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Ramona Horton, MPT, DPT
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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- 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).
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- 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).
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- 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).
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- 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).
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-
- 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).
- Mobilization of the Myofascial Layer - Greenville, SC - November 6-8, 2020
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- 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).
- 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).
- 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).
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- 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).
- Mobilization of Visceral Fascia: The Gastrointestinal System - Arlington, VA - April 17-19, 2020 (Rescheduled)
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- 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).
- Mobilization of Visceral Fascia: The Gastrointestinal System - Arlington, VA - July 10-12, 2020
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- 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).
- Mobilization of Visceral Fascia: The Gastrointestinal System - Fairlawn, NJ - November 13-15, 2020
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- 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).
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-
-
-
- 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).
- Mobilization of Visceral Fascia: The Gastrointestinal System - Valencia, CA - June 26-28, 2020
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- 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).
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- Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Remote Course - August 21-23, 2020
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- Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Salt Lake City, UT - August 21-23, 2020 (RESCHEDULED)
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- 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 kidney are particularly affected by blunt force trauma (5, 6).
-
-
-
-
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- Mobilization of Visceral Fascia: The Urinary System - Crown Point, IN - September 18-20, 2020
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- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
-
-
-
-
- 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 kidney are particularly affected by blunt force trauma (5, 6).
-
-
-
-
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- Mobilization of Visceral Fascia: The Urinary System - Medford, OR - May 15-17, 2020
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
-
-
-
-
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- Mobilization of Visceral Fascia: The Urinary System - Phoenix, AZ - October 2-4, 2020
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- 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 kidney are particularly affected by blunt force trauma (5, 6).
- Mobilization of Visceral Fascia: The Urinary System - Remote Course - May 15-17, 2020
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- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
-
-
-
-
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
- 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 kidney are particularly affected by blunt force trauma (5, 6).
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string(64) "Mobilization of the Myofascial Layer - Akron, OH - May 3-5, 2019"
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Price: $650 (Early Registrant Price of $625 ends one month before the first day of the course)
Experience Level: Intermediate
Contact Hours: 17
Material will include the science of and evidence behind myofascial based manual therapies with an emphasis on clinical reasoning and evaluation for assessment of connective tissue mobility, movement asymmetry and tissue tension abnormalities affecting the pelvis and lower extremity and their associated fascial structures. Participants will be exposed to multiple approaches for the treatment of fascial dysfunction throughout this concepts course so the clinician can easily choose the appropriate technique depending on the tissue of each unique patient. The goal is for the attending therapist to have a variety of skills to incorporate myofascial based treatment into an existing clinical program
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:
4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
Day Two:
8:00 Lecture – Myofascial Induction and Positional Inhibition
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn
Day Three:
8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor:
UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator
foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor:
Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s
canal
PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Name Street Address (Links to Map)
Course Location
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: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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{dtregister}747{/dtregister}
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
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:
4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
Day Two:
8:00 Lecture – Myofascial Induction and Positional Inhibition
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn
Day Three:
8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor:
UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator
foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor:
Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s
canal
PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Name Street Address (Links to Map)
Course Location
Recommended Lodging
Hampton Inn
410-670-6000
Nearest Airport
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Ramona Horton, MPT, DPT
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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{dtregister}720{/dtregister}
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
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:
4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
Day Two:
8:00 Lecture – Myofascial Induction and Positional Inhibition
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn
Day Three:
8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor:
UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator
foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor:
Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s
canal
PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Name
Street Address (Links to Map)
Course Location
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 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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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 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
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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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
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:
4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
Day Two:
8:00 Lecture – Myofascial Induction and Positional Inhibition
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn
Day Three:
8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor:
UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator
foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor:
Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s
canal
PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Name Street Address (Links to Map)
Course Location
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 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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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
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:
4:00 Registration
4:30 Introduction Lecture - Concepts of myofascial release
6:30 Break
6:45 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
Day Two:
8:00 Lecture – Myofascial Induction and Positional Inhibition
9:00 Lab II – Myofascial Induction techniques: Fascial stacking, superficial fascia, muscle bellies, articular
10:00 Break
10:15 Lecture - Bony Pelvis and Lower Extremity
11:15Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:15 Lunch
1:15 Lab IV - Techniques for the bony pelvis: Ilial rotation, ilial decompression, sacrum/SI joint
2:15 Lab V - Techniques for the lower extremity: Hip capsule, interosseous membrane, talo-crural joint, thigh muscles
3:15 Break
3:30 Lecture – Peripheral Nerves
