Posts by Skip George

Chiropractor

Several months ago Ron asked me if I would like to come to Lincoln and co-teach Cervical Revolution via Zoom the last weekend in June this year. Our discussion took place as the Covid Crisis was peaking and getting on a plane, even a nearly empty one, wasn’t on my bucket list. I thought, heck, we are in the middle of a national health crisis and what could be my options? Then it hit me. Road Trip!


Yes, I decided to drive from La Jolla to Lincoln in my pick-up truck via Jackson Hole, WY, the Grand Tetons and Yellowstone National Park and get back some of my long lost cowboy along the way!  What a trip and the opportunity to wander and explore some of the most beautiful places in this country and wildness anyone can imagine. The harmony of beauty and wildlife of the “American Savannah” was a perfect place to be while leaving the pandemic behind. Masks and appropriate distancing along the way of course with a can of grizzly bear spray on walks away from the maddening crowd was just what was needed! The animals in the Tetons and Yellowstone are accommodating, some more like hams, for pictures and conversation as long as you keep your distance. Bears, marmots, osprey, bison, elk, white pelicans, Canadian geese, swans, hawks, eagles and beavers were a few of my friends on this part of my solo journey. Though I had ridden horses in my youth and used to guide stable trail rides as a teen, I hadn’t been on a horse in over 30 years and it felt natural again to be on “Baby”, a seasoned trail horse of the Grand Tetons. John Denver’s ballad “A Song of Wyoming” was playing gently in my mind all the while as I got my cowboy restored for just a little bit. The Millennial’s right about now are having an “OK Boomer” moment wondering who’s John Denver?


After 9 days in the Tetons it was time to head to Lincoln, NE via the Native American Wind River of Wyoming and the Rattlesnake Mountain Range beyond headed to the Plains. Well howdy, I am off to the next adventure with the Hruska Clan and my PRI “Fam”. We had 4 days together for catching up, recording a new PRIVY with Ron and I and then co-teaching Cervical Revolution.


Every PRI course has the same basic outline that is followed over the weekend but every course manual has many times the information that can be covered. Every time a  PRI course is taught, even if the same course, it will be different depending on the questions asked by the students and where the faculty member is in their understanding of the material. This course was no different and both Ron and I were able to interact and expand on what each of us were presenting. Teaching with Ron is so fun since he is always pushing the limits of understanding of this science.


What was fun for both Ron and I was that he got to be a patient for the first time in a course as I performed cervical tests on him. Teaching via zoom is the new world for all of us for now at least and this was my first experience being on the transmitting end of things. Jen Platt is a master at organizing and facilitating the experience and her behind the scenes prepwork is irreplaceable. The interaction was engaging and totally fun with students from all parts of the country as well as other countries including Japan, Australia, Canada, Europe and California! Performing a lab with a student without being right there “hands on” has become an art with Ron and is a powerful way to illuminate how to affect lateralization and sagittalization for the purpose of restoring neutrality. The atlanto-occipital junction is a highly reflexive and neurologic region that has to be respected and integrated into any PRI program. Included this weekend in the opening remarks was “Cervical Revolution by the numbers” which include this is the fifth appendage, is highly neurologic, reflexive, has two main openings, needs just the right amount of tone and most especially the fact we have two necks. These two necks need to oscillate back and forth and brainstem via the A/O joint is regulating everything that goes through it!  


The relationship between the cervical spine, especially the atlas and occipital bone, the cranium and occlusion was defined and explored as Cervical Revolution is becoming much easier to understand as the course content has been refined and described in a powerful more concise way. Thank you to all the students in attendance including Mike Cantrell and his input during the course. Thank you Jen Platt for your making this course happen along with RJ, Hannah and Matt. And Ron, Thank You for the opportunity for my road trip and an opportunity to team teach with you. All of us faculty members miss live courses, our PRI family, friends and peers that take these courses, and the opportunity to share PRI with our colleagues.

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Course Attendee Testimonial:

"I am writing to express my huge gratitude to you, Ron and Skip for the amazing work you all have done over the last two days. Yesterday we finished the course at 12:30~ AM my time (Malta), now it's 6 o'clock in the morning and I woke up just because I could not wait to share it with you.


