Posts by Ron Hruska

I remember initially meeting Dr. Davidson in February of 2014, in Philadelphia, at a Cervical Cranial Mandibular Restoration course.  It was his first PRI course. He has attended 20 PRI courses since that date and has helped countless students and individuals understand the human behavior from an adaptative, evolutionary and survival perspective.   After looking at his material for his presentation on “The Resistance as Reference, and the Loss of Authentic Environments” I know anyone who has an interest in “authentic elements of resistance” will not want to miss his perspectives on how to recognize it and benefit from it.   “With the loss of resistance built into our environments, many of us are losing a sense of purpose, have no clear direction in life, and feel unsatisfied’.  Pat is an open –minded, liberated, inquisitive and receptive individual with a background that makes him highly qualified for this symposium and topic.   And I can still remember his 2014 symbiotic smile and look forward to seeing it again in 2018! Learn more about the 2018 Interdisciplinary Course here.

Posted March 23, 2018 at 7:20PM
Categories: Courses

“With any change or growth there is inevitable resistance, struggle and a little pain.  Overcoming the status quo personally or professionally requires leaving some or many old notions behind that no longer work, or never really did, and learn that observations, questions and thinking about what is needed for patient and practitioner satisfaction sometimes means stepping out of a traditional way of thinking.”  This statement was made by Robert “Skip” George D.C., CCSP, CSCS, PRC and can be read along with other information about him by going to  the SD Voyager.   Skip has become one of my best friends.  I can’t imagine my life without him in it.  He has offered me so much genuine advice and has gained my trust and confidence because of  the way he manages himself around people who are interested in integrated engagement.    I met him at a PRI course that I instructed in 2012 and immediately felt his magnetic presence.   I really believed he would become a future faculty member after that one inspirational course and having the opportunity to spend some one on one time with him.   His acceptance and acquiescence of novel insight for the betterment of humanity left a lasting impression on me.  

He will be presenting a “A Chiropractor’s Perspective on Professional, Personal and Relationship Resistance” and his story and message is far from “ordinary.” I believe the same infectious ‘one on one’ experience that I had when I first met him, will be felt by anyone who is in the room, who is listening to him talk about how to resist, resistance to change.  As you will find out by his personal presentation, meaningful movement requires change.

Learn more about the 2018 Spring Symposium HERE.

Posted March 9, 2018 at 6:40PM

Feet continue to intrigue me.  We discuss the role of the calcaneus and its interaction with tibial and femoral function in the Impingement and Instability course.  I enjoyed discussing how the upper extremities play a destabilization role in the ankle and foot, and talus response to tibial rotation or the tibia response to talus orientation at last year’s Spring Symposium.  I am also beginning to appreciate how much one can extrapolate about the clinical functional status of the plantar surface of the foot by looking at the top of the foot.  These tibia, talus and calcaneus relationships and observation of the superior foot, outline and define the personality and behavior of the inferior or bottom of the foot. 

Jacqueline Shakar DPT, MS, PT, OCS, CMT, LAT has taken ten courses offered by the Postural Restoration Institute® and besides her roles she fills as Program Director and full time professor at the Physical Therapist Assistant program at Mount Wachusett Community College in Gardner MA, she is the lead instructor of Graston Technique® therapy.  She also maintains her clinical skills by practicing at Central Mass PT and Wellness in West Boylston, MA.  Her interest in the foot and its direct association with balance and gait, restricted or unrestricted, makes her a perfect fit for someone I want to listen to  regarding “core” function of the foot, and how it might influence our upright fear or security based behavior.  I am looking forward to her presentation on how she uses key evaluation tests and neuromuscular exercise interventions to reduce postural dysfunction and unnecessary tonicity.  

Posted March 5, 2018 at 5:34PM

Our 10th Annual Interdisciplinary Integration Symposium is coming up fast, and over the next few weeks I hope to shed some light on my enthusiasm for this event, so that you don’t miss this opportunity if you have the same interests.  These yearly symposium topics are selected based on experience and interests that developed though my patient interaction and intervention.  The topic selection is further strengthened by what I have read, witnessed, and discovered using lens that have various transparencies.  My perspective on the subject matter always is redefined and refined as I prepare for the symposium and as I work with each presenter and their related background and interest.  As April 19th approaches, I continue to recognize the re-occurrence of asymmetrical patterns of predictable functional and behavioral resistance.  We all “resist” when movement of the contralateral extremity, side, bone, etc. is not sensed moving in the opposite direction, secondary to behavioral resistance.  But we should also be mindful that resistance is required for directed expansion, unraveling, unfolding, respiration and compensation.

