Courses

Boston is a city known for its innovation – ranked fifth in the world – likely due in part to the 54 colleges located within the metro area. As so it was that 50 course attendees descended upon the campus of Northeastern University to learn how to apply the innovative concepts of patterned thoraco-abdominal mechanics into their existing treatment paradigms.

Many attendees had Myokinematic Restoration and/or Pelvis Restoration in their wheelhouse, so they were excited to expand upon their understanding of how it is that the diaphragm and rib cage, via directing air flow patterns, enables us to shift our COM to from the left to the right, and back again, for efficient gait.

Discussion of the differences in the neuromuscular behaviors of the right and left hemi-diaphragms, and their profound influence on the nervous system, movement quality, and behavior, are fundamental in PRI courses. This includes the differences in the right and left diaphragm’s Zone of Apposition and its role in rib cage expansion to allow our axial skeleton shift and rotate. Arm swing, when done properly, supports this process, promoting good rib movement and hemi-diaphragm position to reduce fatigue and promote healthy air flow patterns. These concepts were brought to life by the many photos of real patients. Their backgrounds gave insight into why it is they sit, stand, and breathe the way they do.

Of course, we had our own class of individuals who provided insight. Anita Furbush, PT, PRC, and Tyler Tanaka, DPT, PRC, were instrumental in providing clinical pearls and guiding participants during lab. Johnathan Blake, CPT, Amanda Donahue, ATC, Rachel Ferrucci, DPT, Brianna Papotto, ATC, Mansi Shah, DPT, and Sean Sheridan, DPT, kept the questions coming, prompting me to clarify concepts, which benefited the whole class. Thank you to our live “case studies”: Katie Brooks, MA, CPT; Lindsey Rockett, ERYT; and Joshua Robinson, CPT, who allowed us to identify and address the different patterns of polyarticular muscle chain over-activity that a patient/client may present with. Finally, a huge thank you goes out to the folks at Northeastern for hosting: Katie Brooks, Jai Chopra, ATC, Mark Mastone, ATC, CSCS, and Dan Sanzo, ATC, CSCS. Great facility and wonderful group of attendees!

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Boston Postural Respiration Course at Northeastern University Postural Restoration Institute

Posted June 17, 2019 at 3:18PM
Categories: Courses

Having the opportunity to reflect on some of our PRI Non-Manual techniques that originally were put together back in 2003, with the understanding, consent and support of my gracious patients is always a privilege. A proud one. These photos of patients that have now become engrained and etched in our minds were taken more than 25 years ago, and not with a cell phone. As grainy as some are, and as imperfect as some now appear, they will always be the photos the Institute will use with the respective non-manual technique they are paired with; because they are related to stories, to people with behavioral and biologic history, and to individuals with hope as they struggle to understand and appreciate the steps and desired outcome associated with the technique that they will forever be infamous for. A few weeks ago Josh Olinick PT, PRC who works in Cary, North Carolina saw a patient that came to his clinic for a PRI re-assessment and intervention program. She was seen in 2004 by myself and agreed to have her photo taken for one of the PRI techniques I designed for her and this Institute. Josh, looked at her, and said, “Don’t I know you?” After further discussion, he realized who she was and what technique she was associated with. He sent us an updated picture of her performing the same technique she has been unassumingly known for. It was terrific that she found Josh, and more terrific that he could communicate and approach her the same way that she was treated when I assessed her 15 years ago.

The other person I reflect on every time I have given this workshop (this was the third time), and every time I will give it in the future, is Bobbie Ninneman, oops I mean Rappl.  She was my “Patient Program Coordinator” back in 2003, before she became the Institute’s Clinical Education Coordinator and now our Director of Clinical Development and Public Relations. Her oversight and insight is as important today, as it was then; no matter how many children she and her husband Mark raise. Her ‘children’ and my ‘children’ are also these people and these associated techniques and wording that tie them together. They are stories, events, chapters, accounts, and initiatives that change other people’s lives and processes. These techniques will remain consistent and constant, no matter, who and how many try to change the pictures, wording or association with other activity. Evolution depends on recognition of what started the journey and these techniques make me sentimental and grateful. I am grateful for Bobbie and all the “Bobbies” of my life that preceded anyone’s use of their guidance, consistent content and hope they offer.

