Courses

 PRI Integration for Pilates kicked off first course of 2020 at its home base at Pilates Central in Wilmette, IL with fantastic group of Pilates teachers, PT’s, massage therapists, a chiropractor and other fitness professionals. We started the day with introductions and then introduced PRI and Pilates principles. There so many commonalities with Postural Restoration and Pilates, especially that Joseph Pilates and Ron Hruska were both 50 years ahead of their time.

Sarah Petrich introduced the concepts of ZOA and the asymmetrical human body and soon we were all fully exhaling to inflate purple balloons. Day one morning ended with a mat and breathing lab.

I then introduced the supine reformer gait integration assessment test followed by lab so everyone had a chance to observe and experience the tests. Sarah got us all dancing the hula and salsa to illustrate triplanar motion.

Followed by a conversation in which I covered quadruped abdominal assessment and the sidelying stance tests which drive the programming labs. Speaking of driving, Sarah taught us all how to get in the left lane and make legal right turns while discussing lateralized gait. Attendees practiced hand and foot references to “layer “ on to the “choreography “.

So many wonderful attendees to mention: shout out to Chad Moreau, PRC and Whitney from Southern California for braving the Chicago winter; Wanda, who works with wounded warriors in Atlanta and Beth from Houston. Honored that Donna Olivero PT PRC was there to learn how to incorporate more Pilates into her chronic pain practice, especially because she completes the trio of Donna’s in the PRC class of 2012. Thank you to Stephanie (her 3rd PRI Pilates course!) Holly, Petra and Amanda from corepilates Chicago who have embraced PRI Pilates at their studio. Last but not least thank you to my wonderful instructors , Elizabeth, Charmaine, Deb, and Laura for their help in lab, for asking great questions and for help getting the studio back together for Monday morning Pilates.

“Thanks for hosting such a wonderful class! It gave me so much inspiration to continue down the PRI path and incorporate more Pilates into my practice”  -Karolyn

Posted February 24, 2020 at 10:29PM
Categories: Courses Techniques Science

Do you have an interest in learning Postural Restoration but are not sure where to start? Would you like to be more efficient at using the PRI framework to evaluate your clients or patients? If you said yes to either of those, then the Affiliate course for Fitness and Movement is a perfect course for you!

This past weekend, James Anderson and I traveled up the west edge of Illinois to present at Advance Physical Therapy in Quincy. We had a large group with a mix of personal trainers, strength coaches, athletic trainers, football coaches, and physical therapists. For some attendees, this was their first course and then others had attended several previous PRI courses.... And that is the beauty of this course, it has something for everyone and is a good introduction or review of invaluable principles that can transform how we work with our clients, athletes, and patients.

Thank you to PRC Eric Ley, Natalie Stratton and the other Advanced PT owners for supporting their staff’s continuing education. It was a great opportunity to have so many team members at one course all together!

PRI Integration for Fitness and Movement is an advanced course that focuses on helping us look at movement and posture differently while integrating key Postural Restoration principles that promote symmetrical form and balance between the two halves of our axial frame. We are looking at how the ribs, thorax, pelvis and hips work together to empower the diaphragmatic mechanical advantage, optimize spinal relationships and the range of motion of our proximal ball and socket joints.

Here are some comments from this past weekends attendees:

“Great experience for my first PRI course. I feel like I can start looking at my clients posture differently while performing exercises and give more beneficial cues to prevent injury and improve overall function.”

“Absolutely the best explanation of ZOA that I have ever heard”

“I learned so much! The speakers were great and personal”

“Good course. I really took home more than other PRI courses I’ve attended. Speakers broke things down to understand ZOA effectively. I plan to incorporate this course in my current patient’s plan of care.”  

Thanks again to Advance Physical Therapy in Quincy for hosting and coordinating with PRI to have us come out there! Check out the Affiliate course schedule to learn more and get to one of our affiliate courses this year! We have courses coming up in Richmond, VA and Fort Worth TX.

