Posts by Robert George

Chiropractor

Divergent Physical Therapy and Wellness in Wellesley,MA just out of Boston proper was the location for Cervical Revolution on Oct. 22-23, 2022.  Cervical Revolution is the introduction to "top-down" PRI concepts of neurology especially autonomics and how the cervical spine at the atlas and occiput directs the cranium and ultimately occlusion. Since this is a complex system, there is also a connection on how occlusion and the cranium can also direct the entire body and all of it's postural and physiologic systems especially when the sphenoid becomes "fixed" and oriented while the rest of the axial skeleton compensates when in a pathologic state. The A/O runs the show until over-referencing with occlusal and cranial consequences drive pathomechanics.

 


What a great group and facility. Wellesley is a beautiful town and was surrounded by forested neighborhoods turning fall colors. Divergent is a state-of-the-art therapy and training center and lends itself to a perfect environment for learning.

This course was unique in that we had 7 PRC/PRT's that made for high level clinical discussions. There were students that were local from the east
coast as well as SoCal, Honolulu and even Alabama. Shout out to Alan, Cody and Paige for the long travels and especially Cody from Honolulu and a 10 hour flight. Neil Hallinan, PRT came up from  'Jersey and always has his expertise and knowledge that adds to the discussion. Thank you to Mike, Connor, Garrett and Cameron for providing their facility to all of us. Big thanks to Louise Kelley, DPT, PRC who brings energy, needed details and technique application to the course. And last but not least, thank you Karen Taylor-Soiles, PT, MA, PRC for providing a warm home, wonderful food and a seasoned provider's insight to the weekend. Louise and I are grateful to you and all in attendance.

Posted November 1, 2022 at 9:02PM
Categories: Courses Clinicians Science

Cervical Revolution came back to Lincoln this past weekend with a large zoom audience spanning internationally from Asia to North America to Europe. I had the pleasure of teaching to a live audience as well as having the added assistance of Louise Kelley, PT to help breakdown PRI concepts including  the finer parts of technique for de-rotation of the Right TMCC as it relates to not only the cervical spine but the entire system as well. In attendance was an impressive interdisciplinary group including movement specialists, strength and conditioning professionals, massage and soft tissue professionals, chiropractors, physical therapists, an osteopath, two dentists and one RN who is also a CSCS wanting to expand his horizons!


This is a course about the cervical spine and the need for revolvement that maintains alternation side to side, brainstem oscillation, temporal bone "wobble" and a jaw that can freely move side to side to keep a neck and nervous system in balance of an asymmetrical human that can stand erect and move fully and freely. Atlas and occipital bones make up a highly neurologic articulation with a brainstem and autonomics that are intimately connected to this highly reflexive region. This course is the gateway to the cranium and the introduction to top down as well as bottom up concepts of PRI. The cervical, cranial and occlusal systems are all integrated in this course and an impressive demonstration for all, especially the dentists, was provided with a simple mouth guard that Ron made for Louise the day before the course started. I demonstrated this stomatognathic example with Louise by first testing her cervical spine with a mouth guard that gave her right molar contact and reinforced her RTMCC pattern resulting in positive tests of her cervical spine. Another mouth guard was then utilized that dis-occluded her right molar contact while giving her left molar contact sense and all of her tests became negative immediately. This demonstrated the neurologic effect of a simple mandibular appliance on not only the cervical spine but the entire neuro-respiratory-biomechanical system.

Needless to say, this was communicated to me by a student as 'mind blowing' and brought an experiential example of the power of this course. Thank you to RJ for expert facilitation of this course over the weekend, Louise Kelley for being such a great lab assistant and team mate and Ron Hruska for spending Friday before the course reviewing advanced PRI concepts. Most of all, thanks for all of the students in attendance especially from international locations that stayed up really late or got up really early and for all of the diverse professions that contributed their advanced thought and experience to the enrichment of this weekend.

Posted September 13, 2022 at 8:12PM

After a three year Covid 19 hiatus, PRI was back at Lindebergs Academy in Munich, Germany to present Postural Respiration and Cervical Revolution in July of this year.  I had the privilege to teach both courses in Munich and it was the highlight of my career filled with many highlights as a faculty member for PRI. 

