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.
Goals and Objectives:
Upon completion of this course, participants should be able to:
- Understand the neurophysiology of fascial based manual therapy
- Understand basic fascial structure and function to include all four fascial layers and how they interrelate
- Describe the theory and application of mobilization of visceral fascial structures pertaining to pelvic floor dysfunction within the scope of a physical therapy practice
- Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic floor dysfunction
- Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity.
- Express a clear understanding of the visceral structures within the peritoneal cavity and how their normal mobility is related to somatic and autonomic function
- Differentiate between direct and indirect mobilization techniques and understand the proper application of each
- Identify visceral structures within the GI system via abdominal and pelvic landmarks
- Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.
- Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system
- Develop treatment sequencing with respect to global, local and focal fascial restrictions.
- Understand the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex
- Implement fascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses to include urologic, gynecologic, gastrointestinal and pelvic pain as they relate to physical therapy treatment.
- Minimum of pelvic floor level 1 training to include internal vaginal examinations and relative clinical experience (or equivalent to be approved)
- Article (to be provided)
- Review visceral anatomy terms (to be provided)
Day 1: 2:00pm-6:00pm
Day 2: 8:00am-5:30pm
Day 3: 8:00am-4:00pm
Registration begins on the first day 15 minutes prior to the start time.