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

Great time in Minneapolis, Minnesota this past weekend talking PRI Integration for Fitness & Movement. Special thanks to this amazing host site- FitSpace! Brent and John your hospitality was appreciated, and your facility was awesome. Also special thanks to DJ for her help over the lunch breaks! Thank you guys so much for hosting and a great set up! This past weekend I allotted extra lab time--- and by the course reviews that seemed very appreciated. There’s value in understanding how muscles work together in each plane and there’s even more value in actually FEELING, SENSING, and GROUNDING these relationships and new positions.

We talked about the neurorespiratory mechanics and asymmetries of the diaphragm, pelvis, and ribcage in three planes and broke them down to be properly sequenced to reorganize core performance. Our focus in this course is on synchronizing certain muscle groups around the pelvis and ribcage to improve postural organization, reduce asymmetrical torque and strain, and maximize strength and power output via improved neuromotor programming and neurological grounding principles.

As we wrap up the 2017 schedule, east coast and Washington DC/Baltimore area is our last stop. Early sign ups are still going on for the November 18-19 host site in Frederick, MD. Check out the PRI Affiliate Course link to learn more and register!

Posted October 13, 2017 at 1:42PM
Categories: Courses

Fortius Sport and Health in Vancouver is not only a world class Mecca for athletes wanting to perform at the highest level and for patients recovering from an injury, but it is also a practitioners dream location for a progressive, state-of-the-art, and integrative environment to work in and hone their professional skills. Fortius was developed as an enormous community based sport rehab and facility in the suburb of Burnaby, near Vancouver, that includes several ice rinks, grass fields for field sports and a world class weight training facility including basketball courts and therapy pools. There is a vision center for concussion rehabilitation. Physical therapists, chiropractors, athletic trainers and sport performance specialists all work in an environment that is focused on mutual respect and collaboration to provide the very best in athlete/patient outcomes. Regular meetings are scheduled with all practitioners to discuss cases including having medical consultations available for athletes. This group of practitioners that attended, many of which were from Fortius, had their first introduction to PRI this weekend. One husband and wife team from the US had taken Postural Respiration through a home study course and loved it so much that they opened up their new clinic based on breathing and respiration principles. This was their first live course for Postural and having a hands-on experience was invaluable from their response. Jon Rowe, CSCS, PRT is the only PRT/PRC in Canada and drove 4 hours through the mountains to assist this weekend from a town called Kelowna. Jon is a quiet force and by Sunday was providing an amazing amount of insight and help to new students. Some of the questions that came up included what does PRI teach in terms of breathing? Well, let’s just start with an ability to exhale fully and pause before taking a full breath in. Combine that with a new neurologic and bio-mechanical re-position or non-manual technique and now unlocking the secrets to a balanced bi-lateral human being is possible. It seems simple to veterans of PRI that if you hope to master breathing, you must see for starters that a left hamstring, glute, IO/TA's are needed to create a left (and right) ZOA of a diaphragm. All the breathing techniques in the world aren't going to re-position, re-train or restore function and performance without this basic building block. This one concept was reinforced though out the weekend. Many thanks to Ryan Murray, DPT and Erik Torchia, DPT for hosting this weekend in such a beautiful facility, city and country.

Posted October 5, 2017 at 3:12PM
Categories: Courses

This past weekend I enjoyed, and loved, my time with nearly forty movement scientists in the city of brotherly love. I enjoyed having a tremendously diverse group of professionals, from personal trainers like Aven Johnson, OTR's like Wing Chin, Exercise Physiologists like Bryant Aguilar, Pilates Instructors like Susan Milosky, Inpatient Neuro PT's like Christopher Carroll, PTA's like Dustin Friesen, Associate Professor/ATC's like Nicole Cattano, and PT's like Matt Hinsey and Jessica Jennings. My time in Philadelphia and nearby suburb of Cherry Hill, NJ hosted by Jon Herting and TTR Performance was a great experience, my first at this location. Jon and his team allowed me to be dialed solely into the task of introducing nearly 30 PRI hatchlings to the science!