Students representing diverse disciplines and professions from all over Europe were in attendance.  Germany was well represented as well as Austria, Norway, Ireland, Britain, Australia and even a student who rode a bus for 10 hours from Slovenia!  Shout out to Naja for making that long trip on a bus.  There was even a physical therapist, Paula, who came in from Australia.  Francesca came all the way from Norway and Maria and Julia came in from Vienna and another small town in Austria!  I can’t forget Rob, and no one else will either, from Dublin!  And Beth made it from America on the F1 circuit in Europe!

The interdisciplinary approach of PRI principles spans many specialties and professions and in these courses we had physical therapists, athletic trainers, pilates instructors, personal trainers, kinesiologists, a speech therapist and two M.D.’s that integrate PRI into their practice models.

As a faculty member I was so impressed with the curiosity, energy, warmth and enthusiasm not only from the students but the staff at Lindebergs Academy as well.  Regina was so gracious and helpful with facilitating these two courses providing set up of tables in the course room and great food.  Also, Regina lent me her bicycle so I could ride all over Munich to really get a sense of this magnificent city.  Lindebergs is a state-of-the-art facility and to have the support of Regina and the entire Lindebergs crew is a faculty member’s dream.

Daniel Muller is a PRI veteran and has been vital in our presence at the Academy, Germany and Europe at large.  He was instrumental in making sure these courses were successful and that student and instructor needs were fulfilled beyond expectation.  Daniel also took me around Munich and provided friendship for a stranger in a foreign land for which I am eternally grateful. 

Our lab assistant was the incomparable Kazu Nishimura.  Anyone who can speak two languages impresses me but Japanese, German and English?  The quality of Kazu’s help was another layer of support and enhancement that added to the most positive experience of these two courses and helped enrich the learning experience for everyone in attendance.  He rode a bus for six hours from Berlin!

Munich has been the PRI hub of Europe and once again interest, energy and enthusiasm is growing for more courses.  As a result Pelvis Restoration with Lori Thomsen will be taught next May and then in July  Dan Houglum will teach both Myokinematic Restoration and Impingement and Instability.   The Interest in those three courses was a resounding “we can hardly wait” for PRI to come back.  And as an Institute, we can hardly wait to go back to Munich and continue to build PRI Nation internationally.   Thanks to Ron, Jen, RJ and Hannah for your hard work to help make this trip professionally and  personally satisfying for me.  At the end of teaching I took 10 days to explore and hike the Austrian Alps and the Dolomites of the Italian Alps.  Every moment was quintessential and an irreplaceable lifetime experience to explore and discover a new land, different cultures and spending time in beautiful cities, small towns and hiking in achingly beautiful mountains alone and with friends that live in Europe. 

 

Posted August 29, 2022 at 3:31PM
Categories: Courses Science

Huntington Beach was the location of the California Chiropractic Association’s (CalChiro) annual sports symposium on May 21-22. There were a wide range of topics including shoulder diagnosis to sports psychology to treating Marfan’s patients and then on to several approaches of functional movement specialties for rehabilitation and sport performance in a chiropractic practice.


I had the privilege of representing the Postural Restoration Institute and the topic presented was on the “The Two Roles of the Diaphragm in Chiropractic, Rehabilitation and Sport Performance”. This topic with lecture and lab had an enthusiastic response and many of the attendees that had taken a PRI course before were “fired up” to learn more. Those who had never heard of PRI or were unfamiliar with our approach were very curious to learn more especially regarding the thoracic diaphragm, breathing in sport performance and pelvic floor dysfunction.


This was the first time PRI was represented along with DNS and SFMA in the same venue at a chiropractic symposium. I got to know Michael Rintala, D.C. who teaches for DNS and Greg Rose, D.C. who developed the SFMA and it was a pleasure to get to know these two highly dedicated and competent practitioners on a personal and professional level.

 
I was more than thrilled to represent PRI to progressive chiropractors open to having an integrated practice approach. It was also a thrill to have Drs. Rintal and Rose in attendance to share more of what PRI can offer regardless of one’s practice approach. I enjoyed learning more about DNS and refreshing my knowledge of the SFMA. In addition, this weekend was a treat for me to see my colleagues and friends Drs. Richard Cheung and Jeff Tucker who were both, in part, responsible for my journey into PRI certification and ultimately into becoming a faculty member. I will always be grateful for their support.


