $575)
    Experience Level: Advanced
    Contact Hours: 17.25

    PLEASE NOTE: This event is a satellite viewing of the remote Mobilization of Visceral Fascia: The Reproductive System of Men and Women course, taking place August 21-23, 2020.

    This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant. This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Recorded video lectures to be viewed in-full prior to the course: 

      Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.

     Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

    Day One:

    1:30 Registration, Welcome and Zoom setup
    2:00 Review of recorded lectures and questions
    2:30 Lab 1 -Selected VTUS technique review
    4:15 Uterus Lecture
    5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
    6:30 Adjourn

    Day Two:

    8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
    9:30 Cervix Lecture
    10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
    12:00 Lunch
    1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
    2:30 Ovaries & Tubes Lecture
    3:30 Lab VI-Ovaries/Tubes Technique
    Cervical-Ovarian mobilization, Tubal roll, Ovary induction
    4:30 Prostate & Testicle Lecture
    6:00 Adjourn

     

    Day Two:

    8:00 Review of Day 2 & Questions
    8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
    11:30 Break
    12:00 Brunch and Lymphatic Technique Lecture
    1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:30 Infertility Lecture and discussion
    3:30 Adjourn

     

     

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

    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.

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  • Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women - Satellite Lab Course - October 1-3, 2021
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    Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women Satellite Lab Course - Self-Hosted - October 1-3, 2021

    {dtregister}1561{/dtregister}

    Oct 1st: 1:30pm-6:30pm / Oct 2nd: 8:00am-6:00pm / Oct 3rd: 8:00pm-3:30pm
    *Times are listed in Pacific Time

    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    Price: $600 (Early Registrant Price $575)
    Experience Level: Advanced
    Contact Hours: 17.25

    PLEASE NOTE: This event is a satellite viewing of the remote Mobilization of Visceral Fascia: The Reproductive System of Men and Women course, taking place August 21-23, 2020.

    This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant. This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Recorded video lectures to be viewed in-full prior to the course: 

      Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.

     Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

    Day One:

    1:30 Registration, Welcome and Zoom setup
    2:00 Review of recorded lectures and questions
    2:30 Lab 1 -Selected VTUS technique review
    4:15 Uterus Lecture
    5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
    6:30 Adjourn

    Day Two:

    8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
    9:30 Cervix Lecture
    10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
    12:00 Lunch
    1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
    2:30 Ovaries & Tubes Lecture
    3:30 Lab VI-Ovaries/Tubes Technique
    Cervical-Ovarian mobilization, Tubal roll, Ovary induction
    4:30 Prostate & Testicle Lecture
    6:00 Adjourn

     

    Day Two:

    8:00 Review of Day 2 & Questions
    8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
    11:30 Break
    12:00 Brunch and Lymphatic Technique Lecture
    1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:30 Infertility Lecture and discussion
    3:30 Adjourn

     

     

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    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.

     

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  • Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women Satellite Lab Course - Self-Hosted - October 1-3, 2021
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    Mobilization of Visceral Fascia: The Gastrointestinal System - Arlington, VA - April 17-19, 2020 (Rescheduled)

    Update 3/19/2020: As a precaution against the spread of COVID-19, this course has been postponed. It is now taking place on July 10-12, 2020. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}840{/dtregister}
    Arlington
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    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.

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    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.

    Prerequisites:

    1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    Day One:
    4:00 Registration
    4:30  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    6:00 Break
    6:15Lecture – Embryology and the fascial system
    8:15 Lab I – Fascial stacking exercise
    9:00 Adjourn

    Day Two:
    8:00 Lab II – Layer palpation, Abdomen palpation and auscultation
    9:00 Lecture - Liver anatomy and fascial connections
    9:45 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    10:45 Break
    11:00 Lecture - Stomach anatomy and fascial connections
    12:00 Lunch
    1:00Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    2:99 Lab V –Stomach - mobilization of fascial attachments Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloric sphincter
    Cricoid cartilage, Lower esophageal sphincter,
    Esophagus mobilization with trunk, Vagus nerve
    3:00 Break
    3:15 Lecture – The spleen anatomy and fascial connections
    Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    4:00Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    5:30 Adjourn