4:15 Lab VI – Peripheral Nerves Demo and Lab Lumbar plexus, obturator nerve, sciatic nerve, pudendal nerve
5:30 Adjourn
Day Three:
8:00 Lecture - Anterior and posterior pelvic floor
9:00 Lab VII - Techniques for anterior pelvic floor:
UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator
foramen, PIT obturator internus, perineal body
10:30 Break
10:45LabVIII - Techniques for posterior pelvic floor:
Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s
canal
PIT puborectalis
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques
1:45 Lab IX - IASTM technique for trunk and lower extremity
2:45 Lab X – Fascial decompression (Cupping)
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Describe the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Identify the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Name
Street Address (Links to Map)
Course Location
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: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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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 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
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: (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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{dtregister}575{/dtregister}
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
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 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
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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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 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
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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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
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 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
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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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
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 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
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: (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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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 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
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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string(1669) "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}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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
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 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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string(1600) "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}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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
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 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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{dtregister}928{/dtregister}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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
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: Click here if map is not shown below.
Ramona Horton, MPT, DPT
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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{dtregister}966{/dtregister}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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 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
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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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 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
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: (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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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 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
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
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) 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
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
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)
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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(108) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Fairlawn, NJ - October 6-8, 2017"
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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
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 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
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: 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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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
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
Name Street Address (Links to Map)
Course Location
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 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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{dtregister}1131{/dtregister}
Price: $495
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
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
Please note: This is the in-person schedule for this course. The remote schedule will be posted shortly. We are making every attempt to accommodate the time zone needs of the therapists regsitered for the original, in-person event.
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
Remote courses require Zoom video conferencing software. You can create an account and download the software to your computer at https://zoom.us/
We use the Pacific Time Zone for all of our start and end times. Please make a note of this and set your calendar accordingly.
A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Ramona Horton, MPT, DPT
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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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}
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
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
Name Street Address (Links to Map)
Course Location
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 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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{dtregister}548{/dtregister}
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
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 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
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: (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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
4040 Range Line St
Columbia, MO 65202
Recommended Lodging
Hilton Garden Inn Columbia
(573)814-5464
3300 Vandiver Dr
Columbia, MO 65202
Nearest Airport
Columbia Regional Airport
Airport Code: COU
11300 S Airport Dr
Columbia, MO 65201
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
1201 S Main St
Crown Point, IN 46307
Recommended Lodging
Hilton Garden Inn Merrillville
(219) 769-7100
7775 Mississippi St
Merrillville, IN 46410
Nearest Airport
Chicago Midway International Airport
Airport Code: MDW
5700 S Cicero Ave
Chicago, IL 60638
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
7600 Fannin St
Houston, TX 77054
Recommended Lodging
Hampton Inn & Suites Houston-Medical Ctr-Reliant Park
(713) 797-0040
1715 Old Spanish Trail
Houston, TX 77054
Nearest Airport
George Bush Intercontinental Airport
Airport Code: IAH
2800 N Terminal Rd
Houston, TX 77032
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
12039 NE 128th St
Kirkland, WA 98034
Recommended Lodging
Courtyard Seattle Kirkland
(425)602-3200
11215 NE 124th St
Kirkland, WA 98034
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Boulevard
Seattle, WA 98158
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
10014 N Rodney Parham Rd
Little Rock, AR 72227
Recommended Lodging
Hampton Inn & Suites West Little Rock
(501) 537-3000
1301 S Shackleford Rd
Little Rock, AR 72211
Nearest Airport
Clinton National Airport
Airport Code: LIT
1 Airport Dr
Little Rock, AR 72202
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, 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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Please note, because of concerns about COVID19, participants may only attend this course if they are within driving distance of the hosting site. No one who has been exposed to COVID19 or has symptoms of illness may attend. We are relying on our community to do the safe, honest thing and to take care of their friends and colleagues. Because of the small size of this course, participants can be seated six feet apart. Participants must wear masks during lecture and lab. If you are interested in remote learning for this course, there is an option for attending this course remotely.