And last, this past weekend was the 10th anniversary of taking my first PRI course, Postural Respiration, and what a meaningful journey it has been!       

Posted June 29, 2022 at 8:36PM
Categories: Science

It is not often that almost an entire group of course attendees are not only new to PRI but nearly the entire group is new to Postural Respiration. In addition, a large number of the course attendees where affiliated with the host site and staff at the University of California at Davis sports medicine department. The combination of new course attendees and the cohesive group from UC Davis made for an entire group experience that this faculty member will remember for a long time!


Respiration is the heart and soul of PRI and how we manage pressure sense neurologically is a post graduate subject that this group new to PRI grasped immediately.  For new students there where questions through out the weekend that re-enforced all of the concepts of this course and the basics of PRI.  Everyone of us can remember their first course and how daunting a "paradigm shift" can be.  This group of students shared this shift in a step-by-step journey into the wonders of this course where it appeared that all were pulled along by each other in this endeavor to learn.  Was it and is it always daunting for new students to be introduced to PRI for the first time or to a new course?  Yes but the energy and attention held throughout the weekend was impressive to say the least!  And, the UC Davis team now can share, practice and grow in their PRI journey together to provide care to their athletes and each other.  I look forward to returning to Davis one day and to see this community of professionals grow in taking all of the primary courses and moving on to secondary and tertiary courses in the future.  Thank you much to Melissa, Sammatha, Doug, Lisa and the entire UC Davis Sports Medicine Team for hosting. 

Posted June 16, 2022 at 9:35PM
Categories: Courses Science

Pro-Active Physical Therapy in beautiful Fort Collins, CO hosted Cervical Revolution this past weekend. This was a unique gathering of not only first timers to Cervical Revolution but seasoned veterans of PRI including a total of four faculty members and four PRC/PRT's. Included in the group was a local dentist, Dr. Behar Esmaili, who brought an enthusiastic perspective on how occlusion affects the entire physiologic and postural system. The subject of a stomatognathic consideration to the cervical, cranial and occlusal system with the cervical spine as the primary driver of the system was reinforced this weekend.

Postural Restoration is an interdisciplinary institute and that was reflected in the backgrounds of the attendees. Cervical Revolution bridges a gap, as does PRI, with many professions with respiration sacred to physical therapists, the atlas/spine with chiropractors, the cranium with osteopaths and occlusion with dentists. Mix in ATC's and fitness professionals for performance and this course, as well as every other PRI course, has a wide appeal and utilization for many health care disciplines.

Having four faculty members in attendance is rare unless a course is given in Lincoln and the energy with vast clinical expertise of Louise Kelley, DPT, Jason Miller, DPT and Craig Deperschmidt, DPT was appreciated by all. Louise Kelley, DPT will soon be ready to teach Cervical Revolution and her ability to describe testing and non-manual techniques, especially the Standing Stomatognathic Squat, was a "bonus" contribution to the weekend and was also greatly appreciated. The discussion of the A/O articulation being highly neurologic/autonomic went from a theoretical consideration in opening remarks to real lab experience when several "extension driven" students, with PRI Cervical repositioning non-manual techniques, got to experience first hand what neutral feels like. Thanks to all of the Pro-Active Staff for hosting this past weekend and this entire group of professionals that took time out of their schedules to "revolve" with us!

Postural Respiration was presented at Thrive Proactive Health to an enthusiastic group of diverse healthcare practitioners including PT's, PTA's, a DC, personal trainers, a massage therapist and a physician assistant  .  More than half of the attendees were brand new to PRI as this was their first primary course.

 
A student's first introduction to a PRI primary course can seem exciting, daunting and often like a quantum paradigm shift with an introduction to asymmetries, lateralization and neuro-respiratory driven biomechanics!  Understanding respiration is the key that has the potential to unlock the mystery of how we position a pelvis with a diaphragm, which leg we favor for stance, how we regulate airflow into chambers of the thorax and especially what drives "sense" position and pressure neurologically. Understanding and defining the multi-dimensional neuro-respiratory components of posture as it relates to the asymmetries that exist in the human body, what position we typically live in as humans and then learning how to test and treat objectively and effectively is a major shift in thinking about patient care as well as living in our own body.


