Courses

PRI Integration for Geriatrics - Salem Oregon. Jacob Mullin and his growing team at First Call were very generous hosts for yet another PRI course. Old familiar faces like Ben, Mellet, Eric and John welcomed me back again after being a part of the 6 or 7 year training history with this organization. I am grateful that I have had the long term opportunity to learn so much with and from such a great group of passionate professionals. I love getting together with you guys because I know we are always going to laugh, learn and grow together.

A big thank you to Tracey Blain for coming all the way from Anchorage, Alaska and to Valerie Chai for coming all the way from Kuala Lumpur, Malaysia. Yes, Malaysia. Your commitment to learning gave the rest of us perspective as we selfishly considered how hard it might have been for us to get up out of bed and drive across town to attend this course. And thank you Tracey for being an excellent example for the rest of the class as you demonstrated one of my all-time favorite techniques, appendix page 13. Gotta love the concept of going right to "get left" as opposed to going left to "get left".

The new course title was a big hit for this group. The recent change to include the word "Geriatric" in the title and the words "Immobile, Frail and Chronic" in the subtitle really connected for the class. Many examples of using the material for immobile, frail or chronic populations were discussed and the adaptations made really good sense to the group. Loved all the integrated discussion and the constant reference to elements of and phases of the gait cycle. It was exciting for me to have such detailed biomechanical discussions about such frail, immobile or geriatric populations. Michael Ball, PT, PRC was one of the lab assistants and he had a really good experience with this affiliate course material. After diving into the course and assisting with the new tests and techniques, he reported, "This course goes well beyond just treating geriatric populations. The appendix is filled with so many great integrated techniques. I now have more techniques to help my patients that may not be able to tolerate traditional PRI training. The seated assessment techniques were very useful in integrating all components of the gait cycle." Thank you Michael and thank you Mellet. I couldn't have asked for 2 more capable and willing lab assistants. The class was better because of you two. And thank you to everyone in attendance for such great questions and feedback throughout the course. The group based dialogue we enjoyed and the restates of key concepts throughout the course really enhanced what we all learned and were able to take home from this course. Until my next trip to beautiful Salem Oregon.

Posted January 19, 2018 at 9:26PM
Categories: Courses

Palm trees and a Santa Ana breeze was a refreshing respite for those who traveled from the cold parts of the country to Velocity in Redondo Beach Jan. 13-14 for Postural Respiration. Interdisciplinary was a theme as this course had P.T.'s, ATC's, D.C.'s, a D.C. Student, a DDS and an M.D. affiliated with UCLA who wants to learn PRI as part of a research project for high risk pregnancy. There was an added bonus: Chad Moreau, D.C., CSCS, PRC, the only other chiropractor who is a PRC, attended as a lab assistant. This was also the first time having two Chiro PRC's in the same course! Chad is a quiet force who also is a strength and conditioning coach for the L.A. Kings.  His clinical expertise and insights to his approach with his athlete patients painted a picture of how to apply PRI to high level athletes.

In addition, Miguel Aragoncillo, CSCS, PRT came out from Boston to assist. He is a PRT and will be entering PT school in the fall.

Chad and Miguel made the weekend a success for all of the students.

First time attendees can all relate to how overwhelming a primary course paradigm shift can be. This group asked questions (Shout out to Locatelli, Allyse, Beth, Waleed and everyone else!) that helped clarify scapular/rib positioning and TS/ST movement. This is a challenging issue for everyone then adding Superior T-4 on Sunday further paradigm shifts the group into the pathomechanics of respiration and rib/spine rotation. Thanks so much to Misao Tanioka for facilitating this weekend. She anticipated every need of the students and really helped make the weekend run smoothly. In addition, this was her first course as well! Needless to say, I love L.A.!

Posted January 18, 2018 at 9:22PM
Categories: Courses

PRI Integration for Baseball (Phoenix Arizona) Another first class weekend at the Salt River Fields in Scottsdale Arizona teaching PRI Integration for Baseball with Ben Hagar, DPT, CSCS, PRC. A big thank you to the entire Diamondbacks staff for hosting a great event and making sure we had everything that we needed. Guys like Ryne Eubanks, ATC, Max Esposito, PT, ATC, and Joe Rosauer, MS, ATC were always a step ahead of us providing the necessary set up, food and drinks and the lab equipment we needed. Thanks guys. And thank you to Taylor Lewis, CSCS, PRT for serving as our lab assistant throughout the weekend.

