Courses

Thank you to Karen Taylor Soiles, PT, PRC, of Collaborative Physical Therapy, who, together with The Teal Center for Therapeutic Bodywork, welcomed 34 clinicians curious about the science and application of Postural Respiration. Karen’s attention to detail, including the wide array of healthy snacks, kept our bodies nourished and brains alert and focused throughout the weekend.

The need to position the left hemi diaphragm was introduced right off the bat to ensure that the right diaphragm autocracy stops ruling our autonomics! Other key concepts included the need to facilitate hamstrings and IOs/TAs to establish a left ZOA followed by reach activities to hold the ZOA and direct air into previously-restricted areas of the rib cage. A series of gait videos enabled us to view firsthand various pelvic and thorax movement strategies. Lack of arm swing on one or both sides were reflected in our PRI tests. They served as a reminder that arm swing is 50% of the gait cycle!

Thank you to Kathryn Bragg, PT, and Laurie Johnson, PT, seasoned clinicians tuned into nuances of performance of PRI non-manual techniques. The take-home from that discussion: So long as the reference centers are sensed by the patient, stated in the instructions as “You should feel…”, the exercise can be quite effective. Ultimately fine-tuning areas that are holding tension and tweaking alignment can help the process.

With Jill Tender, DPT, as our superior T4 model, we succeeded in unearthing a compensatory respiration strategy that responds to additional non-manual and manual techniques beyond what is needed to manage those who have not yet resorted to this compensation. Others who enriched our learning-through-demonstration were: Amelia Franklin, DPT, OCS; Benjamin Fuentes, PT; Tara Pickett, DPT, GCS; Jacqueline Richards, DPT; and Karthik Yadagiri, PT. I really enjoyed my weekend with this wonderful group of clinicians. They gained an appreciation for just how influential alternating, reciprocal rib cage movement is to efficient movement and to the overall health of human physiological systems….and collectively rejoiced in the resolution of wallet-gate.

Posted October 12, 2018 at 7:36PM
Categories: Courses

We wrapped up the year for PRI Integration for Fitness and Movement courses outside of Philadelphia at Maplezone Sports Institute/The Training Room Physical Therapy in Garnet Valley, PA. We had a very awesome group that digested the principles of Breathing, Thoracic Posture, and Sensing Position and the Ground quite well. It really was a fun group to end the year with, so thank you to all that attended! And special thank you to The Training Room Physical Therapy staff and Rob Rabena at MSI for hosting!

 This PRI course heavily teaches components of breathing, pillar strength and axial frame mobility and their three dimensional relationship for cueing and coaching thoracic posture with proper pelvic position. A good coach can value learning how to coach and cue the core differently based off the position the athlete or client is in, i.e. with a unilateral asymmetrical loaded movement pattern and a symmetrical loaded movement pattern and we look to highlight those relationships in this course.

This year we emphasized the parable of “parachutes and pancakes”. Teaching this parable throughout the year we’ve learned a few things on how people train and see (or don’t see) the diaphragm as an important core muscle. Our emphasis in teaching this parable is on helping attendees appreciate how training oblique abdominals and hamstrings to optimize respiratory postural balance is a key ingredient that should be incorporated in fitness and movement exercises. We know that when the ribs and thoracic cage are too stiff and rigid with ribs in external rotation, hyperextension, and hyperactivity the respiratory diaphragm can become tonic, flattened and underused, we could risk training the core in a compromised position and the “pancakes will become crepes” as the spinal mechanics becomes stressed which could further limit triplanar performance and lock up functional movement patterns, inhibiting gluts and other powerful muscles. On the flip side with people that might misuse abdominals or overdo flexion without unlocking the thoracic rings, we could create a different faulty pattern of forced thoracic folding when proper rib IR and thoracic retraction are not coordinated with a neutral pelvis. This could be a problem and would “fold pancakes into a pseudo folded parachute” which will bring about a different set of issues. Confusing?…. well maybe, but bottom line here, if you followed that, you get the parable!

