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

Last weekend was memorable for several reasons. The first one was the new facility we were blessed to be welcomed into for the weekend. The Children's Health Andrews Institute for Orthopedics is a new facility in Plano, TX, and it is gorgeous. It's a relationship between Children's Health and Dr. James Andrews, and the facility has physical therapy, EXOS Sports Performance, and is state of the art. Thank you to Alex Lopez, Brittani Cookinham, and Stephen Laplante for their hospitality and all the set up they did for us.

Myokinematic Restoration - Plano Tx - Postural Restoration Institute

We had a great group of mostly first-timers to the science of PRI. And we had a great diverse crowd of athletic trainers, strength and conditioning specialists, and physical therapist/PTA's. We even had one Physician Assistant.

Myokinematic Restoration Course - Postural Restoration Institute (PRI)

Myokinematic Restoration provides a great foundational platform that allows us to explore the mechanical ramifications surrounding the hip and pelvis as a result of the dominant L AIC pattern. We were able to relate normal positional mechanics and normal compensatory patterns that occur as a result of the right diaphragm's influence on the L AIC pattern. After that foundation, moving into pathology and Myokinematic relationships that exist due to the pattern became an exploration of polyarticular chains of muscles. These concepts allowed us to build our assessment and treatment framework for the rest of the weekend.

Myokinematic Restoration Course - Postural Restoration Institute (PRI)

I greatly appreciate John Key and Katrina Earley for allowing us to learn from them during our demonstrations. There were so many great questions during the weekend, and I appreciate Paul Monje, Rayanne Garcia, Michael Wright, Joni Robertson, Andrew Gallucci, and Meka Venkatanaresh for their enthusiasm and re-states. And a special thank you to Kasey Aikin, PRC for her help assisting throughout the weekend! I thoroughly enjoyed my weekend in The Lone Star state, and the course attendees were a huge reason why. I am looking forward to seeing many of you in future PRI courses!

Posted May 3, 2019 at 5:40PM
Categories: Courses Techniques

PRI for Pilates took the show on the road to Webster Groves, Missouri last weekend. The iconic St. Louis arch was a perfect example of  a beautifully domed diaphragm.  Participants included PT’s, Personal Trainers, Pilates Instructors and an OT. The Pilates newbies to PRI were very receptive to the new concepts and how to incorporate PRI into their Pilates practice. There was great group participation, questions and comments especially from the Laurens, Leah, Tara and Cory. 

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

James did a stellar job explaining appropriate diaphragmatic breathing and the the roles of the IO’s, EO’s TA’s and serratus to this group whose primary focus is the “core”. Sarah had everyone  learning to drive in the left and make legal right turns. Donna led the lab integrating Pilates and PRI techniques on the Pilates reformer. We were honored to have Jen Poulin  join us to learn how to begin to use Pilates equipment to further enhance her pelvic restoration expertise.  Shout out to our host Kelly Ruesing who jumped through many hoops to be present even though she had a music gig in Indiana the same weekend. Special thanks to Nancy Hammond PRC for igniting the interest and bring PRI Pilates to St. Louis.

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

PRI Integration for Pilates - Postural Restoration Institute

 

Each year our Interdisciplinary Integration Symposium brings many different people and perspectives together for collegiate and collaborative discussion unified around a global topic of interest. This year, not only were we fortunate to welcome attendees from as far away as Australia, but we were also humbled to interact with attendees from at least 30 different states over the course of this two day Symposium. The variety of knowledge and unique approach that each individual brings with them, also strengthens the Symposium as a whole.

Postural Restoration 2019 Symposium

 The speaker panel this year included, Dr. Rosalba Courtney, Dr. Brad Story, Ruth Hennessy, Mandy Harvey, Dr. Howard Hindin, Dr. Ingo Titze, and Ron Hruska. Not only were their presentations perfectly in tune with the overall message, but the various backgrounds present allowed for even more resonance to occur between the speakers themselves and attendees as a whole. The power of PRI from my perspective is exactly this. The ability to bring together A Singer, a Myologist, a Physical Therapist, a Student, a Dentist, a Speech Pathologist, a Vocalist, a Optometrist, a Occupational Therapist, and a couple PhD’s in Voice Studies just to name a few. Not only does this Institute welcome all professions and mindsets, but we welcome them with the common goal of collaboration and integration at the forefront of this patient centered treatment approach.

Speaker Panel Postural Restoration Institute 2019

Thank you all for contributing in your own ways, to the success of this year’s Symposium. You will continue to resonate with us all and your voices will continue to be heard all across #prination

The full photo album from these two days can be viewed HERE!

