Courses

PRI Integration for Geriatrics (Minneapolis, MN)- An awesome weekend in the Twin Cities of Minnesota with the great team at IMPACT Physical Medicine and their course coordinator, Christie Amundson, PT, DPT, HFS, PRC. Their owner, Mr. Stan Babel is a long-time friend of mine and both a gentlemen and a scholar, simply stated. I have been fortunate enough to work with their clinic over the last 17-18 years teaching and consulting and Stan has always treated me with the upmost kindness and respect (and for the record, he takes me to the best restaurants in St. Paul). This weekend reminded me of all my friendships over the years within this organization and the many memories I've been able to make over the different generations of IMPACT employees during this time. A big thanks to all of you, past and present.

There were a lot of great people from the Midwest in attendance, and I want to thank my two lab assistants, Christie Amundson, PT, DPT, HFS, PRC and Tom Tardiff, PT, DPT, CSCS, PRC for helping make the experience great for the class. You two were very helpful. Beyond all the great Minnesota people in attendance, I was especially appreciative of Matt Rosenboom, OT, for traveling all the way from New York City. I appreciate Matt for a couple of reasons, first because he was willing to travel away from the large coastal cities to attend a course like this in the Midwest, secondly, because he is an Occupational Therapist, and lastly, I love that he has already created collaborative learning with a hand full of PRI experienced people, including an old Protege of mine, Minh Nguyen, OT, PRC.

I highlight the fact that Matt is an OT, because this course has Occupational Therapy written all over it. Besides Matt, there were 9 other Occupational Therapists in attendance and the Physical Therapists got to take time to explore the world of OT, not the other way around. This is meaningful for us because PRI has always been a big fan of interdisciplinary work and appreciating everybody's contribution to the "whole" team. The "Gerald" handout of patterned and preferred "Functional Routines" we discussed on the second day really sums up the functional objectives of this course and helps make the material very practical.

This course has been a gem to share over the last 5 years, especially since completing the updates to the techniques section 2 years ago. People continue to love the exercise appendix, organized into bed, recliner, chair, transfer and standing sections. A couple of you have seen both versions of this course and provided us some valuable feedback on the updates. Thank you in particular, Stephanie Boespfug, PTA, PRC for your valuable insights and the positive feedback on how these new updates have helped you with clinical application working with Geriatrics. It was fun to have you there with us again.

Another reason this course is so fun to present is that it serves as a great introduction to the science of PRI and helps connect people to our fundamental concepts in a simple and non-confusing way. One course attendee wrote, "as a more experienced PRI clinician, I appreciated the amount I still learned exploring basic PRI concepts in this course." Another attendee from last weekend reported, "I am excited to get back to using PRI. I feel like I had stopped, but this course pulled some pieces together for me that I was definitely missing. Thank you." Another course attendee wrote, "Overall, one of the best courses I've been to. Great clinical application for all clinicians working with Geriatrics, not just home health. Pleasantly surprised with my ability to apply this in an outpatient setting. Thank you."

Posted October 22, 2018 at 7:24PM
Categories: Courses

I liken teaching Myokinematics of the Hip and Pelvis to putting on a comfy pair of slippers. I took my first Myokin course back in 2001 the first time Ron offered this material. The course has evolved over time as the Institute learns more about our normal balanced asymmetry and how we compensate in three planes. Despite our deeper understanding of how the visual, occlusal position and proper shoes affect compensation patterns, clinicians still need to understand the fundamentals of a Left AIC pattern as it relates to position and performance. An F (femur) moves on an A(acetabulum), yes, but an A also can move and stabilize an F. This is the foundation of this course. We then need to fully understand how our patients compensate for this normal pattern. Did they or did they not over lengthen their anterior hip ligaments? For me, this is the question of the 2 day course!

In Worcester Mass this weekend, I had an amazing group of clinicians. A large number were taking their first official PRI class. So Fun! But, all of them knew of PRI or were working along side a co-worker using PRI in their practice. They were all in Worcester to learn for themselves how to help their patients/ athletes.