It is safe for this faculty member to say that every time a faculty member teaches a course, in some small or large way, we all remember what our first PRI course was like and how new PRI concepts are to the first time student. That is the challenge and fun of teaching, watching "light bulbs" of awareness and discovery come alive in new students and new insights and skills being developed in returning veterans that keep coming back for more PRI as they build their skills and knowledge!

 
Thrive Proactive Health is an ideal location to provide courses and many thanks to Julie Blandin, PT for providing this state-of-the-art facility, enrolling her staff and especially being an experienced veteran of PRI, first rate lab assistant and sharing her clinical experience and competence with all attendees.  Many thanks to her staff for set-up and clean-up including Matt, Dante, Taylor, Karyn, Brittany and Kate!   

Posted November 22, 2021 at 9:58PM
Categories: Courses Science

Essex Physical Therapy near Burlington provided a warm welcome to students and PRI faculty that matched the fall colors of a Vermont fall season. This facility is a dream location for learning PRI principles and provided a perfect learning environment for all of the students in attendance.

Cervical Revolution is the secondary course that introduces "top-down" and autonomic function guiding movement that is reciprocal and alternating. The heart and soul of this course is the atlas and occipital articulation which is autonomic in nature given the location to the brainstem anatomically. From that articulation the course builds into normal cervical spine coupling, compensatory coupling, occipital influences on a sphenoid, sphenoid to temporal bone, temporal bone influences on the entire system including mandibular/occlusal position and finally to right torsion as a pathologic compensation of the cranium that originates at the O/A joint.  This course integrates sense from top down and ground up including pressure sense generated by respiration, autonomic nervous system regulation of balance, sight, occlusion and especially alignment, position and dynamic tone and tension of the cervical spine.

In addition to PT's in attendance, there were athletic trainers, strength professionals, massage therapists and two doctors of chiropractic in attendance with one of them also being a PT. Our discussion on Saturday morning included speaking of the atlas and that chiropractors have always held this articulation with high reverence observing it's role in overall wellbeing and neurologic function. Ron Hruska also has seen this relationship for years, and as a chiropractic physician, I appreciate Cervical Revolution so much as it brings our knowledge of the cervical spine, and how it specifically relates to overall function of every system in the human body, to a practical clinical application combining objective testing with powerful and effective treatment.

Fellow PRI faculty member Louise Kelly, DPT, who is training to teach this course, was our lab assistant and my sidekick during the weekend and courses always are easier to teach with her energetic input, insights as a masterful clinician and ability to break down PRI Non-manual techniques. Many thanks to her and many, many thanks to Estelle La Clair and the entire Essex Physical Therapy staff for their support, organization, food, set-up, clean-up and overall spirit of learning this past weekend!

 

Posted November 10, 2021 at 10:31PM
Categories: Courses Science

The Cervical Revolution Course last weekend was taken to a new level in it's development of being the course that introduces " top down" concepts and the neurologic connection of the body with the brain and cranium.  What made this cervical-cranial-occlusal course extraordinary had many components. The technology provided by an international audience online revealed a growing international hunger for PRI. From the Western Pacific, Australia, Japan, Hong Kong, New Zealand and Singapore were represented. On the other side of the world students from Canada, Iceland, Belarus, Malta, Ireland, Poland and the UK were present as well as all over the USA. There was a great local representation from Nebraska in the live audience that provided energy and interest with questions, feedback and lab demonstration that all in attendance benefitted from.


One of the best questions, and one that is central to this course, is how is it that the occipital bone can move into A/O flexion on one side and A/O extension on the other if it is one bone? During tri-planer movement of this highly neurologic joint a sliding or gliding of the condyles of the occiput in the fossa of the atlas provides a rocking motion the looks like a bowl (occiput) rolling in a tri-planer motion side to side with one side going up and forward as the other side is coming back and down in a balanced alternating fashion. If this alternating/oscillating movement ceases to occur driving the occiput down into the atlas coming up on the ride side, torsions that are torque-like scoliosis patterns occur in the cranium. Hence, in this regard, the neck runs the neurologic and cranial/occlusal system.

