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Boston is a city known for its innovation – ranked fifth in the world – likely due in part to the 54 colleges located within the metro area. As so it was that 50 course attendees descended upon the campus of Northeastern University to learn how to apply the innovative concepts of patterned thoraco-abdominal mechanics into their existing treatment paradigms.

Many attendees had Myokinematic Restoration and/or Pelvis Restoration in their wheelhouse, so they were excited to expand upon their understanding of how it is that the diaphragm and rib cage, via directing air flow patterns, enables us to shift our COM to from the left to the right, and back again, for efficient gait.

Discussion of the differences in the neuromuscular behaviors of the right and left hemi-diaphragms, and their profound influence on the nervous system, movement quality, and behavior, are fundamental in PRI courses. This includes the differences in the right and left diaphragm’s Zone of Apposition and its role in rib cage expansion to allow our axial skeleton shift and rotate. Arm swing, when done properly, supports this process, promoting good rib movement and hemi-diaphragm position to reduce fatigue and promote healthy air flow patterns. These concepts were brought to life by the many photos of real patients. Their backgrounds gave insight into why it is they sit, stand, and breathe the way they do.

Of course, we had our own class of individuals who provided insight. Anita Furbush, PT, PRC, and Tyler Tanaka, DPT, PRC, were instrumental in providing clinical pearls and guiding participants during lab. Johnathan Blake, CPT, Amanda Donahue, ATC, Rachel Ferrucci, DPT, Brianna Papotto, ATC, Mansi Shah, DPT, and Sean Sheridan, DPT, kept the questions coming, prompting me to clarify concepts, which benefited the whole class. Thank you to our live “case studies”: Katie Brooks, MA, CPT; Lindsey Rockett, ERYT; and Joshua Robinson, CPT, who allowed us to identify and address the different patterns of polyarticular muscle chain over-activity that a patient/client may present with. Finally, a huge thank you goes out to the folks at Northeastern for hosting: Katie Brooks, Jai Chopra, ATC, Mark Mastone, ATC, CSCS, and Dan Sanzo, ATC, CSCS. Great facility and wonderful group of attendees!

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Posted June 17, 2019 at 10:18AM by
Categories: Courses

Having the opportunity to reflect on some of our PRI Non-Manual techniques that originally were put together back in 2003, with the understanding, consent and support of my gracious patients is always a privilege. A proud one. These photos of patients that have now become engrained and etched in our minds were taken more than 25 years ago, and not with a cell phone. As grainy as some are, and as imperfect as some now appear, they will always be the photos the Institute will use with the respective non-manual technique they are paired with; because they are related to stories, to people with behavioral and biologic history, and to individuals with hope as they struggle to understand and appreciate the steps and desired outcome associated with the technique that they will forever be infamous for. A few weeks ago Josh Olinick PT, PRC who works in Cary, North Carolina saw a patient that came to his clinic for a PRI re-assessment and intervention program. She was seen in 2004 by myself and agreed to have her photo taken for one of the PRI techniques I designed for her and this Institute. Josh, looked at her, and said, “Don’t I know you?” After further discussion, he realized who she was and what technique she was associated with. He sent us an updated picture of her performing the same technique she has been unassumingly known for. It was terrific that she found Josh, and more terrific that he could communicate and approach her the same way that she was treated when I assessed her 15 years ago.

The other person I reflect on every time I have given this workshop (this was the third time), and every time I will give it in the future, is Bobbie Ninneman, oops I mean Rappl.  She was my “Patient Program Coordinator” back in 2003, before she became the Institute’s Clinical Education Coordinator and now our Director of Clinical Development and Public Relations. Her oversight and insight is as important today, as it was then; no matter how many children she and her husband Mark raise. Her ‘children’ and my ‘children’ are also these people and these associated techniques and wording that tie them together. They are stories, events, chapters, accounts, and initiatives that change other people’s lives and processes. These techniques will remain consistent and constant, no matter, who and how many try to change the pictures, wording or association with other activity. Evolution depends on recognition of what started the journey and these techniques make me sentimental and grateful. I am grateful for Bobbie and all the “Bobbies” of my life that preceded anyone’s use of their guidance, consistent content and hope they offer.

Dan Houglum, who knew me before I started the Institute, and is now a faculty member teaching Myokinematic Restoration, summed up his weekend like this...
"The actual activity selected is not as big of an issue as I had originally thought. The real issue is can I reference the activity properly for them so they can sense what the need to sense in that activity. It was so great to be sitting next to Dave because he pointed out that every activity has so many potential 'referents' and 'references' in them, that you can use the same activity for two different patients, but use and reference the activity completely differently for each person to achieve the necessary outcome for that individual."

A few other testimonials shared by course attendees this past weekend...

     "This course should be a requirement for people who use PRI Non-Manual techniques. This course changed how I will practice a lot. Awesome course. Thank you so much!"