Posted February 21, 2020 at 9:48PM

Pasadena Physical Therapy was the location of last weekend's Cervical Revolution. Locatelli Rao, P.T. hosted this course and it is always a pleasure to share time and knowledge with "Loc" on this PRI journey. I first met Loc two years ago in L.A. when I taught Postural Respiration and the questions he was asking then and now are some of the best. What is really gratifying is when a student can take a complex subject, like Cervical Rev, and break it down into component parts to provide a simple, sequential and detailed description of the concepts of the course. This has been a goal in Cervical Revolution to have students take a course and "get" the primary concepts with motivation to go back into the course manual and absorb more completely the material. Application on Monday morning means just getting the most important concepts, start to practice examinations of the cervical spine/neck, know the basics of what they mean and then experiment and provide PRI techniques! Yes PRI courses make our brains hurt a little as most students will attest while their enthusiasm for more expands with their craniums! One of the most powerful PRI techniques and taught in this course is the Active Left Lateral Pterygoid in Protrusion. After testing a student in lab with bi-lateral positive findings, this technique with just a few breathes demonstrated how powerful inhibiting a Right TMCC can be with a left lateral pterygoid. Not only was the R TMCC inhibited, but so were the BC and AIC chains bilaterally.

PRI Cervical Revolution Course - Skip George

PRI Cervical Revolution - Skip George
Follow up recommendations included Standing Cervical Cranial Repositioning with a Supine Active Sacro-Spheno Flexion which were demonstrated in lab with other students all producing immediate neutrality.  A manual technique was provided on another student in lab called the Frontal Occipital Hold who was also bilaterally positive in testing. After this technique, he was neutral upon testing. That was astounding to all, especially this instructor! This course is really about autonomics and reflexive oscillatory function of a neck that has to be free to turn. Cervical Revolution is so fun to teach because of the power in it's application just like all the courses in PRI. Big Shout Out to Chad Moreau, D.C., CCSP, PRC for being our lab assistant again. Your support and presence always brings a positive force to the room. Thanks again Loc for you support, questions, restates, hosting and always expanding your knowledge. 

 

Posted February 18, 2020 at 5:28PM

Dominant cortical behavior and function as related to human bias and behavior has always been a strong interest, and passion of mine. In 2007 I wrote and compiled a course entitled ‘Impingement and Instability’ to begin a journey with those who have interest in the gifts of contact and oscillation. Four tabs were selected based on their importance in corporeal-sense, hemispheric influence, and biased lateralized behavior. Interaction of calcaneus, femur, hip/pelvis, and scapula anatomy through our extrapyramidal system is critical for reflexes, forward locomotor motion, complex dominant driven function and postural control. This has always been an ‘extrapyramidal’ based course. However, after thirteen years of presentation, I feel the Institute is at a great place to incorporate the significance of pressure, pronation, and push as it relates to these sites of interactive referenced modulated motor activity.

 

The extent of our creativity and capriciousness depends on both our soul and the soles we use to develop behavioral patterns associated with confidence built off of integrating contralateral, hemispheric and bio-tensegrity input. I was so excited this last weekend to discuss how we are regulated by self-regulating pressure of the scapula to capitalize on our ability to perform with things that push, propel and please us. The ground developed, directed and designed our anatomical behavior, while the earth’s gravity gave us the security to defend, offend and create without loss of life. This updated course has not really taken on a new course of direction, but definitely will take those, who attend, into dimensions never before looked at or addressed in the manner they are now presented and applied, with evidence that was not considered when addressing the reasoning for symptomology related to feet and hand haptics.

   

The re-assurance from the wonderful feedback I received after this course, re-assured me that the PRI nation is ready for the importance of variable femoral and scapula instability, and associated counterpart contralateral stability, as related to the metric embracement of calcaneal and pelvis impingement that directs and orchestrates the possible disharmony and dysfunction associated with pre-patterned forward locomotor movement. Thank you One on One Physical Therapy for hosting another PRI course. You all were so gracious with your time, support and assistance. Karen Warren PT, MPT, OCS, ATC the coffee was great from both cups, even when you lifted the left hand with the cup in it and your body’s mass moved to the right, (LAIC, RBC coffee). Dan Houglum MSPT, ATC/L, PRC, Jennifer Smart DPT,PRC and Michael DuBois DPT, OCS, TDN, CS USPHS/HIS provided so much insight and instructional feedback, thank you.

