Postural Respiration (Indianapolis, IN) - "I had the awesome opportunity to travel with Ron to Indianapolis this past weekend, and boy was it fun! We had a great group of strength and conditioning coaches, ATC's, Chiropractors, PT's, PTA's, and PT students (including 5 from Washington University in St. Louis - thanks again Joe!) come together to learn about the influence that the diaphragm, ZOA and ribcage has on position, and how to integrate respiration and positioning into each of their professions. Thank you to Bill and Mike at IFAST for hosting such a wonderful course and for mentoring so many young bright minds (this feature image is the IFAST family featuring staff, former interns and students). Quite impressive! Ron was pretty bummed to hear the restaurant was out of ribs on Friday night, but he made up for it on Saturday night by ordering the "right rack" of ribs, and then even demonstrating right trunk rotation! - Jen Gloystein

Impingement & Instability (Dallas, TX) - "The weekend started beautifully and the Texans in the class were great! Then the weather turned awful as the ice storm hit on Sunday. When we finished....we scrambled for the exits and took off for home! All in all a fun time and a slip-n-slide back home!" - Mike Cantrell

Posted March 6, 2014 at 10:00PM
Categories: Courses

Michal Niedzielski, along with Dr. Paul Coffin will be presenting at a conference titled: "Interdisciplinarity in the Process of Restoring Posture and Function of the Body" (Physiotherapy/Optometr/Podiatry/Dentistry). The conference will be held on March 29th in Opole, Poland. Detailed information can be found HERE (however you must understand Polish to learn more.

Speakers include: Paul Coffin, DPM; Larry Wallace, OD; Michal Niedzielski, PT, PRC and Jolanta Jarka, DDS

Following this one day conference, Michal will also be teaching a Myokinematic Restoration course, which he translated and has taught in Poland a few years ago as well!

Posted March 3, 2014 at 9:13PM
Categories: Clinicians Courses

Portland, OR (Postural Respiration) - Had a fantastic weekend in Portland talking breathing and neurology with Emily, Tina and company at Shine Yoga. Besides an awesome group of yoga professionals, we were blessed with a strong combination of physical therapists, chiropractors, strength and conditioning professionals and pilates instructors. It was great to have two staff members from the University of Oregon and two performance professionals from Nike. Go Ducks! Thank you Emily, not only for being such a great host, but for all the extra time you took with me to go over the PRI integration for Yoga course material. So exciting! You're doing a fantastic job expanding PRI's influence in the great Northwest. And lastly, thank you Chris for the great seats to the Trailblazers Timberwolves game. I had a ball and couldn't have asked for better seats. #ripcity - James Anderson

Frederick, MD (Pelvis Restoration) - Maryland had wonderful weather this past weekend despite 19 inches of snow the prior weekend.  Despite the 58 to 60 degree temperatures, practitioners in the area stayed inside to learn Pelvis Restoration.  Twelve attendees were attending their first PRI course!  I felt the concept of inhibition was really brought home this past weekend, especially of the left anterior inlet to allow for integration not only of the pelvic and respiratory diaphragm, but frontal plane of the left innominate.  It’s humbling teaching many wonderful practitioners and satisfying when they have “light bulb moments.”  Worth the trip!!!  Thank you so much Maryland Sports and Rehab and Erin and Chris Roosa. - Lori Thomsen

Posted February 27, 2014 at 10:01PM
Categories: Courses

Myokinematic Restoration - Las Vegas, NV

Returning to Las Vegas for Myokinematic Restoration was great for me because this is where my PT journey began over 20 years ago. Some of the more experienced attendees (yes Bob, I said experienced) knew people and places that were a big part of my life way back then. It was great to think through the history of my work experience, my education at UNLV and that this is where my young family started out. 

