Fascial-Based Treatment for Pelvic Dysfunction Courses
with Ramona Horton

Ramona C. Horton, PT, DPT, MPT
Ramona C. Horton, PT, DPT, MPT
Faculty Bio

Ramona C. Horton MPT, DPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction.

A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.

Ramona serves as the lead therapist for her clinic's 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.

Mobilization of the Myofascial Layer: Pelvis and Lower Extremity

Mobilization of the Visceral Fascia: The Gastrointestinal System

Mobilization of the Visceral Fascia: The Urinary System

Mobilization of the Visceral Fascia: The Reproductive System

This course is for the pelvic health clinician who uses manual therapy as a treatment modality and wishes to integrate a variety of manual therapy techniques for treating the myofascial system. 

Mobilization of the Myofascial Layer: Pelvis and Lower Extremity (MFRP) is an intermediate-level specialty course that was developed by faculty member Ramona Horton, and is designed to provide comprehensive knowledge concerning the connective tissue that interplays within the muscular system of the trunk, hip, pelvis, and lower extremities as it relates to the treatment of pelvic floor dysfunction.

Price
$675
Experience Level
Contact Hours
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Course Schedule

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 (1hr 22min)
2) Myofascial Treatment (54 min)

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Day One
=============================

12:30 pm PST - Zoom opens 30 mins before course for registration and setup
1:00 pm PST - Course begins / Introductions
1:30 - Review of recorded lectures and questions (Concepts of Myofascial Mobilization, Evaluation and Mobility Testing)
2:30 - Lab I: Mobility Testing
3:30 - Lecture: Review of Myofascial Induction Techniques
4:00 - Lab II: Myofascial Induction techniques (A-P Fascial stacking, superficial fascia, muscle bellies, articular fascia)
5:15 - Adjourn

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Day Two
=============================

7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Lecture: Bony Pelvis
9:00 - Lab III: Techniques for bony pelvis (Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis)
10:15 - Lab IV: Techniques for the bony pelvis (Ilial rotation, ilial decompression, sacrum/SI joint)
11:30 - Lecture: Hip and Lower Extremity
12:15 - Lunch
1:15 - Lab V: Techniques for the lower extremity (Hip screen, hip capsule, interosseous membrane, talo-crural joint, thigh muscles)
2:30 - Lecture: Peripheral Nerves
3:15 - Lab VI: Peripheral Nerves Demo and Lab (Lumbar plexus, obturator nerve, iliohypogastric nerve, sciatic nerve, pudendal nerve)
4:30 - Lecture: Anterior and posterior pelvic floor
5:30 - Adjourn

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Day Three
=============================

7:30 am PST - Zoom opens 30 mins before course for registration and setup
8:00 am PST - Course begins / Questions from Day 2
8:30 - Lab VII: Techniques for anterior pelvic floor (UG diaphragm, PIT transverse perineal muscles, bimanual levator ani, obturator foramen, PIT obturator internus, perineal body)
9:45 - Lab VIII: Techniques for posterior pelvic floor (Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, Alcock’s canal PIT puborectalis)
11:30 - Lecture & Brunch: Adjunctive fascial mobilization technique
12:30 - Lab IX: IASTM technique for trunk and lower extremity
1:45 - Lab X: Fascial decompression (Cupping)
3:00 - Case presentations and questions
3:30 - Adjourn
Course Objectives
"Ramona Horton is very knowledgeable and excited about the information. This is a large-scale concept that she made very easily applicable to many different body areas. It was very evidence-based and comfortable techniques that she made easily applicable in the clinic."
Chelsea Sweetman, PT, DPTChelsea Sweetman, PT, DPT

This course is for the pelvic health clinician who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele

Mobilization of the Visceral Fascia: The Urinary System (VTUS) provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the urologic system as it relates to the musculoskeletal system.

Price
$675
Experience Level
Contact Hours
Image
Course Schedule

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

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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

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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
Course Objectives
"I wish I had taken this course sooner! I learned so many useful skills that I think are going to greatly impact my ability to help my patients. Ramona knows her stuff! She is clear, confident, and no-nonsense. I always come away from one of her courses or lectures with actionable steps I can take in the clinic to improve my practice."
Rebecca Slape, PT, DPTRebecca Slape, PT, DPT
"Ramona's content is interesting and presented in a way that connects it to MSK mindset that helps us PT's just makes sense of "Why address the fascia of the viscera?" The knowledge of anatomy and making sense of it can apply directly in the clinic for a variety of symptoms!"
Giselle Roedel, PT, DPTGiselle Roedel, PT, DPT

This course is for the pelvic health clinician who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele

Mobilization of the Visceral Fascia: The Gastrointestinal System (VTGS) provides comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to the normal function of the musculoskeletal system. Students will learn manual therapy techniques for mobilizing the fascial structures of the gastrointestinal viscera as they relate to the somatic frame.

Price
$675
Experience Level
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Contact Hours
20.75
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Course Schedule

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

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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
Course Objectives
"Loved the course and can't wait to take more visceral courses from Ramona. Visceral manipulation is tricky to feel and I left this one more confident in my ability to apply the skills in clinic than after other visceral courses that I have taken."
Erin McNulty, PT, DPTErin McNulty, PT, DPT
"Ramona was incredible! I learned so much new information and practical manual skills to bring back to the clinic to help my patients. This was one of the best classes I have ever taken."
Natalia Ochalski, PT, DPT, PRPCNatalia Ochalski, PT, DPT, PRPC

This course is for the pelvic health clinician who wishes to integrate advanced manual therapy skills into their treatment regime for their pelvic and orthopedic clientele

Mobilization of the Visceral Fascia: The Reproductive System (VTRS) provides information presented has applications for a variety of diagnoses related to pelvic health including: pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

Price
$675
Experience Level
Contact Hours
Image
Course Schedule

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

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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
Course Objectives
"Ramona's ability to discuss the anatomy was a huge benefit of this course. I LOVED that she was able to make the connections to why the mobilizations would benefit certain conditions."
Shawna Poltricitsky PT, DPT, OCS, PCESShawna Poltricitsky PT, DPT, OCS, PCES
"Ramona is incredible. I enjoyed how many labs there were and how they were broken down. The pre-coursework videos were appropriate and not overwhelming in length."
Carly Gossard, PT, DPT, OCS, PRPCCarly Gossard, PT, DPT, OCS, PRPC

Interviews with Ramona Horton

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