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The Olympic and Cascade Mountain ranges provided a spectacular back-drop for Postural Respiration, hosted by Erin Rajca, DPT, PRC, Betsy Baker-Bold, PT, PRC, and Leslie Kinoshita, all PTs with ATI Physical Therapy. The course kicked off with a discussion on the two respiratory diaphragms and how the right hemi-diaphragm over-powers the left, creating the lateralized, predictable patterns of breathing and movement present in us all. This segued into the symbiotic relationship between the hemi- diaphragms and ribs: i.e. well-positioned diaphragms allow rib movement, and proper rib movement/expansion helps to maintain diaphragm position to keep patterned movement in check. This concept was woven into defining the what, why, when, and how of inhibiting the L AIC and facilitating the R AIC to provide a foundation for synchronized movement of a thorax over a pelvis – i.e. early stance phase of gait. This synchronization provides the foundation for the subsequent separation of the thorax on the pelvis at mid to late stance. The end game: alternating, reciprocal – aka “tri-planar” --respiration and movement!

Responding to previous course feedback, a fair amount of time was devoted to practicing the nuances of both non-manual and manual techniques and where they fit into a patient’s/client’s program. Attendees were able to sense rib movement and air flow, in the roles of patient and practitioner, and to sense engagement of the muscles that oppose the patterns. Thank you to our models: Greg Lewerentz, Geneva Bender, Jeremy Kirschner, and Maryann Kuchera (and to Erin Krekling for being a ready and willing back-up). Each of these individuals enabled the class to experience the unique challenges of stiff rib cages, belly breathing tendencies, and/or superior T4 syndrome.

Thank you to all participants this weekend – you were a spirited, engaging group with thoughtful questions and feedback!

Posted October 19, 2017 at 4:29PM by
Categories: Courses

Holly Spence, PT, PRC presented earlier this month at the OBI Bioesthetic Dentistry Annual Session in New York City. Holly presented alongside Gayle Myers, MD and Dara Chira, DMD. Their interdisciplinary presentation was titled "Adjunctive Therapy to Joint Stabilization and Splint Design". Within her presentation, Holly introduced the attendees to PRI concepts of asymmetry, the relationship between proper respiratory mechanics, its influence on forward head position and centric relation of the TM joint from a PRI perspective. In the first part of their presentation, they introduced what they each do, followed by their assessment methods and when they know to refer to each other, and they concluded with case studies to demonstrate how they treat patients in an integrative fashion. CLICK HERE to view Holly's portion of the presentation. Thanks Holly for sharing your interdisciplinary story with this dental group. I am sure you helped inspire the attendees to look at building an interdisciplinary team!

Posted October 16, 2017 at 11:47AM by

Great time in Minneapolis, Minnesota this past weekend talking PRI Integration for Fitness & Movement. Special thanks to this amazing host site- FitSpace! Brent and John your hospitality was appreciated, and your facility was awesome. Also special thanks to DJ for her help over the lunch breaks! Thank you guys so much for hosting and a great set up! This past weekend I allotted extra lab time--- and by the course reviews that seemed very appreciated. There’s value in understanding how muscles work together in each plane and there’s even more value in actually FEELING, SENSING, and GROUNDING these relationships and new positions.

We talked about the neurorespiratory mechanics and asymmetries of the diaphragm, pelvis, and ribcage in three planes and broke them down to be properly sequenced to reorganize core performance. Our focus in this course is on synchronizing certain muscle groups around the pelvis and ribcage to improve postural organization, reduce asymmetrical torque and strain, and maximize strength and power output via improved neuromotor programming and neurological grounding principles.

As we wrap up the 2017 schedule, east coast and Washington DC/Baltimore area is our last stop. Early sign ups are still going on for the November 18-19 host site in Frederick, MD. Check out the PRI Affiliate Course link to learn more and register!