    Day Three:
    8:00 Lecture – Small intestine/Peritoneal cavity
    9:00 Lab VII – Upper peritoneal cavity Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
    Loops of small intestine/adhesions
    10:00 Break
    10:15 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    11:15 Lecture – Colon, fascial attachments and dysfunction
    12:00 Lunch
    1:00 Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    2:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    Internal (vaginal) approach for rectal fascia
    3:00 Documentation and Q&A
    4:00 Adjourn

    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

     NameStreet Address (Links to Map)
    Course Location

    Virginia Hospital Center

    1701 N George Mason Dr
    Arlington, VA 22205
    Recommended Lodging

    Hilton Arlington
    (703) 528-6000

    950 N Stafford St
    Arlington, VA 22203
    Nearest Airport

    Washington Dulles International Airport
    Airport Code: IAD

    1 Saarinen Cir
    Dulles, VA 20166

     

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System - Arlington, VA - July 10-12, 2020 (Rescheduled)

    Update 06/11/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}1024{/dtregister}
    Arlington
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    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.

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    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.

    Prerequisites:

    1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    Day One:
    4:00 Registration
    4:30  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    6:00 Break
    6:15Lecture – Embryology and the fascial system
    8:15 Lab I – Fascial stacking exercise
    9:00 Adjourn

    Day Two:
    8:00 Lab II – Layer palpation, Abdomen palpation and auscultation
    9:00 Lecture - Liver anatomy and fascial connections
    9:45 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    10:45 Break
    11:00 Lecture - Stomach anatomy and fascial connections
    12:00 Lunch
    1:00Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    2:99 Lab V –Stomach - mobilization of fascial attachments Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloric sphincter
    Cricoid cartilage, Lower esophageal sphincter,
    Esophagus mobilization with trunk, Vagus nerve
    3:00 Break
    3:15 Lecture – The spleen anatomy and fascial connections
    Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    4:00Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    5:30 Adjourn

    Day Three:
    8:00 Lecture – Small intestine/Peritoneal cavity
    9:00 Lab VII – Upper peritoneal cavity Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
    Loops of small intestine/adhesions
    10:00 Break
    10:15 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    11:15 Lecture – Colon, fascial attachments and dysfunction
    12:00 Lunch
    1:00 Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    2:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    Internal (vaginal) approach for rectal fascia
    3:00 Documentation and Q&A
    4:00 Adjourn

    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

     NameStreet Address (Links to Map)
    Course Location

    Virginia Hospital Center

    1701 N George Mason Dr
    Arlington, VA 22205
    Recommended Lodging

    Hilton Arlington
    (703) 528-6000

    950 N Stafford St
    Arlington, VA 22203
    Nearest Airport

    Washington Dulles International Airport
    Airport Code: IAD

    1 Saarinen Cir
    Dulles, VA 20166

     

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System - Los Angeles, CA - January 24-26, 2020 (SOLD OUT)

    {dtregister}966{/dtregister}
    Los Angeles
    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

    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.

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    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.

    Prerequisites:

    1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    Day One:
    5:00 Registration
    5:30  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    7:00 Break
    7:15Lecture – Embryology and the fascial system
    8:15 Lab I – Fascial stacking exercise
    9:15 Adjourn

    Day Two:
    8:00 Lab II – Layer palpation, Abdomen palpation and auscultation
    9:00 Lecture - Liver anatomy and fascial connections
    9:45 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    10:45 Break
    11:00 Lecture - Stomach anatomy and fascial connections
    12:00 Lunch
    1:00Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    2:99 Lab V –Stomach - mobilization of fascial attachments Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloric sphincter
    Cricoid cartilage, Lower esophageal sphincter,
    Esophagus mobilization with trunk, Vagus nerve
    3:00 Break
    3:15 Lecture – The spleen anatomy and fascial connections
    Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    4:00Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    5:30 Adjourn

    Day Three:
    8:00 Lecture – Small intestine/Peritoneal cavity
    9:00 Lab VII – Upper peritoneal cavity Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
    Loops of small intestine/adhesions
    10:00 Break
    10:15 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    11:15 Lecture – Colon, fascial attachments and dysfunction
    12:00 Lunch
    1:00 Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    2:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    Internal (vaginal) approach for rectal fascia
    3:00 Documentation and Q&A
    4:00 Adjourn

    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

    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.

