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Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women
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Mobilization of Visceral Fascia: The Gastrointestinal System
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Mobilization of Visceral Fascia: The Gastrointestinal System
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Ypsilanti, MI 48197
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Mobilization of Visceral Fascia: The Gastrointestinal System
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709 North Phoenix Road
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Mobilization of Visceral Fascia: The Urinary System
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1319 Old Weisgarber Rd.
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Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Sep 15, 2023 4:00 PM America/New_York
Location
Venue: Ivy Rehab Wallingford CT
Address:
101 North Plains Industrial Road
Wallingford, CT 06492
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string(1296) "Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women Satellite Lab Course - Self-Hosted - March 5-7 2021
March 5th: 1:30pm-6:30pm / March 6th: 8:00am-6:00pm / March 7th: 8:00am-3:30pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Review of Mobilization of Visceral Fascia: The Urinary System (72 min)
2) Fascia and Treatment Review (75 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
1:45 - Lab I - Selected VTUS technique review
3:00 - Uterus Lecture
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab II - External Uterus Techniques:
-- Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
9:15 - Lab III - External Uterus Techniques:
-- Uterosacral Ligament, Round Ligament, Fundus Mobilization
10:30 - Cervix Lecture
11:00 - Lab IV - Internal Uterus/Cervix Techniques:
-- Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:15 - Lunch
1:15 - Lab V - Internal Uterus/Cervix Techniques:
-- Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 - Ovaries & Tubes Lecture
3:30 - Lab VI-Ovaries/Tubes Technique:
-- Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 - Prostate & Testicle Lecture
5:30 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Prostate Lecture
9:00 - Lab VII -Testicle Techniques:
-- Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 - Lab VIII-Prostate Techniques:
-- Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 - Break
12:00 - Brunch and Lymphatic Technique Lecture
1:00 - Lab IX -Lymphatic Techniques:
-- Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 - Infertility Lecture and discussion
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1293) "Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women Satellite Lab Course - Self-Hosted - October 1-3, 2021
Oct 1st: 1:30pm-6:30pm / Oct 2nd: 8:00am-6:00pm / Oct 3rd: 8:00am-3:30pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Review of Mobilization of Visceral Fascia: The Urinary System (72 min)
2) Fascia and Treatment Review (75 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
1:45 - Lab I - Selected VTUS technique review
3:00 - Uterus Lecture
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab II - External Uterus Techniques:
-- Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
9:15 - Lab III - External Uterus Techniques:
-- Uterosacral Ligament, Round Ligament, Fundus Mobilization
10:30 - Cervix Lecture
11:00 - Lab IV - Internal Uterus/Cervix Techniques:
-- Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:15 - Lunch
1:15 - Lab V - Internal Uterus/Cervix Techniques:
-- Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 - Ovaries & Tubes Lecture
3:30 - Lab VI-Ovaries/Tubes Technique:
-- Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 - Prostate & Testicle Lecture
5:30 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Prostate Lecture
9:00 - Lab VII -Testicle Techniques:
-- Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 - Lab VIII-Prostate Techniques:
-- Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 - Break
12:00 - Brunch and Lymphatic Technique Lecture
1:00 - Lab IX -Lymphatic Techniques:
-- Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 - Infertility Lecture and discussion
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1266) "Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women - Satellite Lab Course - Brooklyn, NY - October 1-3, 2021
Eastern Time: October 1st: 4:30pm-9:30pm / October 2nd: 11:00am-9:00pm / October 3rd: 11:00am-6:30pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Review of Mobilization of Visceral Fascia: The Urinary System (72 min)
2) Fascia and Treatment Review (75 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
1:45 - Lab I - Selected VTUS technique review
3:00 - Uterus Lecture
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab II - External Uterus Techniques:
-- Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
9:15 - Lab III - External Uterus Techniques:
-- Uterosacral Ligament, Round Ligament, Fundus Mobilization
10:30 - Cervix Lecture
11:00 - Lab IV - Internal Uterus/Cervix Techniques:
-- Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:15 - Lunch
1:15 - Lab V - Internal Uterus/Cervix Techniques:
-- Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 - Ovaries & Tubes Lecture
3:30 - Lab VI-Ovaries/Tubes Technique:
-- Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 - Prostate & Testicle Lecture
5:30 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Prostate Lecture
9:00 - Lab VII -Testicle Techniques:
-- Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 - Lab VIII-Prostate Techniques:
-- Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 - Break
12:00 - Brunch and Lymphatic Technique Lecture
1:00 - Lab IX -Lymphatic Techniques:
-- Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 - Infertility Lecture and discussion
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1424) "Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women -
Satellite Lab Course - Decatur, GA - October 1-3, 2021 (CANCELLED)
Eastern Time: October 1st: 4:30pm-9:30pm / October 2nd: 11:00am-9:00pm / October 3rd: 11:00am-6:30pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Review of Mobilization of Visceral Fascia: The Urinary System (72 min)
2) Fascia and Treatment Review (75 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
1:45 - Lab I - Selected VTUS technique review
3:00 - Uterus Lecture
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab II - External Uterus Techniques:
-- Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
9:15 - Lab III - External Uterus Techniques:
-- Uterosacral Ligament, Round Ligament, Fundus Mobilization
10:30 - Cervix Lecture
11:00 - Lab IV - Internal Uterus/Cervix Techniques:
-- Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:15 - Lunch
1:15 - Lab V - Internal Uterus/Cervix Techniques:
-- Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 - Ovaries & Tubes Lecture
3:30 - Lab VI-Ovaries/Tubes Technique:
-- Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 - Prostate & Testicle Lecture
5:30 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Prostate Lecture
9:00 - Lab VII -Testicle Techniques:
-- Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 - Lab VIII-Prostate Techniques:
-- Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 - Break
12:00 - Brunch and Lymphatic Technique Lecture
1:00 - Lab IX -Lymphatic Techniques:
-- Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 - Infertility Lecture and discussion
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1403) "Mobilization of Visceral Fascia 2: The Reproductive System of Men and Women -
Satellite Lab Course - Medford, OR - October 1-3, 2021
Pacific Time: October 1st: 1:30pm-6:30pm / October 2nd: 8:00am-6:00pm / October 3rd: 8:00am-3:30pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Review of Mobilization of Visceral Fascia: The Urinary System (72 min)
2) Fascia and Treatment Review (75 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
1:45 - Lab I - Selected VTUS technique review
3:00 - Uterus Lecture
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab II - External Uterus Techniques:
-- Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
9:15 - Lab III - External Uterus Techniques:
-- Uterosacral Ligament, Round Ligament, Fundus Mobilization
10:30 - Cervix Lecture
11:00 - Lab IV - Internal Uterus/Cervix Techniques:
-- Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:15 - Lunch
1:15 - Lab V - Internal Uterus/Cervix Techniques:
-- Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 - Ovaries & Tubes Lecture
3:30 - Lab VI-Ovaries/Tubes Technique:
-- Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 - Prostate & Testicle Lecture
5:30 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Prostate Lecture
9:00 - Lab VII -Testicle Techniques:
-- Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 - Lab VIII-Prostate Techniques:
-- Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 - Break
12:00 - Brunch and Lymphatic Technique Lecture
1:00 - Lab IX -Lymphatic Techniques:
-- Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 - Infertility Lecture and discussion
3:30 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women
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Mobilization of Visceral Fascia: The Urinary System
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Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women
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Join the instructor live in Medford, OR!
