Courses

Mizzou Therapy Services located at the Missouri Orthopaedic Institute hosted it's first PRI course, Postural Respiration, this past weekend in a beautiful state-of-the-art facility. What made this weekend significant was that nearly two thirds of the attendees were from Mizzou Therapy Services or new to PRI. This holds the promise of a great opportunity for these therapists to collaborate, practice and potentially master the manual and non-manual PRI techniques taught this weekend.

This is the first time this instructor has taught a course with so many participants from the same facility and the energy and enthusiasm from these talented therapists was inspirational! Since most of the class was new to PRI and attending their first course, PRI principles were broken down in detail to provide a solid foundation to a brand new paradigm. Many of the therapists immediately saw the value of Postural Respiration with working with their COPD patients, athletes from the University of Missouri as well as geriatric populations.

Postural Respiration has been updated and revised just this year and Posterior Mediastinum could be another name for this course. Patterns, position and posture of the diaphragm affecting every vital system in the body were defined and explored this weekend. Columbia, MO is a great college town and has tradition at their sports games from their fans. On one side of a group of fans they will shout " M-I-Z" followed by the other group answering "Z-O-U!" for MIZZOU! This weekend the therapists at Mizzou Therapy Services have a new chant which is "M-I-Z" ---"Z-O-A!" for the new awareness of "Zone of Apposition" as described in Postural Respiration!

Many thanks to Joe Pope, PT, PRC for driving in from Eldon, MO to assist. His expertise and skill at describing and expanding on PRI principles and his lab assistance was invaluable. Joe is thoughtful and articulate with his responses and patience. Thank you to all of the staff at MTS including Lindsey, Laura, Mackinzie, Barbie, Katie and all others that helped to organize and clean up at the end of the day. Your energy and assistance with providing such a great facility was much appreciated.

Posted February 8, 2019 at 7:06PM

PRI's online home study courses are now approved for CEUs through the American Occupational Therapy Association (AOTA)!

As of January 2019, the following PRI courses award AOTA CEU's:

Thank you to our AOTA Consultant, Minh Nguyen for working with us to renew our AOTA Approved Provider status, and get these home study courses approved as well!

Posted February 6, 2019 at 2:44PM
Categories: Courses

Having the opportunity to discuss the role of the hypothalamus and integrated thalamic function as they relate to autonomic patterned respiration, physiology, posture and central nervous system compensation, was an enduring dream of mine. I could finally, deliver a course that describes how our autonomic and central nervous systems operate with and from  biased cerebral and cerebellum lateralization, hemispheric specialization, and oscillatory compression and decompression.

Ron Hruska demonstration during Cranial Resolution in Seattle

Over two decades of literature review, clinical application, multi-disciplinary experience and evidence based outcome methodology, built with the help of an Institute I started for these course objectives, fulfilled me in ways that are very difficult to express. I trusted an idiosyncratic educational process that challenged me as a pre-dentistry student. A clairvoyant process that required collegiate patience, faith in humanity and belief in our holistic, biological and neurological system. I appreciated the 41 course ambassadors who also trusted this process. I hope they came away with a sense of how we patterned humans resolve to make sense of what we don’t sense through pattern compensation of air flow, fluid movement, and cavity fluctuation as it relates to ischial and occipital (sacral and cranial) rhythm and thus autonomic processing. 

Christopher Murphy at Cranial Resolution, Alpine Physical Tehrapy

Cranial Resolution Course Attendees, Seattle, WA

This course was strengthened by the input and participation from too many people to list here, but I especially appreciated the support from Erin Coomer DPT,OCS, Laurie Gribschaw PT,DPT,ATC,AT/L,PRC,  Janine Peacock DPT,OCS, Paige Raffo MPT,OCS and Kelly Martin PT.  I could not have asked for a better audience and support group.   There were many reasons I wanted to give this first course in Seattle but three of those reasons are Christopher Murphy DPT,OCS,PRC,  Jeremiah Ferguson DPT,OCS,PRC, and Eli Zygmuntowicz DPT,OCS,PRC. These three men are absolutely the embodiment of family. I will always be grateful for their warmth, charismatic charm and pedagogical approach. I had so much fun and look forward to the next opportunity to talk about pendular parasympathetic process. 

Alpine Physical Therapy

Santa Barbara is one of California's beautiful towns and would be considered one of our seaside gems. Prevail Conditioning and Performance Center was the location of Postural Respiration this past weekend. Owner and operator, Peter Blumert, provided a superior training facility for this weekend which followed his hosting Myokinematic Restoration last November. This weekend was a first for PRI! We introduced our latest revision of Postural Respiration. This course is packed with new material including a new test for posterior mediastinum inhibition called the posterior mediastinum reach test. There have been new documents added to support PRI concepts with loads of references for this course. In addition, case studies have been added and were a big hit with our students!

