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

What a great way to start off teaching my first course of my 2019 schedule at my own clinic here in Southern Pines! Nothing like sleeping in your own bed and walking your dogs at lunch time! I had the help of Sarah Ratti PTA, PRC! Sarah was a member of the 2018 PRC class and I was lucky enough to get to know her in December and have her help during lab!

Sarah Ratti and Jennifer Poulin at the Pelvis Restoration Course

 I was so excited to teach Pelvis Restoration following attending Ron's Non-manual technique workshop last weekend in Lincoln, NE. I learned so much and it certainly help energize my teaching and deeper understanding of the Non-manual techniques! I was able to really help my course attendees with choosing techniques and following a frontal plane progress as it relates to the Pelvis.

Jennifer Poulin Instructing a PRI Non Manual Technique

Every time I teach this course, I learn more and grow not only as a faculty member, but also as a clinician. I am hopeful my course attendees would feel the same. My class was interdisciplinary! We had PT's, PTAs, massage therapist, kinesiologist, strength and conditioning coaches, Yoga Instructors and massage therapists! It was a 50/50 split of newbies and experienced PRI clinicians. Maude and Brenda were my Pure Newbies, meaning they really didn't know what PRI was all about. But they left excited that they had been exposed to the science and couldn't wait to integrate what they learned into their current practice. I was happy to have Malynda Kerksick in my class. Malynda was a former patient of mine and now a PRI enthusiast!

I have had the pleasure of watching her grow as a Yoga instructor and her questions were much appreciated. She also did a great job photographing moments throughout the weekend. She gets photo cred for capturing my pure joy while teaching this weekend. I am so proud to be a part of the growth of Postural Restoration. We get asked all the time which course should I take next? What is the best first course to take? I made sure to emphasize the true nature of feed-forward neurology. You treat a pelvis, you influence the thorax, neck, head and big toe! I hope to see these faces again in a future PRI course! The #PRINation is now stronger than ever before!

Pelvis Restoration Course, Non Manual Technique Demonstration

Pelvis Restoration Lab Demonstration

Posted February 13, 2019 at 5:33PM
Categories: Courses Techniques Science

A few days before this course, I was reviewing the material and made a remark to Jen Platt on how much “good” stuff is in this course, that I forget about from year to year. It is so enjoyable to have an opportunity to discuss the reasoning one might use before selecting a position to place a client or patient in, before selecting a non-manual technique. What went into the thought processing regarding reference centers and concepts and why is it important to select an appropriate primary reference for desirable “referent” behavioral outcomes? 

Ron Hruska demonstrating a Non-manual Technique with Neil Rampe

Results are based on preparation. Preparing the patient on what to be mindful of, sense, possibly expect, experience, etc. are all more important than making sure they are doing the technique “correctly”. Processing information can be difficult if individual centers of tactility are not explored first. Words matter, word placement matters, word meaning matters, word correlates matter, word integration matters and word synchrony matters. 

Ron Hruska Non Manual Techniques Workshop

This course allows me to review this communication process, inhibitory intensity and neurologic effort for those who have unique limitations but very similar outcome needs, relating to pattern development around asymmetrical design. Over twenty different non-manual techniques, many of which were selected by the attendees, were reviewed, torn apart, discussed, re-designed and then re-designed again, to recognize reliability of approach and validity of use. It is personal for me. And therefore, an opportunity for those who share their transparencies to reap “good” stuff.

Ron Hruska Non-Manual Technique

Posted February 12, 2019 at 5:10PM
Categories: Courses Techniques Science

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

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

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

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

Posted February 8, 2019 at 7:06PM

PRI's online home study courses are now approved for CEUs through the American Occupational Therapy Association (AOTA)!

As of January 2019, the following PRI courses award AOTA CEU's:

Thank you to our AOTA Consultant, Minh Nguyen for working with us to renew our AOTA Approved Provider status, and get these home study courses approved as well!