     NameStreet Address (Links to Map)
    Course Location

    UCLA Rehabilitation Services

    1000 Veteran Ave
    Los Angeles, CA 90024
    Recommended Lodging

    UCLA Tiverton House
    (213)748-4141

    900 Tiverton Ave
    Los Angeles, CA 90024
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA 90045

     

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

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System - San Diego, CA - June 15-16, 2018

    {dtregister}644{/dtregister}
    SanDiego

    {gallery width=181}course_images/vtgs{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $495 (Early Registrant Price $475)
    Experience Level: Intermediate
    Contact Hours: 15

    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 abdominopelvic 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 relation 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, via the anterior and lateral abdominal wall. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of diagnoses related to pelvic health physical therapy.

    Mobilization of the visceral fascia requires advanced palpation skills along with extensive knowledge of visceral anatomy. This two-day continuing education course is designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to physical therapy treatment such as chronic abdominopelvic pain, GERD, constipation, abdominal adhesions and urinary issues. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime. This course includes extensive lab work; all course 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, bringing a model for labs will facilitate the best learning experience, as deep palpation to the abdomen is not recommended in pregnant women

    Special Considerations:

    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. 

    Prerequisites:

    1) Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. It is also highly recommend the particpant have past 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. .

    2) Fascial Mechanoreceptors Article from fasciaresearch.com

    3) Review visceral anatomy terms (provided)

    Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us

     

    Day One:

    7:00 Registration
    8:00 Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    9:30 Break
    9:45 Lecture - Evidence based fascial mobilization
    10:45 Lab I - Palpation and fascial stacking exercise
    11:45 Lecture - Liver fascial connections and impact
    12:30 Lunch
    1:30 Lab II - Mobilization of fascial attachments of liver: Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment, liver mobilization
    2:30 Lecture - Stomach anatomy, dysfunction and evidence
    3:15 Break
    3:30 Lab III- Mobilization of fascial attachments of esophagus: Cricoid cartilage, Cardiac sphincter, Esophagus mobilization with trunk
    4:30 Lab IV – Mobilization of stomach attachments, Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    5:00 Adjourn

    Day Two:

    8:00 Review and questions from day one

    8:30 Lecture – Small intestine/Peritoneal cavity
    9:30 Lab V – Mobilization of fascial attachments, peritoneal cavity: Duodenum, Ligament of Trietz, Mesentery of small intestine
    10:30 Break
    10:45 Lab VI – Mobilization of fascial attachments, peritoneal cavity: Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions
    12:00 Lunch
    1:00 Lecture – Colon, fascial attachments and dysfunction
    1:45 Lab VII - Colon: Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    3:00 Lab VIII: Fascial decompression to the abdominal wall
    4:00 Adjourn

    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

    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.

      Name Street Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    10803 Vista Sorrento
    San Diego, CA 92121
    Recommended Lodging

    Holiday Inn Express & Suites San Diego - Sorrento Valley
    (858) 731-0100

    5925 Lusk Blvd
    San Diego, CA 92121
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location

    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".


     

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    Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - June 25-27, 2021

    June 25th: 1:00pm-5:00pm / June 26th: 8:00am-5:45pm / June 27th: 8:00am-3:00pm
    *Times are listed in Pacific Time

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

    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.

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    Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - March 19-21, 2021

    March 19th: 1:00pm-5:00pm / March 20th: 8:00am-5:45pm / March 21st: 8:00am-3:00pm
    *Times are listed in Pacific Time

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

    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.

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  • Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - March 19-21, 2021
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    Mobilization of Visceral Fascia: The Gastrointestinal System - Valencia, CA - June 26-28, 2020

    {dtregister}1016{/dtregister}
    Valencia
    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

    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.

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    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.