Stay tuned for more from Mandy Harvey’s presentation, and please consider joining us next year for the 2020 Symposium “Extrapyramidal Disorders: An Interdisciplinary Approach in the Management of Involuntary Movement” on April 23-24, 2020 Followed by a celebration of the 20th Anniversary of the Postural Restoration Institute! See you there!

Interdisciplinary Integration Symposium 2020 - Postural Restoration Institute

Posted May 1, 2019 at 4:47PM
Categories: Courses Science

What a fun weekend of teaching Pelvis Restoration this past weekend in Lancaster. Nearly 3/4 of the class was attending their FIRST PRI course. I know many individuals have opinions what primary course attendees should attend first and many think Pelvis should be the last to attend of the the three primary courses. That being said, these professionals were amazing with understanding new concepts, looking at the pelvis in the detail of position, muscle facilitation/inhibition, and application of PRI tests needed for treatment. Yes, it's a lot of material, but one must understand it's the integrator between Postural Respiration and Myokinematic Restoration. If you don't have a pelvic inlet you won't get a ZOA needed for trunk rotation (Postural Respiration). If you don't have inlet and outlet frontal plane control you won't manage a hip (Myokin). My fellow course participants got it and did amazingly well. What an awesome weekend, learning shouldn't stop in our careers! Thank you for being open minded to new concepts and I hope you all come to love PRI as much as I do.

Pelvis Restoration, Postural Restoration Course

Pelvis Restoration Course, Lancaster, PA - Postural Restoration (PRI)

A shout out to Cathy Ingram and the rest of the staff at Lancaster for hosting this past weekend. Lancaster had 15 participants from their staff alone attending the course this past weekend. Thank you so much for the set up, tear down and organization. Most importantly, thank you for your passion for PRI.

PRC Frank Mallon with Lori Thomsen, Pelvis Restoration - Postural Restoration (PRI) course

Also, a huge thank you to Frank Mallon for being a wonderful lab assistant. Frank is humble, approachable, an amazing clinician with a strong passion for learning and PRI.

Posted April 29, 2019 at 5:07PM
Categories: Courses Science

What a group of course attendees that came to Postural Respiration hosted by Alta Bates Summit Physical Therapy in Oakland, CA! First timers really shined in terms of curiosity and questions to absorb the foundations of PRI. There were students that traveled as far away as Alaska, Hawaii and Washington State. The course started out with definitions. What is posture and how do you define it? What is neutral rib alignment in a dynamic, tri-planer context? What does respiration have to do with posture and alignment?

Skip George presenting Postural Respiration for the Postural restoration Institute

Skip George demonstrating thoracic rotation at a Postural Restoration course

The veterans with PRI were exposed to the new and revised Postural Respiration course and the feedback from them was really enthusiastic. One of the new attendees wanted just a little more lab time so he was chosen as the subject of a review of all of the AIC/BC tests Sunday afternoon. Non-manual and single person manual techniques did not get him inhibit is neurological system and at 3:45pm on Sunday, a little PRI magic had to appear! After all, it was the bottom of the ninth, nearly 40 pairs of student eyes are watching and is the student going to experience what it is like to be neutral for perhaps the first time since he was an infant? Taylor Lewis, PRT, a veteran lab assistant (And great guy who uses PRI with Cystic Fibrosis patients) assisted with a two person infraclavicular pump. This young athletic man who was demonstrated on was also a prime example of what one would imagine as having perfect posture on visual inspection (could even win an award for it!) standing nice and tall. Problem was, all of his PRI tests were positive and he was neurologically extended head to toe! After this two person manual technique was performed, all PRI tests became negative, much to his delight including class attendees and maybe even the course instructor! He sat up and said "I feel sooo good and relaxed!".

Lab demonstration at Postural Respiration course

Lab this weekend with testing, non-manual techniques and manual techniques was totally fun for everyone and was a great balance to didactic learning going from concept to experience and then having this last lab to send everyone home with as to what is possible when you just keep exploring treatment options with PRI techniques. Thank you Taylor Lewis, PRT, Carol Kahn, PT, PRC as my lab assistants but also thank you ,Tim Dempsey, PRT, for attending while also helping as a third assistant over the weekend. These courses take a lot of work by the host site. Thank you Shaun Buchanan, PT, Marcela Larrondo, PT, Joan Sheppard-Mellows and the rest of the supporting crew from Alta Bates Summit Physical Therapy.

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