Posted February 6, 2019 at 2:44PM
Categories: Courses

Having the opportunity to discuss the role of the hypothalamus and integrated thalamic function as they relate to autonomic patterned respiration, physiology, posture and central nervous system compensation, was an enduring dream of mine. I could finally, deliver a course that describes how our autonomic and central nervous systems operate with and from  biased cerebral and cerebellum lateralization, hemispheric specialization, and oscillatory compression and decompression.

Ron Hruska demonstration during Cranial Resolution in Seattle

Over two decades of literature review, clinical application, multi-disciplinary experience and evidence based outcome methodology, built with the help of an Institute I started for these course objectives, fulfilled me in ways that are very difficult to express. I trusted an idiosyncratic educational process that challenged me as a pre-dentistry student. A clairvoyant process that required collegiate patience, faith in humanity and belief in our holistic, biological and neurological system. I appreciated the 41 course ambassadors who also trusted this process. I hope they came away with a sense of how we patterned humans resolve to make sense of what we don’t sense through pattern compensation of air flow, fluid movement, and cavity fluctuation as it relates to ischial and occipital (sacral and cranial) rhythm and thus autonomic processing. 

Christopher Murphy at Cranial Resolution, Alpine Physical Tehrapy

Cranial Resolution Course Attendees, Seattle, WA

This course was strengthened by the input and participation from too many people to list here, but I especially appreciated the support from Erin Coomer DPT,OCS, Laurie Gribschaw PT,DPT,ATC,AT/L,PRC,  Janine Peacock DPT,OCS, Paige Raffo MPT,OCS and Kelly Martin PT.  I could not have asked for a better audience and support group.   There were many reasons I wanted to give this first course in Seattle but three of those reasons are Christopher Murphy DPT,OCS,PRC,  Jeremiah Ferguson DPT,OCS,PRC, and Eli Zygmuntowicz DPT,OCS,PRC. These three men are absolutely the embodiment of family. I will always be grateful for their warmth, charismatic charm and pedagogical approach. I had so much fun and look forward to the next opportunity to talk about pendular parasympathetic process. 

Alpine Physical Therapy

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

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

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

Posted January 24, 2019 at 9:00PM

Atlanta played host to a “level 2” course from PRI. The host site was One on One Physical Therapy and the course was Cervical Revolution. Again Karen Warren PT, MPT, OCS, ATC and her crew at One on One were gracious and accommodating. Helping me throughout the weekend was one of my close friends, Jean Masse PT, DPT, PRC, OCS, ATC. Jean is a stellar clinician who teaches PRI concepts at our Advanced Integration course each year.

 Cervical Revolution is the class that makes an initial foray into the PRI world of the cervical spine, cranial strain patterns and dental occlusion and how these worlds might meld together. The occlusion part is one of the reasons why so many dentists have been taking this class and the numbers seem to be growing. A dental group from Kidstown Dental in Houston, Texas was on hand after having heard Ron Hruska speak at the AAPMD conference in Las Vegas. Also, my own dentist, Liz Caughey DDS was there as well which was a special treat for me.

 I realize that each time I’ve presented this course over the past few years, I have learned more and more. I am so very grateful to my mentor, Ron Hruska MPA, PT, for trusting me with this material and I am so happy that he is STILL willing to explain things to me after 22 years under his tutelage. This course has indeed changed since its inception and no doubt will continue to do so in the ensuing years. We try to refine the material and we rely on your feedback to do so. Thanks to all of you for the wonderful suggestions you provided on your evaluation forms. Here’s to a happy 2019 for all of us and...#PRInation...you rock and you’re growing rapidly!!!

Hello PRI Nation!

Returned from Florida this week after a great first PRI course in Bradenton where we hosted some great clinicians from the greater Tampa Bay area and beyond. Many thanks to John Walz, and the team at Request Physical Therapy who provided an inviting, high positive energy environment in which to learn the science of Pelvis Restoration. Our local hub and this weekend’s lab assistant was my friend Megan Bollinger from the PRC class of 2012, whose passion for this science is both admirable and contagious. Can't say enough about how much I appreciate Megan's unassuming, caring demeanor during courses and as a fantastic host.