Once we were all clear on the pattern and the position of AF whether it be in IR or ER, we learned the tests to determine their positions and compensations. On Sunday afternoon, we just problem solved our way through the treatment progressions. The class was focused on utilizing functional tests and muscle algorithms to guide what came next. For years I used an analogy in my teaching that seeing a patient present in the clinic as a L AIC was like seeing Yellow VW bugs driving past you on the road. But it is a new day and time for a new analogy, that I now refer to as "Mustang Sally". We had some fun after lunch taking our group shot with my Mustang rental car that I've been upgraded to, 2 weekends in a row! New car for my husband Chris, I think maybe! Since then, I see Mustang's everywhere I go, now that I am looking for them!

Hats off to the staff of Central Mass Physical Therapy! This is the third time I have taught at this host site. I was able to meet some new staff, make some new friends and see some familiar faces. Damion Perry, Yolanda Pappas, Borbala Suranyi and Gene Lyons were all in my Pelvis Class last month in Boston. Meredith Stephens, MS, PT is also a faculty member for Anatomy Trains. We had some great gait discussions at lunch. I look forward to learning more from her in the future. Maureen Watkins, PT is faculty at Northeastern University in the PT department. Her non-patho hip helped me demonstrate how to develop hole control on the right side with a glut max and obturator in the transverse plane. I always enjoy teaching Myokinematics. That's a wrap for 2018. I will look forward to teaching this awesome course next year!

Posted October 15, 2018 at 8:40PM
Categories: Courses

Landing in Munich is like coming home for me. I have family here and I was afforded the opportunity to see my cousins and connect. My mother’s side comes from Munich and Bavaria and our roots are deep here. My sister wrote of my father’s meeting with my mother in WWII in a series of novels the first of which is called: The Reason of Fools by Dodie Cantrell Bickley (see the youtube trailer). After arriving in Munich we settled-in and then had an opportunity to see the city and acclimate to Germany and the time zone change. When I met with Daniel Mueller Osteopath and Eduard “Eddie” Erdeljac MD, DO1, I was greeted with warm smiles and Bavarian hospitality. Lindebergs Academy is like nothing you’ve seen and promises to be a hot bed of PRI in the coming years. This Saturday I started with Myokinematic Restoration and by the time we finished on Sunday, the class was full of excitement and gratitude for learning a new science and a new way to manage clients. Betsy Baker-Bold was a fantastic addition as a lab assistant and her input was incredibly valuable. I am always amazed as I travel around the world disseminating the PRI news along with my interpretation of Ron Hruska’s vision, how friendly and caring the souls are that I meet. We may be from varying backgrounds and walks of life but we are no different at all really. I’m grateful to be here and I will keep you posted on next weekend’s adventures with Postural Respiration!

Posted October 15, 2018 at 2:39PM
Categories: Courses

Thank you to Karen Taylor Soiles, PT, PRC, of Collaborative Physical Therapy, who, together with The Teal Center for Therapeutic Bodywork, welcomed 34 clinicians curious about the science and application of Postural Respiration. Karen’s attention to detail, including the wide array of healthy snacks, kept our bodies nourished and brains alert and focused throughout the weekend.

The need to position the left hemi diaphragm was introduced right off the bat to ensure that the right diaphragm autocracy stops ruling our autonomics! Other key concepts included the need to facilitate hamstrings and IOs/TAs to establish a left ZOA followed by reach activities to hold the ZOA and direct air into previously-restricted areas of the rib cage. A series of gait videos enabled us to view firsthand various pelvic and thorax movement strategies. Lack of arm swing on one or both sides were reflected in our PRI tests. They served as a reminder that arm swing is 50% of the gait cycle!

Thank you to Kathryn Bragg, PT, and Laurie Johnson, PT, seasoned clinicians tuned into nuances of performance of PRI non-manual techniques. The take-home from that discussion: So long as the reference centers are sensed by the patient, stated in the instructions as “You should feel…”, the exercise can be quite effective. Ultimately fine-tuning areas that are holding tension and tweaking alignment can help the process.