This weekend was especially unique because we were honored to have lab assistants Jon Herting as well as Takashi Onuki, MS, ATC, CSCS, PES, PRT, PRI coordinator in Japan and budding PRI Instructor. I had the opportunity to hang with this future faculty member and daddy of daughters who brought a great teacher's perspective that I was able to appreciate and learn from. Thanks Takashi!

Through this course, we discussed the normality of asymmetry, the group of "amigos" that we use to oppose a right lateralized system, with some great conversation and discussion via an interactive group of professionals about how to implement PRI principles from the "it's all neural all the time" hemiparesis client to the "it's game on all the time" competitive athlete setting. Thank you Elizabeth Young, Ken Guzzardo, Brian Dougherty, Ray Carr, Connor "CJ" Conway, Anthony Blubello, Tara Amato, Ryan Wolff and Courtney Pierre for your assistance with demonstration of PRI techniques and treatment strategies! You all made the course real! Thank you Zach Mitchell, Colin Kidwell and Rushi Shahiwala for keeping a steady flow of good questions for discussion flowing. Lastly, thank you "table Jay", Jennifer Bolster, Jimmy Jo among many others for enjoying a laugh here and there during the course.

Overall, much was learned, and much brotherly (and sisterly) love was doled this weekend. Thanks for everything Jon and the Philly crowd!

Posted October 5, 2017 at 1:57PM
Categories: Courses

It was a beautiful early fall weekend in Palo Alto, California teaching Impingement and Instability to an awesome group of rehabilitation, strength & conditioning, athletic training and movement professionals. Thank you to our host Chris Gaines, CSCS, CES, PES and the super team at Performance Gaines for your hospitality and professionalism throughout the weekend. You have a beautiful facility and it’s always great to get to spend time with you guys. Really appreciate all the extra work by Dan Hafner, CSCS to make sure we felt welcome and had everything we needed.

This course was chock-full of amazing professionals with a wide variety of backgrounds and experience. I wish I could thank each one of you for your contributions to the course. It was nice to have Carol Cahn, PT, PRC, Caleb Chiu, CSCS, PRT, Tim Dempsey, CSCS, CPT, PRT and Dan Houglum, MSPT, ATC, PRC in attendance as Certified PRI Professionals to learn more about the science and its application in this secondary level course. I also really appreciated having Takashi Mita, ATC and Yusuke Namba, ATC in the course all the way from Tokyo, Japan. It means a lot to our institute that you would be willing to travel so far to further study the PRI science.

Impingement and Instability provides the opportunity to delve deeper into powerful PRI concepts like Lateralization and Esthesiology. Hemispheric lateralization during upright performance is one of the chief contributors to the various instabilities that occur throughout the body. To study calcaneal, femoral, ilial and scapular instabilities from a lateralization stand point based on right vs left respiratory, neurological awareness and muscle tone influences is a paradigm shift for most. It’s a big part of what defines PRI, but something we are only able to briefly touch upon in our introductory courses.

This group did a great job grasping these underlying causes of regional and systemic instabilities across all parts of the body. I really appreciate Will Waterman, DPT, COMT, CSCS for being such a willing volunteer for so many of our demonstrations and examples. You promoted a positive learning experience for the entire class and helped us appreciate some of the finer points of technique cuing to make sure some of these more advanced PRI concepts are respected throughout treatment. Your commitment to getting things right was really representative of the overall course attitude and a big part of what made this course so enjoyable to teach. Thank you Will and thank you everyone! I look forward to seeing continued growth and advancement in all of you.

