Posts by Skip George

Chiropractor

Palm trees and a Santa Ana breeze was a refreshing respite for those who traveled from the cold parts of the country to Velocity in Redondo Beach Jan. 13-14 for Postural Respiration. Interdisciplinary was a theme as this course had P.T.'s, ATC's, D.C.'s, a D.C. Student, a DDS and an M.D. affiliated with UCLA who wants to learn PRI as part of a research project for high risk pregnancy. There was an added bonus: Chad Moreau, D.C., CSCS, PRC, the only other chiropractor who is a PRC, attended as a lab assistant. This was also the first time having two Chiro PRC's in the same course! Chad is a quiet force who also is a strength and conditioning coach for the L.A. Kings.  His clinical expertise and insights to his approach with his athlete patients painted a picture of how to apply PRI to high level athletes.

In addition, Miguel Aragoncillo, CSCS, PRT came out from Boston to assist. He is a PRT and will be entering PT school in the fall.

Chad and Miguel made the weekend a success for all of the students.

First time attendees can all relate to how overwhelming a primary course paradigm shift can be. This group asked questions (Shout out to Locatelli, Allyse, Beth, Waleed and everyone else!) that helped clarify scapular/rib positioning and TS/ST movement. This is a challenging issue for everyone then adding Superior T-4 on Sunday further paradigm shifts the group into the pathomechanics of respiration and rib/spine rotation. Thanks so much to Misao Tanioka for facilitating this weekend. She anticipated every need of the students and really helped make the weekend run smoothly. In addition, this was her first course as well! Needless to say, I love L.A.!

Posted January 18, 2018 at 9:22PM
Categories: Courses

Salem is a beautiful city about an hour's drive south of Portland depending on the traffic and time of day. My GPS routed me through rolling hills of fall colors, farmland, vineyards and past Klamath Falls. This course was hosted at Salem Health in their new rehab facility which is so busy that they are outgrowing the space just two years after construction. The facility is state-of-the-art with large windows looking at trees turning fall colors outside with green everywhere you looked. The real show was the participation of the students that had diverse professional backgrounds that included physical therapy, chiropractic, athletic training, strength and conditioning and massage therapy. There were five athletic trainers that represented two teams from major league baseball and their questions came in fast, accurate and intelligent with no curve balls! Members of the rehab team from Salem Health represented their facility by not only providing this venue but bringing energy to the whole weekend. Shout out to Mark Kucey for his recipes for an autoclave and his engineer mind with restates and questions. In fact, this entire group of students was quick with restates and questions that mattered to the rest of the class and lifted everyone's game including this faculty member! Huge kudos to lab assistant Tina Haiser, DPT, PRC and super Lisa Davis, PTA for doing the behind-the-scenes hard work of food, signing people into the course and making the weekend run smoothly for all involved.

Every course can use more time in lab is a general consensus. This weekend was no exception however lab time was ample enough to give everyone a chance to be introduced to and practice the Three Big manual techniques including L AIC, Superior T-4 and Subclavius release.

The demonstration for determining if a patient is a Superior T-4 Syndrome individual went very well considering the subject is a running coach and sees this issue in all of her patients. It was a first time for her in Postural Respiration and as a side note after the technique was demonstrated on her, she experienced a change in her neck symptoms and cuboid symptoms as well for the better. Needless to say there was no shortage of enthusiasm from the entire group and in short it was a faculty member's dream team of diverse professions sharing a common goal to help others while expanding their knowledge. One of the questions that came up is if an athlete has a pattern they rely on for performance will introducing a new pattern affect their performance? We don't want to take anyone's performance pattern away. We simply want to give them a place to find and feel new places to go in their body to rest, recover and restore.