Dan Houglum, who knew me before I started the Institute, and is now a faculty member teaching Myokinematic Restoration, summed up his weekend like this...
"The actual activity selected is not as big of an issue as I had originally thought. The real issue is can I reference the activity properly for them so they can sense what the need to sense in that activity. It was so great to be sitting next to Dave because he pointed out that every activity has so many potential 'referents' and 'references' in them, that you can use the same activity for two different patients, but use and reference the activity completely differently for each person to achieve the necessary outcome for that individual."

A few other testimonials shared by course attendees this past weekend...

     "This course should be a requirement for people who use PRI Non-Manual techniques. This course changed how I will practice a lot. Awesome course. Thank you so much!"

     "What an amazing course! Every PRI-minded person must take this. I had no idea how some of the techniques were meant/executed. Thank you very much!"

     "The reference/referents discussion will completely change my patients' experiences with the non-manual techniques.

If you are interested in learning more about the many 'referents' and 'references', and how to integrate them with the PRI Non-Manual Techniques, then I would highly recommend attending this workshop! It will be offered twice again in 2020 (both times in Lincoln, NE), so that I can have my side-kick, Jen Platt assisting me. Jen and I are already looking forward to it, and we hope you will consider joining us!

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Ron Hruska PRI Non-Manual Techniques Workshop Postural Restoration Institute

Posted June 13, 2019 at 7:07PM
Categories: Courses

Thank you Ryne Gioviano at Achieve Personal Training and Lifestyle Design for being a great host site to this most recent installment of Impingement and Instability. It’s great to have additional host sites pop up in the Chicago Area, or as several course attendees called it, “The City”. Even though people from many other cities might disagree with Chicagoian's claim to that particular title, we at PRI really appreciate the good people in and around Chicago and are grateful when we are able to meet, teach, and learn from more of them.

Impingement & Instability - Postural Restoration Secondary Course

This course is always a joy to teach because we are able to view and discuss things through a secondary level lens vs the primary level lens the 3 introductory courses are presented in. I like to tell people that this course is an opportunity for us to thank you and reward you for your ongoing commitment to learning the PRI science and your persistence sticking with the primary level material. It is one our first opportunities to have more advanced discussions about the fundamentals behind the PRI science to help you be even more successful with the material you have been learning in the primary level courses. In other words, questions that we might have redirected back to a more fundamental place in a primary course, we are now more than happy to discuss in full detail, with a more complete explanation of why a patient or client may have a particular problem and how we intend to intervene to solve what may be a more compensatory and neurologically unstable version of their original pattern.

Demonstration during PRI Impingement & Instability course

Demonstration time during PRI Impingement and Instability Secondary Course

Instability throughout the body was discussed in context with the lateralized influence of the Left AIC/Right BC Pattern, and the associated bias with neurological reference centers and asymmetrical respiration when in this pattern. A deeper look at the positional components of the gait cycle all the way up the kinetic chain from the calcaneus to the diaphragm on both the left and right sides helped explore these tendencies. We had great participation throughout the class, but a special thanks to Jim Peters, PT for being our model of calcaneal instability and later ankle/hip security after getting into a pair of appropriate footwear. We also were able to explore the scapular instabilities that can emerge when things like the Subscapularis is overlooked, or when the Lower Trap, Upper Trap and Serratus Anterior are functioning in the wrong plane(s) or not functioning at all.

A great weekend with a super great group of dynamic professionals. I would like to specifically thank Vivian Lea for traveling all the way from Hong Kong to be in attendance for this course. I know you had to be in America for other reasons, but even so, it was so awesome to have you with us while you were here. It was our pleasure having you in the course with us. Thank you to Julia Glick, PT from Lakeshore Physical Therapy for again bringing such a great attitude and for continuing to ask so many great questions. Thank you Skip George, DC, PRC for sending Chris Guar-in, CPT all the way from beautiful San Diego, California to take this course. He did a super job learning and participating on both days. He was a clear leader for the class and you would have been proud of him Skip. Also, thank you to Honami Abe, ATC for coming all the way from Southern Methodist University (go Mustangs!) and for your interest in collaborating with other PRI minded professionals in the Dallas area. I know you'll love getting to know Amy Goddard, PT, PRC and her great staff at Go Sports Therapy.

