Courses

After almost a year to the day of the country shutting down, this course marked a refreshing beginning to some normalcy with teaching PRI Myokinematic Restoration again. We had at least 50 participants virtually with attendees in and outside of the U.S. ranging all the way from Canada, Slovenia, and the UK. We had 9 in person attendees that made the trek to Lincoln and served as the “models” for our myokinematic lab portion.

We began the first morning with didactic material learning all about the patterns of the L AIC. This  included non pathology and pathology discussions in relation to the compensatory demands of the femur in the acetabulum. Respiration demands, underlying neurology and asymmetry helped to shape and understand the reasoning behind the L AIC pattern.

The weekend concluded with an ample amount of lab and hands on time, learning to assess position of the hip, compensatory findings, and frontal plane performance testing with the Hruska ADDuction test and Hruska ABDuction test. The attendees then went through myokinematic techniques to restore and retrain pathomechanics of the pelvis.

We had several thought provoking questions and the enthusiasm was great from the group and could be felt even virtually!

Posted April 1, 2021 at 4:58PM
Categories: Courses Techniques Science

Neal Hallinan, CSCS, LMT, PRT will join Jennifer Smart and Ron Hruska as a presenter at this year's 12th Annual Interdisciplinary Integration Symposium. Neal has a unique understanding of the science of PRI, through his first hand experience as both a patient and a Postural Restoration Trained (PRT) provider, working with clients both locally in the NYC area and from the across the world. Although his first career began in the IT field, he sought out to find something he was truly passionate about, which was movement. Years of nagging pain led him to discover that movement could be healing. During a period of time spent living in Brazil, Neal first recognized the freedom of movement that many people living there expressed through dance. As the introduction and interest in this art of expression grew, Neal spent considerable time learning the steps and sequences of various styles of dance and fell in love with the influences of rhythm, percussion and beats that were included.

Neal began his journey with PRI in 2013, when he completed the three primary home study courses. He then went on to take many secondary and tertiary courses over the next several years, and continues to be very active within our Institute. "This was it" Neal recalls, as he had finally found answers to the patterns and positions he had noticed over time in his own body. He recalls his own personal journey changing when he could fully appreciate grounding and true sensory integration for the first time and discusses how in today's virtual world he tries to help his clients achieve the same level of sensory awareness through the use of PRI-based principles and techniques. Neal's interest in latin dance motion and so many other forms of rhythmic movement provided a natural fit to this years Symposium, focusing Basal Ganglia Disease and the management of kinesia paradoxica.

Learn more about Neal's upcoming presentations below, and also check out the most recent podcast episode where Neal, along with Ron Hruska discuss how these presentations will tie into movement disorders. 

Inhibiting Inhibitions: Rediscovering Your Innate Alternating Rhythms Through Dance
-Neal Hallinan, CSCS, LMT, PRT

Dance is a fantastic way to get back in touch with the natural alternating rhythms of your body. This presentation will discuss the challenges of learning and teaching dance, how to find "the beat", and overcoming the inhibitions that hold us back. Please have space available for learning some foundational dance steps.
 

"How Do You Initiate Rhythmic Movement Provided by The Body For the Feet To Move?"
-Neal Hallinan, CSCS, LMT, PRT
Learning to dance traditionally starts with the feet. That's the easy part. Obtaining fluidity of movement requires integrated use of the thorax, arms, and head to produce a particular "style". I will introduce common elements of styling including: spinning/turning, contra-body motion, arm movement, and Cuban/Latin motion.

Posted March 23, 2021 at 5:44PM

Jennifer Smart, DPT, PRC is one of three speakers for this year's 12th Annual Interdisciplinary Integration Symposium. This symposium topic came together as a result of the extraordinary work she has been doing with those managing Parkinson’s Disease in her community, and the engaging discussions she has had with Ron over the past couple years. Jen is a clinician at heart, but also one who is current with the research and medical advancements that have been made for those experiencing extrapyramidal symptoms.