I chose the title “Postural Restriction:  An Interdisciplinary Approach to Alignment of Functional Patterns” because of its influence on alignment of malalignment.  Neurodevelopmental alignment, evolutionary alignment, pathologic alignment, inter-relationship alignment, and bi-pedal alignment as related to neurologic tension and soft tissue tension.  There are degrees of resistance in all of this “alignment,” as there are degrees of “malalignment.”  Patterns of resistance and re-tensing resistance guide and regulate us.  We all need resistance for meaningful growth and meaningful freedom.  Revolution sometimes is our only path to freedom, when meaningful growth succumbs to over-resistance.  A balance of tension is therefore, so important to all of us and I really hope this symposium will offer insight on how to achieve balanced resistance in day to day activity.   

In 2009, I read an article written by Matt Wallden, MSc Ost Med, BSc (Hons) Ost Med, CHEK IV , DO,ND who was an Associate Editor of the Journal of Bodywork and Movement Therapies and I have been following him and reading his work ever since.  I was so appreciative of his acceptance of our invitation to speak at this year’s Symposium on “The Evolutionary Basis of Tissue Restriction” and “Clinical Assessment and Interventions for Rebalancing the Body with Tissue Restriction.”  Matt lives in Surrey, UK and owns Matt Wallden Health & Performance, where he is clinically active as a C.H.E.K. practitioner, in addition to applying osteopathic and naturopathic philosophy and treatment.  Matt is also on faculty for the C.H.E.K Institute.  Our conversations with him have been so enlightening and I know he is truly looking forward to meeting all of you and integrate his thoughts regarding tissue restriction/resistance to clinical assessment and treatment.  I personally look forward to meeting him and spending time with him and know you will enjoy his delivery and personality.

Our other keynote speaker is also an osteopath and will be giving a presentation on “Archetypal Postures: What They Are and What Can Be Done To Achieve Them” as well as a discussion on “The Contractile Field:  A New Model of Human Movement.”  There is no speaker, writer, or individual who knows this subject material better than Phillip Beach, DO, DAC.  Phillip has a private practice in Wellington, New Zealand. In addition, he has lectured internationally for several years.  In 2010, he wrote a book entitled “Muscles and Meridians – The manipulation of shape.”  I feel so honored that he will be here in Nebraska to discuss relationships between symmetry, asymmetry and handedness as related to our archetypal posture and contractile fields of “default movement” and patterned vertebrates (humans).  I am very excited to hear him talk!  

Well that is a brief reflection….and over the next few weeks, I will continue to reflect on why I chose the other presenters and why they are so instrumental in this interdisciplinary engagement.  

Posted February 27, 2018 at 5:37PM
Categories: Courses

Giving a PRI course on occlusal positional consideration and occlusal influences on human positional sensorium and pattern was one of the highlights of my career and life. “After 45 years of ‘pre-dental major’ exploration, non-conformist intuitive processing and integrative pattern exposure and recognition and ‘irrational’ clinical appreciation that was built off of ‘effect and cause’ experience, “I was prepared to present ‘post –dental’ reasonings and recommendations. This first power point slide is powerful because it reflects my 45 years of pre-dentistry and the foundations of PRI. It is a course designed for dentists who are interested in patterned occlusion and its relationship to human patterned asymmetrical and functional limitation.

This was the first time I gave this one day course – however, I have been preparing 45 years to discuss spheno-palatine influence on bite patterns, teeth behavior  and personalities, the five meanings of ‘OA’ as related to that frontal plane, occlusal-calcaneal cortical function, and occlusal impact on dynamic freedom.

I want to thank Jen Platt for her ‘first row’ student perspective and advice and for her patience and producer role, that she has perfected over the years of working with this director. Other shout outs to Hannah Janssen for her acting and functional performance and to Matt Hornung for his editing, visual production and camera mastery. Without my comrades at the Hruska Clinic, refinement and resolution of this vast subject matter would be tyrannical. Jason Masek MSPT, ATC, CSCS, PRC, Lori Thomsen MPT PRC, Torin Berge MPT , PRC, Dave Drummer DPT, PRC and Heidi Wise OD, FCOVD. Thank you for your patience, kindness and ongoing support. I love you all so much.

