Coronavirus / COVID 19 Update (Last Updated September 26, 2022)

We continue to monitor information that is being released by the CDC, individual states' Department of Health & national and state government officials regarding the COVID-19 virus pandemic. Please read our updated COVID Safety Measures if you are planning to attend a live course (in-person), to learn more about the safety measures that are still in effect. You will be informed via email if you are attending a course at a location that has a mask mandate in effect. Currently, Lancaster county in Nebraska DOES NOT have a mask mandate in effect, therefore masks are optional when attending courses at the Postural Restoration Institute in Lincoln, Nebraska.All live stream courses are held in Lincoln, NE and have limited seating available for live (in-person) attendees. Please visit each course page for the full schedule of live (in-person) and live stream courses. We make decisions regarding the cancellation of future courses no later than the 4 week deadline. If you have any questions, please feel free to reach out to us directly at 888-691-4583. We also have online home study courses available for all three primary courses. Live stream courses are limited to 100 attendees on Zoom. Upcoming live stream (with limited in-person attendance) courses include:

Pelvis Restoration - October 8-9th
Occlusal Cervical Restoration - October 14-15th (Fri/Sat)
Postural Respiration - October 29-30th
Forward Locomotor Movement - November 11-12th (Fri/Sat)
Myokinematic Restoration - November 19-20th
Advanced Integration - December 8-11th
Impingement & Instability - January 6-7th, 2023 (Fri/Sat)
Pediatric Evolution - January 20th-21st, 2023 (Fri/Sat)
Primary Non-Manual Techniques Workshop - February 3rd-4th, 2023 (Fri/Sat)
Pelvis Restoration - February 10-11th, 2023 (Fri/Sat)
Cervical Revolution - February 24-25th, 2023 (Fri/Sat)
Cranial Resolution - March 17-18th, 2023 (Fri/Sat)
Myokinematic Restoraion - March 24-25th, 2023 (Fri/Sat)
Occlusal Cervical Restoration - April 21st-22nd, 2023(Fri/Sat)
Postural Respiration - April 28-29th, 2023 (Fri/Sat)
Forward Locomotor Movement - May 5-6th, 2023 (Fri/Sat)
Myokinematic Restoraion - August 11-12th, 2023 (Fri/Sat)
Voice Box Resonation - August 18-19th, 2023 (Fri/Sat)
Impingement & Instability - August 26-27th, 2023 (Fri/Sat)
Cervical Revolution - September 8-9th, 2023 (Fri/Sat)
Pelvis Restoration - September 29-30th, 2023 (Fri/Sat)
Occlusal Cervical Restoration - October 6-7th, 2023 (Fri/Sat)
Postural Respiration - October 27-28th, 2023 (Fri/Sat)
Forward Locomotor Movement - November 3rd-4th, 2023 (Fri/Sat)
Advanced Integration - December 7-10th, 2023 (Fri/Sat)

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What was I doing in a bank vault all weekend, admiring larger-than-life action shots of Steph Curry, Lindsey Vonn, Misty Copeland, and Michael Phelps? Presenting Postural Respiration to a fantastic group of clinicians, of course!   Baltimore’s iconic Bank of America building has been refurbished and now houses FX Studios and the Under Armour Performance Center.

Half the class were newcomers to the science of PRI. The science asks these newcomers to, for a moment, put down your beveled scrapers and dry needling filaments. Pause a moment before you mobilize a joint or release fascia. Put aside any preoccupation with extremity joints and focus your attention, instead, on where movement begins: the thorax.

 

Throughout the weekend, we cited research from luminaries, such as Kapandji, Hodges, Wallden, Chaitow, and DeTroyer, to support the concepts covered in this course:  
-    Diaphragm zone of apposition (thank you Nate Taylor for reminding us of its importance).
-    Respiratory state of twist that is the precursor to habitual, reflexive patterns of movement and the musculoskeletal pain syndromes that we treat.
-    Paradoxical, inefficient breathing that impacts and reflects chest wall and pleura restrictions.
-    How to restore pelvic and rib cage position, through techniques that reinforce abdominal oblique activity and chest wall expansion.
-    How to retrain previously inhibited, inaccessible muscles to promote new, healthy patterns of movement to better sense the environment they’re in and efficiently move through it.

Lab sessions provided application of the above concepts and allowed participants to discover how the “patient-client” in front of them displayed biased sense of air flow and biased orientation of their chest wall. They learned how to coach their partner to novel positions that retrain the nervous system and promote a new, desirable sense of compression and decompression. All participants sensed freedom from habitual movement patterns.

 

I can’t help but think that the athletes adorning the walls, all of whom reached the pinnacle of their respective careers and displayed remarkable longevity, mastered the art of air flow, pressure regulation, and chest wall movement variability during both performance and during rest and recovery. This is what we should strive for in all of our patients-clients.

A huge “thank you” to the professionals of FX Physical Therapy for hosting: Matt Bordeau, Sean Jones, Christine Spurlock, Morgan Taylor, Jennifer Tola, and Mary Williams.  

Thank you also to Miranda Stauffer, Danelle Warner, Amy Morris, Kenya Lewis, Dylan Irving, Jackie De Conti, and Kenneth Scott for your willingness to be the models for tests and techniques.  

I hope all attendees left the course feeling empowered to immediately apply the tests and techniques and begin to weave this new, powerful paradigm, one patient-client at a time, into your approach to care. And to the Newbies:  Welcome to PRI Nation!