Her growing interest in Parkinson’s Disease began around 2015 when her best friend was diagnosed. This was the year she completed the PRC credentialing program, and shortly after neurologist, Dr. Jay Alberts, published research showing how, when a person with PD rides on the back of a tandem that is being pedaled at a cadence of 80-90 RPM, a variety of their PD symptoms decrease. After dissecting the research, Jen bought a tandem bike, and her and her friend rode for over an hour 3 times a week at the specified cadence. Others with PD heard what they were doing, and she ended up getting several tandem bikes and set them up on stationary trainers at a local gym, where she coordinated having members of the local cycling community ride on the front to set the cadence while people with PD rode on the back. “Park’n Ride” was officially started as a non-profit in January 2015.


Based on the success of this cycling program, Jen has become a regional expert on Parkinson’s Disease, where individuals have moved to her small coastal town of Oriental, North Carolina after their diagnosis. She became certified in LSVT BIG, Parkinson’s Wellness and Recovery (PWR!) and Rock Steady Boxing, which are all evidence-based, Parkinson’s-specific programs. Jen has attended the Parkinson’s World Congress and has even volunteered for a week with Becky Farley, PT, PhD who developed LSVT BIG and PWR. In 2017, Jen received a grant from the National Parkinson’s Foundation to organize and run a two-day event, called the Parkinson’s Exercise Program (PEP) Retreat, which was designed to help both patients and medical providers better understand how to use exercise as an evidence-based treatment for PD.


In her own words, “What I have taken away from all of this training, from working extensively with this population, and from the currently exploding literature regarding the benefits of specific exercise programs for PD, is that, perhaps unknowingly, the components that make each of these treatment techniques so effective, are the components that are based on the science of PRI. People with PD, just like all of us, need to be able to rhythmically alternate, but their disease, or somewhere along their journey towards developing this disease, this ability to rhythmically alternate was compromised so they needed to develop involuntary tics, muscle spasms, tremors, restless legs, dystonia and/or postural changes to help them to get to the other side, to help them to alternate. This is now the message that I am trying to get across in both the prevention and treatment of Parkinson’s, and so many other, syndromes or diseases.


Learn more about Jen’s upcoming presentations at our 12th Annual Interdisciplinary Integration below.


Practical Implication of Intervention and Management of Patients Who Have Been Diagnosed with Basal Ganglia Disease
-Jennifer Smart, DPT, PRC
The first half of this presentation will review a variety of diseases involving basal ganglia dysfunction, examining both their common and uniquely different motor and non-motor manifestations, while exploring not only the current and experimental pharmacological, surgical and physical treatment techniques that are being employed to treat them, but also the underlying reasoning behind each of these interventions.  The second half of the presentation will focus more on a variety of evidence-based physical treatment programs, compiling the common effective visual, auditory, postural and respiratory components from each physical activity program. Emphasis will be placed on assessing how each technique addresses the temporal, lateralization and pressure regulatory deficits seen in people who have been diagnosed with Basal Ganglia Diseases (in order to unlock, through oscillatory function, the axial skeletal system from the appendicular skeletal system in an attempt to better balance the autonomic nervous system with the central nervous system).

A Clinical Perspective on Geocentricism, Lateralized Linkages, Sleep, Timing and Weight Shifting
-Jennifer Smart, DPT, PRC

The research states that the Basal Ganglia is involved in the perception of time, but what does that clinically mean? It means that a person with a Basal Ganglia disease, such as Parkinson’s, does not know how to navigate through space since such movement is inextricably linked to time, not only for understanding when to move but also at what speed (since speed is distance per unit of time) but also for knowing where they are (“five minutes from home”) and how to integrate all their moving parts. For example, knowing when to supinate and for how long to experience appropriate weight shifting in order to avoid over lateralization relies on timing.  This presentation is going to discuss clinical ways to address the various issues involved with timing deficits, through visual, auditory, positional, and respiratory cuing, in people with Basal Ganglia deficits.

Clinical Case Study Presentations
-Jennifer Smart, DPT, PRC

This presentation will be a discussion of the treatment and management of several patients who have been diagnosed with Basal Ganglia Disease, either Parkinson’s Disease or Progressive Supranuclear Palsy (PSP). A few of the cases were ones in which Jennifer Smart had the opportunity to collaborate with Ron Hruska. Management discussion will include group exercise application, in addition to individual rehabilitation considerations.


   

Posted March 17, 2021 at 6:38PM
Categories: Courses

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

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

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

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

There are four kinds of documentation that most of us use to change our behavior:  
1)  Learning oriented tutorials.
 2) Goal oriented how-to guides.
3) Understanding-orientated discussions.
4) And, information-oriented reference material.


