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This was the last offering of Myokinematic Restoration for 2019. And what a way to end the year! We had a great group of chiropractors, athletic trainers, physical therapists and PT assistants,  strength coaches, personal trainers, and cranial therapists.  I was very excited to get to sunny northern California, as the we got 4-6 inches of snow the day before I left. Which made for a miserable Halloween.  

Fortunately, only treats and no tricks with PRI! This course affords us the luxury of spending a lot of time in lab.  Nearly 40% of the class is spent in lab, which provides the attendee ample opportunity to find, feel, and experience the science of PRI. This course also provides ample time for us to discuss, explain, and digest the Hruska Adduction and Abduction Lift Tests as a means of determining one's ability to walk and breathe. If walking and breathing require compensation, everything will require compensation.  

We had a great discussion about sympathetic vs. parasympathetic nervous system activity related to pelvic positioning, foot and ankle performance, and how the acetabulum position dictates femoral activity.  

My thanks to Shaun Buchanan and Joan Shepherd Mellows for hosting us and all the logistical work that goes into a successful weekend.  My thanks to Jenn Gaskin, Brian Schulman, John Garland, Cody Gilliss, Michael Serrano, and Tracy Henry for all of their great questions and help during demonstrations.  

But this weekend wouldn't have worked nearly as well if it weren't for Will Waterman, PRC, and Tim Dempsey, PRT. They were fantastic lab assistants and were a great help during the entire course. Without a doubt, they were instrumental to helping this diverse group digest this information. Looking forward to 2020!

Posted November 11, 2019 at 11:04AM by
Categories: Clinicians Courses Science

Lima, Ohio. Home of the KewPee Burger!

This weekend I travelled to Lima Ohio to teach my last course of 2019. It is not the easiest site to get to, but it was so worth the effort. This course had 18 attendees of varying backgrounds. It’s nice to teach to a group of professionals with different perspectives. There were PT’s, PTA’s, Chiropractic Physicians, Athletic Trainers, Strength Coaches and a Pilates Instructor.  


We spent the weekend discussing optimizing patterns, breathing and compensations of the Pelvic girdle as they relate to frontal plane control of Inlets and Outlets. Most of the attendees were new to the science so teaching this integrated introductory course allows us to explore the integration of thoracic diaphragmatic breathing with Pelvis respiration to balance posture and gait.  Pelvis Restoration is known for its complex acronyms. I tried to move away from overuse of acronyms, and discussed proper position of inlets and outlets during upright function. I think this helped the new learner shift their perspective from orthopeadic thinking to the neurologic ANS control of patterns.

On Sunday, “Treatment Day!”, we discussed a pathway for treatment of the L AIC, PEC and the  Patho PEC patterned individual. We explored the triplanar position of the iliacus as it relates to swing and stance and sacro-iliac dysfunction. This is always an awesome opportunity to bring concepts of inhibition and activation of the same muscle in different planes of movement. This course allows me to dive deep into rabbit roles of pelvic respiration and thoracic diaphragm position. We had a great time integrating breathing throughout the weekend. By Sunday afternoon, the light bulbs were going off as were the “Ah-Ha” moments.

I enjoyed the banter with both Jason Russell, DC and Nick Goins, DC throughout the weekend. They were my Glut Gait guys! Jason, be nicer to Nick!
Carri Baumback, PT took her first course 10 years ago with Ron and brought her co-worker and friend Cynthia Nieberding, PT. It was great having them in the front row, not afraid to ask questions! Next time we have dinner ladies!

Alex Maag and his staff took very good care of me and our class. The interest in PRI in that great state of Ohio is growing. I look forward to seeing these clinicians grow and develop their PRI knowledge.


“When you go to Lima, you eat a KewPee Burger and rub the babies belly” - James Anderson
Well, I ate the burger but couldn’t reach the belly. Next time…..

Posted November 6, 2019 at 10:42AM by
Categories: Clinicians Courses Science

Robert Newhelfen, DC, founder of Motus Integrative Health, describes his clinic as “a full integrative health clinic bringing new and unique treatment options to the people of Northwest Indiana.” In keeping with this vision, his clinic hosted Postural Respiration, a unique and integrative approach to addressing postural influences of rib torsion, inconsistent breathing patterns, habitual use of accessory respiratory musculature, and a positionally-restricted diaphragm. As in most PRI courses, we had an interdisciplinary group of course attendees, comprised of PTs, chiropractors, ATCs, and strength and conditioning experts in professional baseball and soccer. Also in attendance was Ruth Hennessey, MM, a vocal specialist well-known in the world of singing. Thank you, Ruth, for your insights into how singers develop faulty breathing strategies and retain undesirable tension that can affect their voice.

   

From the get-go, we discussed human asymmetry, most notably of the right and left hemi-diaphragms, leading to predictable patterns of muscle activity and movement. Our inherent asymmetry gives us a starting point from which we  shift our bodies and rotate. It is what an infant relies on to make its way from the womb to the external world. This applies to every developmental milestone, from crawling to running. However, when patterned muscle activity "goes rogue", from too much sitting or engaging in the same, repetitive activities, day in and day out, the results are patterned restrictions, injury, and fatigue.  

Course attendees served as one another’s case studies as they compiled PRI objective data to assess for both lower and upper body neuromuscular dys-synchrony and to guide treatment. Thank you to Rebecca Custer, DPT, and Wynne Conklin, CPT, our templates for the entire class for right BC over-activity and its pathological sibling, superior T4 syndrome. We discussed how this syndrome limits first rib mobility. The first rib is the driver behind the mechanics of the entire thorax and, therefore, must remain mobile! This course was updated a year ago. It includes a new test for the brachial chain as well as where, when, and what inhibition techniques fit into the treatment scheme. If you haven’t taken Postural Respiration in a while, it’s time for a refresher!