Posted June 10, 2019 at 8:32PM

It was a humbling experience to be on the campus of the Naval Academy teaching Myokinematic Restoration the weekend following Memorial Day. It's a weekend that will resonate with me for a long time for a variety of reasons. I have three relatives who have served in the Navy, so to be on that historical campus was truly a privilege.

It was also a privilege to be able to deliver PRI concepts to a fantastic group of diverse movement professionals. We had ATC's from the Naval Academy as well as from other institutions, LMT, Strength Coaches, PT's, and DC's. Mike Barnard, DC, it was truly an honor to meet you and I thank you for your questions and contributions to the course. With such a diverse crowd, we were permitted to expand our conversation points around many scopes of interest and practice.

Our course was held in Akerson Tower at the football field. During our course, the artificial field turf was being pulled up and removed. It was an apt backdrop for our course because, not unlike the football field, PRI was peeling off layers of preconceived notions in the minds of the course attendees. Once the truth of human asymmetry was revealed and the ramifications of it, we were able to start delivering a new layer of Myokinematic and neuromechanic foundation that they will be able to build on top of moving forward in their PRI journey.

Another unique revelation for me this past weekend occurred when fellow PRI Faculty member, Louise Kelley, and I met for dinner, and she brought her husband, Bruce. I can confirm, Bruce does exist, and we had a wonderful time Saturday night.

My thanks to Nate Nester, Jill Tender, Laurie Johnson, Ryan Carr, Greer Mackie, Vikram Somal, Christine Von Ulrich, and Johnathan Blake for their questions and their willingness to allow us to learn from them. Johnathan is going to be in attendance next weekend when Louise Kelly teaches Postural Respiration in Boston, which is going to be awesome! Cindy Anderson, PT, PRC, was invaluable during the lab portions of the class, as well as providing her valuable insight to delivering PRI concepts.

Progressing through the L AIC pattern, potential pathology that can result, and which muscles can and cannot work because of the position they are in is a lot for anyone new to PRI to digest. But we had many, many attendees who were able to digest the "why", so progressing into the testing and treatment portions of the class were relatively seamless. We were afforded a lot of time for lab, which allowed the attendees to experience getting onto their L side for the first time in a long time. This particular Myokin class will stand out for me because of where we were, the time of year, the symbolism of the football field turf being peeled away, and how stellar the class attendees were. It was a privilege to be among you.

Myokinematic Restoration Postural Restoration Institute at the US Naval Academy Football Stadium

Myokinematic Restoration Postural Restoration Institute at the US Naval Academy Football Stadium

Postural Restoration Institute Dan Houglum Louise Kelley Bruce Kelley

Posted June 4, 2019 at 7:55PM
Categories: Courses

This past weekend I spent some time at this famous institution teaching Myokinematic Restoration. I’d like to take this opportunity and commemorate a moment and talk about perspectives. The moment that I am commemorating is the weekend I got to spend mentoring Kasey Aikin PT, DPT, PRC, as she journeys toward independence as an instructor for the Institute. The perspective to which I refer is Kasey’s and mine, which I imagine will differ a bit. Kasey participated as a lab assistant along with the capable mind of THE Donna Behr PT, MS, DPT, PRC, who so many of you already know. But Kasey also had an additional task. She was not just learning or refining her PRI/Myokinematic skills, she was also learning to be an instructor, so this weekend becomes even more important for her from that perspective. As I spoke of specifics like L AF IR, the AIC, FA IR, management of specific diagnoses and refining skills like the Hruska Adduction Lift Test, Kasey was...absorbing, processing, smiling, reinforcing, thinking and determining how she could best teach the material. I admired what I saw as she worked toward her goal of being an instructor. She could, I think, have taken some of the material at any given moment and presented it. I would’ve enjoyed seeing her do it. Soon, she will. I imagine she will be quite edgy when she does but I think the class to whom she speaks will benefit greatly from her now-forming style. I invited Kasey to write about this weekend from her perspective and the ensuing words you see are from her. As for Wellesley College...put me down as grateful to have been there and I thank you Tim Snyder MS, ATC, LAT for being a great host.