The nature and diversity of this group was fantastic. I loved that there were so many dynamic and sharp PTAs in attendance. I love the work PTAs are able to do in the world of PRI and have been blessed by their professionalism and support throughout my career. I also appreciated the opportunity to discuss how PRI addresses pathologically over-lengthened ligaments with the rehab professionals in attendance from the Cirque Du Soleil. Acrobats, gymnasts, contortionists, dancers, and other circus professionals can pose a unique challenge with the hyper-flexibility and instability elements required for their craft. 

And the weekend was special because it was a work trip that doubled as a daddy-daughter weekend. Meghan and I visited my Alma Mater UNLV, went to see David Copperfield at the MGM and got to enjoy the world class acrobatics and dance of the Cirque Du Soleil athletes in the production Michael Jackson One at the Mandalay Bay.  What a great time.

All the way from Singapore! Thanks Riesal Idries for coming to America to spend more time with us!

Posted February 20, 2014 at 6:00PM
Categories: Courses

There are a few seats available for the rescheduled Postural Respiration course in Portland, OR on February 22-23, 2014! Click HERE to get signed up today!

Posted February 14, 2014 at 8:06PM
Categories: Courses

"What Introductory PRI Course Should I Take First?"

Hello PRI world of thinkers and learners!  Jesse Ham here, chiming in on a topic that has been and will continue to be a worth-while discussion:  What is the best way to get clinicians engaged into looking at movement through a PRI lens?  Or, put another way, what PRI introductory course will be the best to take first?  There really isn’t a right or wrong answer.  This is my impression from my experience personally as a clinician and from listenting to others' responses after they have taken various courses.

If we were all blessed with Ron Hruska’s ability to shift paradigms, take in seemingly limitless amounts of information, integrate it together and apply what we learned, then there would be a simple solution.   We would all take a week-long PRI Introductory course called Postural Myokinematic-Pelvis-Respiration Restoration.   Not only does this title not fit on the front of a manual, it’s a mouthful to pronounce, much less digest and apply all at once.

Even if we could get a week off consecutively to attend such a course, most of us will be on “new information maximum” somewhere between the afternoon of the first day and mid-morning of the second day.   After taking my first Myokinematic Restoration Course "four score and seven-plus years ago," I recall the need to work with it on many patients, review the manual, PRI blogs and emails, and just process the base concepts for quite some time.  So, since the best introductory course is a bit bulky, I pose a feasible strategy for where to begin taking the three introductory courses, Postural Respiration, Pelvis Restoration and Myokinematic Restoration.

To do so, I will take a small tangent here:  Before I was aware of this Institute, in fact before I went to PT school,  I was aware that clinicians struggled mightily treating IS (Ilio-Sacral) joint dysfunction.  There were seemingly as many special tests and strategies for treating this joint as there were clinicians and instructors.  Some said the IS joint didn’t move at all, others said it needed to be manually mobilized if it wasn't functioning properly.  Every static and dynamic imaging study had been done, with conclusions that gave very little insight from a clinician’s standpoint.  I studied Cyriax and all the derivatives up to Mulligan's work presently, I studied Gary Gray’s viewpoint.  I reviewed the various clinicians’ work who were, in part, responsible for muscle energy techniques to continually self-mobilize the ilium on the sacrum.  There are many more who contributed to this IS joint's body of research and treatment techniques, I have merely brushed over a few.  The take home here is that after PT school and several years of practice, I had no definitive answers as to how to affect the position of this joint and maintain that effect for my patients as they moved in a triplanar world of forces.

Then I started to take on the world of PRI and its viewpoint as to how to effect this IS joint's position.  As I became more adept at utilizing PRI concepts, I was far more successful at treating maladies related to IS dysfunction.  But there were still some patients that I had to constantly reposition, those who were never free of a relatively constant "HEP."  Far too many (~20-25%) of these patterned IS dysfunction patients were “better” but not well.  They still needed consistent intervention, were not integrated and therefore I was not happy.  Loose ends and unanswered questions still bothered me for some of my IS patients.