Posted November 10, 2017 at 4:25PM
Categories: Courses

Fortius Sport and Health in Vancouver is not only a world class Mecca for athletes wanting to perform at the highest level and for patients recovering from an injury, but it is also a practitioners dream location for a progressive, state-of-the-art, and integrative environment to work in and hone their professional skills. Fortius was developed as an enormous community based sport rehab and facility in the suburb of Burnaby, near Vancouver, that includes several ice rinks, grass fields for field sports and a world class weight training facility including basketball courts and therapy pools. There is a vision center for concussion rehabilitation. Physical therapists, chiropractors, athletic trainers and sport performance specialists all work in an environment that is focused on mutual respect and collaboration to provide the very best in athlete/patient outcomes. Regular meetings are scheduled with all practitioners to discuss cases including having medical consultations available for athletes. This group of practitioners that attended, many of which were from Fortius, had their first introduction to PRI this weekend. One husband and wife team from the US had taken Postural Respiration through a home study course and loved it so much that they opened up their new clinic based on breathing and respiration principles. This was their first live course for Postural and having a hands-on experience was invaluable from their response. Jon Rowe, CSCS, PRT is the only PRT/PRC in Canada and drove 4 hours through the mountains to assist this weekend from a town called Kelowna. Jon is a quiet force and by Sunday was providing an amazing amount of insight and help to new students. Some of the questions that came up included what does PRI teach in terms of breathing? Well, let’s just start with an ability to exhale fully and pause before taking a full breath in. Combine that with a new neurologic and bio-mechanical re-position or non-manual technique and now unlocking the secrets to a balanced bi-lateral human being is possible. It seems simple to veterans of PRI that if you hope to master breathing, you must see for starters that a left hamstring, glute, IO/TA's are needed to create a left (and right) ZOA of a diaphragm. All the breathing techniques in the world aren't going to re-position, re-train or restore function and performance without this basic building block. This one concept was reinforced though out the weekend. Many thanks to Ryan Murray, DPT and Erik Torchia, DPT for hosting this weekend in such a beautiful facility, city and country.

Posted October 5, 2017 at 3:12PM
Categories: Courses

The Institute of Community Wellness and Athletics (ICWA) hosted Postural Respiration in Albuquerque, NM Sept. 9-10. This course was a faculty member's dream! Most of the class attendees were brand new to PRI or had only taken Myokin or a home study course previously. From the very start, the curiosity and attention was palpable and students followed closely every step of the way into a PRI weekend journey of challenge and discovery. Questions were plentiful with great re-states of concepts and honest feedback that, yes, the amount of information in this course can feel daunting for first time attendees but they wanted to hang in and work hard to really get it! The questions directed repetition from many angles that led to understanding of the basic principles of PRI. One of the many topics that vexes new attendees ( It certainly vexed me at first!) is Superior T-4 Syndrome. What helped was a strong foundation that everyone absorbed on rib kinematics driving a spinal column and that ribs are driven by respiration and respiration is driven by neurological patterns. These guys got it. What helped for the strength and conditioning group was that scalenes are like "Romanian Dead Lifters" lifting upper ribs creating a patho-mechanical pattern of respiration. Before lecture on James Anderson's page 50 in the Appendix on Thoracic Airflow, Typical BC and Superior T-4 Syndrome, the class had had a demonstration on a "long tall Sally/Sam" that demonstrated BC testing, then manual restoration techniques including Superior T-4 technique to assess for Superior T-4 Syndrome and then identifying when and why a manual Subclavius Release is needed. Then they assessed and practiced the two manual techniques after being shown what the reasoning behind the assessment and manual approach. The lecture into Page 50 just made sense to these new students since they could apply a concept to actual experience that they just practiced in lab and could now apply since they had a better picture in their minds as to what patho-mechanical respiration is and how to identify and treat with manual and non-manual techniques. The enthusiasm, especially on Sunday afternoon after an information/paradigm changing weekend can feel over-whelming, was just great. Thank you Nathanael Smith and Jonathan Esquibel for being great site hosts and especially Jessica Kisiel, PRT for assisting! In this faculty member's opinion, New Mexico will be a great new state for PRI and I hope to be invited back! Myokin will be there February 2018!

Posted September 11, 2017 at 7:14PM

The University of Louisville Athletic Center has an energy that just motivates you to want to perform. Home of the Cardinal's, the athletic staff including Teena Murray, Sean Smith, Chris Hays and the rest of the U of L athletics staff hosted Postural Respiration last weekend. Many thanks for the Louisville staff for hosting PRI. This was a group that was heavily weighted with strength and conditioning professionals not only from Louisville but from nearby training facilities as well. There were several DPT's and PT's that work in a hospital setting or private practice. Sarah Martin, DPT, PhD was lab assistant and was critical in making this weekend a success. One of the participants, Molly Binetti, works with Louisville Women's Volleyball and Superior T-4 Syndrome was a critical topic for her athletes as well as for Josh Kesel who is a strength coach for his pitching and performance practice for baseball pitchers. TOS, or thoracic outlet syndrome, was discussed regarding high performance athletes who compensate with scalenes and are prone to Superior T-4 Syndrome. One of the demonstrations of the manual Superior T-4 technique, to determine if Superior T-4 Syndrome exists, was performed for the group to see if a left apical chest wall deficit as opposed to the right existed. Left apical expansion was limited and a Right Subclavius Myosseous Restorative Technique to restore normal BC chamber function was provided with all PRI tests becoming neutral after this technique was provided. This individual in lab could have not been a better subject and it is always a welcomed outcome for the instructor! Even though this was a Postural Respiration course, PEC issues were discussed in detail for performance athletes and Mike Cantrell's article on Inferior T-8 syndrome is a must read for everyone. There are always PEC's who love extension for performance and one of the attendees benefited from a two person Infraclavicular Pump performed by Sarah Martin and me.