Each of these four types of documentations usually have instances within the document that refers to related information elsewhere in the same document. This is important as it forms a network structure of relations that exist between different parts of data, dictionary-internal as well as dictionary-external. If the cross-reference mechanism is well designed, visibly or technically, the reader, and in this case, the course attendee, will be able to follow each and apply ‘cross-reference’ event, to the referenced content whether the content is presented visibly or technically.  


The last example, of the four listed above, enhances usability and application of content in each of the PRI Non-Manual Techniques. Documentation or description that identifies direct reference and referent sites of consistent interest; is required so documentation that indirectly implicates cross references from these and other discrete or unconsidered sites can provide content-strategies to meet the desired needs and expectations, from both the provider and the participant.


As the author of these techniques, and as the author of cross-referencing design associated with each technique, effort to ensure that location and content of the target of the cross-reference in each technique needs to be consistent, regardless of the aptness of the provider or the participant.  


These opportunities to provide my reasoning behind each of the techniques, that were selected by this course’s participants, are not exceeded in any other course offered in PRI. Therefore, the guidance I offer to answer questions on the ‘why’s, ‘when’s, ‘who’s and ‘what’s regarding each technique’s reference’s, referent’s, and cross-reference’s content, is an absolute unique opportunity for both the author and the attendee seeking behavior modification through documentation that is resourcefully dissected at a level that is unsurpassed in this Institute.  Each technique (documentation) dissection experience is truly one of the most rewarding things I have done in my life.  And I am grateful.

 
I want to thank Dan Houglum, Torin Berge, Dave Drummer, Jen, Hannah and RJ for their assistance in making this course so enjoyable to teach and apply to “real” life limitations and likenesses.

Posted February 4, 2021 at 4:18PM
Categories: Courses Techniques Science

"The new normal."  That's a phrase we all have heard many times during the last 10 months. As we are all adjusting to what that phrase means to us individually on a personal level, all of us are adjusting to what that means with regards to our relationships with each other as well. We are all finding new boundaries, and freedoms, associated with this "new normal."  

PRI opened the 2021 year with the newly revamped Impingement and Instability course, which introduces the concept that impingement and instability are both necessary and vital for optimal human performance. They provide new boundaries and freedoms that allow us to be able to oscillate between our two hemispheres of our body and brain. Our body needs to find a "new normal" with these new parameters in order to appreciate the left side of our body and the right hemisphere of our brain. As I reminded the course attendees, the question isn't "are you going to get onto your left leg?", the question is "how are you going to get onto your left leg?"  

This upgraded course introduces the neuromechanical concepts to answer the question of "how", as this course serves as a gateway into the other PRI Secondary and Tertiary courses, such as Forward Locomotor Movement. This is the material Ron was looking to introduce 20 years ago, and it is my honor to be able to help provide the neurological answers to the question "how are you going to get onto your left leg?" As we discussed during the entirety of the weekend, the how is rooted in one's ability to compress, or impinge, certain areas of the body, and decompress, or destabilize, other areas of the body. In order for the brain to appreciate these novel concepts, we need to provide the cortex of the brain with novel reference centers for proper inhibition of functional cortical dominance.

As we embarked on our "new normal, " not only in 2021, but in our cerebral cortical function, this course has now become much less of the orthopedic course it had to be several years ago, but has progressed into the neuromechanical blueprint for behavior modification that Ron had intended from Day 1 of the Institute. This course has always been my personal favorite of all the PRI courses offered because it is a clinician's course as it provided me a more integrated manner to apply the information I had learned in the three PRI introductory courses. My appreciation for this course has grown dramatically due to the necessary evolution from an orthopedic delivery to a neuromechanical, cohesive, and expansive delivery of PRI concepts. As the attendees of the course can attest to, Impingement and Instability helps our body's ability to appreciate the "new normal" from the inside out.

Posted January 21, 2021 at 5:31PM
Categories: Clinicians Courses Science

Happy New Year!