Along came Lori Thomsen and later Jen Poulin teaching Pelvis Restoration.  Mind you, the concepts of pelvis position are woven into Postural Respiration and Myokinematic Restoration, and this discussion does not apply strictly to IS dysfunction--that was just one of my conundrum diagnoses that I use as an example here.  But from my experience I was not as effective at those “tough ones” that we all have until I began to appreciate the position of an inlet and an outlet of a pelvis.  Specifically, how that inlet and outlet position enables me to integrate a thorax with lower extremities optimally to allow a patient to attain reciprocal, alternating function and live their lives free from the bondage of perpetual, unsustainable diagnosis-specific exercises to maintain their function.

The above is my abbreviated rationale to the question I posed for the title of this piece.  For those of you who skipped to the end of the book and like short answers, mine is this:

If I had it to do again, I’d take Pelvis Restoration first, followed relatively closely by Myokinematic Restoration and Postural Respiration.

Thanks for taking the time to review this blog.  I will enjoy reading your experiences and story about what introductory worked well for each of you!

Posted February 14, 2014 at 3:47AM
Categories: Courses

Myokinematic Restoration (Dallas, TX) - For those of you who follow me on twitter (@jenpoulinpt) You would have appreciated my Friday travel tweet “I’m about to mess with Texas! #priparadigmshift #dotheyhaveholecontrolinTexas? #myokin2014” and my Sunday travel tweet “I left the mark of the Big D on Dallas!!

Well they say everything is Bigger in Texas and that couldn’t have been closer to the truth! It was great to see this group of new clinicians and trainers develop their Texas Ginormous appreciation for respiration and asymmetry that match the Everythings Bigger in Texas theme!  From airports to shopping malls to cowboy boots, (yeah I bought those), I thoroughly enjoyed my time in Texas with an energetic group of professional from PTs, PTAs, ATCs, and Personal Trainers. Tim and Greg are going to PRI-up their Cross-Fit Gym in San Antonio and revolutionize the Cross-Fit industry with proper breathing and position so their athletes win those competitions and better yet, don’t get hurt! - Jen Poulin

Cervical-Cranio-Mandibular Restoration (Pitman, NJ) - Last weekend was evolutionary for me, because I truly now see how this course will continue to evolve in the area of managing dysautonomia, orthostatic hypotension, vocal cord dysfunction, foramen magnum control, rectus capitis stabilization, hyoid positional influence on the omohyoid, and more. This group of course attendees made this possible. It was a multidisciplinary event that I will not forget. Kevin Neeld, thank you for hosting another PRI course and making your growing kith so comfortable. - Ron Hruska

Posted February 13, 2014 at 10:50PM
Categories: Courses

If you are a home health Clinician, if you work with geriatric patients, or if you see complex chronic pain patients, you are not going to want to miss this new affiliate course being offered in Phoenix, AZ on March 8-9, 2014! The PRI Integration for the Home Health Clinician course is taught by James Anderson, and has gotten great reviews from it's first two courses offered this past fall!

If you sign up by next Friday, February 21st, you will still be eligible for the Early Registration Rate of $445.00. You can sign up online HERE or by calling 888-691-4583.

Posted February 10, 2014 at 3:35PM
Categories: Courses

Due to the Winter Storm in Portland, OR, the Postural Respiration course scheduled for this weekend at Shine Integrative Physical Therapy has been CANCELLED! The course has been rescheduled for February 22-23, 2014. Please check your email for additional information. Our apologies for the inconvenience, and thank you for your understanding of the situation.

Posted February 7, 2014 at 5:01PM
Categories: Courses

The Impingement & Instability course in Minneapolis, MN orginally scheduled for March 29-30th, has been changed to March 15-16th. Don't miss out on this opportunity to hear James Anderson discuss the importance of reference centers, along with calcaneal instability, pelvis instability, femoral instability and scapular instability. Early registration deadline is next Friday, February 14th!

Posted February 6, 2014 at 9:32PM
Categories: Courses
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