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Silicon Valley has been at the core of the tech industry for a long time. A fitting local to hold Pelvis Restoration, the primary course that best elucidates true core function and control. When technology works smoothly, the unseen complexity and work hours behind it can go unrecognized. The same can be said for the respiratory and pelvic diaphragms as they work “behind the scenes” compared to more superficial and easily identifiable “core” muscles. When the “roof and floor” of our core are appropriately positioned and synchronized there is a beautiful dynamic interplay between their postural, respiratory, and pressure control functions.

The class and I delved into the programming and circuitry behind pelvic position, asymmetrical pattern influence, and the role we can have as “programmers” to promote harmony across two sides of a pelvis, pelvic diaphragm, and respiratory diaphragm. The asymmetrical design of our human operating system was explored in great depth on day one. Day two was all about writing code to address the asymmetrical design and be sure our connectivity is enhanced in left stance with the ultimate goal of alternating between our right and left “systems”.

A big thank you to our host group at Competitive Edge Physical Therapy who created a great learning environment both physically and through their engagement. Thank you as well to Competitive Edge team member Tim Dempsey, PRT, CSCS, CPT, PES, DNSET. While Tim readily admits he’s not a tech guy in the traditional sense, his expertise in lab and thoughtful commentary made it evident he’s a true tech genius when it comes to human function and PRI application.

First Call Home Health in Salem, OR was the location of Postural Respiration to a group of physical therapists, an occupational therapist, an athletic trainer and strength and conditioning personnel. The majority of the the students were either new to PRI or new to Postural Respiration which made for a level playing field for most of the class to learn the basics and essentials of the Postural Restoration Institute. Having so many new people to the science of PRI is an opportunity to lay a foundation for a new paradigm of patient understanding and care, even for the most seasoned veteran to their particular practice.

For new attendees day one of Postural Respiration, or any PRI course, opens the door to a new way of thinking about patient assessment and treatment that is exciting and to a degree a little daunting as asymmetrical anatomy and patterns of breathing and movement are described in an observationally and evidence based manner. A central tenet in PRI is that we are all, universally, anatomically asymmetrical. The two sides of the body may look from the outside the same while inside we are different, left versus right, and this affects how we move, breathe, and function as a human being in our own unique way.

Asymmetries are a gift for movement and what this class really got was that an over-reliance on one side of the body needs to be recognized and managed or end-range dependence results while pain and pathology may follow. In fact. most of the patients that present to our offices share a similarity that an end-range reliance to one side of their body expressed in many unique and varying degrees will result in pain and/or pathology.

This course explores the relationship of the abdominal wall and the diaphragm, ribcage, pelvis and the form and function of the thorax or how we deliver air pressure sense into our thorax. One of the most unique topics in this course is that breathing and management of airflow may develop a pathologic pattern affecting every physiologic system in the human bod and defined as SuperiorT-4 syndrome. Superior T-4 is a result of an overuse of accessory muscles of respiration, especially muscles in the neck, that disrupts airflow into a chest wall that limits the ability for quiet breathing, movement, and dynamic posture.

It was determined that one of the students was in fact breathing, moving, and managing gravity with Superior T-4 Syndrome and after a complete treatment guideline assessment including non-manual and manual techniques. After treatment demonstration, his PRI functional tests cleared from positive to negative illuminating a sophisticated approach to patho-mechanical breathing that can potentially have long term health and movement consequences.

This was a great group and the majority of students were from First Call Home Health. They are adding PRI to their culture of clinical skills and have more courses scheduled for this year and next as their PRI curiosity and competence is growing. I want to thank the students who travelled from Washington, California, and distant parts of Oregon. I especially want to thank Dan Arnold, PT and First Call Home Health for being the “anchor contact” and hosting these two days. I want to thank Minh Nguyen, OT, PRC, a veteran PRI practitioner, for lab assisting and adding his time and energy to facilitate everyone’s learning experience. And thank you to all of the students with your questions and enthusiasm for a rich and rewarding experience of Postural Respiration.

– Skip George

Staff Movement Coach 

About Us
All Systems Health was founded with the vision of creating a deeply integrated health and human movement system—one that transcends traditional healthcare and transforms people’s lives. Our mission is to enhance human health through movement and uniting disciplines aimed at addressing root causes.  