With Jill Tender, DPT, as our superior T4 model, we succeeded in unearthing a compensatory respiration strategy that responds to additional non-manual and manual techniques beyond what is needed to manage those who have not yet resorted to this compensation. Others who enriched our learning-through-demonstration were: Amelia Franklin, DPT, OCS; Benjamin Fuentes, PT; Tara Pickett, DPT, GCS; Jacqueline Richards, DPT; and Karthik Yadagiri, PT. I really enjoyed my weekend with this wonderful group of clinicians. They gained an appreciation for just how influential alternating, reciprocal rib cage movement is to efficient movement and to the overall health of human physiological systems….and collectively rejoiced in the resolution of wallet-gate.

Posted October 12, 2018 at 7:36PM
Categories: Courses

We wrapped up the year for PRI Integration for Fitness and Movement courses outside of Philadelphia at Maplezone Sports Institute/The Training Room Physical Therapy in Garnet Valley, PA. We had a very awesome group that digested the principles of Breathing, Thoracic Posture, and Sensing Position and the Ground quite well. It really was a fun group to end the year with, so thank you to all that attended! And special thank you to The Training Room Physical Therapy staff and Rob Rabena at MSI for hosting!

 This PRI course heavily teaches components of breathing, pillar strength and axial frame mobility and their three dimensional relationship for cueing and coaching thoracic posture with proper pelvic position. A good coach can value learning how to coach and cue the core differently based off the position the athlete or client is in, i.e. with a unilateral asymmetrical loaded movement pattern and a symmetrical loaded movement pattern and we look to highlight those relationships in this course.

This year we emphasized the parable of “parachutes and pancakes”. Teaching this parable throughout the year we’ve learned a few things on how people train and see (or don’t see) the diaphragm as an important core muscle. Our emphasis in teaching this parable is on helping attendees appreciate how training oblique abdominals and hamstrings to optimize respiratory postural balance is a key ingredient that should be incorporated in fitness and movement exercises. We know that when the ribs and thoracic cage are too stiff and rigid with ribs in external rotation, hyperextension, and hyperactivity the respiratory diaphragm can become tonic, flattened and underused, we could risk training the core in a compromised position and the “pancakes will become crepes” as the spinal mechanics becomes stressed which could further limit triplanar performance and lock up functional movement patterns, inhibiting gluts and other powerful muscles. On the flip side with people that might misuse abdominals or overdo flexion without unlocking the thoracic rings, we could create a different faulty pattern of forced thoracic folding when proper rib IR and thoracic retraction are not coordinated with a neutral pelvis. This could be a problem and would “fold pancakes into a pseudo folded parachute” which will bring about a different set of issues. Confusing?…. well maybe, but bottom line here, if you followed that, you get the parable!

The core was designed to be mobile and dynamic. If you learn to value rib movement and recognize key axial structure landmarks you can tell when you are training pancakes verse parachutes. The more we can train parachutes in various positions, the more we can help our clients be resilient and durable. #trainparachutesnotpancakes

I’m looking forward to teaching this course in 2019. This year was such a blessing to learn from the attendees and help fill the gaps with new material as well as streamline how to teach the material. We’ve listened to feedback and continued to improve the course to share with the diverse crowds and specialty professionals working in various Fitness and Movement settings. A special thank you to James Anderson, our Affiliate course director, for all his hard work and dedication to make these affiliate courses a success. Hope to see many of you next year!

