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.

90-90 positioning PRI

PRI Lab demonstration

 Josh Olnick, DPT, PRC was an excellent host at Steps for Recovery for the most recent Installment of Impingement and Instability. Being with Josh is always a treat for me because of his valuable insights and thoughtful contributions. This trip to his clinic reminded me of a trip I made to Wake Forest back when Josh was a new clinician where I was snowed-in in Minneapolis on Friday and didn't arrive until noon on Saturday. We had to get right to the point and modify things a little bit during the presentation to give the attendees the best experience possible on a modified schedule. Josh has since commented that the modified approach to the Myokinematic Restoration material that weekend was a super learning experience for him and he loved the modified format.

Well, this Impingement and Instability course was also unique in several ways. First, because there were 9 PRCs/PRTs in the room and 4 of those were fellow faculty or affiliate faculty members at the institute, Jen Poulin, Dan Houglum, Lisa Mangino, and Advanced integration speaker Jean Masse. The rest of the course attendees had been to multiple courses, so we had a very seasoned PRI group to say the least.

I love the Impingement and Instability material because it allows us to explore the application of the PRI science at a secondary level, beyond the introductory level so many people are familiar with from our introductory courses. It allows us to address several myths that emerge from the introductory material, that may seem true at an introductory level, but prove false at a secondary or advanced level. 3 myths that were discussed with this group are which side is truly the problem side? Do we seek to flex or extend? Is the right upper trapezius a problem or an important part of the solution? We had a refreshing and inspiring discussion on all of these topics and we were able to advance the thinking of a very forward thinking group. Some of the feedback from PRCs includes: "This is my third I&I and it is clearly evolved, targeted and refined- tremendous emphasis on left posterior mediastinal expansion", "Loved James' version and simplification of difficult integrated concepts. My best understanding of femoral instability and posterior mediastinal expansion importance in all non-manual techniques" and "Great clarity on the sequence of left low trap vs right low trap. My favorite course in all the PRI courses".

Thanks to everyone. it was great being there with all of you. And a special thank you to my new friend Isabella, daughter of PRC Jaime Blanton. Not only did she bring the smiles, the artwork and serve as a model for our new upcoming PRI Integration for Pediatrics course, she took the I&I group picture, all by herself. Way to go Isabella!!

Posted April 18, 2019 at 9:17PM
Categories: Courses

I had a great weekend in Milwaukee! Nick Rosencutter and his staff were so welcoming. The last time I was in Wisconsin, Nick helped me reinforce the concepts of autonomics as he did the “Ice Bucket Challenge” in a proper Left Stance position of AFIR. He managed to find the video to show this class. Super fun to meet new people and then reconnect at PRI courses!

Jennifer Poulin teaching Myokinematic Restoration in Milwaukee, WI

We once again had a diverse group of clinicians from PT’s, ATC’s, and Strength and Conditioning specialists. The course attendees were mostly new to the science of PRI and taking their first PRI course. Myokinematics is a great first course for clinicians to introduce PRI concepts. I enjoyed integrated discussions about respiration and gait as it relates to an A on F vs. FA activity. I spent Sunday a.m. teaching both the HADLT and HABLT and tying together Saturday’s passive positional tests to help these new clinicians begin their PRI clinical journeys. It is so great to have so many new clinicians and wellness professionals interested in learning PRI. Overall I am proud of my course attendees for opening their minds and practices to the science of PRI!

Demostration during Myokinematic Restoration in Milwaukee, WI

Myokinematic Restoration demonstartion in Milwaukee, WI

Posted April 16, 2019 at 9:20PM
Categories: Courses Science

James and I had a couple of fun days in Brunswick, Maine teaching the PRI Affiliate Course for Fitness and Movement. The New England region is a hot area for PRI. Thank you to the wonderful team at Costal Ortho for hosting! It was a perfect host site that allowed us plenty of lab space to explore dimensions of breathing and various movement patterns. We had an awesome group and great mix of intellectual minds from personal trainers, strength coaches, athletic trainers, physical therapists, yoga instructors, chiropractors, RN, osteopathic physicians, and structural integration specialists. It was a full course! I love having a diverse audience and truly believe that PRI can be a uniting framework that helps us better integrate, coach, and lead more people to better movement. This course has application for all. Hear from 3 course attendees! Thank you to Noah, Jonathan, and Cheryl for typing up a few words to share with you all!