I also want to thank Rebecca Hohl DDS MS, Chris Campbell DDS, Mark Vanicek DDS, Susan Christensen, DDS, and their respective staffs. Without their integrative mindedness and effort, the research that supports the didactic information provided by this course would have limited clinical significance and measurable outcomes.

The feedback and input were invaluable and I am excited for the next opportunity to relate human patterned asymmetrical occlusal contact and referenced sense to the asymmetrical pattern that coincide or contribute to human pattern development and the behavior recognized  by the Postural Restoration Institute

Posted February 16, 2018 at 9:37PM
Categories: Courses

It is always great to teach material where there are individuals that are assisting the understanding of the course material, objectives and application.  We always try to balance out our PRI courses with adequate assistance from “lab assistants” based on number of course attendees.  We had two wonderful assistants scheduled, Miquel Aragoncillo BS, CSCS, ACSM, HF, PRT and Frank Mallon PT, DPT, PRC, two of the nicest and genuine people I know.   However, we also were gifted with a number of other “assistants” that helped make this two days clinically resonate.  First of all a big shout out to Katherine Dixon DPT who was the perfect subject with a non-pathologic TMCC and a beautiful underlying LAIC/RBC.  Without her we would not have had one of the most ideal set of outcomes she displayed with pre and post testing, using Cervical Revolution methodology and assessment recommendations.  We all saw and experienced an unforgettable demonstration that was at times even surreal for me.  Perfection!   Wish we would have had Matt Hornung there to video this and the solid results correlating with testing procedure revolving around the neck.   Byron Curletto CMT, CPT beautifully demonstrated the correct way to carry out the Standing Cervical-Cranial Repositioning PRI technique, while Kristen Wilson PT,DPT, GCS objectively showed us how to carry out the Supine Active Sacro-Sphenoid Flexion PRI technique and objectively demonstrate to her husband, Michael Wilson PT,DPT, OCS that her neck symptoms are real and appear to be coming from the neck as a result of her mandibular pattern and malocclusion. They were instructed to go out on a date night after the course. .. hope they will if they haven’t yet. Dr. Howard Hindin DDS was there with Brad Gilden PT, DPT, CFMT, FAAOMPT, CSCS and enlightened and reinforced material that was complimenting their efforts through The American Academy of Physiological Medicine and Dentistry.  I am looking forward to spending time with them in Puerto Rico and further present, collaborate and discuss the importance of establishing “neutral” airways in all of our patients.  Jon Herting PT, DPT, CSCS  not only helped The Training Room Physical Therapy schedule and host this weekend course, but also did a great job in assisting administratively and with our nourishment needs. Nancy Brown NSCA CPT allowed us to visually see how a person with a cranium that is in a Right Torsional position can benefit from PRI, by placing her pre and post pictures in the Powerpoint. All of these people were my “assistants” and without them this course and its direction would have been significantly stymied! So to all these who attended and all of these assistants. Thank you.

Posted August 29, 2017 at 8:50PM

Driving a few hours down Interstate 80 to give a course on Posture and the Diaphragm is absolutely one of the most rewarding experiences I could have.   Kearney is in the heartland of America, where the westward push of the railroad began as the Civil War ended.    This course was held at the University of Nebraska-Kearney.  Scott Unruh Ed.D, ATC, director of the Athletic Training program was our host coordinator and once again made all of us feel at home, even when the band was practicing down the hallway.    Whitney Schroer ATC, our PRI student intern for the summer, was there to help with registration and administrative processes.   Whitney is also working on obtaining her MPA through Grand Valley State.   I asked her what she appreciated the most by attending her first PRI course on Postural Respiration and she replied; “I did not recognize how everyone is stronger on the right lower extremity during right push off and right hip extension.   This allows them to rotate better to the left with their torsos and trunks, which is why they like to run counterclockwise around tracks versus clockwise”.  She also appreciated knowing that our sternum in this situation becomes rotationally oriented to the left.  Thoracic true rib rotation to the left, on a spine that remains oriented to the right, creates a flare of the distal left xiphoid and a depression of the right manubrium.  (Right BC sternum orientation reflects right rib external rotation and left rib internal rotation).    I always wonder what first time attendees take home from their first primary PRI course.

Bonnie Mevis DPT, Kathy Denning PT, and Kalista Carlson LMT were so helpful in allowing me to demonstrate manual technique procedures and outcomes.  We had such powerful lab time with their help.   Mark Cairns ATC,PRT and Justin Kral DPT, PRC were also instrumental in teaching and mentoring during our lab sessions.   All in all, the time on the road reflecting, this community of integrative minds and the educational setting helped me appreciate even more the history and the importance of ‘westward push’ from Kearney!