Posted February 12, 2020 at 2:44PM
Categories: Courses Clinicians Science

Beautiful weekend in Oakland California talking PRI for the frail, the immobile and the chronic with a super group of medical professionals at the Alta Bates Summit Medical Center. A huge thanks to our host site coordinator Shaun Buchanan for thinking of everything and making sure we had a wonderful weekend. Your hosting was amazing Shaun. Also thank you to Tim Dempsey, CSCS, CPT, PRT who assisting me this weekend as a lab instructor and made sure the group had a good experience.

 The night before the course was fun and relaxing for me because I got to attend a Golden State Warriors basketball game in the new Chase Center arena. I have been to several games in the historic Oracle Arena in Oakland, but getting to attend a game in their newly completed arena across the bay in San Francisco was an awesome experience. After the game, I picked up a souvenir that helped me teach the course the next day. It was a Matryoshka or nesting doll painted as one of my favorite players, Klay Thompson. Klay turned out to be great asset for giving the class context for rotational diaphragm performance, lumbopelvic rotation and contralateral respiratory rotation through the rib cage during transitional activities and gait. Who knew?

This PRI Integration for Geriatrics course does a great job assessing and making treatment recommendations for different aspects of the human gait cycle. The design of the Seated Gait Integration Test is to determine early to mid stance performance and the design of the Seated Eversion with Abduction Test is to determine late stance/pre-swing performance for the geriatric athlete. These components of upright performance are essential for dynamic upright balance activities, transfers in and out of the standing position and delivering efficient gait mechanics. Seeing the L AIC/R BC pattern in context with different components of gait allows the practitioner to make meaningful changes to gait deficiencies and upright balance and transfer problems. Preventing falls in these populations is by far the most meaningful thing you can do to preserve upright function.

Another powerful aspect of this course if the time spent on Functional Routines in the Home from both a patterned and a preferred standpoint. Thank you John Maynarich, OT for helping our class stay functionally minded throughout the course and for representing the profession of Occupational Therapy so well. You were right, this material is well designed for OT practitioners and should be an important part of all geriatric care. Our ability to make positive changes in daily functional routines really is the whole point, isn't it?

Lastly, I wanted to give a shout out to our 3 first-time course attendees in the class. Thank you Tom Borremeo, Christina Cherg and Fabrice Rockich. You guys were amazing. And thank you Carol Cahn, PT, PRC for personally bringing your friend and co-worker Tom to the course. As I said, you 3 newbies are VIPs from my perspective and it was an honor to cater the content of the presentation to your level of understanding as we went along. Thank you for being willing to ask questions and for the great class discussions you helped to generate. You literally are the reason the Affiliate program exists and we thank you for being there.  

This is absolutely one of most gratifying courses I get to give twice a year. I truly could engage into this type of instructional endeavor every week. So much fun. And so gratifying to read the comments after each course and how much it meant to both the attendee that has taken a number of PRI courses prior to attending and those that are starting out on the PRI journey.

Ron Hruska, PRI Non-Manual Technique Workshop

For a quick review, I am given techniques that were selected by these attendees; and then I summarize who the techniques were designed for at the time I initially clinically used them and applied them to. Obviously this reasoning of application is limited and incomplete, but it gives those in the room opportunity to learn what I was thinking at the time each selected technique was clinically designed. This explanation allows me the opportunity to engage on how each technique is presently viewed by me and incorporated into my integrative mind set and practice, because of the many years of application and outcome assessment. Some of these techniques I have been using over 30 years. Clinical concepts as they relate to things that the clinician should consider, be mindful of, and cautiously move through for optimal outcome and patient acceptance, appreciation and apprehensive containment, are outlined whenever possible. Much of this discussion is generated by real time through class participation and input. This is the most interactive PRI course available, because of the availability of the founder’s mindset and the time spent on each step and the integrative mindful purpose of each individual step.

PRI Non-Manual Techniques Workshop

Additional considerations that I offer, enhances the existential experience and reasoning. This dialogue not only focuses on the technique’s interdimensional outcome, but allows the room of attendees to watch, listen and experience these relationships first hand. This is what I absolutely enjoy the most. To listen to the feedback the attendee gives, describes and relates to after the processed feedforward sense is felt, cortically incorporated and functionally measured, is so humbling and consistently rewarding for both the avatar on stage, i.e. the person who is performing the technique he or she selected, and the engaged viewers. 

