Upcoming Events

July 26-27, 2014 York, England

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

August 2-3, 2014 Boston , MA

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

August 9-10, 2014 Indianapolis , IN

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

August 16-17, 2014 Santa Cruz , CA

Myokinematic Restoration

August 22-23, 2014 Lincoln , NE

Postural-Visual Integration

August 23-24, 2014 Middleton , WI

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

August 23-24, 2014 Loveland , CO

An Integrated Approach to Treatment of Patterned Thoraco-Abdominal Pathomechanic

September 6-7, 2014 Gillette , WY

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

September 13-14, 2014 Montreal, QC

An Integrated Approach to Treatment of Patterned Pubo-Sacral Pathomechanics

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Recent Posts

Mike Cantrell is currently in England and is headed to the city of York in North Yorkshire to teach Myokinematic Restoration this weekend! Here is a picture with Mike and his daughter Sophia visiting Big Ben and the UK Parliament in London yesterday. We can't wait to see more photos from Mike's trip and to hear all about the course!

Posted July 25, 2014 at 2:36PM by
Categories: Courses

We are excited to announce that Matt Hornung, ATC joined the PRI staff earlier this month as Education Coordinator. Matt is busy training with all the PRI office day to day activities, and also in learning the course material. He will be attending his first PRI course, Myokinematic Restoration in Indianapolis next month! To learn more about Matt and how he became interested in PRI, click here!

Posted July 23, 2014 at 9:19PM by

ProActive Physical Therapy has an immediate opening for PRI educated/interested Physical Therapist/ Physical Therapist Assistant in Beautiful Southern Idaho.  We are a Postural Restoration Center since 2004 looking to hire a Clinician interested in furthering their PRI based Career Path.  Excellent Salary, benefits, practice setting, and beautiful location in close proximity to Sun Valley, Boise, and Salt Lake City.  Contact 208-677-2489, or email proactivetherapyburley@gmail.com

Posted July 17, 2014 at 6:55PM by

It's that time of year again.....summer is flying by and Fall is just around the corner which means that the deadline for PRC and PRT applications are as well! Postural Restortaion Certified (PRC) applications are due on September 15th, and Postural Restoration Trained (PRT) applications are due on October 15th.

Postural Restoration Certified (PRC) credentialing is available for PT's, PTA's, OT's and Chiropractors, and Postural Restoration Trained (PRT) credentialing is available for Athletic Trainers (with Certification through the BOC) and Strength and Conditioning Coaches (with CSCS Certification through the NSCA or SCCC Certification through the CSCCa).

To download the PRC application, click here!
To download the PRT application, click here!

Please note that both credentialing programs will be limited to the first 30 applicants, so we do recommend submitting your application early. If you have any questions, please email me!

Hello triplanar thinkers!

For those wondering, the picture is relevant because it shows a technique not often considered for the condition treated:  keeping a severed hand alive by grafting it to the patient’s ankle, then later replanting the hand back on his arm. 

The conclusion of my story about Don didn’t involve any external fixators, but the treatment that he needed might surprise some of you.  To review, Don was the patient with left shoulder bicipital tendinosis whom I treated in part I (link) with the “gold standard” conservative orthopedic approach and part II (link) with the according postoperative approach as a good therapist has been trained to.  As mentioned, I outline this case to review the path that is so very accepted and yet, in my experience since I began training with PRI, not the most effective.  Don’s story concludes below:

Don returned to clinic 8 months after discharge with a new diagnosis of left shoulder pain with the remarks on the script “MRI negative” and “eval and treat.”  This is generally understood as physician lingo for “I have no idea what to do now…good luck with all that.” 

Upon evaluation, Don reported that these left shoulder symptoms started about 2-3 months after we discharged him from PT intervention in spite of his persistence with his HEP and “it was all back to the starting point three months later.”  He still tested as a bilateral brachial chain patient with a PEC pattern, again was positive with impingement tests—Hawkins-kennedy, empty can, Neer sign.  He was frustrated, unable to work in his wood shop or play his accordion for more than 10 minutes without severe pain.  At this point, the patient and I discussed that fact that I had let him down to a degree because I wanted to take a different approach before surgery, but didn’t want to irritate Don or his referral source.  He understood, accepted my apology and we moved forward.

During the first 3 visits, we established that his bilateral brachial chain pattern and according left shoulder dysfunction was not the root of his dysfunction, but rather the manifestation of a “bottom up” pelvis patient whose primary difficulty was in maintaining frontal plane position of his pelvis. 

The key to Don’s left shoulder function?  Right posterior inlet inhibition of his pelvis.  During the seven visits we treated Don using a PRI approach after the gold standard of orthopedic medicine and orthopedic physical therapy had failed to maintain his shoulder function for more than 3 months, his symptoms resolved.  He left the clinic a reciprocal, alternating, smiling woodshop athlete with bilateral HADLT tests of 4/5 at 72 years of age, “tickled” that he could play his accordion as long as he wanted without pain for the first time since before he first went to see the doctor more than two years prior.  Don is in occasional contact for the past 6 months with no return of symptoms, lots of activity and happy thoughts. 

Six-month follow-up with no return of symptoms after the rest of my conservative clinical skills, an appropriate surgery and present day gold-standard postoperative care was unsuccessful.  These are the types of outcomes that keep my passion for this science alive and accelerating.  Moreover, these are the types of patient successes that remind me to be gentle but bold about intervention that I know clinically to be the most effective tool I have in the entire tool chest.

Clearly, each patient is different, and no, I have not seen a consistent correlation over time between the diagnosis of left shoulder bicipital tendinosis and the need for right posterior inlet inhibition.  The objective tests guided me to find the appropriate treatment, not my innate ability to hear the pelvis or shoulder speak to me. 

The point here is not to create a case study for anyone to memorize to use in the future for that one seemingly random patient.  Rather, I hope that the take home is that there is a chance that this gentleman didn’t need as much intervention as he ended up having.  And, even in the face of the “old school” telling you exactly what they want from PT intervention, the risk is worth the reward if one can just take the first three or four visits to break down barriers to a different way of approaching an age-old mechanical dysfunction of a “shoulder.”

Thank you for reading, perhaps you can save a few visits for a few of your patients by way of my experience with Don.   My best to you!

Jess

Posted July 13, 2014 at 3:03PM by
Categories: Clinicians

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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!