Postural Restoration Institute

An Integrated Approach to Treatment of Patterned Thoraco-Abdominal Pathomechanics

Course Description
This advanced lecture and lab course is structured so that clinicians will gain an appreciation for the postural influences of: rib torsion, asymmetrical oblique strength, inconsistent breathing patterns, habitual use of accessory respiratory musculature and a restricted diaphragm. The focus of this course will be to “balance” polyarticular muscular chains through focused functional assessment of the upper-half. Integrated treatments using manual therapy and specific non-manual techniques to restore respiratory and rotational functions of the trunk will be covered. Participants will be able to immediately apply PRI clinical assessment and management skills when treating diagnosis such as “fibromyalgia”, thoracic outlet syndrome and shoulder dysfunction. This course is recommended second when attending our complete course series.

Course Objectives
- Recognize structural influences and breathing patterns of faulty postures.
- Design a postural isolation and inhibition program that includes the integration of appropriate dynamics of respiration.
- Release restricted polyarticular chains and torsional patterns of the trunk through specific manual and non-manual orientation of ventilatory muscle.
- Restore thorax-scapular force couples, rib alignment and abdominal-diaphragm muscle integration.

Course Agenda

Saturday
7:30 – 8 Registration & Light Breakfast
8 – 9 Overview of Anterior Interior Chain (AIC) , Brachial Chain (BC) and Zone of Apposition (ZOA)
9 – 10 Causes of Faulty Postures
10 – 10:15 Break
10:15 – 11 Polyarticular Chains: Anterior Interior Chain (AIC), Brachial Chain (BC), Posterior Exterior Chain (PEC)
11 – 12 Mechanics of the Thorax: Muscle and Structure, Rib Kinematics
12 – 1 Lunch (on your own)
1 – 3 Respiratory Function
3 – 3:15 Break
3:15 – 4:30 Evaluation and Manual Assessment (Lab)
4:30 – 5 Left AIC Manual Restoration Techniques (Lab)

Sunday
7:45 – 8 Sign In & Light Breakfast
8 – 9 Overview of Thoracic Mediastinum
9 – 10 Postural Respiration Functional Relationships
10 – 10:15 Break
10:15 – 12 BC Restoration Tests and Manual Techniques (Lab)
12 – 1 Lunch (on your own)
1 – 2 Complete BC Manual Techniques (Lab)
2 – 3 Review of Right Low Trapezius and Right Tricep Program and Progression
3 – 3:15 Break
3:15 – 4:15 Review of Right BC PRI Home Program Treatment Guidelines
4:15 – 5 Questions and Review

Early Registration $395
(Four weeks prior to course)

Late Registration $425
(Within four weeks of course)

Continuing Education Credits
Approved by the Minnesota Board of Physical Therapy for Category 1 continuing education credit. 15.0 CE hours awarded. Course approval #3134. January 18, 2008 through January 17, 2009.

Approved by the Texas Physical Therapy Association. Approval has been granted for 1.5 continuing education units (CEUs). Course approval #42999A. February 23, 2008 through February 22, 2009.

Approved by the Maryland Board of Physical Therapy Examiners for 1.5 CEUs. February 12, 2008 through February 12, 2012.

Approved by the State of Alabama Board of Physical Therapy.

Date	Location	Speaker	Time	Register
July 26-27, 2008	Chandler, Arizona (360 Physical Therapy)	James Anderson	08:00 AM to 5:00 PM	Register
Sept 13-14, 08	Minneapolis, Minnesota (Courage Center)	James Anderson	08:00 AM to 5:00 PM	Register
Sept 20-21, 08	St. Louis, Missouri (Core Services, Inc.)	Ron Hruska	08:00 AM to 5:00 PM	Register
Oct 11-12, 08	Brownsville, Texas (Moody Clinic) (Rescheduled from Feb '08)	Ron Hruska	08:00 AM to 5:00 PM	Register
Oct 25-26, 08	Sioux Falls, South Dakota (Dakota Rehabilitation Center)	James Anderson	08:00 AM to 5:00 PM	Register
Nov 15-16, 08	Hancock, Michigan (Finlandia University)	James Anderson	08:00 AM to 5:00 PM	Register