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self-hosted location.This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
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Mobilization of the Visceral Fascia 2: The Reproductive System of Men and Women
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Mobilization of Visceral Fascia: The Gastrointestinal System
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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!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
Experience Level: Intermediate
Contact Hours: 18.25 |
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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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!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
Experience Level: Intermediate
Contact Hours: 18.25 |
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Course Start Date/Time and Time Zone:
May 17, 2024 4:00 PM America/New_York
Location
Venue: Cornerstone Physical Therapy of North Carolina
Address:
600 Julian Lane
Suite 660
Arden, NC 28704
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $650
Experience Level: Intermediate
Contact Hours: 18.25 |
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Course Start Date/Time and Time Zone:
Dec 6, 2024 2:00 PM America/Phoenix
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Venue: Spooner Physical Therapy
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Mobilization of Visceral Fascia: The Gastrointestinal System - Phoenix AZ - December 6 - 8 2024
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $495 (Early Registrant Price $475)
Experience Level: Intermediate
Contact Hours: 15 |
The fascial system consists of four concentric layers, with the visceral layer beginning at the naso-pharynx and ending at the anal aperture. This course will focus on theory and manual therapy technique for mobilizing fascial structures of the visceral system.
The abdominopelvic canister is a functional and anatomical construct comprised of the somatic structures of the abdominal cavity and pelvic basin, which work synergistically to support the midline of the body. The walls of this canister are occupied by and intimately connected to the visceral structures found within. In order to function optimally, the viscera must be able to move, not only in relation to one another, but with respect to their surrounding container.
Material will be presented that includes the science of and evidence behind the use of fascial based manual therapy with presentation of relevant visceral and fascial anatomy. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, via the anterior and lateral abdominal wall. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of diagnoses related to pelvic health physical therapy.
Mobilization of the visceral fascia requires advanced palpation skills along with extensive knowledge of visceral anatomy. This two-day continuing education course is designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to physical therapy treatment such as chronic abdominopelvic pain, GERD, constipation, abdominal adhesions and urinary issues. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime. This course includes extensive lab work; all course attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, bringing a model for labs will facilitate the best learning experience, as deep palpation to the abdomen is not recommended in pregnant women
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
1) Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. It is also highly recommend the particpant have past experience with assessing and treating patients with bowel dysfunction. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us. .
2) Fascial Mechanoreceptors Article from fasciaresearch.com
3) Review visceral anatomy terms (provided)
Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
|
Day One:
7:00 Registration
8:00 Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
9:30 Break
9:45 Lecture - Evidence based fascial mobilization
10:45 Lab I - Palpation and fascial stacking exercise
11:45 Lecture - Liver fascial connections and impact
12:30 Lunch
1:30 Lab II - Mobilization of fascial attachments of liver: Triangular ligaments, Side lying mobilization with trunk movement, Self-treatment, liver mobilization
2:30 Lecture - Stomach anatomy, dysfunction and evidence
3:15 Break
3:30 Lab III- Mobilization of fascial attachments of esophagus: Cricoid cartilage, Cardiac sphincter, Esophagus mobilization with trunk
4:30 Lab IV – Mobilization of stomach attachments, Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
5:00 Adjourn
|
Day Two:
8:00 Review and questions from day one
8:30 Lecture – Small intestine/Peritoneal cavity
9:30 Lab V – Mobilization of fascial attachments, peritoneal cavity: Duodenum, Ligament of Trietz, Mesentery of small intestine
10:30 Break
10:45 Lab VI – Mobilization of fascial attachments, peritoneal cavity: Posterior parietal peritoneum, Abdominal wall/parietal peritoneum, Loops of small intestine/adhesions
12:00 Lunch
1:00 Lecture – Colon, fascial attachments and dysfunction
1:45 Lab VII - Colon: Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
3:00 Lab VIII: Fascial decompression to the abdominal wall
4:00 Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Directions from Recommended Lodging to Course Location
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(927) "Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - June 25-27, 2021
June 25th: 1:00pm-5:00pm / June 26th: 8:00am-5:45pm / June 27th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1139) "Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - March 18-20, 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm /
Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(931) "Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - March 19-21, 2021
March 19th: 1:00pm-5:00pm / March 20th: 8:00am-5:45pm / March 21st: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1141) "Mobilization of Visceral Fascia: The Gastrointestinal System - Satellite Lab Course - October 15-17, 2021
Pacific Time - Day 1: 1:00am - 5:15pm / Day 2: 8:00am - 5:00pm /
Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm /
Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm /
Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1648) "Mobilization of Visceral Fascia: The Gastrointestinal System - Self-Hosted - Satellite Lab Course - March 18- 20, 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Satellite Lab Course - October 15-17, 2021
Pacific Time - Day 1: 1:00am - 5:00pm / Day 2: 8:00am - 5:45pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Start Date/Time and Time Zone:
Sep 23, 2022 1:00 PM America/Los_Angeles
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NA - Registrants Attend this course via Zoom
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string(1660) "Mobilization of Visceral Fascia: The Gastrointestinal System - Self-Hosted - Satellite Lab Course - September 30 - October 2, 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $650
Experience Level: Intermediate
Contact Hours: 18.25 |
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts
Price: $650
Experience Level: Intermediate
Contact Hours: 18.25 |
This continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
You can not load Article(ID:223) into itself
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Start Date/Time and Time Zone:
May 17, 2024 4:00 PM America/New_York
Location
Venue: TruWell Physical Therapy
Address:
2655 Oakley Park
Commerce Township, MI 48390
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string(1937) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Alexandria, VA - March 18-20 2022
Eastern Time - Day 1: 4:00pm - 8:15pm / Day 2: 11:00am - 8:00pm / Day 3: 11:00am - 6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Athens, GA - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00pm-8:00pm /
June 27th: 11:00pm-6:00pm
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1951) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Bensonhurst(Brooklyn), NY - September 30-October 2 2022
Eastern Time - Day 1: 4:00pm - 8:15pm / Day 2: 11:00am - 8:00pm / Day 3: 11:00am - 6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1239) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00pm-8:00pm / June 27th: 11:00pm-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1238) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Brooklyn, NY - March 19-21, 2021
Eastern Time: March 19th: 4:00pm-8:15pm / March 20th: 11:00pm-8:00pm / March 21th: 11:00pm-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Start Date/Time and Time Zone:
Sep 23, 2022 4:00 PM America/New_York
Location
Venue: PT of The City - Bensonhurst
Address:
8746 20th Ave Level L
Brooklyn, NY 11214
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string(1394) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Chicago, IL - June 25-27, 2021
Central Time: June 25th: 3:00pm-7:15pm / June 26th: 10:00am-7:00pm /
June 27th: 10:00am-5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(2016) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Collegeville, PA - October 15-17 2021
Eastern Time - Day 1: 3:30pm - 8:15pm / Day 2: 11:00am - 8:00pm / Day 3: 11:00am - 8:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1377) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Derby CT - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00am-8:00pm /
June 27th: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1403) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
East Norriton, PA - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00am-8:00pm /
June 27th: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1411) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Fairlawn, NJ - November 13-15, 2020
Eastern Time: November 13th: 4:00pm-8:15pm / November 14th: 11:00am-8:00pm / November 15th: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1389) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Fargo, ND - November 13-15, 2020
Central Time: November 13th: 3:00pm-7:15pm / November 14th: 10:00am-7:00pm / November 15th: 10:00am-5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1411) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Fort Atkinson, WI - March 19-21, 2021
Central Time: March 19th: 3:00pm-7:15pm / March 20th: 10:00pm-7:00pm /
March 21st: 10:00pm-5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1398) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Jackson, WY - November 13-15, 2020
Mountain Time: November 13th: 2:00pm-6:15pm / November 14th: 9:00am-6:30pm / November 15th: 9:00am-4:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1396) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Jacksonville, FL - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00pm-8:00pm /
June 27th: 11:00pm-6:00pm
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(2018) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Kansas City, KS - October 15-17 2021
Central Time - Day 1: 3:30pm - 7:15pm / Day 2: 10:00am - 7:00pm / Day 3: 10:00am - 5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(115) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - LaCrosse, WI - June 25-27, 2021"
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string(1237) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - LaCrosse, WI - June 25-27, 2021
Central Time: June 25th: 3:00pm-7:15pm / June 26th: 10:00am-7:00pm / June 27th: 10:00am-5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Course Start Date/Time and Time Zone:
May 17, 2024 4:00 PM America/New_York
Location
Venue: Team Rehabilitation - Lansing
Address:
3937 Patient Care Drive Suite 105
Lansing, MI 48911
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string(1941) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - LaPorte, IN - March 18-20 2022 (CANCELLED)
Central Time - Day 1: 3:00pm - 7:15pm / Day 2: 10:00am - 07:00pm / Day 3: 10:00am - 05:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1948) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Las Vegas, NV - March 18-20 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Start Date/Time and Time Zone:
Dec 8, 2023 4:00 PM America/New_York
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Venue: Southern Pelvic Health
Address:
1503 Johnson Ferry Rd
Marietta, GA 30067
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string(1385) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Medford, OR - June 25-27, 2021
Pacific Time: June 25th: 1:00pm-5:15pm / June 26th: 8:00am-5:00pm /
June 27th: 8:00am-3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1383) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Medford, OR - March 19-21, 2021
Pacific Time: March 19th: 1:00pm-5:15pm / March 20th: 8:00pm-5:00pm / March 21th: 8:00pm-3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1392) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Medford, OR - November 13-15, 2020
Pacific Time: November 13th: 1:00pm-5:15pm / November 14th: 8:00am-5:00pm / November 15th: 8:00am-3:00pm
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Medford, OR - October 15-17 2021
Pacific Time - Day 1: 1:00am - 5:00pm / Day 2: 8:00am - 5:45pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Start Date/Time and Time Zone:
Sep 23, 2022 1:00 PM America/Los_Angeles
Location
Venue: Asante Rogue Valley Medical Center
Address: 781 Black Oak Dr.