And lastly, I'd like to thank my friend and fellow PRI faculty member Dan Houglum for allowing me to share a part of his family's holiday with them in Palo Alto. I enjoyed meeting your wife Becki and your daughter Ella and getting to enjoy the Stanford UCLA football game together on Saturday evening. I've known Dan for years and have been grateful to be one of his mentors, but have not met his family until this weekend. Its always great to meet and get to know the people behind the scenes in your life, because they are really the ones who make you who you are. I think I'll throw in the picture of Ella pulling you out of the Ghiradelli Chocolate machine, because it reminds me of two things, 1) left lateralization and 2) the powerful influence our loved ones have on making us our very best.

Posted October 2, 2017 at 6:57PM
Categories: Courses

Just returned from the Sunshine State where I enjoyed a weekend with a warm group of mostly Floridian movement scientists discussing acetabular-femoral position's effect on laterality and the ability to enjoy balance in gait for the full gamut of athletes--seated to high flying. Thoroughly enjoyed the discussions about integrating PRI primary course principles into all populations, treating forwardly rotated coxal bones with triplanar effectiveness, and application of specific, appropriate techniques.

Thank you South Lake Hosptial's Lynn Rizzo for your energy and passion for a career rejuvenated with PRI principles to serve your patients better. Thank you Megan Bollinger for your first class lab assist and for the opportunity to meet your husband. Thank you Mary Jo Murphy for your engaging discussion regarding application of PR regarding compliance, to Hector Cabezas, Courtney "Co" Stearn and Bergi Dixon and Christian Marks for your engaging attitudes and questions throughout. Thanks Alphonso Jones, Jeff Banfield, Martin Ramiz and Will Zihlman for helping showcase particular neuromechanical patterned tendencies during our lab.

On a weekend where most participants had been through a couple weeks of significant change prior to and following Hurricane Irma, I felt nothing but welcomed by all course participants during a weekend that passed like a blink! Thanks Orlando, looking forward to PRI nation flourishing in your region!

Posted September 28, 2017 at 3:30PM
Categories: Courses

Deep in the heart of Texas! Cervical Revolution at Goddard Orthopedic and Sports Therapy. GO Sports Therapy is a beautiful facility owned by Amy Goddard, a fantastic PRC who has taken PRI concepts to a high level in The Dallas area. She, along with my good friend Stephanie Irizarry, who is also a PRC and Gail Kaiser who is Orthopedic Certified (and a marathon running beast!) took the job of hosting and made me and the entire class feel very welcome. I am so very grateful for their wonderful hospitality. The class of 30 participants included multiple PRC's and two PRT's in attendance as well: Tara Osborne PRC, Anita Panagiotis PRC, Kasey Aikin PRC, Jennifer Bullock PRC, Amy Goddard PRC, Stephanie Irizarry PRC, James Guzman PRC, Taylor Lewis PRT and Sayuri Abe-Hiraishi PRT...wow!! We covered the causes of two main osteopathic cranial strains known as the Left Cranial Side Bend and Right Torsion Lesions. We also discussed malocclusions and the interrelationships of both. This led us into a journey through the asymmetric human form that was so very enlightening and helped the course attendees develop a mechanism for not only management of the cervical system but also a mechanism for interdisciplinary work with their local dentists. We had three dentists in attendance with us: Peter Lecca DDS, Anh Khieu DMD and Orthodontist Yoon Chang DDS, MS. I had Dr. Chang take the podium at the end of the course and deliver a bonus lecture on orthodontics from a cranial strain restoration point of view and it was excellent. Thank you Dr. Chang and thanks to all in attendance. It was a blast!