Posted June 7, 2017 at 9:23PM

As a PRI speaker I usually have a feeling of excitement about something that is going to happen in an upcoming course that I am giving.  It can be built around the subject matter.  That alone gets me excited.  The anticipation of teaching application of PRI concepts excites me.  Or the people that are attending their first or their tenth course, can rev me up.  It’s the people that attend the course, no matter how many PRI courses they have or have not taken, that makes me most excited.  People are like atoms, molecules, etc. because they all occupy an energy level above the ground state, that can be emotionally stirred up by other people.  I have been looking forward to teaching this course at Pilates Central in Wilmette, Illinois for months.  Donna Praise Byrne, Lori Sander, and Dan Houglum fuel you up no matter what sparks your interest.   I believe it was 6 years ago that taught my first course at Pilates Central, and I talked to Donna about PRI Integration for Pilates.  This Fall, she and Sarah Petrich will be presenting their first course.  So exciting!  And I learned that it is already sold out, which is so cool.  To talk over lunch about this upcoming course was so fulfilling.  The attendance at this May 20th and 21st course also included faculty member Skip George, who eventually will be teaching this course.  Another reason for anticipatory excitement!  Some shout outs to people who were so energetic; Jackie Addis thanks for keeping our veterans in mind when looking at head and neck dysfunction, Liesel Brown thanks for being such an awesome subject for lab demonstration, Camilo Evangelista thank you for your energetic and insightful application questions (you are someone I believe will be advancing PRI for many, many years), and Neal Hallinan, thank you for making symmetrical sense out of asymmetrical sense.  There were also two physical therapists in the room who were from Poland, and received their education in Poland.  Piotr Hemlich and Waldemar Sadurski, you should both know that I always get excited about people in general who are from Poland or have Polish backgrounds.  So industrious!  There were also 7 PRCs and PRTs in the room.  All of this made me thrilled to be there, and I anticipate that this will not be my last trip to Wilmette!  

Posted May 31, 2017 at 4:22PM

If someone were to ask me to describe the ideal setting, attendees, topic, and timelines for a PRI Course that I would want to organize and create, I would have responded the following way.   First, I would truly like to instruct and teach in our PRI home, our Institute, our place of study, work and fun, our resource center, our reference center, and our service center where we can serve nourishment both in the form of food and didactical discussion.   Second, I would invite a mix of course attendees and disciplines that were new to PRI; and some that took the first offered PRI courses offered years ago. (Joan Hanson and Lori Thompsen you will always remain young in my heart and mind).  Third, I would limit the class to 20 attendees to maximize the individual interaction and participation.  Fourth, I would want to have lunch with all of them and talk about things that they wanted to talk about with me. Fifth, I would pick objectives and subject matter related to the head, neck, teeth, vision, and neuro-patterning.   Sixth, I would hold the course on a Friday and Saturday and I would do it at the astronomical beginning of spring in the Northern Hemisphere or mid-March.   And finally, I would like to participate with some professionals that I work with in this community, since I lecture and talk to so many attendees, that work in different disciplines and also in different communities.   Pat Brinkman-Falter BSDH, MS, RDH,CO,  Susan Christiansen DDS,  Janae Greer PT, DPT,  and Charissa Johnson PT,ATC, thank you for coming to this community educational course.   I respect and appreciate you all so much.   I look forward to each and every course that is hosted here in Lincoln Nebraska, home of the PRI minds.  

Posted March 30, 2017 at 7:11PM

After working with Dr. Heidi Wise for almost a decade, I have come to the realization that I learned the most about postural destabilization and de-patterning from her.   Our vestibular system thrives on imbalance.  We are upright processing, bipedal minded and protective patterned humans and our dependency on stability often limits sequential, reciprocal, and comprehensive interdependency which is needed for us to manage and handle complexity and creativity.   I have witnessed this in the work that we do in PRI Vision on a weekly basis.   Our visual perspectives can have a lasting impact on our behavioral and functional processing of input that is “new” or complex, only if it is flexible and accommodating to our need to remain calm.  Dr. Wise will discuss how “optic flow” and the visual “lens” that is necessary for relaxation, can influence our need to remain flexible, calm, interdependent and egomotion minded. She has become a gift to our worlds of dependency and over achievement.   We are sharing her with you and her presentation will be a take home gift. 

Register here.

Posted March 30, 2017 at 3:43PM
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