Courses

Northeastern University hosted another wonderful weekend on their beautiful campus in the south end of Boston. Grateful to have such awesome hosts as we were honored to present our secondary level course, Impingement and Instability, to a wonderful group of professionals from several disciplines. Nate Bocko, Michelle Boland, Mike Anderson, Justin Parent, Dan Sanzo and Dan Adamietz, you guys were first class and represented Northeastern Sports Medicine very well. Your support for the science of PRI is appreciated and means a lot. Loved the discussion about athletic training and strength and conditioning application in collegiate athletics. Thank you for your willing participation throughout the weekend.

And thank you to Hannes Bartz, a motivated Physiotherapist who traveled all the way from Germany to attend this class. Awesome to have you there with us. As an American, I have never traveled to Europe to participate in continuing education, so I always tip my hat to professionals who make this kind of a commitment to be with us. Thank you for being such an attentive student, listening to and asking really good questions in a second language. Sorry I didn't know more Deutsch. Your candid and honest approach to learning was both refreshing and humorous.

It was also really cool to have 4 PRCs in attendance (including myself). Thank you Donna Behr, Anita Furbush and Karen Taylor-Soiles for adding your experience and insights to the course experience. And special thanks to you Donna Behr, for your past presentations to the sports performance staff at Harvard University. Were it not for your mentoring mentality, we may not have had Yumi Kuscher and Andrei Tarsici in attendance from the Athletic Training Staff at Harvard. Where would we be without all of Andrei's great questions? And sorry I kept calling you Andrew for the entire first half of the first day Andrei. Your questions were great.

The class established some powerful themes the first day that we were able to maintain throughout both days to help provide more clarity with clinical application. Neurology, frontal plane Lateralization and the management of hemispheric performance during rotational activities. Thank you guys for working with my analogy of getting ticketed on Tropicana and Las Vegas Boulevard when I was a young student at UNLV. For those of you who did not attend the course, I can't say anymore than that. You know what they say about "What happens in Vegas,...".

I really loved the comments from so many of you stating that this course really opened up key application principles of PRI, beyond just the basics of the 3 introductory courses. Its great to re-look at all 3 of those courses with a different set of lenses, figuratively and literally. The complexity of PRI really does start to become simple when hemispheric lateralization and the autonomic nervous system are fully respected.

Posted June 14, 2018 at 1:44PM
Categories: Courses

Being my first trip to Virginia, I was excited to be able to share the science of PRI to many first-timers. We had a very good mix of strength and conditioning, rehab, and sports medicine professionals in the audience. Virginia Commonwealth University were great hosts for our weekend of exploring how the polyarticular chains influence our every day lives, as well as our sports performance. Many thanks to Eddie Benion and his crew, James, Jason, Ray, Christopher, and John.

We spent our first day going through the patterns of the L AIC and R AIC. We discussed how the patterned behavior facilitates some muscles, while inhibits others, on each side of the body. And we had a great discussion about while is it awesome to be Batman, being Bruce Wayne is much more valuable. We talked about "good" Boy Bands, and "bad" Boy Bands.

The best part of the weekend, in my opinion was the amount of time we had for lab. We spent nearly half of the day on Sunday in lab, where everyone got a chance to find and feel the muscles that we need to facilitate, and inhibit, if we are to get into L stance and off the R leg properly. My thanks to my lab assistant, Eileen Kokosinski, PT. You were a great help! We were able to go through an inhibition lab as well. And we were able to link the activities back to the Hruska ABDuction and ADDuction Lift tests.

My thanks to Sara Creger, DPT, for letting us use her as our lab demonstration model. As well as Drew Coulter, DPT, and James Benzel, ATC, and Jason Castleman, ATC, for allowing us to learn from them as well. As always, we had a great room of learners, and we had a ton of great questions. My thanks to Joshua Jordan, Leanne Dunaway, Scott Burch, Tom Loyd, Ethan Saliba, Edwin Santiago, and Jason Turner. It was so great to hear this mix of health care professionals ask questions, and learn from each other about how human asymmetrical patterns affect our daily lives and sports performance.

Posted June 11, 2018 at 9:15PM
Categories: Courses

The spacious auditorium of St. Luke’s Hospital was the weekend home for 44 course attendees. The science of PRI continues to expand its reach to professionals from a variety of disciplines (PT, OT, PA, DC, PTA, ATC, and CSCS), with the lively Marquette University training staff well-represented.

This course dives right into discussion of our asymmetric diaphragm, creating lateralized patterns of air flow and obligatory patterns of movement, defined as the L AIC, and R BC. Attendees learned: the correlation between PRI tests and a person’s ventilatory – thus walking – strategy; how to identify joint pathology that can develop when the typical human patterns of the L AIC and R BC go awry; and how to identify pathological breathing strategies that develop from patterned position and activity – namely superior T4 and PEC syndromes.