So yesterday after "Standin Alternating Reciprocal Cranial Expansion" I shared that I felt click on the right temporal/jaw area followed by the left click every time during end exhalation while  standing on the right leg. However maybe due to the stress of first time being on the camera in my life, maybe sitting all day, or maybe that I kept playing with my left posterior mediastinum before - I did not feel very differently after the technique when Ron asked me about it. However, about 20-30 seconds after the attention shifted away from me, stress levels went down, I suddenly felt something different. It was hard to explain what it was, but it felt like there was a "huge beam of attention" striking to my left leg. I didn't share it right away since the state I found myself in felt a bit confusing and I wasn't sure what I was feeling. So right after the course finished I went to a hot shower and as I was in there, I decided to repeat the technique. The same click was there again, I stayed in it for a few breaths longer than before. And suddenly the world has shifted. It felt like my right side shrank down, it felt like I became smaller. Suddenly I felt like I just opened my legs and had them wider, although my legs didn't move. I went to sleep, and I woke up on my back which never happened in my life, as normally the only position I can fall asleep in is on my belly. Not only that, but I had a pillow shoved in under my right lower ribs, which I found super strange as I don't remember myself doing it (maybe related to my right lower ribs being "shifted" back as I am ex-boxer and had them broken 9 years ago and they healed in the retracted position).

 
I woke up feeling different in a really really good way, and I jumped out of my bed feeling sore regret  that I didn't get the chance to share this with the other course attendees. Now I know what it is to be a BELIEVER in what you were teaching!

I bow my head to you Jennifer, to Skip and Ron! You guys are my heroes, and I can not express how thankful I am that you are taking the world of "non-denominational" health into another dimension! I feel like this is the best course I have ever taken in my life. And I will continue to take courses from you! I believe you guys are God gifted to bring this message to the world and you are doing a miraculous work of fulfilling that duty! I am hooked, and I hope to someday stand with you guys on the same boat of understanding, and I will put daily effort until I get there!"

- Timas (Malta Island)

Posted July 7, 2020 at 4:12PM
Categories: Courses Science

Pasadena Physical Therapy was the location of last weekend's Cervical Revolution. Locatelli Rao, P.T. hosted this course and it is always a pleasure to share time and knowledge with "Loc" on this PRI journey. I first met Loc two years ago in L.A. when I taught Postural Respiration and the questions he was asking then and now are some of the best. What is really gratifying is when a student can take a complex subject, like Cervical Rev, and break it down into component parts to provide a simple, sequential and detailed description of the concepts of the course. This has been a goal in Cervical Revolution to have students take a course and "get" the primary concepts with motivation to go back into the course manual and absorb more completely the material. Application on Monday morning means just getting the most important concepts, start to practice examinations of the cervical spine/neck, know the basics of what they mean and then experiment and provide PRI techniques! Yes PRI courses make our brains hurt a little as most students will attest while their enthusiasm for more expands with their craniums! One of the most powerful PRI techniques and taught in this course is the Active Left Lateral Pterygoid in Protrusion. After testing a student in lab with bi-lateral positive findings, this technique with just a few breathes demonstrated how powerful inhibiting a Right TMCC can be with a left lateral pterygoid. Not only was the R TMCC inhibited, but so were the BC and AIC chains bilaterally.

PRI Cervical Revolution Course - Skip George

PRI Cervical Revolution - Skip George
Follow up recommendations included Standing Cervical Cranial Repositioning with a Supine Active Sacro-Spheno Flexion which were demonstrated in lab with other students all producing immediate neutrality.  A manual technique was provided on another student in lab called the Frontal Occipital Hold who was also bilaterally positive in testing. After this technique, he was neutral upon testing. That was astounding to all, especially this instructor! This course is really about autonomics and reflexive oscillatory function of a neck that has to be free to turn. Cervical Revolution is so fun to teach because of the power in it's application just like all the courses in PRI. Big Shout Out to Chad Moreau, D.C., CCSP, PRC for being our lab assistant again. Your support and presence always brings a positive force to the room. Thanks again Loc for you support, questions, restates, hosting and always expanding your knowledge. 