From Kasey:

Walking into a PRI course as a “student” with Mike Cantrell has always been a guarantee of gaining several pearls of wisdom applicable day one while at the same time a comedy relief deciphering his southern similes and metaphors. This course was no different minus my mindset this go round as I wasn’t just a “student” anymore. The crew attending were primarily from the northeast so it’s always neat leaving the south and finding common ground with people on the other side of the country. Lab assisting with Donna Behr was awesome, she may be the nicest lady living in Boston. Seeing the light bulb moments of the attendees go off during lab is always the thrilling part of PRI and what continues to bring anyone back to PRI courses time and time again. The New York “triplets” were super enthused with the material and I’m always impressed to see strength and conditioning specialists diving into Myokin. The Maine crew had excellent questions and honed in on their testing skills. Overall, what an enriching experience while trying to navigate presenting the intricate science of PRI to do it justice. Thanks to all the attendees for the thought provoking questions and Mike Cantrell for continued mentorship and support!

Wellesley College Myokinematic Restoration Postural Restoration Institute

Hruska Adduction Lift Test Mike Cantrell Postural Restoration Institute

Wellesley College Myokinematic Restoration Postural Restoration Institute

Posted May 24, 2019 at 5:10PM
Categories: Courses

We are excited to announce the release of our updated Postural Respiration home study course!

If you ordered this online home study course in the past 6 months (while we were editing), we would like to offer you 2 weeks complimentary access to view this updated version. Please check your email for more information on how to begin your complimentary access.

This new version is co-taught by James Anderson and Ron Hruska (and their pal SYMBA - the rib cage model), and features over 17 hours of content, including case study discussions. Over the past year, our faculty and staff worked together to update the content, structure and flow of this course, and we hope you enjoy the finished product as much as we have!

*Please note that we are still waiting to hear back from a handful of states on CE approval for this updated version of the home study course, so please be sure to check the up-to-date list of Accreditation/CE approval on our website, and contact us if you have any questions about whether the updated course is approved in your state.

Postural Respiration demonstration with SYMBA by James Anderson Postural Restoration Institute

Posted May 20, 2019 at 9:21PM
Categories: Courses

This latest installment of the Postural Respiration course in New York City was notable for several reasons. First, the group was a very large and a very diverse and dynamic group of professionals, with 29 out of the 50 in attendance being first time attendees at a live PRI course. Second, my three lab assistants for the course were fantastic in every way. Thank you to Neal Hallinan, Sean Light and Brad Gilden. You three really helped to ensure a great learning and lab experience for everyone in the course. And third, the new updated version of this Postural Respiration course material really inspires, clarifies and defines the foundational principles of the institute in a meaningful way.

Postural Respiration Lab Assistants - James Anderson presenting a Postural Restoration Course

This updated course manual uses tons of great references to teach the concepts of static asymmetry, dynamic respiration and patterned respiration with clarity and authority. The well established history of PRI using objective tests to monitor position and respiratory function was further enhanced with the new Posterior Mediastinum Respiratory Reach Test. The group did a great job of picking up what we were doing with this new brachial chain test, and appreciated the reproducibility of the test for patient and client utilization on their own at home. Another highlight was the time spent on and clarification of both lower trap and serratus anterior function on each side and in each respective plane in the Left AIC/Right BC Pattern. The newly updated and expanded reference titled "The Influence of Patterned Respiratory Function on the Left and Right Abdominals, Lower Trap and Serratus Anterior" was especially useful in this regard.

