Posts by Dan Houglum

MSPT, ATC/L, PRC

This was the last offering of Myokinematic Restoration for 2019. And what a way to end the year! We had a great group of chiropractors, athletic trainers, physical therapists and PT assistants,  strength coaches, personal trainers, and cranial therapists.  I was very excited to get to sunny northern California, as the we got 4-6 inches of snow the day before I left. Which made for a miserable Halloween.  

Fortunately, only treats and no tricks with PRI! This course affords us the luxury of spending a lot of time in lab.  Nearly 40% of the class is spent in lab, which provides the attendee ample opportunity to find, feel, and experience the science of PRI. This course also provides ample time for us to discuss, explain, and digest the Hruska Adduction and Abduction Lift Tests as a means of determining one's ability to walk and breathe. If walking and breathing require compensation, everything will require compensation.  

We had a great discussion about sympathetic vs. parasympathetic nervous system activity related to pelvic positioning, foot and ankle performance, and how the acetabulum position dictates femoral activity.  

My thanks to Shaun Buchanan and Joan Shepherd Mellows for hosting us and all the logistical work that goes into a successful weekend.  My thanks to Jenn Gaskin, Brian Schulman, John Garland, Cody Gilliss, Michael Serrano, and Tracy Henry for all of their great questions and help during demonstrations.  

But this weekend wouldn't have worked nearly as well if it weren't for Will Waterman, PRC, and Tim Dempsey, PRT. They were fantastic lab assistants and were a great help during the entire course. Without a doubt, they were instrumental to helping this diverse group digest this information. Looking forward to 2020!

Posted November 11, 2019 at 5:04PM
Categories: Clinicians Courses Science

If you have attended Myokinematic Restoration in the past, but not since the course received a make-over in 2016, I suggest you strongly consider attending. If you haven't started your PRI journey, this course is one of the PRI introductory courses, and is a great way to begin that journey. A couple of changes that were made in 2016 that I appreciate compared to the version I first took in 2004 are that now we have a lot more time for lab, we are able to discuss and spend time in lab on both of the Hruska Lift tests, and we are discussing some ankle mechanics related to the L AIC pattern.

 

This most recent Myokin class is an excellent representative sample of these changes.  This class was nearly 40% lab.  So everyone was able to find, feel, and experience the muscles required to inhibit the L AIC pattern.  We were able to spend a solid amount of time on the Hruska ABD and ADD Lift tests with lab and explanation of both tests.  And we had a lively discussion about how calcaneal position and mechanics influence and are influenced by the L AIC pattern.

This class had a lot of great participation, as every single participant asked a question, which helps everyone learn. My thanks to Ken Guzzardo for hosting our course. My thanks to Amy Corbin, Amanda McDevitt, Jaclyn Marino, Ivan Salazar, Kristian Flores, Aidan Scotland, and Jamil Skakoor for their excellent questions and re-states. Really, my thanks to all the course attendees for their interest and many awesome questions.  

It was a true pleasure to have Neal Hallinan as the lab assistant. He's a PRI Black Belt, and he's speaking at Interdisciplinary Integration in April 2020. He's going to kill it! 

Posted October 28, 2019 at 4:48PM
Categories: Clinicians Courses Science

Jason Miller, PT, PRC, was our host for Myokinematic Restoration last weekend in Missoula, MT.  Jason has been using PRI for quite a while, and this was a great opportunity for Jason's co-workers to get exposed to the science of PRI.  Nearly half the audience were from Jason's facility, which will really assist those new to PRI in their journey.  It's always easier to have co-workers along side for the ride.  My thanks to Marla, Seth, Samantha, Kristina, Kailey, Erika, Jessica, and Sydney, as well as Jason's wife, Jill,  for their willingness to learn and ask great questions.  

Dan Houglum, Myokinematic Restoration, Postural Restoration Institute, Primary Course

It was a great group of movement professionals, and a nice mix of those new to PRI, and those who had been exposed to PRI previously.  We started the weekend talking about positional influences on femur position and performance, as well as why and how AF position directs FA performance. We proceeded into which muscles are available and unavailable while in the L AIC pattern. This introductory 5.5 hours of didactic information is the foundation upon which the rest of our weekend was built. And it will provide a solid foundation for those new to PRI to build from as well.  

