Courses

Just returned from a trip to the beautiful bay area in Oakland, with gracious hosts Tim Appleford and Naomi Schambelan at Lafayette Physical Therapy. Thank you so much Tim, Naomi and your team for working through unpredictable variables to allow what turned out to be a tremendous course!

From the start, this crowd of diverse movement scientists from a variety of professions proved they were dialed into the science of PRI and Pelvis Restoration. We had a series of great discussions regarding the theory, science and rationale for why frontal plane control of the inlet and outlet of the pelvis is important for integrating a triplanar system together and developing patterns to oppose one of three categories of patterns that often lead clients to us in our varied settings.

Our lab demonstration and interactive discussion about eight special tests to assess pelvis position and specific need for intervention was a joy for this instructor and for our ace lab assistant, Taylor Lewis. Sam Eisenberg, George Cuevas, Naomi Schambelan, Drew Yoder, Shuan Buchanan and Sura Choi among others were champs, helping with lab demonstrations of special tests and with demonstrations of how and when to utilize PRI techniques in designing individualized programs. I appreciated John Ursone, Marisa Gulizia and others for your on-point questions about PRI the science, particularly with regard to application. Thank you Robert “Luceeeente,” Crystal Palmer and really the whole gang for your senses of humor and keeping the positive flow throughout the course.

Thanks again Lafayette crew. This weekend was a celebration of learners and functional movement science—what a blast!

Posted August 15, 2018 at 4:47PM
Categories: Courses

Engaging into discussions regarding right lateral superior and posterior inferior chest wall expansion is so rewarding when the engagers truly want to understand the reasoning behind the intent and the outcomes purpose.  Regardless how we feel about internal physiologic or physical movement of our anatomy, we all stay alive through compression and decompression.  This course reviews the neuro-mechanical patterns of basic diaphragmatic decompression, i.e. expansion, and corresponding direction of compressive forces, i.e. abdominals and body position.  Having 50 engaged class participants from seven different areas of study, allowed all of us to compress and decompress not only in the lab setting, but during questions and answer sessions, that were as valuable, in my opinion as the material in the power point and in the manual.    Joseph Turic DPT, Aleena Kanner ATC, NASM, Beth Lewis and many others in the lab setting were so helpful in expanding minds, behavior and concepts.  Navin Hettiarachchi ATC, Dip MT, MCMT, ATC, PRT, CSCS and Sean Light MS, RSCC, LMT, CS, PRT, as lab assistants,  expand anyone or everyone that gets close to them with their smiles alone.   It was so wonderful to have Gail Wetzler DPT, EDO, BI-D, a very prominent Barral Institute instructor,  in attendance.  I am so grateful for the opportunity to get to know her better.  We were scheduled last year to present in Puerto Rico at the AAPMD conference, before Maria hit.   Please read my tweet on how people like her expand my moral compass.

Finally, I want to thank all the wonderful people at Finish Line Physical Therapy.

They not only allow us to expand PRI in the New York City region, again,  but actually took part in expanding this course by reviewing their lab discoveries, and by expanding my stomach through feeding me the peanut butter filled pretzels!  These have become a Finish Line staple of expansion. Thank you.  

Ron 

Posted August 8, 2018 at 6:58PM
Categories: Courses

The beautiful golden state did not disappoint this past weekend as Velocity Sports Performance hosted PRI Integration for Fitness and Movement at their Redondo Beach facility. We had such beautiful weather and a fun group. I wish I could have stayed a few more days! Special thank you to our hosts, Ken Vick and Yo Arakaki for opening up the facility and bringing great minds together to network and learn. Some of the best personal trainers, strength coaches, and other movement professionals from the area and other surrounding states joined us to advance their understanding of breathing, trunk stability, tri-planar biomechanics, and Postural Restoration.