 

Posted February 18, 2020 at 5:28PM

The New Year for PRI was kicked off with the first Cervical Revolution course hosted by Advance Physical Therapy January 18-19th. This host site is a Postural Restoration Center with some of the most experienced and professional clinicians I have ever met. Their experience and  knowledge of PRI, Schroth Method for Scoliosis, pediatrics and working with dental professionals for occlusal reference is truly interdisciplinary and artful in approach.

Cervical Revolution has  had a lot of "evolution" this past year with a refined, step-by-step description of atlas on occipital bone position that is clear cut and more easy to understand in the Right vs. Left TMCC. This weekend students learned to appreciate and understand what seems to be at first the challenging subtleties of atlas on occipital function. Visualizing how "A" on "O" drives the sphenoid and how the sphenoid positions temporal bones and ultimately the jaw for a tri-planer picture of how the neck, cranium and TMJ complex affects the entire postural system seems daunting to everyone at first. In this course, autonomics is a prime focus as the neck is the neurologic appendage that drives the rest of the body.


This high level PRI group of practitioners was engaged from the first minute on Saturday to the last minute on Sunday actively asking questions, contributing to the professional dialogue and just working really hard to take in the detailed insights of an advanced PRI course. And then, be enthusiastic about how to apply the basic concepts of this course on Monday morning. This weekend there was a strong emphasis on the basics with a straight forward path to application of course principles.

This was a dream course for any faculty member with this kind of energy and participation from students. What made this course rewarding for me was the staff at Advance Physical Therapy. It was such a comfort to be with physical therapists and PRC's Lisa Mangino, Jean Masse, Joe Belding, Susan Henning, Josh Olinick from STEPS for Recovery, Sangini Rane and of course Jennifer Smart in attendance. Jennifer Smart will be presenting at the next Interdisciplinary Symposium in April and her presentation is not to be missed! In addition, this group of veteran PRC's offered clinical discussion and were all lab assistants in one way or another to lighten the load for the entire class and elevate everyone's experience. Shout out to Angela Ellis, DDS who works with Advance Physical Therapy. She is a dentist and was a first time attendee to a PRI course and she could not have been more delightful and engaged! Thank you again Advance Physical Therapy for hosting Cervical Revolution and supporting PRI.

Todd Robbins, PT hosted Postural Respiration at one of his facilities, Robbins Rehabilitation East, this past weekend in Easton, PA.  One of his trusted friends and former co-workers, Brian Buetel, PT, had been telling Todd about PRI since his first PRI experience and strongly suggested to not only attend but to sponsor a PRI primary course. Todd jumped in to be the host while attending his first PRI course. He also brought and personally sponsered nine of his employees with him.  And what a weekend it was for all attendees with two thirds of the class brand new to PRI!

The first PRI course experience can be exciting, challenging, over-whelming, a refreshing change to a status quo, a paradigm shift and very much like being fed water by a fire hose! What is so fun for a faculty member is to see students repeat back a new awareness and concept, put it into an application they experience during the weekend and have an enthusiastic response of wanting more PRI. This weekend was full of these new awareness moments- like the before and after of a non-manual technique or a new way to look at testing that always can be traced back to what shape and position the diaphragm is in and how it drives position of a pelvis and ribcage. Another insight that is always big is that one of the most important muscles of respiration is the left hamstring while IO's and TA's pull a ribcage down, in and back like "hay hooks". The class could see in a new way that muscles on the one side of the body are deficient and some are biased driving us laterally to an end-range position we rely on for a perception of stability.   Superior T-4 is always an added layer of discrimination of patho-mechanical accessory muscle respiration superimposed on top of dominate patterns and position. Watching apical expansion become positive on the left during lab after the Superior T-4, or get air into the right chest wall technique, and the reasoning behind it, was a huge eye opener for the entire class.


Many thanks to Todd Robbins, PT for bringing his PT staff to Postural Respiration.  It is a leap of faith to try a new approach and he and his crew jumped right in with energy and curiosity.  Big thanks to Brian Beutel, PT for sharing PRI with Todd and being the host site contact this weekend.  His help and support was an instructor's dream and I hope to return soon to Robbins Rehab East. They already have another PRI course subject scheduled for next year. And last but not least a HUGE thank you my veteran lab assistant, Jon Herting who was a valuable resource throughout the weekend!