Myokinematic Restoration - Postural Restoration Primary Course

Once the groundwork had been laid, then we can start getting into the real value of PRI: getting off the right leg and onto the left leg correctly without compensation. The role the Hruska ADD and ABD tests play in that endeavor cannot be overstated. We were fortunate to have a lot of time to dedicate to these valuable tests. Additionally, we were able to experience, find, and feel inhibitory and faciliatory techniques, which allowed us to bring together both days of learning into a great time of lab.

Myokinematic Restoration - PRI Primary Course

We had a great crew of attendees. In addition to Missoula Bone & Joint group, I greatly appreciated Tim Cordial's questions, Amy Downing's help in lab, and Mandi Nystrom's willingness to be our volunteer during demonstration.

Again, my thanks to Jason and his crew for a great weekend. Looking forward to the next trip to Missoula!

As all the PRI Faculty will tell you, having the opportunity to teach a PRI course in Lincoln at the Postural Restoration Institute is kind of like a homecoming. Even though it isn't really our "home court," it does feel like it. That's a testament to Hannah, RJ, Sage, and, of course, Ron and Jen. As I said in our introduction at the beginning of the course, those new to PRI couldn't have picked a better course than this one for their first dive into the science of PRI.

Myokinematic Restoration, Lincoln NE, Postural Restoration Institute

It was such a great experience to teach with Kasey Aikin, our newest PRI faculty member. She did an awesome job, and I'm eager to watch her develop and grow into her new role. We had two other PRC's in attendance as well this weekend: Lisa Bartels and Jason Masek. They have been integrated in PRI for many years, and it was so beneficial to the attendees to have them in class and during lab. Additionally, we had five other attendees who had attended multiple PRI courses prior to this one.

Myokinematic Restoration, Lincoln NE, Postural Restoration Institute

Myokinematic Restoration, Lincoln NE, Postural Restoration Institute

With all the experience in the room, with Ron and Jen providing context during the course and lab, and with the interest and energy from the attendees, the course proved to be a very fertile environment for those new to the science of PRI. Kasey presented an excellent opening and really set the table for the rest of the weekend. We opened the course with discussing osteokinematics and myokinematics surrounding the relationship between the pelvis and femur. And we finished the day with a great repositioning wrap up, which lead us right into Day 2. Kasey again set the table with another stellar opening session, and the table was set for our day of lab.

Dan Houglum, Postural Restoration Institute

Our lab times were very productive and engaging. And a lot of it was due to where we were, and the expertise in the room. I have to thank Lisa, Jason, and Jen for their help during our labs. Kasey ran a great lab session on Sunday afternoon, as well. We were fortunate to have nearly 7 hours of lab during this course. We had a 4.5:1 ratio of student to PRC in the lab. I'm not sure the first time attendees realized how valuable the lab time was, and how much we were able to get out of the time we had.

My thanks to Jennifer Bacon, Meghann Vanslager, Kelli Reilly, Kellen Goertzen, Joe Siracusano, Kristen Wassung, and Benjamin Sandman for their wonderful questions. Honestly, we had great questions from nearly everyone in the room. I think every course attendee asked a question at some point during the weekend, which just shows how great a group we were fortunate to have. For many reasons, this particular Myokinematic Restoration course was unique, and Kasey and I feel very fortunate to have been a part of it.

It was a humbling experience to be on the campus of the Naval Academy teaching Myokinematic Restoration the weekend following Memorial Day. It's a weekend that will resonate with me for a long time for a variety of reasons. I have three relatives who have served in the Navy, so to be on that historical campus was truly a privilege.

It was also a privilege to be able to deliver PRI concepts to a fantastic group of diverse movement professionals. We had ATC's from the Naval Academy as well as from other institutions, LMT, Strength Coaches, PT's, and DC's. Mike Barnard, DC, it was truly an honor to meet you and I thank you for your questions and contributions to the course. With such a diverse crowd, we were permitted to expand our conversation points around many scopes of interest and practice.

Our course was held in Akerson Tower at the football field. During our course, the artificial field turf was being pulled up and removed. It was an apt backdrop for our course because, not unlike the football field, PRI was peeling off layers of preconceived notions in the minds of the course attendees. Once the truth of human asymmetry was revealed and the ramifications of it, we were able to start delivering a new layer of Myokinematic and neuromechanic foundation that they will be able to build on top of moving forward in their PRI journey.