Posted October 12, 2018 at 2:33PM
Categories: Courses

Cervical Revolution. This class is such a game-changer for so many attendees and it can be for you as well. Did you know that cranial strain patterns as identified in the literature can and are frequently reduced through breathing techniques? Did you know that those same strain patterns are the result of cervical spine positioning? Did you further know that dental integration with PRI certified clinicians is an excellent mechanism for reduction of cervical patterned movement (or lack there of)? Did you know that dentists regularly attend PRI courses? This is because they realize that PRI provides them with the absolute best mechanism for aiding them in understanding the complexity of their neurological oral appliances. Our courses also arm them with understanding of a wide variety of other oral appliances as well! It is our hope that you will discover these exciting and new ways of learning the complexity of the human body as it relates to asymmetry. I taught Cervical Revolution this weekend in San Diego at Water and Sports Physical Therapy and this was a very nice place. I arrived a couple of days early to spend some time with Skip George DC, PRC going over the nuances of this complex course and then Skip and I waded into the material over the weekend as we presented to 25 attendees. Stephanie Kinsella DPT, PRC from Minneapolis was there. We also had dentist Jason Pehling DDS on hand as well. Dr. Pehling came down from Seattle along with our 3 great guys from Alpine Physical Therapy Chris “Murph” Murphy DPT, OCS, Eli Zygmuntowicz DPT, OCS and Jeremiah Ferguson DPT, OCS. These boys host courses regularly and are bent on achieving their PRC status soon. Good luck guys! A number of folks in the class indicated that they too were planning on gaining their PRC status as well! I encourage all of you to make that journey! I hope I see you soon in a Cervical Revolution class. You’ll be glad you attended!

Posted October 11, 2018 at 9:23PM
Categories: Courses

The definition of -ation is something connected with an action or process, or the process of doing something. I feel that I am doing this every time I teach this course. Processing references with desirable action to achieve outcomes that can become reprocessed through the integration of sense of this -ation. This can become a revelation for those who are struggling to change processing.  Once again I appreciate Finish Line Physical Therapy for hosting another course in NYC. Tying the last hour of the course, humeral - scapular - thoracic activity with the first hour of the course, calcaneus activity allows the attendees to complete a full circle of sensory referencing, clinically and personally. This group was great in not only participation but in helping Kentaro Ishii MS, ATC/L, PES, CE, PRT rethinking about course organization. Michael Macchiarulo PT, DPT and Monica Saenz DPT thank you for representing the RAIC/LBC and LAIC/RBC pattern references throughout both days. 

Monica Integrating R AIC/L BC references while Michael integrates L AIC/R BC references. 

Michael integrating R AIC/L BC references while Monica integrating L AIC/R BC references.

Brynn Fessette DPT, FAFS, Joshua DiLoreto ATC, and Chris Leib DPT, CSCS,Cert MD were awesome lab demonstrators and volunteers and enriched the course by their willingness to share their ‘sense’ of what they were feeling and integrating.  

But the best thing about teaching, is meeting new people, hearing new reasoning, and integrating new concepts based upon novice and novel experience. Boris Dugandzie and Dino Dogan were two people who exposed me to a culture and country that I knew vey little about. Because of them, Croatia is now on my travel destination bucket list. Their attendance helped me find a different kind of pronation and supination between two Croatians, who have little need to reach forwards or upwards with their arms and hands. Ron demonstrates the -ation, between the floor and the thorax between two Croatians, who struggle to find it.

Posted October 4, 2018 at 2:27PM
Categories: Courses

It is always comforting to be teaching PRI regardless of location, but last weekend I was in Detroit, MI. My wife's family are all from just west and south of the Detroit area, so I was in very familiar surroundings. And the host group of Team Rehabilitation was an excellent bunch to host Myokinematic Restoration.

With a full room of nearly 40 health care professionals and movement specialists, and nearly all in attendance having never heard PRI previously, it was an awesome learning environment for everyone. This group was very dynamic and asked great questions. As this course evolves, we end up adding more and more lab time. This past weekend, 1/3 of the course was lab based, so we had ample opportunity to learn from each other.

We started our dive into the difference between normal pelvifemoral mechanics around the normal neuromechanical presentation that is the L AIC pattern. Then we went deeper into normal compensation vs. pathological compensation patterns. We transitioned into muscular ramifications of the inability to get out of the L AIC pattern, which highlighted the importance of having a "good boy band" rather than a "bad boy band."

We had ample time to practice the positional testing as we were able to determine what patterns we all had inside of us. Low and behold, every single one of the attendees proved to be in a PEC pattern. Based on this group of attendees all having the same extended pattern, we had to have the "Batman vs. Bruce Wayne" conversation. I was in a room of "Batmans”, and we all needed to be more like "Bruce Wayne." This necessitated a demonstration of how to get someone out of a PEC pattern and into a L AIC pattern, so the rest of the weekend had an opportunity to resonate with the attendees. With two activities, we were able to take a very strong PEC individual, and turn them into a L AIC pattern. Because underneath the bilateral extended patterns of the PEC lies a L AIC pattern.