    Prerequisites:

    1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    Day One:
    4:00 Registration
    4:30  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    6:00 Break
    6:15Lecture – Embryology and the fascial system
    8:15 Lab I – Fascial stacking exercise
    9:00 Adjourn

    Day Two:
    8:00 Lab II – Layer palpation, Abdomen palpation and auscultation
    9:00 Lecture - Liver anatomy and fascial connections
    9:45 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    10:45 Break
    11:00 Lecture - Stomach anatomy and fascial connections
    12:00 Lunch
    1:00Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    2:99 Lab V –Stomach - mobilization of fascial attachments Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloric sphincter
    Cricoid cartilage, Lower esophageal sphincter,
    Esophagus mobilization with trunk, Vagus nerve
    3:00 Break
    3:15 Lecture – The spleen anatomy and fascial connections
    Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    4:00Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    5:30 Adjourn

    Day Three:
    8:00 Lecture – Small intestine/Peritoneal cavity
    9:00 Lab VII – Upper peritoneal cavity Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
    Loops of small intestine/adhesions
    10:00 Break
    10:15 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    11:15 Lecture – Colon, fascial attachments and dysfunction
    12:00 Lunch
    1:00 Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    2:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    Internal (vaginal) approach for rectal fascia
    3:00 Documentation and Q&A
    4:00 Adjourn

    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

    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.

     NameStreet Address (Links to Map)
    Course Location

    Henry Mayo Newhall Memorial Hospital

    4525 Town Center Drive
    Valencia, CA 91355
    Recommended Lodging

    Hyatt Regency Valencia
    (661)-799-1234

    24500 Town Center Dr
    Valencia, CA 91355
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA

     

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

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System - Vancouver, WA - August 23-25, 2019

    {dtregister}819{/dtregister}
    Vancouver
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    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.

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    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.

    Prerequisites:

    1) It is highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Although course content is geared toward the pelvic health therapist, there are no official prerequisites.

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    Day One:
    4:00 Registration
    4:30  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
    6:00 Break
    6:15Lecture – Embryology and the fascial system
    8:15 Lab I – Fascial stacking exercise
    9:00 Adjourn

    Day Two:
    8:00 Lab II – Layer palpation, Abdomen palpation and auscultation
    9:00 Lecture - Liver anatomy and fascial connections
    9:45 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    10:45 Break
    11:00 Lecture - Stomach anatomy and fascial connections
    12:00 Lunch
    1:00Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    2:99 Lab V –Stomach - mobilization of fascial attachments Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloric sphincter
    Cricoid cartilage, Lower esophageal sphincter,
    Esophagus mobilization with trunk, Vagus nerve
    3:00 Break
    3:15 Lecture – The spleen anatomy and fascial connections
    Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
    4:00Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    5:30 Adjourn

    Day Three:
    8:00 Lecture – Small intestine/Peritoneal cavity
    9:00 Lab VII – Upper peritoneal cavity Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
    Loops of small intestine/adhesions
    10:00 Break
    10:15 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    11:15 Lecture – Colon, fascial attachments and dysfunction
    12:00 Lunch
    1:00 Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
    2:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    Internal (vaginal) approach for rectal fascia
    3:00 Documentation and Q&A
    4:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    PeaceHealth Southwest Medical Center

    200 NE Mother Joseph Pl
    Vancouver, WA 98664
    Recommended Lodging

    Staybridge Suites Vancouver-Portland Metro
    (360)-891-8282

    7301 NE 41st St
    Vancouver, WA 98662
    Nearest Airport

    Portland International Airport
    Airport Code: PDX

    7000 NE Airport Way
    Portland, OR 97218

     

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

     

    You can not load Article(ID:223) into itself

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - June 25-27, 2021

    {dtregister}1564{/dtregister}

    Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00pm-8:00pm / June 27th: 11:00pm-6:00pm

    Brooklyn
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    PT of The City

    1514 Voorhies Ave
    Brooklyn, NY 11235
    Recommended Lodging

    Best Western Plus Brooklyn Bay Hotel
    718-769-5000

    3003 Emmons Ave
    Brooklyn, NY 11235
    Nearest Airport

    John F. Kennedy International Airport
    Airport Code: JFK

    Queens, NY 11430

     

    Directions from Recommended Lodging to Course Location

    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.