Medford, OR 97504
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string(1988) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Medford, OR - September 30 - October 2 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Central Time - Day 1: 3:00pm - 7:15pm / Day 2: 10:00am - 07:00pm / Day 3: 10:00am - 05:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1381) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Omaha, NE - June 25-27, 2021
Central Time: June 25th: 3:00pm-7:15pm / June 26th: 10:00pm-7:00pm /
June 27th: 10:00pm-5:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1955) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Salt Lake City, UT - October 15-17 2021 (CANCELLED)
Mountain Time - Day 1: 2:00am - 6:00pm / Day 2: 9:00am - 6:45pm / Day 3: 9:00am - 4:00pm
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1929) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - San Diego, CA - March 18-20 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 08:00am - 05:00pm / Day 3: 08:00am - 03:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
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Course Start Date/Time and Time Zone:
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Address:
7 Portland Farms Rd #3
Scarborough, ME 04074
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string(1282) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - June 25-27, 2021
June 25th: 1:00pm-5:00pm / June 26th: 8:00am-5:45pm / June 27th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1298) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - March 19-21, 2021
March 19th: 1:00pm-5:00pm / March 20th: 8:00am-5:45pm / March 21st: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1171) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Self-Hosted - November 13-15, 2020
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(117) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Shoreline, WA - March 18-20 2022"
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string(1971) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Shoreline, WA - March 18-20 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(2161) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Tampa, FL - March 18-20 2022
Eastern Time - Day 1: 4:00pm - 8:15pm / Day 2: 11:00am - 8:00pm / Day 3: 11:00am - 6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(119) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Tinton Falls, NJ - June 25-27, 2021"
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string(1403) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course
Tinton Falls, NJ - June 25-27, 2021
Eastern Time: June 25th: 4:00pm-8:15pm / June 26th: 11:00am-8:00pm /
June 27th: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1393) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
Torrance, CA - March 19-21, 2021
Pacific Time: March 19th: 1:00pm-5:15pm / March 20th: 8:00pm-5:00pm /
March 21st: 8:00pm-3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(127) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Torrance, CA - September 30-October 2 2022"
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string(1979) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Torrance, CA - September 30-October 2 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1947) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - University of Utah, UT - October 15-17 2021
Mountain Time - Day 1: 2:00pm - 6:15pm / Day 2: 9:00am - 6:00pm / Day 3: 10:00am - 4:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1991) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - West Hills, CA - March 18-20 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1992) "Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course -
West Hills, CA - October 15-17 2021
Pacific Time - Day 1: 1:30pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Gastrointestinal System
Course Description
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame, which they can practice on each other while receiving feedback from the observing instructor.
Course Start Date/Time and Time Zone:
Dec 6, 2024 4:00 PM America/New_York
Location
Venue: Northwell Health STARS Rehabilitation
Address:
415 Crossways Park Drive
Woodbury, NY 11797
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Mobilization of Visceral Fascia: The Gastrointestinal System Satellite Lab Course - Woodbury NY - December 6 - 8 2024 - SOLD OUT
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Worcester, MA - March 19-21, 2021
Eastern Time: March 19th: 4:00pm-8:15pm / March 20th: 11:00pm-8:00pm /
March 21st: 11:00pm-6:00pm
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.5 |
This is a satellite lab course, which means the course meets in specific satellite locations or small groups and the instructor presents on Zoom. Registrants must sign up for a specific satellite location, or in a group or two or more using the "Self-Hosted" option.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This satellite lab continuing education course provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to normal function of the musculoskeletal system. Students will log onto the remote course in pairs or small groups to learn a variety of manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame., which they can practice on each other while receiving feedback from the observing instructor.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the naso-pharynx and ending at the anal aperture (1) .
- The abdominopelvic canister is “A functional and anatomical construct based on the components of the abdominal and pelvic cavities that work together synergistically” (2).
- The walls of the canister, although part of the musculoskeletal system, are intimately connected to the visceral structures found within via fascial and ligamentous connections (3).
- In order to function optimally the viscera must be able to move, not only in relationship to one another, but with respect to their surrounding container (4).
- Most importantly, the viscera are subject to the same laws of physics as the remainder of the locomotor system with solid structures such as the liver and spleen particularly affected by blunt force trauma (5, 6).
Information is presented on embryology of the viscera and connective tissue system as it applies to associated visceral and fascial anatomy. The science behind and evidence supporting visceral and fascial-based manual therapy for patients with a variety of diagnoses related to musculoskeletal and pelvic health physical therapy is incorporated into each lecture.
This manual therapy course emphasizes clinical reasoning with the goal of immediate implementation of an extensive number of treatment techniques into an existing musculoskeletal and pelvic health practice. The material presented has applications for diagnosis such as abdomino-pelvic pain, gastroparesis, GERD, constipation, abdominal adhesions, and urinary issues. Additionally, the solid organs of the GI system play a profound effect on the thorax contributing to spinal issues and breathing pattern dysfunction (Bordoni & Zanier ,2013). Course work is geared toward the pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele.
This course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, as deep palpation to the abdomen is illadvised for pregnant women. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation.
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course.
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.