The "PEC busting" demonstration helped us proceed into the management of a L AIC pattern. Nearly the entire afternoon on Sunday was lab time, where everyone had the opportunity to find and feel hamstring, IC Adductor, gluteus medius, internal obliques, and gluteus maximus activity. Reports of "feeling different" and "feeling my hips" were common comments after our lab.

My thanks to Team Rehabilitation for their hospitality. They know how to host a course! My thanks to Shelly DeRuiter and Craig Stasio, who were awesome lab assistants. Thank you to Cyril Shuster, Alexandre Vieria, Todd Cummings, and Michele Weis for your excellent questions and re-states. Thank you to Michelle Shrader and David Selak for allowing us to learn from you in our demonstration portions of the class. My hat is off to Alexandre Vieria, as he traveled from Brazil to hear PRI! I greatly appreciate our conversation around tennis players and the necessity to have excellent frontal plane integration. Thanks to everyone for great weekend!

Posted October 2, 2018 at 7:38PM
Categories: Courses

Thank you Ryan Murray and the rest of the Fortius Athletic Staff for hosting Pelvis Restoration this past weekend. Also, a huge thank you to Jon Rowe, CSCS, PRT, for being my lab assistant.

This class was awesome with their questions, desire to learn and their attention the entire weekend. This course is challenging from the sheer amount of information given and you guys did great. Pelvis Restoration goes into great detail with position, muscle inhibition/facilitation and respiratory concepts behind "AFIR" and "AFER." I feel the concept of push/pull and asymmetry between the left and right side for alternation during the gait cycle hit home. Vancouver is a beautiful city and I hope to come back and visit. Thanks again!!

Posted October 2, 2018 at 5:38PM
Categories: Courses

Impingement and Instability (Everett Washington) - A beautiful weekend exploring PRI's secondary level course Impingement and Instability in the northern corridor of the Greater Seattle Area with the good folks at ATI in Everett. A big thank you to Alexa Degel, DPT for handling all the host site coordination issues and making sure I had all that I needed to pull off a great presentation. Your extra effort throughout the weekend made all the difference and was greatly appreciated.

I would like to take the time to thank two attendees who traveled all the way from Singapore, Malaysia and one attendee who traveled all the way from Seoul, South Korea to be with us. David Lee, Wee Ho Lim and JangKeun Kye, you have my respect and appreciation for traveling so far to be with us. Two of the three attended as a direct result of an early trip Ron Hruska made to Seoul back in 2008. JangKeun, thanks for your pioneering spirit and for inviting your friend David to learn about PRI by traveling to America.

And thank you Wee, for exploring the science of PRI and beginning your journey online (including through PRI home study courses), and now by attending actual live courses. I appreciate you being the demo for lateralized respiratory and airflow patterns and showing us how some of the techniques look when carried out with full respect for diaphragm dynamics. It was cool to see your amazement when your right HGIR and left Hor Shoulder Abd was restored to full and equal and full rotation was restored to your neck, after those same measures have not been fully restored at any time in the past. It was also fun to see how surprised you were when an old man (me), was able to drop into a full range of motion overhead squat right in front of you. You made me smile when you said, "I didn't see that coming".

As a class, we learned how to go through a valuable check list of neurological reference centers ("brain"), lateralized performance criteria ("lane") and respiratory performance issues ("breathing"). The autonomic nervous system was very responsive to the brain, lane and breathing approach to balancing axial performance as we worked to minimize instability across the calcaneus, femurs, ilia and scapula. As I noted at the beginning of the course, this Institute is appreciative of each one of you and your journey to get through the introductory coursework and get to this point. I hope you found the journey well worth the effort and felt rewarded by your secondary level coursework experience.

Posted September 28, 2018 at 7:11PM
Categories: Courses
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