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I had the great pleasure of teaching Myokinematic Restoration this past weekend in Jupiter, Florida. It was such a gift to be able to travel to Florida and spend time with this fantastic group of clinicians, coaches, massage therapists, Yoga and Pilates instructors, and even an engineer (shout out to Hugh!)

The class participants were so fun and engaging that it truly felt like I was on vacation hanging out with 33 of my best friends. The quality food and evening beach walks also helped with that feeling. Except for Amy Brown, PRC and rock star lab assistant, this was everyone's first Myokinematic Restoration class. I learned from everyone in class and really had a great time getting to know them.

Ashley helped us think critically on how we can integrate PRI thinking within the gym and strength world. Megan was a gift from above and our main "Avatar" for the weekend, being a perfect example of a patho-compensatory L AIC individual that we can all learn from. Ed and Ingrid brightened both days by sitting front and center with their beautiful smiling faces and excellent questions.

Greg reminded us that everyone wins with a PRI lens, even when we are in a competitive market in the therapy world. Jarrod will be applying his PRI knowledge to the military world (and has a sweet truck!).

Heather brought in an Equestrian bias and dropped horse knowledge on us revealing that 90% of equestrian riders bias their horse one way thanks to the rider's inherent asymmetries. Her friend, Darren brought his majestic deep voice to narrate non-manual techniques as well as reading positional and compensatory influences of the left AIC pattern on muscle of the lumbo-pelvic-femoral region.

Frank and Kenneth helped us understand a tight posterior capsule and how it may limit the Hruska Adduction lift scores, while Leroy and Logan helped us appreciate how important a posterior capsule is for shoulder function with the Chicago Cubs.

Barbara was a gift from the "pelvic floor" specialist world. Barbara - you are much too young to consider retirement, our profession needs you! Her colleagues Laura and Chelsea helped us understand the single blinded randomized controlled trial in the back of the manual. Chelsea plans to do a presentation on Myokinematic Restoration while implementing page 46 for her company's case care algorithm standard of practice. Stephanie's bright, smiling face joined Chelsea and Laura up front to help us realize the importance of a Myokinematic Restoration program during and after pregnancy (congrats, Stephanie!).

Jennah (with an "h"!) was a joy to have in class with her brilliant questions and insights. Get after those hamstrings, Jennah! Her friend Messiah was a pro at the techniques, as long as he shut off those "northern glutes"! Seth was our PT student representative. Love having DPT students in class, they provide such fresh insight and questions!

Jen and Mickey represented Arise well with fantastic questions from the back. They helped us understand the danger of compensation and how if we don't always test in a predictable way, that still gives us valuable data.

Kristina helped us appreciate hyper-mobile individuals and how important it is that we get them on a PRI program so as not to over stress ligaments - in the pelvic, hip, or knee. Brad helped us realize the importance of our hips in our movement patterns, whether they are original or enhanced hips.

Dwight, Jennifer, and Dawn were the Dream Team in the middle of the room. Dwight, thanks for the tuna and restaurant recommendations. He was a good reminder that PTs can make good restaurant owners! Dawn helped us understand a bilateral AIC pattern, potentially influenced by a famous body building background. Jennifer was kind enough to spend her birthday with us on Sunday. Hope I didn't make it too boring for you, Jennifer!

Robert, former professor and lecturer, helped us understand an over-active right adductor and provided thought provoking and critical questions for the class. Darrell brought excellent insight and questions from a manual therapist point of view.

Matthew and Andres proved to be enjoyable company for lunch. Matthew, fantastic questions, good luck on the potential move to COLORAD! Andres, thanks for being such a great non-manual technique demonstrator and making the drive across the state. Let me know when you are in Colorado again and we'll get up a 14er!

Big thanks to Amy for assisting in lab and providing valuable clinical insights. Special thanks to David for being an excellent host. Perfect amount of coffee, snacks, and La Croix! All-in-all, I felt like I gained 33 new friends from this past weekend. It was such a pleasure and joy to be with you all. 

Posted September 26, 2023 at 1:52PM by
Categories: Courses Science

It is always nice to have a home game. Over the last two years I have had the good fortune to teach Myokinematic Restoration on both coasts and multiple points in between. This past weekend I was able to welcome a group of movement specialists to my little mountain town, Missoula, MT.

