Vaughan ON
Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - June 2023

Mobilization of the Myofascial Layer: Pelvis and Lower Extremity - June 2023

Ramona C. Horton
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Course Description:

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. participants 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. All course attendees are required to have completed basic level pelvic health training to include vaginal assessment. Content is not intended for use outside the scope of the learner's license or regulation.

Goals and Objectives:

Upon completion of this course, participants should 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)

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Mobilization of the Myofascial Layer June 2023


In-person June 23-25, 2023 in Vaughan, ON. Friday: 2:00pm-8:30pm / Saturday 8:00am-5:30pm / Sunday 8:00am-2:00pm.


Ramona C. Horton MPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She then applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization.


  1. Findley T (2009) Fascia research II: Second international fascia research congress. International Journal of Therapeutic Massage & Bodywork 2(3)
  2. 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.
  3. 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.
  4. 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


PHS Vaughan 

399 Four Valley Drive, Unit 22
Vaughan, Ontario L4K 5Y7 Canada 
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