Material will include the science of and evidence behind myofascial based manual therapies with an emphasis on clinical reasoning and evaluation for assessment of connective tissue mobility, movement asymmetry and tissue tension abnormalities affecting the pelvis and lower extremity and their associated fascial structures. Participants will be exposed to multiple approaches for the treatment of fascial dysfunction throughout this concepts course so the clinician can easily choose the appropriate technique depending on the tissue of each unique patient. The goal is for the attending therapist to have a variety of skills to incorporate myofascial based treatment into an existing clinical program
- Fascia is the ubiquitous connective tissue that permeates the entire body forming a continuous three-dimensional matrix of structural support and communication1.
- The fascial system consists of four concentric layers; the “myofascia” is comprised of those layers of fascia that are associated with the locomotor system2.
- Patients with chronic pelvic pain are more likely to have abnormal musculoskeletal findings on examination3,4
Lab activities will cover external and internal vaginal and rectal techniques, Fascial approaches include a variety of techniques for the abdominal wall, pelvis, hip and lower extremity to include:
- Fascial induction utilizing direct and indirect methods for muscle bellies, intraarticular, intraosseous structures and multiple layers of the pelvic floor
- Positional inhibition as a modality for shutting off trigger points, internal and external
- Peripheral nerve mobilizations for pelvis and lower extremity
- Instrument-assisted soft tissue mobilization (AISTM, Gua Sha)
- Fascial decompression (Cupping)
- Introduction of rehabilitative ultrasound imaging to measure tissue changes
The goal of this course is to provide the clinician who is treating women and men with pelvic dysfunction immediate access to a variety of approaches to the myofascial system. Throughout the course, clinical reasoning and application will be addressed with emphasis on various presentations of frequently seen in patients with primary or secondary pelvic dysfunction.
This course includes extensive lab work to include musculoskeletal, vaginal and rectal pelvic floor muscle techniques, all course attendees should come prepared to participate as both clinician and patient, male clinicians will be allowed full participation. Pregnant course attendees may participate in a limited capacity depending on the technique.
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.
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the four layers of the fascial system and how they interrelate
2. Describe the theory and application of osteopathic principles to include myofascial induction technique with respect to its neurophysiologic effect
3. Perform, selective tissue tension testing, osseous and articular spring testing and recognize abnormal connective tissue mobility
4. Differentiate between direct and indirect mobilization techniques and understand the proper application of each
5. Cite potential causes for the development of local restrictions in the fascial system and the role that somatic convergence plays in the perpetuation of pain states
6. Apply the technique of three-dimensional myofascial induction; utilizing external body and internal vaginal/rectal approaches for myofascial structures throughout the trunk, pelvis, and lower extremity as it relates to pelvic dysfunction
7. Understand the difference between ARTS and STAR for treatment paradigms plus the application of positional inhibition technique for the treatment of exquisite trigger points
8. Understand the anatomy of the neurologic connective tissue and application of peripheral nerve mobilization
9. Differentiate treatment applications for fascial structures to include fascial induction, fascial decompression, and use of instrument-assisted soft tissue mobilization (IASTM)
10. Implement myofascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic, and hip region as they relate to pelvic health physical therapy
Prerequisites: Level 1 (or equivalent to be approved)
Registration begins on the first day 15 minutes prior to the start time.
- Findley T (2009) Fascia research II: Second international fascia research congress. International Journal of Therapeutic Massage & Bodywork 2(3)
- Willard F (2012) Somatic Fascia. In: Schleip R, Findley T, Chaitow L, Huijing P (Eds.) Fascia: The Tensional Network of The Human Body. Edinburgh: Elsevier, pp. 11-17.
- Neville C, Fitzgerald C, Mallinson T, Badillo S, Hynes C, Tu F (2012) A preliminary report of musculoskeletal dysfunction in female chronic pelvic pain: A blinded study of examination findings. Journal of Bodywork and Movement Therapies, 16:50-56.
- Zerman DH, Ishigooka M, Doggweiler R, Schmidt R, (1999) Neurological insights into the etiology of genitourinary pain in men. Journal of Urology 161:903-908