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They say the third time is a charm! I think we’ve been planning to take the “old Peds course” and now the new, remastered “Human Evolution” course to Alpine PT in Seattle WA three times, and in October, we finally did it, barring surgery and COVID! From my perspective, it was well worth the wait. Christopher Murhpy, Jeremiah Ferguson, Eli Zygmuntowicz, and Eva Bilo were the most gracious hosts and hostess. It was so great to have met you after hearing so many good things about you and your clinic.

We took a journey through the development of a human, highlighting critical sensory motor milestones, reviewed the literature supporting why these human developmental principles are important and connected it all with a description and application of 7 specific developmental processes. With over 100 videos of clinicial application through the lifespan, we were “in the clinic” with 8 patient cases for all of Day #2, from 15 months old to 70 years old.

We had an important conversation about the overwhelming benefits of crawling on hands and knees, and how important this skill is to painfree, grounded, postural development and walking as we age. This skill (at any age, really) brings sensory attention to all of our bases of support (right and left, front and back), helps to use and to integrate primitive tonic neck reflexes, provides a sense of upper extremity self-referencing on the maturation of cephalic-caudal independence, allows us to feel a grounded sense of gravtiy in a primitive form of forward locomotor movement, AND to explore our worlds from a new visual persepctive for cognitive processing!  And that’s only one of the 10 milestones we recognized.

A couple of the attendees came up to me and said, “As you were talking, I was writing patients names down because this course applies to so many of them”. We might not be crawling for locomotion as adults, but as we are cleaning out a bottom cabinet, gardening on hands and knees, pushing a grocery cart in the grocery store, rolling over in bed, lowering ourselves to play with our pets or children, or walking upstairs (or downstairs backwards – WHAT?), we are using the skills that were hopefully laid down in the developmental years. If these skills were not wired developmentally, or if an injury or insult changed that developmental fortification, there’s a good chance one might be pursuing PT, which is why your patients might be in your clinic. This course was created to help us all better understand these cross-referenced connections for better patient outcomes.

I hope to see you in one of 2 live stream offerings in January or September of 2024, or maybe I’ll get to shake your hand in person in Malvern PA in April. Thanks again to the fine folks at Alpine PT, and to everyone who attended, nodded, questioned, and participated. Your presence was enriching to me and to the group’s learning. I appreciate you all!

Posted November 30, 2023 at 3:41PM by
Categories: Courses

**Be at the Forefront of Postural Restoration in New York City!**

FuncPhysio Physical Therapy, a Postural Restoration Center in the heart of Midtown Manhattan, is on an exciting journey to expand our interdisciplinary network. We are looking for a passionate and skilled physical therapist who wants to dive into the world of Postural Restoration. If you have a strong background or a keen interest in this field and are driven to make an impact in patient care, you're the perfect fit for our team!

**FuncPhysio**
- **one-on-one care:** Join a practice where you can spend one-on-one care with a patient for 60min. Use your knowledge and skills and integrate holistic treatment to provide personalized care.
- **Expanding Networks:** Be a key player in expanding our Postural Restoration Integrated (PRI) network, connecting with dentists, optometrists, and other PRI professionals.
- **Community Impact:** Have the opportunity to make a difference in the community with PRI.

**Position Summary:**
We are seeking a dynamic and motivated clinician who is passionate about employing Postural Restoration principles in our practice. Our ideal candidate is someone who has a deep passion for helping patients, is eager to learn and excel in this specialized area, and is enthusiastic about growing professional networks within the community. 


**Position Offer:**
A full-time (or part-time, if preferred) role. You'll play a vital part in creating and nurturing interdisciplinary networks in the bustling community of New York City.


**If you are interested in** We are excited to meet you! Please send your resume to y.takada@funcphysio.com

Our website: www.funcphysio.com

Posted November 23, 2023 at 8:02PM by

In the middle of the hustling pace of mid-town Manhattan off of Madison Ave. is a health oasis called "Mocean" and is the location of last week's Cervical Revolution. The facility is as modern and up-to-date of any I have ever seen and it was a pleasure to work with a wide range of professionals from physical therapy, chiropractic and strength and conditioning movement specialists.


Cervical Revolution is the course that is the gateway from the primary courses, especially Postural Respiration, to the cranium. Through the anterior neck flows airway, blood flow, food, sound and especially translational movement of the jaw and rotation of the cranium. There is lymph flow, CSF flow, nerve flow including autonomics, motor control and somatic sense inside the spinal column as well as outside of it. The ability to turn a neck is essential for upright human evolution and existence, and when rotational transverse plane is lost, a functional "de-evolution" results.


Since Cervical Revolution is a secondary course, having a primary course foundation is critical especially when the dominant pattern and position of the cervical spine and cranium is essentially "right stance".  In the primary courses it is much easier to see patterns and position in the pelvis and rib cage that dictates sacrum and sternum position. In this course, since it is harder to see obvious movement in the cranium or the position of cranial bones like the sphenoid and temporal bones via vectors of stress over time driven by atlas underneath an occipital bone, the basic concepts of atlas/occipital patterns and position were described in detail repetitively to provide a basic and sound foundation. Once  this  sound foundation of atlas under occipital bone, driving sphenoid position and temporal bone rhythm, directing mandible position is established, cranial torsion as a patho-mechanical presentation can be introduced with testing and treatment.


