Upcoming Events

February 7-8, 2015 Richmond , VA

Postural Respiration - An Integrated Approach to Treatment of Patterned Thoraco-Abdominal Pathomechanics.

February 7-8, 2015 Palm Beach , FL

Myokinematic Restoration - An Integrated Approach to the Treatment of Patterned Lumbo-Pelvic-Femoral Pathomechanics.

February 7-8, 2015 San Diego , CA

Postural Respiration - An Integrated Approach to Treatment of Patterned Thoraco-Abdominal Pathomechanics.

February 20-21, 2015 St. Louis , MO

Impingement & Instability - A Unique Approach to the Treatment of Common Impingement and Instability Through PRI Reference Center Integration

February 20-21, 2015 Lincoln , NE

Vision and Body Mechanics - Beyond 20/20

February 21-22, 2015 Fort Collins , CO

Pelvis Restoration - An Integrated Approach to Treatment of Patterned Pubo-Sacral Pathomechanics.

February 28, 2015 to March 1, 2015 Bethesda , MD

Postural-Visual Integration

February 28, 2015 to March 1, 2015 Coppell , TX

Pelvis Restoration - An Integrated Approach to Treatment of Patterned Pubo-Sacral Pathomechanics.

February 28, 2015 to March 1, 2015 Kansas City , KS

Myokinematic Restoration - An Integrated Approach to the Treatment of Patterned Lumbo-Pelvic-Femoral Pathomechanics.

March 7-8, 2015 Montreal, Quebec

Postural Respiration - An Integrated Approach to Treatment of Patterned Thoraco-Abdominal Pathomechanics.

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Recent Posts

I recently had the opportunity to take PRI’s Impingement & Instability (I&I)course for the first time.  The most important concept from this course, in my opinion, is that if patients can’t recognize, use, and integrate the sensory references need for upright, alternating, reciprocal function—the goal of any PRI program—then they will not be successful in their program.  And neither will you.  Definitely not something that excites most of us, regardless of whether you are a PT, strength and conditioning coach, trainer, or even an optometrist, dentist, podiatrist….the list could go on and include anyone working with this patient, whether  to improve performance, decrease/prevent pain, or treat their orthostatic or anxiety issues.   Impingement & Instability is the “bridge” course between the primary, “floor-up” PRI courses and the “top-down” secondary courses and the PRI Vision course.

I&I concepts are the type of thinking that, in some regards, are the only thing I really know how to do when it comes to PRI.  I am not a PT, nor do I have any formal educational background in human gait, movement, or physical performance.  The minute a term like “anterior pelvic inlet” or “late left stance” comes out of Ron’s mouth, I’m a little lost.  I’ve learned a lot over the past 5 years working with Ron and the other therapists here at the clinic, but this is why I keep taking and retaking courses!  Anyone who knows me knows how much I HATE that feeling!  But what I do clinically every day in PRI Vision with Ron is ALL about sensory awareness.  So for  the patients  that need me, I know if they can’t consciously “find & feel” the floor under their left foot—in  I&I the left calcaneus—nothing  I have done so far will help them and we have to keep going until they can.

There are, of course, other sensory references many patients need to increase or decrease.  Some of them are discussed in I&I, some are not, and these vary based on the patient.  Regardless of what these are, my job is to change the “top-down” brain’s sensory awareness so that the “bottom-up” activity from the primary courses can be effective.

The second concept for this course is the meaning of the words impingent and instability.  Impingement as a syndrome or diagnosis is usually associated with pain due to excessive or inappropriate contact between two points in the body.  Instability is usually associated with the lack of support or stability, often due to overstretched or lax ligaments or muscles.  But consider these definitions:

Impingement:  appropriate contact not only between two points in the body, but also between the body and a needed sensory reference, such as the floor.

Instability:  the freedom to “let go” of a contact point, sensory or physical, so movement can take place.  To obtain alternating, reciprocal function, you need proper impingement on one side paired with proper instability on the other, then the ability to reverse it—This is how “good gait” happens!

Every patient I see in PRI Vision needs less impingement and less instability in certain areas, and more of each in other areas.  Many have too much “impingement,” or reliance, on vision, and not enough on their left heel.  We also frequently have to change multiple reference areas for the patient to make use of the new “instability” I am giving them in Vision.   These changes can be the determining factor in the patient’s program success, and where I rely fully on Ron and the referring therapist to ensure this is accomplished when needed.