Revo Training Center hosted the course, and we had a great group consisting of Missoulians, Montanans, as well as representatives from WA, ID, AZ, NM, and TX. We opened the weekend with a discussion of a quote from Mr. Hemingway that is found on page 1 in the manual, “Never confuse movement with action”. We endeavored to appreciate how patterns of human asymmetry dictate the position of the body and ultimately whether the movement elicited by a muscle contraction supports the action we are striving for.

We focused on action around an acetabulum on a femur, on action that is preceded by appropriate position, and on action that requires inhibition of our dominant L AIC patterning. The group had great questions and insights throughout which fostered a running discussion that was not only enjoyable, but added to the depth and applicability of the course.

Thank you to Revo Training Center for hosting and thank you to all the attendees who spent a beautiful September weekend in Missoula. While we may not have been adventuring in the great outdoors, we hopefully all had a chance to expand our view of the human body in Big Sky Country!

Posted September 21, 2023 at 11:23AM by
Categories: Courses Science

I had the great fortune to present Cervical Revolution to an in-person and virtual group, hailing from 10 countries.  This course takes the concept of humans’ neurological proclivity for right stance at the pelvis and thorax and carries it up to the neck, teeth, and cranium.
As we know from previous courses, right stance dominance creates complex neuromuscular patterned positions and movements and is heavily influenced by gravity, respiration, and overactive chains of muscles.  We introduced a new chain, the temporo-mandibular cervical chain (the TMCC), which, you guessed it, is over-referenced on the right.

The course was greatly enhanced by:
-    Our in-person attendees, who were instrumental in demonstration of objective tests and treatment techniques:  Lisa Bartels, DPT, PRC; Andrew Consbruck, DPT, PRC; Nate Dickes, PT; Eric Pinkall, PT, PRC; and Kurt Van Kulken, ATC.
-    Kelli Reilly, MSPT; Timothy McVaney, DDS; Nancy Wehner, BSDH, COM for sharing clinical observations and expertise.
-    Our virtual attendees, for thought-provoking questions and insights, most notably Evan Condry, PT; Alex de la Paz, PT; Christopher Lamb, NASM CPT; Peien Lu, PT; Donne Ordile, PT; Locatelli Rao, DPT, PRC; Laura Regan, DPT; and Alek Skorupa, LMT.  To those of you watching in the wee hours of the morning or late at night, thank you for hanging in there and participating in lab.
-    Jen Platt, DPT, PRC, for orchestrating everything this weekend – virtual views, answering questions, providing nourishment, and more.

Attendees gained an appreciation for the brain’s need to sense a new floor – at the occiput on atlas (OA) articulation.  This articulation, when in its proper position, allows the head to remain in equilibrium with the spine below.  Imbalanced left to right sensory processing and motor output occurs when the OA articulation is better sensed and over-referenced on the right side. The very health of the brain may be in peril when we over-reference our right sides too much and for too long.  For example, a “twist” results in the neck, compromising a vital opening for brain: the foramen magnum, which houses the brainstem and “cisterns” for cerebral spinal fluid, bathing and protecting our nervous tissue.

The OA compression-decompression (known as OA flexion and OA extension, respectively) reverberates into the cranium at the junction where the occiput meets the sphenoid.  This critical junction enables vector forces through the cranium to be distributed to the remaining paired bones of the cranium.  When over-referenced on the right, two commonly seen conditions develop at the sphenoid-occipital junction, or synchondrosis: left side-bending and its pathological cousin, right torsion.  

These cranial positions, maintained by the Right TMCC, place the paired temporal bones in a patterned position.  The temporal bones mirror the ilia of the pelvis and should exhibit alternating internal and external rotation, depending on the leg you’re standing on.  The other half of temporal-mandibular joint (TMJ), the mandible, too, is directed and held in patterned state.  Without temporal alternating activity, structures within the temporal bones (think mid-brain and vestibular) are deprived of their necessary compression-decompression cycles that are so vital for nerve function.  Our mandibles may lose their ability to move side to side, a prerequisite for upright left to right shifting when, say, walking.  In addition, alignment of our upper and lower teeth becomes skewed over time and may lead to mal-occlusions, such as cross-bites and open bites, and TMJ disc derangements.  One can now appreciate the need for dental collaboration and intra-oral splints to assist the process of restoring alternating tri-planar movement of the cervical spine (30-30-30) and temporal bones and a sense of alternating floors at the OA articulation.  Doing so promotes nervous system health, resolution of symptoms, and efficient functional movement.