Our first day emphasized respiratory mechanics influence on spine health and posture. We discussed principles of thoracic mobility, diaphragm movement, managing airflow, pressure, and hyperactivity to empower axial frame symmetry to improve alignment and load absorption. Day two dissected frontal plane core organization by actively working the micro movements of the lumbo-pelvic hip complex and integrating those movements with thoracic posture and breathing principles to improve grounding and sensing position. With this we emphasized the perspective of managing spine position via rib handles and pelvic inlets, and discussed closed chain grounding strategies to extend and erect the postural system to vertical. By understanding these micro movements and more intricate relationships, along with the management of internal pressure (i.e. breathing application) we help our clients better organize intrinsic muscles and arrange body segments to improve stability. This organization helps prime movers activate the mechanics to move more efficiently and better oppose external forces and load.

I love California and can't wait to return! Thanks again to all those that attended. Thank you also to PRC Matt Varca for all his help with this course and being a great resource to those in California. As I mentioned last course review, we are wrapping up the year and there are only two courses left to sign up: Chicago area and Philadelphia. Visit the Affiliate Course section on the PRI website under Programs and Courses to learn more. You don't want to miss out of this years course! I hope to see you there!

Posted August 7, 2018 at 4:21PM
Categories: Courses

Alaska!  I can’t tell you how amazing this 49th state is.  I arrived here in Anchorage to represent the Postural Restoration Institute to teach the class we call Cervical Revolution.  I was hosted by Joy Backstrum PT, PRC and Katie Piraino PT (soon-to-be PRC) who own The Physical Therapy Place LLC

Our group included several PT’s who are already planning on achieving their PRC status.  Also on hand was Owen Mandanas DDS who owns a dental practice in Anchorage and has a strong interest in PRI and her role as a PRI practitioner working with PT’s in Anchorage.  Laura Kompkoff OD is an optometrist who works with Joy and Katie and has attended several PRI Vision courses.  She has a strong interest in PRI and continues to improve her skills as she treats patients.  Together, we all dove into the complex details of management of the cervical spine first by understanding the polyarticular muscle chain called the Temporo-Mandibular Cervical Chain (TMCC) and then the rather significant details of the cervical spine’s arthrokinematics as they relate to the occiput and bones and joints of the cranium.  We then explored cranial strain patterns and the role the entire stomatognathic system plays on the cervical spine.  While this class can sometimes seem daunting at first, I would like practitioners to know that it isn’t as bad as it may seem and that the information is vital to answering questions you may have about progressing your own patients. I plan on remaining here in Alaska for a couple more weeks and enjoy the scenic beauty as I venture into the interior with my daughter Sophia.  So, while you’re reading this, I will be on a horse in a pack string of horses looking for a Dall Sheep Ram and some caribou.  I hope to see you soon in a class somewhere but if you EVER get the chance to come to Alaska for a course....DO IT!!!

Posted August 6, 2018 at 4:28PM
Categories: Courses

The Impingement and Instability PRI Course is one of my favorite courses to relate PRI concepts with actual course attendee’s multiple interests and perspectives. It is also a wonderful course to establish relationships through similar mindsets and settings. The University of Arizona host site is a perfect place for this type of activity to take place. There were a number of people with different perspectives, interests and mindsets to make this course so beneficial for everyone in attendance, as well as, to appreciate reference integration reasoning from different pre- designed perspectives and pre-established relationships. 

Brittany Cline PT, DPT,ATC , Bruce Johnston ATC and the other University of Arizona host site attendees were and are so hospitable.

I enjoyed having Brittany’s 3 month old son, Jackson, in the course.  He attended both days and is sensing his right lateral chest and demonstrating to the class how to sense and use this reference center in one of the attached pictures. I am quite sure Jackson is the youngest course attendee I have ever had, and for the most part was all smiles both days.

 

Victoria Humphrey PT,  Samantha Yeoman ATC, and Nathanael Smith ATC, CSCS, thank you for being such willing class models. The weather was warm outside but everyone was so cool inside. I really enjoyed walking around this beautiful campus and hope that someday this host site will become a Postural Restoration Certified Center. I can understand how James Anderson MPT,PRC  loves these people, loves the facility and loves the food; even though Café Poca Cosa was closed for the summer. Jen, you can send me here anytime you want in the future. I also look forward to another great conversation on PRI Integration of I and I concepts with those who want to rest and relax with models of activity that include sleep, breathing, life enhancement programs and spirituality,  with Maria DelliVeneri ATC. Maria, it was so great to get to know you better. Thank all of you for your pursuit of PRI integration in your ‘musculoskeletal’ worlds.