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
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.25 hours
1) Concepts of Visceral Mobilization (66 min)
2) Embryology and MT (70 min)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Registration, Welcome and Zoom review
1:30 - Review of recorded lectures and Questions
-- Concepts of Visceral Mobilization
-- Embryology and the fascial system
2:30 - Lab I – Three Dimensional Fascial stacking exercise
3:30 - Lecture - Evaluation Principles
3:45 - Lab II – Layer palpation, abdominal palpation and auscultation
4:30 - Lecture – Stomach and Esophagus anatomy and fascial connections
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab III – Esophagus - mobilization of fascial attachments
-- Cricoid cartilage
-- Lower esophageal sphincter
-- Esophagus mobilization with trunk
-- Vagus nerve
9:15 - Lab IV- Stomach - mobilization of fascial attachments
-- Greater curvature
-- Lesser curvature/gastrosplenic ligament
-- Pyloric sphincter
10:30 - Lecture – Spleen anatomy and fascial connections
11:15 - Lab V – Spleen - mobilization of fascial attachments
-- Gastrosplenic ligament
-- Splenorenal ligament
12:15 - Lunch
1:15 - Lecture – Liver anatomy and fascial connections
2:15 - Lab VI – Liver - mobilization of fascial attachments
-- Triangular ligaments
-- Side lying mobilization with trunk movement
-- Self-treatment
3:45 - Lecture – Small intestine/Peritoneal cavity
5:15 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lab VII – Upper peritoneal cavity
-- Duodenum
-- Ligament of Trietz
-- Root of mesentery of small intestine
-- Motility of small intestine
9:15 - Lab VIII – Parietal wall of the peritoneal cavity
-- Posterior parietal peritoneum
-- Abdominal wall/parietal peritoneum
-- Loops of small intestine/adhesions
-- Fascial decompression
11:30 - Lecture – Colon, fascial attachments and dysfunction
12:00 - Lab IX – Colon - mobilization of fascial attachments
-- Cecum
-- Ileocecal valve
-- Facia of Toldt
-- Sigmoid
-- Flexures
1:00 - Lab X – Rectum mobilization of fascial attachments
-- Valves of Huston
-- Internal (vaginal) approach for rectal fascia
2:00 - Documentation, Q&A
3:00 - Adjourn
|
Upon completion of this course, participants should be able to:
1. Describe the neurophysiology of fascial based manual therapy
2. List the basic fascial structures and functions of all four fascial layers and describe how they interrelate within the systems of the body
3. Describe the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to multiple diagnoses related to pelvic dysfunction
4. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity
5. Describe the theory and application of mobilization of visceral fascial structures as they influence the somatosensory system within the scope of a physical therapy practice
6. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
7. List the visceral structures within the peritoneal cavity and describe how their normal mobility is related to somatic and autonomic function
8. Identify visceral structures within the GI system via abdominal and pelvic landmarks
9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
11. Describe the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
12. Implement fascial mobilization techniques within a comprehensive treatment program for the patient with varied diagnoses to include orthopedic, urologic, gynecologic, gastrointestinal, and pelvic pain as they relate to the scope of physical therapy treatment
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650 (Early Registrant Price $625)
Experience Level: Advanced
Contact Hours: 17.25 |
This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
|
Day One
4:00 Registration
4:30 Review: Fascial and Visceral Concepts
6:00 Break
6:15 Review: Mobilization of Urinary System
7:30 Lab 1: VTUS Technique Review
9:00 Adjourn
|
Day Two
8:00 Uterus Lecture
9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
10:30 Break
10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
11:45 Cervix Lecture
12:30 Lunch
1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
2:30 Break
2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
3:45 Ovaries/Tubes Lecture
4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
5:30 Adjourn
|
Day Three
8:00 Review of Day 2 & Questions
8:30 Prostate/Testicle Lecture
10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
11:00 Break
11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
12:15 Lunch
1:15 Lymphatic Technique Lecture
1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:45 Infertility Lecture and discussion
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Directions from Recommended Lodging to Course Location:
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts
Price: $650 (Early Registrant Price $625)
Experience Level: Advanced
Contact Hours: 17.25 |
This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
|
Day One
4:00 Registration
4:30 Review: Fascial and Visceral Concepts
6:00 Break
6:15 Review: Mobilization of Urinary System
7:30 Lab 1: VTUS Technique Review
9:00 Adjourn
|
Day Two
8:00 Uterus Lecture
9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
10:30 Break
10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
11:45 Cervix Lecture
12:30 Lunch
1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
2:30 Break
2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
3:45 Ovaries/Tubes Lecture
4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
5:30 Adjourn
|
Day Three
8:00 Review of Day 2 & Questions
8:30 Prostate/Testicle Lecture
10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
11:00 Break
11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
12:15 Lunch
1:15 Lymphatic Technique Lecture
1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:45 Infertility Lecture and discussion
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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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.
Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts
Price: $650 (Early Registrant Price $625)
Experience Level: Advanced
Contact Hours: 17.25 |
This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
|
Day One
4:00 Registration
4:30 Review: Fascial and Visceral Concepts
6:00 Break
6:15 Review: Mobilization of Urinary System
7:30 Lab 1: VTUS Technique Review
9:00 Adjourn
|
Day Two
8:00 Uterus Lecture
9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
10:30 Break
10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
11:45 Cervix Lecture
12:30 Lunch
1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
2:30 Break
2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
3:45 Ovaries/Tubes Lecture
4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
5:30 Adjourn
|
Day Three
8:00 Review of Day 2 & Questions
8:30 Prostate/Testicle Lecture
10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
11:00 Break
11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
12:15 Lunch
1:15 Lymphatic Technique Lecture
1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:45 Infertility Lecture and discussion
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1276) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - San Diego, CA - October 19-21, 2018
Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650 (Early Registrant Price $625)
Experience Level: Advanced
Contact Hours: 17.25 |
This continuing education course is a two-and-a-half day seminar designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
|
Day One
4:00 Registration
4:30 Review: Fascial and Visceral Concepts
6:00 Break
6:15 Review: Mobilization of Urinary System
7:30 Lab 1: VTUS Technique Review
9:00 Adjourn
|
Day Two
8:00 Uterus Lecture
9:30 Lab II: External Uterus Techniques - Pelvic Decompression, Broad ligament
10:30 Break
10:45 Lab III: External Uterus Techniques - Uterosacral Ligament, Round Ligament, Fundus Mobilization
11:45 Cervix Lecture
12:30 Lunch
1:30 Lab IV: Internal Uterus/Cervix Techniques - Fornices, Os, Uterovesical Pouch, Cardinal Ligament
2:30 Break
2:45 Lab V: Internal Uterus/Cervix Techniques - Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
3:45 Ovaries/Tubes Lecture
4:30 Lab VI: Ovaries/Tubes Technique - Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
5:30 Adjourn
|
Day Three
8:00 Review of Day 2 & Questions
8:30 Prostate/Testicle Lecture
10:00 Lab VII: Testicle Techniques - Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
11:00 Break
11:15 Lab VIII: Prostate Techniques - Central Tendon, Prostate, Puboprostatic Ligament, Motility
12:15 Lunch
1:15 Lymphatic Technique Lecture
1:45 Lab IX: Lymphatic Techniques - Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:45 Infertility Lecture and discussion
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Directions from Recommended Lodging to Course Location
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1428) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - San Diego, CA Satellite Course - August 21-23, 2020
Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm
*Times listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts
Price: $675
Experience Level: Advanced
Contact Hours: 22.3 |
This continuing education course is a two-and-a-half day seminar which takes place as an in person meeting at a designated location. The instructor will present the course materials remotely via Zoom. Lecture will be viewed by all participants on the projector at their satellite location. Labs will be supervised by a qualified local lab assistant.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle and anal examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers. Read more about What to Expect During Courses with Internal Lab Work. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
3. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
Recorded video lectures to be viewed in-full prior to the course:
Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.
