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Mobilization of the Myofascial Layer

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this continuing education seminar, participants will be able to:
1. Describe the theory and application of myofascial release
2. Cite potential causes for development of restrictions in the fascial system
3. Differentiate between direct and indirect release techniques and understand the proper application of each
4. Identify external and internal myofascial structures that may have an effect on pelvic dysfunction
5. Recognize abnormal connective tissue mobility and joint spring testing
6. Apply the technique of three-dimensional myofascial release; utilizing external body and internal vaginal/rectal approaches
7. Recognize and treat myofascial restrictions throughout the trunk, pelvis and lower extremity as it relates to pelvic dysfunction
8. Implement myofascial release techniques into a comprehensive treatment program for the patient with varied diagnoses of the lumbar, pelvic and hip region as they relate to physical therapy

Target Audience

This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. 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.

Agenda

Day One:
5:00 Introduction, Goals and Objectives 5:30 Lecture - Concepts of myofascial release 7:00 Lab I - Palpation exercise and mobility testing 8:30 Adjourn

Day Two:
8:00 Review and questions from day one 8:30 Lecture - MFR techniques for superficial, deep fascia and muscle bellies 9:15 Lab II - MFR techniques: superficial, deep fascia and muscle bellies 10:15 Break 10:30 Lecture - Bony Pelvis 11:00Labs III - Techniques for bony pelvis: Inominate, ischiopubic ramus, pubic tubercle, pubic symphysis 12:00 Lunch 1:00 Lab IV - Techniques for the bony pelvis: Ilial decompression, sacrum/SI joint 2:00 Lecture - Lower extremity: Hip, thigh and lower leg 2:45 Break 3:00 Lab V - Techniques for the lower extremity: Hip capsule, femoral neck, thigh muscles 4:00 Lab VI - Techniques for the lower extremity: Talo-crural joint, fibula, interosseus membrane 5:00 Adjourn

Day Three:
8:00 Review and questions from day one 8:30 Lecture - Anterior and posterior pelvic floor 9:15 Lab VII - Techniques for anterior pelvic floor: UG diaphragm, layers I-III muscles, obturator foramen, perineal body 10:30 Break 10:45 LabVIII - Techniques for posterior pelvic floor: Ischiorectal fossa, vaginal approach to coccyx, posterior pelvic floor, alcock’s canal 12:00 Lunch 1:00 Lecture - Adjunctive fascial release techniques: Positional release (PRT) and Instrument aided soft tissue mobilization 1:45 Lab IV - PRT: ST ligament, transverse perineal muscle, perineal nerve, obturator internus, puborectalis 2:45 Break 3:00 Lab V - IASTM technique for trunk and lower extremity 4:00 Adjourn

Description

Several studies describe the utilization of myofascial release or myofascial trigger point therapy for the treatment of pelvic floor dysfunction. Application of myofascial therapy for pelvic dysfunction requires a detailed knowledge of pelvic anatomy as well as exquisite palpation skills. This continuing education course is designed to provide comprehensive knowledge concerning the connective tissue that interacts with the muscular system of the trunk, hip, pelvis and lower extremity. This course is designed for the therapist who treats lumbopelvic, hip and lower extremity conditions in patients who present with primary or secondary pelvic dysfunction and symptoms.
Material will be presented that includes the science of and evidence behind myofascial release, relevant anatomical structures, clinical reasoning and an extensive number of treatment techniques. Lab activities focus on both exernal (surface) and internal vaginal or rectal techniques, and include assessment of connective tissue mobility with an emphasis on trigger points, asymmetry and tissue tension abnormalities affecting the joints of the pelvis and lower extremity and their associated fascial structures. Instructed techniques will include direct and indirect treatment options to address a variety of myofascial dysfunction. The great variety of skills presented in this course will allow the therapist to design an appropriate manual therapy approach for each patient presentation.
The primary goal of this course is to provide the clinician who is treating women and men with pelvic dysfunction additional tools that can immediately incorporated into clinical practice. Throughout the course, clinical reasoning will be addressed with emphasis on various presentations of pelvic dysfunction.

Special Considerations:
As this course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal and rectal pelvic floor muscle techniques will be taught in labs. Pregnant women course attendees may participate in a limited capacity and 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.
Seminar content is targeted to physical therapists. Content is not intended for use outside the scope of the learner's license or regulation. Clinical continuing education should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

Date And Locations
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