Lab provided a kinesthetic and aural dimension to assessing activity of the left and right AIC, BC, and PEC, the quality of ventilation, and the degree of rib cage pliability/restriction. Our rib cages benefited from manual guidance to fully exhale and expand. Further lab was devoted to experiencing non-manual techniques that reinforce sensing of opposition muscles that shape the left diaphragm’s ZOA and shift our center of mass to the left while rotating the upper torso back to the right.

Special thanks to:

- The models who donated their bodies for the benefit of all: Cathy Curran, DPT, Audra Hawkins, PTA, Elizabeth Majszak, DPT, Steve Schmidt, DPT, and Brandon Yoder, ATC. ,

- Mary Jo Herrick and Selene Wang, DPT, of Aurora Healthcare, for the set-up, break-down, and keeping us hydrated and fed.

- Gabe Champeau, DPT, and Anita Panagiotis, MSPT, PRC for assisting during labs and sharing your clinical pearls.

Posted June 8, 2018 at 4:16PM
Categories: Courses

James and I were fortunate to have a packed house at our PRI Fitness and Movement course in Burlington, VT. We focused on cleanly delivering principles of breathing as related to optimizing movement health, postural balance, core stability and self-regulation. In this course, we break down breathing and dynamic thoracic posture principles into digestible chucks then link them back to creating dynamic symmetrical balance around the shoulder and hips. Through regulating our breathing and thoracic posture we can reduce unwanted muscle tension and patterns of hyperactivity which can impair various performance relationships.

I know I probably say this in every post course review I write– but this course continues to get better each time we teach! The attendees really do make the course and this was a great group! Thank you to all that attended! I continue to get excited for the future of this course and how it can help others learn about the invaluable science of Postural Restoration.

Special thanks to our host, Matt Baine and the University of Vermont Athletic Training staff. Awesome space which accommodated great lab time and the staff was superb. Also special thanks to our lab assistant Maura Guyer and the other PRCs that attended – Mike DeMille, Sean Fitzgerald, Oliver Hall, and Chad Rainey - your continual support to help these affiliate courses succeed is greatly appreciated! Lastly, special acknowledgement to our furthest traveling attendee, Massahiro Goto who was a chiropractor that traveled in from Japan to learn with us! What great representation of extraordinary dedication and care to his craft!

If you are interested in attending we have four courses left this year and James and I both encourage you to sign up sooner than later as they will get sold out – We will be teaching in the areas of Charlotte, Los Angeles, Chicago and Philadelphia. If you can’t make it this year and are a good host site for next year, we’d love to hear from you as we are starting to look for host sites for 2019!

Posted June 8, 2018 at 3:05PM
Categories: Courses

Impact Physical Medicine and Aquatic Center has been a long-time friend of PRI and always hosts courses in their cutting edge facility. Years ago Stan Babel CEO of Impact and Ron Hruska MPA, PT collaborated to create the very first PRISM pool. Christie Thames PT, DPT, HFS,PRC and Mara Brandsoy OTR/L, PRC played the role of host and this past weekend I presented Impingement & Instability which is one of my favorite courses to teach. We had two faculty members present Dan Houglum MSPT, ATC, PRC and Sayuri Abe-Hiraishi MS, ATC, LAT, CSCS, PRT. Dan and Sy are excellent presenters and I hope everyone gets a chance to take a course from them. I always learn from both of them and am grateful to call them my friends. We had a total of 8 PRC’s and 1 PRT in the class and they were all great with their input. If you don’t know about I&I, it is a class that coalesces the basic courses into a neuro symphony and teaches MORE on the “why” of Impingement. Why do people impinge and where? We take the time to deeply explain (sometimes more deeply than the attendee wishes 😊) the common sites of pain and the neuro-biomechanics associated with that pain. I cannot emphasize enough how helpful this class can be to your clinical practice and the class reviews were all really good! If you’ve been putting it off I can tell you that I’m teaching it again in July in Georgia and in September in NYC so go ahead and get registered ASAP and I will see you there. I can’t wait.