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  • Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - June 25-27, 2021
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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - March 19-21, 2021

    {dtregister}1563{/dtregister}

    Eastern Time: March 19th: 4:00pm-8:15pm / March 20th: 11:00pm-8:00pm / March 21th: 11:00pm-6:00pm

    Brooklyn
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    PT of The City

    1514 Voorhies Ave
    Brooklyn, NY 11235
    Recommended Lodging

    Best Western Plus Brooklyn Bay Hotel
    718-769-5000

    3003 Emmons Ave
    Brooklyn, NY 11235
    Nearest Airport

    John F. Kennedy International Airport
    Airport Code: JFK

    Queens, NY 11430

     

    Directions from Recommended Lodging to Course Location

    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.

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  • Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - March 19-21, 2021
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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Fairlawn, NJ - November 13-15, 2020

    {dtregister}1229{/dtregister}

    Eastern Time: November 13th: 4:00pm-8:15pm / November 14th: 11:00am-8:00pm / November 15th: 11:00am-6:00pm

    Fairlawn
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    Bella Physical Therapy

    39-40 Broadway, Suite 4
    Fair Lawn NJ 07410
    Recommended Lodging

    Hyatt Place Fair Lawn
    (201)475-3888

    41-01 Broadway
    Fair Lawn, NJ 07410
    Nearest Airport

    Newark Liberty International Airport
    Airport Code: EWR

    3 Brewster Rd
    Newark, NJ 07114

     

    Directions from Recommended Lodging to Course Location:

     

     

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Fargo, ND - November 13-15, 2020

    {dtregister}1234{/dtregister}

    Central Time: November 13th: 3:00pm-7:15pm / November 14th: 10:00am-7:00pm / November 15th: 10:00am-5:00pm

    Fargo
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    Apex Physical Therapy & Wellness Center

    1420 9th St E #401
    West Fargo, ND 58078
    Recommended Lodging

    Holiday Inn Express Fargo SW - I-94 Medical Center
    (701)-356-3232

    4711 19th Ave S
    Fargo, ND 58103
    Nearest Airport

    Hector International Airport
    Airport Code: FAR

    2801 32nd Ave N
    Fargo, ND 58102

     

    Directions from Recommended Lodging to Course Location

    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".


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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Jackson, WY - November 13-15, 2020

    {dtregister}1364{/dtregister}

    Mountain Time: November 13th: 2:00pm-6:15pm / November 14th: 9:00am-6:30pm / November 15th: 9:00am-4:00pm

    Jackson
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    Four Pines Physical Therapy

    46 Iron Horse Drive Ste 2
    Alpine, WY 83128
    Recommended Lodging

    Flying Saddle Resort
    (877)-772-4422

    118878 US-89
    Alpine, WY 83128
    Nearest Airport

    Jackson Hole Airport
    Airport Code: JAC

    1250 E Airport Rd #159
    Jackson, WY 83001

     

    Directions from Recommended Lodging to Course Location

    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".


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  • Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Jackson, WY - November 13-15, 2020
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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Medford, OR - November 13-15, 2020

    {dtregister}1253{/dtregister}

    Pacific Time: November 13th: 1:00pm-5:15pm / November 14th: 8:00am-5:00pm / November 15th: 8:00am-3:00pm

    Medford
    • Description

    • Schedule

    • Objectives

    • Location

    • Instructors

    • Discounts

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

      Name Street Address (Links to Map)
    Course Location

    Asante Rogue Regional Medical Center

    Recommended Lodging

    Homewood Suites by Hilton Medford
    (541) 779-9800

    2010 Hospitality Way
    Medford, OR 97504
    Nearest Airport

    Rogue Valley International – Medford Airport
    Airport Code: MFR

    1000 Terminal Spur Rd
    Medford, OR 97504

     

    Directions from Recommended Lodging to Course Location:

     

    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".


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  • Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Medford, OR - November 13-15, 2020
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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - June 25-27, 2021

    {dtregister}1560{/dtregister}

    June 25th: 1:00pm-5:00pm / June 26th: 8:00am-5:45pm / June 27th: 8:00am-3:00pm
    *Times are listed in Pacific Time

    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    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.