If you haven’t taken I&I, you absolutely should!  Ask some of the attendees that experienced the “right” PRI function for the first time during those two days.  If you’ve taken I&I, then the next step is to take the Cervical Rotation and Postural-Visual Integration courses.  These two courses will show you what to do when you have patients (or yourself!) that just can’t find and keep those sensory references from the I&I course.  The head, neck, and ultimately the BRAIN are the “top-down” drivers that can negate, or reinforce, all of your and your patients’ “floor-up” hard work.

Moving Beyond Sight!

Dr. Heidi

Posted January 30, 2015 at 3:21PM by
Categories: Courses PRI Vision

Santa Cruz) Myokinematic Restoration.  Had a fantastic weekend with a dynamic group of rehab, medical, performance and fitness professionals in the beautiful Paradigm Sport facility in Santa Cruz, California. Thank you Joey Wolfe for hosting such a great weekend and for making us all feel so welcome at Paradigm Sport. First Class all the way.

And thank you to Julie Blandin and Caleb Chiu for their work as lab assistants and clinical PRI experts, having done such a great job answering questions and guiding attendees through proper testing and exercise technique during the lab portion of the course.

As a group, we found ways to overcome the two key barriers to moving into the left hemisphere of human performance: (barrier #1) unexhaled air and (barrier #2) overactive polyarticular muscle chains. We did this with exhalation movement techniques that used the left hamstrings and left adductor and also the left abdominals (via left rib internal rotation) to help lateralize athletes to the left side. Securing left hip stability with "ligamentous muscle" then helped hold an athlete on the left side without requiring undue compensation.

The California Coast is quickly catching PRI fever and we're more than grateful to support the process. I'm already looking forward to the next trip.

This statue showed up after a great dinner at Hula's Island Grill. He made himself known after Julie, and Maureen and I discussed PRI Integration for Fitness and Movement all evening. We thought seeing this statue was a message from the universe that reminded us that single leg performance on the left leg was a big deal. Haha. 

Posted January 29, 2015 at 2:55PM by

We are excited to announce that Hannah Janssen joined the PRI staff full time earlier this month as Education Coordinator. Hannah is busy training with all the PRI office day to day activities, and also in learning the course material. To learn more about Hannah and how he became interested in PRI, click here!

Posted January 27, 2015 at 2:13PM by

The weather was beautiful in Phoenix and the Seattle Mariners’ Spring Training complex was as well for Myokinematic Restoration last weekend!  We delved into the challenging subject of human kinetics and the relationship to baseball as well as general athletic performance. The class was eager and excited and I received many notations that read “Wow! This is a real paradigm shift for me!”  Thanks to all the participants in the sessions and a special thanks to Jimmy Southard, Head Minor League Athletic Training Coordinator of the Mariners organization for inviting PRI into his living room!!!  It was the best!!!

Posted January 16, 2015 at 5:45PM by
Categories: Courses Athletics

We are excited to announce and congratulate the Postural Restoration Trained (PRT) Class of 2015!  PRT is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRT application, and successfully participating in practical and analytical testing. Five individuals earned the designation of Postural Restoration Trained (PRT) under the direction of Ron Hruska, Michael Mullin and Jennifer Platt.

The Postural Restoration Institute® established this credentialing process in 2011 as a way to recognize and identify individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute®.  The PRT credential is available to Certified Athletic Trainers and Certified Strength and Conditioning Specialists who have completed the requirements. With the addition of this class, there are now 23 PRT professionals throughout the U.S.

PRT credentialed athletic trainers and strength and conditioning specialists offer a unique approach to physical medicine called Postural Restoration. This approach addresses underlying biomechanics which can often lead to symptoms of pain and dysfunction. All mechanical influences on the body that restrict movement and contribute to improper joint and muscle position are considered, examined, and assessed. Techniques are utilized to restore proper alignment of the body while proper respiratory dynamics are considered. Treatment encompasses prevention and lifetime integration for long-term successful outcomes.

Congratulations!

Pictured from left to right: Michael Mullin, Takuto Kondo, Matthew Uohara, Gibbie Duval, Atsuhiko Takei, Dallas Wood, Jennifer Platt and Ron Hruska

Posted January 13, 2015 at 9:34PM by

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PRI Vision

PRI Vision is a powerful new health care model that is a result of the integration or 'fusion' of the professions of physical therapy and behavioral/neuro-optometry. To register for PRI Vision courses, click here!