Posted October 13, 2017 at 8:42AM by
Categories: Courses

“Innovations in Spinal Deformities and Postural Disorders” was just released on September 27th. We are so proud of Susan Henning, Jean Massé and Lisa Mangino from Advance Physical Therapy in Chapel Hill, NC, who spent countless hours summarizing their clinical experience utilizing Postural Restoration® with scoliosis and other spinal dysfunctions! Chapter 7 titled “Postural Restoration: A Tri-Planar Asymmetrical Framework for Understanding, Assessing, and Treating Scoliosis and Other Spinal Dysfunctions” is sure to be a popular reference for all PRI professionals who work with patients or clients with curvature of the spine.

I had a chance to get a little more information on Susan’s path of learning and teaching about scoliosis. She began her dive into and interest in scoliosis after attending the Advanced Integration course over 10 years ago, and shortly after she attended a Schroth Method course which expanded her focus and insight into working with that population. In 2014, Susan presented at our Annual Interdisciplinary Integration, where her presentation focused on the similarities of the Schroth and Postural Restoration® methodologies.  While attending the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) meeting in 2016, Susan was introduced to Josette Bettany-Saltikov, PT, PhD, and she had the opportunity to introduce her to some of the PRI concepts. Josette began writing “Innovations in Spinal Deformities and Postural Disorders” with Dr. Sanja Schreiber and they asked Susan to contribute a chapter on Postural Restoration®. After the abstract for the book was accepted, Susan brought her colleagues Jean and Lisa on board to help write the chapter. They ended up finishing it in only 6 months! We are so thankful for all of the hard work they all put into making this chapter a reality.

We are also excited to have Susan, Jean and Lisa teaching the scoliosis section (day 4) of the Advanced Integration course this year, and in future years. If you are working with patients who have scoliosis, be sure to check out this chapter, and register for the Advanced Integration course! Their expertise of curvatures of the spine will provide course attendees with new material on treatment for non-pathological and pathological scoliosis curves, juvenile kyphosis and torticollis.

Posted October 10, 2017 at 10:07AM by
Categories: Articles Books

Fortius Sport and Health in Vancouver is not only a world class Mecca for athletes wanting to perform at the highest level and for patients recovering from an injury, but it is also a practitioners dream location for a progressive, state-of-the-art, and integrative environment to work in and hone their professional skills. Fortius was developed as an enormous community based sport rehab and facility in the suburb of Burnaby, near Vancouver, that includes several ice rinks, grass fields for field sports and a world class weight training facility including basketball courts and therapy pools. There is a vision center for concussion rehabilitation. Physical therapists, chiropractors, athletic trainers and sport performance specialists all work in an environment that is focused on mutual respect and collaboration to provide the very best in athlete/patient outcomes. Regular meetings are scheduled with all practitioners to discuss cases including having medical consultations available for athletes. This group of practitioners that attended, many of which were from Fortius, had their first introduction to PRI this weekend. One husband and wife team from the US had taken Postural Respiration through a home study course and loved it so much that they opened up their new clinic based on breathing and respiration principles. This was their first live course for Postural and having a hands-on experience was invaluable from their response. Jon Rowe, CSCS, PRT is the only PRT/PRC in Canada and drove 4 hours through the mountains to assist this weekend from a town called Kelowna. Jon is a quiet force and by Sunday was providing an amazing amount of insight and help to new students. Some of the questions that came up included what does PRI teach in terms of breathing? Well, let’s just start with an ability to exhale fully and pause before taking a full breath in. Combine that with a new neurologic and bio-mechanical re-position or non-manual technique and now unlocking the secrets to a balanced bi-lateral human being is possible. It seems simple to veterans of PRI that if you hope to master breathing, you must see for starters that a left hamstring, glute, IO/TA's are needed to create a left (and right) ZOA of a diaphragm. All the breathing techniques in the world aren't going to re-position, re-train or restore function and performance without this basic building block. This one concept was reinforced though out the weekend. Many thanks to Ryan Murray, DPT and Erik Torchia, DPT for hosting this weekend in such a beautiful facility, city and country.

Posted October 5, 2017 at 10:12AM by
Categories: Courses

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