     

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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - March 19-21, 2021

    {dtregister}1559{/dtregister}

    March 19th: 1:00pm-5:00pm / March 20th: 8:00am-5:45pm / March 21st: 8:00am-3:00pm
    *Times are listed in Pacific Time

    Self Hosted
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    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.

     

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  • Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - March 19-21, 2021
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    Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - November 13-15, 2020

    {dtregister}1185{/dtregister}
    Ramona
    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    Price: $600 ($575 Early Registrant Price
    one month before the course)
    Experience Level: Intermediate
    Contact Hours: 18.25

    This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.  

    This satellite lab 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 log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor. 

    • The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
    • The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
    • The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
    • 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 (4).
    • Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).

    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.

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    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

    PreReadings:

    1) Horton (2015) Clinical Review: Visceral Mobilization and Pelvic Floor Dysfunction


    References

    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

    All times below listed in Pacifc Time.

    Day One:

    Three hours of pre-recorded lectures will be available via Teachable before the course. Once enrolled, participants should look for an email invitation to Teachable, an online learning platform, roughly ten days prior to their course start date. 


    1:00 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting) 
    1:30 Review of recorded lectures and questions Concepts of Visceral Mobilization Embryology and the fascial system
    2:30 Lab I – Three Dimensional Fascial stacking exercise
    3:30Lab II – Layer palpation, abdominal palpation and auscultation
    4:15 Lecture - Liver anatomy and fascial connections
    5:15 Adjourn

    Day Two:

    8:00 Lab III - Liver - mobilization of fascial attachments Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment
    9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
    9:00 Lecture - Stomach anatomy and fascial connections
    10:00 Lab IV- Esophagus - mobilization of fascial attachments Cricoid cartilage, Lower esophageal sphincter, Esophagus mobilization with trunk, Vagus nerve
    11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
    12:00 Lunch
    1:00 
    2:00 Lecture – The spleen anatomy and fascial connections
    3:00 Lab VI – Spleen - mobilization of fascial attachments: Gastrosplenic ligament,
    4:00 Lecture – Small intestine/Peritoneal cavity
    5:00 Adjourn

    Day Three

    8:00 Lab VII – Upper peritoneal cavity, Duodenum, Ligament of Trietz, Root of mesentery of small intestine, Motility of small intestine
    9:00 Lab VIII –Parietal wall of the peritoneal cavity Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions, fascial decompression
    9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
    10:00 Lecture – Colon, fascial attachments and dysfunction
    11:00Lab IX – Colon - mobilization of fascial attachments Cecum, Ileocecal valve, Facia of Toldt, sigmoid, flexures
    12:00 Lunch
    1:00 Lab X – Rectum mobilization of fascial attachments Valves of Huston, Internal (vaginal) approach for rectal fascia
    2:00 Documentation, Q&A
    3:00 Adjourn

    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

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit
    2. Find a suitable location from which the pair/group can all view the zoom lectures together
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    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.

     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Fairlawn, NJ - October 6-8, 2017 

    {dtregister}442{/dtregister}
    Fairlawn

    {gallery width=181}course_images/vtrs{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $650 (Early Registrant Price $625)
    Experience Level: Advanced
    Contact Hours: 17.25

    This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Day One
    4:00 Registration
    4:30 Review: Fascial and Visceral Concepts
    6:00 Break
    6:15 Review: Mobilization of Urinary System
    7:30 Lab 1: VTUS Technique Review
    9:00 Adjourn

    Day Two
    8:00 Uterus Lecture
    9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
    10:30 Break
    10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
    11:45 Cervix Lecture
    12:30 Lunch
    1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
    2:30 Break
    2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
    3:45 Ovaries/Tubes Lecture
    4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
    5:30 Adjourn

    Day Three
    8:00 Review of Day 2 & Questions
    8:30 Prostate/Testicle Lecture
    10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    11:00 Break
    11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
    12:15 Lunch
    1:15 Lymphatic Technique Lecture
    1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:45 Infertility Lecture and discussion
    4:00 Adjourn

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

    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.

