Mobilization of the Visceral Fascia: Female and Male Reproductive Systems, Instructed by Ramona Horton, MPT.
This two-and-a-half day science based continuing education seminar is designed to expand on the therapists existing knowledge concerning the relationship between the connective tissue surrounding the viscera and various diagnoses within the urogenital system. This course is designed for the therapist that has a working knowledge of fascial and visceral mobilization and wishes to advance their skills in this treatment modality. Course instruction will focus on the reproductive and lymphatic system of men and women as it relates to pelvic physiotherapy treatment.
Emphasis of learning will be on concepts over techniques in order for the therapist to be able to apply what they learn to a variety of clinical settings. Material will be presented that will allow the participant to immediately incorporate evaluation and treatment techniques for patients with diagnoses of dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and a variety of abdomino-pelvic pain diagnoses. The course will include lectures on available evidence, visceral anatomical structures, theory and application of manual therapy theory. 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.
Visceral Mobilization: Urinary System (Level 1) must be completed prior to participating in Visceral Mobilization: Reproductive System (Level 2).
Upon completion of this course, participants should be able to:
- Complete a review of the osteopathic theories of fascial release and all structures of the urinary system covered in level 1.
- Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system for men and women.
- Describe the theory and application of mobilization of visceral structures relating to proper function of the reproductive system and lymphatic system of the pelvis.
- Identify visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks.
- Identify and palpate the mobility of the lymphatic system via external, internal vaginal and anal techniques.
- Recognize abnormal tissue mobility and motility of visceral structures within the male and female reproductive system.
- Apply the technique of three-dimensional fascial mobilizations to visceral structures; utilizing external body, internal vaginal and anal approaches.
- Recognize and treat fascial restrictions within the pelvis as it relates to symptoms of abdomino-pelvic pain, mechanical infertility, pelvic congestion, dysfunctional voiding and defecation for the male and female patient.
- Implement fascial release techniques into a comprehensive treatment program for the patient with varied urologic and gynecologic diagnoses to include prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, pudendal neuralgia, and pelvic pain as they relate to physical therapy.
Day 1 - Friday, Nov 2, 2018
5:30 Review: Fascial and Visceral Concepts
7:15 Review: Mobilization of Urinary System
8:00 Lab 1 -VTUS Technique Review
Day 2 - Saturday, Nov 3, 2018
8:00 Uterus Lecture
9:30 Lab II- External Uterus Techniques: Pelvic Decompression, Broad ligament
10:45 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
11:45 Cervix Lecture
1:30 Lab IV -Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical Pouch, Transverse Cervical Ligament,
2:45 Lab V -Internal Uterus/Cervix Techniques: Demo and lab,Uterosacral Ligament, Balancing Fundus and Cervix, Uterine Motility
3:45 Ovaries/Tubes Lecture
4:30 Lab VI-Ovaries/Tubes,Cervical-Ovarian Mobilization, Tubal Roll, Ovary Induction
Day 3 - Sunday, Nov 4, 2018
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
11:15 Lab VIII -Prostate Techniques Central Tendon, Prostate, Puboprostatic Ligament, Motility
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