Ron

Posted August 2, 2018 at 7:41PM
Categories: Courses

James and I were outside of Charlotte, NC this past weekend teaching PRI Integration for Fitness and Movement. We started the weekend highlighting rib mobility and breathing mechanics to empower abdominals and core organization. Then we broke down key components of the frontal plane to empower mechanical position around the pelvic-hip complex and integrate upper abs with lower abs. We planned out several different labs which isolated the various components in a systematic way so that attendees could feel relationships build off one another. PRI is such a gift to us all. By understanding the patterns at which position is lost, we can train muscles and optimize functional movement in a systematic way for motor learning. This approach truly is “functional fitness” as it preserves key mechanical relationships needed for biological well-being and performance. By learning how to train each side of the body independently and optimize frontal and sagittal relationships, we can improve how the brain regulates stability and mobility. This is so important for today’s culture of fitness! Our programming recommendations incorporate building and developing movement variability, with the initial stages establishing the fundamental breathing awareness, and then subsequent stages incorporating foundational principles to improve three dimensional core control, proximal stability, and independently limb function.

I absolutely love how this course brings together great minds and diverse backgrounds. We had yoga instructors, strength coaches, personal trainers and rehab specialists all learning and working with one another. We were fortunate to have two very seasoned and experienced PRC’s attend and provide great insight to encourage others:

From Jean Masse PT, DPT, OCS, ATC, PRC: "The PRI Fitness course is a great medium for shifting into highly useful and practical applications of what we often over complicate and get bogged down by. I really like the “dosing” idea and keeping programs moving even if they’re not perfect. I noticed almost every participant in the room was far different in their bodies and changes in how they looked at fitness. Over only two days that’s huge. Imagine over a month or year and also the effects on others they are interacting with. Tremendous good done here.”

From Kyndall Boyle, PT, PhD, OCS, PRC: "The PRI Fitness course definitely exceeded my expectations! I enjoyed witnessing the ongoing evolution of PR science in both the manual documents and in James and Julie’s teaching. I love the organization of preserving the sagittal then frontal and lastly transverse planes! Fine tuning my verbal cues with patients the next day after the course made an immediate and noticeable difference to them! Thanks for a great course and all the hard work and time that went in to preparing it!"

Thank you ladies for sharing your feedback!

Also special thanks to the Precision Fitness team and Pierre Ortiz for hosting and bringing this course to Cornelius, NC. Great facility and staff there doing great things for their community!

If you haven’t attended the PRI Integration for Fitness and Movement course yet this year, sign up today! You won’t regret it! We have three PRI Fitness courses left for 2018! We will be outside of the LA area in Redondo Beach next month, followed by outside of Chicago in Northbrook in September, and finally we end the season in Philadelphia in October.

Lastly, if you know of a good facility to host this course in 2019 please email the institute directly as we are currently working to finalize the course schedule for next year!

Posted July 25, 2018 at 2:50PM
Categories: Courses

The Sunshine State, and its urban gem, Miami, was the destination for the latest Postural Respiration course. Where else does one listen to Cuban salsa performed live outside the local grocery store? Thank you Cyndi Becker, MS, LAT,ATC, Lauren Reynolds, ATC, and Rodrigo Martinez, DAT, LAT, ATC for hosting at Florida International University, and giving this speaker a respite from the heat and humidity of DC (yes – Miami is more pleasant than DC in mid-July!).

For the majority of the class, this course was their first exposure to the paradigm-shifting tenets of PRI, supported by knowledge of human anatomy and by scientific literature that spans many decades and disciplines. We evaluated models from both the power point and in the flesh for evidence of sub-optimal breathing patterns and postural influences: thoracic flat backs, loss of apical expansion, belly and neck breathing, paradoxical breathing, and hyperventilation. We correlated these findings to our objective tests and patient-client complaints.