Another highlight was how well the lab time turned out for everybody in attendance. There were plenty of treatment rooms and treatment tables and we scheduled enough time for each lab, whether it was an assessment lab or manual technique lab, to give everyone a good experience. Again, kudos to my excellent lab assistants for giving everyone the time and attention they needed to have a meaningful experience in lab. You three are top notch professionals clearly committed to sharing what you have come to know and that commitment made this course wonderful for all in attendance. And thank you for helping to explain how important interdisciplinary integration is when it comes to working with professionals who may not be licensed to perform manual techniques developing relationships with professionals who are. We always appreciate the interactive and interdisciplinary dialogue.

Neal Hallinan assisting during a lab demonstration - Postural Respiration

And lastly, I would like to thank yoga instructor Giulia Pline for your willing help in this course as a class demo and reference for our learning. You were willing to demonstrate patterned respiration in the Left AIC/Right BC Pattern using PRI special tests and then receive the manual techniques in front of the group to help us learn how to perform the tests and techniques in the lab. You were the prototypical Left AIC/Right BC Pattern, representing the underlying pattern that exists underneath all other compensatory patterns that could show up in our lives. After your assessment, it was fun to spend the rest of the course talking about rib immobility or compensatory patterns like Superior T4 Syndrome, with the goal in mind of becoming like you, on the way to becoming neutral, whether we used manual or non-manual techniques to get there.

Posted May 17, 2019 at 5:47PM
Categories: Courses Science

Ahh Seattle… How I missed you! I had the absolute pleasure visiting one of the most beautiful places I have ever had the privilege to teach PRI. I flew in early this time and was able to finally scratch my bucket list line item of going up the Space Needle! I visited the Pikes Place Market, took in an Underground Walking tour and learned all about how the Pioneers developed the city of Seattle. I ate my fair share of seafood and fueled up for the weekend ahead.

10 years ago, I assisted James Anderson in teaching the very first PRI course in Seattle. PRI has grown so much in the last 10 years, but nothing like the firestorm that hit this area. Seattle has so many amazing clinicians that have really grabbed hold of the science and ran with it.

I had the help of my PRI friend Zac Hawthorne. Zac did a great job helping during lab, sharing his insights with our class and answering questions.

This weekend I taught Pelvis Restoration at Pro Sports in Redmond, Washington. The staff Amanda, Cory, Siera, and Nathan made me feel so welcome, it hardly felt like I was working.

Jen Poulin teaching Pelvis Restoration in Seattle, WA

Pelvis Restoration is a great first course as it allows for a nice blend between Myokinematics of the Hip and Pelvis and concepts introduced in the Postural Respiration course. My attendees ranged from 8 “Newbies” to experienced PRI clinicians. This was a nice mix for learning and integrating effective evaluation tools and treatment interventions. I hit home the concepts of Respiration and Gait as it relates to the inlet and outlet and how that presents in patients suffering from diagnosis of Iliosacral pain, pelvic floor conditions, lower back pain and pubalgia.

My own recent course attendance at I & I, the Non-manual technique workshop and PRI for Pilates really helped me teach Pelvis concepts this weekend. I did my best to keep to the Pelvis concepts but relevant to the science taught in other courses. The integration of outlet and mediastinum inhibition using the objective tests such as how a PADT and posterior medisatinal outlet expansion tests, bridge the gap between the pelvis and thorax.

Special thanks to Taylor, Anna, Lisa, Jake, Elena and Steve for helping with lab demonstrations this weekend. I will now take a much needed rest and look forward to being back on the road in September in the Big Apple!