As we approached this New Year, I reflected on the the year that was 2020. As I transitioned into this new role of Executive Director at the beginning of this year, I could have never imagined the challenges we would be facing in just a few short months. I think most people would agree that 2020 was a year that none of us could have ever predicted, but even with the challenges presented from COVID 19, we were determined to make the best of it. And that’s just what we did! The events of 2020 really encouraged us to explore new ways to expand our ‘reach’. Although we already had our primary courses available online, we transitioned quickly to live stream virtual courses for our secondary, tertiary and affiliate courses, and this allowed us to reach interdisciplinary professionals from all over the world. Several live stream courses were sold out with 100 attendees, and many had at least a dozen countries represented. We are grateful that we were able to continue to reach you through PRIVY and podcasts, in addition to some new projects geared towards expanding our reach to the general public, including the ‘Restoring Alternation’ Patient Daily Living Guide. We also took advantage of the circumstances and reached thousands with our ‘PRI Breathing in COVID Times’ 9-week webinar series, which was (and still is) available online for both the general public and healthcare & fitness professionals. The word ‘reach’ has always been a staple of our Institute, and for those of you who are familiar with the PRI non-manual techniques, you have undoubtedly experienced the power of a reach. While our ability to reach you over this past year has been primarily through digital formats, we are excited to get back to reaching (with) you at our live in-person courses. We will be forever grateful for all of you who allowed us to continue to reach you during this crazy, uncertain past year that was 2020. It’s a year that we will never forget, but due to the circumstances that were presented, we now have many new means in which we plan to continue to reach you in 2021 and beyond.

Although we didn't print a brochure this year, you can see that 'reach' would have been the theme carried out within the pages of our Programs and Courses brochure. Please visit our website over the coming year for the most up to date schedule of our programs and courses. In addition to returning to hosting courses across the country this Spring, we are excited to be offerering over 20 live stream courses this year, and we will also have limited in-person attendance available for each of the live stream courses held in Lincoln, Nebraska.

We hope we have the opportunity to reach you, in one way or another, in this New Year!

Posted January 5, 2021 at 9:52PM
Categories: Courses Science

Every December I reflect on my past year personal and professional activities, a few days before beginning the Advanced Integration course.  My inner wellness usually transforms during these four days because of the way I feel connected in real time with real bodies, who have real interest in how our bodies transform by revolving and evolving around axial sagittal verticality and appendicular horizontal integration.  I need this eye-level connection with other people to complete my year and to advance myself, as well as the science I am so obsessed with.  This past year, as challenging as it was, advanced all of us because we needed to connect with technology in ways that we never have before; to revolve, evolve, and transform with other people.   

Technology is value neutral. It becomes value non-neutral, depending how one uses it.  The amount of time I spent this last year in some virtual space, or in the space above my neck, by observing bodies above the neck, is overwhelming.  However, because of my need to connect with real people, real bodies with real interactive interest, I had to do so with eyes primarily, that were all at eye-level with mine. Body language became eye language.

This opportunity to interconnect, virtually, reduced my isolation and actually advanced me in so many ways.  I have never been more prolific or productive, in my life, like I have been this year. New courses composed, books  read, research reviewed, interdisciplinary collaboration, etc. all reduced potential obsolescence because of technology.  Who would have thought a little virtual reality would advance us, like it has.  

Therefore, it just seemed natural, that after a year of virtual wellness, we would host an Advanced Integration course with 11 people (PRC applicants) actually sitting to the left and in front of me and 100 people sitting in a 'Hollywood Squares’ box, slightly to the right and also, in front of me.  It advanced all of us who were in attendance.  We received the best of two worlds of advanced postural restoration presence.  This advanced technology seemed so value non-neutral challenging, so futuristic, so non-elementary, so alive and yet so unimaginable, because we were all not in the same room and breathing in the same space.  Everything we did the year before, now feels so retro.

This December my inner wellness rose to a new, novel and an unnatural high. And I am sure all of the future December PRI Advanced Integration course attendees will reflect on the how “real”, integration feels during these four days, in real time, with real bodies on one side of the room and real faces on the other, all because of value non-neutral technology.

I want to thank Dan Houglum, MSPT, ATC/L, PRC, Lori Thomsen, MPT, PRC, Jean Masse, DPT, OCS, ATC, PRC, Lisa Mangino, DPT, PCS, C/NDT, PRC and Jen Platt for making this course so connected and so advanced, in a time where there is so much uncertainty.  