I capped off my weekend in Lincoln with Jen Platt and her family with an awesome experience at the U. of Nebraska Women’s volleyball game. You know you’re in for a treat if 92,000+ fans pack the stadium, as they did the previous week.  Put this on your to-do list the next time you’re in Lincoln on game day.  Hopefully you can snag a ticket!

Posted September 21, 2023 at 10:48AM by
Categories: Courses Science

The Cantrell Center is Hiring!

The Cantrell Center for Physical Therapy & Wellness, has an immediate job opening for:

LICENSED PHYSICAL THERAPIST (PT)
***NEW GRADS, UPCOMING GRADS, & EXPERIENCED CLINICIANS MAY APPLY***

The Cantrell Center for Physical Therapy & Sports Medicine is a physical therapist-owned private practice and has been serving Middle Georgia for over 30 years. We’re proud to employee clinicians who have a passion for the science and value our one-on-one approach to patient care. We are currently looking to hire a licensed Physical Therapist for our booming practice!

We are proud to currently have 2 Postural Restoration Certified Therapists (PRC's) in the clinic which makes us highly sought after by our referring physicians, our patients, and wellness members.  We often have patients who travel out of town and even out of state to come to the Cantrell Center as we are the only Postural Restoration Certified Facility in the state of Georgia.  

Located in Warner Robins, Georgia, the Cantrell Center is located in the Middle of the state! Just a quick drive to Atlanta or the beach, Warner Robins offers convenience to any interest without the crime rate and elevated costs of a larger city. If you love fresh air and lush green trees, this is the city for you! Visit the website of Robins Regional Chamber for more information about the city of Warner Robins.

What makes The Cantrell Center a great place to work?

  • We are a collaborative environment, where patient care is paramount and each team member’s gifts and experiences blend to create an atmosphere of integrity and encouragement. As part of our team, you will work side-by-side with like-minded and dedicated colleagues, while enjoying the opportunity to build your own career.
  • Join our team and you’ll quickly discover why our staff of 30+ calls the Cantrell Center “home”— many staff members have been with for more than 10 and even 20 years! We take care of each other.
  • We believe every patient has unique needs and concerns and those are best addressed by the physical therapist, one-on-one. NO COOKIE-CUTTER treatments.

WE OFFER:

  • Sign On Bonus
  • Unique and competitive salary and generous benefits package
  • Work/Life Balance
  • Commitment to clinical excellence
  • Team atmosphere
  • Constant training and learning
  • An excellent mentoring program for new hires – especially for new grads

To learn more about The Cantrell Center for Physical Therapy & Sports Medicine...
•    Visit our website
•    Find us on LinkedIn
•    Find us on Facebook
•    Find us on Instagram
•    Learn about our Annual Cantrell Center 5K & 1 Mile


If you like what you see, please send your resume to pr@cantrellcenter.com.

Posted September 18, 2023 at 2:39PM by

The Impingement & Instability course has been a clinician's course for a long time. And that is even more the case now than ever before. I&I has evolved into an excellent precursor for the PRI Cervical, Cranial, Voice Box, and Forward Locomotion courses. This was very evident in the most recent presentation of I&I, which just happened to be the final delivery of this course for 2023.  

Since it is a Secondary Course, the course has the opportunity to go into several different directions, depending on who is in attendance and the questions the attendees ask. This is one of the primary reasons that each I&I course is different every time it's presented.  

We were able to touch upon content from a multitude of courses, but our focus remained on the value and necessity of both Impingement and Instability as great concepts, which lead us into the value of alternating compression and decompression to increase our ability to become less functionally cortically dominant. Being able to properly manage a system below C7 allows management of issues above C7 to become easier. As a result, we start drawing the connection between the scapula and calcaneus from very, very early on Day One.  

My thanks to Torin Berge, PT, PRC, for his help digest and break down the 4 unique non-manual techniques that are in this course. We were able to have an in-depth discussion about the value of these techniques, which was a treat. My thanks to Nancy Hammond, PT, PRC and Hayley Kava, PT, PRC for their questions and presence. And none of the live-stream would have been possible without RJ Hruska and his direction and production of this course.  It is not lost on us that the live-stream has expanded PRI Nation, and I am eternally grateful for all of those in attendance who live in other parts of the world.

 

If you haven't had an opportunity to attend the I&I course, I would encourage you to do so as every course is different, depending on the movement specialists present. My thanks to all of the movement specialists who were in attendance, and I look forward to teaching this course in 2024.

Posted September 13, 2023 at 1:35PM by
Categories: Courses Science

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