Posted September 20, 2017 at 4:12PM
Categories: Courses

I had a great weekend at Ethos Colorado in Denver presenting the PRI Integration for Fitness and Movement Course. Ethos had a great facility and thank you to Jonathan Pope and his team for hosting! We had a jammed pack Saturday discussing important concepts to enhance athletic durability and how to empower the breathing system. Diaphragm and ribcage mechanics were broken down to help professionals assess proximal core stability and postural health. Sunday was even more jammed back with discussion around our asymmetrical design and the common patterned imbalances we see in our clients. Components of gait were correlated with various fitness movement patterns and exercises were broken down into planes of motion to empower better programming and triplanar sequencing. I am thankful for the great feedback received from all attendees. This course continues to improve and offers the experienced PRI clinician with gems of applicable knowledge as well as offers invaluable neurorespiratory insight to a new attendee to enhance their understanding and assessment for mobility, stabilization and strength. Two more courses left for 2017! James and I will be in Minneapolis teaching next month and in the DC area teaching in November. There is still room to sign up! Check out the Affiliate Course link under Programs and Courses on the PRI website.

Posted September 18, 2017 at 6:36PM
Categories: Courses

PRI Integration for Geriatrics - (Chapel Hill, NC) It was an awesome weekend presenting "PRI Integration for Geriatrics" to an awesome group in beautiful North Carolina. As a group, we explored the possibilities of the course's new title and the new subtitle, "Restoring Alternating Function in the Immobile, Frail and Chronic". By the end of the weekend, we had identified a lot of great applications for immobile populations, frail populations and chronic populations across a large spectrum of conditions and age groups. It was eye opening for all of us and a great validation that the course's new name really does reflect who this material is for.

A big thank you to Susan Henning, PT, PRC and her wonderful team at the host site Advance Physical Therapy. She was a great lab assistant and a kind, generous host throughout the weekend. She has assembled a fantastic team of professionals in their dynamic integrated clinic. Thank you Joe Belding, Jean Massé, Lisa Mangino, Shella LoBianco and Beth Elder for being an important part of a great learning weekend. Honestly, to have 4 out of 6 staff members at the host site currently certified in PRI and the other 2 interested in the process of getting certified is very uncommon and even a little intimidating for a presenter with an introductory affiliate course like this. But your feedback confirms that this material was a nice combination of introductory and advanced concepts that challenged you and also rewarded you for being there. I love to be able to connect with and challenge both first time attendees and also experienced PRI clinicians with affiliate course content and all the new assessment and treatment ideas.

This weekend also provided me an opportunity to meet some people from my early PRI faculty days and associate with some of the people they are now able to mentor and influence. Rebecca Williams, PT from Pinehurst, NC, who has incidentally become a good friend of our very own Jen Poulin, reminded me that she attended one of my first ever courses as a PRI faculty back in 2001, a Protonics course in Columbia, SC. That course was also my first opportunity to meet and teach another longstanding PRI contributor and good friend, Kyndy Boyle. Wow, a lot of positive things have happened with this institute since those early days, and mostly because of the people we were fortunate enough to meet along the way. I also met 2 PTAs this weekend who are currently employed by a therapist I first met and taught when she was a student in PT school, Tracy Lyn Schuster, DPT. Madison Blythe and Hailey Parsons, you two did a great job with the material and Tracy Lyn would have been very proud of you. And thank you Madison for suggesting Merritt's Grill for lunch on Saturday. That place could be one of my all time favorite places to eat lunch anywhere in the country.

Lastly, I want to thank my friend JR Glenn for coming over from Columbus Ohio to attend the course and also to help me work through one of the long-standing emotional issues in my life - an inability to get over the hard feelings I have for the 1991 Duke University Men's Basketball Team. I attended UNLV in the early 90s and the 1991 Blue Devils prevented my Running Rebels from being back to back National Champions and I haven't forgiven them for breaking my heart. JR was kind enough to drive me from Chapel Hill across town to Durham to face my unhealed wounds at Duke University. We visited Krzyzewskiville, Cameron Indoor Stadium and then I got to see the 1991 National Championship trophy with my own eyes. After working through the pain of it all and reminding JR that the trophy should not be in a glass case in Durham, but instead in a glass case in Las Vegas, I let go and began the healing process. I'm optimistic about my ability to get over this barrier in my life. I'll definitely keep you posted. Go Rebels!

Posted September 14, 2017 at 9:29PM
Categories: Courses
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