PRI Integration for Fitness & Movement Lab Demonstration

“PRI is very much the basis of my practice, both as a physical therapist and a fitness professional. I have attended all the primary (some more than once), as well as the majority of the secondary course work, but PRI for Fitness and Movement still offered a bucket of pearls for me to mull over and apply. The course manuals alone are fantastic, as it is clear both James and Julie have taken great pains to effectively organize and simplify some very complex science and concepts. I truly cannot more highly recommend it; both to seasoned and certified PRI practitioners looking to move beyond rehabilitation, as well as individuals who are looking to have a streamlined introduction to PRI in general. This is quite likely the ideal introductory course for the very depth a broad science that is PRI.” - Noah Harrison, DPT, Portland Integrative Physical Therapy, LLC

“After 25 years as a personal trainer, James and Julie have delivered the most functionally complete and detailed oriented lecture I have ever experienced. Their PRI Fitness and Movement class is easily digestible due to the presentation style yet filled with cutting edge science, health, and biomechanically effective protocols. This course is a must attend if you’re a fitness professional who not only wants the best for your clients health and wellness, but also wants to obtain the tools and science unmatched by typical continuing education practices. Thank you both for sharing your passion that will help improve our clients wellness one breath at a time”. - Jonathan Allen CPT, Back Cove Personal Fitness and Fitwell, Portland,ME

“This Fitness Course is a fabulous encapsulation of PRI principles with MOVEMENT. As a newly certified PRC, I really appreciate the way Julie and James are able to back up and take a big picture approach making the main concepts of 3 primary courses easier to understand and apply to movement in a nonclinical approach. The manual is an excellent tool for me to use with my coworkers and other movement professionals who do not have a PRI background, giving me a way to communicate more effectively about the importance of respecting the asymmetric human design during movement with BREATHING. I found a new appreciation for aligning my ribcage and my pelvis. Thank you!” - Cheryl Chase PT PRC, Pen Bay Medical Center, Rockport ME

I hope to be able to visit Maine again, it was beautiful…. and the lobster was yummy too! Thanks again to the #PRInation up in the New England region! Next course for PRI Fitness and Movement is another international destination, Sydney Australia!!! June 22-23 we are excited to teach at Fitwell Plus in Sydney, NSW. PRI Australia... sign up today! There are still some slots available! Get registered and please help spread the word!

Posted April 15, 2019 at 2:47PM
Categories: Athletics Courses Science

Just wrapped up a thoroughly enjoyable weekend at the beautiful Minot State University in Minot, ND teaching Myokinematic Restoration. Thank you to Minot State faculty Dr. Heather “Rockstar” Golly and the Beth Marschner “twins” for their help in coordinating this course at their gorgeous third floor facility with a view of the campus. The Minot State team made me feel like family from start to finish. This class included an interdisciplinary group of movement scientists including Maci Severson, ATC, Holly Thompson, PT, Kevin Melby ATC, PTA, Dawn Mattern, MD among others in a largely new to PRI crowd. Many thanks to newly minted PT, PRC Bridget Anderson, who did a great job as lab assistant throughout the course.

Course participants engaged in discussions about PRI theoretical principles, scientifically based rationale for testing and treating the normal asymmetry seen and learned special tests to assess acetabulum and femur relationships. Course participants like Kevin Melby, Micki LaDage, Jodi Swedlund, Samantha Brizee among others volunteered to participate in lab activities to practice PRI special tests and how to use PRI techniques to develop a treatment plan with progression. Thank you to all who helped during lab time by allowing course participants to see examples of normal polyarticular chain patterns of muscle and inhibition techniques that affect them!

Myokinematic Restoration - Minot, ND

A lively, thoughtful and robust group, it helped me really enjoy my time in the “sister state” of North Dakota this weekend. Thank you each for adding to PRI nation and for jumping into the science of PRI with candor and zest!

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