Posted November 14, 2019 at 4:59PM

Alpine Physical Therapy has been the center of advanced PRI courses for over two years. The three amigos, Chris "Murph" Murphy, DPT, PRC, Jeremiah Ferguson, DPT, PRC and Eli Zygmuntowicz, DPT, PRC hosted Cervical Revolution at their facility this past weekend and it was a pleasure seeing the guys again and having their support hosting this course. Cervical Revolution has been evolving for the past two years with course manual changes, thanks in a large part to Jason Masek, MSPT, PRC, and his diagram of the atlas and occipital bone in the left and right TMCC pattern. One of the biggest learning challenges in any PRI course is to connect a pattern to position and have a tri-planer picture in mind from a two dimension drawing from a book. Jason's description is a vital learning tool to understand position of atlas relative to occiput before the discussion of occiput on atlas in a patho-mechanical compensation called right torsion occurs.  

Postural Restoration Cervical Revolution course

In addition, several revisions to the course manual have been made with the help of Ron Hruska and Mike Cantrell to make this course flow even better.   The emphasis has become even greater on the O/A junction being the driving factor for autonomics, cranial position and especially oscillatory lateralized function. The connection with the L AIC, R BC, R TMCC and LSB cranial position, and the need to alternate and reciprocate, was integrated deeply this past weekend with ample lab time and insightful clinical discussion.

Cervical Revolution Postural Restoration

Attendees in the course included six PRC's as well as practitioners on the verge of becoming PRC's with much PRI exposure and practice.  Along with the "veterans" there were practitioners with just a few PRI courses under their belts including PT's, myofunctional speech therapists, and strength and conditioning personal with a strong emphasis on working with baseball players from little league to the pro's.  Joseph Yousefian, DDS, an orthodontist, was in attendance for his first PRI course.  He was thrown right in the middle of PRI nation and was such a valuable voice when it came to occlusion and a dentist's perspective.  In this course the discussion on occlusion is one that is interdisciplinary, and that more often than not, we need to work with a specific dentist to help with occlusion to "free up" a neck and let it revolve!

Thank you to all attendees and especially Murph, Jeremiah and Eli. I also want to thank Ron and Mike for their mentorship over the past two years. They have been so generous in their time and energy helping me understand the content and learn how to teach Cervical Revolution. This was my first solo Cervical Revolution as a faculty member and it was such a rewarding experience to be so well prepared with the help of Ron and Mike. Also, thank you to Jennifer Platt, MPT, PRC for all of your mentorship, emails and phone calls in this learning process!

Rosencutter Ultra Fitness, also known as Rosen-Cutting Edge Fitness, was the location of their second hosted PRI course this past weekend. Nick Rosencutter is always looking for a way to help his clients improve whether it is thru strength and conditioning, nutrition, the latest in soft tissue workand especially PRI as it applies to performance and rehabilitation. Rosencutter Ultra Fitness had six of their trainers in attendance including Nick and they have a team approach integrating PRI into client programming. Position prep is part of their programming to provide sense awareness for neutrality before, during and after workouts. We discussed this weekend that PRI loves extension for power and performance--we just don't want you to stay in extension. Equally, and perhaps more important, is the issue of rest and neutrality via flexing into neutral with adequate rib internal rotation.

The job of strength and conditioning professionals is to help clients and athletes become stronger, faster, more skilled at movement and especially durable whether you are a grandmother picking up grand kids or an olympic speed skater. Since this class was attended by so many strength and conditioning individuals, the issue of "saggitalization" was explored as well as the ability or inability to maintain or achieve competent transverse plane-ability in rotational sports. Since all sports require rotation for power and performance, the ability to orient a pelvis fully left and right then have adequate and full counter rotation of a ribcage is a must for what is known as separation of torso and pelvis.

Testing and non-manual techniques are always "ah ha" moments as they relate to position pelvis, femur, ribcage, scapulae and even neck. What is driving these positions in this course and the best answer when a student is called upon? The diaphragm of course! Manual techniques included the big three that we cover in Postural Respiration as well as a two person infra-clavicular pump that is often needed for a person that loves to stay in extension even after the best efforts via non-manual techniques to get them neutral. Also in attendance were physical therapists, a massage therapist and an ATC from Alaska who was travelling locally with the hockey team he works with. Shout out to Nick and all of his staff for their support and enthusiasm this weekend.