Another unique revelation for me this past weekend occurred when fellow PRI Faculty member, Louise Kelley, and I met for dinner, and she brought her husband, Bruce. I can confirm, Bruce does exist, and we had a wonderful time Saturday night.

My thanks to Nate Nester, Jill Tender, Laurie Johnson, Ryan Carr, Greer Mackie, Vikram Somal, Christine Von Ulrich, and Johnathan Blake for their questions and their willingness to allow us to learn from them. Johnathan is going to be in attendance next weekend when Louise Kelly teaches Postural Respiration in Boston, which is going to be awesome! Cindy Anderson, PT, PRC, was invaluable during the lab portions of the class, as well as providing her valuable insight to delivering PRI concepts.

Progressing through the L AIC pattern, potential pathology that can result, and which muscles can and cannot work because of the position they are in is a lot for anyone new to PRI to digest. But we had many, many attendees who were able to digest the "why", so progressing into the testing and treatment portions of the class were relatively seamless. We were afforded a lot of time for lab, which allowed the attendees to experience getting onto their L side for the first time in a long time. This particular Myokin class will stand out for me because of where we were, the time of year, the symbolism of the football field turf being peeled away, and how stellar the class attendees were. It was a privilege to be among you.

Myokinematic Restoration Postural Restoration Institute at the US Naval Academy Football Stadium

Myokinematic Restoration Postural Restoration Institute at the US Naval Academy Football Stadium

Postural Restoration Institute Dan Houglum Louise Kelley Bruce Kelley

Posted June 4, 2019 at 7:55PM
Categories: Courses

Last weekend was memorable for several reasons. The first one was the new facility we were blessed to be welcomed into for the weekend. The Children's Health Andrews Institute for Orthopedics is a new facility in Plano, TX, and it is gorgeous. It's a relationship between Children's Health and Dr. James Andrews, and the facility has physical therapy, EXOS Sports Performance, and is state of the art. Thank you to Alex Lopez, Brittani Cookinham, and Stephen Laplante for their hospitality and all the set up they did for us.

Myokinematic Restoration - Plano Tx - Postural Restoration Institute

We had a great group of mostly first-timers to the science of PRI. And we had a great diverse crowd of athletic trainers, strength and conditioning specialists, and physical therapist/PTA's. We even had one Physician Assistant.

Myokinematic Restoration Course - Postural Restoration Institute (PRI)

Myokinematic Restoration provides a great foundational platform that allows us to explore the mechanical ramifications surrounding the hip and pelvis as a result of the dominant L AIC pattern. We were able to relate normal positional mechanics and normal compensatory patterns that occur as a result of the right diaphragm's influence on the L AIC pattern. After that foundation, moving into pathology and Myokinematic relationships that exist due to the pattern became an exploration of polyarticular chains of muscles. These concepts allowed us to build our assessment and treatment framework for the rest of the weekend.

Myokinematic Restoration Course - Postural Restoration Institute (PRI)

I greatly appreciate John Key and Katrina Earley for allowing us to learn from them during our demonstrations. There were so many great questions during the weekend, and I appreciate Paul Monje, Rayanne Garcia, Michael Wright, Joni Robertson, Andrew Gallucci, and Meka Venkatanaresh for their enthusiasm and re-states. And a special thank you to Kasey Aikin, PRC for her help assisting throughout the weekend! I thoroughly enjoyed my weekend in The Lone Star state, and the course attendees were a huge reason why. I am looking forward to seeing many of you in future PRI courses!

Posted May 3, 2019 at 5:40PM
Categories: Courses Techniques

One of the more rewarding aspects of teaching PRI to movement professionals who are new to the science is their transition from initial shock, to their minds being blown a little (or a lot), to when it starts to click for them and start to see the PRI picture.

This past weekend was one of those classes where the overwhelming majority of the attendees were new to the science of PRI. But it was also one of those classes where the overwhelming majority of the newcomers left understanding and appreciating how PRI, while challenging them in a good way, is an exceedingly necessary clinical tool for them. I have heard from several individuals in the days following the course as they express their gratitude to PRI for opening their mind and challenging their clinical perspective.