Participants learned the value of establishing and maintaining a left diaphragm ZOA, without which movement quality suffers and the ability to recover sufficiently is unlikely. Our discussion on non-manual techniques included their value in positively changing movement behavior through manipulating the nervous system and shifting the locus of control onto the individual. This group developed solid competency in performing and interpreting PRI objective tests, manual rib techniques, and effective cueing of non-manual techniques. You are ready to go forth and practice in a way that will be forever different than you used to!

Everyone facilitated the learning through their questions and comments. A special thank you to our models and readers: Amy Brown, DPT; Erik Kilstrup, CSCS; Rene LeBlanc, MPT, OCS; Rodrigo Martinez DAT, LAT, ATC; Julian Rivera, DPT, ATC, CSCS; Edwin Santiago, CPT, CES, PES, CS; Joseph Vuksanovic, LMT; and David Young, CSCS. A heartfelt “thank you” goes out to Megan Bollinger, DPT, PRC, for her thoughtful comments and great energy in lab. All of you Floridians have a superb mentor in your midst who would love to help you on your PRI journey.

Posted July 19, 2018 at 2:16PM
Categories: Courses

Mercer University in Macon Georgia played host to the Postural Restoration Institute as I was there to teach one of my favorite classes: Impingement and Instability. Macon is about 90 miles south of Atlanta and was the home to the Allman Brothers Band, Little Richard, Otis Redding and a ton of other incredible and famous musicians and bands. Macon is in the heart of Dixie and Mercer is a phenomenal University with an outstanding Athletic Training and sports medicine department. Amos Mansfield ATC is the head athletic trainer at Mercer and he was our host. Amos did a fantastic job and he continues to work on his PRT status because he has seen what he is capable of doing with PRI science. We had 22 professionals in class and the course went very well. Many of the gang are also pursuing PRC or PRT status. I&I is a super fun class that takes a really deep dive into the neuro-mechanics of postural discord. It is a class that is advanced and fun to negotiate as it seems to morph into a different iteration each time it is taught. Kenny Ishii flew over from Japan and provided some valuable insight as he wrapped his head around the I&I concepts in preparation to teach this class in Japan in the coming years. Jason Robey was also on hand in the class and I always appreciate his input. Incidentally, Jason just defended his doctoral thesis and it’s all about PRI! Further, Mercer University and Amos Mansfield created a setting that was tailor made for learning. I am a little prejudiced since I do some work at Mercer and I am very proud to be affiliated with them. I hope that those of you who haven’t taken Impingement and Instability will consider it in the future. The secondary courses at PRI are so very valuable at putting the pieces from the primary courses together in a meaningful way. That’s how one of the course attendees put it in their summary! I look forward to seeing you soon in the next class!!

Posted July 18, 2018 at 6:21PM
Categories: Courses

The "Biggest Little City", Reno, NV at the University of Nevada, sponsored its first ever PRI course July 14-15 in the Nevada Physical Therapy Sports Medicine Complex. Attendees were not only local in number but traveled from Utah, Indiana, Washington State and Southern California to attend Postural Respiration. This weekend had a powerful combination of didactic class work balanced with lab every step of the way during the weekend. PRI concepts were discussed and demonstrated to bring experience to what assessment and treatment of tri-planer respiratory function looks and feels like when a person is "lateralized", "sagittalized" and then achieving neutrality with non-manual and manual techniques. One of the students who volunteered to be assessed and treated demonstrated to the class that some cases in clinic are more challenging than others. For example, non-manual techniques were not working to allow his femurs to adduct. He was a strongly patterned Superior T-4 with an athletic background. Then, manual techniques did not work including a two person infra-clavicular pump. A brief discussion on footwear, occlusion and vision followed with no progress on his femurs adducting or any other tests becoming neutral. After a break, a 90/90 hip lift with right arm reach and a balloon (without the stress of being a lab subject in front of the class and any performance pressure) provided immediate neutrality of his pelvis and improvement of BC testing. The big take away is to always stick with it and think outside the box of possibilities including a basic PRI non-manual technique that provided much needed inhibition to his neurologic/respiratory system. My mentor and friend James Anderson, P.T. said in my first PRI class, Postural Respiration, that your patients just want to relax! Sticking with your patients and not giving up plus practitioner and patient relaxing is a strong step towards effective clinical outcomes! Shout out to Jay Henke for doing all of the behind the scenes work to make this first ever PRI event at UNR! And shout out to all of the students for being such a solid class, helping each other out and adding this power tool to their clinical tool belt! The response from the locals at UNR is that they want more PRI courses to follow!