Posted September 19, 2019 at 4:05PM
Categories: Courses Techniques Science

"Wow" was the word of the weekend at Cantrell Center for Physical Therapy, Sports Medicine and Wellness. This was one of the most enthusiastic groups this faculty member has observed with half of the attendees being new to PRI. In addition, The Cantrell Center had half of the total number of students in attendance which made this a real team effort for their facility and created a stronger culture of PRI for their facility. What I loved about this group was the balance of great questions and re-states from every one of the new students as well as the "veterans". There were two PRC's, including lab assistant Ken Smith, who stated what we all experience attending a PRI course-no matter how many courses we have had is that there is always more to absorb and learn!

Cantrell Center Exercise Physiologist "Gentle" Giant Jalen Lawrence asked some great questions on how to apply PRI to power lifting and being able to learn how to better "axial load" when lifting. This was one of the most important questions for his athletes. In addition, we discussed that PRI loves extension for performance. We just don't want to live there all the time and that flexing and internally rotating ribs is needed to down-regulate a system and help restore autonomic balance. HRV or heart rate variability was discussed in the context of Postural Respiration concepts. Autonomic function with parasympathetic inhibition upon inhalation vs. parasympathetic facilitation upon exhalation was discussed as a needed balance for HRV. Since breathing is such a common dysfunction, considering most of our patients present in a hyper-inflated, neurologically extended state, understanding diaphragm function and airflow management is a critical issue. This is not only an issue with people that come into our clinics with pain and dysfunction. It is a performance/recovery issue as well. Shout out to Mehmet, Marion and Michael from Florida who asked great questions and brought great energy. Thank you to all in attendance for making my weekend flow so well with all of you especially the "Cantrell Gang" who can collaborate and apply PRI in a supportive setting. Ken Smith, PTA, PRC was golden as our lab assistant and his energy helped move all of us along. Finally, thank you Tassie Cantrell for such a beautiful facility, great food and wonderful staff that attended and helped all weekend with set-up and clean-up duties.

What a group of course attendees that came to Postural Respiration hosted by Alta Bates Summit Physical Therapy in Oakland, CA! First timers really shined in terms of curiosity and questions to absorb the foundations of PRI. There were students that traveled as far away as Alaska, Hawaii and Washington State. The course started out with definitions. What is posture and how do you define it? What is neutral rib alignment in a dynamic, tri-planer context? What does respiration have to do with posture and alignment?

Skip George presenting Postural Respiration for the Postural restoration Institute

Skip George demonstrating thoracic rotation at a Postural Restoration course

The veterans with PRI were exposed to the new and revised Postural Respiration course and the feedback from them was really enthusiastic. One of the new attendees wanted just a little more lab time so he was chosen as the subject of a review of all of the AIC/BC tests Sunday afternoon. Non-manual and single person manual techniques did not get him inhibit is neurological system and at 3:45pm on Sunday, a little PRI magic had to appear! After all, it was the bottom of the ninth, nearly 40 pairs of student eyes are watching and is the student going to experience what it is like to be neutral for perhaps the first time since he was an infant? Taylor Lewis, PRT, a veteran lab assistant (And great guy who uses PRI with Cystic Fibrosis patients) assisted with a two person infraclavicular pump. This young athletic man who was demonstrated on was also a prime example of what one would imagine as having perfect posture on visual inspection (could even win an award for it!) standing nice and tall. Problem was, all of his PRI tests were positive and he was neurologically extended head to toe! After this two person manual technique was performed, all PRI tests became negative, much to his delight including class attendees and maybe even the course instructor! He sat up and said "I feel sooo good and relaxed!".

Lab demonstration at Postural Respiration course

Lab this weekend with testing, non-manual techniques and manual techniques was totally fun for everyone and was a great balance to didactic learning going from concept to experience and then having this last lab to send everyone home with as to what is possible when you just keep exploring treatment options with PRI techniques. Thank you Taylor Lewis, PRT, Carol Kahn, PT, PRC as my lab assistants but also thank you ,Tim Dempsey, PRT, for attending while also helping as a third assistant over the weekend. These courses take a lot of work by the host site. Thank you Shaun Buchanan, PT, Marcela Larrondo, PT, Joan Sheppard-Mellows and the rest of the supporting crew from Alta Bates Summit Physical Therapy.