Until then PRINation… #trustthebreathe

Posted May 15, 2019 at 5:05PM
Categories: Courses Clinicians Science

Sitting in the “audience” and listening and reacting with fellow faculty is such a wonderful time, opportunity and fulfillment for me. To do this with a host site that is as welcoming and friendly as a site could possibly be,  makes it very special.  Thank you Nate Dykema DPT, Kelly Marsman PT, DPT, Kevin Proctor DPT, and Craig Stasio PT so much!   To do this with a faculty member, whom I have developed so much respect for over the last few years, is even more life-affirming.  Skip George DC, CCSP,CSCS, PRC has been preparing and “dreaming” about teaching this course since he became a PRC in 2014. He has talked to  Mike Cantrell MPT,PRC , and me, about the course content and delivery of material since he learned he would be teaching it.   He has applied and postured himself, in my opinion, to do this type of work early on his career.  He has been a speaker for the Postural Restoration Institute since 2016 and has been so well received by his Postural Respiration course attendees.  I asked Hannah Janssen, our Education Coordinator, how would Skip’s course attendees describe him.  She quickly responded by saying, “ they feel that Skip works hard at making things understandable and he is passionate about the science and application of PRI”.   I agree with her so much. As a chiropractor he understands universal mindsets and applications.  We are so fortunate, as an Institute, to have him help us move forward these universal messages in the professional and personal manner he uses.  

I believe our understanding of the cervical relationship to pattern development, dominance and dysfunction of the cranium and thorax will be satisfactorily broken down from a PRI perspective by Mike and Skip.  They both have been instrumental in the present design, material covered and the flow of the delivery the last few months.   If there was an ‘Impingement and Instability’ course for the neck, it would be, in my mind, this one.   And both of these speakers integrate pertinent PRI universal concepts of vision, teeth, tongue, and the feet at understandable and applicable levels.   I am so grateful for this.

If you have not taken this course, and have met the requirements, consider taking it.  If you have taken this course and I was the presenter, consider taking it again from one of these two speakers.  The perspective and the manner in how it is presented will be worth your repeated time and expense.

Posted May 9, 2019 at 8:54PM
Categories: Courses

It’s not often that I look out the window at the end of April and see snow falling, but here in beautiful Saranac Lake, NY, this is pretty typical! Matt Powers, DPT, and his team at Adirondack Regional Hospital hosted the updated version of Postural Respiration. This was the second PRI course for many, and they were eager to both expand upon and consolidate PRI concepts they learned in Myokinematics last year.

Postural Respiration Course, Saranac Lake, NY Postural Restoration Institute (PRI)

PRI is a broad science, and this course focuses on polyarticular muscular chain function of the thorax and how it contributes to patterned respiration and patterned movements, as evidenced by neck and belly breathing, rib torsions, asymmetrical abdominal oblique activity, and asymmetrical air flow patterns. Patterned activity can be a good thing. After all, it allows us to avoid an on-coming car as we cross the street, creates the beautiful music of a skilled musician, and gives the appearance of effortless movement in a professional athlete. However, the inability for the nervous system to shut off overly-patterned activity becomes a mechanism for chronic back and neck pain, shoulder and hip pathology, shortness of breath, anxiety, etc.

Postural Respiration - Postural Restoration Institute

Posterior Mediastinum Expansion reach test, Postural Restoration institute

This course has plenty of lab time devoted to assessment and treatment of compromised diaphragm position and polyarticular muscle chain overactivity. Lab time provided many “aha” moments as attendees saw in their partners, and felt in themselves, improvements in air flow patterns and tri-planar motion immediately following non-manual and manual rib cage techniques.

Hruska Adduction Drop test - Postural Restoration Institute

Ann Marenick, Sara Goldfine, and Brendon Olsen were our class demonstrators of several repositioning exercises and a few challenging lower trap, tricep, and serratus non-manual techniques. Ann was able to move her left shoulder and Sara was able to turn her neck, with greater ease and without the tension and resistance they had felt just minutes before. Brad Collins was the recipient of a 2-person manual technique. Christine Hill and I worked together to help Brad bring his rib cage on both sides into a state of more internal rotation to establish ZOAs and chest wall mobility. Upon getting up off the table, Brad smiled and said, “I feel looser all over.”

Postural Respiration Course - Postural Restoration Institute

Special thanks to Matt and Brendan, who came to the rescue following my rental car fiasco. I enjoyed the one-on-one time hearing about your families and your love of life in the Adirondacks. I’ll be teaching next at Northeastern University in Boston on June 8-9. There are a few seats available, so sign up now!

Posted May 6, 2019 at 9:06PM
Categories: Courses Techniques
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