{dtregister}959{/dtregister}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
3:30 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting)
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name
Street Address (Links to Map)
Course Location
Asante Rogue Regional Medical Center
Smullen Health Education Center
Smullin Health Education Center
2825 E Barnett Rd
Medford, OR 97504
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: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
You can not load Article(ID:223) into itself
Name Street Address (Links to Map)
Course Location
15031 Rinaldi Street
Mission Hills, CA 91345
Recommended Lodging
Staybridge Suites Chatsworth
(818) 773-0707
21902 Lassen St
Chatsworth, CA 91311
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
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)
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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{dtregister}873{/dtregister}
Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
1661 East Camelback Rd,
Phoenix, AZ 85016
Recommended Lodging
Hampton Inn Phoenix Biltmore
(602) 956-5221
2310 E Highland Ave
Phoenix, AZ 85016
Nearest Airport
Phoenix Sky Harbor International Airport
Airport Code: PHX
3400 E Sky Harbor Blvd,
Phoenix, AZ 85034
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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{dtregister}1062{/dtregister}
Price: $495
Format: Remote Course
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day remote seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. In order to be safe during the COVID outbreak, the course taking place in Medford, OR will be live-streamed. A designated teaching assistant will be monitoring the Zoom meeting and asnwering questions while the instructor lectures. Thereapists who wish to participant will need to follow these guidelines for participating in labs. (Click to download and review).
This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
3:30 Registration, Introduction (arrive and log on early for Zoom basics and troubleshooting)
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Remote courses require Zoom video conferencing software. You can create an account and download the software to your computer at https://zoom.us/
We use the Pacific Time Zone for all of our start and end times. Please make a note of this and set your calendar accordingly.
A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
784 Gravois Bluffs Blvd
Fenton, Mo 63026
Recommended Lodging
Hampton Inn St. Louis Southwest
(636)-529-9020
9 Lambert Drury Dr
St. Louis, MO 63088
Nearest Airport
St. Louis Lambert International Airport
Airport Code: STL
10701 Lambert International Blvd
St. Louis, MO 63145
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Recommended Lodging
Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288
2740 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Nearest Airport
Tampa International Airport
Airport Code: TPA
4100 George J Bean Pkwy
Tampa, FL 33607
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Name Street Address (Links to Map)
Course Location
3100 Quakerbridge Road
Mercerville NJ 08619
Recommended Lodging
Courtyard by Marriott Ewing Princeton
(609) 771-8100
360 Scotch Rd
Ewing Township, NJ 08628
Nearest Airport
Philadelphia International Airport
Airport Code: PHL
8000 Essington Ave
Philadelphia, PA 19153
Directions from Recommended Lodging to Course Location:(click here)
Ramona Horton, MPT, DPT
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
24525 Town Center Drive
Valencia, CA 91355
Recommended Lodging
Hyatt Regency Valencia
866-539-8122
24500 Town Center Dr
Valencia, CA 91355
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
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)
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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Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 17.75
This continuing education course is a two-and-a-half day seminar designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime.
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 and their embryologic oragins. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, both external abdominal as well as internal vaginal approaches. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of urinary dysfunction diagnoses.
This course includes extensive lab work; all attendees should come prepared to participate as both clinician and patient. Abdominal and vaginal pelvic approaches to access visceral structures will be taught in labs. Male course attendees may participate fully in the entire course but should make arrangements in advance for a lab model for the internal approaches. Pregnant attendees may participate in a limited capacity as deep abdominal palpation is ill-advised in 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 course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Abdominal and Vaginal pelvic approaches to access visceral structures will be taught in labs. Pregnant attendees may participate in a limited capacity, bringing a model for internal labs will facilitate the best learning experience as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Read more about What to Expect During Courses with Internal Lab Work.
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:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
3. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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 Physical Therapy, 68(7), 1082-1086.