90-90 positioning PRI

PRI Lab demonstration

Mizzou Therapy Services located at the Missouri Orthopaedic Institute hosted it's first PRI course, Postural Respiration, this past weekend in a beautiful state-of-the-art facility. What made this weekend significant was that nearly two thirds of the attendees were from Mizzou Therapy Services or new to PRI. This holds the promise of a great opportunity for these therapists to collaborate, practice and potentially master the manual and non-manual PRI techniques taught this weekend.

This is the first time this instructor has taught a course with so many participants from the same facility and the energy and enthusiasm from these talented therapists was inspirational! Since most of the class was new to PRI and attending their first course, PRI principles were broken down in detail to provide a solid foundation to a brand new paradigm. Many of the therapists immediately saw the value of Postural Respiration with working with their COPD patients, athletes from the University of Missouri as well as geriatric populations.

Postural Respiration has been updated and revised just this year and Posterior Mediastinum could be another name for this course. Patterns, position and posture of the diaphragm affecting every vital system in the body were defined and explored this weekend. Columbia, MO is a great college town and has tradition at their sports games from their fans. On one side of a group of fans they will shout " M-I-Z" followed by the other group answering "Z-O-U!" for MIZZOU! This weekend the therapists at Mizzou Therapy Services have a new chant which is "M-I-Z" ---"Z-O-A!" for the new awareness of "Zone of Apposition" as described in Postural Respiration!

Many thanks to Joe Pope, PT, PRC for driving in from Eldon, MO to assist. His expertise and skill at describing and expanding on PRI principles and his lab assistance was invaluable. Joe is thoughtful and articulate with his responses and patience. Thank you to all of the staff at MTS including Lindsey, Laura, Mackinzie, Barbie, Katie and all others that helped to organize and clean up at the end of the day. Your energy and assistance with providing such a great facility was much appreciated.

Posted February 8, 2019 at 7:06PM

Santa Barbara is one of California's beautiful towns and would be considered one of our seaside gems. Prevail Conditioning and Performance Center was the location of Postural Respiration this past weekend. Owner and operator, Peter Blumert, provided a superior training facility for this weekend which followed his hosting Myokinematic Restoration last November. This weekend was a first for PRI! We introduced our latest revision of Postural Respiration. This course is packed with new material including a new test for posterior mediastinum inhibition called the posterior mediastinum reach test. There have been new documents added to support PRI concepts with loads of references for this course. In addition, case studies have been added and were a big hit with our students!

This was a course loaded with professionals in not only physical therapy, athletic training and sports performance but included an osteopath as well. Postural Respiration really describes how the diaphragm affects every system in the body. This course connects pelvis position to the ribcage and illustrates that breathing can be viewed as the gait cycle allowing ribcages to actually walk! That seems like such a far-fetched concept to those new to PRI on day one of the course and seems like such a bold statement. By the end of the weekend, every student could see that breathing is walking and the diaphragm and ribcage position and posture is key to tri-planer, dynamic, balanced gait.

We also had a chance to introduce the effects of the diaphragm and the ribcage to the cervical spine and jaw as well. The connection with Postural Respiration and the neck and jaw was experienced by a student when testing HGIR, or internal rotation of a Humerus in a glenoid fossa. She experienced jaw pain during HGIR testing and learned there was a connection of the Omohyoid with shoulder blade, neck and jaw. This was reinforced when the manual technique to release her subclavius muscle was demonstrated. Not only did this technique make her tests neutral but her jaw pain was gone. She also understood that with any manual technique, a non-manual technique and progression via treatment guidelines will be needed. Needless to say she was enthusiastic about continuing her PRI journey! Thank you to Aimee Miyazawa, ATC, PRT for being a seasoned veteran of PRI and a wonderful lab assistant. Thanks again to Peter Blumert for hosting this course as he welcomes Pelvis Restoration later this year.

Posted January 24, 2019 at 9:00PM
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