      Name Street Address (Links to Map)
    Course Location

    Bella Physical Therapy

    39-40 Broadway, Suite 4
    Fair Lawn NJ 07410
    Recommended Lodging

    Hyatt Place Fair Lawn
    (201)475-3888

    41-01 Broadway
    Fair Lawn, NJ 07410
    Nearest Airport

    Newark Liberty International Airport
    Airport Code: EWR

    3 Brewster Rd
    Newark, NJ 07114

     

    Directions from Recommended Lodging to Course Location:

     

     

    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".


     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Philadelphia, PA - September 27-29, 2019

    {dtregister}690{/dtregister}
    Philadelphia
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $650 (Early Registrant Price $625)
    Experience Level: Advanced
    Contact Hours: 17.25

    This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Day One
    4:00 Registration
    4:30 Review: Fascial and Visceral Concepts
    6:00 Break
    6:15 Review: Mobilization of Urinary System
    7:30 Lab 1: VTUS Technique Review
    9:00 Adjourn

    Day Two
    8:00 Uterus Lecture
    9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
    10:30 Break
    10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
    11:45 Cervix Lecture
    12:30 Lunch
    1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
    2:30 Break
    2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
    3:45 Ovaries/Tubes Lecture
    4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
    5:30 Adjourn

    Day Three
    8:00 Review of Day 2 & Questions
    8:30 Prostate/Testicle Lecture
    10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    11:00 Break
    11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
    12:15 Lunch
    1:15 Lymphatic Technique Lecture
    1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:45 Infertility Lecture and discussion
    4:00 Adjourn

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

     NameStreet Address (Links to Map)
    Course Location

    Good Shepherd Penn Partners Penn Therapy and Fitness

    3737 Market Street
    Philadelphia, PA 19104
    Recommended Lodging

    Homewood Suites by Hilton University City Philadelphia
    (215) 382-1111

    4109 Walnut St
    Philadelphia, PA 19104
    Nearest Airport

    Philadelphia International Airport
    Airport Code: PHL

    8000 Essington Ave
    Philadelphia, PA 19153

     

    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".


     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Salt Lake City, UT - August 21-23, 2020 (RESCHEDULED)

    Due to concerns about COVID-19, this course is being offered in an entirely remote format. You can register for the remote lecutre and lab course here.

    {dtregister}993{/dtregister}
    Salt Lake City
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $650 (Early Registrant Price $625)
    Experience Level: Advanced
    Contact Hours: 17.25

    This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Day One
    4:00 Registration
    4:30 Review: Fascial and Visceral Concepts
    6:00 Break
    6:15 Review: Mobilization of Urinary System
    7:30 Lab 1: VTUS Technique Review
    9:00 Adjourn

    Day Two
    8:00 Uterus Lecture
    9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
    10:30 Break
    10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
    11:45 Cervix Lecture
    12:30 Lunch
    1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
    2:30 Break
    2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
    3:45 Ovaries/Tubes Lecture
    4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
    5:30 Adjourn

    Day Three
    8:00 Review of Day 2 & Questions
    8:30 Prostate/Testicle Lecture
    10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    11:00 Break
    11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
    12:15 Lunch
    1:15 Lymphatic Technique Lecture
    1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:45 Infertility Lecture and discussion
    4:00 Adjourn

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

     NameStreet Address (Links to Map)
    Course Location

    Rocky Mountain University of Health Professions

    122 E 1700 S
    Provo, UT 84606
    Recommended Lodging

    Hampton Inn Provo
    (801) 377-6396

    1511 S 40 E St
    Provo, UT 84601
    Nearest Airport

    Salt Lake City International Airport
    Airport Code: SLC

    776 N Terminal Dr
    Salt Lake City, UT 84122

     

    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".


     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - San Diego, CA - October 19-21, 2018

    {dtregister}548{/dtregister}
    SanDiego
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $650 (Early Registrant Price $625)
    Experience Level: Advanced
    Contact Hours: 17.25

    This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Day One
    4:00 Registration
    4:30 Review: Fascial and Visceral Concepts
    6:00 Break
    6:15 Review: Mobilization of Urinary System
    7:30 Lab 1: VTUS Technique Review
    9:00 Adjourn

    Day Two
    8:00 Uterus Lecture
    9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
    10:30 Break
    10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
    11:45 Cervix Lecture
    12:30 Lunch
    1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
    2:30 Break
    2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
    3:45 Ovaries/Tubes Lecture
    4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
    5:30 Adjourn

    Day Three
    8:00 Review of Day 2 & Questions
    8:30 Prostate/Testicle Lecture
    10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    11:00 Break
    11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
    12:15 Lunch
    1:15 Lymphatic Technique Lecture
    1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:45 Infertility Lecture and discussion
    4:00 Adjourn

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

    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.