It was great to connect with some old friends and colleagues from my days living and working in Omaha, Mike Bartels, PT, PRC and Eric Pinkall, PT, PRC. Also great to see my PRC classmate and longtime friend from Minneapolis, Karen Jiran, MPT, ATC, PRC and to have her colleague Libby Lostetter, DPT, PRC attend with her. It was great to see some PRI regulars like Kim Hart, DPT, Keisuke Kanno, DPT, CSCS, and Brian Benjamin, DPT and also to get the opportunity to meet some new professionals like Jonathan Erb, PT, Hiroko Sato, ATC, Lilly Baker-Lubin, BASI, DNSET, MS and Terry Phillips, DPT. You guys were all fantastic additions to a great group and a great course.

After introducing the class to the science of PRI and the patterned human body, Ben took over and went into the fundamentals of early phase and late phase throwing mechanics. He broke down the ideal mechanics for optimal performance and compared each phase of throwing to a phase of the gait cycle. He then used slow motion video analysis and the mechanical movement charts in the course manual to break down throwing dysfunction. He did the same thing for hitting mechanics and compared right handed player issues to left handed player issues.

On the second day Ben introduced the three baseball performance tests, quadruped, sitting and standing. The lab experience allowed each attendee to get a good feel for the components of movement being tested with each test. We then then teamed up to break down the three thoracic rotational patterns and treatment recommendations for each. The treatment lab was heavily focused on Superior T4 Syndrome because of its high frequency in baseball athletes. The end of the course outlined training recommendations for early and late phase throwing for both right and left handed players. Another really great weekend integrating PRI with all things baseball.

Posted November 27, 2017 at 9:38PM
Categories: Courses

We are so thankful for all of you who have who supported us throughout the years. PRI will be closed to observe Thanksgiving November 23-November 26. Enjoy the time with your family and friends!

Posted November 22, 2017 at 9:07PM
Categories: Courses

This past weekend I had the pleasure of presenting Pelvis Restoration for the 3rd time in the last month! I did a course swap earlier this year as I couldn't pass up the opportunity to teach PRI in the Big Apple! My kids had a few days off from school, so we made it a family getaway. And..... My niece Kirsten who goes to school in Florida, just happened to be in the City with her Advertising club. There is nothing better than family and PRI! We spent a few days touring the city and eating our way around town. We took in a Broadway show and visited the 9/11 museum and memorial. It was a nice way to commemorate Veterans Day. Once the family fun was over, it was off to teach at Finish Line PT. This place is just so cool. I taught at this facility around 3 years ago. It is always great to teach again at the facilities that I have taught in the past. This group has taken on a passion for PRI and loves to host courses! Can't wait to come back again in the future.

Pelvis Restoration is all about the frontal plane. I think I might have repeated the femur, pelvic outlet and pelvic inlet frontal plane relationships at least 25 times. I was going for 50, but I think they got it! This group of clinicians were not afraid to ask questions to better understand the material. I had a group of experienced clinicians and first timers that we affectionately refer to as "newbies" The newbies were definitely getting it! At the first break, I was approached by Courtney Pierre who was taking his 3rd PRI course. He was not certain he was understanding PRI, but after my initial remarks, his Ah Ha moments were happening and I am so glad he shared that with me. For those that have learned from me, I know you know how much I love to teach PRI and help bring people to a greater understanding of this integrated science.  Pelvis Restoration is a great platform to begin a PRI journey as it is a bit integrated.

Another special shout out goes to our token Pilates Instructor Maddy Kulesik. Maddy came to the course on the special encouragement from her parents Pat and Ellen. They just happen to be patients and clients of ours in NC. Maddy did great and loved her first PRI course. I don't think it will be her last. Way to go Maddy.

Thanks again to everyone who spent their weekend with me at Finish Line. The staff were amazing hosts and made me feel right at home. This was my last course of 2017 and I will hit the road again in the summer of 2018. Thanks to Jen and Ron for giving me an extended break to spend with my daughter Madison as she will flying out of our nest and off to college next year.

Until we meet again... Have a blessed Holiday Season and Happy New Year.

