Postural Respiration was presented at the Postural Restoration Institute May 28-29 to a large zoom audience of students as well as live participants. It is always a pleasure to have students from around the world in different time zones staying up late or getting up early to participate in this flagship primary course. There were students from Australia, Europe and coast to coast from North America and a large percentage of students were first time attendees to a PRI course, and for the majority of students, first time to Postural Respiration.

Delivery of air pressure sense and its effect on pelvis, ribcage and diaphragm shape, form and function are central themes that are returned to over and over in this course as it relates to neurology and ultimately biomechanics.
I taught Postural Respiration two weeks before in Chandler, AZ and there were similarities in terms of lab and demo with one student in each course presenting with almost exactly the same exam findings and same treatment guidelines as defined in this course for Superior T-4.

Often this patho-mechanical compensation can seem daunting to identify and treat, however, in both courses with both attendees, following the course guidelines with a detailed and repetitive description of both non-compensatory respiration and contrasting with patho-mechanical respiration made this difference very clear. Both students remained positive in their PRI testing on day one even after non-manual and manual AIC treatment regimens.  Then, on day two following Page 50 guidelines to determine if these individuals were in fact presenting with Superior T-4, a subclavius release with infra-clavicular pump was performed and all tests became negative with both cases.  No pressure, but the instructor is always relived when this occurs!

The overuse of accessory muscles of respiration became very clear to all attendees in both classes knowing that scalenes, for instance, need to act more like initiators of the first rib to signal rostal to caudal sequential rib elevation and not become primary rib lifters attempting to direct and deliver air inappropriately  into a right chest wall. Superior T-4 became very clear as to just one more step in the treatment guidelines for effective and balanced delivery of airflow pressure sense. This allows then alternating and reciprocal function into the entire physiological, neurological and biomechanical systems.

All in all it was a wonderful course especially the time and attention all of the students provided and "spot-on" questions that were asked. Thanks to all of our students especially on zoom from  different continents and time zones.  And the course was facilitated so well by RJ Hruska as he makes the process go so easy for students and instructors!

For a number of years, the Postural Restoration Institute® offered an annual Interdisciplinary Integration Symposium. Each of these symposiums was designed around a theme that we felt best represented the present mindsets of those applying PRI course material as well as our own interest in exploring pathways of collaboration for advancing PRI concepts.

We are excited to announce that beginning in 2024, we will begin offering an annual PRI Interdisciplinary Studies Summit. The word ‘interdisciplinary’ reflects activity that analyzes, synthesizes, and harmonizes links between disciplines into a coordinated and coherent whole. Or, simply put, it means “relating to more than one branch of knowledge.” This annual Summit will not be centered around one topic or theme, but rather will offer two days of presentations on multiple areas of study, for attendees interested in PRI who want to explore how multiple areas of study intersect with one another.

This Summit will allow those with common interest to come together from any field and converge on shared research, a common problem, or professional experience. It will provide opportunities for interdisciplinary collaboration, dialogue, and connection across the PRI community. Not only is this an opportunity for you to be involved in the learning and application of PRI supportive, evidence-based practice in novel settings, but this Summit will also provide you the opportunity to present on a specific topic for the PRI community. 

Opportunities for social interaction have been few and far between over the past few years, and to say that we have missed seeing you in Lincoln is an understatement. We look forward to bringing together the PRI community again for an annual in-person event, where PRI interest can be intersected at this PRI Interdisciplinary Studies Summit. A time to connect, learn, and socialize with one another. *Please note that this annual Summit will be in-person only and will not be available via live stream. Social events will be scheduled each evening. 

Are you interested in presenting on a topic that interests you?

We encourage you to submit an abstract!

Presentation topics should be relevant to the interest of the PRI community and must fall within one of the five summit sub-categories (see more the presentation guidelines).

Speakers do not need to be PRI Credentialed Providers, and PRI welcomes interdisciplinary professionals (i.e. dentists, optometrists, massage therapists, psychologists, etc.). A presentation may include up to two speakers, and interdisciplinary teams (i.e. PT and Dentist) are encouraged to submit an abstract.

Abstracts are due no later than July 15th. To learn more about submitting an abstract, please visit our website and review the presentation guidelines!

If you are interested and you have any questions, please reach out to Jennifer Platt at platt.jennifer@posturalrestoration.com or 402-467-4111.

Postural Respiration was presented April 15-16, 2023 at Spooner Physical Therapy in Chandler, AZ to an enthusiastic mix of PT's, Chiropractors, OT's and fitness professionals. There were students from Alaska, California and Idaho that made the trip to AZ. Dr. Victor Elmurr, D.C. was the motivating force in contacting the staff at Spooner several months ago and facilitated the return of PRI to the Phoenix area.

Among the new attendees to PRI, most of the students were new to Postural Respiration and their purpose was to understand and integrate delivery of airflow into the thorax with their knowledge of pelvis, lumbar spine and femur myokinematics. The response from them, and understanding that this course is the flagship of PRI, was that this course completes a picture of diaphragmatic function and how it affects not only delivery of air pressure sense into the thorax but the position, posture and movement of the entire axial skeleton.  

Since posture is not a static concept often thought of in a normal sense, the dynamic, tri-planer function of air flow pressure and sense allowing alternation, reciprocation and variability were all defined and experienced by every student.

As with every Postural Respiration course, Superior T-4 is the patho-mechanical portion of the weekend that is explored in detail on day two.  Rhythmic airflow and it's physiologic effects are discussed on day one in terms of dynamic airflow considerations.  Next, the importance of the first rib, especially on the right, is discussed in this context of rhythmic airflow and the first rib being an "initiator" of rostal to caudal rib movement.  With overuse of accessory muscles like the scalenes, the first rib will be lifted out of "sync" with the ribs below leading to patho-mechanical respiration as described in this course.

One of the students was used as a "demo" on the first day of the course for PRI exam, NMT and then a left ZOA manual technique. The inability to adduct a femur along with positive BC testing after NMT and manual techniques on the first day lead into day two of the course to explore if this individual was a Superior T-4. With definitive testing and after following the treatment guidelines on page 50 in the course manual, his Superior T-4 was discovered, treated and resolved for everyone to experience the progression to resolve patho-mechanical respiration considerations.

This course was such a pleasure to teach and thank you to the staff at Spooner especially Jessica who got there early and stayed late to lock and clean up. Thank you also to Carly, Sarah and the rest of the Spooner crew and thank you Ben for allowing us to share PRI with your clinic and the community. 

Any time I get to teach in Lincoln, it always feels like a homecoming. It’s an honor to be able to teach at PRI and get to spend time with the PRI family. The group of attendees in person really embraced the idea of family. We had pelvic floor PTs, PT students from Regis University in Denver, strength and conditioning specialists from University of Nebraska, a chiropractor and a plethora of other PTs all uniting for the two days over Myokinematic Restoration. By the end of it, a sign up sheet had been passed around so they could all stay in touch. As an instructor, this was such a special thing to see.

We discussed the importance of determining position before facilitation; what a left anterior chain objectively presents as; the ability to determine a hip with some soft tissue pathology vs non pathology; and a host of treatment techniques to help these findings.

The online attendees had excellent questions and the lab times were fulfilled to the max because of the eagerness among the attendees. It was a great course and I look forward to my next time in Lincoln.