Posted May 24, 2018 at 2:38PM
Categories: Courses

It has been a couple weeks now since we wrapped up our 10th Annual Interdisciplinary Integration Symposium, but we are all still boasting with excitement over the two days that we had on April 19-20th! It was such a pleasure to host Matt Wallden and Phillip Beach, Osteopaths from across the pond who were our keynote speakers this year. Their clinical and educational backgrounds allowed them to expand on topics of tissue restriction, evolutionary and development factors, archetypal postures, and contractile fields relating to the symposium’s overall topic of “Postural Restriction”. Jacqueline Shakar blended her extensive clinical experience in assessment and treatment of the foot and ankle, with different methodologies, including PRI, Graston Technique, SFMA, and others, giving us all further appreciation of the role that the foot and ankle plays in restriction from the floor up and other areas of the body. Robert “Skip” George shared his personal journey as a chiropractor, the restrictions encountered within his profession and also some of the common clinical restrictions that occur in the cervical spine. Heidi Wise opened our eyes further to the role that extraocular muscles have on (or in response to) postural patterns, and possible restrictions that might occur with the EOMs. Pat Davidson took us through a fun journey reminding us how we have lost “authentic environments” that our ancestors thrived upon, and how this is influencing today’s healthcare and fitness industries. Ron Hruska got to further expand on chest wall restriction and the role of clavicle, hyoid and scapula position and alignment. His discussion on management of hyoid muscle ‘sling’ activity was brought to life with the ‘PRI Suprahyoid Sling Model’ that attendees received to help them further understand, and also educate their colleagues, patients or clients how mandibular and hyoid position/alignment influences suprahyoid muscle activity. And finally, it was an honor to have Gabe Adams speak, dance, and answer questions for our attendees on Thursday evening. His story (along with his father Ron) was more than inspiring, and reminded all of us that the thorax runs the show. With ribcage and thorax movement, you can walk, dance, and live life to its fullest!

While we are still boasting in excitement two weeks later, we are even more excited to be working on next year’s Interdisciplinary Integration Symposium topic and speakers. Save the date for April 11-12, 2019, and stay tuned for the topic and speaker announcements in the coming months!

Posted May 10, 2018 at 4:04PM
Categories: Courses

Hey PRI Nation!

This past weekend I had the pleasure of enjoying teaching Myokinematic Restoration at Indiana State University. Cody Inskeep, ATC who I met originally at a Pelvis Course in Seattle invited PRI back to his stomping grounds in Indiana, and I am very glad he did! This weekend's course was one involving learning on all fronts. We learned about muscles that move an acetabulum over a femur on one side compared to the other in the femoro-acetabular-ilio-sacro-pubic ring of bones and joints that affect position, balance normal asymmetry and allow us to optimize our gait and respiration. We touched on the fact that integration will involve muscular control of this pelvic ring to control both acetabulum and femur, what muscles in what position will assist in this venture, and toward the end of lab and lecture we discussed what we might consider learning if patients still have residual components of symptoms after acetabulo-femoral and femoral-acetabular lateralized control is established. This group was motivated and dynamic, attending for as many reasons as there were clinicians. Thanks Aaron Ford, DC and Canaan McClure for your story about why you attended your first course--a reference to PRI in a book by author Kate Bowler who noted PRI was the reason she could now fully function after a long span of ADL limitation, avoiding scheduled bilateral first rib removal. Thank you Sharon Wellbrook, DC and Tim Demchak, ATC for taking a weekend to learn principles of PRI that you can reference and teach your students in your respective learning institutions. Thank you Denny Wongosari, ATC, LMT among others for coming to learning functional strategies to allow your athletes to better perform. It was my pleasure working with all of these movement professionals as we worked to integrate Myokinematic tests, clinical reasoning and treatment strategies into their respective practices. Thank you Robert Pawlak for recognizing and initiating PRI science into your soon-to-be Orthopedic Surgery practice. Each of your stories encouraged this clinician-first faculty member with regard to the future of integrated medicine. Bravo!

 Thoroughly enjoyed lab sessions where Kelly (Kelly) Brock, DAT, LAT, ATC, Tim "The Beautiful Mess" Demchack, ATC, Wendy "PS I Love You" Schmidt, OT, former SD native Cara "Caragami" Lemon, ATC, among multiple others helped me demonstrate, nonmanual and manual techniques as well as theoretical principles to the class.

As a bonus this weekend, I got to visit the statue devoted of one of the greatest basketball players to put on short shorts--Larry Bird. The statue commemorates the 1979 ISU team that faced Magic Johnson's MSU for the national championship game and was soul food for this old baller. Also interestingly, I learned that Larry played one game of college baseball that year in an effort to increase attendance at ISU's baseball games--and it worked, of course. Thanks again Cody for your time, energy and for your insightful insider information on ISU history and thanks to each participant for making this course a blast!

Posted May 10, 2018 at 2:35PM
Categories: Courses

This past weekend I had the pleasure to present Postural Respiration to a diverse mix of new attendees and "veterans" of PRI at Pro Sport in Redmond, WA. I would rename this weekend "Superior T-4 Syndrome in Seattle" considering how many course attendees presented with this patho-mechanical respiratory compensation and asked so many questions about patho-mechanical rib kinematics as it relates to this subject! We had an opportunity to demonstrate in front of class at least four students that looked like they could possibly be patho-mechanical in terms of their respiration and body type.