Posted August 16, 2017 at 3:14PM

Sutter Physical Therapy sponsored their first PRI course this past weekend with 31 out of 40 students being new to PRI! Roseville is located near the base of the foothills of the Sierra Nevada of California not far from where gold was discovered in 1848. This location site was a real "nugget" when it comes to students eager to learn Postural Respiration. Suzie Maciel, PT is continuing education coordinator for this facility and this was her first course as well. She and her staff provided a great location and her support was so valuable. Thank you Suzie. In addition, she and Dan Houglum went to PT school together! Taylor Lewis, PRT and PRI faculty member Dan Houglum, who came out from Wilmette, IL, were lab assistants for the weekend. This course had "ton's" of lab with time to get into manual and non-manual techniques thanks to these lab assistants. Both were complemented on evaluation forms for their knowledge and skill with applying PRI principles.

The real show, other than the Diaphragm, or "Big D", were the students that attended. Taylor, Dan and I were more than impressed (astounded really) with the insightful restates and questions from this group of students who were always "spot on" with their questions in this course. Questions pertaining to what is the relationship with the Diaphragm and walking, how this work applies to COPD and Cystic Fibrosis, and some of the personal experiences of students learning techniques and how their bodies responded were impressive! One student, an ATC who works with a major league baseball team, took his spring vacation to attend Postural Respiration and is enthusiastic about implementing PRI with the players he works with. In addition, topics of system integration, sympathetic vs. parasympathetic as it applies to extended individuals and lateralization as it applies to the concept of neutrality and transition zones were explored during this weekend of PRI discovery!

Posted May 3, 2017 at 7:12PM

Dr. Skip George talks about how breathing compensation  (Superior T-4). He also talks about how to "unlock" the right side of the ribcage to allow airflow. He also talks about how activating a hamstring and ab wall can help along with a Gonstead adjustment.
"The brain is driving the whole show"

Learn more about Postural Respiration here.

Posted May 2, 2017 at 1:31PM

Dr. Skip George talks about how breathing dysfunction can affect ribcage, pelvis, cervical and thoracic spine movement. Scalene influence on rib rotation and how the ribs can influence the spine according to Fryette's Law are also discussed.

"Breathing is probably the most common movement dysfunction that human beings develop."

Learn more about the course Postural Respiration here.

Posted May 1, 2017 at 8:49PM

Precision Fitness hosted their first PRI course, Postural Respiration, this past weekend with about one third of the course being brand new to PRI and another third of the course being new to Postural Respiration. The balance of new attendees and new veterans provided a flow that kept everyone moving in a forward progression easily for the entire class to absorb and learn new material as well as deepen previous learning. This course was diverse in that their were numerous PT's from athletic departments at universities from Wake Forest to Florida State. An athletic trainer that works with solders was present and enthusiastic about taking his sixth course to deepen his skills with treating our fighting men and women. And Jennifer Smart, PT, PRC brought her wisdom and skill to make this weekend flow and to fill in any gaps of knowledge to aid in the teaching process. Did you know she has sailed halfway around the world in a sailboat with her family that her husband made? She also has a son who lives in a house that he made and just rode his bike to the tip of Baja California and back to the U.S.A.! Ole! There was so much enthusiasm from this group with a bunch of people wanting to become PRC's and PRT's. Cornelius may just be a new "hotbed" of PRI. Along with it being in the heart of Nascar racing!!

Posted March 7, 2017 at 4:42PM

This Postural Respiration class was about 80% first time attendees to a PRI course. What was impressive was how good and how many questions were asked during the weekend. The questions were always relevant and "on point" helping to guide other students in their understanding of what can be an overwhelming experience for a first timer! This is when teaching a course is at its best when students are helping other students in understanding rib kinematics and the necessity of diaphragm shape and position as it relates to their rehab protocols and sport performance application. Erin Rajca did an incredible job as my lab assistant! Some of the questions included how does the shape of the left or right diaphragm reciprocate and alternate during dynamic activities like walking in different phases of gait? This is a first time hosting of a PRI course at this facility and the feedback on Sunday is that they want more! Thanks for hosting Apex Physical Therapy!

Posted March 1, 2017 at 10:00PM
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