The core was designed to be mobile and dynamic. If you learn to value rib movement and recognize key axial structure landmarks you can tell when you are training pancakes verse parachutes. The more we can train parachutes in various positions, the more we can help our clients be resilient and durable. #trainparachutesnotpancakes

I’m looking forward to teaching this course in 2019. This year was such a blessing to learn from the attendees and help fill the gaps with new material as well as streamline how to teach the material. We’ve listened to feedback and continued to improve the course to share with the diverse crowds and specialty professionals working in various Fitness and Movement settings. A special thank you to James Anderson, our Affiliate course director, for all his hard work and dedication to make these affiliate courses a success. Hope to see many of you next year!

Posted October 12, 2018 at 2:33PM
Categories: Courses

Cervical Revolution. This class is such a game-changer for so many attendees and it can be for you as well. Did you know that cranial strain patterns as identified in the literature can and are frequently reduced through breathing techniques? Did you know that those same strain patterns are the result of cervical spine positioning? Did you further know that dental integration with PRI certified clinicians is an excellent mechanism for reduction of cervical patterned movement (or lack there of)? Did you know that dentists regularly attend PRI courses? This is because they realize that PRI provides them with the absolute best mechanism for aiding them in understanding the complexity of their neurological oral appliances. Our courses also arm them with understanding of a wide variety of other oral appliances as well! It is our hope that you will discover these exciting and new ways of learning the complexity of the human body as it relates to asymmetry. I taught Cervical Revolution this weekend in San Diego at Water and Sports Physical Therapy and this was a very nice place. I arrived a couple of days early to spend some time with Skip George DC, PRC going over the nuances of this complex course and then Skip and I waded into the material over the weekend as we presented to 25 attendees. Stephanie Kinsella DPT, PRC from Minneapolis was there. We also had dentist Jason Pehling DDS on hand as well. Dr. Pehling came down from Seattle along with our 3 great guys from Alpine Physical Therapy Chris “Murph” Murphy DPT, OCS, Eli Zygmuntowicz DPT, OCS and Jeremiah Ferguson DPT, OCS. These boys host courses regularly and are bent on achieving their PRC status soon. Good luck guys! A number of folks in the class indicated that they too were planning on gaining their PRC status as well! I encourage all of you to make that journey! I hope I see you soon in a Cervical Revolution class. You’ll be glad you attended!

Posted October 11, 2018 at 9:23PM
Categories: Courses

The definition of -ation is something connected with an action or process, or the process of doing something. I feel that I am doing this every time I teach this course. Processing references with desirable action to achieve outcomes that can become reprocessed through the integration of sense of this -ation. This can become a revelation for those who are struggling to change processing.  Once again I appreciate Finish Line Physical Therapy for hosting another course in NYC. Tying the last hour of the course, humeral - scapular - thoracic activity with the first hour of the course, calcaneus activity allows the attendees to complete a full circle of sensory referencing, clinically and personally. This group was great in not only participation but in helping Kentaro Ishii MS, ATC/L, PES, CE, PRT rethinking about course organization. Michael Macchiarulo PT, DPT and Monica Saenz DPT thank you for representing the RAIC/LBC and LAIC/RBC pattern references throughout both days. 

Monica Integrating R AIC/L BC references while Michael integrates L AIC/R BC references. 

Michael integrating R AIC/L BC references while Monica integrating L AIC/R BC references.

Brynn Fessette DPT, FAFS, Joshua DiLoreto ATC, and Chris Leib DPT, CSCS,Cert MD were awesome lab demonstrators and volunteers and enriched the course by their willingness to share their ‘sense’ of what they were feeling and integrating.  

But the best thing about teaching, is meeting new people, hearing new reasoning, and integrating new concepts based upon novice and novel experience. Boris Dugandzie and Dino Dogan were two people who exposed me to a culture and country that I knew vey little about. Because of them, Croatia is now on my travel destination bucket list. Their attendance helped me find a different kind of pronation and supination between two Croatians, who have little need to reach forwards or upwards with their arms and hands. Ron demonstrates the -ation, between the floor and the thorax between two Croatians, who struggle to find it.

Posted October 4, 2018 at 2:27PM
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

Thank you Ryan Murray and the rest of the Fortius Athletic Staff for hosting Pelvis Restoration this past weekend. Also, a huge thank you to Jon Rowe, CSCS, PRT, for being my lab assistant.