This was a course loaded with professionals in not only physical therapy, athletic training and sports performance but included an osteopath as well. Postural Respiration really describes how the diaphragm affects every system in the body. This course connects pelvis position to the ribcage and illustrates that breathing can be viewed as the gait cycle allowing ribcages to actually walk! That seems like such a far-fetched concept to those new to PRI on day one of the course and seems like such a bold statement. By the end of the weekend, every student could see that breathing is walking and the diaphragm and ribcage position and posture is key to tri-planer, dynamic, balanced gait.

We also had a chance to introduce the effects of the diaphragm and the ribcage to the cervical spine and jaw as well. The connection with Postural Respiration and the neck and jaw was experienced by a student when testing HGIR, or internal rotation of a Humerus in a glenoid fossa. She experienced jaw pain during HGIR testing and learned there was a connection of the Omohyoid with shoulder blade, neck and jaw. This was reinforced when the manual technique to release her subclavius muscle was demonstrated. Not only did this technique make her tests neutral but her jaw pain was gone. She also understood that with any manual technique, a non-manual technique and progression via treatment guidelines will be needed. Needless to say she was enthusiastic about continuing her PRI journey! Thank you to Aimee Miyazawa, ATC, PRT for being a seasoned veteran of PRI and a wonderful lab assistant. Thanks again to Peter Blumert for hosting this course as he welcomes Pelvis Restoration later this year.

Posted January 24, 2019 at 9:00PM

Atlanta played host to a “level 2” course from PRI. The host site was One on One Physical Therapy and the course was Cervical Revolution. Again Karen Warren PT, MPT, OCS, ATC and her crew at One on One were gracious and accommodating. Helping me throughout the weekend was one of my close friends, Jean Masse PT, DPT, PRC, OCS, ATC. Jean is a stellar clinician who teaches PRI concepts at our Advanced Integration course each year.

 Cervical Revolution is the class that makes an initial foray into the PRI world of the cervical spine, cranial strain patterns and dental occlusion and how these worlds might meld together. The occlusion part is one of the reasons why so many dentists have been taking this class and the numbers seem to be growing. A dental group from Kidstown Dental in Houston, Texas was on hand after having heard Ron Hruska speak at the AAPMD conference in Las Vegas. Also, my own dentist, Liz Caughey DDS was there as well which was a special treat for me.

 I realize that each time I’ve presented this course over the past few years, I have learned more and more. I am so very grateful to my mentor, Ron Hruska MPA, PT, for trusting me with this material and I am so happy that he is STILL willing to explain things to me after 22 years under his tutelage. This course has indeed changed since its inception and no doubt will continue to do so in the ensuing years. We try to refine the material and we rely on your feedback to do so. Thanks to all of you for the wonderful suggestions you provided on your evaluation forms. Here’s to a happy 2019 for all of us and...#PRInation...you rock and you’re growing rapidly!!!

Hello PRI Nation!

Returned from Florida this week after a great first PRI course in Bradenton where we hosted some great clinicians from the greater Tampa Bay area and beyond. Many thanks to John Walz, and the team at Request Physical Therapy who provided an inviting, high positive energy environment in which to learn the science of Pelvis Restoration. Our local hub and this weekend’s lab assistant was my friend Megan Bollinger from the PRC class of 2012, whose passion for this science is both admirable and contagious. Can't say enough about how much I appreciate Megan's unassuming, caring demeanor during courses and as a fantastic host.

Jesse Ham Demonstarting the Hruska Adduction Drop Test during Pelvis Restoration

This interdisciplinary group of movement pros, from Hiroki Yoshimoto, ATC to Heidi Goldman, LMT, Sharon Yadven OTR/L to the “Traveling Timlers,” PT’s Megan and Paul was particularly interested in clinical application of PRI pubo-sacral dynamics of the ‘how and when’ to utilize the principles of this course material. We explored anatomy, neurologic application, arthrokinematics and osteokinematics of positioning human systems in ways to optimize pelvis content and surroundings including how to integrate said systems into dynamic living machines with synchronized pelvic and thoracic diaphragms. Our multiple lab times focused on discussing and feeling tests and treatment techniques aimed at achieving tri-planar control of a pelvic as well as its mirror ipsilateral thoracic diaphragm and designing a program to do so. This instructor enjoyed the lively class participation from front row Jessika McNeil and Brianna Nelson all the way to back row light crew Nick Dwyer. We were especially thankful to have both Megan Bollinger, PT, PRC and Karen Hoyt, PT PRC who both practiced and assisted during lab time, allowing us to cover lab with depth sometimes not allowed.