|
Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:
|
Day One:
1:30 Registration, Welcome and Zoom setup
2:00 Review of recorded lectures and questions
2:30 Lab 1 -Selected VTUS technique review
4:15 Uterus Lecture
5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
6:30 Adjourn
|
Day Two:
8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
9:30 Cervix Lecture
10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:00 Lunch
1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 Ovaries & Tubes Lecture
3:30 Lab VI-Ovaries/Tubes Technique
Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 Prostate & Testicle Lecture
6:00 Adjourn
|
Day Two:
8:00 Review of Day 2 & Questions
8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 Break
12:00 Brunch and Lymphatic Technique Lecture
1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 Infertility Lecture and discussion
3:30 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1145) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Satellite Lab Course - August 21-23, 2020
Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm
*Times listed in Pacific Time
Description
Schedule
Objectives
Instructor
Discounts
Price: $575
Experience Level:Advanced
Contact Hours: 18.25 |
This remote continuing education course, offered via Zoom, is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
Recorded video lectures to be viewed in-full prior to the course:
Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.
|
Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:
|
Day One:
1:30 Registration, Welcome and Zoom setup
2:00 Review of recorded lectures and questions
2:30 Lab 1 -Selected VTUS technique review
4:15 Uterus Lecture
5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
6:30 Adjourn
|
Day Two:
8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
9:30 Cervix Lecture
10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:00 Lunch
1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 Ovaries & Tubes Lecture
3:30 Lab VI-Ovaries/Tubes Technique
Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 Prostate & Testicle Lecture
6:00 Adjourn
|
Day Two:
8:00 Review of Day 2 & Questions
8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 Break
12:00 Brunch and Lymphatic Technique Lecture
1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 Infertility Lecture and discussion
3:30 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1145) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Satellite Lab Course - August 21-23, 2020
Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm
*Times listed in Pacific Time
Description
Schedule
Objectives
Instructor
Discounts
Price: $575
Experience Level:Advanced
Contact Hours: 18.25 |
This remote continuing education course, offered via Zoom, is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
Recorded video lectures to be viewed in-full prior to the course:
Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.
|
Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:
|
Day One:
1:30 Registration, Welcome and Zoom setup
2:00 Review of recorded lectures and questions
2:30 Lab 1 -Selected VTUS technique review
4:15 Uterus Lecture
5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
6:30 Adjourn
|
Day Two:
8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
9:30 Cervix Lecture
10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:00 Lunch
1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 Ovaries & Tubes Lecture
3:30 Lab VI-Ovaries/Tubes Technique
Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 Prostate & Testicle Lecture
6:00 Adjourn
|
Day Two:
8:00 Review of Day 2 & Questions
8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 Break
12:00 Brunch and Lymphatic Technique Lecture
1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 Infertility Lecture and discussion
3:30 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1418) "Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Self-Hosted Course - August 21-23, 2020
Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm
*Times listed in Pacific Time
Description
Schedule
Objectives
Instructor
Self-Hosted Course Info
Discounts
Price: $575
Experience Level:Advanced
Contact Hours: 18.25 |
This remote continuing education course, offered via Zoom, is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.
This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.
Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation
Special Considerations:
As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience
2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton
Required Readings:
1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction
2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508
3. Review the anatomy of the pelvis and perineum
4. Visceral Anatomy Review
5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
Recorded video lectures to be viewed in-full prior to the course:
Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.
|
Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:
|
Day One:
1:30 Registration, Welcome and Zoom setup
2:00 Review of recorded lectures and questions
2:30 Lab 1 -Selected VTUS technique review
4:15 Uterus Lecture
5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
6:30 Adjourn
|
Day Two:
8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
9:30 Cervix Lecture
10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:00 Lunch
1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 Ovaries & Tubes Lecture
3:30 Lab VI-Ovaries/Tubes Technique
Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 Prostate & Testicle Lecture
6:00 Adjourn
|
Day Two:
8:00 Review of Day 2 & Questions
8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 Break
12:00 Brunch and Lymphatic Technique Lecture
1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 Infertility Lecture and discussion
3:30 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(88) "Mobilization of Visceral Fascia: The Urinary System - Asheville NC - November 1 - 3 2024"
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Nov 1, 2024 4:00 PM America/New_York
Location
Venue: Cornerstone Physical Therapy of North Carolina
Address:
600 Julian Lane
Suite 660
Arden, NC 28704
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Nov 1, 2024 4:00 PM America/New_York
Location
Venue: Peak Physical Therapy and Sports Performance - Braintree
Address:
501 John Mahar Hwy Suite #200
Braintree, MA 02184
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(107) "Mobilization of Visceral Fascia: The Urinary System - Crown Point, IN - September 18-20, 2020 (RESCHEDULED)"
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Update 7/20/2020: 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!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
Directions from Recommended Lodging to Course Location
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1270) "Mobilization of Visceral Fascia: The Urinary System - Little Rock, AR - September 6-8, 2019
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Oct 25, 2024 1:00 PM America/Los_Angeles
Location
Venue: Asante Rogue Valley Medical Center
Address:
781 Black Oak Dr.
Medford, OR 97504
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string(83) "Mobilization of Visceral Fascia: The Urinary System - Medford, OR - May 15-17, 2020"
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string(1974) "Mobilization of Visceral Fascia: The Urinary System - Medford, OR - May 15-17, 2020
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.
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Due to ongoing concerns about COVID19, this course will now be offered as a satellite lab course.
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(872) "Mobilization of Visceral Fascia: The Urinary System - Satellite Lab Course - April 30 - May 2, 2021
April 30th 1:00pm-5:00pm / May 1st 8:00am-5:45pm / May 2nd 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(884) "Mobilization of Visceral Fascia: The Urinary System - Satellite Lab Course - February 18-20, 2022
February 18th 1:00pm-5:30pm /February 19th 8:00am-5:45pm /February 20th 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(870) "Mobilization of Visceral Fascia: The Urinary System - Satellite Lab Course - June 10-12, 2022
June 10th 1:00pm-5:30pm /June 11th 8:00am-5:45pm /June 12th 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(881) "Mobilization of Visceral Fascia: The Urinary System - Satellite Lab Course - October 28-30, 2022
October 28th 1:00pm-5:30pm /October 29th 8:00am-5:45pm /October 30th 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Sept 17th: 1:00pm-5:00pm / Sept 18th: 8:00am-5:45pm / Sept 19th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location:(click here)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Jan 31, 2025 1:00 PM America/Los_Angeles
Location
Venue: Jackson County Physical Therapy - East Medford Clinic
Address:
709 North Phoenix Road
Medford, OR 97504
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Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford OR - January 31 - February 2 2025
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string(1619) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Albany, NY - September 17-19, 2021
Eastern Time - Day 1: 4:00am - 8:30pm / Day 2: 11:00am - 8:45 / Day 3: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1417) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Athens, GA - September 17-19, 2021
Sept 17th: 4:00pm-8:30pm / Sept 18th: 11:00am-8:45pm / Sept 19th: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1274) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Atlanta, GA - September 18-20, 2020
Sept 18th: 4:30pm-10:00pm / Sept 19th: 11:00am-8:30pm / Sept 20th: 11:00am-7:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $575
Format: Remote Course
Experience Level: Intermediate
Contact Hours: 17.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participnts will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This course is 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.
- 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).