Posted November 15, 2017 at 10:53PM
Categories: Courses

If you ask any of our PRI faculty, the one thing that consistently makes every course enjoyable to teach is the course attendees. And the attendees in St. Louis for Myokinematic Restoration last weekend were no exception. It was a very rewarding experience to share the science of PRI to so many new health care professionals. We had 36 individuals who were experiencing PRI for the first time.

We were able to navigate positions, patterns, and mechanics, while not forgetting that position dictates function. Moving on into myokinematic performance, we were able to solidify the concepts through examples of Boy Bands, the Hamstring being the Gate keeper of the Gait Cycle, and why being The Hulk all the time is not necessarily a good thing. My thanks to Rachael Durnell, Timothy McArthur, Damon Reel, Matthew Rosenboom, and Chris Wolbert for keeping us on track with their questions.

Understanding the asymmetrical nature of the AIC pattern and how positional testing interpretation changes once that asymmetry is observed and appreciated can be a difficult task. However, this group took to this concept well. Which then allowed our progression through the Hruska Adduction and Abduction Lift tests to be a seamless transition.

My thanks to Chris Matarazzo, Mark Coalson (Mark and I went to PT school together), and Ellie Huff for allowing us to use them for demonstration purposes. We had some powerful demonstrations that allowed us to see the neuromuscular influence PRI has on the human body. A huge thanks to Nancy Hammond and Leslie Callaham for their help during the entire weekend, particularly during the lab sessions. And another huge "Thank You" to our host site, Complete Fitness Results. What a great group of people, a fantastic space, and a very enjoyable weekend.

Posted November 15, 2017 at 9:43PM
Categories: Courses

Salem is a beautiful city about an hour's drive south of Portland depending on the traffic and time of day. My GPS routed me through rolling hills of fall colors, farmland, vineyards and past Klamath Falls. This course was hosted at Salem Health in their new rehab facility which is so busy that they are outgrowing the space just two years after construction. The facility is state-of-the-art with large windows looking at trees turning fall colors outside with green everywhere you looked. The real show was the participation of the students that had diverse professional backgrounds that included physical therapy, chiropractic, athletic training, strength and conditioning and massage therapy. There were five athletic trainers that represented two teams from major league baseball and their questions came in fast, accurate and intelligent with no curve balls! Members of the rehab team from Salem Health represented their facility by not only providing this venue but bringing energy to the whole weekend. Shout out to Mark Kucey for his recipes for an autoclave and his engineer mind with restates and questions. In fact, this entire group of students was quick with restates and questions that mattered to the rest of the class and lifted everyone's game including this faculty member! Huge kudos to lab assistant Tina Haiser, DPT, PRC and super Lisa Davis, PTA for doing the behind-the-scenes hard work of food, signing people into the course and making the weekend run smoothly for all involved.

Every course can use more time in lab is a general consensus. This weekend was no exception however lab time was ample enough to give everyone a chance to be introduced to and practice the Three Big manual techniques including L AIC, Superior T-4 and Subclavius release.

The demonstration for determining if a patient is a Superior T-4 Syndrome individual went very well considering the subject is a running coach and sees this issue in all of her patients. It was a first time for her in Postural Respiration and as a side note after the technique was demonstrated on her, she experienced a change in her neck symptoms and cuboid symptoms as well for the better. Needless to say there was no shortage of enthusiasm from the entire group and in short it was a faculty member's dream team of diverse professions sharing a common goal to help others while expanding their knowledge. One of the questions that came up is if an athlete has a pattern they rely on for performance will introducing a new pattern affect their performance? We don't want to take anyone's performance pattern away. We simply want to give them a place to find and feel new places to go in their body to rest, recover and restore.

Posted November 10, 2017 at 4:25PM
Categories: Courses

PRI Integration for Geriatrics, St Albans, Vermont-The Green Mountain Range in northern Vermont in peak fall foliage is truly something to see. I met a lot of people who were visiting Vermont during this time of year just to see the beautiful fall colors. The locals call these people "leaf peepers" and I can see why they are so passionate about traveling to these beautiful mountains in October. My wife Karen traveled with me and we spent 3 additional days in and around the Burlington and Stowe areas and just loved it.