     "What an amazing course! Every PRI-minded person must take this. I had no idea how some of the techniques were meant/executed. Thank you very much!"

     "The reference/referents discussion will completely change my patients' experiences with the non-manual techniques.

If you are interested in learning more about the many 'referents' and 'references', and how to integrate them with the PRI Non-Manual Techniques, then I would highly recommend attending this workshop! It will be offered twice again in 2020 (both times in Lincoln, NE), so that I can have my side-kick, Jen Platt assisting me. Jen and I are already looking forward to it, and we hope you will consider joining us!

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Posted June 13, 2019 at 2:07PM by
Categories: Courses

The Hruska Clinic's Jason Masek will be presenting "Patterned Conditions Beyond Competitive Years: Asymmetrical Movement Pattern Considerations" at the upcoming NATA convention on June 25th, 2019.  He will be presenting about how asymmetrical patterns of movement affect athletes after their competitive years. If you are going to be at the NATA convention be sure to check his talk out! You just may learn how a race car is engineered to optimize performance and how it correlates to the human body.

Posted June 12, 2019 at 4:27PM by

The Non-Manual Techniques Collection for the Cervical Revolution course is now available for purchase as a Digital Download! The digital download collection includes PDF handouts for the PRI Non-Manual Techniques which are discussed and included in the Cervical Revolution course. Some techniques do crossover from the Primary Courses Non-Manual Techniques Collections, however many of the techniques are new to the Cervical Revolution course, and have never been available for purchase on a CD or Digital Download.

The Cervical Revolution Non-Manual Techniques Collection has three sections, and a total of 26 techniques:

  • Non-Manual Repositioning (5)
  • Left Sidebending Repatterning (9)
  • Right Torsion Repatterning (12)

CLICK HERE to purchase the Cervical Revolution Non-Manual Techniques Collection for only $35! *Please note: you must complete the corresponding Cervical Revolution course prior to purchasing this product.

Posted June 11, 2019 at 4:45PM by
Categories: Products

Thank you Ryne Gioviano at Achieve Personal Training and Lifestyle Design for being a great host site to this most recent installment of Impingement and Instability. It’s great to have additional host sites pop up in the Chicago Area, or as several course attendees called it, “The City”. Even though people from many other cities might disagree with Chicagoian's claim to that particular title, we at PRI really appreciate the good people in and around Chicago and are grateful when we are able to meet, teach, and learn from more of them.

Impingement & Instability - Postural Restoration Secondary Course

This course is always a joy to teach because we are able to view and discuss things through a secondary level lens vs the primary level lens the 3 introductory courses are presented in. I like to tell people that this course is an opportunity for us to thank you and reward you for your ongoing commitment to learning the PRI science and your persistence sticking with the primary level material. It is one our first opportunities to have more advanced discussions about the fundamentals behind the PRI science to help you be even more successful with the material you have been learning in the primary level courses. In other words, questions that we might have redirected back to a more fundamental place in a primary course, we are now more than happy to discuss in full detail, with a more complete explanation of why a patient or client may have a particular problem and how we intend to intervene to solve what may be a more compensatory and neurologically unstable version of their original pattern.

Demonstration during PRI Impingement & Instability course

Demonstration time during PRI Impingement and Instability Secondary Course

Instability throughout the body was discussed in context with the lateralized influence of the Left AIC/Right BC Pattern, and the associated bias with neurological reference centers and asymmetrical respiration when in this pattern. A deeper look at the positional components of the gait cycle all the way up the kinetic chain from the calcaneus to the diaphragm on both the left and right sides helped explore these tendencies. We had great participation throughout the class, but a special thanks to Jim Peters, PT for being our model of calcaneal instability and later ankle/hip security after getting into a pair of appropriate footwear. We also were able to explore the scapular instabilities that can emerge when things like the Subscapularis is overlooked, or when the Lower Trap, Upper Trap and Serratus Anterior are functioning in the wrong plane(s) or not functioning at all.

A great weekend with a super great group of dynamic professionals. I would like to specifically thank Vivian Lea for traveling all the way from Hong Kong to be in attendance for this course. I know you had to be in America for other reasons, but even so, it was so awesome to have you with us while you were here. It was our pleasure having you in the course with us. Thank you to Julia Glick, PT from Lakeshore Physical Therapy for again bringing such a great attitude and for continuing to ask so many great questions. Thank you Skip George, DC, PRC for sending Chris Guar-in, CPT all the way from beautiful San Diego, California to take this course. He did a super job learning and participating on both days. He was a clear leader for the class and you would have been proud of him Skip. Also, thank you to Honami Abe, ATC for coming all the way from Southern Methodist University (go Mustangs!) and for your interest in collaborating with other PRI minded professionals in the Dallas area. I know you'll love getting to know Amy Goddard, PT, PRC and her great staff at Go Sports Therapy.

Posted June 10, 2019 at 3:32PM by

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