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
2. Review of Anatomy Terms
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1370) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Auburn, ME - September 17-19, 2021
Eastern Time - Day 1:4:00pm-8:30pm/ Day 2:11:00am-8:45pm/ Day 3:11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1395) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Bellingham, WA - September 17-19, 2021
Pacific Time - Day 1: 1:00pm - 5:30pm / Day 2: 8:00am - 5:45pm / Day 3: 8:00am-3:00pm
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Oct 28, 2022 4:00 PM America/New_York
Location
Venue: PT of The City - Bensonhurst
Address:
8746 20th Ave Level L
Brooklyn, NY 11214
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string(1266) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Brooklyn, NY - April 30 - May 2, 2021
April 30th: 4:00pm-8:30pm / May 1st: 11:00am-8:45pm / May 2nd: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1414) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Brooklyn, NY - September 17-19, 2021
Sept 17th: 4:00pm-8:30pm / Sept 18th: 11:00am-8:45pm / Sept 19th: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1408) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Colorado Springs, CO - September 18-20, 2020
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Oct 2nd: 2:30pm-8:00pm / Oct 3rd: 9:00am-6:30pm / Oct 4th: 9:00am-5:00pm
*Times are listed in Mountain Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
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This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
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Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Nov 1, 2024 4:00 PM America/New_York
Location
Venue: Ivy Rehab Physical Therapy (Cranford, NJ)
Address:
210 North Avenue East
Cranford, NJ 07016
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Mobilization of Visceral Fascia: The Urinary System
Course Description
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This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
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Venue: Ivy Rehab Physical Therapy (Cranford, NJ)
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Eastern Time - Day 1:4:00pm-8:30pm/ Day 2: 11:00am-8:45pm/ Day 3: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1422) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Fairlawn, NJ - October 2-4, 2020
Oct 2nd: 4:30pm-10:00pm / Oct 3rd: 11:00am-8:30pm / Oct 4th: 11:00am-7:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Jan 31, 2025 4:00 PM America/New_York
Location
Venue: Holy Cross Rehabilitation Institute - Healthplex
Address:
5597 Dixie Highway
Fort Lauderdale, FL 33334
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Feb 18th: 4:00pm-8:30pm / Feb 19th: 11:00am-8:45pm / Feb 20th: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1412) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Howell, MI - April 30 - May 2, 2021
April 30th: 4:00pm-8:30pm / May 1st: 11:00am-8:45pm / May 2nd: 11:00am-5:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1115) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Kokomo, IN - September 18-20, 2020
Sept 18th: 4:30pm-10:00pm / Sept 19th: 11:00am-8:30pm / Sept 20th: 11:00am-7:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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Eastern Time - Day 1:4:00pm-8:30pm/ Day 2: 11:00am-8:45pm/ Day 3: 11:00am-6:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1734) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - LaPorte, IN - February 18-20, 2022
Feb 18th: 3:00pm-7:30pm / Feb 19th: 10:00am-7:45pm / Feb 20th: 10:00am-5:00pm
*Times are listed in Central Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1734) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - LaPorte, IN - February 18-20, 2022
Feb 18th: 3:00pm-7:30pm / Feb 19th: 10:00am-7:45pm / Feb 20th: 10:00am-5:00pm
*Times are listed in Central Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1415) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Las Vegas, NV - April 30 - May 2, 2021
April 30th: 1:00pm-5:30pm / May 1st: 8:00am-5:45pm / May 2nd: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1642) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Libertyville, IL - September 17-19, 2021
Central Time - Day 1: 3:30pm - 7:30pm / Day 2: 10:00am - 7:45pm / Day 3: 10:00am-5:00pm
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of 3 hours of pre-recorded lectures followed by 14.75 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Jun 10, 2022 4:00 PM America/New_York
Location
Venue: Southern Pelvic Health
Address:
1503 Johnson Ferry Road Suite 100
Marietta, GA 30062
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string(1433) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Marietta, GA - September 17-19, 2021 (SOLD OUT)
Sept 17th: 4:00pm-8:30pm / Sept 18th: 11:00am-8:45pm / Sept 19th: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1418) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Medford , OR - April 30 - May 2, 2021
April 30th: 1:00pm-5:30pm / May 1st: 8:00am-5:45pm / May 2nd: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Nov 1, 2024 1:00 PM America/Los_Angeles
Location
Venue: Jackson County Physical Therapy - East Medford Clinic
Address:
709 North Phoenix Road
Medford, OR 97504
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Nov 1, 2024 1:00 PM America/Los_Angeles
Location
Venue: Jackson County Physical Therapy - East Medford Clinic
Address:
709 North Phoenix Road
Medford, OR 97504
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string(109) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford, OR - February 18-20, 2022"
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string(1734) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford, OR - February 18-20, 2022
Pacific Time - Day 1:1:00pm-5:30pm/ Day 2: 8:00am-5:45pm/ Day 3: 8:00am-3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of 3 hours of pre-recorded lectures followed by 14.75 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
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Start Date/Time and Time Zone:
Jun 10, 2022 1:00 PM America/Los_Angeles
Location
Venue: Asante Rogue Valley Medical Center
Address:
781 Black Oak Dr.
Medford, OR 97504
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string(1360) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford, OR - October 2-4, 2020
Oct 2nd: 1:30pm-7:00pm / Oct 3rd: 8:00am-5:30pm / Oct 4th: 8:00am-4:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Oct 28, 2022 1:00 PM America/Los_Angeles
Location
Venue: Asante Rogue Valley Medical Center
Address: 781 Black Oak Dr. Medford OR 97504
Medford, OR
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string(1411) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford, OR - September 17-19, 2021
Sept 17th: 1:00pm-5:30pm / Sept 18th: 8:00am-5:45pm / Sept 19th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1373) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Medford, OR - September 18-20, 2020
Sep 18th: 1:30pm-5:30pm / Sep 19th: 8:00am-5:45pm / Sep 20th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
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This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
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Location
Venue: Vivid Women's Health
Address:
4 Terry Drive. Suite 15
Newtown, PA 18940
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Course Title
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Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of 3 hours of pre-recorded lectures followed by 14.75 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Jun 10, 2022 4:00 PM America/New_York
Location
Venue: Vivid Women's Health
Address:
4 Terry Drive. Suite 15
Newtown, PA 18940
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Nov 1, 2024 1:00 PM America/Los_Angeles
Location
Venue: Alta Bates Summit Medical Center Health Pavilion
Address:
5700 Telegraph Avenue
Oakland, CA 94609
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string(1017) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - October 2-4, 2020
Oct 2nd: 1:30pm-7:00pm / Oct 3rd: 8:00am-5:30pm / Oct 4th: 8:00am-4:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Remote Course Info
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1423) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Oklahoma City, OK - April 30 - May 2, 2021
April 30th: 3:00pm-7:30pm / May 1st: 10:00am-7:45pm / May 2nd: 10:00am-5:00pm
*Times are listed in Central Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1754) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Omaha, NE - February 18-20, 2022
Feb 18th: 3:00pm-7:30pm / Feb 19th: 10:00am-7:45pm / Feb 20th: 10:00am-5:00pm
*Times are listed in Central Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1431) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Phoenix, AZ - September 17-19, 2021
Sept 17th: 1:00pm-5:00pm / Sept 18th: 8:00am-5:45pm / Sept 19th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Image courtesy of "Herman & Wallace Inc."
Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Oct 28, 2022 4:00 PM America/New_York
Location
Venue: WakeMed Health & Hospitals
Address: 3024 New Bern Ave
William F. Andrews Conference Center Rooms 1 and 2
Raleigh, NC 27610
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string(1431) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Raleigh, NC - September 17-19, 2021
Sept 17th: 4:00pm-8:30pm / Sept 18th: 11:00am-8:45pm / Sept 19th: 11:00am-6:00pm
*Times are listed in Eastern Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location:
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1656) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Salt Lake City, UT - September 17-19, 2021 (CANCELLED)
Mountain Time - Day 1: 2:00am - 6:30pm / Day 2: 9:00am - 6:45 / Day 3: 9:00am-4:00pm
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1650) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Salt Lake City, UT - September 17-19, 2021 (SOLD OUT)
Mountain Time - Day 1: 2:00am - 6:30pm / Day 2: 9:00am - 6:45 / Day 3: 9:00am-4:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1366) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - San Diego, CA - October 2-4, 2020
Oct 2nd: 1:30pm-7:00pm / Oct 3rd: 8:00am-5:30pm / Oct 4th: 8:00am-4:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1277) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Self-Hosted
April 30 - May 2, 2021
April 30th 1:00pm-5:00pm / May 1st 8:00am-5:45pm / May 2nd 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1434) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Self-Hosted - February 18-20 2022
February 18th 1:00pm-5:30pm /February 19th 8:00am-5:45pm /February 20th 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of 3 hours of pre-recorded lectures followed by 14.75 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Jun 10, 2022 1:00 PM America/Los_Angeles
Location
NA - Registrants Attend this course via Zoom
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
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Mobilization of Visceral Fascia: The Urinary System
Course Description
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Mobilization of Visceral Fascia: The Urinary System
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string(1311) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Self-Hosted - September 17-19, 2021 (SOLD OUT)
Sept 17th: 1:00pm-5:00pm / Sept 18th: 8:00am-5:45pm / Sept 19th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Price: $600
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. This course can be taken either in pairs or small groups or by those attending at satellite locations in which participants gather in designated locations to work with a local teaching assistant who will be monitoring the Zoom meeting and answering questions while the instructor lectures. Therapists who wish to participate will need either join a satellite or register as a group and 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1279) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Self-Hosted - September 18-20, 2020
Sept 18th: 1:30pm-7:00pm / Sept 19th: 8:00am-5:30pm / Sept 20th: 8:00am-4:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Remote Course Info
Instructors
Price: $600
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. This course can be taken either in pairs or small groups or by those attending at satellite locations in which participants gather in designated locations to work with a local teaching assistant who will be monitoring the Zoom meeting and answering questions while the instructor lectures. Therapists who wish to participate will need either join a satellite or register as a group and 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1048) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - September 18-20, 2020
Sept 18th: 1:30pm-5:30pm / Sept 19th: 8:00am-5:45pm / Sept 20th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Remote Course Info
Instructors
Price: $600
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. This course can be taken either in pairs or small groups or by those attending at satellite locations in which participants gather in designated locations to work with a local teaching assistant who will be monitoring the Zoom meeting and answering questions while the instructor lectures. Therapists who wish to participate will need either join a satellite or register as a group and 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). 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 (she/her) completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.
Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.
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string(1976) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Shoreline, WA - February 18-20, 2022
Pacific Time - Day 1: 1:00pm - 5:15pm / Day 2: 8:00am - 5:00pm / Day 3: 8:00am - 3:00pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Course Start Date/Time and Time Zone:
Jan 31, 2025 4:00 PM America/New_York
Location
Venue: Bloom Pelvic Therapy
Address:
16540 Pointe Village Dr
Suite 205
Lutz, FL 33558
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Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Tampa FL - January 31 - February 2 2025
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string(1418) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course -
Torrance, CA - April 30 - May 2, 2021
April 30th: 1:00pm-5:30pm / May 1st: 8:00am-5:45pm / May 2nd: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(1770) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - Torrance, CA - February 18-20, 2022
Feb 18th: 1:00pm-5:30pm / Feb 19th: 8:00am-5:45pm / Feb 20th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
PLEASE NOTE: This location requires that participants bring their own laptop and headphones to each course hosted here. Attendees will participate from treatment rooms in the facility, and will be joining the course Zoom from their personal laptops.
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
October 28, 2022 4:00 PM America/New_York
Location
Venue: The George Washington University Hospital
Address:
2131 K Street NW 6th Floor
Washington, DC 20037
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string(1418) "Mobilization of Visceral Fascia: The Urinary System Satellite Lab Course - West Hills, CA - September 17-19, 2021
Sept 17th: 1:00pm-5:30pm / Sept 18th: 8:00am-5:45pm / Sept 19th: 8:00am-3:00pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $675
Experience Level: Intermediate
Contact Hours: 20.75 |
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Those who attend in Medford, OR will be in the same room as the instructor, who teaches live from this location.
This course is 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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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. All pre-recorded lectures in Teachable for this course must also be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings:
1. Horton (2015) Clinical Review: Visceral mobilization for pelvic dysfunction
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 2.5 hours
1) Concepts of Visceral Mobilization (1.25 hrs)
2) Application of Fascial Based Treatment (1.3 hrs)
=============================
Day One
=============================
12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Review of recorded lectures, Q&A
2:15 - Lab I – Three-dimensional Fascial mobilization, Horizontal diaphragms
-- Direct and indirect treatment
3:15 - Review of Evaluation Concepts
-- Layer palpation exercises, Kinesthetic awareness exercises
3:45 - Lab II - Palpation stations
-- Visceral Palpation and Structure Evaluation
4:45 - Bladder Lecture: External approach
-- Normal mobility of bladder
-- Anatomic relationships
-- Clinical considerations
5:30 - Adjourn
|
=============================
Day Two
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / External Bladder Techniques: Demo and Lab III - Lateral mobility testing & treatment
-- Median and medial umbilical ligament (urachus)
-- Abdominal scar mobilization
9:15 - External Bladder Techniques: Demo and Lab IV - Pubovesical ligament, seated & quadruped
-- Obturator foramen, Bladder motility
10:30 - Break
10:45 - Small & Large Intestine Lecture
-- Normal mobility of small intestine
-- Anatomical relationships
-- Clinical considerations
12:00 - Lunch
1:00 - Small Intestine: Demo and Lab V - Mesenteric root
-- Small intestine corpus mobilization
-- Posterior peritoneal wall
2:15 - Large Intestine: Demo and Lab VI – Cecum, Ileocecal valve, Sigmoid
3:30 - Kidney/Ureters Lecture
-- Normal kidney mobility
-- Anatomic relationship
-- Clinical considerations
4:30 - Kidney/Ureter Techniques: Demo and Lab VII - Anterior & Posterior Renal Fascia Ureter Mobilization
5:00 - Adjourn
|
=============================
Day Three
=============================
7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Review of Day 2 & Questions
8:30 - Urethra & Trigone Lecture: Internal Approach
-- Normal urethra mobility
-- Anatomic relationships
-- Clinical considerations
9:30 - Internal Bladder Techniques: Demo and Lab VIII - Urethra
-- Longitudinal, Transverse
-- Bi-Manual scar mobilization, indirect/direct
10:30 - Lab IX - Perineal membrane, Pubovesical ligament
-- Trigone & Bladder: Indirect/Direct bladder motility
11:30 - Break
12:00 - Lunch & Lecture: Thoracic Relationships
-- Normal Thoracic Mobility
-- Anatomic Relationships
-- Clinical Considerations
12:45 - Visceral anatomy, fetal pig dissection
1:30 - Thoracic Mobilization: Demo and Lab X - Thoracic Mobility at Diaphragm, Ribs and Sternum
2:30 - Evaluation, Documentation & Case Study Presentation
3:00 - 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
Directions from Recommended Lodging to Course Location
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Mobilization of Visceral Fascia: The Urinary System
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Course Title
Mobilization of Visceral Fascia: The Urinary System
Course Description
This is a satellite offering of our course, Mobilization of Visceral Fascia Level 1: The Urinary System. This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course is 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.
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
Start Date/Time and Time Zone:
Sep 15, 2023 4:00 PM America/New_York
Location
Venue: Ivy Rehab (Virginia Beach, VA)
Address:
4421 Virginia Beach Blvd Suite 101
Virginia Beach, VA 23462
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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{gallery width=181}course_images/mfrp{/gallery}
Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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 (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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.