The course was held at Northwestern Medical Center in St Albans, Vermont which is north of Burlington. It is not in Canada, but you can see it from there. Thank you to the host site for doing such a great job all weekend and for sending so many of your therapists to the course. I think there were 14 therapists from the host site. It was so great having so many of you there with us. And thank you Carolyn Weber, PT, PRC from Essex Physical Therapy for being there to assist me throughout the course. Your support was a welcome addition to the course.

I met a lot of great people this weekend and I tried to share as many insights on treating the immobile, frail and chronic as possible. You were all great additions to the course and I appreciate you being there. One of you in particular stands out in my mind as a particularly colorful character, Albert Koch, PT. He wore colorful shirts and bright bow ties with matching socks and brought in two bouquets of flowers on the second day, just to brighten our day. He brought a fun sense of humor to the course and truly made our time with him better. I am especially grateful for an email I received from him a few days after the course.

In that email, he writes, "I think I have helped my geriatric patients perform better physically and mentally over the years, with exercise, empathy, and good humor, but now I have some new and interesting ways to add to what I already know. You made me feel very welcome and you are clearly passionate about what you do and you conveyed this to the class in many ways. I enjoyed your humor throughout the weekend and appreciate that you put up with mine. Early in my career I became jaded about going to courses, because presenters would spend hours on theory, and only five minutes on practical application. But you did a nice job of balancing that much better with many exercises that are displayed in a very clear way. I hope you enjoy your time in Vermont. It is a unique and wonderful place."

Thank you Albert, and thank you to everyone we met for making our time in Vermont truly "unique and wonderful".

Posted October 25, 2017 at 8:42PM
Categories: Courses

I have been on the Faculty of PRI for the last 7 years and this weekend was the first time I had taught a full course at the Institute since coming on staff. This weekend was very special to me as I had my dear friend and PRIsister Lori Thomsen as my lab assistant. The entire staff of PRI were there to help me put on the course. It was nice to show up, teach the class and not have to worry about getting everyone signed in! Pelvis Restoration was recently updated to include the Hruska Abduction lift score as the functional performance test to guide a patient who lacks frontal plane of their pelvis on one or both sides. The course material flows nicely as the HABLT is truly a frontal plane test. I had the special privilege of having Ron conduct a "Lunch and Learn" on Friday with my course attendees. He fielded questions on the history of PRI and why he choose to name the asymmetrical pattern the LAIC as well as his own personal story. Having him there made me feel like I was teaching with a life jacket! This was a small group that were 50% new to PRI. I love hearing course attendees talk about what course they are interested in taking next and this course was no exception! Thank-you to Lori, Jen Platt, RJ, Matt and Hannah for making me feel at home.

Posted October 23, 2017 at 8:17PM
Categories: Courses

The Olympic and Cascade Mountain ranges provided a spectacular back-drop for Postural Respiration, hosted by Erin Rajca, DPT, PRC, Betsy Baker-Bold, PT, PRC, and Leslie Kinoshita, all PTs with ATI Physical Therapy. The course kicked off with a discussion on the two respiratory diaphragms and how the right hemi-diaphragm over-powers the left, creating the lateralized, predictable patterns of breathing and movement present in us all. This segued into the symbiotic relationship between the hemi- diaphragms and ribs: i.e. well-positioned diaphragms allow rib movement, and proper rib movement/expansion helps to maintain diaphragm position to keep patterned movement in check. This concept was woven into defining the what, why, when, and how of inhibiting the L AIC and facilitating the R AIC to provide a foundation for synchronized movement of a thorax over a pelvis – i.e. early stance phase of gait. This synchronization provides the foundation for the subsequent separation of the thorax on the pelvis at mid to late stance. The end game: alternating, reciprocal – aka “tri-planar” --respiration and movement!

Responding to previous course feedback, a fair amount of time was devoted to practicing the nuances of both non-manual and manual techniques and where they fit into a patient’s/client’s program. Attendees were able to sense rib movement and air flow, in the roles of patient and practitioner, and to sense engagement of the muscles that oppose the patterns. Thank you to our models: Greg Lewerentz, Geneva Bender, Jeremy Kirschner, and Maryann Kuchera (and to Erin Krekling for being a ready and willing back-up). Each of these individuals enabled the class to experience the unique challenges of stiff rib cages, belly breathing tendencies, and/or superior T4 syndrome.

Thank you to all participants this weekend – you were a spirited, engaging group with thoughtful questions and feedback!

Posted October 19, 2017 at 9:29PM
Categories: Courses
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