This class was awesome with their questions, desire to learn and their attention the entire weekend. This course is challenging from the sheer amount of information given and you guys did great. Pelvis Restoration goes into great detail with position, muscle inhibition/facilitation and respiratory concepts behind "AFIR" and "AFER." I feel the concept of push/pull and asymmetry between the left and right side for alternation during the gait cycle hit home. Vancouver is a beautiful city and I hope to come back and visit. Thanks again!!

Posted October 2, 2018 at 5:38PM
Categories: Courses

Impingement and Instability (Everett Washington) - A beautiful weekend exploring PRI's secondary level course Impingement and Instability in the northern corridor of the Greater Seattle Area with the good folks at ATI in Everett. A big thank you to Alexa Degel, DPT for handling all the host site coordination issues and making sure I had all that I needed to pull off a great presentation. Your extra effort throughout the weekend made all the difference and was greatly appreciated.

I would like to take the time to thank two attendees who traveled all the way from Singapore, Malaysia and one attendee who traveled all the way from Seoul, South Korea to be with us. David Lee, Wee Ho Lim and JangKeun Kye, you have my respect and appreciation for traveling so far to be with us. Two of the three attended as a direct result of an early trip Ron Hruska made to Seoul back in 2008. JangKeun, thanks for your pioneering spirit and for inviting your friend David to learn about PRI by traveling to America.

And thank you Wee, for exploring the science of PRI and beginning your journey online (including through PRI home study courses), and now by attending actual live courses. I appreciate you being the demo for lateralized respiratory and airflow patterns and showing us how some of the techniques look when carried out with full respect for diaphragm dynamics. It was cool to see your amazement when your right HGIR and left Hor Shoulder Abd was restored to full and equal and full rotation was restored to your neck, after those same measures have not been fully restored at any time in the past. It was also fun to see how surprised you were when an old man (me), was able to drop into a full range of motion overhead squat right in front of you. You made me smile when you said, "I didn't see that coming".

As a class, we learned how to go through a valuable check list of neurological reference centers ("brain"), lateralized performance criteria ("lane") and respiratory performance issues ("breathing"). The autonomic nervous system was very responsive to the brain, lane and breathing approach to balancing axial performance as we worked to minimize instability across the calcaneus, femurs, ilia and scapula. As I noted at the beginning of the course, this Institute is appreciative of each one of you and your journey to get through the introductory coursework and get to this point. I hope you found the journey well worth the effort and felt rewarded by your secondary level coursework experience.

Posted September 28, 2018 at 7:11PM
Categories: Courses

I enjoyed teaching Myokinematics of the Hip and Pelvis last weekend in Asheville, NC! This was a special weekend as I was able to take Mr. Jen Poulin aka Chris with me to help! It has been awhile since we were able to travel and teach together. We were joined by Josh Owen, ATC, PRT. It was great to meet Josh and have him help with the labs.

This course was hosted by the fun energetic group of clinicians from the Charles George VA Hospital. Tammy, Doug, Amy, Monica to name just a few of the staff, made us feel welcome.

Most of the class were taking their first PRI course! I always enjoy this class as it really hits home the fundamental concepts of AF and FA position and common compensations. We all appreciate the importance of respiration as it relates to stabilization of a pattern. This course really helps the course participant understand how respiration and gait are so interconnected. Concepts of swing vs. stance, AFIR, AFER and soft tissue compensations were understood as it relates to position, pattern and performance. I had so much fun teaching this past weekend! I can't wait to come back!

I will get a few weeks off and look forward to heading up to Worcester, Mass on Oct. 13-14th to teach this awesome course again!

Thanks for everyone's prayers for NC. Hurricane Florence left her mark, but we are Carolina Strong!

