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 abdomino-pelvic 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 relationship 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, 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.
Mobilization of the visceral fascia requires advanced palpation skills along with extensive knowledge of visceral anatomy. 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 physical therapy treatment. 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. 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 manual therapy prior to 32 weeks gestation is not recommended under standard medical practice.
Goals and Objectives
Upon completion of this course, participants should be able to:
- Describe the theory and application of manual therapy for the mobilization of visceral fascial
- Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic dysfunction
- Understand the contribution of neurologic mechanisms in altering the tone and tension of fascia with respect to manual therapy
- Cite potential causes for development of restrictions in the visceral fascia of the urologic system, pelvis, abdomen and thorax
- Understand the influence of somatic and autonomic function, to include respiration, on the normal mobility of the visceral structures within the urinary system
- Differentiate between direct and indirect manual therapy techniques and understand the proper application of each
- Identify visceral structures with relation to the urinary system via external and internal vaginal landmarks
- Recognize abnormal tissue mobility of visceral fascial structures.
- Apply the technique of three-dimensional fascial mobilization to visceral fascia utilizing external body and internal vaginal approaches
- Recognize and treat fascial restrictions throughout the pelvis, abdomen and thorax as they may relate to diagnoses of dysfunction within the urinary system
- Develop treatment sequencing with respect to global, local and focal fascial restrictions
- 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
Level I, II and III (or equivalent to be approved)
Mandatory pre-course work:
Day 1: 5:00pm-9:15pm
Day 2: 8:00am-5:30pm
Day 3: 8:00am-4:00pm