      Name Street Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    10803 Vista Sorrento
    San Diego, CA 92121
    Recommended Lodging

    Holiday Inn Express & Suites San Diego - Sorrento Valley
    (858) 731-0100

    5925 Lusk Blvd
    San Diego, CA 92121
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location

    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".


     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - San Diego, CA Satellite Course - August 21-23, 2020

    Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm

    *Times listed in Pacific Time

    {dtregister}1145{/dtregister}
    San Diego
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $600 (Early Registrant Price $575)
    Experience Level: Advanced
    Contact Hours: 17.25

    PLEASE NOTE: This event is a satellite viewing of the remote Mobilization of Visceral Fascia: The Reproductive System of Men and Women course, taking place August 21-23, 2020.

    This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant. This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. 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. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs. 

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. 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. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.  

    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. 

     

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Recorded video lectures to be viewed in-full prior to the course: 

      Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.

     Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

    Day One:

    1:30 Registration, Welcome and Zoom setup
    2:00 Review of recorded lectures and questions
    2:30 Lab 1 -Selected VTUS technique review
    4:15 Uterus Lecture
    5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
    6:30 Adjourn

    Day Two:

    8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
    9:30 Cervix Lecture
    10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
    12:00 Lunch
    1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
    2:30 Ovaries & Tubes Lecture
    3:30 Lab VI-Ovaries/Tubes Technique
    Cervical-Ovarian mobilization, Tubal roll, Ovary induction
    4:30 Prostate & Testicle Lecture
    6:00 Adjourn

     

    Day Two:

    8:00 Review of Day 2 & Questions
    8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
    11:30 Break
    12:00 Brunch and Lymphatic Technique Lecture
    1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:30 Infertility Lecture and discussion
    3:30 Adjourn

     

     

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

      Name Street Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    10803 Vista Sorrento
    San Diego, CA 92121
    Recommended Lodging

    Holiday Inn Express & Suites San Diego - Sorrento Valley
    (858) 731-0100

    5925 Lusk Blvd
    San Diego, CA 92121
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location

    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".


     

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    Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Satellite Lab Course - August 21-23, 2020

    Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm

    *Times listed in Pacific Time

    Ramona

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Discounts

    Price: $575
    Experience Level:Advanced
    Contact Hours: 18.25

    This remote continuing education course, offered via Zoom, is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

    This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

    Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. 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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.

    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:

    1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

    2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton


    Required Readings:

    1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

    2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

    3. Review the anatomy of the pelvis and perineum

    4. Visceral Anatomy Review

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

    Recorded video lectures to be viewed in-full prior to the course: 

      Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.

     Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

    Day One:

    1:30 Registration, Welcome and Zoom setup
    2:00 Review of recorded lectures and questions
    2:30 Lab 1 -Selected VTUS technique review
    4:15 Uterus Lecture
    5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
    6:30 Adjourn

    Day Two:

    8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
    9:30 Cervix Lecture
    10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
    12:00 Lunch
    1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
    2:30 Ovaries & Tubes Lecture
    3:30 Lab VI-Ovaries/Tubes Technique
    Cervical-Ovarian mobilization, Tubal roll, Ovary induction
    4:30 Prostate & Testicle Lecture
    6:00 Adjourn

     

    Day Two:

    8:00 Review of Day 2 & Questions
    8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
    10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
    11:30 Break
    12:00 Brunch and Lymphatic Technique Lecture
    1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
    2:30 Infertility Lecture and discussion
    3:30 Adjourn

     

     

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

    1. Complete review of the osteopathic theories of fascial mobilization
    2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
    3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
    4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
    5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
    6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
    7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
    8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
    9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

    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 availab