One take away is you may suspect a positional issue but always test and retest. Two of the students demonstrated the definitive assessment of decreased left apical expansion after a Superior T-4 manual technique. Superior T-4 came up during discussion on Saturday and was a topic that came up often during the entire weekend on how to define, assess and then treat it both manually and non-manually. One of the students that had non-manual techniques provided experienced the left side of her body in a way that she expressed with an enthusiastic smile and a new place that she could feel and find in her body! In addition, she felt a bit "unstable" when she first started walking and liked it! Welcome to variability! She not only found neutral, but she experienced transitioning right to left side and back again, alternating and reciprocating, lateralizing and realizing what tri-planer position, gait and breathing is all about. What a lesson for all to see, experience and what it means to reduce the reliance on end-ranges driven by asymmetries, respiration and patterns driven by neurology!

The enthusiasm and new awareness of Superior T-4, especially for students new to PRI, was totally fun for all involved including this instructor! Thank you PRI dedicated veterans Erin Rajca and Michael Ball, both PT's and PRC's, for their help and knowledge.

This course was a joy for all with them in attendance providing energy, experience and caring. Thank you Cory and Amanda for hosting at PRO SPORT and all of your hard work! And shout out to all of the students in attendance for your most outstanding questions and persistence in wanting to understand PRI principles especially regarding Superior T-4.

Posted May 8, 2018 at 4:14PM
Categories: Courses

Saranac Lake, NY, was the site of the most recent Myokinematic Restoration class, and it was a very eventful class for a variety of reasons. One of them was the 4-6 inches that fell Sunday during the course. It was a very beautiful scene, until you realized it was April 29th.

More importantly, it was a course where we had the opportunity for as much, if not more, lab time compared to any course I have taught previously. We were fortunate to have two experienced and great lab assistants, Michelin Carroll, PT, ATC, and Sean Fitzgerald, PT, PRC. They have been in and around PRI for a long time, and having them help in lab was invaluable. My thanks to them!

We were able to delve into the differences between normal mechanics the L AIC pattern presents, as well as normal and pathological compensations that will arise. This led us into the polyarticular behavior the muscles of the pelvis and femur have on each leg as a result of the L AIC pattern. We were fortunate to have a lot of time to practice the positional assessments, as well as discuss what the positional tests indicate.

The value of the Hruska Abduction and Adduction Lift tests relative to the gait cycle and respiratory cycle was a significant topic of conversation and lab. We were fortunate to have two very good demonstrations with Matt Powers and Brendon Olsen. Matt gave us a good example of how to reposition someone who is in a L AIC pattern. And Brendon gave us a great example of how to get someone who is in a PEC pattern, and help them become inhibited enough to turn into a L AIC pattern.

My thanks to Shauna Thomas for helping us link the L AIC pattern to what she is seeing in her womens' health population; Megan Haught for her great questions and re-states; co-workers Bill Doherty and Linda Horizny for their enthusiasm in learning this new material; and Hilary O'Connor, who is a student physical therapist attending this course.

We all need a little more "Bruce Wayne" and a little less "Batman," and we need to make sure we have the proper "boy band" in our lives!

Posted May 2, 2018 at 7:49PM
Categories: Courses

This past weekend the PRI Fitness and Movement course was sold out in Salem, Oregon and the entire west coast from represented from California to Alaska. Thank you to all that attended and traveled in! It really was a great group!

The audience had great diversity with personal trainers, strength coaches, physical therapists, chiropractors, massage and fascial bodyworkers, CrossFit and fitness enthusiasts and it was awesome to see them all working together to learn and enhance their understanding of the PRI science and key biomechanical relationships. This weekend was jammed pack with a ton of lab as I broke down the complex core axial system into digestible parts which could be trained. Breathing patterns along with thoracic and pelvic positions were emphasized to enhance neuromuscular and biomechanical patterning. Great discussions and lab experiences were had all around. Special thanks to Salem’s hidden gem - The Press Room - for hosting, Aaron Hague and his team were gracious hosts and a special shout out to PRCs Minh Nguyen and Joy Backstrum for helping make lab an enjoyable experience for the large group we had! The abs were reshaping the pancakes... and attendees we were feeling the parachuted love!

We will be at the University of Vermont next month and then North Carolina and California. This course keeps getting better and James and I hope to see you there! Check out the Affiliate Course page for more details and be sure to program in some summertime learning today!

Posted May 2, 2018 at 4:28PM
Categories: Courses
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