This course is also a gateway into the occlusal system and how position of jaw and bite influence not only the cranium and neck but the entire "stomatognathic" system as well. Atlas and occiput are the main neuro-articulation that are defined as the position of those two bones drives not only cranium and jaw but has an effect on the entire system.

This group of students was really sharp and had some of the best questions that helped inform and teach the entire group. There was plenty of time for lab and demonstration and the basics of this course were reinforced over the entire weekend.


Big shout out to Joe Giangrasso for being my tour guide and subway guru. Not only that, but it was Joe, Mike Zhao, Liz Cash who enthusiastically promoted the course and showed up with their "A" game of attention and participation. Thank you to Emily for coming out from Texas, Alex from Chicago but most especially Lenny from London and Wing Ho from Hong Kong! Wing Ho flew in the day before, flying coach, for 15 hours! Huge shout out to Aleena for being our lab assistant. She is a fire ball of energy and PRI knowledge and is a pleasure to know and have as support staff for any course. Thank you especially to Josh Park for hosting PRI at Mocean!

Posted October 31, 2023 at 1:19PM by
Categories: Courses

Flying from sea level North Carolina to mile high Colorado was indeed a great way to experience pressure changes. It gave me an opportunity to discuss, firsthand, what our craniums should constantly be doing to resolve these changes, which are cyclically occurring (perhaps to a smaller extent) inside of our heads (and bodies) every moment of every day. And I could not have had a better group of people to discuss this with than those that attended last weekend’s “Cranial Resolution” course held at ProActive PT in Fort Collins, Colorado.

 

The Cranial course indeed has a lot of didactic material, but right from the start clinical application of this material was being discussed. And I can’t tell you how thrilled I was to get, early on on day one, questions that reflected how people who had never previously taken this course (which was the majority of people that were in attendance) were clearly conceptualizing this complex information in a clinical manner. Like when Tracy asked, “Well then wouldn’t it be helpful to block the right nostril when doing some of the PRI techniques?” What was so cool about these sorts of questions is that they showed people were starting to understand WHY we might want to do things . . . before ever being algorithmically introduced to a ball of cotton or a funny hat.

 

To me, understanding why PRI works is at the root of the Cranial Course. It brings concepts and people back down to basics, literally down . . . as in sitting on the floor down, to take their either “too loose” (disassociated) or “too tight” (overly regulated) legs out of the equation so they can feel how their cranium and thorax SHOULD integrate (alternate and diverge).  The two avatars that volunteered to illustrate these two different ANS integration responses could not have been more perfect, or more appreciated. Addison not only visibly gained nearly 40 deg of SLR, but also admitted that at the end of his demonstration he was, “for the first time,” able to comfortably tolerate long sitting. And Karen was finally able to find and feel her hamstrings (even if it was “only a 25% sense,” she now at least had something to start ergotropically PUSHING the floor with). And we were able to get Craig, our well balanced, “neutral” model, to quickly illustrate the role that lateralized multisensory input plays in influencing our ANS responses. Sorry Craig.   

This trip to Fort Collins was my first venture into Colorado, so of course I had to make the most of it. Jennifer, a wellness coach who has become a staunch PRI ambassador, was going to be attending so the two of us arranged to fly out several days early to be able to do some hiking. We loved the trails along the Poudre Valley (Hewlett Gulch and Grey Rock) and went up the well-traveled Horsetooth trail to the falls just outside of town. All spectacular, especially since the sun was out, the temps were perfect, and the Aspen’s were at their peak yellow. I’m starting to like this traveling to teach gig!  

Most importantly though, I want to extend a deep, heartfelt thanks to both the institute and the incredible hosts at ProActive (Brian, Tracy, Craig, and Addison), along with all of those that traveled (Jennifer, Chris, Karen, Lisa, Derya, Rachel and David) to be a part of this weekend of learning. Absolutely everyone brought something to the mix (even quiet Chris, learning about how you have worked with an ENT and Nutritional Flow was thought provoking). It was all such a great experience. I can't wait until the next time I get to teach this material, which will be on a live stream from Nebraska.

Posted October 24, 2023 at 2:17PM by
Categories: Courses

"October 14th and the skies were gray, a rainy day in Reading, PA that was perfect to perturb some paradigms around the power of a pattern. We mined the pattern’s positional influence setting the stage for the task at hand and ending our day with a repositioning plan.

Day two dawned appropriately repositioned, the sun shining down elevating our condition. An earnest query session kicked off the day and made this instructor excited by the interplay.  

Focused and engaged, we delved into the test designed to guide our retraining the best. With the Hruska Adduction Lift Test leading the way, we endeavored to find and to feel the myo-ingredients that would progress the scores so we can all own our floors."

A big thank you to everyone who joined me this past weekend and did such an impressive job of focusing and working to apply and experience the material, and most importantly, asking questions that facilitated a clearer and deeper appreciation of the content. I would encourage all of you to embrace the uncertainty and discomfort that invariably accompanies new paradigm’s and know that this is a sure sign of growth.  

A big thank you to Frank Mallon, DPT, PRC for driving up from Philly both days to assist in lab and adding to our discussions, his presence was such a boon to our group!
Thank you to Alliance Fitness Center and Collin McGee for hosting and making sure we had what was needed for the success of our weekend.

Posted October 20, 2023 at 1:54PM by
Categories: Courses

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