 
Thank you everyone for your thoughtful questions. Nate Kloosterman, DPT, OCS, gets the prize for most questions asked, keeping this instructor on her toes. A special thank you goes to Adrian Gutierrez, DC, for handling the set-up, food, sign-in, etc.   You were a gracious host and helped make this weekend an enjoyable experience.

Posted November 5, 2019 at 10:16AM by
Categories: Clinicians Courses Science

FINALLY!  The long-awaited first offering of the PRI Integration for Pediatrics course is in the books!  James and I had a great time with 8 therapists who are new to PRI, including one pediatric Speech Language Pathologist and one pediatric Occupational Therapist. James did an awesome job making sure the new folks were understanding the PRI language and science, and the experienced PRI-trained clinicians and 7 PRC’s mentioned enjoying the review... there are always old concept to reconsider!

We unveiled the 8 component “Desired Sequential Movement” (DSM) reference guide to aid in treatment planning and exercise progression for 2 groups of pediatric patients, depending on their level of abilities. Of course, there were lots of fun photos and videos of adorable kiddos to entertain, enjoy and to help us teach. A big shout out to all my pediatric “models” who helped explain these fun, kid-friendly tests and techniques this weekend! And thanks to my home clinic, Advance Physical Therapy, Susan Henning, PT, PRC, Joe Belding, PT, PRC and crew for creating a comfortable environment with the best snacks around. And, last but not least a HUGE thanks to Danielle Wild who came in from home to help with commuter issues over the weekend!

See what others had to say about this inaugural course below!

"Last weekend I attended the first ever Pediatrics Affiliate Course written and presented by Lisa Mangino and James Anderson. I literally had been waiting all year for this course! It did not disappoint. My entire career I have worked with an adolescent to adult population. This is my comfort zone. In what appear to happen gradually, but then started smacking me in the face was the age of my patient was getting younger and younger. I have raised to 2 daughters, so I know kids, right? Wrong. I found myself challenged to switch gears from doing what I knew with adults and applying it to kids. The little wiggle worms do not like to lay on a table and have tests performed on them. They want to explore and play. I was at a loss. When I heard Lisa was going to be writing this course, I just couldn’t wait. Last weekend the wait was over and they did not disappoint. I left there with simple tests that I could use with my littles, as I like to call them. Cool fun techniques that will allow them to play and me to treat. What was even better is I can apply these tests to my “Big Littles” too. It really starts with Pediatrics. If we can begin to change their patterns young, we can prevent a lifetime of pain and compensations. Do not feel like you have to treat kids to take this course. I have maybe 2-3 on my caseload now, but feel I have the tools to help my adults too. Can’t wait to whip out my new toys and tools to help my littles. Balloons, bubbles, stickers, markers, games and puff balls! How fun!
James is an excellent mentor, I know first hand about that! The interaction and flow between James and Lisa was awesome. James sets the stage of PRI concepts in a simple way that I wish I had heard early in my PRI evolution. He is a gifted teacher.  Lisa is a humble, gracious teacher. I really could listen to her all day. She is knowledgeable, answers questions well and really is a gift to her patients, and now her PRI students. Sign up now, this course will surely be a sell out." - Jen Poulin, PT, PRC

"I have been asking for a PRI course focused on pediatrics for years, and this course was everything I'd hoped it to be, and more! An excellent introduction to PRI and the science if you are new to PRI, and serves as a thorough refresher for those of us who are familiar with it. I am excited to try out the new functional tests with my pediatric patients and I'm confident that they are equally as effective tests for an adult population. The names and modifications to PRI exercises for a pediatric population and thoughtful and creative. The cues and ideas for active play were insightful and can be applied to patients requiring a high level of assistance all the way to those who have the highest function. I feel some of the cues would even be beneficial for our adults to achieve proper positioning! I highly recommend this course for those working in a pediatric population, but I also know many adults that are "big kids," and this is helpful for those patients too!" - Sarah Luin, PT, DPT, PRC, BSPTS Schroth Certified Therapist (C1)

Posted November 4, 2019 at 11:51AM by

This past weekend I travelled up to Cranston Rhode Island to teach Myokinematics of the Hip and Pelvis. Elite Physical Therapy was hosting their first PRI course! They had several clinicians in attendance and Ryan Toher, DPT was a great host. They were all new to the science of PRI as were 90% of the course attendees. This was a larger class with  45 clinicians in the room. I was joined by Miguel Aragoncillo, CSCS, PRT and Tyler Tanaka, DPT PRC as my lab assistants. They did a great job offering help during labs and comments from their experiences during lecture. The class was made up of mostly rehab professionals and strength and conditioning specialists. It was super fun meeting Tyler’s college friend Daniel Gardner, DPT aka “Gator” and helping him begin his PRI journey!

As hard as it is to be away from family and friends on the weekends and the rigors of travel, I am always excited to see the light bulbs and Ah Ha moments that new clinicians experience learning about autonomics, breathing and polyarticular chains as it relates to concepts of lateralization, habit and movement dysfunction. I enjoyed meeting my front row newly inducted PRI front row Trisha Livemore, DPT, Steve( CSCS) and Amanda Zariello,DPT, Valerie Perron, LPTA, LMT, Elizabeth Johnson, MPT, ATC and Anne Ruffus, DPT, CSCS.

A very special shout out goes to Gustavo Woff, PT who flew 15 hours from Argentina to take his first PRI course this weekend. It is so inspiring to be part of the PRI Faculty and watch it grow and spread throughout the world.  I am truly honored to be a part of the process.

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