Myokinematic Restoration is a great entry point to start one's PRI journey. We started our weekend by laying out the mechanical ramifications of the L AIC pattern, and how pathology may not be far behind. We then started our deep dive into neuromuscular behavior the Left AIC pattern puts us in, and how to get out of it.

One of the main points of emphasis we have been attempting to drive home in this course is not only how to perform the positional and functional testing, but to understand what the tests mean. And, more importantly, what to do with that information in order to properly decide which PRI non-manual activities to choose. As a result, we constructed our lab time to reflect that concept. We were very fortunate to be able to spend at least half of Sunday in lab. The feedback we were getting was that participants could still feel their L IC Adductor and R Gluteus Max on Monday! That sensation is very helpful for them as movement specialists in order to feel those muscles and how that made them feel as a result.

My thanks to Holli O'Kelley for her willingness to be our host. Her questions during the course were very helpful as well. My thanks to Barak Pearson, Kyle Sammons, and Young Filer for their interest and questions. My special thanks to Mary Faulk and Loren Johnson. Thank you for your openness and willingness to explore different treatment options. Thank you to Betsy Baker-Bold, PRC, for her assistance with our labs. The Seattle area has been growing rapidly in PRI interest over the last several years, and Betsy is one of the main reasons for that growth. This weekend reminded me how grateful I am to PRI, and how humbling it is, as an instructor, to help fellow clinicians explore this new science.

Myokinematic Restoration Course Lab in Seattle

Myokinematic Restoration course lab session in Seattle

Myokinematic Restoration course lab session in Seattle

Posted March 8, 2019 at 3:27PM
Categories: Courses

Coming from the Polar Vortex, it was a refreshing respite to be in sunny Arizona for the first Myokinematic Restoration course of 2019. We were fortunate enough to have a very diverse class of attendees ranging from chiropractors, to strength coaches, to physical therapists working in various settings, to certified athletic trainers working with professional athletes.

Myokinematic Restoration is a fantastic course to kick-start one's PRI journey. This was the rare introductory course where over half of the attendees had been to previous PRI courses. This provided us a unique opportunity to delve into other material that we wouldn't otherwise be able to cover. We had excellent questions and excellent lab time as a result.

Lab Demonstration of PRI Testing, Myokinematic Restoration, Chandler, AZ

One of the topics that we were able to cover in this course that previous attendees appreciated was the Hruska Abduction Lift Test. This test is taught in depth in Pelvis Restoration as well, but for those who had attended Myokin previously, this was a new topic for them. Additionally, it provided the newcomers a chance to be able to appreciate how PRI integrates the gait cycle and breathing into treatment from beginning to end. We were also able to briefly touch on other topics, such as PEC management and rib cage IR, because of the previous experience of many of the attendees. However, we were also able to stay very on point and keep the course on track for those who were attending for the first time.

Dan Houglum demonstrating the Hruska Abduction Lift Test, Myokinematic Restoration Course

My thanks to Jim Wittekind, PT, PRC, for his help during lab and insightful discussion. The staff from 360 Physical Therapy, Becky Fox, Jennifer Peters, Krystina Leal, Caleb Walls, and Jason Roe, were perfect hosts. My thanks to Nathan Whitney, Ginsie Huntley, Liz Cash, Chris Burke, and Garrett Chin for their questions and discussion.

Lab Demonstration, Myokinematic Restoration course, Chandler, AZ

At the end of the day, we all need to be a little more like Bruce Wayne, and less like Batman. And we need to use our "good boy band" of muscles, instead of the "bad boy band" that the L AIC often puts us into. As a result of our conversation around normal mechanics vs. compensatory mechanics relative to the L AIC pattern, we were able to delve into how these analogies applied to our assessments and treatment approach. We were able to spend a lot of time on muscle activity as well as how to apply the Hruska Abduction and Adduction Lift tests into assessment and PRI non-manual activity selection.

Hruska Abduction Lift Test, Myokinematic Restoration Tweet

We were blessed with a great group of movement professionals, and I was fortunate to be able to help them either continue or start their PRI journey. Thanks for a great weekend!

Posted February 14, 2019 at 5:29PM
Categories: Courses Techniques Science

It was an honor to spend Veteran's Day Weekend with a fantastic group of movement professionals. On Sunday November 11, the 100 year anniversary of the end of WW I, we took a moment to honor those who have served our country.