Day One:
4:00 Registration
4:30 Concepts of Visceral Mobilization: Biological Plausibility, Clinical Reasoning, Principles of Osteopathy
6:15 Break
6:45Concepts of Visceral and Fascial Mobilization, Fascial Morphology, Fascial Based Manual Therapy, Fascial Stacking Exercise
8:00 Direct & Indirect Treatment (Lab I) Three Dimensional Fascial Mobilization: Horizontal Diaphragms
9:00 Adjourn
Day Two:
8:00 Review of Fascial Concepts, Layer Palpation Exercises, kinesthetic awareness exercises
9:00 Visceral Palpation and Evaluation, (Lab II) Palpation Stations, Local Listening Technique
10:00 Break
10:15 Bladder Lecture: External Approach, Normal Mobility of Bladder, Anatomic Relationships, Clinical Considerations
11:00 External Bladder Techniques: Demo and labs (Lab III) Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Abdominal Scar Mobilization
12:00Lunch
1:00 External Bladder Techniques: Demo and labs (Lab IV) Pubovesical Ligament, Seated Quadruped, Obturator Foramen & Bladder Motility
2:00 Small & Large Intestine Lecture Normal Mobility of Small Intestine Anatomical Relationships Clinical Considerations
3:00 Break
3:15 mall Intestine: Demo and lab (Lab V) Mesenteric Root Posterior Peritoneal Wall
4:15 Large Intestine: Demo and lab (Lab VI) Cecum & Sigmoid
5:30 Adjourn
Day Three:
8:00 Review of Day 2 & Questions
8:30 Kidney/Ureters Lecture, Normal Kidney Mobility, Anatomic Relationships, and Clinical Considerations
9:00 Kidney/Ureter Techniques: Demo and lab (Lab VII) Anterior & Posterior Renal Fascia Ureter Mobilization
9:45 Break
10:00Urethra & Trigone Lecture: Internal Approach, Normal Urethra Mobility, Anatomic Relationships, and Clinical Considerations
10:30 Internal Bladder Techniques: Demo and labs (Lab VIII) Urethra: Longitudinal, Transverse, Bi-Manual Scar Tissue Mobilization: Indirect/Direct (Lab IX) Perineal Membrane, Pubovesical Ligament Trigone & Bladder: Indirect/Direct Bladder Motility
12:00 Lunch
1:00 Visceral anatomy, fetal pig dissection
1:45 Thoracic Relationships, Normal Thoracic Mobility, Anatomic Relationships, and Clinical Considerations
2:15 Thoracic Mobilization: Demo and Lab (Lab X) Thoracic Mobility at Diaphragm, Ribs and Sternum
3:15 Evaluation, Documentation & Case Study Presentation
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral fascial structures relating to optimal function of the urinary system and pelvic floor.
2. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
3. Describe the role of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
4. Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
5. Describe the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
6. Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
7. Identify visceral structures with relation to the urinary system via
external and internal vaginal landmarks
8. Recognize abnormal tissue mobility of visceral fascial structures.
9. Apply the technique of three-dimensional fascial mobilization to
visceral fascia utilizing external body and internal vaginal approaches
10. Recognize and treat fascial restrictions throughout the pelvis,
abdomen and thorax as they may relate to diagnoses of dysfunction
within the urinary system
11. Develop treatment sequencing with respect to global, local and focal
fascial restrictions
12. . Implement visceral fascia mobilization techniques into a
comprehensive treatment program for the patient with urologic
dysfunctions to include incontinence, urgency/frequency, retention,
and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
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
6545 France Ave S
Edina, MN 55435
Recommended Lodging
Hilton Garden Inn Minneapolis/Bloomington
Group Rate: GI13260
(952) 831-1012
5140 American Blvd W
Bloomington, MN 55437
Nearest Airport
Minneapolis–Saint Paul International Airport
Airport Code: MSP
Fort Snelling Unorganized Territory, MN 55111
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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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 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
2000 Medical Pkwy
Annapolis, MD 21401
Recommended Lodging
Crowne Plaza Annapolis
(410) 266-3131
173 Jennifer Rd
Annapolis, MD 21401
Nearest Airport
Baltimore–Washington International Airport
Airport Code: BWI
Baltimore, MD 21240
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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