Posted September 27, 2018 at 9:27PM
Categories: Courses

It seems that over the years the courses that I’ve taught for the Postural Restoration Institute kind of run together. So many times I’ve almost forgotten in which city I’ve been! I know that Ron and James have had the same experience. We’ve chatted about it before. This past weekend I was in St. Louis and I taught Postural Respiration at Complete Fitness Results and Nancy Hammond PT, PRC & Lesley Callaham PT, PRC were my wonderful hosts and were unforgettable. They took good care of me and made sure the class went well. Nancy owns Integrate 360 and she and Lesley really have a great operation! Their skills are obvious and they have a true patient following. When I think about Postural Respiration I wish that I could take 3 days and teach it. The concepts are challenging in this class for sure. I see a lot of folks again and again when I teach it. I don’t blame them either. It took me forever to wrap my mind around the details! Please don’t hesitate to reach out to us at PRI because we really are here to help you. We WANT you to succeed! Nobody gets it all in one weekend and the application of the science to your patients can be challenging for sure. So reach out! Email us! Call us! Send a smoke signal. Let us help and good luck!

Posted September 25, 2018 at 8:15PM
Categories: Courses

Thanks to hurricane Florence, I got to fly into Chicago early and explore downtown. What a great city! So much to do I wish I could have stayed another 3 days! This was the second time we taught in the Chicago area, as this was one of the very first host sites to the PRI Integration for Fitness and Movement course back in 2016. It’s fun to reflect back on how far we have come and how much the course has evolved to help the PRI science progress. We were lucky to have some attendees return for a second time and their post course reviews reported great improvements and positive comments on how the labs were more integrated, practical, and helpful. Some quotes from the course evaluations were:

“This manual is a treasure. Instructors artfully simplified all 3 primary PRI courses into a clear and continuous narrative. This course helped integrate and synthesize the more abstract concepts of other PRI courses. This was an amazing course and I am so grateful!”

A Pilates Instructor says: “The instructors kept my attention the entire time! Amazing! I never found myself daydreaming. This course will help me better screen clients and create more individual focused programs for each client.”

Another Strength Coach says “Super valuable course. Powerful material to help guide fitness professionals from driving dysfunction and pathology. The details and variations of exercises will help me better work with clients with dysfunction and pain patterns”.

I am very grateful to the fabulous hosts: Mark Cibrario, Wynne Conklin, and Kyle Cibrario at The Trainers Club. Thank you for being so welcoming and gracious and we were lucky they hosted this course because the space was perfect and their passion for fitness and movement was spot on!

We had a great mix of PRI trained attendees along with first timers and it made for a fun group. PRI experienced people appreciated how we simplified complex principles, avoided rabbit holes, and taught practical application, and new attendees got exposed to the big picture and application to start using key principles and to help facilitate better retention in subsequent courses. I’ve gotten to a point in teaching where the diverse audience we tend to attract is something that excites me and I love the challenge of uniting minds and professionals and helping all attendees look at axial movements and hyperactivity patterns for trunk stability through a different lens. Every course I learn something as we can all learn from one another!

The brain reflexively searches and identifies patterns for motor learning, just as we learn components of larger movement patterns, its mastering some of these basic micromovement patterns that creates the stability and motor control many of our clients are searching for to move painfree. Motor control and instability issues are not always a problem of weakness or lack of strength. People waste time and energy trying to strengthen muscles that don’t need to be strengthened and then create misuse patterns further complicating the movement sequencing. This course is one of the only courses that breaks down three planes of movement of the axial frame into the micromovements that clients need to maximize output in larger movement patterns. This is a lab heavy course, as we break down components of foreign movements and get people practicing feeling them and coaching them right away. Organizing components of axial movement in the sagittal and frontal plane for proper loading and lateralization is so crucial for todays perception of postural health. On day 2 we discuss key neurorespiratory principles as related to larger movement patterns like the squat and deadlift, as well as single legged movements like the RDL, Bulgarian split squats and steps ups.

 If you have any interest in attending, don’t hesitate and sign up today for the Philadelphia course October 6-7. It will be our last course of this year and you don’t want to miss the distribution of this year’s course manual!! Its not too late to sign up! Sign up today to attend PRI Fitness and Movement at The Training Room Physical Therapy at Maplezone Sports Institute in Philadelphia, PA. See you there!!

Posted September 20, 2018 at 3:32PM
Categories: Courses
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