Posted July 18, 2018 at 2:34PM
Categories: Courses

Visiting the Country of Japan, left all of us longing to speak their language and be able to communicate with them in their culture more directly. Japanese is not considered an easy language to learn as it “borrows” 3 sets of characters from other languages in the region such as the Chinese “Kanji”. For many western travelers looking to visit this island, this may perhaps be the biggest hurdle. We were very fortunate to have the help, guidance and translation from our PRI Japan faculty and staff, who graciously helped us navigate the transit system which is the largest and busiest in the world.

Summarizing these 10 days into one page, feels like trying to interpret Japanese all over again. There is no way to accurately relay our deep respect and appreciation for the people we met along the way. Although there was at sometimes an inability to communicate these feelings to one another. They were greatly felt, through the smiles, bows, shared meals, and sightseeing that we accomplished while visiting.

We started the trip with the presentation of Cervical Revolution by Ron Hruska, in Tama Center, Tokyo at Teikyo University. Mr. Takahashi, was generous to pick us up and drive us to the course each morning and made the transportation such an ease. The Teikyo University facilities and staff there are some of the most hospitable and friendly group of professionals we have been around, and they love to have FUN! These 3 days provided a deeper discussion on the Secondary PRI concepts relating to the Cervical Spine, and the course attendees were eager to learn.

Following the Cervical Revolution Course we had scheduled two question and answer sessions in Tokyo, and Kyoto. The goal of these Q&A sessions was to answer any questions related to PRI that the community in Japan may have had throughout their attendance to Postural Restoration and Myokinematic Restoration. It was a tremendous success and although Sy had prepared several slides of possible topics to discuss, we never relied on their use. The audience was active and the questions (which were translated to Ron) ranged from the foundation of the science of Postural Restoration, to specific course questions and everything in between.

The rest of our trip revolved around seeing, experiencing and doing as much as we could in the remaining few days we had. We visited countless Shrines, and Temples and after our stay in Takashi’s home of Kyoto, we headed to Kobe. Kobe captivated us for many reasons but speaking as a Nebraskan from the Great Plains, I think we were all excited to see more of the countryside and less of the underground subway stations. As soon as we arrived in Kobe we started exploring. With only one day there, we knew it was going to be full. The morning started by taking a gondola to the top of the Kobe Herbal Gardens and the view at the top was breath taking. Soon after we were met by Mr. Akira Yoshimoto (who visited Lincoln a few months back, and has become a great friend) and his colleague, who guided the second half of our day. They took us out on a ferry ride through Kobe Bay, followed by dinner and a mountain top view of the skyline. This dinner deserves a blog alone, as the Kobe Beef experience was one I will never forget.

(Port of Kobe)

(Golden Palace)

No amount of time or words can do justice to the amount of love we received during this trip. Many people deserve recognition for making it a success. Specifically Kenny, Sayuri (Sy), and Takashi as they were our lifeline every day. They are all three living in Japan for the first time in years, as Kenny and Sy, until recently remained in the US. Not only did these three individuals create a once in a lifetime experience for us, but they work tirelessly to further the growth of PRI Japan. They have now translated all three primary courses and continue to host these primary courses throughout the year. We already miss them, and although there is now a few more hours added to their flight time, we are hopeful that we will still see them throughout the year.

One of the only words I made sure to learn the first day we arrived was “Thank you”. Arigato Gozaimasu! I knew it would probably be the only word(s) that would matter, and 2 weeks later I wish I had said it ten times more.

Thank you to everyone involved with PRI Japan! Thank you to the course attendees who traveled and took off work and asked questions. Thank you to all of the host sites. Thank you to the PRT’s and PRC’s located throughout Japan, and thank you again to our PRI Japan faculty. We look forward to continuously growing with you all.

View more photos HERE!

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