Posted October 4, 2022 at 1:38PM by
Categories: Courses Techniques Science

The weekend in Valencia, Ca teaching Myokinematic Restoration was one for the books. The majority of the class were first timers to PRI which is always rewarding to be able to introduce PRI concepts such as inhibition, neutrality, and acetabulum on femur movement. Getting to teach with Jason Miller PT, PRC was a joy as well and having 2 clinical perspectives added great benefit. Locatelli Rao PT, PRC was an asset to have as a lab assistant and he brought tremendous value by helping the attendees hone in on their assessment skills. They learned the interpretation of the Hruska Adduction Drop test and spent time with the Hruska ADD and ABD Lift tests during lab. We discussed the “money muscles” to help inhibit the left Anterior Interior Chain (L AIC). The staff at Henry Mayo is nothing short of amazing and the facility is top notch!

Posted October 3, 2022 at 11:03AM by
Categories: Courses Techniques Science

"Balancing Breathing and Autonomic Nervous System Function through Music and Dance"

The AAPMD conference in Phoenix was one of the most satisfying experiences I’ve ever had. I met so many kind and caring professionals with intense passion for making airway health a priority in our medical system, as it truly should be.

I was asked to give a presentation about how to use music and dance to balance autonomic nervous system function. Luckily for me, one of the founders of the organization is my dentist and he knows all about my PRI endeavors. But it was when I talked about salsa, and how I can change range of motion tests through music and movement, that his interest was piqued.

I reflected a lot yesterday evening after most people had gone home. I ate dinner with an amazing SLP and she believes that the educational system failed me when I was young. Perhaps it did. I don’t know, but apparently I was never the “perfect idiot” that my 6th grade math teacher said I was. Although I never believed I was dumb, my school performance was usually just average (3rd Pic). My self confidence plummeted and never really recovered until my late 20s/early 30s. But it did recover and that has made all the difference.

When accomplished individuals like Ron Hruska and Dr. Howard Hindin believe in you, you start to think beyond your usual limited horizons.



You never know what you can achieve, who you can inspire, and how many people you can help. My path certainly wasn’t what I ever expected nor desired, but you take life as it comes and make the most of your opportunities when they arise.

I’m so grateful for the AAPMD, Postural Restoration and Jose at the Just 1 Dance Studio and my acting teacher Clara Rutt for allowing me to bring all my passions together for an unforgettable experience.

Posted September 29, 2022 at 2:17PM by

What a wonderful time Ron and I had in Chapel Hill North Carolina last weekend with the first offering of the Pediatric Evolution: An Integrated Approach to Optimizing Functional Development and Upright Growth secondary course. We welcomed the cooler fall weather and were graciously hosted by the crew at Advance Physical Therapy: Jean Masse, Susan Henning, Joe Belding, Molly Miller, Heather McLaughlin, and Phil DeNigris.

With an intimate and in-person group, we were able to have some fascinating discussions about the sequencing of human sensory motor development during the first several years of life, and how these components are influenced by specific developmental processes, for example: tonic neck reflexes, lower extremity extension, visual and central auditory processing, stomatognathic sensorimotor shifting, vocal communication, cognitive processing and how this integration is engrained through kinesemiotic experiences (unrestricted movement, joy and fun!)

We were reminded about the evolution of theories of motor control and what we know about how movement develops, from reflexive survival skills to functional motor performance to adaptations and neuroplasticity. Nine well-referenced principles of how sensory motor skills and the developmental processes listed above are integrated for bi-hemispheric, bi-lateralized, and bilaterally sensed behavior were presented. A sampling of these includes Hemispheric Specialization Relating to Perceptual Patterning, Functional Asymmetry Development, Functional Cortical Dominance, Forces of Gravity on Neuro-developmental Sensory Motor Sequences, and principles of Neuroadaptation. A formal appreciation of Sense of Self develops early and lasts throughout the lifespan, which makes this course relevant and important for patients, clients, and humans of all ages.

Many thanks again to our accomodating hosts for great hospitality, super snacks, and an enviroment that respected the individuals and the tasks. (Did you catch the Dynamic Systems Theory pun?) Special thanks to Jennifer Smart for her valuable contributions to both the creation and presentation of the course, and  also to Carrie Vande Berg, Eric Menchi, Steven Blair, Brandon Byrne and Kyle Langworthy For catalyzing discussions which richly enhanced our teaching.

Posted September 29, 2022 at 11:11AM by
Categories: Courses Science

Recently I had the pleasure of travelling to Charlotte NC to teach my last PRI course of 2022, Pelvis Restoration! I was so happy to be joined by no other than my biggest supporter, my husband, Chris Poulin. Chris joined me to help with the lab and answer questions regarding the material presented. It is always great to have him with me, of course, but also to provide insight on application to Athletic Trainers and Strength and Conditioning Specialists. This course is one of my favorite PRI courses not only to teach but to use clinically. It is truly an integrated course when it comes to the discussions of respiration as it relates to the pelvic inlet and outlets. I had several new clinicians and almost half of the class considered themselves Pelvic therapists. I love to have conversations with new clinicians familar with the Pelvic Diaphragm, especially those that do internal work. Their contributions to a challenging patient population, do not go unnoticed. Clinicians familar with the work of Paul Hodges appreciate the integration of respiration, abdominal control and frontal plane pelvic control. PRI sheds a new and exciting missing link to some patients that are not responding to treatment! Personally, I was able to spend some time with my family in Charlotte, enjoy a nice meal at Supperland and cheer on the App State Mountaineers that upset Texas A&M on Saturday night. Teaching PRI is one of my proudest professional achievements I have accomplished in my career. I am thankful for a short fall teaching season. I can now enjoy the next several weekends cheering on my first love the NC STATE Wolfpack Go Pack!! Thank-you to all that have learned from me this year. I am truly honored to be your teacher

Posted September 22, 2022 at 2:17PM by
Categories: Clinicians Courses Science