During lab times, thank you Sharon Yadven, John Walz, Megan Timler, Paul Timler, Nick Dwyer, Hilary Arichego and many others for your contribution to the class as we learned together for demonstration time of techniques. And, thank you all for a great learning environment and experience in Western Florida. What a blast!

Jesse Ham, at Pelvis Restoration in Bradenton, FL. January 12-13, 2019

Posted January 18, 2019 at 3:54PM
Categories: Courses Clinicians

We got to kick off the first course for PRI in 2019 at the University of Arizona in Tucson! Special thanks to Ben Crawford and the Sports Medicine Team for hosting! Amazing facilities and amenities and this was a perfect site to kick of the year. I have confidence the PRI minds are going to be growing after this course as we had a very engaged group. I’m excited to hear how they will be growing and using the material over the next year!

 The PRI Fitness and Movement Course is an advanced 2 day course geared to address the integration of dynamic thoracic posture and axial frame asymmetry. It’s a principles based course to empower fitness and performance patterns through respiration and alternating reciprocal activity. Our manual is full of exercises to get clients moving and optimizing dynamic postural relationships, so that their workouts can help them better adapt in a stressed, technology driven, and progressively changing world.

There is so much intangible value of understanding the empowering benefits of how to coach and train a diaphragm and pelvic/hip complex to work together. This knowledge is foundational for all fitness and movement professionals, including Personal Trainers, Strength and Conditioning Coaches, Athletic Trainers, and Physical Therapists. I’m excited to be entering into our 3rd year of teaching this course. This year we have some new focuses on screening and programming. Some of the “exercises” taught in this course can be used as screening techniques and/or as training techniques. A true test to an athletic body in balance is when clients can move in and out of a good diaphragmatic position and “feel” the correct family of muscles working… automatically… without excessive effort. Can the right things work together? Can relationships stay intact?

Lastly, it wouldn’t be a complete trip to Tucson, without a stop at one of James Anderson’s favorite restaurants Café Poca Cosa. Classy, delightful experience and such a yummy surprise plate of food. I have no clue what I ate, but it was good and I hope to return one day!

 Want to progress your PRI understanding or get introduced to the science of Postural Restoration? Then this is a great course for you! Hope to see you at one of our courses this year! Next month, we will be teaching at a private host site, then off to Brunswick, Maine - Syndey Australia - Boston, Massachusetts - Dublin, Ohio - and then Fort Collins, Colorado. Visit the PRI Affiliate Course section for more details.

Posted January 15, 2019 at 4:23PM
Categories: Courses Athletics

Every year the first week in December marks the beginning of the end. The start to our four day Advanced Integration course is much anticipated throughout the year as we prepare and look forward to welcoming our PRI Family “home” for the Holidays. For all of us at the Institute it is truly a time of gratitude and renewal as we host course attendees from all over the world here for the last course of the year.

This year we were thrilled to have 15 of our 18 faculty members here, laying the stage for one of the best years yet. We also welcomed attendees from Australia, Denmark, Germany, Japan, Malaysia and 23 other states. Many of you may know by this point that attending the same course twice may lead to two very different experiences. This years Advanced Integration was unlike any previous renditions due to the constant dialogue between the Presenters and the many Faculty members in the audience. Every year the Primary Concepts are integrated, expanded on and projected in a new way to reflect the current state of the culture around us.

Many of us will spend time with family over the upcoming holidays and all of us will join these conversations with different biases, dispositions and attachments. In order to remain loved and continue to love our family members we must sense our own physical and emotional constraints while at the same time appreciating theirs and inhibiting any negative outcomes that otherwise may occur.

Similarly, if our anatomical families do not work together and appreciate what each group can bring to the table, neutrality may be lost. Advanced Integration continually reminds us to appreciate each of our family members and the role they play in balancing our autonomic function. Myokinematic, Postural and Pelvic concepts were solidified through four days of appreciation for each presenter, practitioner, and person in attendance.

Thank you to all of our PRI Family for making the trip to Lincoln. Although December is typically the coldest time to visit, we are grateful to end each year with all of you. Not only does this course solidify all of your integration throughout the year, but we hope it also lays the foundation for a successful start to the next.

Wishing you and your Families a very Merry Holiday Season and start to the New Year!

CLICK HERE to see all Advanced Integration 2018 photos!

Posted December 21, 2018 at 8:50PM

PRI Integration for Baseball (Glendale Arizona) - Camelback Ranch in Glendale Arizona was the site of this year's PRI Integration for Baseball course and it was a beautiful setting and a great course. Jimmy Southard, ATC was an excellent host. He took the extra time and energy to make sure everyone felt welcome and had everything they needed during both days of the course. I was grateful to have been able to co-teach this course again with Ben Hagar, PT, PRC. Ben is an excellent instructor that not only cares about getting it right, but makes sure questions are answered in such a way that course attendees get the most benefit from the discussion. We also appreciated having Kris Naig, PT, PRC with us to help out during lab as a lab assistant.