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Mobilization of the Myofascial Layer: Pelvis and Lower Extremity
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
Price: $575 (Early Registrant Price $550)
Experience Level: Intermediate
Contact Hours: 17 |
This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis and lower extremity as it relates to treatment of pelvic floor dysfunction. This course is geared toward the therapist that wishes to integrate a variety of manual therapy techniques for treating the myofascial system. Material will be presented that includes the science and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab sections include both surface and internal vaginal/rectal techniques. The goal is to provide the clinician that is currently treating women and men with pelvic dysfunction additional tools that they can immediately incorporate into their clinical practice.
Special Considerations:
As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal and rectal pelvic floor muscle techniques will be taught in labs. Pregnant women course attendees may participate in a limited capacity and we strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice.
Seminar content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1 through Herman & Wallace or prior seminar instruction in internal pelvic floor vaginal muscle examinations
Required Readings:
Review the anatomy of the pelvis and perineum
|
Day One:
5:00 Introduction, Goals and Objectives
5:30 Lecture - Concepts of myofascial release
7:00 Lab I - Palpation exercise and mobility testing
8:30 Adjourn
|
Day Two:
8:00 Review and questions from day one
8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies
9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies
10:15 Break
10:30 Lecture - Bony Pelvis
11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis
12:00 Lunch
1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint
2:00 Lecture - Lower extremity: Hip, thigh and lower leg
2:45 Break
3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles
4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane
5:00 Adjourn
|
Day Three:
8:00 Review and questions from day one
8:30 Lecture - Anterior and posterior pelvic floor
9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body
10:30 Break
10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal
12:00 Lunch
1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization
1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis
2:45 Break
3:00 Lab V - IASTM technique for trunk and lower extremity
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of myofascial release
2. Cite potential causes for development of restrictions in the fascial system
3. Differentiate between direct and indirect release techniques and understand the proper application of each
4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
5. Recognize abnormal connective tissue mobility and joint spring testing
6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to physical therapy
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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string(115) "Rescheduled! - Mobilization of Visceral Fascia: The Urinary System - Carlsbad, CA - March 20-22, 2020 (Rescheduled)"
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string(1597) "Mobilization of Visceral Fascia: The Urinary System - Carlsbad, CA - March 20-22, 2020 (Rescheduled)
Update 3/12/2020: 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!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $650
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.
- The fascial system consists of four concentric layers, with the visceral layer, which is the most complex, beginning at the nasopharynx 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).
Material will be presented that includes the science of and evidence behind the use of fascial-based manual therapy with the presentation of relevant visceral and fascial anatomy and their embryologic origins. 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
2. Review of Anatomy Terms
3. Participants should bring an anatomy textbook for reference of the visceral anatomy. If you need to purchase an anatomy textbook Gray's Anatomy for Students is available at a 25% Discount for Herman & Wallace registrants with promo code 70484.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<p
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts
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 viscera and dysfunction of the urologic system as it relates to physical therapy treatment. This course is geared toward the therapist that wishes to integrate advanced manual therapy skills of fascial mobilization into their treatment regime. Material will be presented that will allow the participant to immediately incorporate evaluation and treatment techniques for patients with diagnoses of urinary incontinence, urgency, retention and bladder pain. The course will include lectures on anatomical structures as well as visceral theory and technique. Lab sections include both external abdominal as well as internal vaginal techniques. The concept of Visceral Manipulation was developed by Jean-Pierre Barral, DO. It is a gentle manual therapy technique that releases connective tissue restrictions between the viscera and related somatic structures such as muscles, fascia, ligaments, nerves and bones.
Special Considerations:
As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Male course attendees may participate fully in the entire course if they bring their own lab model for examination. 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. 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:
1. The Fascial Mechanoreceptors Article from fasciaresearch.com
2. Review the anatomy of the pelvis and perineum
3. Review of Anatomy Terms
4. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.
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Day One:
5:00 Registration
5:30 Introduction
6:00 Concepts of Visceral Mobilization and Fascial Release: Principles of Osteopathy, Fascial Anatomy, What is Visceral Manipulation? Fascial Stacking Exercise
8:00 Lab: Fascial Release Techniques for Horizontal Diaphragms
9:00 Adjourn
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Day Two:
8:00 Review & Questions, Layer Palpation Exercise
9:00 Visceral Listening, (Lab II) Local Listening Technique
9:45 Bladder Lecture: Anatomical Relationships, Clinical Considerations, Mobility and Motility
10:15 Break
10:30 External Bladder Techniques: Demo and labs
Lab: Lateral Mobility Testing & Treatment, Median and Medial Umbilical Ligament (Urachus), Scar Release
Lab: Pubovesical Ligament, Seated & Quadruped
12:00 Lunch
1:00 External Bladder Techniques: Demo and lab
Lab: Obturator Foramen: Testing & Treatment, Bilateral & Motility
1:45 Kidney/Ureters Lecture: Anatomical Relationships, Clinical Considerations, Mobility and Motility
2:15 Kidney/Ureter Techniques: Demo and labs
Lab: Anterior & Posterior Approaches, Ureter Mobilization
3:15 Break
3:30 Small & Large Intestine Lecture: Anatomical Relationships, Clinical Considerations, Mobility and Motility
3:30 Small Intestine: Demo and lab
(Lab VII) Mesenteric Root, Small Intestine, Posterior Peritoneum
5:00 Adjourn
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Day Three:
8:00 Review of Day 2 & Questions
8:30 Large Intestine: Demo and lab
Lab: Cecum & Sigmoid
Internal Techniques Urethra & Bladder Lecture: Anatomical Relationships, Clinical Considerations, Mobility & Motility
9:45 Break
10:00 Internal Bladder Techniques: Demo and labs
Lab: Urethra: Longitudinal, Transverse, Bi-Manual Scar, Tissue Release: Indirect/Direct
(Lab X) Perineal Membrane, Pubovesical Ligament, Trigone & Bladder: Indirect/Direct/Mobility, Bladder Motility
12:00 Lunch
1:00 Coccyx and Pelvic Floor Lecture: Anatomical Relationships, Clinical Considerations, Mobility
1:30 Coccyx/Pelvic Floor Techniques: Demo and labs
Lab: Urogenital Diaphragm, Internal Coccyx/Coccygeus, Pelvic Floor/Obturator Foramen
2:15 Thoracic Relationships: Anatomical Relationships, Clinical Considerations, Mobility
2:45 Thoracic Mobilization: Demo and Lab
Lab: Thoracic Mobility at Diaphragm, Ribs, Sternum and Costo-diaphragmatic Recess
3:30 Documentation & Case Study Presentation
4:00 Adjourn
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Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of mobilization of visceral structures relating to proper function of the urinary system and pelvic floor
2. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the urologic system, pelvis and thorax
3. Differentiate between direct and indirect release techniques and understand the proper application of each
4. Identify visceral structures with relation to the urinary system via external and internal vaginal landmarks
5. Recognize abnormal tissue mobility and motility of visceral structures
6. Apply the technique of three-dimensional fascial release to visceral structures; utilizing external body and internal vaginal approaches
7. Recognize and treat fascial restrictions throughout the abdomen and thorax as it relates to symptoms of dysfunctional voiding
8. Develop treatment sequencing with respect to global, local and focal fascial restrictions
9. Implement fascial release techniques into a comprehensive treatment program for the patient with varied urologic diagnoses to include incontinence, urgency, retention, and bladder pain as they relate to physical therapy
Ramona Horton, MPT, DPT
Ramona C. Horton MPT, DPT (she/her) 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.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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