Posted December 30, 2020 at 4:57PM

What a fun experience it was to be able to connect with the 37 participants from last month’s live stream pediatrics course! With the new format, we were able to reach attendees in Japan, Canada, Poland, and India! James and I also brought the PRI science to 6 new (“VIP”) clinicians! Further, the audience was made up of yoga instructors, OT’s, personal trainers, and of course, PT’s. The participants seemed to enjoy the many videos of PRI treatment with children of all ages and all skill development levels. We were even able to do some demonstrations with kids! A special shout out to Jen Platt, Nancy Hammond, Libby Lostetter, and anyone else who let us use your children for a spotlighted kid demo! And the adult attendees who participated in demonstrations were also greatly appreciated as it brought a nice richness to the learning experience.

I’ve since been in touch with some of the attendees to see what they thought about the new format and a common comment is how nice it is to have the recording of the class for 10 days following the weekend to go back and review and refresh! It worked out so well, we are planning another Live Stream for August 28-29, 2021 with hopefully a couple in person courses as well. Check out the schedule, and tell your friends! Lastly, huge shout out to co-presenter, James Anderson, producer, RJ Hruska, as well as to Hannah Hankins and Jen Platt for all of the scheduling, manual edits and production, technical help and behind the scenes planning that putting a course like this together requires! And last but not least, thanks to Ron Hruska for the genius foundation! Hope to see you in 2021!

We all have patients that have a tendency to relapse into a previous condition or mode of behavior that was more than likely built around lateralized pattern strength and movement, that affected both horizontal and vertical cycles of compression and decompression at the pelvis, abdomen, thorax, paranasal sinuses and third and fourth ventricles of the cranium. Focusing on reformatting new methods on how to integrate adductors with abductors, internal rotators with external rotators, or flexors with extensors is a challenge in itself, but when someone’s cycles of rhythm are not in synchrony with that effort, the end result of recidivism is more than likely not the result of erroneous effort or program design. It more likely is a representation, to some degree, of the autonomic nervous system’s role in neuromodulation of the patient’s familiar central nervous system’s past effort. Body motor function, in general, has strong somatic nervous system bias, built by positive reinforcement from past voluntary motor patterning. Successful resolvement (self-regulation, self-healing or self-regulation) of this ANS, CNS and SoNS imbalance requires our vagal nuclei and basal ganglia to respond to cyclical oscillatory rhythm, without a response of threat (ergotropic response) from the ANS.

On-going repatterning occurs with every nuance in life. Our asymmetrical design allows us to remain rhythmical because all three of our nervous systems are dealing with input that is received from two sides of the body, that are purposefully designed for different functional cycling; not bicycling but biologic-cycling. Having the opportunity to relate our clinical relapse dilemmas to research that support effort to program activities that harness patterned laterality and cycling threat through cranial freedom from body dependency on the neck, is something I always look forward to.

The 33 virtual attendee’s interaction, through comments and questions forwarded to Jen Platt and directly to me, during this two day course, enhanced the discussion on how the tone of our body is tuned by ANS tension, and how clinical regulation of cyclical flow of air and frequency of sound, can enhance midrange physiologic outcomes for acceptance of novel physical construct. Cathleen deSmet PT, PRC thank you for your inquisitive and thoughtful questioning and verbal reasoning and verbal repeat of the desirable answer we were trying to achieve. It absolutely benefitted every participant. Alice Lam DDS, you have no idea how much I appreciate your attendance and input. It simply helps everyone when you ask a question from a dental perspective. Greer Mackie PT, DPT, your enthusiasm and smile warmed me and reinforced my passion. Jill Maida PT, DPT, MDT, PRC, your title as “oscillatory” queen will remain with you through my eyes for a long time, simply because your presence invokes oscillation. Rachel Smith DPT,PRC your Sunday dialogue on the ‘centric’ elements of patterned autonomic features  was so appreciated and kept us all engaged. And finally, Jessica Tidswell PT, ATC,PRT, what can I say about someone who I believe has integrated, is integrating, and will continue to integrate the “laterality” of all three neurologic systems, simply because you were born to do so. I really enjoyed seeing and interacting with this entire class of dedicated autonomic, asymmetric, autonomous minded people and look forward to teaching it again in May of next year.  

Posted October 30, 2020 at 8:18PM
Categories: Courses Science
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