Roughly 1/3 of the class were first timers at a PRI course and I loved having the interaction with such a fresh group. First and foremost, we respect and appreciate that so many new professionals were willing to invest their time and resources into learning about the science of Postural Restoration. The first half of the first day was completely devoted to properly introducing fundamental principles and concepts to this new audience so we were all on the same page as we moved forward into the performance component of the material. We discussed human respiratory asymmetry, the patterns associated with this asymmetrical respiratory drive and how these patterns relate to phases in the gait cycle. We further discussed appropriate ways to minimize these patterns so movement pathways become unrestricted for baseball performance.

Then Ben moved the group into an interactive discussion around phases of early and late throwing mechanics, complete with a breakdown of slow motion video for each component of throwing. After bringing the group up to speed on the desired movement outcome for each phase of throwing, Ben was able to highlight compensatory movement tendencies for both right and left handed throwers because of the L AIC/R BC pattern. His mechanical breakdown of the throwing sequence was further expanded to include reciprocal movement assessment of the wrist, forearm, elbow and shoulder in three dimensions. These patterned considerations were also applied to early and late hitting mechanics to end the afternoon session on day 1.

Day 2 was all about thoracic performance, objective testing and treatments for Superior T4 Syndrome, a common presentation in baseball. I started the morning discussion with right vs left sided considerations for the abdominal wall, lower trapezius and serratus anterior. I also went into the rotational considerations across the axial skeleton for a R BC athlete vs a Superior T4 Syndrome athlete and discussed limitations with rotation commonly seen both before and after addressing the L AIC/R BC pattern. Ben then took over and guided the group through lecture and lab for the 3 baseball specific performance tests used in this course. It was nice to go through the testing process together in each of the lab groups and to take the time to analyze the testing results and to begin to make treatment decisions. He then took the testing information into a discussion of treatment and focused on the baseball athlete with Superior T4 Syndrome.

It was encouraging for the class to stay so focused on this particular category of rotational overhead athlete for a couple of reasons: First, because such a high percentage of baseball players develop Superior T4 Syndrome and second, because a full correction of Superior T4 Syndrome patterned and non-patterned rotational limitations corrects so many other things, for both right and left handed athletes. After learning and practicing these treatment techniques together in lab groups, Ben finished the second day outlining training considerations for both a right and left hander during stride to cocking and during acceleration to follow through. A welcome compliment to the detailed throwing analysis completed with all the slow motion video on day one. Overall, a great course with a great group of baseball professionals, that certainly helped all of us become better at what we seek to be good at.

Posted November 27, 2018 at 10:23PM
Categories: Courses

Last weekend I enjoyed teaching Pelvis Restoration up in the Motor City. The class was hosted by the Detroit Medical Center and their staff were very accommodating and made me feel right at home. This class was a nice mix of rehab and strength and conditioning professionals. There were only 4 newbies and the rest of the class had taken PRI coursework. This always makes for a fun class with lots of integration between the respiratory and pelvic diaphragms as it relates to gait and breathing. On Sunday, we mixed it up a bit, as it was my last class of 2018. The group widely understood my L AIC “Mustang Sally” analogy. It was quite fitting as I awoke to some snow on Sunday! Brrr… it was cold up North this past weekend. My VT Yankee blood has definitely thinned! We discussed how our patients and athletes are born into a LAIC pattern and compensate with their backs to override the pattern. This led to my PEC snowstorm on the Mustang Sally asymmetrical pattern.

We began our treatment algorithms discussing the Patho PEC pattern management and related that compensation to a Winter Snow storm on top of our Mustang Sally. We reviewed the 3 signs of pathology and how these patients will maximize end range and stabilize on their joints vs. good muscle control. A lot of time and discussion was spent on the importance of securing inlet extension with IOs and TAs and inhibiting back extensors before moving into L AIC clinical efforts. Once we brushed off the compensations of the Patho PEC and PEC, we got down to business to review the RAIC treatment plan. This switch in presenting the material was appreciated as a lot of our Pelvis patients are in a PEC pattern and lack frontal plane control.

Craig Stasio, PT from Simio Physical Therapy, assisted me. Thanks to Nick Jensen ATC from the Atlanta Braves for enduring my Right Iliacus emphasis and Mary Ann’s early question regarding respiration and the Pelvic Diaphragm. I look forward to taking a little break over Thanksgiving and seeing everyone in Lincoln for Advanced Integration in December!

Posted November 14, 2018 at 10:28PM
Categories: Courses
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