By combining the knowledge of multiple professions, we deliver interventions that turn complex science into precise solutions. The Movement Department is refining a uniquely comprehensive generalist movement program centered on motor skill acquisition. Clients continually learn and advance through endless progressions of movement across a lifespan. 

At All Systems Health, we are dedicated to real patient outcomes and offer a rare opportunity to join an unadvertised practice in Silicon Valley CA. 

Reports To: Senior/Lead Movement Coach 

Employment Type: Full-time 

Purpose of Position
To execute All Systems Health Performance assessments, interpret standardized test results, deliver foundational performance programs and coaching, and support clients by answering movement-related questions. Staff Movement Coaches are expected to refer complex cases to Senior/Lead Movement Coaches when appropriate.  

Key Responsibilities 

• Train clients 5 days/wk (maximum of 6 clients/day) using foundational All Systems Health Performance protocols, including structured assessments, interpretation of results, delivery of exercises, client coaching, and answering clients’ movement-related questions. 
• Create exercise videos to contribute to an internal Performance exercise library. 
• Research and filter scientific information to construct a movement theory and assessment testing manual. 
• Maintain accurate, timely documentation in compliance with All Systems Health data standards.  
• Promptly refer cases outside of skillset to Senior/Lead Movement Coaches. 

 Requirements

• Bachelor’s degree 
• BLS/CPR certification 

To Apply
Please submit your resume and cover letter to Joe@allsystemshealth.com and Ashley@allsystemshealth.com.   

The Postural Respiration course holds a special place for me. It was the course that frustrated me the most, to the point that I nearly didn’t continue with my PRI journey. But it was also the course that has helped me the most in my foundational understanding of PRI concepts and how to apply those concepts above and below the rib cage. It has been revamped several times since I first took the course in 2004, to the point that it is now a heavily research-based course with immense reliance on neurobiology. I learn something every time I prepare to teach this course, and I find the concepts incredibly valuable to my clinical practice.

As a result, I continue to ask to Institute to let me teach this course once per year. It keeps me honest as I teach other PRI courses, and it helps me in my clinical practice. This was my one time per year, and it was such an honor to be invited to the great state of Georgia. We had a very engaged and wonderful group of movement professionals. The questions and dialogue during the course were wonderful and the lab sessions proved to be very helpful to many of the attendees.

We cover so much territory during this course. The science and research provided in the first 19 pages of this course is second to none. It lays the neurological foundation as to why every human is born with the same functional cortical dominance, and why that can generate asymmetrical polyarticular chain behavior of the musculoskeletal system. We go through 9 different tests in this course, so we can assess the extent of patterned behavior and detect soft tissue pathology. Following the tests, we then discuss manual and non-manual techniques to help the individuals we are working with to change their behavior when upright against gravity.

The most recent re-write of this course allowed us to focus on how to determine respiratory function and how to improve it. We have the time to go into greater detail of R Superior T4 Syndrome, why TS is valuable on the left side and ST is valuable on the right side. If you haven’t taken this course in the last 3 years, I would humbly suggest to take this course again as this course lays the foundation for the Pelvis, I&I, Cervical, Cranial, Voice Box, FLM, Visual Vestibular Refinement, Non-manual Technique workshop, and Occlusal courses. If you are looking to enhance your clinical skills, this is the course for you.

My thanks to the great team at Pinnacle Orthopaedics in Marietta. Charles, William, Katie, Ervin, and Darlene were awesome, and the facility was perfect to host a course. My thanks to Robbie, Joy, Allison, Henley, and Andrew for all of your help, questions, and participation during the lab sessions. My special thanks to Kristen for allowing us all to learn from her during lab. I hope everyone had as much fun as I did, and I look forward to seeing you at your next PRI course!

– Dan Houglum

Written By: Jean Masse – jean@advance-physicaltherapy.com

Advance Physical Therapy is seeking a PRI informed PT, Trainer, CSCS, or ATC to lead our established “Advance Physical Fitness” programming.

The Role:

• Established: Existing weekly small group training classes, private 1-on-1 sessions and collaborative rehab to fitness plans.
• Elite Mentorship: Work alongside 6 PRC-credentialed PTs in a Certified PRI Center.
• Growth: Weekly staff education and support for your PR certification.
• Autonomy: Manage your own schedule in a dedicated, well-equipped gym.