With the sounds of the Veteran's Day Parade outside, we spent most of our Sunday in lab. We were fortunate to have a large group of attendees, roughly half of whom had not been a PRI class before. We had the time to do a repositioning lab, spend over two hours on the Hruska Adduction and Abduction Lift tests in detail, and then follow that up with another lengthy lab of progressing through PRI non-manual activities. Not often do we have the opportunity to have so much lab time, and then carve out some time to discuss and demonstrate how to get an individual from a PEC pattern into a L AIC pattern, for those who were new to PRI.

My great thanks to my lab assistants, Neal Hallinan, PRT, and Sean Light, PRT, who were invaluable with such a large group. I would also like to thank Damian Estrada, Yelena Gremban, Matthew Zimmerman, Tara Lewis, and Beth Lewis for their questions, re-states, and volunteering during our lab demonstrations.

We were able to navigate our way through normal and pathological mechanics, the myokinematic ramifications of being stuck in a L AIC pattern, and we were able to progress into assessment of patterns and pathology of patterning. Which allowed us to spend as much time as we did to the Hruska Abduction and Adduction Lift tests and non-manual activities.

Yes, neurology is a complicated topic. And understanding the link between the hamstring and the parasympathetic nervous system is an enormous paradigm shift. I appreciate and empathize with the difficulty that concept presents, particularly to those who have been trained in this wonderful country of ours. However, I would encourage those who are new to PRI to not completely dismiss this concept because it challenged your preconceived notion of neurology and muscular behavior. Thank you for such a memorable conclusion of my 2018 teaching calendar.

I am already looking forward to 2019!

Posted November 14, 2018 at 5:56PM
Categories: Courses

It is always comforting to be teaching PRI regardless of location, but last weekend I was in Detroit, MI. My wife's family are all from just west and south of the Detroit area, so I was in very familiar surroundings. And the host group of Team Rehabilitation was an excellent bunch to host Myokinematic Restoration.

With a full room of nearly 40 health care professionals and movement specialists, and nearly all in attendance having never heard PRI previously, it was an awesome learning environment for everyone. This group was very dynamic and asked great questions. As this course evolves, we end up adding more and more lab time. This past weekend, 1/3 of the course was lab based, so we had ample opportunity to learn from each other.

We started our dive into the difference between normal pelvifemoral mechanics around the normal neuromechanical presentation that is the L AIC pattern. Then we went deeper into normal compensation vs. pathological compensation patterns. We transitioned into muscular ramifications of the inability to get out of the L AIC pattern, which highlighted the importance of having a "good boy band" rather than a "bad boy band."

We had ample time to practice the positional testing as we were able to determine what patterns we all had inside of us. Low and behold, every single one of the attendees proved to be in a PEC pattern. Based on this group of attendees all having the same extended pattern, we had to have the "Batman vs. Bruce Wayne" conversation. I was in a room of "Batmans”, and we all needed to be more like "Bruce Wayne." This necessitated a demonstration of how to get someone out of a PEC pattern and into a L AIC pattern, so the rest of the weekend had an opportunity to resonate with the attendees. With two activities, we were able to take a very strong PEC individual, and turn them into a L AIC pattern. Because underneath the bilateral extended patterns of the PEC lies a L AIC pattern.

The "PEC busting" demonstration helped us proceed into the management of a L AIC pattern. Nearly the entire afternoon on Sunday was lab time, where everyone had the opportunity to find and feel hamstring, IC Adductor, gluteus medius, internal obliques, and gluteus maximus activity. Reports of "feeling different" and "feeling my hips" were common comments after our lab.

My thanks to Team Rehabilitation for their hospitality. They know how to host a course! My thanks to Shelly DeRuiter and Craig Stasio, who were awesome lab assistants. Thank you to Cyril Shuster, Alexandre Vieria, Todd Cummings, and Michele Weis for your excellent questions and re-states. Thank you to Michelle Shrader and David Selak for allowing us to learn from you in our demonstration portions of the class. My hat is off to Alexandre Vieria, as he traveled from Brazil to hear PRI! I greatly appreciate our conversation around tennis players and the necessity to have excellent frontal plane integration. Thanks to everyone for great weekend!

Posted October 2, 2018 at 7:38PM
Categories: Courses
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