PRI Non-Manual Techniques Workshop

Each of the 13 techniques that were dissected in this manner, offered positional, selection, reference, referent, and respiratory considerations for neuro-cognitive repeatable results. Quite honestly, the time preparing for these two days and its unique material, after Jen gave me each separate techniques that were requested by this particular course’s attendees, was as enjoyable as the actual class time. This time spent on outlining key concepts, application, steps, integrative sense, and desired outcomes, acknowledges my historical perspective and strengthens this Institute’s future application of such needed integrated and desired processing. I look forward to any and all of the future Non-Manual days ahead of me, and hope you will consider the possibilities you personally will experience, if you accept this invitation to participate with me. Thank you!

PRI Non-Manual Techniques Workshop

PRI Non-Manual Techniques Workshop

PRI Non-Manual Techniqeus Workshop

Posted February 6, 2020 at 9:54PM
Categories: Courses Techniques Science

“This course was mind blowing!”
“This was my third of the basic PRI courses. This really helped to bring all the information together.”
 “Before working on shoulders, I now know I need to retrain the diaphragm and restore rib position.”

Attendees came from far and wide to the most recent Postural Respiration course, held at Body Dynamics in Falls Church, VA.  Nicholas Clark, PhD, PT, hails from London, where he recently stumbled across the science of PRI on YouTube.  “After trying a couple of the PRI exercises, my arm numbness, that I had been dealing with for many months, resolved.” That experience convinced him he needed to learn more.   

Half of the attendees were brand new to PRI, their eyes opened to a new and different perspective on human movement and behavior.  The clinicians at Body Dynamics (Lisa Clarkson, PT; Jennifer Gamboa, PT; Deborah Gilpin, PT, ATC; Gwynn Hegyi, LMT; Kathryn Sparks, LMT; Ashley Templer, PT; and Jorge Villalobos, PT) hosted Myokinematics a year ago, and they were ready to deepen their PRI knowledge.  Many Myokinematics concepts were presented and reviewed, most importantly the left anterior interior chain of muscles’ influence on pelvic-femoral dynamics and a person’s ability to shift their center of mass fully and effectively to the left.  Once the body’s foundation was established, we moved up to the thorax and assessed its ability to function in three dimensions.  

Discussion began with our body’s normal, typical asymmetries which create lateralization to the right.  Countering this lateralized state begins with establishing a zone of apposition of the left hemi-diaphragm, which allows us to deflate a left chest wall, giving us a sense of weight on the left, and inflate a right chest wall to enable rotation of the thorax.  When people engage in occupations and sports that require repetitive movements (think lawyers, dentists, musicians, runners, and baseball players -- the list goes on), the ZOA becomes compromised, leading to the postural maladies that we clinicians witness every day:  hyperinflation, forward head posture, concave chests, scoliosis, winging scapulas, and thoracic flat backs.

Ample time was spent in lab to experience PRI’s non-manual and manual techniques.  Attendees learned concepts such as sensing rib expansion, biasing air flow patterns, sensing reference centers to re-direct the nervous system to new strategies of movement and perception of stability, and guiding a patient through a logical progression, from supine 90-90 positions to upright, rotational performance called gait.

Our labs were enhanced by our attendee-models:  Grace Ball, Pilates trainer; Scott Birch, PT; Nicholas; Bethany Middleton, PTA; and Keith Zrinyi, DC.  Thank you to all of you!

It was awesome to have Sarah Ratti, PT, PRC, in attendance, who brought her colleagues from Bon Secours in Richmond.  Tom Van Ornum, PT, also introduced his colleagues from M.O.S.T. to the science of PRI.  A huge thank you goes out to Karen Soiles, PT, PRC.  Karen is highly experienced and knowledgeable in the science of PRI, and she provided helpful guidance, clarity, and context throughout the weekend.  

Posted January 31, 2020 at 10:31PM
Categories: Clinicians Courses Science

Kelsie Giles, PTA, and her team at Elite Physical Therapy (Michael Brown, PT, Kara Patterson, PTA, Luke Rowan, PT, and Matthew Thomas, PT), hosted Postural Respiration, the first-ever PRI course held in Mississippi!
Attendees grasped key concepts, including what is the ZOA, how do we establish it on the left, how does it change pathological patterned air flow, and what areas of the thorax need to expand to achieve alternating, reciprocal movement when we move?  How does hyperinflation restrict our movement from side to side?  How does blowing up a balloon change pelvic orientation, rib mechanics, and scapular position?  How does the right lower trap and tricep help us feel the ground under our left foot?  Why would Jimmy Kimmel benefit from a PRI program?