Join a vibrant college town community with year round outdoor weather and lower regional cost of living!

📩 For more information or to Apply: Email Jean Massé: jean@advance-physicaltherapy.com or call 919-932-7266.

It was great to be in Columbia, Missouri for the first Pelvis Restoration course of 2026!

Some concepts we explored included,

– There’s a left and right side of the pelvis and these sides need to move differently from each other with forward movement.
– Pelvis alternation occurs with frontal/transverse plane regulation.
-This regulation with respiratory and pelvic diaphragm synchronization allows the system to resonate.
-The pelvis has a lot of detail with big impact.

Thank you to Teresa and Mizzou Therapy Services for hosting me this weekend!

– Lori Thomsen

Frigid temps and a warm reception greeted this instructor for the latest Cervical Revolution, hosted at the PRI headquarters in Lincoln, NE. Attendees from around the world (Poland, Japan, China, South Korea, Australia, Hong Kong, Canada, and, of course, the US) tuned in to learn how the right temporal-mandibular-cervical chain (the TMCC), a neuromuscular chain encompassing our cranium, mandible, and neck, conspires with the chains below (left AIC, right BC) and the visual, vestibular, and occlusal systems above to orient us to our right and create adaptations that hold us there. These adaptations to the tissues of our neck and cranium and to our sensory systems provide the ingredients for our habitual forward locomotion and respiratory function and, over time, produce the symptoms for which our patients seek care.

The most critical adaptation involves the occipital-atlantal (OA) articulation, our neurobiological foundation responsible for foramen magnum position, brain stem centric freedom, cranial nerve performance, physiologic homeostasis, and the signaling to the brain that we’ve shifted to one side. Overactivity of our right TMCC interrupts this articulation’s ability to slide, glide, and roll on each side. We lose the instantaneous alternating left-to-right contact, and our brain becomes over-reliant on the right OA contact sense for upright function.

When trauma – concussion, whiplash, Lasik surgery – is layered on, the brain is placed further into threat mode and resorts to extension to reorient itself in space. These individuals may require additional exteroception in the form of orthotics – for their feet, teeth, and eyes – as they manage gravity and the demands of daily life.

I can’t thank our in-house attendees enough – Lori Thomsen, Kelli Reilly, Erin Farmer – for their willingness to act as “patients” for cervical testing and demonstration of non-manual techniques (and two manual techniques with the additional time we had). We were treated to enlightening commentary on dental integration from Lori and dentists Noha Oushy and Laura Lawson. I know that I speak for everyone when I say the question and comments from many attendees were so appreciated, as they added context, clarity, and clinical applications. This is how we learn from one another and add value to the course. Hope to see you all again at a future course!

– Louise Kelley

Impingement and Instability has had the pleasure to kick-off the new PRI educational calendar for the last several years. It’s a great course to establish a solid neurobiological foundation for the PRI Secondary and Tertiary courses. It was my distinct pleasure to help PRI practitioners on that journey, and this most recent course was no exception.

We’ve said this many times, but I&I was revamped six years ago to be a much more neurologically based course, pumped full of research. One of the bigger concepts we discuss is how valuable the sense of interception is, how to access it, and how unilaterally biased it is, based on research. We spend a lot of time discussing and demonstrating how asymmetrically powerful our vestibular senses are, and how those concepts are perfectly paired with PRI concepts.

We were able to have the time to demonstrate these concepts in two different manners, and how the sense of interoception is far more powerful that the sense of muscle contraction. By a wide, wide margin. This is typically the first course in which we have the opportunity to explain and demonstrate that the musculoskeletal system is a means to an end, rather than a desired end result. As a result, the attendees have a valuable opportunity to see and feel how intensely valuable the sensory system is to position and musculoskeletal performance.

This course has four unique PRI Non-manual techniques that capitalize on the conversations around pressure, neurobiology, and human asymmetrical sense of self that can only be found in the I&I course. These four unique PRI Non-manual techniques are a bridge to the rest of the PRI Secondary and Tertiary courses. It is a far more valuable experience for the live stream course attendees if there are in-person attendees available to perform these, as well as other, non-manual techniques because our discussions of reference centers and sense of pressure are better sensed than explained. My thanks to Ben Mix, Morgan McBee, Will Baum, and Eric Menchi for their attendance in-person, and their willingness to allow us to learn from them. We had a wonderfully diverse group of movement professionals attending via live stream as well. We had individuals in attendance from six countries outside of the United States, as well as seven individuals who have earned the distinction of Certification from the Postural Restoration Institute.