Cervical Revolution, Postural Restoration Course, Secondary Course


What really made this course is not only the student participation and international diversity, but Dr. James Carlson, a world renown dentist, was in attendance. As the course got deeper into the cervical-cranial-occlusal subjects, this instructor went to student mode personally and asked Dr. Carlson for his input. I'm not sure if new students realize what a special opportunity it was to have Dr. Carlson describe occlusal issues as it applies to this course and a holistic approach it provides to all healthcare disciplines in attendance.


What then added to this course was to have PRI faculty members Louise Kelly and Dan Hoglum in attendance. Big "wow" factor for the entire weekend. Louise broke down the Standing Stomatonathic Squat in such detail that described a bottom up and top down integration of ground, vision, occlusion. She will be teaching Cervical Revolution soon and not to be missed!  Dan Hoglum is the Impingement and Instability "rock" in PRI and provided a powerful, concise description of one of the main concepts of this course being "Top Down"!  Both Louise and Dan brought "extra credit" and value along with Dr. Carlson to all our learning experience.


There is no way this weekend could have been pulled off without Jennifer Platt getting to the institute early and the last one to leave the building to facilitate the entire weekend and make it a successful learning environment for all. None of this could happen without her. Not only that, but Jen has so much experience in these courses as well as PRIVY and her knowledge and sharing what she knows gave this weekend so much more depth and color. To my "co-instructors", Dr. Carlson, Louise, Dan and Jen thank you all. And to everyone in attendance thank you for being such a great group!

Posted October 5, 2021 at 4:06PM
Categories: Clinicians Courses Science

The Midwest started warming up to a balmy 22 degrees on the way to reaching almost above freezing on Saturday morning for the first Postural Respiration Live/Live Stream course this year. There were seven live attendees some of whom drove over 5 hours on slick and icy roads to take their first Postural Respiration course while almost 40 others from all over the country, and even internationally from Slovenia, attended this course. Ron and I had a discussion the day before I taught and it was a real inspiration to be able to emphasize to the new students the concepts of not just rib movement and diaphragm function but the importance of pressure and flow inside a chest wall and how that not only affects position and posture but every system in the human body. We spend a lot of time on the orthopedic consequences of neurologic patterns in this course but it is what is inside the chest wall in terms of how we direct air into chambers and how that affects whether ribs move up or move down, and torsos left or right as a critical element of Postural Respiration and all PRI courses. The Posterior Mediastinum has become more of an emphasis than ever before along with the role of the first rib in initiating the lifting of the rest of the ribs below it during respiration. This class really got the relationship between the right apical chest wall and the left posterior mediastinum with the role of how important inhibition to these chambers of the chest wall is.

One of the non manual techniques we focused on was the Standing Serratus Squat and the importance of learning how to perform it. This is one of PRI's more difficult positions to competently perform and that there are often precursors, especially with reaching and squatting techniques, to help facilitate this most important technique. Just because it is challenging to perform doesn't mean that students shouldn't master it and then teach their patients. This is one of many techniques that help strengthen an individual's diaphragm and give them a "sense", which was one of the key words of the weekend, of thier ribcage moving backwards!

And for forward locomotion, that is, to move forward, one most move a ribcage back! Questions came in fast and furious which is a delight for instructors since it helps to gauge where the attendees are in their understanding and to reinforce and repeat concepts that are needed to provide a good foundation to understand this course well enough to begin to apply. The students in this course were helping teach Postural Respiration by their re-states and questions with energy and enthusiasm. Shout out Meghann Vanslager and Jennifer Bacon who drove from Kansas then had a 5 hour drive home with work the next day! Thanks to Ian Katanec for being on a 9 hour time difference in Slovenia and everyone else that spent their weekend with us as over half of the attendees that were either brand new to PRI or first time attending Postural Respiration. Most of all, thanks to RJ Hruska who was my wingman performing audio and visual expertise with changing camera angles for lab and keeping things going smoothly during these virtual attendance times.

Posted March 3, 2021 at 9:07PM
Categories: Courses Techniques Science
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