The course cites multiple research articles and includes numerous photos of typical humans with typical jobs and hobbies to illustrate how patterned breathing, from patterned position, stemming from the natural, normal asymmetries within us all, feed patterns of muscle over-activity. These patterns become entrained in our nervous system and underlie and explain the onset of neuro-musculoskeletal pathologies. Thank you to our models, Kelsie and Michael for helping the class better understand the superior T4 syndrome – what it looks like and how to address it.  Our other models, Kaitlyn Keyser, TP, Kara, Herb Reinhard, ATC, Luke, and Nathan Yost, ATC, were game to take on some challenging non-manual techniques.  There were lots of good questions to clarify concepts, most notably from Micheal Brown and Donna Rush, PT.  Jason Reeves, PT – your oratory skills were much appreciated as we guided our models through non-manual techniques.


Thank you to the entire group for a wonderful weekend.  Your southern hospitality was a treat for this Marylander!

Posted January 24, 2020 at 5:28PM

The New Year for PRI was kicked off with the first Cervical Revolution course hosted by Advance Physical Therapy January 18-19th. This host site is a Postural Restoration Center with some of the most experienced and professional clinicians I have ever met. Their experience and  knowledge of PRI, Schroth Method for Scoliosis, pediatrics and working with dental professionals for occlusal reference is truly interdisciplinary and artful in approach.

Cervical Revolution has  had a lot of "evolution" this past year with a refined, step-by-step description of atlas on occipital bone position that is clear cut and more easy to understand in the Right vs. Left TMCC. This weekend students learned to appreciate and understand what seems to be at first the challenging subtleties of atlas on occipital function. Visualizing how "A" on "O" drives the sphenoid and how the sphenoid positions temporal bones and ultimately the jaw for a tri-planer picture of how the neck, cranium and TMJ complex affects the entire postural system seems daunting to everyone at first. In this course, autonomics is a prime focus as the neck is the neurologic appendage that drives the rest of the body.


This high level PRI group of practitioners was engaged from the first minute on Saturday to the last minute on Sunday actively asking questions, contributing to the professional dialogue and just working really hard to take in the detailed insights of an advanced PRI course. And then, be enthusiastic about how to apply the basic concepts of this course on Monday morning. This weekend there was a strong emphasis on the basics with a straight forward path to application of course principles.

This was a dream course for any faculty member with this kind of energy and participation from students. What made this course rewarding for me was the staff at Advance Physical Therapy. It was such a comfort to be with physical therapists and PRC's Lisa Mangino, Jean Masse, Joe Belding, Susan Henning, Josh Olinick from STEPS for Recovery, Sangini Rane and of course Jennifer Smart in attendance. Jennifer Smart will be presenting at the next Interdisciplinary Symposium in April and her presentation is not to be missed! In addition, this group of veteran PRC's offered clinical discussion and were all lab assistants in one way or another to lighten the load for the entire class and elevate everyone's experience. Shout out to Angela Ellis, DDS who works with Advance Physical Therapy. She is a dentist and was a first time attendee to a PRI course and she could not have been more delightful and engaged! Thank you again Advance Physical Therapy for hosting Cervical Revolution and supporting PRI.

What a great weekend in Tucson, Arizona this past weekend! I not only got to enjoy blue skies and 65 degrees (Lincoln, NE snowy and 20 degrees), but I also had the pleasure of introducing a third of the class to PRI. It was a great weekend of pelvic inlet and pelvic outlet going into the weeds of detail with muscle actions, positions, and objective testing. The class participation was great with questions, participation, and engagement. I felt the participants appreciated the objective tests and how they can make improved PRI exercise selections when understanding what these tests are showing them. I also felt the power of the respiratory and pelvic diaphragms for internal pressure regulation and air flow were better understood with correct pelvic position. The facility was amazing and thank you to Ben and the University of Arizona for hosting Pelvis Restoration this past weekend. It was a great start to 2020!

Posted January 17, 2020 at 8:15PM
Categories: Clinicians Courses Science
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