We had wonderful questions, dialogue, and conversation. I hope it was as rewarding a experience for those in attendance as it was for me as an instructor. The unique qualities of this course, as well as the exclusive PRI Non-manual techniques found only in this course, provide the attendee with different perspective on human performance and how to help humans better integrate their asymmetrical hemispheres of the brain through an improved sense of interoception via pressure management in several of regions of the body. If you are interested in progressing and advancing your knowledge of how the asymmetrical human brain works for motor function and how to better apply PRI concepts during selection and coaching of PRI Non-manual techniques, Impingement and Instability is a great way to begin that journey.

Looking forward to a wonderful 2026!

– Dan Houglum

Staff Physical Therapist

About Us
All Systems Health was founded with the vision of creating a deeply integrated health and human movement system—one that transcends traditional healthcare and transforms people’s lives. Our mission is to enhance human health through movement and uniting disciplines aimed at addressing root causes.  

By combining the knowledge of multiple professions, we deliver interventions that turn complex science into precise solutions. The Movement Department is advancing the integration of physical therapy with vision, audiology, dentistry, and sleep medicine to create a universal movement system where real-world application is more predictable, reliable, and repeatable.  

At All Systems Health, we are dedicated to real patient outcomes and offer a rare opportunity to join an unadvertised practice in Silicon Valley CA.

Reports To: Senior/Lead Physical Therapist 

Employment Type: Full-time

Purpose of Position
To execute All Systems Health PT assessments, interpret standardized test results, educate patients, deliver foundational exercise progressions and coaching, and support patient recovery using manual therapy. Staff PTs are expected to refer complex cases to Senior/Lead PTs when appropriate.   

Key Responsibilities 

• Treat patients 4-5 days/wk (maximum of 7 patients/day) using foundational All Systems Health PT protocols, including structured assessments, interpretation of results, delivery of PT exercises, patient coaching, and manual therapy.  
• Create exercise videos to contribute to an internal PT exercise library.  
• Research and filter scientific information to construct a movement theory and assessment testing manual.  
• Maintain accurate, timely documentation in compliance with All Systems Health data standards.  
• Promptly refer cases outside skillset to Senior/Lead PTs. 

Requirements 

• PT degree from an accredited program 
• PT license in CA 
• BLS/CPR certification
  

To Apply
Please submit your resume and cover letter to Joe@allsystemshealth.com and Ashley@allsystemshealth.com.   

We are excited to announce and congratulate the Postural Restoration Certified™ (PRC) Class of 2025! From the first class in 2004 to this most recent group of clinicians, we have had 267 clinicians complete PRC credentialing, spanning 40 states and 9 countries. You can search for PRI credentialed providers on our Find a Provider map.

PRC credentialing is the result of completing multiple advanced PRI courses, demonstrating a thorough understanding of the science through completion of the PRC application, and successfully participating in practical and analytical testing. 10 clinicians earned the designation of Postural Restoration Certified™ (PRC) under the direction of Ron Hruska, Lori Thomsen, Skip George, and Jennifer Platt.

The Postural Restoration Institute® established this certification process in 2004 as a way to recognize and identify those individuals with advanced training, extraordinary interest and devotion to the science of postural adaptations, asymmetrical patterns and the influence of polyarticular chains of muscles on the human body as defined by the Postural Restoration Institute. The PRC credentialing program is available to physical therapists, physical therapist assistants, occupational therapists, and chiropractors who have attended PRI courses, demonstrated a thorough understanding of the science through completion of the PRC application, and successfully participate in both clinical and analytical testing.

CLICK HERE to view the full photo album.

Back Row: Robert “Skip” George, Ron Hruska, Ann Simsar, Emily Schulz, Mei Wong, Julie Sandstedt, TJ DiPrima
Front Row: Jennifer Platt, Annamaaria Kangas, Tassie Cantrell, Debra Albrecht, Mary Beth Antolini-Verlander, Gina Aicardi, Lori Thomsen