Jesse Ham Demonstarting the Hruska Adduction Drop Test during Pelvis Restoration

This interdisciplinary group of movement pros, from Hiroki Yoshimoto, ATC to Heidi Goldman, LMT, Sharon Yadven OTR/L to the “Traveling Timlers,” PT’s Megan and Paul was particularly interested in clinical application of PRI pubo-sacral dynamics of the ‘how and when’ to utilize the principles of this course material. We explored anatomy, neurologic application, arthrokinematics and osteokinematics of positioning human systems in ways to optimize pelvis content and surroundings including how to integrate said systems into dynamic living machines with synchronized pelvic and thoracic diaphragms. Our multiple lab times focused on discussing and feeling tests and treatment techniques aimed at achieving tri-planar control of a pelvic as well as its mirror ipsilateral thoracic diaphragm and designing a program to do so. This instructor enjoyed the lively class participation from front row Jessika McNeil and Brianna Nelson all the way to back row light crew Nick Dwyer. We were especially thankful to have both Megan Bollinger, PT, PRC and Karen Hoyt, PT PRC who both practiced and assisted during lab time, allowing us to cover lab with depth sometimes not allowed.

During lab times, thank you Sharon Yadven, John Walz, Megan Timler, Paul Timler, Nick Dwyer, Hilary Arichego and many others for your contribution to the class as we learned together for demonstration time of techniques. And, thank you all for a great learning environment and experience in Western Florida. What a blast!

Jesse Ham, at Pelvis Restoration in Bradenton, FL. January 12-13, 2019

Posted January 18, 2019 at 3:54PM
Categories: Courses Clinicians

We got to kick off the first course for PRI in 2019 at the University of Arizona in Tucson! Special thanks to Ben Crawford and the Sports Medicine Team for hosting! Amazing facilities and amenities and this was a perfect site to kick of the year. I have confidence the PRI minds are going to be growing after this course as we had a very engaged group. I’m excited to hear how they will be growing and using the material over the next year!

 The PRI Fitness and Movement Course is an advanced 2 day course geared to address the integration of dynamic thoracic posture and axial frame asymmetry. It’s a principles based course to empower fitness and performance patterns through respiration and alternating reciprocal activity. Our manual is full of exercises to get clients moving and optimizing dynamic postural relationships, so that their workouts can help them better adapt in a stressed, technology driven, and progressively changing world.

There is so much intangible value of understanding the empowering benefits of how to coach and train a diaphragm and pelvic/hip complex to work together. This knowledge is foundational for all fitness and movement professionals, including Personal Trainers, Strength and Conditioning Coaches, Athletic Trainers, and Physical Therapists. I’m excited to be entering into our 3rd year of teaching this course. This year we have some new focuses on screening and programming. Some of the “exercises” taught in this course can be used as screening techniques and/or as training techniques. A true test to an athletic body in balance is when clients can move in and out of a good diaphragmatic position and “feel” the correct family of muscles working… automatically… without excessive effort. Can the right things work together? Can relationships stay intact?

Lastly, it wouldn’t be a complete trip to Tucson, without a stop at one of James Anderson’s favorite restaurants Café Poca Cosa. Classy, delightful experience and such a yummy surprise plate of food. I have no clue what I ate, but it was good and I hope to return one day!

 Want to progress your PRI understanding or get introduced to the science of Postural Restoration? Then this is a great course for you! Hope to see you at one of our courses this year! Next month, we will be teaching at a private host site, then off to Brunswick, Maine - Syndey Australia - Boston, Massachusetts - Dublin, Ohio - and then Fort Collins, Colorado. Visit the PRI Affiliate Course section for more details.

Posted January 15, 2019 at 4:23PM
Categories: Courses Athletics
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