Mobilization of Visceral Fascia: The Urinary System & Reproductive System

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Urinary System course description:

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. 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.

Course objectives:

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

The Reproductive System course description:

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.

We welcome 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.

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

Course obectives:

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

Course hours:

Thursday : 8:00-5:30pm

Friday: 8:00-5:30pm

Saturday: 8:00am-5:30pm

Sunday: 8:00am-4:00pm

Note: Heures définitives sujettent aux changements